Our results suggest that Gal-9 could be a promising noninvasive biomarker of endometriosis and a predictor of various infertility or pelvic pain-related gynecologic disorders.
Esettanulmányukban a szerzők egy 27 éves beteg rectumot, szigmabelet és a spatium rectovaginalét érintő mélyen infi ltráló endometriosisának laparoszkópos műtéti kezeléséről számolnak be. A műtét során eltávolították az érintett vastagbélszakaszt, majd end-to-end anastomosist készítettek. Ezt követően a spatium rectovaginale és a hátulsó hü-velyboltozat mélyen infi ltráló endometriosiscsomóját CO 2 -lézer alkalmazásával excindálták. A kimetszett 12 cm hoszszú bélszakaszt transvaginalisan úgynevezett "natural orifi ce specimen extraction" technikával távolították el a hasüregből. Az első posztoperatív napon a rectumból utóvérzést észleltek, amit szintén laparoszkópia útján láttak el. Az irodalmi adatok áttekintése alapján megállapítják, hogy a "natural orifi ce specimen extraction" technika széles körben alkalmazható mélyen infi ltráló endometriosis miatt végzett műtétek során, és az általuk végzett laparoszkópos szegmentális bélreszekció vérzéses szövődménye laparoszkópia útján is biztonságosan ellátható. Orv. Hetil., 2014, 155(11), 420-423. Kulcsszavak: mélyen infi ltráló endometriosis, multidiszciplináris laparoszkópia, NOSE Transvaginal specimen extraction after laparoscopic bowel resection in deeply infi ltrating endometriosisThe authors report a case of a 27-year-old patient who had deeply infi ltrating endometriosis involving the rectum, sigmoid colon and the rectovaginal septum, which was removed by laparoscopic surgery. During surgery the affected bowel segment, the deeply infi ltrating nodule of the rectovaginal septum and the posterior vaginal wall were resected and the 12 cm long specimen was removed transvaginally. Postoperative bleeding was noted in the fi rst postoperative day, which was treated laparoscopically, aswell. This case history confi rms data from the literature showing that the natural orifi ce specimen extraction procedure can widely be applied during operations for deeply infi ltrating endometriosis and that laparoscopic anterior resection is a safe and feasible method for the treatment of colorectal deeply infi ltratnig endometriosis. Moreover, perioperative complications can be treated by means of laparoscopic surgery. Bokor, A., Pohl, Á., Lukovich, P., Rigó, J. Jr. [Transvaginal specimen extraction after laparoscopic bowel resection in deeply infi ltrating endometriosis]. Orv. Hetil., 2014, 155(11), 420-423. (Beérkezett: 2013 elfogadva: 2014. január 16.) Rövidítések DIE = mélyen infi ltráló endometriosis; NOSE = natural orifi ce specimen extraction Az endometriosis az egyik leggyakrabban előforduló nő-gyógyászati kórkép, amely a reproduktív korú női populáció közel 10%-át érinti. Endometriosisról beszélünk Keywords: deeply infi ltrating endometriosis, multidisciplinary laparoscopic surgery, NOSE
The City Council of Alma, Quebec, Canada intends to erect a new footbridge celebrating the 150-year anniversary of the city. Functioning as communal and cultural ground, an island will be built on the 100 m wide River Petite Décharge hosting a pedestrian area with pathways plants and artistic installations, being a symbolic landmark. The bridge has to provide connection between both the river sides and the island. Original and aesthetic design ideas for the bridge structure are searched. In the first phase of our work, preliminary study proposing 10 alternatives for the bridge was completed. The city has been selected three alternatives for further studies: double-arch classic bridge, classic cable stayed bridge with single pylon, artistic/industrial truss bridge with three lane decks. In the second phase of the work, we prepared the general preliminary design calculations, technical drawings, perspective drawings for the three selected versions. Common factor in all variants is the need and intent to apply advanced, state-of-the-art aluminium technology. The paper describes the evolution of the conceptual design of the bridge.
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