RESUMEN
Endometriosis affects about 10% of women of reproductive age. Its main feature is the presence of stroma and endometrial glands in sites other than the uterus, mainly in pelvis. Pelvic peritoneum, ovaries, uterine ligaments, bladder, intestines, andcul-de-sac are among the affected areas. Sometimes endometriosis can be found outside of the pelvis and even above abdominal cavity, like indiaphragm.Herein, we present a case of an asymptomatic diaphragmatic endometriosis that was discovered incidentally during laparoscopy of pelvic endometriosis, as well as our appropriately proposed treatment protocol
RESUMEN
Diagnosis and management of pre-rupture stage of the pregnant horn are difficult and usually missed on a routine ultrasound scan. Also most cases are detected after rupture of pregnant horn. We presented a 28-year-oldG2 L1 woman with diagnosis of rudimentary horn pregnancy [RHP] at 14 weeks of gestation. We diagnosed her with a normal intrauterine pregnancy, whereas a pregnancy in a right-sided non-communicating rudimentary horn with massive hemoperitoneum was later discovered on laparotomy. RHP has a high risk of death for mother, so there must be a strong clinical suspicion for the diagnosis of RHP. Although there is a major advancement in field of diagnostic ultrasound and other imaging modalities, prenatal diagnosis has remained elusive and a laparotomy surgery is considered as a definitive diagnosis
RESUMEN
Introduction: Response to tracheal tube during emergence of general anesthesia is a main concern. We aimed to compare the effect of Remifentanil and Lidocaine on response to tracheal tube during emergence of general anesthesia
Materials and Methods: In this randomized clinical trial, we enrolled 80 consecutive patients with American Society of Anesthesiology [ASA] physical status I-II, who underwent general anesthesia for general surgery in Amir-Al-Momenin Hospital on Zabol University of medical sciences from May 2011 to September 2011. Patients received either i.v. lidocaine 1.5 mg /kg [Group L] or 0.5mic/kg/min of Remifentanil [Group R] for emergence from anesthesia
Results: The frequency of cough during emergence from general anesthesia was significantly higher in Group L than in Group R [70.7% vs. 40.3%, P=0.014]. Also the grade of cough during the emergence was significantly higher in Group L than in Group R [P=0.013].The difference between two groups regarding sedation level, visual analogue scale [VAS], and pethidine consumption were not significant [P=0.08]
Conclusion: we specified Remifentanil reduces cough during the emergence from general anesthesia more effective than Lidocaine in patients undergoing general surgery. In addition, Remifentanil and i.v. lidocaine revealed comparable impact regarding VAS scoring, sedation level and pethidine consumption