Hajanirina Rakotomahenina's research while affiliated with Université d´Avignon et des Pays du Vaucluse and other places

Publications (10)

Article
Objective: The aim of the study was to identify the risk factors of post-large loop excision of the transformation zone (LLETZ) recurrent disease and the impact of colposcopic guidance at the time of LLETZ on that risk. Materials and methods: From December 2013 to July 2014, 204 patients who had undergone LLETZ for the treatment of high-grade in...
Article
Objective: The aim of the study was to identify the risk factors of post-large loop excision of the transformation zone (LLETZ) inadequate colposcopy. Materials and methods: From December 2013 to July 2014, a total of 157 patients who had a LLETZ performed for the treatment of high-grade intraepithelial lesion with fully visible cervical squamoc...
Article
Background: Uterine fibroids are the commonest benign tumor of the female genital tract. They affect a significant proportion of reproductive aged women and may cause excessive menstrual bleeding, pelvic pain or pressure, and adversely affect reproductive outcomes. However, many women remain asymptomatic. Fibroids are the first indication for hyst...
Article
El cancer de cuello uterino es frecuente en las mujeres jovenes o entre la poblacion inmunodeprimida. Su carcinogenesis esta obligatoriamente inducida por el virus del papiloma humano (VPH) de tipo oncogenico. Existe una filiacion obligatoria entre las lesiones preinvasivas y el cancer invasivo. La evolucion de las lesiones intraepiteliales hacia l...
Article
Full-text available
The rarity of genital tuberculosis and the non-specificity of its manifestations lead to delayed diagnosis and the need to treat this disease at an advanced stage. We report two cases observed and treated at the Fianarantsoa Teaching Hospital: two young women (aged 22 and 33 years) discovered during work-ups for primary infertility and secondary am...
Article
Post-term pregnancy in the broad ligament is rarely described in the literature. A 33-year-old woman, grava 2 para 1, not followed-up during gestation was admitted at 44 weeks of gestation. The fetus was dead and in transversal position, as shown by ultrasound. A cesarean section was performed and the fetus was extracted from the right broad ligame...
Article
Cervical cancer may be prevented by human papillomavirus (HPV) vaccination and the treatment of intraepithelial lesions diagnosed using cervical pap smears. HPV vaccines are effective for the prevention of CIN2/3 related to HPV 16, 18 and some other oncogenic HPV subtypes in HPV-naïve women. They are very well tolerated and to date, no increase in...
Article
Cervical cancer is the first gynecological cancer among African women in terms of frequency and mortality. This cancer is easily accessible to prevention by human papillomavirus (HPV) vaccination and screening by pap smears combined or not with HPV test. In Fianarantsoa, Madagascar, screening methods have been available since 2010. Objectives of th...
Article
Post-term pregnancy in the broad ligament is rarely described in the literature. A 33-year-old woman, grava 2 para 1, not followed-up during gestation was admitted at 44 weeks of gestation. The fetus was dead and in transversal position, as shown by ultrasound. A cesarean section was performed and the fetus was extracted from the right broad ligame...

Citations

... A total of 1,961 studies were retrieved, 1,950 were excluded, and a final 11 (12,13,(15)(16)(17)(18)(19)(20)(21)(22)(23) were included in the metaanalysis. Eight studies were at low risk of bias, and 3 studies were at high risk of bias. ...
... When the transformation zone was taken as the reference, the consistency rate of colposcopy in patients with type I or II transformation zone was significantly higher than in patients with type III transformation zone, possibly the results of reduced estrogen levels, retreating cervical squamocolumnar junction into the cervical canal, incomplete exposure of the cervical squamocolumnar junction, and unsatisfying colposcopy images in patients with type III transformation zone [20,21]. In addition, this study showed that the HPV viral load and childbearing history were the factors affecting the accuracy of colposcopy-based diagnosis. ...
... Symptoms in patients with multiple subserosal fibroids could be insidious, while they may cause irregular vaginal bleeding or menorrhagia, leading to dysmenorrhea, increased menstrual flow, miscarriage, and infertility [4,5]. Surgical treatment is the mainstay of treatment for uterine fibroids [6], including myomectomy and hysterectomy that can be performed either through the abdomen or the vagina, and laparoscopic myomectomy is considered the most common and effective [7,8]. Notwithstanding its effectiveness, the operation is traumatic and results in stress response, complications, and adverse reactions, compromising the prognosis of the patient [9]. ...
... Ciertas displasias moderadas e incluso graves pueden beneficiarse de tratamientos destructores siempre que no superen los 2 cm 2 , si los límites se visualizan bien, si la unión epitelioglandular es bien visible y, sobre todo, si se trata de pacientes observables y accesibles a un seguimiento riguroso. En todos los demás casos, la conización sigue siendo el método de referencia (12,14). La crioterapia es una de las formas terapéuticas ablativas basado en la destrucción de tejidos mediante necrosis producida por nitrógeno líquido a baja temperatura (-196°C), la técnica consiste en aplicar ciclos completos de congelación-descongelación, que varían según el tipo de lesión (15). ...
... Carcinoma of the cervix is associated with many risk factors, including early age at first sexual intercourse, multiple male sexual partners, male sexual partners who have had multiple partners, early age at first birth, multiparty, smoking, long-term use of oral contraceptive pills and immunosuppression, all of which facilitate the ability of HPV to cause malignant change in cervical epithelial cells. (Rakotomahenina et al, 2014) For many years, the cervical Pap test has been the standard method for cervical cancer screening. Screening with the Pap test had been shown to reduce the incidence of cervical cancer by 60 to 90% and mortality rates by as much as 90%. ...
... The patient was not followed up during gestation and presented to the hospital at the 44th week. The fetus was dead in transversal position and was extracted from the right broad ligament by laparotomy [41]. This case showed that a broad ligament pregnancy can reach term without any serious symptoms. ...