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F Bruyère, B Pradère, B Faivre d'Arcier, J-M Boutin, M Buchler, N Brichart
OBJECTIVES: To describe the technique and report our first experience of robotic-assisted renal transplantation (RART) with more than one year follow up. PATIENTS AND METHODS: In our center the first case of RART was realized in October 2013 with a cadaveric graft. We used the combined extra- and intraperitoneal robot assisted laparoscopic route with extraperitoneal positioning of the graft and intraperitoneal transplantation. The patient was placed in the supine position with arms along the body; the robot came from the right inferior part of the patient...
January 2018: Progrès en Urologie
Gagandeep Kaur, C M Kuldeep, Puneet Bhargava, Deepak Kumar Mathur, Sonam Sharda, Pulkit Chaturvedi
Background: Alopecia areata (AA) is a common, recurrent form of nonscarring alopecia which often presents as circumscribed patches of spontaneous hair loss. The global prevalence of this disease varies from 0.1% to 0.2% in general population and 7-30 cases per 1000 dermatological patients. The etiology of AA still remains uncertain; however, genetic or environmental factor and autoimmunity are claimed responsible for it. Various autoimmune diseases, such as Hashimoto's thyroiditis, diabetes mellitus, vitiligo, and lupus erythematosus, have been reported in association with AA...
October 2017: International Journal of Trichology
N Ligot, B Lubicz, G Naeije
Ischemic stroke is a leading cause of disability and death due to brain arterial occlusion and subsequent ischemia. Acute treatment aims to recanalize the occluded artery as soon as possible. Treatment to achieve recanalization of the occluded artery has evolved during the last couple of years. First therapeutic improvement : intra-veinous thrombolysis (IV rt-PA) was the first validated treatment to achieve reduction in ischemic stroke morbi-mortality. However, rt-PA is efficient in the first hours of stroke onset and for small calibers occluded vessels...
2017: Revue Médicale de Bruxelles
S Izoard, L Ayzac, J Meynier, J-C Seghezzi, B Jolibois, M L Tolani
BACKGROUND: International guidelines recommend to limit the long-term use of central-veinous catheters in patients undergoing hemodialysis, because they expose the patient to a higher infectious risk than the fistulas. However, for some patients with comorbidity, switching to a permanent vascular access is not possible. In such case, the catheter is used for a longer period. It seems therefore important to study the influence of a prolonged duration of catheterization on infectious complications...
September 22, 2017: Néphrologie & Thérapeutique
Morgane Robles, Camille Gautier, Luis Mendoza, Pauline Peugnet, Cédric Dubois, Michèle Dahirel, Jean-Philippe Lejeune, Isabelle Caudron, Isabelle Guenon, Sylvaine Camous, Anne Tarrade, Laurence Wimel, Didier Serteyn, Hélène Bouraima-Lelong, Pascale Chavatte-Palmer
INTRODUCTION: Pregnant mares and post-weaning foals are often fed concentrates rich in soluble carbohydrates, together with forage. Recent studies suggest that the use of concentrates is linked to alterations of metabolism and the development of osteochondrosis in foals. The aim of this study was to determine if broodmare diet during gestation affects metabolism, osteoarticular status and growth of yearlings overfed from 20 to 24 months of age and/or sexual maturity in prepubertal colts...
2017: PloS One
Anaïs Benabed, Patrick Henri, Thierry Lobbedez, Eric Goffin, Simona Baluta, Abdelkader Benziane, Ahmed Rachi, Johan W van der Pijl, Clémence Bechade, Maxence Ficheux
Since 2011, a new device is available for low flux dialysate quotidian home hemodialysis in France and Belgium. This study aims to evaluate the characteristics and dialysis prescriptions for Nx Stage System One™ users. We retrospectively included patients trained between 2011 and 2013 in France and Belgium. We collected data concerning their clinical features, their dialysis prescriptions, their laboratory parameters until 6 months of dialysis and, reason for dropping in case of cessation. Sixty-two patients from 31 centers, aged 48±18 years old, with a sex ratio 46/16 (M/F) are included with a median Charlson comorbidity index of 1 [0-3]...
