ABSTRACT
The incidence of pregnancy in a rudimentary uterine horn is very rare. We experienced a case of unruptured rudimentary uterine horn pregnancy in the first trimester. The patient was diagnosed by laparoscopy and removed by laparoscopic resection of the pregnant rudimentary uterine horn. We report our case with brief review of literatures.
Subject(s)
Animals , Female , Humans , Pregnancy , Diagnosis , Horns , Incidence , Laparoscopy , Pregnancy Trimester, FirstABSTRACT
OBJECTIVE: To determine the effect of myomectomy as a treatment for infertility and to define the factors that influence reproductive outcomes MATERIALS AND METHODS: During the period from January 1995 to December 2001, on 39 patients who suffered from infertility and habitual abortion underwent transabdominal myomectomy at the Department of Obstetrics and Gynecology in Chonbuk National University Hospital. RESULTS: Pregnancy occurred in 31 women. The mean age was 32.3 years. The pregnancy rates in women with or without associated factors in addition to myoma were 55.5% and 71.4%, respectively, and those in women with 2 years of infertility were 73.7% and 55%, respectively. In case of women with myoma on lateral side, pregnancy rate was 33.3%. Considering the size, women with a myoma, 30~50 mm in size had higher pregnancy rate (81.2%). The 24-month cumulative probability of conception was 91% in patients 35 years of age. CONCLUSION: Our results suggest a benefit of myomectomy in infertile patients. Factors affecting the pregnancy rate after myomectomy in theses patients are the age of the patient, the duration of infertility, the site of myoma, and the size of myoma <50 mm. However, women should be counseled carefully before surgery because the determinants of outcome appear to be independent of treatment.
Subject(s)
Female , Humans , Pregnancy , Abortion, Habitual , Fertilization , Gynecology , Infertility , Myoma , Obstetrics , Pregnancy RateABSTRACT
OBJECTIVE: To evaluate the efficacy of the twisting-off method in transvaginal removal of the pedunculated submucous myoma. METHODS: After paracervical block and vaginal dressing with Povidone iodine, the myoma was grasped at its widest diameter and twisted to avulse it from its attatchment. Several kinds of grasping instruments, ie. kelley clamp, tenaculum, ring forcep, was used. If there was bleeding from its detachment site, vaginal gauze or tampon was inserted for bleeding control. RESULTS: The procedure was perfomed successfully on all 33 patients (100%). In most patients, bleeding was scanty in amount. But in one patient, emergency hysterectomy was performed because of massive uterine bleeding. The myoma varied greatly in size. Largest volume was 62.24 cm3, and mean volume was 13.79 cm3. Pathology revealed classic leiomyomas in most cases. Some showed endocervical polyp or endometrial polyp. Follow up examination was done, and its mean interval was eighteen weeks and no patient was recurred. CONCLUSION: The transvaginal removal of pedunculated submucous myoma utilizing grasping instruments may be an effective and safe procedure and the complication is minimal. Twisting-off method was may be a safe alternative to abdominal myomectomy and hysterectomy. Reproductive capacity can be preserved, also.
Subject(s)
Humans , Anesthesia, Obstetrical , Bandages , Emergencies , Follow-Up Studies , Hand Strength , Hemorrhage , Hysterectomy , Leiomyoma , Myoma , Pathology , Polyps , Povidone-Iodine , Surgical Instruments , Uterine HemorrhageABSTRACT
The methods of hysterectomy for intrapelvic benign disease include total, subtotal, la-paroscopic-assisted transvaginal, and SACSIH operation. There have been 298 cases of SACSIH operation for benign uterine or pelvic diseases at the Chonbuk National University Hospital from November 16, 1992 to March 31, 1997. Patients were 41.8 years old on the average ranging from 29 to 50. Their indications cover uterine myoma(211), adenomyosis(37), uterine myoma with pelvic adhesion(16), uterine my- oma with endometriosis(11), and others(23), the uterine myoma being the most common. Both CIN and CIS is excluded after the full evaluation of the cervical disease through Pap. smear, cervicography, ECC biopsy, and HPV typing etc, and the consent of patient is secu- red. The modified SACSIH operation, when compared with other simple hysterectomy oper- ation, has the following advantages;1) minimal surgery, 2) easy adaptation, 3) avoidance of stump cancer, 4) rapid recovery and 5) less postoperative care as far as psychosomatic posthysterectomy problems are concerned. One of the new equipment for new modified technique is the Electro-Surgical Unit system with Electrode for endocervical canal resection. This is developed at this hospital as a part of the G-7 project supported by the Ministry of Health and Welfare. It is made of electrode and rod from electrosurgical unit system and operated by high frequency of current. Thus, we introduce, herein, the modified SACSIH operation and propose the postopera- tional scoring system to estimate postoperative sequelae and to help carry on personal well- being in terms of sexuality and normal life.
Subject(s)
Humans , Biopsy , Electrodes , Hysterectomy , Leiomyoma , Postoperative Care , SexualityABSTRACT
Objective: Our purpost was to study effectiveness and clinical application of TRISO-RB suture materials and the find the most appropriate coating ingredient. The tensile str-ength and histologic reaction of the TRISORB are compared with those of traditional ma-terials such as Dexon , Vicryl , and Medifit . Study design:In vivo, 20 female rabbits were observed for histologic reaction at di- fferent time intervals after they were implanted with suture material. In vitro, Tensile str- ength was compared among the four suture materials after boiling in distilled water at 80degrees C. It was also compared with the tensile strength in phosphate buffer solution of pH 7.4 at 37degrees C. Results: Histologic reaction was remarkable with Medifit suture material. There was no significant differences among the other suture materials. TRISORB with A coating ingredient showed the least histologic reaction. TRISORB suture materials showed simi- lar tensile strength as those of traditional suture materials in vitro. Conclusion: TRISORB suture material is consists of same polyglycolic acid as trad- itional synthetic absorbable suture materials. It shows no significant differences in vivo and in vitro when compared with other traditional materials. It is considered to be applic- able with humans.
Subject(s)
Female , Humans , Rabbits , Hydrogen-Ion Concentration , Polyglactin 910 , Polyglycolic Acid , Sutures , Tensile Strength , WaterABSTRACT
No abstract available.
Subject(s)
Female , Abortion, Induced , Patient Acceptance of Health CareABSTRACT
No abstract available.
Subject(s)
Female , Abortion, Induced , Patient Acceptance of Health CareABSTRACT
No abstract available.