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Machado Norman Oneil NO Department of Surgery, Sultan Qaboos University Hospital, Muscat/Sultanate of Oman. - - 2009
The laparoscopic approach for appendicectomy in pregnancy was not considered the preferred procedure until recently. The aim of this study was to examine our experience with laparoscopic appendicectomy in pregnancy and review the scientific evidence available in the medical literature. The clinical data of all patients who underwent laparoscopic appendicectomy ...
Zhuang YaLing - - 2009
OBJECTIVE: The objective of the study was to compare the efficacy and safety of uterine artery embolization (UAE) vs systemic methotrexate (MTX) for pregnancy within a cesarean scar. STUDY DESIGN: Seventy-two women with pregnancy within cesarean scar were randomly allocated to a UAE group (37 cases) or an MTX group ...
Hirakawa Masakazu - - 2009
OBJECTIVE: The objective of our study was to evaluate the technical and clinical outcomes of uterine artery embolization (UAE) along with the administration of methotrexate (MTX) for cervical ectopic pregnancy with vaginal bleeding as an alternative nonsurgical treatment to control bleeding and preserve fertility. MATERIALS AND METHODS: Eight patients (age ...
Casadio Paolo - - 2009
OBJECTIVE: To describe a conservative management by laparoscopy of an unusual interstitial twin pregnancy. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 27-year-old woman, pregnant at 6th week of amenorrhea with interstitial twin pregnancy. INTERVENTION(S): The woman was submitted to two- and three-dimensional transvaginal ultrasound and to diagnostic hysteroscopy. Subsequently, ...
Goynumer Gokhan - - 2009
PURPOSE: To present a case of an ectopic pregnancy in a previous caesarean scar in a woman who wishes to preserve her fertility, and its treatment with the local administration of potassium chloride (KCl) and methotrexate (MTX) via a transvaginal needle. CASE: A 35-year-old woman with a viable caesarean scar ...
Deans Rebecca - - 2010
OBJECTIVE: To present our experience with hysteroscopic removal of cesarean scar ectopic pregnancy (CSP) and review the literature on the current management. DESIGN: Retrospective cohort study. SETTING: A tertiary referral university hospital, Sydney, Australia. PATIENT(S): Six patients diagnosed with CSP. INTERVENTION(S): Four patients were successfully treated with primary hysteroscopic removal ...
Esin Sertac - - 2009
OBJECTIVE: To describe the successful laparoscopic management of a primary omental pregnancy. DESIGN: Case report. SETTING: Department of Obstetrics and Gynecology, Dr. Sami Ulus Obstetrics, Gynecology and Children's Hospital, Ankara, Turkey. PATIENT(S): A 22-year-old patient with an omental pregnancy. INTERVENTION(S): Laparoscopic partial omentectomy. MAIN OUTCOME MEASURE(S): Successful laparoscopic management of ...
van Mello N M - - 2009
In this chapter an overview is given of the best available evidence on the conservative treatment for tubal ectopic pregnancy, i.e., expectant management and medical treatment with systemic methotrexate. From the two randomized controlled trials on expectant management, no conclusions can be drawn yet. It may be that women with ...
Aggarwal Anjali - - 2009
OBJECTIVE: To assess gynaecologists' management of ectopic pregnancies in adolescents. METHODS: A survey was sent to Canadian gynaecologists, including pediatric gynaecologists, by mail and email. Pediatric gynaecologists in the United States were surveyed by mail. Variations in preferences and practices in the management of ectopic pregnancy were identified, with specific ...
Agdi Mohammed - - 2009
Ectopic pregnancy remains the leading cause of death in the first trimester of pregnancy. Today, serial serum hCG measurements and transvaginal ultrasound examination can provide early detection of most ectopic pregnancies allowing medical treatment with methotrexate. In those who require surgery, the type of procedure depends on the clinical situation ...
Pankaja Susmita - - 2009
Rupture of intracranial aneurysm in pregnancy is rare and the presentation is easily confused with eclampsia. A high index of suspicion could lead to early diagnosis and prompt management. A multidisciplinary team approach is essential for best outcome.
Anderson Paynesha M - - 2009
Background. The upper anterior abdominal wall is a very unusual location for an ectopic pregnancy making optimal management uncertain. Case. We report the case of a 26-year-old gravida 4, para 1, aborta 2 with a rising quantitative human chorionic gonadotropin level following a negative diagnostic laparoscopic examination. She was subsequently ...
