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  1. Article: Is a giant incisional hernia a contraindication for laparoscopic cholecystectomy?

    Boyer, Nicolas / Koliakos, Nikolaos / Pau, Luca / Poras, Mathilde / Maréchal, Marie-Therese / Farinella, Eleonora

    Journal of surgical case reports

    2023  Volume 2023, Issue 6, Page(s) rjad305

    Abstract: Laparoscopic cholecystectomy (LC) is one of the most commonly performed surgical procedures worldwide. A previous abdominal operation is not considered a significant risk factor for conversion to open cholecystectomy. We describe the case of an 80-year- ... ...

    Abstract Laparoscopic cholecystectomy (LC) is one of the most commonly performed surgical procedures worldwide. A previous abdominal operation is not considered a significant risk factor for conversion to open cholecystectomy. We describe the case of an 80-year-old woman with a surgical history of a giant uncomplicated incisional midline hernia presenting at our department with choledocholithiasis and acute cholangitis. After an ERCP with extraction of common bile duct stones, a LC was planned. The first trocar was inserted in the right midclavicular line, using an open technique and a careful inspection of the abdominal cavity and the hernia sac content. An uncomplicated cholecystectomy was performed and the postoperative course was uneventful.
    Language English
    Publishing date 2023-06-17
    Publishing country England
    Document type Case Reports
    ZDB-ID 2580919-2
    ISSN 2042-8812
    ISSN 2042-8812
    DOI 10.1093/jscr/rjad305
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  2. Article ; Online: The Utilisation of Digital Applications for Measuring Patient Outcomes Following Bariatric Surgery: a Systematic Review and Meta-analysis of Comparative Studies.

    Farinella, Eleonora / Koliakos, Nikolaos / Papakonstantinou, Dimitrios / Breuer, Nicolas / Pau, Luca / Poras, Mathilde / Maréchal, Marie-Therese / Briganti, Giovanni

    Obesity surgery

    2024  Volume 34, Issue 2, Page(s) 635–642

    Abstract: In the context of escalating obesity rates, bariatric surgery holds a crucial role in managing severely obese patients. With a demonstrated effectiveness in weight loss and with the advent of ambulatory surgery, bariatric surgery allows for a streamlined ...

    Abstract In the context of escalating obesity rates, bariatric surgery holds a crucial role in managing severely obese patients. With a demonstrated effectiveness in weight loss and with the advent of ambulatory surgery, bariatric surgery allows for a streamlined care pathway, ideally suited for postoperative surveillance using digital health applications. The aim of this systematic review and meta-analysis is to evaluate the effect of eHealth-delivered health services or support for adults undergoing bariatric surgery. Five studies, encompassing 2210 patients, were analysed. The intervention group showed a 10% increase in total weight reduction and a 22% reduction in excess weight loss. ED visitation rates also trended towards reduction. Despite the absence of clear statistical superiority for DHA, the findings suggest potential benefits of DHA in postoperative monitoring.
    MeSH term(s) Adult ; Humans ; Bariatric Surgery ; Obesity, Morbid/surgery ; Outcome Assessment, Health Care ; Weight Loss
    Language English
    Publishing date 2024-01-06
    Publishing country United States
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-023-07000-8
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    Zs.A 3381: Show issues Location:
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  3. Article ; Online: SURGICAL TREATMENT OF VITREORETINAL COMPLICATIONS DURING DISSEMINATED INTRAVASCULAR COAGULATION SECONDARY TO MENINGOCOCCEMIA.

    Keilani, Chafik / Delbarre, Maxime / Rambaud, Camille / Marechal, Marie / Froussart, Françoise

    Retinal cases & brief reports

    2020  Volume 16, Issue 4, Page(s) 500–506

    Abstract: Purpose: To report a case of the surgical management of vitreoretinal complications during disseminated intravascular coagulation secondary to meningococcemia.: Methods: A case report.: Results: A 25-year-old man presented with loss of vision due ... ...

