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Nenad Lucic, Dragica Draganovic, Sanja Sibincic, Vesna Ecim-Zlojutro, Snjezana Milicevic
Objective: The aim of this work is to show the importance of the depth of myometrium invasion, tumour size and lymphovascular invasion as prognostic factors in dissemination of lymphatic nodes at endometrial carcinoma (CE). Materials and methods: In the period from 2010 to 2015 at the University Clinic for Gynecology and Obstetrics in Banja Luka, 221 endometrial cancer surgeries were done (laparatomy 184-83%, laparascopy 37-16,74%). Patients who had uterus bleeding in peri/postmenopause or those whose endometrium thickness was bigger than 5 mm which was established by ultrasound, or those who had in their cavum uteri pathological (PH) diagnosis, underwent fractional curettage (FC) or hysteroscopy in order to obtain pathohistological endometrium diagnosis...
October 2017: Medical Archives
Luis Franco-Avilés, Federico I Hernández-Rocha, Ulises Mercado, Cristian G Malvido-Torres
BACKGROUND: Splenic vein thrombosis is a complication of pancreatic carcinoma, pancreatitis or pancreatic pseudocyst. It may lead to segmental portal hypertension and bleeding from gastric varices. CLINICAL CASE: A 31 year-old man was diagnosed with pancreatitis of two weeks of evolution and was referred to our hospital in 2013. He had a history of alcohol consumption. Physical examination showed no stigmata of liver cirrhosis. Laboratory analyses revealed hemoglobin 9...
November 2017: Revista Médica del Instituto Mexicano del Seguro Social
K Arustamyan, E Totoyan, A Karapetyan, A Gasparyan
The aim of this work was to assess the state of the fallopian tubes in women with urogenital chlamydia (UC) and infertility. 344 women 18-49 y.o with infertility have been investigated. UC was detected in 133 of them -38.7%, (main group), UC was absent in 211 (61.3%) patients (comparision group). In the main group prevailed the tubal or tubal peritoneal factor of infertility (51.9% versus 19.4% in the comparison group, p<0.001). UC in women in the main (62.4%) was in the form of mixed infection. Obstruction of the fallopian tubes and adhesions in the pelvic region were more often detected in patients of the main group (p<0...
July 2017: Georgian Medical News
F Algreisi, G Vilos, A Oraif, A Vilos, S Pautler
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
Ronak A Gor, Christopher J Long, Aseem R Shukla, Andrew J Kirsch, Marcos Perez-Brayfield, Arun K Srinivasan
OBJECTIVE: To review peri-procedural outcomes from a large, multi-institutional series of pediatric urology patients treated with laparaendoscopic single-site surgery (LESS) for major extirpative and reconstructive procedures. MATERIALS AND METHODS: Consecutive LESS cases between January 2011 and May 2014 from three free-standing pediatric referral centers were reviewed. Data include age, sex, operative time, blood loss, length of stay, and complications according to the modified Clavien-Dindo classification...
February 2016: Urology
A E Toledo, L S Shapiro, J F Farrell, C M Magro, J Polito
BACKGROUND: The malignant form of atrophic papulosis (Köhlmeier-Degos disease) is a rare thrombo-occlusive vasculopathy that can affect multiple organ systems. Patients typically present with distinctive skin lesions reflective of vascular drop out. The small bowel is the most common internal organ involved, resulting in considerable morbidity and mortality attributable to ischemic microperforations. Determination of the presence of gastrointestinal lesions is critical in distinguishing systemic from the benign, cutaneous only disease and in identifying candidates for treatment...
2015: BMC Gastroenterology
Joanna M G Souza-Fabjan, Alexsandra F Pereira, Carlos H S Melo, Deisy J D Sanchez, Eunice Oba, Pascal Mermillod, Luciana M Melo, Dárcio I A Teixeira, Vicente J F Freitas
The Canindé breed of goats (Capra hircus) is currently endangered. The aims of this study were to characterize the estrus behavior, ovulatory responses and progesterone profiles, and to evaluate the in vitro embryo production (IVP) in this breed. In Experiment 1, ten nulliparous and seven pluriparous females received medroxyprogesterone acetate (MAP)-containing sponges (60mg) plus 75μg d-cloprostenol for estrus synchronization and their reproductive parameters were evaluated. In Experiment 2, oocytes obtained by laparascopy from hormonally stimulated females (n=15) were used for IVP...
