1,721,059 research outputs found
[Alarm signals in ultrasound evaluation of the gestational sac]
The author stresses the importance of the echographic morphology of the gestational sac in evaluating pathological first-trimester pregnancies. The various ovular alarm signals are indicated and the abortion percentages are correlated to the various echographic patterns. The methods enables us to formulate a prognostic judgement which is both sufficiently valid and more closely consistent with the clinical reality
[Experience with hysteroplasty. Indications, technical references, postoperative and long-term outcome]
The authors report their experience with hysteroplasty carried out at the gynecological clinic of the University of Verona between 1974 and 1981 and the 10-year follow-up of these patients. Of 46 operated patients, 4 had uterus septus, 38 uterus bicornis (31 bicornis unicollis and 7 bicornis bicollis) and 4 uterus didelphys. The Strassman intervention was used in 32 cases, the Bret-Palmer intervention in 13 and the Jones intervention in 1. The results were very good in 16 cases, satisfactory in 22 and moderate in 8; no negative result has been seen. 38 patients had later a baby. In 4 cases, the uterine malformation was associated with sterility, but this was caused by endometriosis or by pelvic inflammatory disease; therefore, the malformation is not the primary indication for surgery. The best results were achieved in cases of uterus septus or uterus bicornis
Infective-hemorrhagic complications of cesarean section. A case review of 2220 subjects [published erratum appears in Clin Exp Obstet Gynecol 1990;17(1):following 52]
The authors consider the hemorrhagic-infective complications associated with cesarean section. The review comprised 2200 subjects undergoing cesarean section from 1983 to 1987 in the Obstetrics and Gynecology Unit (Director: D. Dargent) of the University of Lyon (France). The incidence of cesarean sections was 14.9%, and endometritis was diagnosed in 17% of cases. The incidence of infective complications was 25% of cases and that of major hemorrhage 1%. The authors conclude that the potential complications must be carefully considered whenever contemplating delivery by cesarean section
[Changes in the fetal cardio-vascular system in cases of intra-uterine growth retardation ( a measurement of the cardiac volume and the cardiac flow by the Doppler method)]
In 28 patients with suspected intra-uterine growth retardation during the last trimester of pregnancy the cardiac volume measurements and the flow measurements by the Doppler method showed diminished values. The suspicion of growth retardation was later confirmed by the birth weight. Changes of the cardio-vascular system in the foetus therefore are helpful in the diagnosis of intra-uterine growth retardation. Other parameters such as cardio-tocography, L/S ratio and hormone determinations are also used in the diagnosis
Modulated Mouchel incision in obstetric surgery
The Authors present 10 clinical cases in which a modulated Mouchel incision was performed over the period from 1.4.1989 to 1.4.1990 to achieve caesarean section. The postoperative course was uneventful in 9 cases with no complications. The only complication observed was slight left parametric inflammatory infiltrate in one case only. The laparotomy wound healed uneventfully in all 10 cases. Thus, there were no complications contra-indicating the use of Mouchel's technique, which presents demonstrable advantages in the execution of caesarean sections. These consist in rapidity of execution, no need for extensive subfascial detachment, ease of fetal extraction, straightforward reconstruction and an aesthetically valid final result
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