    Abstract Purpose: To report a case of the surgical management of vitreoretinal complications during disseminated intravascular coagulation secondary to meningococcemia.
    Methods: A case report.
    Results: A 25-year-old man presented with loss of vision due to retinal and vitreous hemorrhages during disseminated intravascular coagulation secondary to meningococcemia. Examination revealed the visual acuity to be counting fingers in the right eye and light perception in the left eye. Bilateral vitreous hemorrhages were found on fundus examination. A dome-shaped lesion overlying the macula consistent with a subinternal limiting membrane hemorrhage was seen on optical coherence tomography. Bilateral vitrectomy was performed. Multiple subinternal limiting membrane hemorrhages were evident in the posterior pole. A membrane forceps was used to peel the internal limiting membrane and remove the fibrin under it. The internal limiting membrane and vitreous samples were sent for anatomopathological examination confirming our hypothesis. The peripheral retina revealed bilateral multiple ischemic areas, and argon laser photocoagulation was performed on it. Both eyes were filled with silicone oil. Eight months after surgery, his vision improved to 70 and 65 on the early diabetic retinopathy study scale in the right and left eyes, respectively.
    Conclusion: Published cases of retinal and vitreous hemorrhages during disseminated intravascular coagulation secondary to meningococcemia are few. There is no specific and codified management of these ocular complications. This case is the first reporting positive visual recovery after surgical treatment. Surgical procedure seems to be effective to treat multiple vitreoretinal hemorrhages secondary to meningococcemia.
    MeSH term(s) Adult ; Diabetic Retinopathy/surgery ; Disseminated Intravascular Coagulation/complications ; Disseminated Intravascular Coagulation/pathology ; Humans ; Male ; Meningococcal Infections/complications ; Retina/pathology ; Vitrectomy/adverse effects ; Vitreous Hemorrhage/etiology ; Vitreous Hemorrhage/pathology ; Vitreous Hemorrhage/surgery
    Language English
    Publishing date 2020-06-14
    Publishing country United States
    Document type Case Reports ; Journal Article
    ISSN 1937-1578
    ISSN (online) 1937-1578
    DOI 10.1097/ICB.0000000000001017
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  4. Article ; Online: Presbyopic LASIK using the Supracor algorithm and micromonovision in presbyopic myopic patients: 12-month visual and refractive outcomes.

    Adam, Thomas / Boucenna, William / Lussato, Mikhael / Hagege, Alain / Berguiga, Marouen / Marechal, Marie / Froussart-Maille, Françoise / Delbarre, Maxime

    Journal of cataract and refractive surgery

    2022  Volume 49, Issue 2, Page(s) 195–200

    Abstract: Purpose: To evaluate the visual and refractive outcomes for presbyopia and myopia treatment using the Teneo 317 M2 platform and the myopic Supracor algorithm.: Setting: Percy Military Hospital and Private Laser Victor Hugo Center, Paris, France.: ... ...

    Abstract Purpose: To evaluate the visual and refractive outcomes for presbyopia and myopia treatment using the Teneo 317 M2 platform and the myopic Supracor algorithm.
    Setting: Percy Military Hospital and Private Laser Victor Hugo Center, Paris, France.
    Design: Observational retrospective nonrandomized study.
    Methods: 50 eyes (25 patients) treated with bilateral myopic Supracor and micromonovision using the Teneo 317 M2 platform and followed up for 12 months. Study outcomes included binocular and monocular visual acuities (without correction for distance and near vision), the spherical equivalent, predictability, stability, safety, optical aberrations, and complications.
    Results: The mean age was 50.6 ± 2.7 years, and the mean preoperative spherical equivalent was -2.6 ± 1.4 diopters. At 12 months postoperatively, the mean binocular uncorrected distance visual acuity was 0.02 ± 0.03 logMAR, and 24 patients (96%) achieved an acuity of 20/25 or better. The binocular uncorrected near visual acuity was equal to Jaeger 1 in 18 patients (72%) and Jaeger 2 or better in 23 patients (92%). 12 eyes (24%) had lost 1 Snellen line, and 1 eye (2%) had lost 2 Snellen lines of monocular corrected distance visual acuity. No cases required retreatment; however, 1 eye (2%) underwent revision surgery because of diffuse lamellar keratitis.
    Conclusions: This study suggests that Supracor using the Teneo 317 M2 platform is a safe and effective technique for myopia and presbyopia treatment. Supracor is therefore a viable alternative to monovision for presbyopia and myopia. However, a careful patient selection is essential to satisfy realistic expectations.
    MeSH term(s) Humans ; Middle Aged ; Keratomileusis, Laser In Situ/methods ; Presbyopia/surgery ; Retrospective Studies ; Vision, Binocular ; Corneal Topography ; Lasers, Excimer/therapeutic use ; Myopia/surgery ; Algorithms ; Treatment Outcome
    Language English
    Publishing date 2022-11-03
    Publishing country United States
    Document type Observational Study ; Journal Article
    ZDB-ID 632744-8
    ISSN 1873-4502 ; 0886-3350
    ISSN (online) 1873-4502
    ISSN 0886-3350
    DOI 10.1097/j.jcrs.0000000000001080
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    Zs.A 1806: Show issues Location:
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  5. Article ; Online: Impact of the COVID-19 Pandemic and Lockdown on Gastric Bypass Results at 1-Year Follow-up.

