D Querleu

Three surgical units were involved in a prospective comparative study: the Pavillon Paul Gellé in Roubaix, France for vaginal hysterectomies; the Hôtel Dieu Polyclinic in Clermont-Ferrand, France for total percoelioscopic hysterectomies; an…

ObjectiveOur purpose was to evaluate the long term sequelae after vaginal hysterectomy.Study designA retrospective case control study to evaluate the long term complications after vaginal hysterectomy compared with control patients who had …

Objectivehysterectomy for benign disorders is usually well tolerated, but complications do occur. The aim of this retrospective study is to document such complications.Patients and methodsbetween March 1991 and December 1998, 1604 patients …

ObjectiveAlthough hysterectomy for benign disorders is a routine and usually well-tolerated procedure, complications do occur, and the resulting morbidity rates are not negligible. The aim of this prospective study was to report perioperati…

Adenomyosis is a frequent pathology of the uterus for women over 40. Difficult to diagnose, adenomyosis can be responsible of pelvic pain and menorrhagia. Association with infertility is a rare event and the responsibility of adenomyosis is…

UNLABELLED: From 1992 to 1995, 1565 laparoscopic operations were performed in Roubaix. We report on six complications. OBJECTIVE: To compare this figure with these of the French collaborative study done from 1987 to 1991 by seven departmen…

FREQUENT: The most frequent deep localization, endometriosis of the rectovaginal septum may penetrate into the vagina or rectum. MEDICAL TREATMENT: Hormone therapy suppresses menstruation if a short-term regimen is given, but the cost of lo…

Since the beginning of the nineties, we have seen an increase in the use of operative hysteroscopy in the surgical treatment of women with dysfunctional uterine bleeding. The aim of this article is to show that these new techniques are surg…

A major problem with endometriosis is the detection of microscopic and atypical lesions. An incomplete surgical eradication may lead to recurrence of the disease. This study aimed to investigate the diagnostic improvement of endometriosis b…

New data on the pathophysiology of pain associated with endometriosis are available. The predominant role of deep endometriosis has been stressed. In multivariate analysis, superficial endometriosis and even adhesions and ovarian cysts do n…

The effectiveness of systemic corticosteroids in the prevention of adhesion formation and reformation has been recently questioned, on the grounds of non randomized studies. Noxythiolin has been tried in animal experiments, but never in the…

A clustering of radiologic signs is associated with the presence of ovarian and/or peritoneal endometriosis: some indicate fibrosis of utero-sacral ligaments (isthmic dissection of the uterus, fixed retroversion); others are linked to patho…