P. Galinier

Paul Sabatier University - Toulouse III, Tolosa de Llenguadoc, Midi-Pyrénées, France

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Publications (122)75.68 Total impact

  • N. Doumerc · M. Roumiguie · J. Beauval · P. Galinier · M. Soulie · P. Rischmann · O. Abbo ·

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    ABSTRACT: Objectives: Investigate the feasibility and evaluate the accuracy of non-contrast-enhanced MR angiography (NC-MRA) using time-spin labelling inversion pulse (time-SLIP)to identify crossing renal vessels (CRVs) in children requiring surgical treatment of ureteropelvic junction (UPJ) obstructionand compare to laparoscopic findings. Materials and methods: Nineteen children ranging from 6 to 16 years of age underwent NC-MRA using the time-SLIP technique before surgery. Two independent readers analysed the MRA images. Number of renal arteries and presence or absence of CRVs were identified and compared with surgicalfindings. Image quality was assessed, as well as the presence of CRVs and measurement of renal pelvis diameter. Intra and inter-reader agreement was calculated using Cohen's kappa coefficient and Bland-Altman plots. Results: The overall image quality was fair or good in 88% of cases. NC-MRA demonstrated CRVs at the level of the obstruction in 10 children and no CRV in 9 children. All were confirmed intra-operatively except in one of the nine children. Sensitivity, specificity, NPV, PPV for predicting CRVs were 92%, 100%, 100% and 87.5%, respectively, for both readers. Conclusion: NC-MRA is a good alternative to contrast-enhanced MRA and CT scanning for identifying CRVs in children with symptomatic UPJ. Key points: • Time-SLIP technique offers acceptable imaging quality for identifying crossing renal vessel. • Time-SLIP technique is easy to apply to the renal MRA examination. • Time-SLIP technique is an alternative to contrast-enhanced MRA and CT scanning.
    European Radiology 10/2015; DOI:10.1007/s00330-015-4065-9 · 4.01 Impact Factor
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    ABSTRACT: Congenital diaphragmatic hernia is a rare congenital malformation, as well as kidney ectopia. Among kidney ectopias, the intrathoracic one is the rarest. Those malformations concern more frequently boys, and affected more the left than the right side. Their association is poorly reported in the literature. We report the rare case of an early sonographic prenatal diagnosis of intrathoracic kidney at 22 weeks of gestation in a female fetus, completed on the follow-up by the diagnosis of an associated diaphragmatic hernia at 33 weeks of gestation. If chest mass is diagnosed prenatally or in neonate, ITK should be considered in a differential diagnosis, all the more if the ipsilateral renal fossa is empty. An associated DH should be searched if ITK is confirmed. Isolated ITK usually requires no specific treatment, in contrast with ITK associated with DH.
    Anatomia Clinica 10/2015; DOI:10.1007/s00276-015-1575-8 · 1.05 Impact Factor
  • P Laumonerie · S Mouttalib · T Edouard · P Galinier ·
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    ABSTRACT: The authors report on a case of diaphragmatic hernia occurring in a 3-month-old child affected by Marfan syndrome. Diagnosis was made on a chest X-ray and cardiac ultrasounds, performed because of the association of poor general condition, failure to thrive, and signs of respiratory distress. As a reminder, we emphasize the association between Marfan disease and diaphragmatic hernias as well as the diagnostic approach to reach an appropriate diagnosis.
    Archives de Pédiatrie 10/2015; 22(11). DOI:10.1016/j.arcped.2015.08.006 · 0.41 Impact Factor
  • O. Bouali · S. Mouttalib · J. Vial · P. Galinier ·

