ABSTRACT
From January 1990 through October 1993, 527 patients under 40 years were submitted to operative laparoscopy for the treatment of 544 adnexal cystic masses by stripping or vaporization/coagulation techniques in nine centers in Rome. The mean age of patients was 27.8 years, ranging from 13 to 39. The mean diameter of the cysts was 45.8 mm. ranging from 20 to 130. The procedure was completed by laparoscopy in 518 cases (95.2%) whereas 26 cases (4.8%) were converted to laparotomy. Conservative treatment was performed in all cases except 6 (1.1%), where ovariectomy or adnexectomy was performed. Histopathology revealed a borderline tumor in two; in all others the cyst was benign. It is concluded that operative laparoscopy is the procedure of choice for the treatment of carefully selected adnexal masses in patients of reproductive age.
ABSTRACT
From January 1, 1991, to October 31, 1993, 67 patients with a histologic diagnosis of benign cystic teratoma were treated by operative laparoscopy in nine centers in Rome. The mean age of patients was 29.7. years, ranging from 16 to 45 years. The mean diameter of the cysts was 41.6 mm, ranging from 20 to 120 mm. The procedures were completed by laparoscopy in 62 cases (92.5%) whereas 5 cases were converted to laparotomy. Conservative treatment was performed in all cases except seven cases (10.44%), where ovariectomy was performed. No recurrences occurred in all patients, with a follow-up of at least 3 months. We conclude that operative laparoscopy can be considered a valid alternative to classic laparotomy for dermoid cysts.
Subject(s)
Dental Bonding , Denture, Partial, Fixed , Tooth Avulsion/rehabilitation , Adult , Denture Design , Humans , Incisor , MaleABSTRACT
The Authors describe etiology, pathogenesis and main clinical aspects of brown tumors in patients with chronic renal failure. Then, by presenting two cases of patients with secondary hyperparathyroidism and brown tumors of upper maxillary bone, they report the measures to be applied for the surgical treatment and prosthetic management of these patients. In both cases the patients have been undergone a radical resection of a brown tumor of the palate. After maxillectomy have been successfully applied at first an interim obturator prosthesis and then, approximately three months later the definitive obturator prosthesis.