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Mahmood A, Belghiti J, Azaïs H, Uzan C, Canlorbe G. [Robotic assisted laparoscopic myomectomy of large uterine myoma with video]. ACTA ACUST UNITED AC 2018; 47:88-89. [PMID: 30573427 DOI: 10.1016/j.gofs.2018.11.011] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2017] [Indexed: 11/29/2022]
Affiliation(s)
- A Mahmood
- Service de chirurgie et oncologie gynécologique et mammaire, hôpitaux universitaires Pitié Salpêtrière - Charles Foix, AP-HP, 83, boulevard de l'Hôpital, 75013 Paris, France
| | - J Belghiti
- Service de chirurgie et oncologie gynécologique et mammaire, hôpitaux universitaires Pitié Salpêtrière - Charles Foix, AP-HP, 83, boulevard de l'Hôpital, 75013 Paris, France
| | - H Azaïs
- Service de chirurgie et oncologie gynécologique et mammaire, hôpitaux universitaires Pitié Salpêtrière - Charles Foix, AP-HP, 83, boulevard de l'Hôpital, 75013 Paris, France
| | - C Uzan
- Service de chirurgie et oncologie gynécologique et mammaire, hôpitaux universitaires Pitié Salpêtrière - Charles Foix, AP-HP, 83, boulevard de l'Hôpital, 75013 Paris, France
| | - G Canlorbe
- Service de chirurgie et oncologie gynécologique et mammaire, hôpitaux universitaires Pitié Salpêtrière - Charles Foix, AP-HP, 83, boulevard de l'Hôpital, 75013 Paris, France.
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Hamidouche A, Vincienne M, Thubert T, Trichot C, Demoulin G, Nazac A, Fernandez H, Rivain AL, Deffieux X. [Operative hysteroscopy for myoma removal: Morcellation versus bipolar loop resection]. ACTA ACUST UNITED AC 2014; 44:658-64. [PMID: 25287109 DOI: 10.1016/j.jgyn.2014.09.006] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2014] [Revised: 09/04/2014] [Accepted: 09/10/2014] [Indexed: 11/17/2022]
Abstract
OBJECTIVE To evaluate the results associated with hysteroscopic morcellation for submucous myomas removal, and to compare with those observed associated with bipolar loop resection. MATERIELS AND METHODS A retrospective comparative study was conducted in two universitary centers from January 2012 to December 2013. A total of 83 patients, who presented with submucous myomas type 0,1 and 2, were included. The number of myomas type 0,1 was 36 (71 %) and 15 (29 %) myomas type 2 in morcellation group versus 44 (59 %) myomas type 0,1 and 31 (41 %) type 2 in electrosurgical resection group (P=0.17). Hysteroscopic morcellation or electrosurgical resection with bipolar loop for removal submucous myomas were performed. RESULTS Thirty-four patients underwent hysteroscopic morcellation using MyoSure(®), and 49 had hysteroscopic resection using Versapoint-24F(®) bipolar loop. The mean operative duration was 30minutes in morcellation group, compared to 31minutes in bipolar resection group (P=0.98). Complete myoma removal was achieved in 22 (64 %) patients in morcellation group, and in 34 (69 %) in bipolar resection group (P=0.65). There were no difference in the occuring of adverse events between the two. The prevalence of postoperative intra-uterine adherence was 10 % in morcellation group and 13.8 % in bipolar resection group (P=0.69). CONCLUSION In the current short comparative series, hysteroscopic morcellation and bipolar loop resection were associated with comparable results for removal of submucous myomas.
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Affiliation(s)
- A Hamidouche
- Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France
| | - M Vincienne
- Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France
| | - T Thubert
- Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France; Faculté de médecine, université Paris Sud, le Kremlin-Bicêtre, 94270, France
| | - C Trichot
- Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France
| | - G Demoulin
- Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France
| | - A Nazac
- Faculté de médecine, université Paris Sud, le Kremlin-Bicêtre, 94270, France
| | - H Fernandez
- Faculté de médecine, université Paris Sud, le Kremlin-Bicêtre, 94270, France
| | - A-L Rivain
- Faculté de médecine, université Paris Sud, le Kremlin-Bicêtre, 94270, France
| | - X Deffieux
- Service de gynécologie-obstétrique et médecine de la reproduction, assistance publique-hôpitaux de Paris (AP-HP), GHU-Sud, hôpital Antoine-Béclère, 157, rue de la Porte-de-Trivaux, Clamart, 92141, France; Faculté de médecine, université Paris Sud, le Kremlin-Bicêtre, 94270, France.
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Belghiti J, Tassin M, Raiffort C, Zappa M, Poujade O, Bout H, Mandelbrot L. [Uterine necrosis after arterial embolization for postpartum hemorrhage]. ACTA ACUST UNITED AC 2012; 42:126-128. [PMID: 22342505 DOI: 10.1016/j.gyobfe.2011.07.045] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2011] [Accepted: 05/31/2011] [Indexed: 11/15/2022]
Abstract
Radiologic embolization of the uterine arteries is increasingly used to treat severe postpartum hemorrhage, as an alternative to surgical procedures. Guidelines have been published in order to standardize the indications as well as the technique. An important objective was to limit severe complications such as uterine necrosis. We report a case of a uterine necrosis after arterial embolization for severe postpartum hemorrhage due to uterine atony on a uterus with fibroids. This complication occurred despite the use of the recommended technique.
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Affiliation(s)
- J Belghiti
- Hôpital Louis-Mourier, AP-HP, 178, rue des Renouillers, 92701 Colombes, France
| | - M Tassin
- Hôpital Louis-Mourier, AP-HP, 178, rue des Renouillers, 92701 Colombes, France
| | - C Raiffort
- Hôpital Louis-Mourier, AP-HP, 178, rue des Renouillers, 92701 Colombes, France
| | - M Zappa
- Hôpital Beaujon, AP-HP, hôpitaux universitaires Paris Nord Val de Seine, université Paris-Diderot, 100, boulevard du Général-Leclerc, 92110 Clichy, France
| | - O Poujade
- Hôpital Beaujon, AP-HP, hôpitaux universitaires Paris Nord Val de Seine, université Paris-Diderot, 100, boulevard du Général-Leclerc, 92110 Clichy, France
| | - H Bout
- Hôpital Beaujon, AP-HP, hôpitaux universitaires Paris Nord Val de Seine, université Paris-Diderot, 100, boulevard du Général-Leclerc, 92110 Clichy, France
| | - L Mandelbrot
- Hôpital Louis-Mourier, AP-HP, 178, rue des Renouillers, 92701 Colombes, France.
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