  • C Cessans · J Pharamin · K Crouzet · S Kessler · C Puget · O Bouali · P Galinier · M-O Marcoux ·
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    ABSTRACT: Ectopic intrathoracic kidney is a rare congenital anomaly, usually asymptomatic. This anomaly is sometimes associated with a diaphragmatic hernia. Few cases of this combination have been described, often in the absence of a prenatal diagnosis. We report on the case of a female newborn infant who was diagnosed with an ectopic intrathoracic right kidney and a diaphragmatic hernia upon 33weeks of gestation. The patient underwent surgery on the first day of life and the respiratory and renal outcomes were simple. We review the literature and discuss the seemingly good prognosis of this combination.
    Archives de Pédiatrie 09/2015; DOI:10.1016/j.arcped.2015.08.003 · 0.41 Impact Factor
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    ABSTRACT: Children with cleft lip and/or palate may have associated malformations, whether or not they are included in a syndromic form. This study's purpose was to provide a better understanding of the epidemiology and distribution of malformations and syndromes associated with these clefts. Retrospective study of 324 patients with cleft lip or palate born between 1994 and 2011. The associated malformations were diagnosed during the 1st year of life. Cleft lip or labioalveolar clefts were less frequently associated with other malformations than cleft palate. These nonsyndromic malformations preferentially affected the urogenital and renal system in case of cleft palate (48.5%) and the cardiovascular system for clefts with a lip defect (30.5%). The syndromic forms were rare in the cleft lip and labioalveolar clefts (3.47%). In contrast, cleft palate appeared much more frequently included in a syndromic form, with 52 children out of 151 (34.4%). The Pierre-Robin sequence was the most frequent syndrome with more than 25% of the cleft palate population. The defect of the palate was associated with a higher rate of other malformations or syndromes (36.51% vs 29.9% for the entire population with a cleft) (n=324) (P<0.001). The distribution of malformations appears to be linked to the type of cleft. These findings underline the importance of conducting a systematic neonatal malformation workup in children born with clefts in order to diagnose abnormalities and organize effective and consistent management. Copyright © 2015 Elsevier Masson SAS. All rights reserved.
    Archives de Pédiatrie 07/2015; 22(8). DOI:10.1016/j.arcped.2015.05.005 · 0.41 Impact Factor
  • M Juricic · G Labouret · M-P Castex · C Baunin · P Galinier · O Abbo ·
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    ABSTRACT: Thymoma is extremely rare within the pediatric age range, which could lead to delayed diagnosis. Based on the clinical case of a mediastinal tumor in an 8-year-old patient, we detail the key points in the management of this disease highlighted by our recent experience. Copyright © 2015 Elsevier Masson SAS. All rights reserved.
    Archives de Pédiatrie 07/2015; 22(8). DOI:10.1016/j.arcped.2015.04.022 · 0.41 Impact Factor
  • B. Heuga · S. Mouttalib · O. Bouali · M. Juricic · P. Galinier · O. Abbo ·
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    ABSTRACT: Les résidus de l’ouraque sont une pathologie classique de l’urologie pédiatrique dès la période néonatale. La prise en charge spécifique de ces anomalies est la résection chirurgicale pour éviter la survenue de complications infectieuses et d’une dégénérescence à long terme. Néanmoins, ces dernières données ont été remises en cause dans la littérature récente. Le but de notre étude était donc de faire le point sur la prise en charge de ces anomalies dans notre centre.
  • O. Bouali · C. Trabanino · O. Abbo · L. Destombes · C. Baunin · P. Galinier ·
