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Biomedical subjects

M Monrozies

Publications and source records attributed to M Monrozies.

11 recordsLinked to original sources
PubMed1988

[A new case of hydatidiform mole occurring on one of the ova of a twin pregnancy].

The authors report here a new case of hydatid mole in one of the eggs of a mole pregnancy. 48 other cases have been reported in 13 publications. The birth of a viable, well-developed fetus is described in 13 instances (27%), fetal death in utero in 22 instances (46%), birth of a non-viable fetus 11 times (23%) and malignant degeneration twice (4%). Medical interruption of the pregnancy is indicated for the slightest sign of fetal anomaly or maternal complication. Prostaglandins may be used for that purpose. However, it is possible to let such a pregnancy follow its course.

Female↗
PubMed1987

[Evaluation of the economic burden in the respective indications of in vitro fertilization and tubal microsurgery at a regional hospital center].

The authors have calculated the cost of obtaining and maintaining an intrauterine pregnancy to term by IVF and by tubal surgery according to the four classical indications. They have worked this out from local experience. The indications are: reversal of sterilization, surgery on proximal lesions, surgery on distal lesions and multifocal lesions. IVF is superior to surgery where the lesions are multifocal and possibly also in proximal blocks. But surgery is indicated in a large number of distal blocks and particularly in reversal of sterilization. The authors point out how difficult it is to extrapolate from national or international statistics. The choice must depend particularly on the experience of the local teams.

Costs and Cost Analysis↗
PubMed1986

[Triploidy].

Using their own experience which they described in 1984 and reviewing as well the literature of the condition since that time has led the authors to suggest that triploidy should be considered as a pathological entity with three clinical forms: early abortion, mid-trimester termination and the birth of triploidy fetuses either alive or dead. They discuss the clinical features, the ultrasound appearances, the pathological and anatomical details and the cytogenetics of triploidy. They differentiate this condition from trophoblast disease and from the central hydropic conditions which occur with normal caryotypes. They emphasize that there is a difference in the way classical molar pregnancy evolves and repeat again that the term "embryonic mole" should be avoided.

Diagnosis, Differential↗
PubMed1978

[Obstetrical anaesthesia. Their place in the conduct of labour (author's transl)].

After having made an historical study of the principal works coming from the School in Toulouse concerning obstetrical anaesthesia, one can make an account of the criteria for fetal risk. These have been established by comparing with a standard that determines the physical and biological parameters found in normal labour. The fetal risk has been studied for four types of anaesthesia progressively. These are : general anaesthesia with Pentothal, general anaesthesia with Gamma OH, neuroleptanalgesia and finally epidural anaesthesia. By comparison with a normal standard, the evolution of the parameters concerning uterine contraction, the changes in the fetal heart rate the, acid-base balance of the fetal blood and how it changes, and the Apgar score have been studied for each type of anaesthesia. The same has been done for maternal risk. After having completed this study we have come to the conclusion that there is no single anaesthetic that should particularly be recommended, and that for every phase of labour : before labour starts and after labour has been confirmed, and at the end of the first stage of labour, a different form of anaesthesia may well be indicated. Above all, the skill of the anaesthetist and of the obstetrician influence the efficiency of the anaesthetic.

Anesthesia, Epidural↗
PubMed1975

Endometrial progesterone concentrations during the menstrual cycle.

Endometrial progesterone concentrations have been determined during the menstrual cycle and compared to plasma progesterone and estradiol-17 beta concentration. There is a good relationship between endometrial and plasma progesterone concentrations but none between endometrial progesterone and estradiol-17 beta concentration.

Corpus Luteum↗
PubMed1975

[The evolution of ideas about therapeutic interruption of pregnancy].

The author has analysed 77 therapeutic terminations of pregnancy carried out at the C.H.U. in Toulouse between 1959 and 1973. He concludes that ideas about the indications for therapeutic termination of pregnancy should be completely revised under the pressure of change in medical knowledge and in philosophical attitudes. He points out the danger of becoming tied up in this matter in too rigid a framework. He emphasizes that therapeutic abortion is just another variety of induced abortion and like the latter it carries many immediate and late risks.

Abortion, Illegal↗
PubMedDate not supplied

[Hepatic adenoma and oral contraception].

The authors report 2 new cases of adenoma of the liver in women who had been taking oral contraceptives. They review the world literature and analyse 18 of the 31 cases so far described. They consider the theoretical and practical problems posed by liver adenomata. As far as the theory goes, they think that uninterrupted taking of the pill for several years may cause the liver to become hyperactive in order to neutralise the excessive and permanent oestro-progesterone hormones brought to it. Following this, the liver gland responds with hypertrophy. As far as the practical aspect goes, the clinician is faced with the problem of supervision and clinical examination of the abdomen of women who take the pill for a ling time. Gynaecologist and the general surgeon have to know that there are complications with this tumour and in particular acute intraperitoneal bleeding.

Adult↗