La Tunisie médicale
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La Tunisie médicale · Nov 2008
Case ReportsFanconi anemia complicated by neutropenic enterocolitis.
Neutropenic enterocolitis (NEC) also known as typhlitis is an acute, life-threatening inflammation of the small and large bowel often seen in patients with leukaemia undergoing cytotoxic chemotherapy: occasionally this syndrome could present in other immunocompromised patients. ⋯ Neutropenic enterocolitis in Fanconi anemia is a rare and a severe illness: however, the outcome is improved with early management.
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My stay in the Urology Unit of Necker's hospital in my last year of residency in 1960 was a decisive turning point in my career. My training as resident in the urologic department was planned for one half year, however it was extended to five half years of clinicat, after that professor Couvelaire invited me to participate to a competitive exam of professor in urology which held in December 1962. The medical school of Algiers, the only known active institution in Maghreb, planned an appointment of urologic surgeon. ⋯ Several new techniques were introduced in Tunisia recently such as "l'urodynamique", interventional endoscopy and kidney transplantation. On June the 6th, 1986 the first kidney transplantation was performed, and during three years I performed 60 kidney transplantations. This event provided enthusiasm of young physicians and surgeons who were avid for novelty in the field of transplantation.
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La Tunisie médicale · Oct 2008
Randomized Controlled Trial Comparative Study[Postoperative analgesia after laparoscopic cholecystectomy: comparison of the preoperative administration of celecoxib with paracetamol?].
The goal of this study was to evaluate the preventive analgesic effectiveness of paracetamol and celecoxib in laparoscopic cholecystectomy. ⋯ The administration of 200 Mg of celecoxib in the preoperative period of a laparoscopic cholecystectomy allows a significant decrease in morphine consumption in the postoperative period and a reduction in the scores of the VAS at rest and at the effort of cough compared to the groups which received only one placebo or paracetamol.
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La Tunisie médicale · Jun 2008
Randomized Controlled Trial[Effect of intra and postoperative magnesium sulphate infusion on postoperative pain].
Evaluate the effect of intra and postoperative magnesium sulphate infusion on postoperative pain in abdominal surgery. ⋯ The results of the study support magnesium sulphate as useful adjuvant for postoperative analgesia in abdominal surgery.
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La Tunisie médicale · Jun 2008
Randomized Controlled TrialEfficacy of patient controlled epidural analgesia during labor analgesia--a prospective randomized study using 0.1% bupivacaine with fentanyl 2 mg/ml.
Epidural analgesia is the most effective for the control of pain during labor but irregularity of analgesia, toxicity of local anesthetics (LA) and driving block are the major limits of the modalities of maintenance. ⋯ Besides the perfect analgesia, PCEA offers a psychic independence which explains comfort and maternal satisfaction. Accumulation of LA entails a driving block involved in the change of dynamics of the labor. Incidence of clinical obstetric interventions is the major observation of our study.