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Publications (4)1.55 Total impact

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    ABSTRACT: Objectives To evaluate risk factors associated with failed forceps delivery and to compare the maternal and neonatal morbidity. Patients and methods In this retrospective case-control study, all failed forceps delivery cases were analyzed from January 2005 to June 2008 and were compared to a successful forceps delivery cohort. Results The rate of failed forceps extraction was 4.4% (40/918). Specific risk factors were extraction above a fœtal station of S + 2 (OR = 43.03; IC 95%: 3.8–475.41), occipito-posterior position (OR = 34.64; IC 95%: 4.08–293.5), and biparietal diameter higher than 95 mm (OR = 10.74; IC 95%: 1.4–82.41). Maternal and neonatal morbidity was few in both groups. Conclusions Diagnosis of presentation level and variety of presentation are necessary before instrumental extraction. A “trial of forceps” should be performed with caution in a setting where a caesarean delivery could follow. Vacuum extraction could be interesting in case of occipito-posterior position.
    La Revue Sage-Femme 06/2012; 41(4):333–338.
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    ABSTRACT: To validate a new laparoscopy home training model (GYN Trainer®) in order to practise and learn basic laparoscopic surgery. Ten junior surgical residents and six experienced operators were timed and assessed during six laparoscopic exercises performed on the home training model. Acquisition of skill was 35%. All the novices significantly improved performance in surgical skills despite an 8% partial loss of acquisition between two training sessions. Qualitative evaluation of the system was good (3.8/5). This low-cost personal laparoscopic model seems to be a useful tool to assist surgical novices in learning basic laparoscopic skills.
    Gynécologie Obstétrique & Fertilité 04/2012; 40(7-8):396-401. · 0.55 Impact Factor
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    ABSTRACT: To evaluate risk factors associated with failed forceps delivery and to compare the maternal and neonatal morbidity. In this retrospective case-control study, all failed forceps delivery cases were analyzed from January 2005 to June 2008 and were compared to a successful forceps delivery cohort. The rate of failed forceps extraction was 4.4% (40/918). Specific risk factors were extraction above a fœtal station of S+2 (OR=43.03; IC 95%: 3.8-475.41), occipito-posterior position (OR=34.64; IC 95%: 4.08-293.5), and biparietal diameter higher than 95mm (OR=10.74; IC 95%: 1.4-82.41). Maternal and neonatal morbidity was few in both groups. Diagnosis of presentation level and variety of presentation are necessary before instrumental extraction. A "trial of forceps" should be performed with caution in a setting where a caesarean delivery could follow. Vacuum extraction could be interesting in case of occipito-posterior position.
    Journal de Gynécologie Obstétrique et Biologie de la Reproduction 01/2012; 41(4):333-8. · 0.45 Impact Factor
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    ABSTRACT: Objectives To validate a new laparoscopy home training model (GYN Trainer®) in order to practise and learn basic laparoscopic surgery.Patients and methodTen junior surgical residents and six experienced operators were timed and assessed during six laparoscopic exercises performed on the home training model.ResultsAcquisition of skill was 35%. All the novices significantly improved performance in surgical skills despite an 8% partial loss of acquisition between two training sessions. Qualitative evaluation of the system was good (3.8/5).Discussion and conclusionThis low-cost personal laparoscopic model seems to be a useful tool to assist surgical novices in learning basic laparoscopic skills.
    Gynécologie Obstétrique & Fertilité 40(s 7–8):396–401. · 0.55 Impact Factor