    Barranquero, Alberto G / Cimpean, Sorin / Raglione, Dario / Cadière, Benjamin / Maréchal, Marie-Thérèse / Pau, Luca / Bez, Mattia / Cadière, Guy-Bernard

    Obesity surgery

    2021  Volume 31, Issue 10, Page(s) 4511–4518

    Abstract: Purpose: The COVID-19 pandemic caused a lockdown in many countries, which induced negative dietary habits and sedentary behavior. Studies suggest that weight loss of patients undergoing bariatric surgery was equally affected. The aim was to evaluate the ...

    Abstract Purpose: The COVID-19 pandemic caused a lockdown in many countries, which induced negative dietary habits and sedentary behavior. Studies suggest that weight loss of patients undergoing bariatric surgery was equally affected. The aim was to evaluate the impact of COVID-19 on weight loss, obesity-related comorbidities, and nutritional status at 1-year follow-up after gastric bypass (GB).
    Methods: Retrospective observational case-control study of patients undergoing primary GB in a tertiary referral Belgian center. COVID-19 period group was composed by those whose 1-year postoperative period was affected by the COVID-19 pandemic and lockdown: from October 1, 2019, to March 31, 2020. The control group was composed of patients operated from October 1, 2018, to March 31, 2019. Electronic clinical records were reviewed searching: baseline characteristics, weight and comorbidities evolution, and biochemical values.
    Results: A total of 47 patients in the COVID-19 period group and 66 in the non-COVID-19 period group were analyzed. There were no significant differences in baseline characteristics. A reduced weight loss was observed at 1-year follow-up, in terms of percentage of excess weight loss (%EWL) (82.4% [SD: 21.6] vs. 82.4% [SD: 21.6]; p: 0.043) and body mass index (BMI) (27.8 kg/m
    Conclusion: The COVID-19 pandemic and lockdown had an impact on weight loss at 1-year follow-up after gastric bypass.
    MeSH term(s) Body Mass Index ; COVID-19 ; Case-Control Studies ; Communicable Disease Control ; Follow-Up Studies ; Gastric Bypass ; Humans ; Laparoscopy ; Obesity, Morbid/surgery ; Pandemics ; Retrospective Studies ; SARS-CoV-2 ; Treatment Outcome
    Language English
    Publishing date 2021-08-10
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1070827-3
    ISSN 1708-0428 ; 0960-8923
    ISSN (online) 1708-0428
    ISSN 0960-8923
    DOI 10.1007/s11695-021-05640-2
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    Zs.A 3381: Show issues Location:
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  6. Article: Color Vision Tests in Pilots' Medical Assessments.

    Marechal, Marie / Delbarre, Maxime / Tesson, Joachim / Lacambre, Carole / Lefebvre, Hélène / Froussart-Maille, Françoise

    Aerospace medicine and human performance

    2018  Volume 89, Issue 8, Page(s) 737–743

    Abstract: Introduction: The aim of this study was to evaluate the ability of eight color vision tests to screen for and accurately measure hereditary color-deficiency in order to improve color vision assessment methods for aircraft pilots.: Methods: This ... ...

