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Biomedical subjects

G Mage

Publications and source records attributed to G Mage.

150 records · Page 9Linked to original sources
PubMedDate not supplied

Laparoscopic hysterectomy. A preliminary study.

Thirty-three patients were selected for laparoscopic hysterectomy and operated on in the Department of Obstetrics, Gynecology and Reproductive Medicine of Clermont-Ferrand University Hospital. Surgical techniques included blunt dissection with scissors and bipolar coagulation to achieve hemostasis. A case was considered successful when all the uterine vessels were treated by laparoscopy. Twenty-four cases were completed laparoscopically (72.7%). None of these patients had postoperative bleeding; 22 had an uneventful postoperative recovery. Nine procedures were converted to laparotomy (27.3%), five because of a difficult or unsatisfactory hemostasis. We conclude that in selected cases, a total hysterectomy can be performed safely by experienced laparoscopists. Further technological progress is necessary to make this procedure more acceptable. Its value as compared to the others will have to be demonstrated.

Adult↗
PubMedDate not supplied

[Pelvic pain of venous origin].

Although the causes of chronic unrecognized pelvic pain are multifactorial, most investigators observe circulatory disturbance as being a main etiological factor, in particular if the patient has a retroverted uterus. We examined 50 patients who were diagnosed to have this condition, comparing data obtained by hysterophlebography and laparoscopy, with complementary but sometimes differing results, which, in any event, are not sufficient to establish the diagnosis, thereby leading us to offer a method to measure uterine blood flow using a radioisotope of Xe 133. It is certain that better understanding of the pathophysiology of this disorder would provide an improved therapeutic approach. Here too, the value of laparoscopy must be emphasized, because of its contribution both to positive as well as differential diagnosis.

Diagnostic Imaging↗
PubMedDate not supplied

Laparoscopy procedures to promote fertility ovariolysis and salpingolysis. Results of 93 selected cases.

In 93 selected infertile patients removal of periadnexal adhesions was attempted by laparoscopic procedure. Adhesiolysis was assessed according to Palmer's classification reviewed in Madrid (July 1980). Success was defined in terms of pregnancies, therefore patients with tubal obstruction were excluded. The rate of intra-uterine pregnancies was high (51,6%) and appeared to correlate with the quality of adhesiolysis. The present data strongly suggest that laparoscopic procedures represent a satisfactory method of adhesiolysis and emphasize the critical importance of case selection.

Adult↗