Conservative surgery for tubal pregnancy: a new method.

A new technique of conservative surgery for tubal pregnancy is presented. The procedure is simple and easily applied whenever the pregnant fallopian tube is not ruptured and there is a desire for further pregnancy. Although the number of cases is very small, the results are promising.

Discrepancies in the histological diagnosis of hydatidiform mole.

Sections of tissue from 256 patients on which a histological diagnosis of hydatidiform mole had been made were reviewed by a visiting pathologist. There was agreement between the reporting pathologists and the visiting pathologist in only 55.1 per cent of cases, a less severe diagnosis was made by the visiting pathologist in 42.2 per cent of cases. The disagreement was as high as 66.6 per cent with pathologists who rarely worked in the gynaecological field. This study casts serious doubt on the consistency of the histological diagnosis of hydatidiform mole made in any one laboratory and between different laboratories. It is suggested that in epidemiological studies the diagnosis should be made by a panel of pathologists using strict histological criteria and in an individual laboratory diagnosis should be made or confirmed by a pathologist experienced in gynaecological pathology.

An extraperitoneal operation for vaginal vault suspension to the anterior abdominal wall.

A completely extraperitoneal abdomino-vaginal operation for vaginal inversion, using Mersilene mesh, is described. There were no major postoperative complications and at follow-up of the 13 patients at 10 to 26 months after operation the results were satisfactory.

A review of intra-uterine diagnosis of genetic disorders.

In this review the different methods of antenatal detection of congenital abnormalities are briefly outlined. Modern techniques developed in recent years for the diagnosis of genetic disorders by studying the amniotic fluid are considered in detail. The technique of amniocentesis, its indications, complications and the methods of investigation of amniotic fluid are discussed. The indications for chromosomal analysis of amniotic fluid cells for detecting fetal abnormalities and possible pitfalls are reviewed. The major inborn disorders of lipid and carbohydrate metabolism which can be detected in early pregnancy are tabulated and briefly discussed.

Hydatidiform mole in southern Iran: a statistical survey of 113 cases.

A statistical review of 113 cases of hydatidiform mole (HM) seen at Pahlavi University Hospital from January 1970 to December 1975 is presented. The incidence of the disease was found to be 1:314 pregnancies. In this study, 73.5% of the patients presumably had acceptable socioeconomic circumstances. The highest incidence of the disease was found in patients 15-25 years old, and it increased with parity. All patients presented with a period of amenorrhea and vaginal spotting. More than 50% of the patients sought treatment after 1-2 weeks of uterine bleeding. Signs and symptoms of the disease are discussed. The management of patients with HM and coexisting difficulties are presented.

Ectopic pregnancy in southern Iran: a statistical review of 96 cases.

A review is presented of 96 cases of ectopic pregnacy over a 7-year period. It is noted that in recent years the incidence of this problem has increased. Inadequately diagnosed and treated pelvic inflammatory disease has been found to be the main predisposing factor (40%). The rate of extra-uterine gestation was 1:336 deliveries. In this study, previous fertility was high, and primigravidae constituted only 10.4% of the total. The effect of previous pelvic operations and pelvic infection is discussed; a statistical review of signs and symptoms is tabulated, and the management of the patient and of concomitant problems is presented.