December 2013: Reproductive Biology
Peter Thielsen, Shaista Rashid, Louise Laurberg Klarskov
An otherwise healthy 49-year-old male was admitted due to ascites and obstipation. He had no history of atopy. He went through an extensive diagnostic workup including laparascopy and bone marrow biopsy. All the tests came out normal except for a large number of eosinophils in the blood and the ascites. The diagnosis of idiopatic eosinophilic ascites was made. After drainage spontaneous remission was achieved. Eosinophilic ascites is a rare disorder of unknown aethiology and is a part of the syndrome called eosinophilic gastroenteritis...
May 27, 2013: Ugeskrift for Laeger
Raphael Sznitman, Karim Ali, Rogério Richa, Russell H Taylor, Gregory D Hager, Pascal Fual
In the context of retinal microsurgery, visual tracking of instruments is a key component of robotics assistance. The difficulty of the task and major reason why most existing strategies fail on in-vivo image sequences lies in the fact that complex and severe changes in instrument appearance are challenging to model. This paper introduces a novel approach, that is both data-driven and complementary to existing tracking techniques. In particular, we show how to learn and integrate an accurate detector with a simple gradient-based tracker within a robust pipeline which runs at framerate...
2012: Medical Image Computing and Computer-assisted Intervention: MICCAI ..
V Veselý, V Treska, J Molácek, D Smíd
INTRODUCTION: NOTES--Natural orifice transluminal endoscopic surgery--represents a new surgical approach. The operation is performed via natural openings of the body without causing any damage to the skin and the abdominal wall. At the Department of Surgery of the University Hospital in Pilsen, we have been performing NOTES since 2008. The first animal experiment was performed in that year by a hybrid NOTES technique. METHODS: A prospective study was carried out at the animal experimental room of Charles University in Prague, Faculty of Medicine in Pilsen, on domestic pigs under general anaesthesia...
February 2012: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
Murat Bozkurt, Ayse Ender Yumru, Ebru Inci Coskun, Banu Ondes
Intrauterine devices (IUD) are the most common contraceptive methods all over the world. Besides many advantages, there are also some complications of this method. The most important complication of IUD is uterine perforation. The reported incidence of IUD perforation ranges from 0.2 to 9.6 per thousand insertions. In this article we would like to report a case that has an IUD migrated to the gastric serosa. A 41 years-old Turkish woman presented with abdominal pain. Plain X-ray of the abdomen demonstrated two IUDs, one in the upper quadrant of the abdomen, the other in the pelvic area and determined in the endometrium by TV-USG (transvaginal ultrasonography)...
October 2011: JPMA. the Journal of the Pakistan Medical Association
W Witte, C Nobel, J Hilpert
Angelman syndrome (AS) is a rare neurodevelopmental disorder with an incidence of 1:10,000-1:40,000 caused by deficient genetic imprinting in the chromosomal segment 15q11-q13. Experimental data suggest that the gamma-aminobutyric acid A (GABA(A)) receptor as well as the N-methyl-D-aspartate (NMDA) or α-amino-3-hydroxy-5-methyl-4-isoxazole proprionic acid (AMPA) receptors may be affected by this condition. The first description of the syndrome goes back to 1965 when the British pediatrician Harry Angelman (1915-1996) recognized similar clinical features in three children...
July 2011: Der Anaesthesist
Julia Cordin, Kuno Lehmann, Paul M Schneider
Tumors of the esophagogastric junction are among the most frequent and cause lethal cancers. Patients often do not present until late in the disease when the tumor is sufficiently large to cause obstruction or invasion of the adjacent structures, and thus becomes symptomatic. Preoperative staging is critical to select those patients whose disease is still locally confined for curative surgery. Ideally, clinical staging should accurately predict tumor invasion, lymph node involvement, and distant metastases...