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    ABSTRACT: Nous rapportons un cas de kyste du cholédoque révélé par une rupture traumatique. Il s’agissait d’un garçon de 11 ans, d’origine asiatique, victime d’un traumatisme abdominal direct, présentant un tableau de péritonite généralisée avec occlusion intestinale évoluant depuis 48 heures. Le scanner abdominal initial a montré un épanchement péritonéal abondant soulevant un doute sur une perforation digestive sans pneumopéritoine. La laparotomie a révélé un cholépéritoine abondant avec une plaie supposée duodénale qui a été suturée. L’enfant a été transféré secondairement dans notre centre. Le bilan radiologique (tomodensitométrie, bili-imagerie par résonance magnétique) a objectivé une volumineuse formation kystique évocatrice d’un kyste congénital du cholédoque. Les suites post-opératoires ont été simples. La cure chirurgicale du kyste du cholédoque a été réalisée 6 mois plus tard. La révélation des kystes du cholédoque par rupture traumatique est exceptionnelle et peut être trompeuse, le plus souvent confondue avec une pathologie duodénale.
    Archives de Pédiatrie 06/2015; 22(7). DOI:10.1016/j.arcped.2015.04.004 · 0.41 Impact Factor
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    ABSTRACT: Évaluer, par une étude transversale unicentrique, la qualité de vie globale et sexuelle de jeunes adultes âgés d’au moins 17 ans et opérés d’hypospadias postérieur dans l’enfance.
    Progrès en Urologie 06/2015; DOI:10.1016/j.purol.2015.04.006 · 0.66 Impact Factor
  • O Bouali · L Even · S Mouttalib · J Moscovici · P Galinier · X Game ·
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    ABSTRACT: The purpose of this study was to evaluate safety and tolerability of transcutaneous tibial nerve stimulation (TENS) in patients under 15years of age with refractory overactive bladder. A retrospective analysis was conducted on outcomes of TENS (1daily 20-minute session, 10Hz) in patients with refractory overactive bladder, excluding patients with neurogenic bladder. Treatment efficacy was evaluated on symptomatic improvement and voiding schedule. Healing was defined as following: no recurrence of urinary tract infection, normal urodynamic voiding parameters, no nighttime continence disorder, normal uroflowmetry. Nineteen consecutive patients with refractory overactive bladder were treated from November 2010 to March 2012 (11girls, 8boys, age 12.1±2.7 years). Three patients reported only daytime voiding disorders, the others reported daytime and nighttime voiding disorders. Ten patients reported febrile urinary tract infection (1 boy, 9 girls). The average length of treatment was 6 months. Two patients were lost to follow-up. Thirteen patients had only tibial TENS; 3 patients had tibial TENS and trospium chloride or desmopressin. At 1-month assessment, 16 patients out of 17 (94%) reported symptomatic improvement. At the end of treatment, 12 patients out of 17 (70%) met healing criteria (5 boys, 7girls), without relapse within 9 months. Three boys (18%) had partial improvement (no daytime wetting, but increased daytime frequency). No patient reported side effects. Tibial TENS is a safe, non invasive and effective treatment in refractory overactive bladder in children. The success rate is 70%, with no side effect and no relapse at the end of the treatment in our study. 4. Copyright © 2015 Elsevier Masson SAS. All rights reserved.
    Progrès en Urologie 05/2015; 25(11). DOI:10.1016/j.purol.2015.04.005 · 0.66 Impact Factor
  • M. Talvard · S. Mouttalib · V. Flaum · J. Viala · P. Galinier · J.-P. Olives · E. Mas ·
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    ABSTRACT: Les complications digestives secondaires à l’ingestion de corps étrangers (CE) aimantés chez les enfants sont de plus en plus fréquentes, surtout en Asie et en Amérique du Nord. Quelques cas français ont été rapportés depuis 2008. Nous avons réalisé une étude multicentrique rétrospective afin d’évaluer la fréquence de ce type d’ingestions et d’en décrire les complications digestives survenues au cours des 5 dernières années. Quarante cas ont été colligés dont 60 % d’ingestions d’aimants multiples. Quatre-vingt-huit pour cent des enfants ayant avalé plusieurs aimants avaient nécessité une prise en charge interventionnelle endoscopique (33 %) ou chirurgicale (58 %). Seulement 2 des enfants ayant ingéré un seul aimant (12,5 % des cas) avaient justifié une prise en charge interventionnelle. Cette situation n’est donc pas exceptionnelle (2 % des 1132 CE ingérés en cinq ans dans le centre de Toulouse) ; elle justifie une information des professionnels de santé et du public afin d’éviter les complications digestives. Nous proposons une attitude interventionnelle ou une surveillance extrêmement vigilante en cas d’ingestion de plusieurs aimants. Les cas d’ingestion confirmée d’un seul aimant peuvent être surveillés à domicile dans la majorité des cas.
