Nymphoplastie : motivations et satisfaction postopératoire

OBJECTIVES: In France, the number of labiaplasty increased by 57% between 2008 and 2016. To date, only one prospective study with low-power evaluated postoperative satisfaction has been performed. This observational prospective study aims to evaluate the motives and post-surgery satisfaction of patients who had a labiaplasty. METHODS: This observational prospective study include all patients over 18 years old operate at the hospital of Angers during an 18-month period. The exclusion criterion was a positive screening test to the Body Dysmorphic Disorder Questionnaire. Patients were interviewed by a written questionnaire on the day of the surgery and by phone 3 and 6 months after the surgery. RESULTS: A total of thirty patients were included in the study, with an average age of 31.5 (± 10.58). Twenty-three patients answered 3 months after and 19 answered 6 months after. Eighteen patients (95%) expressed satisfaction at 6 months and 16 (84%) "extremely" satisfied. Functional discomfort improved in 18 patients (94%) at 6 months. Eighty-four percent have felt an improvement regarding esthetical discomfort. All patients would recommend the surgery. The main motive was the discomfort when getting dressed for 27 patients (90%). CONCLUSION: The patients expressed a real functional discomfort and are mostly very satisfied with their surgery at 3 and 6 months after

First case of spontaneous rupture of the left ureter in immediate post-partum

The rupture of the ureter during pregnancy is a rare complication and is most frequently observed in the right ureter. We report below the case of a rupture in the left ureter. A 36-year old woman gave birth vaginally to a 3010-g girl without operative vaginal delivery or episiotomy. The following day, the patient exhibited a sudden pain in the left side spreading to the left iliac fossa. An abdominopelvic CT scan was carried out and revealed a flow of contrast agent at the left ureteral lumbar level and a left urinoma. A ureteral stent was inserted on the left side under X-ray control. Six weeks after delivery the ureteral stent was removed. The Uro CT scan allowed us to confirm the total recovery of the left ureter. We have reported below the first case of left rupture treated in a conservative manner with positive and functional clinical progress

Currents under land-fast ice in the Canadian Arctic Archipelago Part 2: Vertical mixing

During an acoustic Doppler current profiler (ADCP) study of the velocity field under land-fast ice, coincident CTD casts showed three instances of pronounced instability in the water column, immediately above and below the pycnocline. In this paper we demonstrate that the density inversions are associated with the passage of high frequency linear internal waves and finite amplitude waves. Contours of ADCP acoustic return intensity display pronounced vertical eddy-like features which may indicate overturning. A Richardson number calculation showed that even the most highly stratified portion of the pycnocline had sufficient vertical velocity shear to promote dynamic instability. Finally, we calculate that the vertical nutrient flux, resulting from the high frequency internal wave field, could supply a significant portion of the ice-algae nutrient budget

Moller operators and Lippmann-Schwinger equations for step-like potentials

The Moller operators and the asociated Lippman-Schwinger equations obtained from different partitionings of the Hamiltonian for a step-like potential barrier are worked out, compared and related.Comment: 15 pages, 1 inlined figure, iopart.cl

Effect of the use of a video tutorial in addition to simulation in learning the maneuvers for shoulder dystocia

The development of video tutorials is flourishing and may make it possible to maintain knowledge learned during instruction with simulation. The aim of this study was to assess the effect of adding a video tutorial to a lecture and simulation for learning the maneuvers and protocol for the management of shoulder dystocia. Student midwives and medical students attended a lecture class including instruction about maneuvers and a presentation of an algorithm for the management of shoulder dystocia. They were randomized into two groups. The video group was reminded every two weeks to watch a short tutorial. The control group was reminded to consult the slide show. At the end of two months, they were evaluated by graders. The practice, theory, and global scores of the students in the video group were significantly higher than those of the students in the control group (14.8 vs. 10.4; 5.6 vs. 3.4; and 9.3 vs. 7.0, P<0.001). The scores for the video group improved at the second simulation session, compared with the first (14.8 vs. 9.9; 5.6 vs. 2.9; and 9.3 vs. 7, P<0.001). The addition of a video tutorial improved learning compared to a standard lecture and simulation session alone

On uniformization of Burnside's curve y2=x5−xy^2=x^5-x

Main objects of uniformization of the curve $y^2=x^5-x$ are studied: its Burnside's parametrization, corresponding Schwarz's equation, and accessory parameters. As a result we obtain the first examples of solvable Fuchsian equations on torus and exhibit number-theoretic integer $q$-series for uniformizing functions, relevant modular forms, and analytic series for holomorphic Abelian integrals. A conjecture of Whittaker for hyperelliptic curves and its hypergeometric reducibility are discussed. We also consider the conversion between Burnside's and Whittaker's uniformizations.Comment: Final version. LaTeX, 23 pages, 1 figure. The handbook for elliptic functions has been moved to arXiv:0808.348

Surgery using plasma energy for deep endometriosis: A quality of life assessment

OBJECTIVE: The principal objective of our study was to assess women\u27s quality of life (QoL) after surgery for Deep Endometriosis (DE), according to the surgical technique used. MATERIAL AND METHODS: Qualitative single-center survey in the department of obstetrics and gynecology, Angers University Hospital Center, France. All women who underwent surgery for DE from January 2011 to December 2015 were contacted by phone. The Endometriosis Health Profile-5 score was used to assess QoL before and after the surgery. Fifty-two women (response rate=86%) were included and classified into 3 groups according to the surgical technique used: simple shaving, shaving exclusively or in part by plasma vaporization (plasma), and resection. RESULTS: The 3 groups were comparable for surgical history, preoperative QoL score, and characteristics of endometriotic lesions (size and site). All DE symptoms and QoL scores improved significantly after the surgery, all techniques combined (P<0.01). QoL scores for women who had plasma shaving or complete resection were significantly higher than those for women with simple shaving (respectively, 375 [225-800] and 450 [-50 to 725] vs 275 [-100 to 600]; P=0.04). Self-image significantly improved only in the plasma group (P=0.03). The complete resection group had longer hospitals stays than the other groups (P=0.001), as well as a higher surgical revision rate (23% vs 0%; P=0.02). CONCLUSION: Plasma and complete resection improved QoL similarly for women with DE, both more than shaving alone. The advantage of plasma vaporization lies in the lesser morbidity and better self-image, both better than in women with resection