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Obstetrical reanimation

Christel Nowak, Madeleine Joubert, Frederique Jossic, Agathe Masseau, Mohamed Hamidou, Henri-Jean Philippe, Claudine Le Vaillant
INTRODUCTION: The objective of this work was to evaluate and compare perinatal outcomes of pregnancies complicated by placental chronic intervillositis (CIUE) or villitis (CVUE) of unknown etiology and combined lesions. METHODS: Retrospective study of all cases of significant CVUE and CIUE occurring during a 12-year period in a university tertiary hospital center. Multiple pregnancies, infectious and medical termination of pregnancies (TOP) without intra-uterine growth restriction (IUGR) were excluded...
August 2016: Placenta
Gulfem Ece
BACKGROUND: The increased life span has led to application of more invasive procedures for diagnosis and treatment of particularly immunosuppressed individuals. This situation drew more attention to fungal infections due to existence of yeast-like fungi. Candida infections have increased due to transplant in patients, prolonged intensive care unit (ICU) stays, and invasive procedures. Recently, identification of yeast-like fungi as well as antifungal susceptibility test has been gaining more importance...
December 2014: Jundishapur Journal of Microbiology
Libor Mencl, Petr Waldauf, Pavel Haninec
BACKGROUND: The aim of this study was to evaluate the results achieved using various surgical techniques in patients with partial and total obstetrical brachial plexus palsy. METHODS: From 2000 to 2013, 33 patients with obstetrical brachial plexus injury underwent surgery. Twenty had follow-up periods greater than 24 months and met the criteria for inclusion in the study. All patients were evaluated using the Active Movement Scale. RESULTS: The outcomes of different nerve reconstructive procedures including nerve transfers, nerve grafting after neuroma resection and end-to-side neurorrhaphy are presented...
April 2015: Acta Neurochirurgica
O Breton, F Vial, J Feugeas, K Podrez, K Hosseini, S Boileau, P Guerci, H Bouaziz, F Aubert, G Audibert, J Borgo, Y Chalot, F Didelot, T Fuchs-Buder, J Hotton, E Junke, J -M Lalot, M -R Losser, A Pierron
OBJECTIVES: Evaluation of the acceptability of complications related to obstetrical epidural analgesia in two populations, parturients and anesthesiologists. STUDY DESIGN: Prospective, transversal, single center study. MATERIALS AND METHODS: Evaluation of the acceptability of complications associated with obstetric epidural analgesia performed using a questionnaire of six clinical scenarii in two populations: parturients cared at the University maternity of Nancy and anesthesiologists of Lorraine...
November 2014: Annales Françaises D'anesthèsie et de Rèanimation
V I Sergevnin, T V Kliukina, N M Kliuchareva, E O Volkova, L G Kudriavtseva
AIM: Study the sensitivity of nosocomial purulent-septic infection (PSI) causative agents to disinfectants (DA) and antibiotics (AB). MATERIALS AND METHODS: Sensitivity to DA and AB of 209 PSI causative agent strains isolated from patients and the environment of 2 obstetric and 3 surgical hospitals was studied in 2009-2011. Sensitivity to DA of 94 strains and to AB of 189 strains of Pseudomonas aeruginosa isolated from patients with signs of PSI of reanimation and intensive therapy and surgical departments of a multi-field hospital was studied in 2012...
July 2014: Zhurnal Mikrobiologii, Epidemiologii, i Immunobiologii
A Enekwe, R Rothmund, B Uhl
Shoulder dystocia is the term used to describe failure to progress in labour after the head has been delivered due to insufficient rotation of the shoulders. It is unpredictable and cannot be prevented by the midwife or the obstetrician. We report here on a severe case of shoulder dystocia, where delivery of the shoulder was finally achieved through direct pressure on the anterior shoulder after laparotomy and uterotomy with concurrent vaginal Woods screw manoeuvre and was followed by vaginal delivery. The patient presented risk factors like maternal obesity and administration of labour-inducing drugs...