Moawad Nashat S - - 2009
Cornual pregnancy often poses a diagnostic and therapeutic challenge, with a significant risk for morbidity and mortality. Traditional treatment for cornual pregnancy has been through laparotomy, wedge resection, or hysterectomy. Early diagnosis is now possible through transvaginal ultrasonography and highly-sensitive beta-human chorionic gonadotropin assays. Consequently, several less-invasive therapies and techniques ...
Krag Moeller Lars Bo - - 2009
OBJECTIVE: To determine which treatment should be offered to women with a non-ruptured tubal pregnancy: a single dose of methotrexate (MTX) or laparoscopic surgery. DESIGN: Prospective, randomized, open multicenter study. SETTING: Seven Danish departments of obstetrics and gynecology. SAMPLE: A total of 106 women diagnosed with ectopic pregnancy (EP). METHODS: ...
Poujade Olivier - - 2009
Cornual heterotopic pregnancy is a very rare condition; its incidence remains unknown. We report a case of cornual heterotopic pregnancy managed by laparoscopy and guided methotrexate injection into the cornual sac. A cornual heterotopic pregnancy was diagnosed at 9 weeks of amenorrhoea in a 31-year-old healthy woman. Ultrasound examination showed ...
Muraji Miho - - 2009
Three cases of cesarean scar pregnancy successfully treated with methotrexate are described. The diagnosis was confirmed by transvaginal sonographic examinations showing a well-formed gestational sac in the myometrium of the lower uterine segment. Initial treatment with a systemic injection of 50 mg of methotrexate was not sufficient, and multiple doses ...
Takeda Akihiro - - 2009
INTRODUCTION: Interstitial pregnancy is a rare but dangerous form of ectopic pregnancy. Although various forms of minimally invasive management for this disorder have been previously reported, optimal treatment regimen has not been yet unknown due to its rarity. CASE REPORT: A 29-year-old married woman with no previous disease history was ...
Svirsky Ran - - 2009
The objective of this study was to determine whether a single or repeated injection of methotrexate (MTX) to treat ectopic pregnancy results in either teratogenicity or other bad obstetric outcome in the pregnancy that shortly follows treatment. Data were retrieved from the medical records of 314 women treated with MTX ...
Smorgick Noam - - 2008
PURPOSE: Medical treatment of viable unruptured ectopic pregnancies by systemic methotrexate (MTX) is controversial due to elevated failure rates. This study describes a combined local and systemic MTX administration and compares the outcomes between viable ectopics in different locations. METHODS: This retrospective study evaluated 31 patients treated with combined local ...
Malvasi Antonio - - 2008
Cervical pregnancy (CP) is a rare and life-threatening ectopic pregnancy characterized by implantation of the fertilized ovum into the cervix, whereas exocervical pregnancy is an extremely rare CP with implantation of the fertilized ovum on the exocervix. Possible causative factors of CP such as tubal dysfunction, impaired sperm motility, previous ...
Ng Selma - - 2009
OBJECTIVE: To present our experience of laparoscopic management of cornual ectopic pregnancy. DESIGN: Retrospective review of 53 cases of cornual pregnancy treated laparoscopically. SETTING: K.K. Women's and Children's Hospital, Singapore. PATIENT(S): Patients who were treated for cornual pregnancy via laparoscopic surgery from 2001 to 2006. INTERVENTION(S): Laparoscopic surgery as a ...
McLaren Janet F - - 2009
OBJECTIVE: To evaluate the pregnancy rate, ovarian responsiveness, and endometrial thickness in infertility patients with a history of methotrexate exposure who subsequently underwent controlled ovarian stimulation. DESIGN: Retrospective cohort study. SETTING: University reproductive endocrinology and infertility program. SUBJECT(S): Forty-eight women with infertility undergoing ovarian stimulation after receiving methotrexate treatment for ...
Korkontzelos Ioannis - - 2008
OBJECTIVE: To describe a case of cesarean scar pregnancy treated successfully by endoscopic technique and medical therapy. DESIGN: Case report. SETTING: State general hospital in a major city. PATIENT(S): A 32-year-old woman with two cesarean sections and a recent curettage presented with ectopic cesarean scar pregnancy. INTERVENTION(S): Transvaginal ultrasound and ...
Crowell Christopher - - 2008
Acetaminophen is one of the most common toxicities in pregnancy, thus providers should be aware of treatment options. We use a case presentation to demonstrate the successful use of a 20-hour protocol of intravenous N-acetylcysteine. A 26-year-old woman, gravid3para1102, at an estimated gestational age of 32 weeks 2 days presented ...
