Fouad N Atallah

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UNLABELLED Postoperative nausea and vomiting are common after general anesthesia but rarely produce life-threatening conditions. We report a case of postoperative vomiting complicated by esophageal rupture (Boerhaave's syndrome). As this complication is quite rare and can have varied and atypical presentations, anesthesiologists may fail to consider this(More)
OBJECTIVE To evaluate compliance with clinical practice guidelines concerning prophylactic antibiotics in urological surgery. MATERIAL AND METHODS Thirty per cent of the medical charts for the first 288 patients operated in 2005 and requiring prophylactic antibiotics were selected at random. On this sample of 84 patients, compliance with the CHU de(More)
OBJECTIVE To compare the results of retroperitoneal laparoscopic adrenalectomy using the antegrade and retrograde approach. MATERIALS AND METHODS We performed an analysis of a single-center series of 279 retroperitoneal laparoscopic adrenalectomies from 1996 to 2010. We compared 172 cases performed with an antegrade approach and 107 with a retrograde(More)
Surgical removal of phaeochromocytoma may be accompanied by acute cardiovascular changes. We report the haemodynamic changes in seven patients with retroperitoneal laparoscopic adrenalectomy for phaeochromocytoma. Transient hypertension (systolic pressure (SBP) > 160 mm Hg) was observed in all patients during manipulation of the tumour, in two patients(More)
Pain is quite a subjective and personal experience. Pain is never similar, even for the same subject at different moments of his life. Anatomy and physiology cannot give a complete explanation of this. Every person is a particular subject with his own personal history. His pain perception, tolerance and expression depend upon the meaning, he gives to the(More)
Age should not be a limiting factor for optimal surgical care of cancer. Preoperative assessment and therapeutic line decision must be a multidisciplinary team work. A specific geriatric oncology consultation would help assessing the level of autonomy or dependence, the patient cognitive functions and his nutritional status. The preoperative interview and(More)
Radical cystectomy is associated with a high postoperative mortality and morbidity in older patients. We aimed to define the predictive value of comorbidity scores and determine the prognostic factors of postoperative complications. Preoperative associated morbidities were collected and graded according to the American Society of Anesthesiologists (ASA)(More)