IMAGERIE ECHOGRAPHIQUE DE LA GROSSESSE EXTRA-UTERINE ET SON IMPACT SUR LA PRISE EN CHARGE DIAGNOSTIQUE ET THERAPEUTIQUE PDF Download
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Author: EMMANUELLE.. PANNIER
Publisher:
ISBN:
Category :
Languages : fr
Pages :
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Author: EMMANUELLE.. PANNIER
Publisher:
ISBN:
Category :
Languages : fr
Pages :
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Author: Elodie Poirson
Publisher:
ISBN:
Category :
Languages : fr
Pages : 118
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La GEU voit depuis quelques années son incidence se stabiliser mais elle reste la première cause de mortalité des femmes pendant le premier trimestre de la grossesse. Sa morbidité immédiate est liée au risque de rupture tubaire. Aujourd’hui son traitement de référence est la coelio-chirurgie mais le traitement médical par administration de MTX en dose unique par voie intra-musculaire est une alternative non négligeable car aussi efficace, peu invasive, peu iatrogène et peu coûteuse. Ses indications restent limitées et font le sujet des débats actuels sur la prise en charge de la GEU. Nous avons réalisé une étude rétrospective comparative des deux méthodes de traitement. Elle porte sur 106 patientes âgées de 30 ans en moyenne, séparées en deux groupes : traitement par MTX et traitement coeliochirurgical conservateur. Les facteurs de risque retrouvés sont les antécédents de chirurgie abdomino-pelvienne et le tabagisme. Le diagnostic a été porté à un terme moyen de 6SA dans le groupe MTX et 7SA dans le groupe chirurgie, sur des arguments cliniques, biologiques (stagnation des BHCG) et surtout échographiques (masse latéro-utérine visible chez 73% des patientes du groupe MTX et 90% des patientes du groupe chirurgie ; hémopéritoine plus ou moins abondant.). Notre taux d’efficacité du traitement médical est de 83% et celui du traitement chirurgical de 93,5% ce qui est comparable aux données de la littérature (traitement médical 65 à 95% et traitement chirurgical 72 à 95%). Le traitement médical a été très bien toléré. La fertilité ultérieure est, dans notre étude comme dans la littérature, un point difficile à étudier compte tenu du faible nombre de patientes qui reviennent en consultation de suivi. Mais il semble que le taux de grossesses ultérieures soit le même pour les deux méthodes Le facteur conditionnant le plus la fertilité ultérieure étant surtout l’âge et les autres facteurs d’infertilité associés. Le traitement médical présente aussi l’avantage d’être peu coûteux et partiellement réalisable en ambulatoire, permettant de diminuer considérablement le coût de la prise en charge de la GEU.
Author: Julio Elito Jr.
Publisher: BoD – Books on Demand
ISBN: 1838804544
Category : Medical
Languages : en
Pages : 122
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"Non-Tubal Ectopic Pregnancy" is a comprehensive book, written in an organized and concise format. The book offers an immersion into non-tubal ectopic pregnancy and the reader is invited, chapter after chapter, to visit the most important aspects of non-tubal ectopic pregnancies. The book covers all aspects of non-tubal ectopic pregnancies including epidemiology, diagnosis, and management. Experts from all over the world have contributed to it, bringing the best from their research.The book presents the reader with the latest advances on non-tubal ectopic pregnancies.
Author: WHO Scientific Group on Mechanism of Action, Safety, and Efficacy of Intrauterine Devices
Publisher:
ISBN:
Category : Medical
Languages : en
Pages : 96
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The mechanism of action, safety, and efficacy of IUDs were reviewed by a WHO Scientific Group in 1986. The Scientific Group concluded that the IUD should continue to be supported, in both developed and developing countries, as a safe, reliable method of fertility regulation. The newer copper-releasing devices are comparable to oral contraceptives in terms of safety and efficacy. When compared to women who use other reversible methods of contraception, IUD users have the lowest mortality resulting from deaths directly attributable to those methods or to the consequences of unwanted pregnancy. In the past decade, research has concentrated on the development of new devices that have both higher continuation rates and lower rates of expulsion and removal for bleeding abnormalities. An important recent concern has been the possible increased risk of pelvic inflammatory disease (PID) and subsequent tubal infertility associated with IUD use. However, it now appears that methodological problems have caused the IUD-associated risk of PID to be overestimated. The increased risk with IUDs seems to be limited to the 1st 4 months of use. No increased risk of tubal infertility has been found among IUD users in stable, monogamous sexual relationships. The use of a copper IUD after the 1st pregnancy is not associated with secondary infertility due to tubal disease. Finally, the newer copper IUDs have low rates of ectopic pregnancy.
Author: Vincent Cottin
Publisher: Springer
ISBN: 1447124014
Category : Medical
Languages : en
Pages : 623
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Book Description
Orphan Lung Diseases: A Clinical Guide to Rare Lung Disease provides a comprehensive, clinically focused textbook on rare and so-called ‘orphan’ pulmonary diseases. The book is oriented towards the diagnostic approach, including manifestations suggesting the disease, diagnostic criteria, methods of diagnostic confirmation, and differential diagnosis, with an overview of management.
