RESUMO
A case of Hellp syndrome occurred in postpartum of a pregnancy elapsed without signs of preeclampsia is described. The evolution was particularly dramatic. Early plasmapheresis was the key treatment for a complete recovery in order to avoid Multiple Organ Dysfunction System (MODS). Emphasis on a multidisciplinary approach between Gynecologist, Anesthetist, Nephrologist and Hematologist is pointed out.
Assuntos
Síndrome HELLP/terapia , Plasmaferese , Transtornos Puerperais/terapia , Adulto , Feminino , Humanos , Equipe de Assistência ao Paciente , Gravidez , Fatores de TempoRESUMO
Complications of 140 cases of squamous carcinoma of the cervix treated by surgery are analyzed. Intra- and post-operative morbidity is considered; intra-operative morbidity was very low. Post-operative morbidity was mainly rappresented by early and late bladder dysfunction. Recurrence rate is analyzed; it is 10%.
Assuntos
Neoplasias do Colo do Útero/cirurgia , Adulto , Idoso , Feminino , Humanos , Pessoa de Meia-Idade , Recidiva Local de Neoplasia , Estadiamento de Neoplasias , Complicações Pós-Operatórias , Fatores de TempoRESUMO
140 cases of squamous carcinoma of the cervix stage I and stage II are reviewed ; 84 stage I and 56 stage II. Details of staging, surgical treatment and follow-up are exposed. Survival rates are analyzed at 3 and 5 years. Nodes involvement in the patients operated by Wertheim-Meigs was 12.5%.
Assuntos
Carcinoma de Células Escamosas/patologia , Neoplasias do Colo do Útero/patologia , Carcinoma de Células Escamosas/radioterapia , Carcinoma de Células Escamosas/cirurgia , Terapia Combinada , Feminino , Humanos , Histerectomia , Histerectomia Vaginal , Pessoa de Meia-Idade , Prognóstico , Neoplasias do Colo do Útero/radioterapia , Neoplasias do Colo do Útero/cirurgiaRESUMO
17 cases of infiltrative squamous carcinoma of the vulva are reviewed: 5 cases stage I, 7 stage II and 5 cases with node involvement at different stages. 16 radical vulvectomies were performed, 2 with pelvic lymphadenectomy, 1 case was treated with radiotherapy.
Assuntos
Carcinoma de Células Escamosas/cirurgia , Neoplasias Vulvares/cirurgia , Idoso , Carcinoma de Células Escamosas/patologia , Feminino , Humanos , Excisão de Linfonodo , Metástase Linfática , Pessoa de Meia-Idade , Estadiamento de Neoplasias , Neoplasias Vulvares/patologiaRESUMO
The paper presents a successful case of sextuplet pregnancy after HMG-HCG induced ovulation. The pregnancy was brought to 34, 5 weeks of gestation with all six babies in good conditions and high birth weight (1200-1750 gr.). The effectiveness of early diagnosis, intensive follow-up, and elective caesarean section is discussed. Suggestions are made for the prenatal, intrapartum, and post natal problems connected with mulitple gestation of high fetal number.
Assuntos
Gravidez Múltipla , Adulto , Anemia/etiologia , Cesárea , Feminino , Humanos , Recém-Nascido , Itália , Trabalho de Parto Prematuro/prevenção & controle , Gravidez , Complicações Hematológicas na Gravidez/etiologiaRESUMO
4 cases of rebel ascites from advanced ovarian cancer, considered lost to chemotherapy, are treated with Leveen's peritoneo-venous shunt. Deterioration of general conditions for the ascites and progressive unaffectiveness of chemotherapy induced the authors to find better conditions of life for these patients. By the peritoneo-venous shunt life condition improved significantly; the patients were able to continue chemotherapy with good results; 2 patients are living more than 2 years after the shunt.
