Philippe Brossard

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OBJECTIVE To assess the impact of HIV infection on the reliability of the first-trimester screening for Down syndrome, using free beta-human chorionic gonadotrophin, pregnancy-associated plasma protein-A and fetal nuchal translucency, and of the second-trimester screening for neural tube defects, using alpha-fetoprotein. PATIENTS AND METHODS Multicentre(More)
OBJECTIVE To evaluate the reliability of a four-level triage scale for obstetrics and gynaecology emergencies and to explore the factors associated with an optimal triage. DESIGN Thirty clinical vignettes presenting the most frequent indications for obstetrics and gynaecology emergency consultations were evaluated twice using a computerised simulator. (More)
OBJECTIVE The impact of surgical simulation devices on the training of gynecology residents has not been well defined. The aim of this study was to investigate whether the use of a laparoscopic pelvic trainer improved the surgical performance of residents. STUDY DESIGN This randomized controlled trial enrolled gynecology residents who were randomized into(More)
The concept of fast track surgery (FT) is a multimodal strategy aiming to decrease postoperative pains and chirurgical stress-induced organ dysfunction. The key elements of this program are: information and preoperative education, perioperative hydric balance, optimized analgesia, early oral nutrition and early mobilization of the patients. A(More)
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