Fertility and sterility
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Fertility and sterility · Jan 1999
Multicenter Study Clinical TrialCan noninvasive diagnostic tools predict tubal rupture or active bleeding in patients with tubal pregnancy?
To evaluate the ability of noninvasive diagnostic tools to predict tubal rupture and active bleeding in patients with tubal pregnancy. ⋯ Because the nonsurgical management of tubal pregnancy should be used only when the risk of tubal rupture and/or active bleeding is low, it can be safely applied in only a limited number of patients.
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Fertility and sterility · Jan 1999
Clinical TrialShould patients who are suspected of having an ectopic pregnancy undergo physical examination?
To determine whether physical examination is useful for patients with suspected ectopic pregnancy (EP) for whom transvaginal sonography is performed and serum hCG levels are measured. ⋯ On the basis of our results, we believe that vaginal digital examination for patients with suspected EP is unnecessary.
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Fertility and sterility · Aug 1998
Randomized Controlled Trial Clinical TrialPostoperative pain control after microlaparoscopy in patients with infertility: a prospective randomized study.
To evaluate the efficacy of intraperitoneal subdiaphragmatic instillation of lidocaine and trocar site infiltration of bupivacaine to minimize postoperative pain after diagnostic microlaparoscopy performed under local anesthesia with conscious sedation. ⋯ Postoperative intraperitoneal lidocaine administration and bupivacaine infiltration of the trocar sites is beneficial for patients undergoing microlaparoscopy. The effect of these drugs is temporary, but they can significantly decrease postoperative pain for approximately 6 hours and reduce the need for additional analgesics. Most important, the rate at which patients can be discharged from the hospital only 2 hours after surgery is increased significantly.
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Fertility and sterility · Jun 1998
Clinical Trial Controlled Clinical TrialMacrophage scavenger receptor(s) and oxidatively modified proteins in endometriosis.
To determine whether cultured human peritoneal macrophages have functional scavenger receptor(s) and whether activation of macrophages in endometriosis may involve an increase in scavenger receptor activity. ⋯ We demonstrate for the first time that human macrophages have functional scavenger receptor(s) and that activation of macrophages in endometriosis involves an increase in scavenger receptor activity. Two lines of evidence indicate the presence of ligands for the scavenger receptor in PF.
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To review the principles and practice of the use of conscious sedation for IVF. ⋯ Conscious sedation appears to be a safe and cost-effective method of providing analgesia and anesthesia for transvaginal retrieval of oocytes.