Fertility and sterility
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Fertility and sterility · Jul 2009
Randomized Controlled TrialReducing blood loss at myomectomy with use of a gelatin-thrombin matrix hemostatic sealant.
To evaluate the hemostatic efficacy and handling of gelatin-thrombin matrix in abdominal myomectomy. ⋯ Reductions in hemorrhage in FloSeal-treated women undergoing a myomectomy are encouraging, and provide evidence for the ability of gelatin-thrombin matrix to reduce blood loss when applied immediately and directly to bleeding uterine tissue.
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To determine the feasibility of laparoscopic metroplasty in the treatment of bicornuate and didelphic uteri. ⋯ This new technique of laparoscopic metroplasty is an acceptable alternative for abdominal metroplasty, with minimal adhesion formation.
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To describe a case of chronic isolated fallopian tubal torsion in a woman without identifiable risk factors and discuss the difficulty of diagnosis. ⋯ Isolated fallopian tube torsion is rare and often difficult to diagnose. Despite ultrasonographic evidence of arterial and/or venous flow to the adnexa, adnexal torsion cannot be ruled out. If clinical suspicion for torsion is high, early diagnosis and treatment via laparoscopy is encouraged as a means of preserving fallopian tube integrity and maintaining fertility, especially in reproductive-age women.
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Fertility and sterility · Jul 2009
Egg donation, surrogate mothering, and cloning: attitudes of men and women in Germany based on a representative survey.
To determine opinions and attitudes of the German general population toward the treatment methods of reproductive medicine: egg donation, surrogate mothering, and reproductive cloning. ⋯ New techniques in reproductive medicine and their development provide hope and health promises for affected couples but also entail long-term risks and ethical issues. Balancing the individual's right to a reproductive autonomy and choice and ethical standards will constitute a future challenge for society. Results demonstrate considerable uncertainty and information deficits in the community.