Search Results
Results 401 - 450 of 590
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Sharara F I - - 1998
BACKGROUND: The incidence of congenital uterine anomalies in the general population is estimated at 0.001-10%. Müllerian defects are associated with an increased incidence of urinary anomalies, an increased risk of infertility, early pregnancy loss, premature rupture of membranes, preterm labor and malpresentation. CASE: A 34-year-old, infertile woman with a presumed ...
Watanabe H - - 1998
BACKGROUND: A new concept of the pathophysiology of benign prostatic hyperplasia (BPH), based upon the presumed circle area ratio (PCAR) theory, is described. METHODS: The PCAR is the ratio of the area of the maximum horizontal section of the prostate by transrectal sonography to the area of a presumed circle ...
Mortimore V R - - 1998
OBJECTIVE: To investigate the diagnosis, incidence and management of shoulder dystocia. DESIGN: Retrospective review of all the deliveries between 1988 and 1993 which were coded on the computer data base as 'moderate difficulty with the shoulders' or 'shoulder dystocia'. SETTING: A teaching hospital in the south of England. PARTICIPANTS: The ...
Zhang P J - - 1998
OBJECTIVE: To evaluate the effectiveness of original multiple-level sectioning in detecting axillary nodal micrometastasis in breast carcinoma. DESIGN: Retrospective analysis of 707 axillary nodes from 34 consecutive node-negative invasive breast cancers from the years 1989 and 1990. All but 2 cases were originally examined by multiple-level sectioning. The original histologic ...
Lickstein D A - - 1998
Intrauterine rectovaginal tears are an infrequent and life-threatening complication of breech presentation. One previous case has been presented in the literature with a fatal outcome. The authors report a second case of a severe rectovaginal intrauterine tear sustained during cesarean delivery. Prompt administration of antibiotics followed by debridement and primary ...
Coles F B - - 1998
A regulation mandating a syphilis serology test at delivery was implemented on December 6, 1989. To assess any impact on congenital syphilis reporting, we compared all cases reported in Upstate New York for the year directly preceding the regulation (n = 69) to those born in the three-year period following ...
Davis J R - - 1998
Maternal peritonitis secondary to fetal vernix caseosa is considered an infrequent complication of cesarean section in which commonly spilled amniotic fluid is incompletely lavaged. Nine of the 10 reported cases have been diagnosed in the postpartum period after an uneventful cesarean section. Characteristically, vernix elicits granulomatous inflammation, occasionally with a ...
Krohn M A - - 1998
The authors sought to determine whether demographic factors, labor characteristics, and labor management for intra-amniotic infection (IAI) are different for IAI cases who deliver preterm compared with IAI cases who deliver at term. From 1990 through 1994, 610 women with intra-amniotic infection and 747 controls were enrolled from five hospitals ...
Roberts M W - - 1998
The Directors of the American Board of Pediatric Dentistry are eager for eligible candidates to become Diplomates. It is important to the profession as well as to the individual that more of our colleagues become Board certified. Failure on a Section of the examination is distressing to us as well ...
Gupta B K - - 1998
Two Hundred Forty patients who had Intra Uterine Contraceptive Device (IUCD) and manifested of nonspecific vaginitis were investigated for the presence of G. vaginalis. Pure growth of this organism was obtained in 14(5.8%) cases while 116(48.3%) cases showed this organism in association with other organisms e.g. Esch. coli (11.7%), Klebsiella ...
Oyawoye O A - - 1998
This study reviews all cases of hysterectomy performed at the University of Ilorin Teaching Hospital, Ilorin over a 4-year period between 1 April 1984 and 31 March 1988. There were 155 elective hysterectomies out of 1828 elective major gynaecological procedures with a prevalence rate of 8.5%. An analysis of 128 ...
Bakos O - - 1997
This case presents a woman with a fetus having a large hydrocephalus and other lethal malformations. The problem was how to avoid an unnecessary cesarean section at delivery because of the breech position of the baby. The solution was prenatal ultrasonographic-guided cephalocentesis after which a vaginal delivery could take place ...