2010: Recent Results in Cancer Research
C Uzan, S Gouy, P Pautier, C Lhommé, P Duvillard, C Haie-Meder, P Morice
Early stage of cervical cancer is defined by disease confined to the cervix and upper vagina (stage IA to IIA). For early stage, no treatment has demonstrated clear superiority. Treatment options for women with early stage include either exclusive radiotherapy, or radical surgery, or brachytherapy before radical surgery. Radical hysterectomy or trachelectomy include the resection of the parametrium. The rational of parametrectomy is to remove occult disease in the parametrium and its removal is the cause of much of the morbidity of the surgery, specially urinary complications...
June 2009: Gynécologie, Obstétrique & Fertilité
A M Solano, A Valverde, A Desrochers, S Nykamp, L P Boure
REASONS FOR PERFORMING STUDY: Standing surgical procedures are performed commonly in horses under sedation. This approach minimises the morbidity/mortality risks associated with general anaesthesia. The use of a medetomidine and morphine combination has not been investigated in horses despite the usefulness of each drug individually. OBJECTIVE: To determine the efficacy of a medetomidine and morphine combination to produce standing sedation with minimal cardiorespiratory changes and adequate analgesia for exploratory laparascopy in mature horses...
February 2009: Equine Veterinary Journal
I Zuber-Jerger, N Zorger, C Paetzel, J Schoelmerich, S Feuerbach, F Kullmann
A 68-year-old lady was admitted to a primary care centre with abdominal pain. She presented with a tender abdomen and a lipase level of 29 456 U/L. Cholecystectomy had been performed in 1971. Because her clinical state worsened the patient was transferred to our intensive care unit. Computed tomography and contrast ultrasound revealed necrotising pancreatitis. Antibiotics were started immediately. 10 days later the patient became febrile and an area of liquid necrosis between the spleen and the left kidney was drained under sonographic guidance by a 12 Fr pigtail...
May 2008: Zeitschrift Für Gastroenterologie
Klaus Pietzner, Aurelia Noske, Chie Hee Cho, Felix Kiecker, Jalid Sehouli
Ovarian manifestation of metastatic amelanotic melanoma is exceptionally rare and can lead to the clinical and even histological misdiagnosis of ovarian cancer. We report on a 35-year-old female patient who presented with bilateral adnexal masses, as well as massive ascites. She underwent laparascopy and multiple biopsies were taken. She was histologically diagnosed with malignant ovarian tumour and was referred for radical surgery. Postoperative final histological examination and immunohistochemical staining of the tumour revealed an amelanotic epithelioid melanoma...
January 2008: Anticancer Research
Giovanni Volpicelli, Walter Saracco
Mesenteric panniculitis is a rare disease leading to recurrent acute abdominal pain, whose recognition is important to avoid any unwarranted aggressive surgery. A case of this condition is described. The patient, a 73-year-old man, attended our emergency room with acute abdominal pain, fever and prolonged partial thromboplastin time. He had a history of recurrent emergency department access and complained of the same rapidly reversible clinical picture. Findings at abdominal computed tomography and at diagnostic laparascopy (including histology of a biopsy) helped reach a correct diagnosis and treatment...
April 2007: European Journal of Emergency Medicine: Official Journal of the European Society for Emergency Medicine
Th Böttger, A Terzic, M Müller
UNLABELLED: Over a long time laparascopy for pancreatic diseases was performed only as staging laparoscopy in order to find hidden metastasis. The laparoscopic pyloric preserving duodeno-pancreatectomy showed many problems and could not establish. Laparoscopic distal resection of pancreas is much more feasible due to lack of intestinal anastomoses. Anyway there is only few literature about laparoscopic left pancreatic resection found. We demonstrate our experiences in four cases of the last months...
August 2006: Zentralblatt Für Chirurgie
B Noël, J L Bister, B Pierquin, R Paquay
The effects of fluorogestone acetate (FGA) and/or pregnant mare serum gonadotrophin (PMSG) on follicular growth and LH secretion in cyclic ewes were determined. Suffolk ewes (n=40), previously synchronized with cloprostenol were divided into 4 experimental groups (n=10 ewes per group). Group I served as the control, while groups II, III and IV received FGA, PMSG, FGA and PMSG respectively. Four ewes of each group underwent daily laparascopy for 17 d. All the ovarian follicles>or=2 mm were measured, and their relative locations were recorded on an ovarian map in order to follow the sequential development of each individual follicle...
February 2, 1994: Theriogenology
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