February 2017: Néphrologie & Thérapeutique
Christelle d'Engremont, Dewi Vernerey, Anne-Laure Pointet, Gaël Simone, Francine Fein, Bruno Heyd, Stéphane Koch, Lucine Vuitton, Stefano Kim, Marine Jary, Najib Lamfichek, Celia Turco, Zaher Lakkis, Anne Berger, Franck Bonnetain, Julien Taieb, Philippe Bachellier, Christophe Borg
BACKGROUND: Pancreatic adenocarcinoma (PDAC) incidence is increasing worldwide. Several studies have shown that lymphopenia was correlated with a poor prognosis but the potential interest to measure lymphopenia in the pre and post-operative setting as well as its added value among conventional prognostic factors was never investigated. METHODS: Data from two independent cohorts in whom patients underwent resection for pancreatic carcinoma were retrospectively recorded...
October 26, 2016: BMC Cancer
M Nakamura, T Oba, M Goto, M Koyano, R Matsuoka, J Hasegawa, A Sekizawa
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
Isabelle Kolb, Théogène Twagirumugabe, Innocent Uyisabye, Jérôme Muhizi, Laura Braun-Parvez, Sarah Richter, Joseph Ntarindwa, Jean-de-Dieu Nzambaza, Richard Rwandenzi, Martine Kibuka, Françoise Mantz
UNLABELLED: Chronic hemodialysis in Rwanda is relatively recent and most of patients are treated with catheters. SUMMARY: Thirty-seven patients who require chronic hemodialysis with catheters were evaluated during a 3-years period in order to facilitate the creation of a permanent vascular access for hemodialysis (AVF). Patient selection were made during a multi-disciplinary consultation. The sex-ratio was 1.5 and the main cause of the nephropathy was arterial hypertension...
November 2014: Néphrologie & Thérapeutique
F Gonzales, W Abou Chahla, J Pagniez, B Nelken
We report two pediatric cases of superior vena cava thrombosis (VTE) in patients treated for primary mediastinal large B-cell lymphoma (PMBCL). PMBCL is a rare entity in children and adolescents and no thrombosis has been described in this population. Thrombosis in lymphoma is frequently asymptomatic, detected as an incidental finding in the first months following diagnosis. The thrombosis mechanisms are often multifactorial based on veinous compression by the mass, elevated risk of thrombosis in neoplasia, and/or presence of a central catheter...
January 2015: Archives de Pédiatrie: Organe Officiel de la Sociéte Française de Pédiatrie
Jean-Rémi Fénolland, Samantha Bonnel, Camille Rambaud, Françoise Froussart-Maille, Jean-Claude Rigal-Sastourné
A 47-year-old man developed a painful right red eye for 72 hours with a 20/25 decreased visual acuity. He had no medical history. Slit-lamp examination revealed a painful nodular scleritis at the equator of the globe in the infero-temporal quadrant. There was a moderate intraocular inflammation in the anterior segment. Fundus examination revealed a grade 1 hyalitis and a focal retinitis with vasculitis and arterio-veinous occlusion toward the scleritis zone. Syphilis and HIV serology were positive and the scleritis resolved 5 days after a penicillin G medication...
2016: Ocular Immunology and Inflammation
Michael Aziz, Sofya Kilshtok, Amanda Wagner, Jane Ponterio
OBJECTIVE: To explore the relative safety of heparin thromboprophylaxis by comparing complication rates of 2 retrospective cohort groups. STUDY DESIGN: After a change in departmental protocol to include 3 doses of unfractionated heparin for all patients undergoing cesarean deliveries, complication rates of cesarean deliveries before (n=501) and after (n=500) the policy change were compared. RESULTS: Outcomes for postoperative hematocrit, estimated blood loss, platelet counts, and wound complications were not different between the 2 groups...
January 2014: Journal of Reproductive Medicine
T Fardoun, D Chaste, E Oger, R Mathieu, B Peyronnet, N Rioux-Leclercq, G Verhoest, J J Patard, K Bensalah
OBJECTIVES: To identify the predictive factors of hemorrhagic complications (HC) in a contemporary cohort of patients who underwent partial nephrectomy (PN). MATERIALS AND METHODS: Records of 199 consecutive patients who underwent PN between 2008 and 2012 at our institution were retrospectively analyzed. HC was defined as a hematoma requiring transfusion, an arterio-veinous fistula, a false aneurysm or a post-operative decrease of hemoglobin >3 g/dl. Patients with or without HC were compared using Wilcoxon and Fisher exact tests for continuous and categorical variables, respectively...
