Ultrasound assessment of uterine involution

Uterine involution was studied ultrasonographically in 130 patients. The patients included 4 groups: Group I of 40 patients, 20 of them were primiparas and 20 multiparas to study the effect of parity on the rate of involuation. Group II of 30 patients, 15 of them delivered vaginally and the other 15 delivered by cesarean section to study the effect of the mode of delivery on uterine involution. Group III of 20 patients, 10 of them were lactating and the other 10 non-lactating to study the effect of lactation on uterine involution. Group 1 V of 40 patients, 20 of them received ecbolics and the other 20 did not to study the effects of ecbolics. The results have shown that parity and ecbolics have no effects on the rate of uterine involution. The rate of uterine involution was faster in breast feeders and those delivered vaginally compared to non-breast feeders and those delivered by cesarean section [P < 0.05]. Ultrasonography proved to be a useful method for assessing uterine involution

Histology of vulvar skin: relative depth of skin appendages and subcutaneous fat

The relative depth of skin appendages in vulvar skin was evaluated in 256 histologic sections taken from 8 patients. The mean hair follicle depth was 1.2 mm [SD = 0.51], with 99.5% of all hair follicles extending no deeper than 2.6 mm from skin surface. The mean depth of dermis-subcutaneous fat junction was 1.3 mm [SD = 0.37], with 99.5% of all junctions being 0.20 mm or more from skin surface. The mean depth of sebaceous glands was 0.64 mm [SD = 0.23], with 99.5% of those glands extending no deeper than 1.28 mm from the surface. These data might be a useful guide during laser vaporization of local vulvar skin lesion affecting skin appendages with preservation of the adjacent normal tissues

Intrauterine insemination

Intrauterine insemination was performed for 118 infertile couples. Through evaluation of these couples revealed male problems in 58 cases, cervical factors in 20 cases, anovulation in 24 cases and unexplained infertility in 16 cases. Superovulation was achieved in all patients using human menopausal gonadotropin [HMG] and human chorionic gonadotropin [HCG], semen was prepared by wash and swim-up technique and intrauterine insemination using Wallace catheter was planned 34 to 36 hours after HCG injection. Out of 118 patients, 20 pregnancies were achieved from single attempt [giving a pregnancy rate of 17% per attempt]. The pregnancy rate achieved in this population with prolonged infertility justified the use of IUI