37 research outputs found

    Global wealth disparities drive adherence to COVID-safe pathways in head and neck cancer surgery

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    Caractéristiques des réactions endothermiques d'interface. Recherche des états thermodynamiques d'interface en relation avec les écarts à l'équilibre t. 292, pp. 49 52.

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    International audienceL'endothermicité de la vaporisation peut donner des propriétés particulières à l'interface. L'exploration de la carte thermique du système associée à un modèle permet d'accéder aux profils thermiques dans chaque phase et d'établir les températures à l'interface; ses différents états thermodynamiques sont en relation avec l'écart à l'équilibre du système : équilibre interfacial près de l'équilibre, puis apparition d'une discontinuité de température, enfin déséquilibre de température et de potentiel chimique

    The Vaginal Patch Plastron Associated to the Anterior Sacrospinous Ligament Fixation for the Treatment of Advanced Anterior Vaginal Wall Prolapse

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    Background: this study aims to compare the efficacy and safety of vaginal patch plastron (VPP) associated to anterior sacrospinous ligament fixation (SSLF-A) with SSLF-A associated or not to the anterior colporrhaphy (AC) for cystocele treatment. Methods: single-center retrospective study in women with cystocele ≥ III stage submitted to surgery. The primary outcome was to compare objective and subjective cystocele relapse and reoperation rate at follow-up > 6 months. The secondary outcome was to describe peri- and postoperative complications and risk factors for cystocele objective relapse. Results: 75 women were submitted to SSLF-A and 61 women to VPP. VPP objective and subjective relapse (6.5%, 4/61 and 1.1%, 1/61) were lower than SSLF-A (26.7%, 20/75 and 20%, 15/75; p = 0.002 and p = 0.001, respectively). SSLF-A had a higher reintervention rate, but not significantly (6.6%, 5/75 vs. 0%, 0/61; p = 0.06). Previous hysterectomy was a risk factor (HR 4; 1.3–12.1) while VPP was protective factor (HR 0.2; 0.1–0.9) for cystocele anatomical relapse. Postoperative buttock pain was more prevalent in VPP (57.4%, 35/75 vs. 34.7%, 26/61; p = 0.01). Conclusions: VPP is effective and safe for advanced cystocele treatment, with lower objective and subjective relapse rates in comparison to isolated SSLF-A or associated with the AC
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