Author: Sahra Gibbon
Publisher: Routledge
ISBN: 1134144725
Category : Health & Fitness
Languages : en
Pages : 387
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Book Description
Biosocialities, Genetics and the Social Sciences explores the social, cultural and economic transformations that result from innovations in genomic knowledge and technology. This pioneering collection uses Paul Rabinow’s concept of biosociality to chart the shifts in social relations and ideas about nature, biology and identity brought about by developments in biomedicine. Based on new empirical research, it contains chapters on genomic research into embryonic stem cell therapy, breast cancer, autism, Parkinson’s and IVF treatment, as well as on the expectations and education surrounding genomic research. It covers four main themes: novel modes of identity and identification, such as genetic citizenship the role of institutions, ranging from disease advocacy organizations and voluntary organizations to the state the production of biological knowledge, novel life-forms, and technologies the generation of wealth and commercial interests in biology. Including an afterword by Paul Rabinow and case studies on the UK, US, Canada, Germany, India and Israel, this book is key reading for students and researchers of the new genetics and the social sciences – particularly medical sociologists, medical anthropologists and those involved with science and technology studies.
Author: World Health Organization
Publisher: World Health Organization
ISBN: 9241547006
Category : Health & Fitness
Languages : en
Pages : 284
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Book Description
Most women who die from cervical cancer, particularly in developing countries, are in the prime of their life. They may be raising children, caring for their family, and contributing to the social and economic life of their town or village. Their death is both a personal tragedy, and a sad and unnecessary loss to their family and their community. Unnecessary, because there is compelling evidence, as this Guide makes clear, that cervical cancer is one of the most preventable and treatable forms of cancer, as long as it is detected early and managed effectively. Unfortunately, the majority of women in developing countries still do not have access to cervical cancer prevention programmes. The consequence is that, often, cervical cancer is not detected until it is too late to be cured. An urgent effort is required if this situation is to be corrected. This Guide is intended to help those responsible for providing services aimed at reducing the burden posed by cervical cancer for women, communities and health systems. It focuses on the knowledge and skills needed by health care providers, at different levels of care.
Author: Richard R. Barakat
Publisher: Lippincott Williams & Wilkins
ISBN: 078177845X
Category : Medical
Languages : en
Pages : 1104
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Book Description
Providing comprehensive coverage of the biology of gynecologic cancer, the therapeutic modalities available, and the diagnosis and treatment of site-specific malignancies, this edition has 30 percent new contributing authors and new material. A companion Web site offers a fully searchable text.
Author: Paul Hermanek
Publisher: Springer Science & Business Media
ISBN: 3642793959
Category : Medical
Languages : en
Pages : 303
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Book Description
M. K. Gospodarowicz, P. Hermanek, and D. E. Henson Attention to innovations in cancer treatment has tended to eclipse the importance of prognostic assessment. However, the recognition that prognostic factors often have a greater impact on outcome than available therapies and the proliferation of biochemical, molecular, and genetic markers have resulted in renewed interest in this field. The outcome in patients with cancer is determined by a combination of numerous factors. Presently, the most widely recognized are the extent of disease, histologic type of tumor, and treatment. It has been known for some time that additional factors also influence outcome. These include histologic grade, lymphatic or vascular invasion, mitotic index, performance status, symptoms, and most recently genetic and biochemical markers. It is the aim of this volume to compile those prognostic factors that have emerged as important determinants of outcome for tumors at various sites. This compilation represents the first phase of a more extensive process to integrate all prognostic factors in cancer to further enhance the prediction of outcome following treatment. Certain issues surround ing the assessment and reporting of prognostic factors are also considered. Importance of Prognostic Factors Prognostic factors in cancer often have an immense influence on outcome, while treatment often has a much weaker effect. For example, the influence of the presence of lymph node involvement on survival of patients with metastatic breast cancer is much greater than the effect of adjuvant treatment with tamoxifen in the same group of patients [5].
Author: Charles Sultan
Publisher: Karger Medical and Scientific Publishers
ISBN: 3805593368
Category : Medical
Languages : en
Pages : 406
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Book Description
2nd, revised and extended edition building on the success of the first edition The extended contents of this second edition reflect the growing spectrum of topics in pediatric and adolescent gynecology. Like its predecessor, this book addresses the most common gynecological problems encountered in childhood medicine, including endocrinological and surgical aspects. New chapters place particular emphasis on an update of technological aspects such as ultrasound, molecular genetics, surgery in sex disorders and new problems encountered in reproductive medicine. The book opens with a comprehensive description of the background of infant and adolescent gynecology and diagnostic tools. Several chapters are devoted to the various pathologies encountered in prepubertal and adolescent girls. Contemporary social issues such as sexual abuse, sexually transmitted diseases, contraception for teenagers and teenage pregnancy are also discussed in detail. Presenting a clear plan for clinical management and treatment of frequently encountered problems in prepubertal and adolescent girls, this book should be read by pediatricians, endocrinologists, gynecologists and family practitioners.
