RESUMO
Reversal of previous tubal ligation procedures for the restoration of fertility has become an increasingly frequent request. Microsurgical techniques are believed to offer a postoperative pregnancy rate superior to that obtained with macroscopic procedures. Of 63 women who requested reversal, microsurgical reanastomosis was performed in 40. With at least 6 months' follow-up, 22 women have become pregnant (55%), and there has been 1 ectopic pregnancy (2.5%). Comparison with previous studies using standard macroscopic techniques indicates that the use of meticulous surgical methods with precise reapproximation of the fallopian tubes results in a significant (P less than .005) improvement in pregnancy rates.
Assuntos
Microcirurgia , Reversão da Esterilização , Adulto , Feminino , Humanos , Pessoa de Meia-Idade , Gravidez , Esterilização TubáriaAssuntos
Adenocarcinoma/sangue , Estradiol/sangue , Obesidade/sangue , Globulina de Ligação a Hormônio Sexual/análise , Neoplasias Uterinas/sangue , Adenocarcinoma/complicações , Adulto , Peso Corporal , Feminino , Humanos , Menopausa , Pessoa de Meia-Idade , Obesidade/complicações , Neoplasias Uterinas/complicaçõesAssuntos
Androstenodiona/metabolismo , Neoplasias da Mama/metabolismo , Endométrio/metabolismo , Estrona/biossíntese , Obesidade/metabolismo , Progesterona/biossíntese , Neoplasias Uterinas/metabolismo , Adolescente , Adulto , Idoso , Anovulação/fisiopatologia , Peso Corporal , Neoplasias do Colo/metabolismo , Feminino , Humanos , Neoplasias Renais/metabolismo , Menopausa , Pessoa de Meia-Idade , Modelos Biológicos , Especificidade de Órgãos , Neoplasias Gástricas/metabolismoRESUMO
The liver extraction of indocyanine green in concentrations of 0.2 mg./kg. and 0.5 mg./kg. in women taking oral contraceptive (norethindrone 2 mg. with mestranol 0.1 mg., and norethindrone 1 mg. with mestranol 0.05 mg.) is reported. No major alteration was noted in the hepatic function with the plasma concentrations of the dye employed. The probability of increased hepatic arterial flow or increased cardiac output due to norethindrone-mestranol combination is noted. The value of indocyanine green in the study of liver dysfunction is stated and its relative sensitivity at various concentrations is mentioned. The use of indocyanine green to predict early hepatic changes in toxemia of pregnancy, especially in those patients with excessive weight gain, is suggested.