    Archives de Pédiatrie 01/2015; 22(1). DOI:10.1016/j.arcped.2014.10.012 · 0.41 Impact Factor
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    Archives de Pédiatrie 01/2015; 22(3). DOI:10.1016/j.arcped.2014.11.023 · 0.41 Impact Factor
  • O. Abbo · P.-M. Patard · S. Mouttalib · O. Bouali · J. Vial · A. Garnier · P. Galinier ·
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    ABSTRACT: Les vaisseaux polaires inférieurs sont responsables d’une part importante des syndromes de la jonction pyélo-urétérale (JPU) y compris chez l’enfant. Si la classique pyéloplastie avec décroisement des vaisseaux reste la référence, certaines équipes ont remis au goût du jour la transposition des vaisseaux polaires dans cette indication, avec le développement de la chirurgie mini-invasive. Le but de notre étude était donc d’évaluer les résultats de la prise en charge des JPU pour vaisseaux polaires par cœlioscopie dans notre centre.
    Progrès en Urologie 12/2014; 25(2). DOI:10.1016/j.purol.2014.11.010 · 0.66 Impact Factor
  • O Abbo · P-M Patard · S Mouttalib · O Bouali · J Vial · A Garnier · P Galinier ·
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    ABSTRACT: Lower pole vessels are a classical cause of PUJO even in children. The "gold standard" in the management of PUJ obstructions remains a dismembered pyeloplasty as described by Anderson and Hynes. However, some authors have developed an alternative procedure to this approach with encouraging results. The aim of our study was to evaluate our preliminary results concerning laparoscopic vascular hitch for crossing vessels. We conducted a retrospective, monocentric study of all patients managed by this technique from January 2010 to December 2012. Eleven patients (7 boys, 4 girls) were managed by laparoscopy at a mean age of 10.7 years (5.4-17). They were referred to our center for clinical symptoms (intermittent pain 7, high blood pressure 1, UTI 1), antenatal diagnosis or accidental discovery. Obstruction was confirmed by MAG3 nephrogram and the presence of obstructive vessels by tomodensitometry or MRI. Mean operative time was 90.2minutes (48-184). Seven patients over 11 were strictly managed by laparoscopic transposition of lower pole vessels. Four required a classical video-assisted dismembered pyeloplasty due to a potential intraluminal stenosis. The latter were suspected by a distension test with furosemid in all four cases. Mean follow-up was 12.9±3 months. Nine patients over 11 were totally non symptomatic, whereas 2 still present mild intermittent pain. In all cases, ultrasound scans show an improvement of the pelvic dilatation. Laparoscopic transposition of lower pole vessels is a suitable and feasible alternative for the management of obstructive PUJ. Our preliminary experience emphasizes the need for a precise preoperative selection of patients along with a per operative evaluation of the obstruction. Further experience seems required to improve our criteria in this indication. 5. Copyright © 2014 Elsevier Masson SAS. All rights reserved.
  • M Talvard · S Mouttalib · V Flaum · J Viala · P Galinier · J-P Olives · E Mas ·
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    ABSTRACT: Digestive complications related to the ingestion of magnetic foreign bodies in children are increasing, especially in Asia and North America. In France, several case reports have been reported since 2008. We conducted a retrospective multicentric study to evaluate the frequency of ingestion of magnet foreign bodies and to describe the complicated cases that have occurred in France over the last 5 years. We report 40 cases of which 60% were multiple magnet ingestions. Eighty-eight percent of the children of the group who had swallowed multiple magnets needed interventional management by endoscopy (33%) or surgery (58%). Only two children (12.5%) of the group who swallowed one magnet required removal. This problem is not uncommon in France (2% of the 1132 foreign bodies investigated in the Toulouse center over 5 years), which justifies clear information for healthcare professionals and caregivers in order to avoid potential intestinal complications. We suggest interventional management or very close monitoring in the cases of multiple magnet ingestion. Meanwhile, in the majority of confirmed cases of simple magnet ingestions, we propose home monitoring. Copyright © 2014 Elsevier Masson SAS. All rights reserved.
