RESUMO
Advanced hysteroscopic surgery (AHS) is a vitally important technique in the armamentarium for the management of many day-to-day clinical problems, such as menorrhagia, surgical excision of uterine myomata and septa in the management of female infertility, hysteroscopic excision of chronically retained products of conception (placenta accreta), and surgical removal of intramural ectopic pregnancy. In today's climate of accountability, it is necessary that gynecologists take a more active role in assuring the quality of their work. In this article, we discuss the quality assurance system from the point of view of the surgical audit meetings in some of the major teaching hospitals affiliated with the University of Queensland (Brisbane, Queensland, Australia).
Assuntos
Histeroscopia/normas , Garantia da Qualidade dos Cuidados de Saúde , Feminino , Doenças dos Genitais Femininos/cirurgia , Hospitais de Ensino , Humanos , Indicadores de Qualidade em Assistência à SaúdeAssuntos
Ácido Fólico , Hemoglobinas/metabolismo , Gravidez , Adolescente , Animais , Criança , Fenômenos Fisiológicos da Nutrição Infantil , Dieta , Proteínas Alimentares , Feminino , Ácido Fólico/sangue , Deficiência de Ácido Fólico/etiologia , Educação em Saúde , Hematócrito , Humanos , Ferro , Lacticaseibacillus casei , Fenômenos Fisiológicos da Nutrição , Necessidades Nutricionais , Complicações na Gravidez , Estatística como Assunto , Fatores de Tempo , VitaminasRESUMO
PIP: Endometrial changes in 105 women taking a variety of oral contraceptive pills for periods ranging from 2 to 60 months were studied. Individual response, as measured by endometrial change, varied greatly. Among the changes noted were: 1) atrophic proliferative glands with hypertrophic decidual stroma; 2) nodular stromal hyperplasia; 3) myometrial hyperplasia; 4) capillary thickening with endothelial proliferation and fibrin thrombi; 5) increased lymphatics simulating micorcysts; and 6) atypical hyperplasia of decidual cells. Endometrial stromal reaction seemed greatest in women who had taken pills for the longest time.^ieng
