1,721,056 research outputs found
Laparoscopic management of gynaecological cancer in pregnancy.
No full textJ Obstet Gynaecol. 2010 Apr;30(3):319-21.
Laparoscopic management of gynaecological cancer in pregnancy.
Berretta R, Rolla M, Ceccaroni M, Benassi G, Modena AB, Nardelli GB.
SourceDepartment of Obstetrics and Gynecology, University of Parma, Parma, Italy. [email protected]
In pregnant women, the incidence of cervical cancer is estimated at around 1 in 10,000 (Amant et al. 2009), while the rate of adnexal masses varies between 2% and 4% (Amant et al. 2009). Approximately 6% of all operated adnexal masses are malignant and the incidence of ovarian cancer during gestation fluctuates from 1 in 10,000 to 1 in 100,000. The purpose of this study was to report our experience with laparoscopy in pregnant women for the management of gynaecological cancer
Two case reports of bowel leiomyomas and review of literature.
No full textGynecol Endocrinol. 2010 Dec;26(12):894-6. Epub 2010 Jun 1.
Two case reports of bowel leiomyomas and review of literature.
Pezzuto A, Serboli G, Ceccaroni M, Ferrari B, Nardelli GB, Minelli LL.
SourceDepartment of Obstetrics, Gynaecology and Neonatology, Centre for Reproductive Medicine, University of Parma, Parma, Italy. [email protected]
Abstract
We report two cases of two women underwent laparoscopic hysterectomy and myomectomy. During surgery, three myomas were identified as completely detached from the uterus, and attached to the bowel. Patients's history revealed a laparoscopic myomectomy. Our first hypothesis therefore was that these were lost myomas of the first surgery. However, only one leyomyoma was removed in both patients. Therefore, we can assume that these myomas were not certainly not lost-myomas and we may conclude that it could be either as residues of previous morcellation or they were pedunculated-myomas that have been spontaneously detached from the uterus and re-implanted onto the bowel
Case report of asymptomatic peritoneal leimyomas.
No full textEur J Obstet Gynecol Reprod Biol. 2010 Feb;148(2):205-6. Epub 2009 Nov 5.
Case report of asymptomatic peritoneal leiomyomas.
Pezzuto A, Pontrelli G, Ceccaroni M, Ferrari B, Nardelli GB, Minelli L.
We would like to report the history of a fertile 45-year-old woman, referred for persistent metrorrhagia with sonographic evidence of multiple uterine myomas. An endometrial biopsy was performed and a normal endometrium was found from a histological point of view. In due time, she underwent laparoscopic-assisted vaginal hysterectomy with preservation of the ovaries. During surgery, evidence of several intramural fibroids was recorded along with two large pedunculated myomas. After colpotomy, two further myomas of 5 and 3 cm were identified as completely detached from the uterus. They appeared pedunculated (with their vascularization) to the perirectal peritoneum (Fig. 1). Therefore the two fibroids were removed and extracted through the vagina after diathermy coagulation of their vascular stems. From a histological point of view these fibroids were identical to a normal leiomyoma, consisting of fascicles of smooth muscle cells without mitotic figures or nuclear pleomorphism
Some models for the description of the attitude dynamics
No full textThe study of rotational dynamics is of seminal importance for the descrip-
tion of the motion of natural and artificial bodies. In this work with are mainly interested
to the attitude of spacecraft, possibly including dissipative effects, which must be ac-
curately accounted during mission design as they might drastically change the attitude
and lead to instability and mission failure.
We review some models of rotational dynamics. The first one is the spin–orbit prob-
lem describing the motion of a satellite rotating around an internal spin–axis and moving
on a Keplerian orbit around a planet. An interesting application of KAM theory to this
model will be shortly reviewed ([6]). We will also discuss dissipative tidal effects, which
might act on the system. The second model is the so–called pitch-yaw-roll problem. In
particular, we consider the pitch model, in which the yaw and roll angles are constantly
zero; we shall also assume that one of the moments of inertia depends on time and
that the atmospheric drag acts on the system. Following [21], we provide an interesting
application of Melnikov’s method to establish the onset of chaos by evaluating the exis-
tence of heteroclinic intersections. The third model concerns the sloshing effect acting
within a spacecraft; assuming a linear motion of the fluid in the spacecraft, this prob-
lem will be mathematically described using an equivalent mechanical model by suitably
combining springs, pendulums and dampers ([33]). The last problem describes the ef-
fects of a variable mass (e.g., due to fuel consumption) on the attitude of the spacecraft.
This model admits an explicit solution in the case in which the container has cylindrical
shape
Vaginal versus abdominal hysterectomy in endometrial cancer: a retrospective study in a selective population
No full textInt J Gynecol Cancer. 2008 Jul-Aug;18(4):797-802. Epub 2007 Oct 18.
Vaginal versus abdominal hysterectomy in endometrial cancer: a retrospective study in a selective population.
Berretta R, Merisio C, Melpignano M, Rolla M, Ceccaroni M, DE Ioris A, Patrelli TS, Nardelli GB.
SourceDepartment of Gynecology, Obstetrics and Neonatology, University of Parma, Parma, Italy. [email protected]
Abstract
The purpose of this study was to analyze the outcome of vaginal and abdominal hysterectomy for the treatment of early-stage endometrial cancer in a selected group of elder patients. This retrospective study analyzed a total of 154 patients: 113 (group I) underwent vaginal surgery and 41 (group II) underwent laparotomy. In both groups, we investigated the following parameters: intra- and postoperative complications, mean operative time, mean hospital stay, disease-free survival (DFS), overall survival (OS), and time of local or retroperitoneal recurrence. Medically compromised patients were significantly more frequent in the vaginal surgery group (P = 0.005), and the operative duration in this group was significantly shorter (P = 0.01). Intra- and postoperative complications, along with local and distant recurrence, did not show a statistically significant difference in the two groups. Total survival in the two populations, 85% at 5 years, did not reach statistically significant difference either in terms of DFS or in terms of OS. Vaginal surgery compared to traditional abdominal approach is feasible also in patients with high surgical risk; it does not require general anesthesia, abolishes abdominal trauma correlated to laparotomy, and allows a quicker reprise of the bladder and rectal function; therefore, it achieves high eradication rates and low intra- and postoperative morbidity rates
I reperti ceramici di età recente (in G. Colonna, Ancora su Pallanum, il suo territorio e le vie tra Osento e Sinello)
No full text
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