ABSTRACT
In postpartum hemorrhage, many clinicians should often consider hysterectomy after delivery. Many surgeons have suggested conservative surgical procedures such as uterine, ovarian and internal iliac artery ligation for preserving future childbearing potential. Recently, B-Lynch surgical technique and hemostatic multiple square suture technique were suggested to compress the entire uterine walls as another methods. The individual choice between these procedures depend on several factors including the general condition of patient and the experience of surgeon. Here, we introduce a case of the selective hemostatic suturing technique which was used to a patient with placenta previa at 20 weeks' gestation. The suturing technique could be used to a patient with massive bleeding from the placental separation site with normal uterine contraction during cesarean delivery.
Subject(s)
Humans , Pregnancy , Hemorrhage , Hysterectomy , Iliac Artery , Ligation , Placenta Previa , Postpartum Hemorrhage , Suture Techniques , Uterine ContractionABSTRACT
Leiomyomas are very common tumors in the uterus and related adjacent structures but rare in the retroperitoneal space. Retroperitoneal leiomyomas are extremely rare and have a good prognosis. Long-term follow-up reveals no metastasis but small potential for local recurrences cannot be ruled out. We report a 44-years-old woman with retroperitoneal leiomyomas who had undergone total abdominal hysterectomy and left salpingooophorectomy 8 years ago due to uterine leiomyomas. Laparotomy was performed, and mass excision was successful.
Subject(s)
Female , Humans , Follow-Up Studies , Hysterectomy , Laparotomy , Leiomyoma , Neoplasm Metastasis , Prognosis , Recurrence , Retroperitoneal Space , UterusABSTRACT
Placenta percreta is a life-threatening complication of pregnancy, and it is very rarely noted to occur in the first trimester. We present here a case of placenta percreta with a missed abortion that occurred at 12 gestational weeks. During curettage, hysterectomy was required due to the heavy bleeding. On operative finding, hemorrhagic placental tissue in the lower uterine segment. It is extending into the myometrium and periuterine soft tissue. Histological examination revealed features of placenta percreta.
Subject(s)
Animals , Female , Humans , Mice , Pregnancy , Abortion, Missed , Curettage , Hemorrhage , Hysterectomy , Myometrium , Placenta Accreta , Placenta , Pregnancy Trimester, FirstABSTRACT
Subject(s)
Adult , Child , Female , Humans , Clinical Protocols , Korea , Mandible , Mandibular Fractures , Seoul , Tooth , Tooth GermABSTRACT
Subject(s)
Aged , Female , Humans , Male , Middle Aged , Crowns , Dental Enamel , Dentigerous Cyst , Epithelium , Maxilla , Odontogenic Cysts , Odontoma , Tooth, ImpactedABSTRACT
OBJECTIVE: We report our experience with midtrimester amniocentesis. METHODS: This study was retrospectively reviewed 896 cases of midtrimester genetic amniocentesis from January 1997 to October 2003 in Yonsei university, Wonju Colleage of medicine. We analyzed the indications, distributions of gestational age, cytogenetic results, and the safety. RESULTS: The most common Indications for amniocentesis were abnormal maternal serum marker (52.7%) and advanced maternal age (36.6%). Most amniocentesis has been performed during second trimester from 16 to 20 weeks. The incidence of chromosomal abnormality was 3.9% (35 cases). There were 26 cases of numerical aberration, 6 cases of structural aberration and 3 cases of mosaicism. In chromosomal aberration, there was 9.0% (2/22) of chromosomal abnormalities in abnormal ultrasonographic finding group and 6.9% (2/29) in previous chromosomal anomaly. There were 3 cases of fetal loss (0.3%) after amniocentesis. CONCLUSION: Midtrimester amniocentesis is a useful and safe technique for the prenatal detection of genetic disorder.
Subject(s)
Female , Humans , Pregnancy , Amniocentesis , Biomarkers , Chromosome Aberrations , Cytogenetics , Gestational Age , Incidence , Maternal Age , Mosaicism , Pregnancy Trimester, Second , Retrospective StudiesABSTRACT
Subject(s)
Adult , Humans , Male , Anti-Bacterial Agents , Communicable Diseases , Debridement , Early Diagnosis , Extremities , Fascia , Fasciitis, Necrotizing , Gangrene , Head , Mortality , Neck , Necrosis , Perineum , Subcutaneous TissueABSTRACT