Deneke F - - 1997
A case of advanced abdominal pregnancy in a twenty three year old nullipara is presented. The patient presented with antepartum haemorrhage and underwent surgery for a suspected placenta praevia totalis. Alive female baby weighing 3000 gms was delivered from the left broad ligament. The clinical course is discussed and the ...
Haddad B - - 1997
OBJECTIVE: To assess issues and management of longitudinal vaginal septum. STUDY DESIGN: The charts of 202 patients referred for a longitudinal vaginal septum over a 24 year period were reviewed. RESULTS: The most common septa were complete and high partial. Associated uterine malformations were frequent (87.8% of the cases), especially ...
Sugase M - - 1997
To clarify the pathogenic relationships between human papillomavirus (HPV) and vaginal intraepithelial neoplasia (VAIN), we examined 71 vaginal biopsy specimens by histopathology and immunohistochemistry and analyzed the presence of HPV DNA by blot hybridization at Tm - 40 degrees C using an HPV 58 probe (PBM-58 method). We found 27 ...
Lau W C - - 1997
Persistent fetal transverse lie at term is uncommon. A case of benign polypoid adenomyoma, found during Caesarean section, as a cause of abnormal lie in a primigravida is reported. A clear distinction as shown can be drawn between breech presentation and transverse lie at term, and between transverse lie in ...
Gantchev S - - 1997
A case of diffuse cavernous angiomatosis of the uterus after delivery is reported. Owing to suspicion of abruptio placentae, cesarean section was performed. In the course of this section, several hematomas were noted in the myometrium, making total hysterectomy necessary. In view of this case, etiopathogenesis, causes and dynamics of ...
Dali S M - - 1997
Retrospective study of 6 cases of puerperal inversion of the uterus is being presented from 1975 to 1995 and a review of literature for 20 years of the period 1975-1995 has been summarised. In the present series, one case with acute puerperal inversion of uterus were treated by manual reposition, ...
Odibo A - - 1997
With the increasing use of the ventouse, it is becoming common for deliveries to be completed by the application of forceps. We present 48 cases delivered by forceps after a failed ventouse and compare these with 63 cases delivered by forceps only. There was significantly higher incidence of caesarean sections ...
Dawson N J - - 1997
We present a case of uterine inversion in which glyceryl trinitrate was used via the sublingual route, as opposed to the intravenous route, in association with volatile inhalational anaesthesia in order to achieve relaxation of the uterus. A transient, but significant, hypotensive response occurred, which was easily corrected with a ...
Allard J E - - 1997
The construction of a database to hold information obtained from the laboratory analysis of items in cases of sexual assault is described. Examples of the usefulness of the database are described. For vaginal, anal and oral swabs, the persistence of spermatozoa in relation to time since intercourse is presented and ...
Finkler M D - - 1997
The objective of this study was to examine whether the mode of obstetric delivery is related to resource costs, case mix, maternal length of stay, or neonatal morbidity. Patients (27,289) who delivered babies at nine hospitals within one health maintenance organization in 1989 were the source of data. Case-mix adjustment ...
Iatrakis G - - 1997
The purpose of this study was to evaluate the incidence of the etiologic factors of postmenopausal uterine bleeding and the recurrence rate of uterine bleeding before total hysterectomy. Six hundred and twenty-eight patients (mean age 52.2) with postmenopausal uterine bleeding were studied. Atrophic endometrium was found in 522 cases (83.1%), ...
Dufour P - - 1997
The safety, predictability, and ease of intravenous administration of nitroglycerin (NTG) have been firmly documented. In recent years, intravenous NTG has come to the attention of the obstetrician as a potent uterine relaxant. Intravenous nitroglycerin has been used to relax the uterus during manual extraction of retained placenta and to ...
Teoh T G - - 1996
This is a prospective observational study of the outcome of 80 cases of external cephalic version (ECV) at term using terbutaline infusion. There were 55 primiparas and 25 multiparas. The successful ECV rate was 44% and 85% respectively. The majority (82%) of the patients with successful ECV delivered vaginally. Parity ...
