摘要:

The acute tissue effects of transcervical endometrial resection (TCRE) with a standard Iglesias resectoscope using glycine 1.5% for irrigation were studied in 8 women prior to hysterectomy. Combinations of 80 or 120 W cutting current with blend 1 or 2 were applied for endometrial resection, preceded by cornual endometrial coagulation with the roller ball electrode with a coagulation effect of 40 or 60 W. The temperature was measured at the uterine vessels, ovarian ligaments and serosal surface. The increase in temperature at the serosal surface was 2.0 °C during cornual coagulation and 0.3 °C during endometrial resection, independent of the current effect applied. The maximum depth of tissue damage was 1.7 mm. No change in temperature was found at the uterine vessels or ovarian ligaments. The tissue destruction and the increase in temperature of the uterine surface are minimal, and TCRE offers excellent histological material. Careful coagulation/resection in the cornual and isthmus regions is recommended.

ISSN:0378-7346    

DOI:10.1159/000292608

出版商:S. Karger AG    

年代:1993

数据来源: Karger

摘要:

We describe a case of uterine rupture during labor in a patient with a previous cesarean section and a unicornuate uterus. The case may encourage obstetricians to carry out elective repeated cesarean sections in cases with previous cesarean sections and uterine anomalies.

ISSN:0378-7346    

DOI:10.1159/000292609

出版商:S. Karger AG    

年代:1993

数据来源: Karger

摘要:

Intrauterine death of one fetus after the second trimester in a twin pregnancy, with continuation of the pregnancy is a rare complication. The risks of morbidity and mortality for the surviving fetus are high. A 32-year-old woman was admitted to the antenatal ward at 27 weeks gestation because of intrauterine death of one twin. During the first 24 h after the death of one twin, Doppler ultrasound assessment showed a remarkable variability in flow velocity waveforms in the umbilical artery of the surviving fetus. Changes from reversed to normal end-diastolic flow velocities were recorded within 6 min. These findings are explained by twin-to-twin transfusion due to intravascular blood pressure changes, or by release of vasoactive substances by the dead fetus.

ISSN:0378-7346    

DOI:10.1159/000292610

出版商:S. Karger AG    

年代:1993

数据来源: Karger

ISSN:0378-7346    

DOI:10.1159/000290645

出版商:S. Karger AG    

年代:1912

数据来源: Karger

ISSN:0378-7346    

DOI:10.1159/000290646

出版商:S. Karger AG    

年代:1912

数据来源: Karger

ISSN:0378-7346    

DOI:10.1159/000290647

出版商:S. Karger AG    

年代:1912

数据来源: Karger

ISSN:0378-7346    

DOI:10.1159/000290648

出版商:S. Karger AG    

年代:1912

数据来源: Karger

ISSN:0378-7346    

DOI:10.1159/000290649

出版商:S. Karger AG    

年代:1912

数据来源: Karger

ISSN:0378-7346    

DOI:10.1159/000290650

出版商:S. Karger AG    

年代:1912

数据来源: Karger

ISSN:0378-7346    

DOI:10.1159/000316691

出版商:S. Karger AG    

年代:1912

数据来源: Karger