    Abstract Introduction: The aim of this study was to evaluate the ability of eight color vision tests to screen for and accurately measure hereditary color-deficiency in order to improve color vision assessment methods for aircraft pilots.
    Methods: This prospective study included 29 color-deficient subjects and 23 healthy subjects. All performed the following tests: Ishihara plates, Farnsworth D15, Lanthony desaturated 15 Hue, Munsell 100 Hue, Beyne and Fletcher-Evans CAM lanterns, Nagel anomaloscope, and the Color Assessment and Diagnosis (CAD) test. The sensitivity and specificity of color-deficiency diagnosis were evaluated for each test, as well as the test's relevance for assessing aircraft pilots.
    Results: The Ishihara plate test demonstrated a sensitivity of 0.97 and a specificity of 1.00 for color-deficiency screening. The CAD test and anomaloscope showed both a sensitivity and specificity of 1.00. The Beyne lantern, Fletcher lantern, Farnsworth D15, and the Lanthony 15 Hue tests all showed a specificity of 1.00 and sensitivities of, respectively, 0.69, 0.97, 0.58, and 0.79. During aircraft pilot selection tests, the CAD test classified 10% of color-deficient subjects as safe to fly, the anomaloscope 17%, and the Beyne and Fletcher lantern tests, respectively, 31% and 3%.
    Discussion: The discrepancy in results confirms that current color vision test protocols need to be reassessed. The CAD test could be an interesting alternative to the series of tests used to assess flight crew, but it seems more selective than current tests.Marechal M, Delbarre M, Tesson J, Lacambre C, Lefebvre H, Froussart-Maille F. Color vision tests in pilots' medical assessments. Aerosp Med Hum Perform. 2018; 89(8):737-743.
    MeSH term(s) Adult ; Aerospace Medicine ; Color Perception Tests/methods ; Color Perception Tests/standards ; Color Vision Defects/diagnosis ; Color Vision Defects/genetics ; Female ; Humans ; Male ; Pilots ; Prospective Studies ; Sensitivity and Specificity ; Young Adult
    Language English
    Publishing date 2018-07-30
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2809085-8
    ISSN 2375-6322 ; 2375-6314
    ISSN (online) 2375-6322
    ISSN 2375-6314
    DOI 10.3357/AMHP.5009.2018
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    Zs.A 57: Show issues Location:
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  7. Article ; Online: Surgical Treatment for Laryngopharyngeal Reflux Disease: A Systematic Review.

    Lechien, Jérôme R / Dapri, Giovanni / Dequanter, Didier / Rodriguez Ruiz, Alexandra / Marechal, Marie-Thérèse / De Marrez, Lisa G / Saussez, Sven / Fisichella, Piero Marco

    JAMA otolaryngology-- head & neck surgery

    2019  Volume 145, Issue 7, Page(s) 655–666

    Abstract: Importance: Laryngopharyngeal reflux (LPR) is a prevalent disease that is usually treated with diet, lifestyle modifications, and proton pump inhibitor therapy. However, nearly 10% to 30% of patients do not achieve adequate acid suppression even with ... ...