July 2012: Geburtshilfe und Frauenheilkunde
V Jacques, F Vial, M Lerintiu, N Thilly, U Mc Nelis, J Raft, H Bouaziz
INTRODUCTION: Enhanced recovery is a concept currently recognised and adopted in a number of surgical specialties. In obstetrics however, this concept remains surprisingly underdeveloped. The purpose of this survey was to study the practice of obstetric anaesthetists in France as regards the recovery of women undergoing uncomplicated, elective caesarean section. MATERIAL AND METHOD: An online 39-point questionnaire was displayed for 2months on the Caro (Club d'anesthesie réanimation en obstétrique) website...
March 2013: Annales Françaises D'anesthèsie et de Rèanimation
Nabil Mathlouthi, Belhassen Ben Ayed, Habib Amouri, Mounir Bouaziz, Kamel Kolsi, Mohamed Ayadi, Kaies Chaabene, Mohamed Dhouib, Khaled Trabelsi, Sahbi Kbaili, Mohamed Guermazi
BACKGROUND: Disseminated intravascular coagulation (DIC) in obstetric disorders is a severe complication. AIM: To study the frequency and means of diagnosis of DIC and the therapeutic care and maternal morbidity induced. METHODS: Monocentric, prospective and descriptive study about 45 cases of intravascular coagulation in an obstetrical service collected at the University Hospital of Obstetrics and Gynecology Hedi Chaker of Sfax over a period ranging from June 2007 to June 2010...
October 2012: La Tunisie Médicale
M De Rood
Man has for a long time searched means of fighting pain, by administration of plant extracts such as poppy seed, jimson weed, henbane, mandrake and alcohol. These substances were given in the form of cataplasms, potions or clysters. Somniferous sponges, applied on the face, were known since Antiquity and have been in use in some countries up to the 13th century. Surgery and pain were inseparable till mid 19th century. Indications for surgery were few, even though some patients could benefit from these sedative drugs...
May 2012: Revue Médicale de Bruxelles
M Binhas, P Diemunsch, N Hawajri, P Maison, R Brucker, J Marty, F Mercier, H Keita
OBJECTIVES: A prophylactic anti-emetic strategy should depend on the number of nausea and vomiting risk factors. This study was undertaken to evaluate the practices of postoperative nausea and vomiting (PONV) prevention practices among obstetrician-gynaecologists, anaesthetists. STUDY DESIGN: A prospective, self-administered questionnaire survey was emailed to all Club d'Anesthésie Réanimation Obstétricale (Caro) members (French Obstetric and Gynaecology Anaesthetists' Association)...
November 2011: Annales Françaises D'anesthèsie et de Rèanimation
Andreas Chiabi, Denis Nkemayim, Pierre-Fernand Tchokoteu, Emilienne G Guegang, Nkele Ndeki N, Jacqueline Z Minkande, Joseph Gonsu, Anderson S Doh
Conjoined twins represent one of the rarest forms of congenital abnormalities. We present a case of conjoined twins delivered at born in the Yaounde Gynaeco-Obstetric and Pediatric Hospital in Cameroon. They were joined at the chest and abdomen, and had one functional heart. The outcome was fatal on the seventh day of life, despite appropriate reanimation measures. This case highlights the difficulties inherent in the diagnosis and management of conjoined twins in low resource settings.
September 2009: African Journal of Reproductive Health
Khaled Boudhraa, Mohamed Amine Jellouli, Mohamed Faouzi Gara
BACKGROUND: HELLP syndrome is defined as an association of hemolytic anemia, raised liver enzymes and thrombocytopenia. It is a severe manifestation of pre-eclampsia. AIM: We tried to specify the epidemic factors and the best management of HELLP syndrome Methods: A retrospective study held during 6 years in the department of gynaecology and obstetrics in La Marsa hospital and according to a literature revue. RESULTS: The dominating symptoms included low abdominal pain and vomiting...
