1,720,968 research outputs found
DALLA CHIRURGIA TRADIZIONALE ALLA VIDEOMEDIATA: MIOMECTOMIA ISTEROSCOPICA
Operative Hysteroscopy is a new surgical approach in many gynaecologic benign uterine conditions. Nowadays, with the help of improved instrumentation it became possible performing less invasive surgery, "respecting" the anatomic pelvic structures, therefore reducing hospital stay and costs. In the management of submucous and intramural myomas, transcervical surgery plays en important role. Resecting the myomas without the dissection of the myometrial uterine external layer and avoiding disrupture of the uterine wall ensures a successful outcome in infertile women, reducing the needfor elective caesarean section at delivery.
This study presents our experience in hysteroscopy myomectomy and includes 20 patients which underwent transcervical resection between August 1994- Dicember 1996 in the Gynaecologic Clinic of Padua University
TROPHOBLASTIC DISEASE: HYSTEROSCOPIC MANAGEMENT
The classic management of trophoblastic gestational non metastatic disease includes as a method of choice suction curettage followed by serial beta- HCG determinations at weekly intervals until serum HCG declines to undectable levels on 2 successive assays. In conclusion, HSC asportation of residual focal trophoblast in patients poorly responsive to chemotherapy and wishing to preserve their fertility may be a valid therapeutic alternative. This method must be carried out by experienced surgeons because of its increased risks of perforation, intravasation and molar diffusion
L’ISTEROSCOPIA IN MENOPAUSA
Oggigiorno, lo sviluppo della tecnica endoscopica ha determinato la diffusione dell'isteroscopia (HSC) nella diagnosi e nel management delle lesioni endometriali benigne. L'indicazione "principe" all' HSC in menopausa e' rappresentata dalle AUB, sintomo di un ampia varieta' di patologie organiche o disfunzionali
OVARIAN CYSTS: LAPAROSCOPY VERSUS LAPAROTOMY
The efficacy of LPS in the management of ovarian benign cysts overlaps LPT permitting a complete asportation of the cystic wall. The advantages of LPS in terms of shorter hospital stay and better postoperative period are evident
OPERATIVE LAPAROSCOPY FOR PARAOVARIAN CYSTS
Parovarian cysts are thin-walled cystic structures in the mesosalpinx usually near the distal end of the broad ligament, developed from the remanents of the mesonephric system and represent 9-10% of all adnexal masses. Laparoscopic technique included careful enucleation without cystic rupture in all cases
LOST IUD IN THE ABDOMINAL CAVITY
"Lost IUD" is an uterine device with the monofilament tail not visible through the cervix. This situation may occur by abnormal dislocation of the device with "go back up" of the tail, IUD rupture, spontaneous inadvertent expulsion or finally by uterine perforation
HYSTEROSCOPIC TREATMENT OF SUBMUCOUS FIBROIDS - SELECTION AND TECHNIQUES
Operative hysteroscopy is a new surgical approach which permits performing less invasive surgery "respecting" the anatomic structures, therefore reducing biological, social and health care costs. In the management of submucous and intramural myomas, transcervical surgery plays an important role. Resecting myomas without the dissection of the myometrial subserous layer and avoiding disrupture of the uterine wall ensures a successful pregnancy outcome, liminating the need for elective caesarean section. In this study were enrolled 35 patients which underwent transcervical myomectomy between August 1994- December 1996
LA LAPAROSCOPIA OPERATIVA NELLE MASSE ANNESSIALI
Con questo studio si puo' affermare che l'approccio laparoscopico nelle masse cistiche annessiali non e' virtuosismo, ma rappresenta un progresso chirurgico in mani esperte, guidate da una attenta valutazione preoperatoria dei casi
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