RESUMO
The prenatal ultrasonographic diagnosis of conjoined twins in the first trimester is described. The ultrasonographic criteria are discussed together with implications for management.
Assuntos
Diagnóstico Pré-Natal , Gêmeos Unidos/diagnóstico , Ultrassonografia , Aborto Induzido , Adulto , Feminino , Humanos , Gravidez , Primeiro Trimestre da GravidezAssuntos
Antibacterianos/uso terapêutico , Histerectomia Vaginal , Histerectomia , Pré-Medicação , Infecção da Ferida Cirúrgica/prevenção & controle , Fatores Etários , Antibacterianos/administração & dosagem , Antibacterianos/metabolismo , Colo do Útero/microbiologia , Feminino , Humanos , Menopausa , Menstruação , Pessoa de Meia-Idade , Vagina/microbiologiaRESUMO
The charts of 160 patients with tubo-ovarian abscesses (TOAs) were reviewed. Patients were divided into two groups according to their response to initial medical therapy. Predictive factors were identified for the two groups. Prognosis was predictable on the basis of extent of disease at diagnosis and the initial response to medical therapy. There was no apparent association between a unilateral TOA and the use of an intrauterine contraceptive device. A minimum pregnancy rate of 8% was observed in patients maintaining reproductive function. No patient with a bilateral TOA conceived. Of all patients admitted to the hospital with TOA, 53% ultimately required surgical therapy. High residual morbidity and/or resultant infertility mandates more aggressive attempts at prevention.
Assuntos
Abscesso/terapia , Doenças das Tubas Uterinas/terapia , Doenças Ovarianas/terapia , Abscesso/cirurgia , Adulto , Antibacterianos/uso terapêutico , Doenças das Tubas Uterinas/cirurgia , Feminino , Seguimentos , Humanos , Doenças Ovarianas/cirurgia , Prognóstico , Estudos Retrospectivos , Infecção da Ferida Cirúrgica/etiologiaRESUMO
A total of 79 patients underwent vaginal hysterectomy and were randomly assigned to three regimens of prophylactic antibiotics: multidose intravenous sodium cephalothin, single-dose intravenous sodium cephalothin, and single-dose oral metronidazole. Control groups were selected from two previous studies conducted at our institution. The incidence rates of infectious morbidity following all three regimens of antibiotics were substantially lower than in the control groups. There was no statistically significant difference in the incidence of standard febrile morbidity and serious pelvic infections among the three groups. The fever index was lowest in the single-dose sodium cephalothin group.