July 2010: La Tunisie Médicale
O Collange, A Launoy, A Kopf-Pottecher, J-L Dietemann, T Pottecher
Eclampsia, the major neurological complication of preeclampsia, is defined as a convulsive episode, or any other sign of an altered consciousness, arising in a setting of preeclampsia, and which cannot be attributed to any other preexisting neurological condition. Convulsive episodes have been described up to 15 days post-partum. Visual disturbances (cortical blindness) are common and must be considered as the equivalent of a convulsive crisis. In case of doubt, the gold standard investigation is the performing of a diffusion weighted MRI...
April 2010: Annales Françaises D'anesthèsie et de Rèanimation
C Chauleur, F Collet, C Furtos, A Nourrissat, P Seffert, F Chauvin
BACKGROUND: In a life-threatening context, the American College of Obstetrics and Gynecology and the Royal College of Obstetrics and Gynaecology recommend a maximum delay of 30 min between the decision to perform an emergency caesarean and the infant's birth. Our objectives were to estimate the rate of prolonged intervals and identify the factors influencing the decision-to-delivery interval. METHODS: All women who had given birth at Saint-Etienne University Hospital by a non-prophylactic caesarean section between September 1 and November 1, 2007 were included in a prospective cohort study...
2009: Gynecologic and Obstetric Investigation
L Vandenbroucke, S Seconda, L Lassel, G Le Bouar, P Poulain
A parturient in the 37th week of gestation is referred to the obstetrical emergency ward for an acute abdominal pain with vomiting and fever. Few hours after her admission, a caesarean section is performed for acute fetal distress. It gave birth to a 3940 g healthy newborn. An abundant and milky peritoneal fluid is noted during the C-section related to a major hypertriglyceridemia (84,47 g/L) which induced an acute pancreatitis explaining the early symptoms. The patient is then hospitalized in surgical reanimation: heparin and a low fat diet led to a quick decrease of triglyceridemia and the healing of the acute pancreatitis...
September 2009: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
D Chelli, K Dimassi, B Zouaoui, E Sfar, H Chelli, M B Chennoufi
INTRODUCTION: The action plan for the maternal mortality is generally based on research studies' results carried out within hospital structure. OBJECTIVES: Determination and follow-up of the evolution of maternal mortality from 1998 to 2007 in a level 3 Tunisian maternity and identification of its main causes. PATIENTS AND METHODS: It is a retrospective study carried out between January 1998 and December 2007. In our service, since 1984, maternal deaths are systematically recorded...
December 2009: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Jörg Bahm, Claudia Ocampo-Pavez
We present 4 children between 6 and 13 years suffering from severe sequelae after a total obstetric brachial plexus lesion resulting in a hand without functional active long finger flexion. They had successfully reanimated long finger flexion using a free functional gracilis muscle transfer. These children initially presented a total obstetric brachial plexus palsy without neurotisation of the lower trunk in an early microsurgical nerve reconstruction procedure. We describe our indications for this complex microsurgical procedure, the surgical technique and the outcome...
2008: Journal of Brachial Plexus and Peripheral Nerve Injury
Julia K Terzis, Zinon T Kokkalis
BACKGROUND: In children with global obstetric brachial plexus palsy, prioritization should be first focused on hand reinnervation and then directed to shoulder and elbow function. In this study, the surgical strategy for restoration of hand function and the methods and outcomes are analyzed. METHODS: Between 1979 and 2005, 59 patients (61 extremities) underwent reconstruction for hand reanimation. The mean follow-up was 7.7 years (range, 2 to 22 years). Of these, 16 cases underwent primary reconstruction alone, 35 underwent both primary and secondary procedures, and 10 late cases underwent palliative surgery...
August 2008: Plastic and Reconstructive Surgery
Julia K Terzis, Ioannis Kostas
BACKGROUND: Restoration of shoulder abduction is very important following obstetrical brachial plexus paralysis. The purpose of this report is to present the authors' experience of suprascapular nerve reconstruction in 53 cases of obstetrical brachial plexus palsy. METHODS: From 1978 to 2002, 170 children with obstetrical brachial plexus palsy were seen at the authors' institution. One hundred nine children underwent surgical treatment, and 53 of them had suprascapular nerve reconstruction...
April 2008: Plastic and Reconstructive Surgery
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