Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Sep 2004
Vaginal hysterectomy in generally considered contraindications to vaginal surgery.
The objective was to evaluate the feasibility and complication rate of vaginal hysterectomy with or without adnexectomy in women with enlarged uteri and/or other considered contraindications to the vaginal route. ⋯ Vaginal hysterectomy appears to be feasible in about 97% of cases in which this approach would have been judged unsuitable. This figure decreases to 94.2% when oophorectomy is indicated.
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Arch. Gynecol. Obstet. · Jul 2004
Comparative StudyClinical outcome and complications of laparoscopic surgery compared with traditional surgery in women with endometrial cancer.
The purpose of this study was to evaluate the feasibility, clinical outcome and complications of laparoscopic surgery in women with endometrial cancer and to compare surgical outcome and postoperative early and late complications with results of traditional laparotomy. ⋯ Laparoscopic surgery is a viable alternative to traditional surgery in the management of endometrial cancer. The surgical outcome is similar in both cases. In laparoscopic procedures the operation time is longer but the postoperative recovery time shorter than in laparotomy. Severe complications were limited in both groups, while wound infections can be avoided using laparoscopy.
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Arch. Gynecol. Obstet. · Jul 2004
Reference values of fetal ductus venosus, inferior vena cava and hepatic vein blood flow velocities and waveform indices during the second and third trimester of pregnancy.
Our objective was to establish reference values for ductus venosus, inferior vena cava and hepatic vein flow velocities during ventricular systole (S-wave) and diastole (D-wave), the lowest forward velocity during atrial contraction (a-wave), the intensity-weighted mean flow velocity (Vmean) and different calculated indices. ⋯ The reference ranges and calculated velocities established in this study may be utilized in studies dealing with the role of ductus venosus and inferior vena cava blood flow in fetuses with chromosomal abnormalities or congenital heart disease as well as hypoxic conditions. We speculate, that the reduction in PVIV and PIV with advancing gestational age may reflect a decrease in cardiac afterload as a result of maturation of diastolic ventricular function.
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Inversion of the uterus through the uterine incision during caesarean section is a rare event. Therapy is usually simple and maternal morbidity is low when re-inversion of the uterus can be accomplished immediately. In cases of prolonged uterine inversion thereof, haemodynamic instability and shock, often out of proportion to the degree of blood loss, have been reported as serious sequelae. ⋯ The mechanisms of haemodynamic instability and the technical aspects of manual reduction of the inverted, heavily contracted uterus during caesarean section are discussed.
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Arch. Gynecol. Obstet. · Mar 2004
Case Reports Comparative StudyComparison between spontaneous ovarian hyperstimulation syndrome and hyperreactio luteinalis.
We present here two patients with bilateral ovarian enlargement during the first trimester of pregnancy. We clinically diagnosed one case as spontaneous ovarian hyperstimulation syndrome and the other case as hyperreactio luteinalis. ⋯ It may be difficult to discriminate severe hyperreactio luteinalis in the first trimester from spontaneous ovarian hyperstimulation.