摘要:

Treatment of anovulatory patients with gonadotropim significantly increased the incidence of multifetal gestation. Quintuplet gestation after ovulation induction with HMG and HLH is described. This is the first reported pregnancy after HLH. All infants survived and developed normally. Management of these cases poses special problems for the obstetrician, anesthesiologist, pediatrician and premature infant unit. Early diagnosis is imperative to achieve favorable results. Early hospitalization and complete bed rest for the mother are mandatory. Advance organization of an alert and adequately staffed emergency team will improve fetal salvage. Prolonged hospital stay of mother and infants may create a severe economic burden and steps have to be taken to relieve it. The public interest in plural birth and the involvement of news media may create a complicated situation for family, physicians and hospital. Planning and coordination with the institutional administration may prevent embarrassment and protect the patient's interests and privacy.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Primary hypoestrogenic amenorrhea was associated with increased secretion of gonadotropins and the presence of ovarian follicles. The ovaries were stimulated sequentially with exogenous human postmenopausal gonadotropins (HMG) and human chorionic gonadotropins (HCG). The very slight response to 11,400 IU of FSH followed by 15,000 IU of HCG confirmed the hyposensitivity of these ovaries to gonadotropins. The “resistant ovaries syndrome” should, by definition, include the following criteria: a) endogenous hypergonado-tropinemia, b) piesence of normal ovarian follicles and c) hyporeceptivity of the ovaries to an excessive stimulation with exogenous human gonadotropins.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

One thousand and eight females selected at random answered questionnaires concerning urinary control. The findings were as follows: a) 34% admitted to some degree of incontinence; b) history of bladder and kidney infections did not appear to predispose to incontinence; c) parous women tended to experience incontinence more frequently than did nulliparous; d) the incidence of incontinence tended to increase with increasing number of children; e) incidence of incontinence increased with increasing age.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Local alcohol injection has been used with a major degree of success in the treatment of chronic or recurrent vulvar pruritis. The technic and results are presented herein.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

A review of 400 consecutive cervical conizations over a four-year period at the Naval Hospital, Jacksonville, Florida, is presented. The technic, indications, morbidity and pathologic findings are reviewed. The overall incidence of ncoplasia was 69.2%, with severe dysplasia-carcinoma in 49.2%. The morbidity was 11%. The nonsuture technic using a neosynephrne injection procedure for hemostasis is discussed and recommended.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

With approximately 40 cases on record, it is apparent that endometriosis at the site of episiotomy scar is quite a rure occurrence. This study deals with 15 cases observed personally and drawn from a series of 2028 consecutive deliveries. After the placenta had been removed each of the patients in this series had been submitted to endometrial curettage as a routine measure to prevent postpartum bleeding and uterine subinvolution. During the same period, 13,800 additional women were delivered in the same service. In this series, also, an episiotomy was carried out almost regularly but the patients were not curetted after delivery. In this group, not a single case of perineal endometriosis occurred. The question of fortuitous circumstances as against causal relationships between postpartum endometrial curettage and perineal endometriosis is discussed and possible pathogenetic mechanisms are analyzed.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

This case is presented both because it rarely occurs and because “chance favors the prepared mind.” Malignant disease in artificially used skin grafts should be called to the attention of the clinician who manages these problems.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

An example of a proliferating Brenner tumor, an entity only recently delineated as an intermediate variant between benign and malignant forms is presented. Recognition of this entity, characterized by an unusual degree of papillary proliferation of Brenner-type rests, is impoitant in order to prevent confusion with either frankly benign or more aggressive malignant ovarian tumors. Reported cases, thus far, suggest a relatively favorable prognosis.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

In a retrospective analysis of patients receiving intraperitoneal radioactive colloidal chromic phosphate or colloidal gold the value of these substances in Stage I A ovarian cancer was assessed. In addition, complications of isotope therapy were analyzed in all patients receiving radioactive colloids for Stages I, II or III ovarian cancer. Ninety-four percent of those with Stage I A ovarian cancer were alive without evidence of recurrence after surgery plus radioactive colloids. In a small group (Stage I A) treated by surgery alone 22% were alive without evidence of malignancy. Of 74 women who received intraperitoneal radioactive colloids postoperatively only 1 sustained a moderately severe complication.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID

摘要:

Pain and sensory changes in the anterior thigh in patients suffering from carcinoma of the cervix indicated that the disease had spread above the pelvis into the retroperitoneal space. In the absence of positive findings on pelvic and abdominal examination, localization was suggested by neurologic examination, supported by radiologic contrast studies, and confirmed by laparotomy or autopsy in 4 patients. The implications of localization for effective therapy are discussed.

ISSN:0029-7844    

出版商:OVID    

年代:1972

数据来源: OVID