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 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.
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Fertility and sterility · Jul 2009
Laparoscopic management of complicated adnexal masses in the first trimester of pregnancy.
To describe our experiences with laparoscopic management of complicated adnexal masses in the first trimester of pregnancy. ⋯ Operative laparoscopy for complicated adnexal masses performed during early pregnancy is safe and feasible.
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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.