January 2014: European Journal of Surgical Oncology
J P Dabholkar, A Patole, A Latkar, S Chhabria, A Sikdar
An arterio-veinous malformation can be acquired and is rarely congenital. It usually presents with cosmetic deformity. If large it may manifest features of haemodynamic changes. Clinical assessment is the mainstay of diagnosis. Arteriography, MR angiography and rarely histopathology may help in clinching the final diagnosis. It is treated with wide excision after ligation of feeder vessels. Herein we present one such case of arterio-veinous malformation with review of available literature.
March 2007: Indian Journal of Otolaryngology and Head and Neck Surgery
Denys Fontaine, Fabien Almairac, Lydiane Mondot, Michel Lanteri-Minet
We describe an original case of cluster-like headache CLH) revealing a parasagittal tumor invading the superior sagittal sinus (SSS). Resection of the tumor (hemangiopericytoma) allowed the re-permeabilization of the SSS and was followed by the complete disappearance of CLH. Several mechanisms including obstruction of the SSS, hypervascularization with arterio-veinous shunt, and overflow in the cavernous sinus might explain the symptoms.
October 2013: Headache
C Deboudt, J Branchereau, F Luyckx, J Rigaud, P Glemain, G Blancho, G Karam
OBJECTIVE: Portal veinous thrombosis (VT) in the pancreatic transplant (6 to 20% of the cases) is the first cause of early loss of the transplant. Our objective was to identify the risk factors of VT in our experiment. METHOD: The sample group includes 106 patients who underwent pancreas transplantation (portal venous drainage, enteric-drained pancreas) within our institute of transplantation from 2004 until 2010. We completed a portal vein extension graft in 25% of the cases...
June 2012: Progrès en Urologie
A Duvernay, B Henault, M A Danino, O Trost, S Dalac, M-H Aubriot-Lorton, N Zwetyenga
BACKGROUND: Sentinel lymph node (SLN) biopsy for patients with cutaneous melanoma has become a routine procedure. Its purpose is to confirm the potential presence of micrometastases in the first lymph node basin. Therefore, staging of the melanoma can be determined. Somehow, only few studies assess the morbidity of this procedure. Our study was performed in order to list and analyze SLN biopsy-related complications in melanoma-affected patients. PATIENTS AND METHODS: This mono-institutional, retrospective study enrolled patients, operated on from May 2001 until August 2008, who had undergone SLN biopsy that found no metastatic colonization...
April 2012: Annales de Chirurgie Plastique et Esthétique
Hao Wen, Jia-Hong Dong, Jin-Hui Zhang, Jin-Ming Zhao, Ying-Mei Shao, Wei-Dong Duan, Yu-Rong Liang, Xue-Wen Ji, Qin-Wen Tai, Tuerganali Aji, Tao Li
BACKGROUND: For patients with end-stage hepatic alveolar echinococcosis (AE), in vivo resection of the involved parts of the liver is usually very difficult, therefore, allogenic liver transplantation is indicated. However, we hypothesize that for selected patents, ex vivo liver resection for thorough elimination of the involved tissues and liver autotransplantation may offer a chance for clinical cure. METHODS: We presented a 24-year-old women with a giant hepatic AE lesion who was treated with hepatectomy, ex vivo resection of the involved tissue and hepatic autotransplantation...
September 2011: Chinese Medical Journal
Osamu Ito, Ataru Nishimura, Katsuya Ishido, Tsutomu Hitotsumatsu
A 61-year-old man presented with a rare case of spontaneous vertebral arteriovenous fistula manifesting as radiculopathy of the left arm. MRI demonstrated an abnormal dilated vascular space on the left ventral aspect of the spinal canal and compression of the spinal cord and subarachnoid space. MRA disclosed a single high-flow vertebral arteriovenous fistula. Angiography showed a direct high-flow fistula at the C2-3 level between the left vertebral artery and the spinal extradural veinous plexus, and an abnormal dilated left vertebral artery with "string of beads"-like feature...
August 2011: No Shinkei Geka. Neurological Surgery
Qingzhao Zhang, Xinmin Liu, Zhigang Zhang, Lvhua Wang
BACKGROUND: Angiotensin-converting enzyme (ACE), the key enzyme of RAS, is expressed in abundance in lung. Recent studies show that it plays various biological roles and even contributes importantly to the carcinogenesis of malignant tumors. The aim of this study is to investigate whether the insertion (I)/deletion (D) polymorphism of ACE is related to the susceptibility, pathological type or staging of lung cancer. METHODS: DNA was extracted from the peripheral veinous blood derived from 47 lung cancer patients and 54 normal persons...
June 20, 2005: Zhongguo Fei Ai za Zhi, Chinese Journal of Lung Cancer
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