Halligan S - - 1996
Radiological diagnosis of enterocoele is possible using evacuation proctography, but the standard technique must be modified to reveal the small bowel. Since prolapsed bowel is interposed between the vagina and rectum, diagnosis may be possible using vaginal endosonography. We describe a simple ultrasound technique to diagnose enterocoele, which has been ...
Stevens E - - 1996
Hydrocephalus is a rare condition that was debilitating until silicone tubing, developed in the late 1950s, allowed surgical treatment to be successful. Women successfully treated for hydrocephalus lead full lives including pregnancy and birth. The review of medical literature and the case report that follow reveal 47 cases of pregnancy ...
Passini Júnior R - - 1996
We report a case of placenta percreta diagnosed by ultrasound and color doppler image at the fourteenth week of gestation. Initial approach was a trial of IM methotrexate followed by total hysterectomy, during which was observed a rupture of the uterus with the adherence of the placenta to the posterior ...
Kowalski L D - - 1996
BACKGROUND: Vaginal evisceration is a rare event, often associated with previous vaginal surgery in postmenopausal women. To date, 57 cases have been described in the world literature since 1901. STUDY DESIGN: We report three cases of vaginal evisceration and review risk factors and management described in the current literature. RESULTS: ...
Niemann T H - - 1996
Recently there have been several editorials suggesting that breast biopsies with small or nonpalpable lesions should not be subjected to frozen section examination. In this study, the approach of routinely performing frozen sections on all breast biopsies was compared to the recommended approach of performing frozen sections only on cases ...
Zeppa P - - 1996
OBJECTIVE: To explore the possible advantages that plastic embedding offers to fine needle aspiration biopsy (FNAB). STUDY DESIGN: A series of 54 FNABs was fixed in Kryofix (30 cases) and acetone (24 cases), plastic embedded and cut using a rotative microtome. The 2-micron sections obtained were May-Grünwald-Giemsa and Papanicolaou stain ...
Sherer D M - - 1996
A non-laboring patient with a breech-presenting fetus and oligohydramnios at 41 weeks' gestation underwent elective cesarean delivery. The infant was delivered atraumatically through a wide transverse incision of the lower uterine segment. Severe leftsided torticollis was noted immediately at delivery. The torticollis subsequently responded to physiotherapy with minimal residual facial ...
Tan H K - - 1996
This paper reports the identification of the fragmented, distorted cricoid cartilage. The laryngeal findings in four patients with this acquired abnormality are presented. The postmortem whole organ serial section of their larynges is described and illustrated with horizontal sections from the Laryngeal Development Laboratory in Chicago. The histopathologic sequence, pathogenesis, ...
al-Qattan M M - - 1996
The hand surgeon is frequently involved in the medicolegal assessment of birth palsy cases. Although brachial plexus injury has been reported in newborns delivered by Caesarean section, it is difficult to determine if these cases are due to excessive force when delivering the infant from the uterus or whether the ...
Taner C E - - 1996
OBJECTIVE: To review the management of eclampsia in our institution. METHOD: The prevalence, management and outcome of women with eclampsia over a period of 8 years were reviewed at our referral medical center. There were 444 patients with eclampsia among 5757 deliveries (1 in 12.96 deliveries or 7.71% of deliveries). ...
Achanna S - - 1996
Acute abdominal pain during pregnancy presents a dilemma as signs and symptoms are often modified. Abdominal massage by traditional birth attendants (TBAs') during early labour is a common practice in the rural population, as it is perceived to give a soothening effect to the labouring mother. Many instances of abruptio ...
Davis G D - - 1996
BACKGROUND: Laparoscopic uterine nerve ablation (LUNA) has become a common alternative therapy for refractory dysmenorrhea. Few long-term complications have been reported. CASES: Severe uterine prolapse was diagnosed in three young female soldiers during or after the rigors of airborne training. All three had previously undergone LUNA procedures. No other risk ...
Benito C W - - 1996
Ultrasonography has increasingly become essential in the practice of obstetrics and gynecology. Its antenatal use is well described in the literature and is a continuing subject of study. However, the use of ultrasonography in the labor and delivery suite has not been the subject of many articles. The purpose of ...