Pheiffer C - - 2008
OBJECTIVE: To investigate whether time to detection (TTD) of Mycobacterium tuberculosis in BACTEC Mycobacteria Growth Indicator Tube (MGIT) 960 and BACTEC 460 TB systems can be used as an alternative to colony-forming unit (cfu) counting. DESIGN: A single sputum sample recovered from each of 22 patients with tuberculosis (TB) was ...
Cerveira Isabel - - 2008
OBJECTIVE: To report a case where intra-amniotic injection of methotrexate (MTX) was used to terminate a cervical ectopic pregnancy that was resistant to IM MTX treatment. DESIGN: Case report. PATIENT(S): A 31-year-old woman, gravida 2, para 1, presented with painless vaginal bleeding. An early cervical pregnancy was diagnosed by transvaginal ...
Parkar R B - - 2008
Laparoscopic myomectomy is now widely used as an alternative to laparotomy in the management of symptomatic uterine fibroids. The advantages of this minimal access approach outweigh those of the open techniques. The pregnancy outcomes between the two methods have been studied and are comparable, but there still exists a lot ...
McKenna David A - - 2008
OBJECTIVE: Cesarean scar ectopic pregnancies (CSEPs) are rare but may have serious adverse consequences and are therefore important to promptly recognize on sonography. We aim to describe the typical sonographic appearances. Potential treatments are discussed, including sonographic guidance for transcervical injection of methotrexate (MTX) into the gestational sac. METHODS: Two ...
Burks Frank N - - 2008
Our objective was to evaluate the burden of sacral neuromodulation (SNM) reprogramming and the reasons for reprogramming, and to correlate these with the underlying diagnosis. A retrospective review of 50 consecutive subjects implanted with SNM was completed from November 2002 through December 2005. Of the 50 SNM implants, 47 subjects ...
Lialios Georgios A - - 2008
OBJECTIVE: To report a case of ruptured right heterotopic interstitial pregnancy diagnosed and managed laparoscopically by cornual resection. DESIGN: Case report. SETTING: University tertiary care hospital. PATIENT(S): A 29-year-old female Jehovah's Witness patient with first-trimester acute right lower quadrant abdominal pain. INTERVENTION(S): Emergency laparoscopy was performed, and the site of ...
Lee David - - 2008
Routine ultrasonography revealed a large, complex renal mass in a 39-year-old pregnant woman. An MRI confirmed a 14.5 x 12 x 17 cm complex renal mass, and laparoscopic nephrectomy was chosen as the management option. During the mid-second trimester, a right laparoscopic nephrectomy was performed. The pathology report noted clear-cell ...
Hois Erin L - - 2008
We report a case of an ectopic pregnancy implanted in the myometrium at the site of a scar from a previous cesarean section that presented with vaginal bleeding and was successfully treated with bilateral uterine artery embolization and intramuscular administration of methotrexate. The combination of minimally invasive interventional techniques and ...
Meshikhes Abdulwahed N - - 2008
We report a case of a 35-year-old lady who presented in the third trimester of her pregnancy with signs, symptoms, and radiological features of acute cholecystitis. She was initially treated conservatively, but failed to respond well. Hence, laparoscopic cholecystectomy LC was performed successfully with good materno-fetal outcome. This article discusses ...
Shelton Joseph - - 2008
BACKGROUND: Symptomatic choledocholithiasis during pregnancy can be treated with ERCP, but fluoroscopy may pose a risk to the fetus. Nonradiation ERCP may be a safer form of treatment, but its performance has not been optimized. OBJECTIVES: The purpose of this study was to evaluate new methods of nonradiation ERCP during ...
Nerome Yasuhito - - 2008
We report a 27-year-old case of juvenile idiopathic arthritis (JIA) having been stopped infliximab during pregnancy. She was safely treated by infliximab therapy with premedications for preventing infusin reactions after her delivery, and then improved in the same manner as when she had been treated with infliximab therapy before pregnancy. ...
Crespo R - - 2008
Abdominal pregnancy is a rare localization of ectopic pregnancy. Early diagnosis and treatment are advised and the choice of treatment is crucial. A successful case of conservative treatment with combined systemic and intra-amniotic methotrexate is presented. This treatment option should be considered in the management of this potentially life-threatening condition.
Hartwig Christina - - 2008
BACKGROUND: Heroin-assisted treatment (HAT) is a new form of treatment for heroin-dependent patients not responding to conventional interventions such as methadone maintenance treatment. No pregnancies or births under HAT have been reported until now. CASE: The pregnancy course of a 31-year-old severely dependent multi-morbid woman receiving HAT and the birth ...
