Our experience of beta-thalassemia during pregnancy is limited to 2 rare cases. The first patient suffered from beta(0)/beta(+) thalassemia, and therapy consisted of 300 ml of concentrated red cells every month and deferoxamine. During pregnancy the patient received 300 ml of concentrated red cells every week, and a healthy child was born by cesarean section. The second patient suffered from Cooley's disease till 1985. She received many transfusions but was allergic to deferoxamine. Later, bone marrow transplantation was successful. Her normal full-term pregnancy concluded with the birth of a healthy child.
Im Rahmen der sexuellen Veränderungen, die in der Menopause stattfmden, betrachten die Autoren 3 wesentliche Aspekte: Veränderungen des sexuellen Verhaltens der Frau, die Umstände, die diese Wandelperiode beeinflussen können, und mögliche palliative oder präventive Massnahmen.
Multifetal pregnancies are estimated to represent 3.2% of all pregnancies (80% are dichorionic and 20% monochorionic) and are associated with a higher risk of perinatal morbidity and mortality relative to single pregnancies. The authors report a successful case of conservative management of a dichorionic diamniotic twin pregnancy after a single fetal death in the second trimester of pregnancy. The diagnosis was made in the 22nd week of pregnancy and the pregnancy was followed up until delivery in the 39th week. A healthy (2.855 kg) female infant was born and a dead fetus, approximately 20 cm in length and connected by the rudimentary umbilical cord to the small calcified placenta, was seen. The occurrence of a single fetal death is a relatively common event, which has implications for maternal and fetal outcomes. This diagnosis is relevant due to its potential effect on the survival of the other fetus and on possible maternal complications. In order to avoid complications and achieve the optimal maternal and neonatal outcomes, conservative prenatal follow-up should focus on careful monitoring and serial assessment of both fetal and maternal wellbeing. In gestational losses where the fetus is retained intrauterine for at least 10 weeks, there is the possibility of finding fetus papyraceus at the time of delivery. This is a rare event that results from incomplete reabsorption of the dead fetus, which is then compressed between the membranes and the uterine wall.
Background: Single-incision laparoscopic surgery (SILS) was developed with the aim of reducing the invasiveness of conventional laparoscopy (ranging from 3-5 incisions). Objective: The aim of this research was to evaluate surgical findings, postoperative features, and complications in a series of 64 cases of benign adnexal mass that was approached in each case with single incision laparoscopic surgery (SILS). Materials and Methods: In a tertiary medical center in Brazil, 64 patients with presurgery diagnoses of benign adnexal masses underwent laparoscopic surgery using the SILS technique. Each patient's adnexal mass was presumed to be benign, based on each patient's echography features, patient's age, C-125 level, and menopausal status. Results: Hystologic results of all the recruited patients showed benign lesions. Benign cysts (28; 43,8%), solid teratomas (10; 15,6%), and endometriosis (8; 12,5%) were the most prevalent results. There was 1 case of an incisional hernia, the only postoperative complication that required new hospital admission. The average length of stay in the hospital was 22 hours (range: 17-28). Conclusions: SILS is a feasible approach for benign adnexal masses, presenting low rates of postoperative complications and short hospital stays. ( J GYNECOL SURG 31:83)
Das Mayer-Rokitansky-Küster-Syndrom ist die häufigste Ursache der Vaginalaplasie. Diese kann mit verschiedenen Eingriffen korrigiert werden, vor allem aber durch die Operation nach Vecchietti. Die endoskopischen Methoden, die in den letzten Jahren eine rasche Entwicklung erfahren haben, ermöglichen es jetzt, den laparotomischen Teil des Eingriffes nach Vecchietti pelviskopisch durchzuführen. Fraglich ist aber, ob dies wirklich vorteilhaft ist, oder ob die Entscheidung zwischen Laparotomie und Laparoskopie nur von der persönlichen chirurgischen Erfahrung des Operateurs abhängig sein soil.
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