Vaginal and cervical cytology in cervical eversion [cervical erosion] and suspicious cervix

This study was carried out on 200 non-pregnant women, with ages ranging from 18 up to 48 years. They attended the gynaecologic outpatient clinic, at Mansoura University Hospital. They include 150 women with cervical erorsion and suspicious cervix and 50 women with clinically healthy cervices as controls. A posterior vaginal pool and cervical scraps smears were obtained from each woman using the plastic spatula and stained by Papanicolaou stain. There was an increased incidence of dysplasia among parous women than nulliparous women. Also we found 3 cases of invasive carcinoma of the cervix among the suspicious cervix group and this was proved histopathologically. The chief complaint of cases with cervical erosion was excessive vaginal discharge [57%]. The incidence of dysplasia among cervical erosion groups was 34% [41 out of 120 cases], while the incidence in the suspicious cervix group 52% [14 out of 27 cases] no cases of dysplasia had been found in the control group. We can recommend that each woman during her reproductive period must be checked up by routine cervico-vaginal cytology every 6 months to detect and early lesion which could be easily dealt with as early as possible and abort it before it grows up

Pervention of surgically induced peritoneal adhesions in rabbits by solcoseryl

Thirty one pregnant female rabbits were used in the present study. For induction of adhesions, all animals received a standardized injury to their uterine horns a preximal part of fallopian tubes. The animals were then divided into five equal groups; the 1st group was kept as a control group; animals in the 2nd group were treated by I.M. hydrocortisone; animals in the third group were treated with I.M. solcoseryl; animals in the forth group were treated locally by solcoseryl jelly which was introduced intraperitoneally to cover all areas of injury prior to abdominal closure; animals in the last group were treated with solcoseryl locally together with I.M. injection. Two weeks later, laporatomy was done to each animal and adhesions were scored. It was found that both hydrocortisone and solcoseryle significantly reduced the adhesion formation as compared with the control group. The inhibitory action of hydrocortisone did not differ significantally from the results obtained by solcoseryl when used either locally or by I.M. injection. However, the difference was significant when solcoseryly was given I.M. concomitantly with local application

Human placental lactogen and estriol in high risk pregnancies

The plasma levels of hpl and estriol were measured in normal pregnants and complicated pregnacies using radio-immunoassay methods. It can be suggested that maternal plasma hpl and estriol values deviated from normal when the pregnancies complicated by conditions that diminish functional placental mass, low hpl and estriol values correlate to some extent with faetal outcome in complicated pregnancies. Elevated values in third trimester pregnancies may be helpful in identifying multiple gestations while hpl and estriol values are of little help in controlled diabetic where the major fetal risks are unrelated to chronic placental insufficiency. The clinical value of the. measurment of hpl and estriol is virtully identical. While the complication of both hpl estriol was found to be the best indicator of high risk pregnancies. Finaly from our results pregnancies complicated by IUGR, PET, hypertension, IUFD, post-maturity and diabetes mellitus where the fetus may be in jeopardy, hpl and estriol determination can be used by the obstetricions as an aid in deciding whether to allow a pregnancy to continue or to terminate it