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Biomedical subjects

Y Rouquet

Publications and source records attributed to Y Rouquet.

14 recordsLinked to original sources
PubMed1994

[Fetal surgery].

Explore the source record for details and available documents.

Animals↗
PubMed1992

[Evaluation of 5 years of experimental in utero surgery for the repair of diaphragmatic hernia].

The incidence of diaphragmatic hernia in he newborn is 1:2,500 to 5,000 births. An extensive American programme of foetal surgery for in utero repair of this defect has shown that the pulmonary hypoplasia was due to compression of lung tissue by the herniated organs. This process could be interrupted be repairing the diaphragmatic defect early enough in utero (before the 28th week). The results of five years of experimental surgery for in utero correction of diaphragmatic hernia are presented here. The experimental model used was the Macaca fascicularis monkey, the pregnant female of which having several gestational and endocrine characteristics similar to those of the pregnant woman. Three different experimental programmes were carried out successively. A first series including five animals was used to experiment both surgical and anaesthetic techniques; three foetuses died in utero. The second series (10 animals) was designed to find a suitable protocol for tocolysis. One female died after surgery, and seven other foetuses also died. The third group (13 animals) was the main study group. The diaphragmatic hernia was first created surgically, and then repaired. No foetus died from the surgery. One female died before giving birth, and one offspring died shortly after birth as its mother had no milk. After the encouraging results obtained with this last series of animals, the procedure was applied to human cases, with the Hospital Ethical Committee's approval. In the first case, the foetus died postoperatively as a result of the rupture of the diaphragmatic prosthesis.(ABSTRACT TRUNCATED AT 250 WORDS)

Anesthesia, General↗
PubMed1989

[Chorionic villi sampling. Results with the first 500 samples].

531 chorionic villi forceps biopsies were carried out, to look for genetic diseases. Sampling was impossible in 24 cases (4.5%). The following indications were chosen: maternal age over 38 years: 361 cases; parental chromosome abnormality: 28 cases; previous history of chromosome abnormality: 21 cases; X-linked disease: 77 cases; metabolic disease: 32 cases; hemoglobinopathy: 7 cases; blood group determination: 5 cases. An elective abortion was carried out in 44 cases (8.7%), whereas 465 pregnancies were not interrupted. Full term has been reached in 327 pregnancies. The rate of miscarriage in this group is 3.9% (13 miscarriages out of 327 pregnancies followed). The results obtained at the Saint-Vincent-de-Paul Hospital show that the cytogenetic technique is reliable, and that the low risk of sampling allows its application in the diagnosis of chromosome anomalies.

Adult↗
PubMed1987

[In utero surgery of diaphragmatic hernia in Macaca fascicularis].

The aim of this study is to be able to perform on the animal (Macacus cynomolgus) a specific in utero surgical procedure for correcting congenital diaphragmatic hernia, in order to do the same on human fetuses. The surgical technique consist in operating in utero, and to put a silastic patch on the diaphragm. A good tocolysis is very necessary to prevent early abortion. Finally the fetuses' surviving is the main problem.

Anesthesia, General↗
PubMed1985

Lysosomal hydrolase activity in chorionic villi and embryonic cells in culture.

Fourteen lysosomal enzymes were compared in 20 cultured cell lines from chorionic biopsy and corresponding embryonic tissue after voluntary abortions. Enzymatic expression appears to be similar in cultured cells from both sources with some slightly higher levels for chorionic villi. We stress the importance of culturing chorionic villi especially in the case of enzymes (alpha-L-iduronidase) or diseases (I cell disease) whose expression is unusual in fresh trophoblast tissue.

Cells, Cultured↗
PubMed1984

[Sampling, culturing and karyotyping of chorionic villi].

The authors report on 69 samples of chorionic villi taken from patients who were undergoing therapeutic termination of pregnancy. These samples were taken using small forceps which were guided by ultrasound. The reliability and the chances of culturing these villi in order to work out the caryotype of the fetus and to study the enzymes is discussed.

Chorionic Villi↗
PubMed1981

[The bacteriostatic and bactericidal effect of amniotic fluid (author's transl)].

The bacteriostatic and bactericidal effect of 100 samples of amniotic fluid (LA) was studied against 5 bacterial species that are responsible for neonatal infections. These results show that there is a bacteriostatic activity in liquor. 52 specimens of liquor amnii (52%) were shown to be active against at least one of the 5 bacterial specimens studied. 32 samples of liquor (32%) were active against Listeria monocytogenes, 21 (21%) against Flavobacterium meningosepticum, 18 (18%) against Escherichia coli, 17 (17%) against group B streptococci and 7 (7%) against Bacteroides fragilis. A simultaneous study of the 6 types of germs show a separate characteristics of this activity. In this way the number of samples of liquor that were active against one or at the same time against 2, 3, 4 or 5 bacteria were respectively 24, 19, 5, 2 and 2. The bacteriostatic effect was more frequently active in those samples of liquor which were studied near term (57.5%) than in the samples studied nearer the beginning of pregnancy (31.5%). All the same, this difference is not statistically significant. There was no difference in the antibacterial activity of samples of liquor from normal and from abnormal pregnancies. The bacterial effect was found only in 12% of samples of liquor, particularly against streptococcus B (8%) and against Listeria monocytogenes (4%). This bactericidal effect was only found after the 31st week of amenorrhoea.

Amniotic Fluid↗