    Abstract Importance: Laryngopharyngeal reflux (LPR) is a prevalent disease that is usually treated with diet, lifestyle modifications, and proton pump inhibitor therapy. However, nearly 10% to 30% of patients do not achieve adequate acid suppression even with high doses of proton pump inhibitors. For these patients with resistant disease, fundoplication may be recommended but the success rate of fundoplication surgery on laryngopharyngeal symptoms and findings remains uncertain.
    Objective: To determine whether fundoplication is associated with control of signs and symptoms in patients with LPR.
    Evidence review: A literature search was conducted on PubMed, Cochrane Library, and Scopus according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) reporting guideline to identify studies published between 1990 and 2018 about the efficacy of fundoplication on clinical outcomes of LPR. Three investigators screened publications for eligibility and exclusion based on predetermined criteria. Study design, patient characteristics, diagnostic method, exclusion criteria, treatment characteristics, follow-up, and quality of the outcome assessment were evaluated.
    Findings: Of the 266 studies identified, 34 met the inclusion criteria, accounting for 2190 patients with LPR (1270 women and 920 men; mean [SD] age at the time of surgery, 49.3 [6.3] years). A weighted mean of 83.0% of patients (95% CI, 79.7%-86.3%) experienced improvement and a weighted mean of 67.0% of patients (95% CI, 64.1%-69.9%) experienced a disappearance of symptoms, but there is a high level of methodological heterogeneity among studies according to diagnostic method, exclusion criteria, and outcomes used to assess the efficacy of fundoplication. A pH study without impedance study was used in most studies but with various inclusion criteria. According to results of an a priori assessment, the clinical outcomes used were overall poor, excluding many symptoms and findings associated with LPR.
    Conclusion and relevance: The reported studies of fundoplication in LPR disease have important heterogeneity in method of diagnosis, exclusion criteria, symptoms, and signs assessed as therapeutic outcomes; therefore, this systematic review was nonconclusive regarding whether surgery for LPR disease is associated with effective control of sight and symptoms. Otolaryngologists, gastroenterologists, and surgeons must establish a diagnostic criterion standard, clear indications for surgery, and future clinical outcomes to precisely assess the effectiveness of treatment.
    MeSH term(s) Ear Diseases/complications ; Female ; Fundoplication/methods ; Humans ; Laryngopharyngeal Reflux/complications ; Laryngopharyngeal Reflux/diagnosis ; Laryngopharyngeal Reflux/surgery ; Laryngoscopy/methods ; Male ; Middle Aged ; Nose Diseases/complications ; Pharyngeal Diseases/complications ; Treatment Outcome
    Language English
    Publishing date 2019-05-01
    Publishing country United States
    Document type Journal Article ; Meta-Analysis ; Systematic Review
    ZDB-ID 2701825-8
    ISSN 2168-619X ; 2168-6181
    ISSN (online) 2168-619X
    ISSN 2168-6181
    DOI 10.1001/jamaoto.2019.0315
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  8. Article ; Online: Validity and reliability of the reflux symptom score.

    Lechien, Jérôme R / Bobin, Francois / Muls, Vinciane / Thill, Marie-Paule / Horoi, Mihaela / Ostermann, Katharina / Huet, Kathy / Harmegnies, Bernard / Dequanter, Didier / Dapri, Giovanni / Maréchal, Marie-Therese / Finck, Camille / Rodriguez Ruiz, Alexandra / Saussez, Sven

    The Laryngoscope

    2019  Volume 130, Issue 3, Page(s) E98–E107

    Abstract: Objectives/hypothesis: To develop and validate the Reflux Symptom Score (RSS), a self-administered patient-reported outcome questionnaire for patients with laryngopharyngeal reflux (LPR).: Study design: Prospective controlled study.: Methods: A ... ...

    Abstract Objectives/hypothesis: To develop and validate the Reflux Symptom Score (RSS), a self-administered patient-reported outcome questionnaire for patients with laryngopharyngeal reflux (LPR).
    Study design: Prospective controlled study.
    Methods: A total of 113 patients with LPR were enrolled and treated with diet and 3 months of pantoprazole, alginate, and/or magaldrate depending on the LPR characteristics (acid, nonacid, or mixed). Eighty asymptomatic individuals completed the study. Patients and controls completed the RSS twice within a 7-day period to assess test-retest reliability. Internal consistency was measured using Cronbach's α for the RSS items in patients and controls. Validity was assessed by comparing the baseline RSS with the Reflux Symptom Index (RSI) and Voice Handicap Index (VHI). Seventy-seven patients completed the RSS at baseline and after 6 and 12 weeks of treatment to assess responsiveness to change. The RSS cutoff for determining the presence and absence of LPR was examined by receiver operating characteristic analysis.
    Results: Test-retest reliability (r
    Conclusions: RSS is a self-administered patient-reported outcome questionnaire that demonstrates high reliability and excellent criterion-based validity. RSS can be used in diagnosing and monitoring LPR disease.
    Level of evidence: 3b Laryngoscope, 130:E98-E107, 2020.
    MeSH term(s) Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Laryngopharyngeal Reflux/diagnosis ; Male ; Middle Aged ; Patient Reported Outcome Measures ; Prospective Studies ; ROC Curve ; Reproducibility of Results ; Severity of Illness Index ; Surveys and Questionnaires/standards ; Symptom Assessment/standards ; Translations ; Young Adult
    Language English
    Publishing date 2019-04-14
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't ; Validation Study
    ZDB-ID 80180-x
    ISSN 1531-4995 ; 0023-852X
    ISSN (online) 1531-4995
    ISSN 0023-852X
    DOI 10.1002/lary.28017
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