  • Sofia Mouttalib · Ourdia Bouali · Olivier Abbo · Jacques Moscovici · Philippe Galinier ·
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    ABSTRACT: Background: Reconstruction of urethral strictures in children remains a challenge to the pediatric surgeon as these are often related to different rare congenital anomalies with various clinical presentations that endanger renal function and should be repaired in young children. Multiple techniques have been described for their repair. We aimed to determine whether the use of a free tubularised bladder mucosal graft associated to a prior tubeless vesicostomy was feasible and sure, as this technique of reconstruction using tubularised grafts has not been described yet in young children. Results: Two newborn male patients were referred to our department. Both presented a congenital stenosis of the urethra as a part of a complex urethral malformation. Surgery involved prior tubeless vesicostomy, free bladder mucosal graft for urethral reconstruction, and vesicostomy closure for both children. Postoperative evolution was satisfying in both children and cystourethroscopy showed permeable urethra. Satisfying cosmetic and functional results have been obtained in the two cases. Conclusions: The prior vesicostomy prevents kidney damage in the context of complex genital and urinary malformations. Bladder mucosa's immunohistological properties are the most similar to those of the urethral tissue, and are appropriate for this type of correction, making our technique feasible and sure. Level of evidence: 5.
    Progrès en Urologie 11/2014; 25(2). DOI:10.1016/j.purol.2014.11.003 · 0.66 Impact Factor
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    ABSTRACT: We report the case of a laparoscopic robot assisted left upper polar partial nephrectomy with total ureterectomy performed in a teenager. A 14 year-old girl was referred to our institution for stress urinary incontinence. The morphological assessment (ultrasound scan and uro-MRI) showed a double collecting system with a complete ureteral duplication complicated by a dysplasia of the upper moiety of the duplex left kidney and a mega ureter. The surgery started on a lateral decubitus position by the upper polar partial nephrectomy and the ureter section behind superior polar renal vessels. The patient was placed in a supine position and the mega ureter was released and sectioned at the level of the distal adynamic segment in the left uterine parameter. The transperitoneal route was chosen as it provides a large workspace and allows the dissection of the ureters into their pelvic portion by a simple repositioning of the robot ports without additional incision and without any modification of the operative field. No intraoperative and postoperative complication was noticed. Laparoscopic robotic assisted surgery in pediatric urology is increasing, and to our knowledge, we reported this technique and surgery for the first time in France and in children. In the reported case, we showed that the robotic minimally invasive surgery in children is an innovative and safe technique for the treatment of symptomatic upper urinary tract malformations.
    Progrès en Urologie 10/2014; 24(12). DOI:10.1016/j.purol.2014.07.019 · 0.66 Impact Factor
  • S. Mouttalib · L. Carfagna · O. Bouali · P. Galinier · F. Lauwers · P. Chaynes ·

    Morphologie 09/2014; 98(322):101. DOI:10.1016/j.morpho.2014.04.011

Publication Stats

286 Citations
75.68 Total Impact Points


  • 2012
    • Paul Sabatier University - Toulouse III
      Tolosa de Llenguadoc, Midi-Pyrénées, France
  • 2008-2012
    • Shanghai Children's Hospital
      Shanghai, Shanghai Shi, China
  • 2003-2010
    • Centre Hospitalier Universitaire de Toulouse
      Tolosa de Llenguadoc, Midi-Pyrénées, France
  • 2007
    • University of Toulouse
      Tolosa de Llenguadoc, Midi-Pyrénées, France