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1.
Yonsei Medical Journal ; : 281-286, 2004.
Artículo en Inglés | WPRIM | ID: wpr-51750

RESUMEN

The purpose of this study was to compare the perioperative complication rates of reconstructive pelvic surgery and general gynecologic surgery, and to identify the predictive risk factors for perioperative complications in reconstructive pelvic surgery. The medical records of 148 reconstructive pelvic surgery patients and 146 general gynecologic surgery patients were reviewed, and the types of complications, along with their rates and predictive risk factors were examined. The statistical analysis included descriptive statistics and logistic regression. There was no difference in the type of complications between reconstructive pelvic surgery and general gynecologic surgery. The prevalences of perioperative complications were 34.4% in the reconstructive pelvic surgery group and 26.7% in the general gynecologic surgery group. Intraoperative blood loss (p= 0.006) and the duration of surgery (p=0.014) were independent risk factors for perioperative complications in the reconstructive pelvic surgery group. The perioperative complication rates for the patients undergoing reconstructive pelvic surgery were not higher than those of the patients undergoing general gynecologic surgery, even though more procedures were performed and a longer duration of surgery was needed in the former cases. Since the duration of surgery and the amount of blood loss are the major factors affecting the complication rate, decreasing these two factors would be the key to improving the outcomes of patients undergoing reconstructive pelvic surgery


Asunto(s)
Adulto , Anciano , Femenino , Humanos , Persona de Mediana Edad , Estudio Comparativo , Procedimientos Quirúrgicos Ginecológicos/efectos adversos , Pelvis/cirugía , Complicaciones Posoperatorias/epidemiología , Procedimientos de Cirugía Plástica/efectos adversos , Factores de Riesgo
2.
Korean Journal of Obstetrics and Gynecology ; : 1832-1836, 2003.
Artículo en Coreano | WPRIM | ID: wpr-90042

RESUMEN

Heterotopic pregnancy, simultaneous intrauterine and extrauterine pregnancy, classically was considered a exceedingly rare obstetrical phenomenon. But nowadays the natural incidence is increasing and especially in association with assisted reproductive technologies, such as use of variable methods for ovulation inductions, in-vitro fertilization and embryo transfer, and gamate intrafallopian transfer. In spite of the difficult early diagnosis, which is potentially dangerous to the mother and fetus, the maternal mortality, morbidity and fetal loss is low when the diagnosis is made in timely fashion and proper management is achieved. The presence of a intrauterine pregnancy dose not exclude the possibility of a extrauterine pregnancy, and in women associated with assisted reproductive technologies, the possibility of a heterotopic pregnancy should be considered. We report a case of a heterotopic pregnancy following ovulation induction and intrauterine insemination with brief review of literature.


Asunto(s)
Femenino , Humanos , Embarazo , Diagnóstico , Diagnóstico Precoz , Transferencia de Embrión , Fertilización , Feto , Incidencia , Inseminación , Mortalidad Materna , Madres , Inducción de la Ovulación , Ovulación , Embarazo Heterotópico , Técnicas Reproductivas Asistidas
3.
Korean Journal of Perinatology ; : 328-335, 2001.
Artículo en Coreano | WPRIM | ID: wpr-170129

RESUMEN

No abstract available.


Asunto(s)
Histerectomía
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