RESUMO
We evaluated the serum renal biochemical profile as an indicator of unrecognized laparoscopic bladder injury in four women. The patients were seen 24 to 56 hours postoperatively with elevated serum creatinine and urea levels, and electrolyte changes compatible with acute renal dysfunction. The mechanism responsible for these biochemical changes appears to be extravasation and reabsorption of urine. Biochemical values returned to normal within 24 hours after bladder repair.
Assuntos
Creatinina/sangue , Laparoscopia/efeitos adversos , Ureia/sangue , Bexiga Urinária/lesões , Adulto , Feminino , Humanos , Testes de Função Renal , Período Pós-Operatório , Bexiga Urinária/cirurgia , Ferimentos e Lesões/diagnósticoAssuntos
Estrogênios/uso terapêutico , Menopausa , Osteoporose/etiologia , Fumar , Peso Corporal , Estrogênios/metabolismo , Feminino , HumanosRESUMO
The overall recurrence rate in 166 patients treated with cryosurgery is 10.8%. Recurrent cervical intraepithelial neoplasia is much more common in patients with severe dysplasia. Failures are commonly due to one of four factors. First, cryosurgery is to be used only after adequate colposcopic assessment and a negative endocervical curettage. Cryosurgery is a safe, effective treatment in selected patients, but consideration of surgical management should be given in the older patient who has completed childbearing, particularly those with severe dysplasia or carcinoma in situ. A full 7-minute freeze with optimum application of the cryoprobe to the full affected surface is essential. Careful follow-up of these patients is mandatory. The majority of failures occur within the first 12 months and probably represent persistent rather than recurrent diseases.