Iyibozkurt A C - - 2008
PURPOSE OF INVESTIGATION: Pregnancy implanted in a cesarean scar is rare, and is a life-threatening condition due to high risk of uterine rupture, hemorrhage, hysterectomy, and maternal mortality. CASE REPORT: We describe a 26-year-old woman who presented with five weeks of amenorrhea and a serum hCG level of 10,440 mIU/ml. ...
Amoli Hadi Ahmadi - - 2008
This study was conducted to evaluate the safety of laparoscopic cholecystectomy (LC) during pregnancy. Patients who underwent LC were selected from several hospital databases, only six were performed during pregnancy. In this series, one of the two patients who had LC in the first trimester underwent elective termination of pregnancy ...
Tinelli Andrea - - 2007
Cervical pregnancy (CP) is a rare and dangerous condition, which may cause a massive haemorrhage. Ultrasonographic diagnosis consists of the visualization of the gestational sac and trophoblastic invasion in an endocervical localization. CP treatment modalities include dilatation and curettage (D&C) usually followed by intracervical tamponade, cervicotomy, angiographic embolization, ligation of ...
Bani Hani Mohammed N - - 2007
INTRODUCTION: We are introducing here additional evidence regarding efficacy and safety of laparoscopic cholecystectomy during pregnancy. This is achieved by analysis of 10 successful cases of symptomatic cholelithiasis operated laparoscopically during pregnancy. PURPOSE: To prove the fact that laparoscopic cholecystectomy is safe and effective during pregnancy, especially in the first ...
Deb S - - 2007
We present a case of Cesarean scar ectopic pregnancy, complicated by the persistence of clinical symptoms despite a rapid and complete biochemical response to a single systemic injection of methotrexate. A 34-year-old woman with three previous Cesarean sections was diagnosed with a Cesarean scar ectopic pregnancy following in-vitro fertilization treatment. ...
O'Hanlan Katherine A - - 2007
OBJECTIVE: To compare the results of laparoscopic hysterectomy, salpingo-oophorectomy, and incidental appendectomy for female-to-male transsexuals with those of female patients. METHODS: Retrospective chart abstraction of all patients undergoing total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and appendectomy since September 1996. Significance from analysis of covariance or chi2 was set at .05. RESULTS: ...
Soriano David - - 2008
OBJECTIVE: To determine the outcome of laparoscopic management of cornual pregnancy. DESIGN: Retrospective cohort study (Canadian Task Force classification II-3). SETTING: A tertiary referral hospital in Israel. PATIENT(S): Twenty-seven consecutive women with cornual pregnancy who were diagnosed and treated at our institute. INTERVENTION(S): Laparoscopy was undertaken in 20 (74%) of ...
Woh Lim - - 2007
We present herein a case report of a viable cornual pregnancy rupture, inducing massive hemoperitoneum, treated laparoscopically.
Georgievski Zoran - - 2007
PURPOSE: The aim of this study was to investigate the amblyopia treatment trends of Australian orthoptists and to identify variations or consistencies amongst treatment patterns. METHODS: A questionnaire was distributed to all orthoptists who attended an annual national scientific conference. This questionnaire consisted of four case vignettes of amblyopic patients. ...
Luk Janelle - - 2007
BACKGROUND: Risk factors for failed first-trimester surgical abortion include endometrial distortion caused by leiomyomas, uterine anomalies and malposition and cervical stenosis. This report introduces intrauterine adhesions as an additional risk factor. CASE: A multiparous woman presented for pregnancy termination at 6 weeks' gestation. Three suction-curettage attempts failed to remove what ...
Robinson Alice A AA Department of Obstetrics and Gynecology, Division of Maternal and Fetal Medicine, University of New Mexico Health Sciences Center, Albuquerque, NM 87131, - - 2007
An expanding knowledge of the signalling pathways involved in the cell cycle has led to great improvements in the understanding of the molecular events involved in carcinogenesis. The past decade has seen substantial advances with the introduction of several classes of targeted therapeutics for the treatment of various cancers and ...
Campagne Daniel M DM UNED University, Faculty of Psychology, Department of Personality, Evaluation and Psychological Treatment, Madrid, Spain. - - 2007
Psychotropic medication is used by a growing number of women of reproductive age. Although necessary in some cases, in many others non-pharmacological treatments offer valid alternatives for the pregnant woman. The noxious effects of antidepressants and anxiolytics urge the physician to look for other solutions. The efficacy of alternative treatment ...
Gil Esteban - - 2007
The morphological and endocrine aspects of the ovarian interstitial tissue of adult female viscachas were investigated to establish the probable function and the biological significance of this compartment in this rodent. Pregnant and nonpregnant adult female viscachas were used. The histological characteristics, histochemical properties, and ultrastructural features of the interstitial ...
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