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2 results on '"Bassil, S"'

1. [Technique and preliminary results in second-look laparoscopy in epithelial malignant ovarian tumors].

Author

Canis M, Chapron C, Mage G, Pouly JL, Wattiez A, Bassil S, Raymond F, and Bruhat MA

Subjects
Carcinoma mortality, Carcinoma therapy, Female, Follow-Up Studies, France epidemiology, Hospitals, University, Humans, Laparoscopy adverse effects, Laparoscopy standards, Laparotomy adverse effects, Laparotomy standards, Neoplasm Recurrence, Local, Ovarian Neoplasms mortality, Ovarian Neoplasms therapy, Postoperative Complications epidemiology, Postoperative Complications etiology, Predictive Value of Tests, Prognosis, Remission Induction, Reoperation adverse effects, Reoperation standards, Retrospective Studies, Survival Rate, Carcinoma diagnosis, Laparoscopy methods, Ovarian Neoplasms diagnosis, Reoperation methods
Abstract

Second-look laparotomy is the usual mean of intraperitoneal evaluation in patients treated for ovarian carcinoma. We present a preliminary study of 33 second-look. Thirteen of these procedures were performed by laparoscopy. Because of previous surgical history a specific technique is necessary including safety tests, cytologic evaluation after peritoneal washing, and biopsies of any abnormal peritoneal areas, original tumors sites and normal appearing peritoneum. In order to achieve the evaluation of the entire peritoneal cavity a complete bowel adhesiolysis is required. For trained laparoscopists the surgical complication rate is low. In this preliminary study we found that prognosis following negative second-look laparoscopy and second-look laparotomy are similar, suggesting that laparoscopy is a valuable alternative to laparotomy for second-look evaluation in ovarian cancer.

Published
1992

2. [Recurrence after conservative celioscopic treatment of a first ectopic pregnancy].

Author

Chapron C, Pouly JL, Mage G, Canis M, Wattiez A, Bassil S, Manhes H, and Bruhat MA

Subjects
Evaluation Studies as Topic, Female, France epidemiology, Hospitals, University, Humans, Infertility, Female epidemiology, Infertility, Female etiology, Laparoscopy methods, Postoperative Complications epidemiology, Postoperative Complications etiology, Pregnancy, Pregnancy, Ectopic epidemiology, Pregnancy, Ectopic pathology, Recurrence, Risk Factors, Laparoscopy standards, Pregnancy, Ectopic surgery
Abstract

Conservative laparoscopic treatment by salpingotomy was performed on 192 patients who presented with a first ectopic pregnancy (EP). The overall fertility results show that 139 patients (72.4%) obtained an Intra Uterine Pregnancy (IUP), whereas only 18 patients (9.4%) suffered a recurrence. The risk of ipsilateral recurrence is 66.7% (12 cases). For the 14 patients presented with two patent tubes after conservative laparoscopic treatment of a first EP, the ipsilateral recurrence rate is 57.1% (8 cases). The side of the recurrence is directly influenced by the patient's previous history. While 88.9% (8 cases) of recurrence are ipsilateral for patients presenting previous tubal history, this rate is only 44.4% (4 cases) when tubal factors are absent (p less than 0.05). This prompts us to recommend laparoscopic salpingectomy for patients with a serious past tubal history. In these patients recurrence is ipsilateral in more than three out of four cases. On the other hand, for patients with no or few tubal factors the treatment has to be conservative.

Published
1992

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