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1.
Article Dans Anglais | IMSEAR | ID: sea-40901

Résumé

OBJECTIVE: To assess the efficacy of the TINTARA uterine manipulator and the Cohen cannula for gynecologic laparoscopy. MATERIAL AND METHOD: Sixty women scheduled for laparoscopy were randomized for use of TINTARA (n = 30) or Cohen (n = 30) as a uterine manipulator. The degree of anterior and lateral deviation of the uterus, operative time, surgical complications and ease of use were recorded and compared between the two groups. RESULTS: The mean ranges of anterior and lateral deviation of the uterus in TINTARA and Cohen groups were 61.17 +/- 19.37 vs. 49.33 +/- 22.58 degrees (p = 0.033) and 107.03 +/- 39.68 vs. 85.5 +/- 37.52 degrees (p = 0.035) respectively. The percentage of patients having dye leakage from the cervix in the Cohen group was greater than in the TINTARA group, but the difference was not statistically significant. Both instruments provided similar ease of use. Complications were not found in either group. CONCLUSION: TINTARA was found to have more advantages than the Cohen in moving the uterus in both anterior and lateral directions.


Sujets)
Adulte , Cathétérisme/instrumentation , Femelle , Humains , Laparoscopes , Laparoscopie/méthodes , Adulte d'âge moyen , Maladies de l'utérus/diagnostic , Utérus/chirurgie
2.
Article Dans Anglais | IMSEAR | ID: sea-42210

Résumé

Two cases of spontaneous hemoperitoneum caused by ruptured uterine vessels plexus during the second and third trimester of pregnancy were reported. All presented with acute abdominal pain. Emergency exploratory laparotomy and suture-ligation were performed One case had a recurrent intra-abdominal bleeding. The outcomes were good. One infant had complications from prematurity and both were discharged in good condition.


Sujets)
Adulte , Femelle , Hémopéritoine/chirurgie , Humains , Nouveau-né , Grossesse , Complications de la grossesse/chirurgie , Issue de la grossesse , Deuxième trimestre de grossesse , Troisième trimestre de grossesse , Récidive , Rupture spontanée , Utérus/vascularisation
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