Flam F - - 1996
Although choriocarcinoma following a term pregnancy is an uncommon disease, it is important to identify these patients early. The time interval between delivery and onset of treatment is a crucial factor influencing prognosis. We present a case where the woman was delivered of a stillborn infant and histological examination of ...
McCluggage W G - - 1996
An apparently unique case of diffuse calcification of the myometrium occurring in the puerperum in a 24-year-old woman is reported. Vaginal delivery by forceps of a healthy baby was followed by septic shock and massive postpartum hemorrhage, necessitating hysterectomy 4 weeks later. Examination of the uterus revealed widespread calcification of ...
Virtanen H S - - 1996
Evisceration is a life-threatening surgical emergency which must be promptly treated. Evisceration following vaginal enterocele operation is so rare that no incidence rate can be established. A review of the literature revealed only 71 cases. The reported women were in general postmenopausal, with only 15% less than 50 years of ...
Gollard R - - 1995
Müllerian adenosarcomas of the uterus usually present as pedunculated endometrial masses in postmenopausal women with vaginal bleeding. Extraendometrial variants (originating in the ovary, adnexa, or myometrium) are much less common, and they tend to present at a more advanced stage due to their location. The sarcomatous portion of müllerian adenosarcoma ...
Tee C S - - 1995
Shoulder dystocia is a serious complication of delivery. Various manoeuvres had been described, all aim at achieving shoulder descent and vaginal delivery. We report a case whereby shoulder dystocia was managed by a rather unique technique--the foetal head was replaced in the vagina and baby delivered by emergency Caesarean Section.
Abouleish E - - 1995
We identified 18 cases of acute puerperal uterine inversion after vaginal delivery out of 65,581 deliveries in two university-affiliated hospitals (an incidence of 1:3643). In all cases manual repositioning of the uterus without tocolysis was attempted. In four cases this was successful. Of the 14 patients requiring tocolysis, a single ...
Miklos J R - - 1995
BACKGROUND: Vesicouterine fistula is rare. We report a vesicouterine fistula that was the direct result of a vaginal delivery in a patient with a history of lower uterine segment cesarean delivery. CASE: A woman developed a vesicouterine fistula during vaginal delivery after a previous cesarean. An anterior uterine wall defect ...
Shy S W - - 1995
Most rhabdomyosarcomas (RMSs) of the female genital tract occur in infants and young children as sarcoma botryoides. Vaginal RMS occurring in a postmenopausal woman is extremely rare. To our knowledge, only three vaginal RMSs have been reported in patients who were over 50 years of age. Herein, the first case ...
Komulainen M H - - 1995
Placenta accreta is a rare complication of pregnancy. Traditionally treatment has been operative, commonly total abdominal hysterectomy, in order to prevent serious haemorrhage or infection. Reproductive function can, however, be preserved by conservative management which is possible in carefully selected cases without risking maternal welfare. We report two cases of ...
Adair C D - - 1995
Amnioinfusion has become accepted in the management of intrapartum cord compression, meconium-stained fluid, and oligohydramnios. Limited experience exists regarding amnioinfusion in patients undergoing a trial of labor after cesarean section and its potential complications. We report a case of trial of labor in which uterine rupture occurred following intrapartum amnioinfusion. ...
Ollendorff D A - - 1995
BACKGROUND: Acute uterine inversion is a rare (1:2,500-25,000 deliveries) but potentially life-threatening obstetric complication. Uterine malformation can make it difficult to diagnose and treat this emergency. CASE: Following a normal delivery in a nullipara, laparotomy was required to establish the diagnosis and treat an inversion of one horn of a ...
Rehan V K - - 1995
A case of fetofetal transfusion syndrome (FFTS) in a monochorionic triplet pregnancy, in which all three fetuses shared a common circulation, is reported. All babies were born alive, although two died within two days of delivery. This case highlights the problem of FFTS with accompanying high perinatal morbidity and mortality ...
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