Obstetrical & gynecological survey
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The use of blood products has come under closer scrutiny over the past decade because of the autoimmune deficiency syndrome. Newer technology has led to the use of component therapy in most situations. ⋯ On the other hand platelets and fibrinogen (via cyroprecipitate) may be underutilized in patients undergoing massive transfusions. The modern clinician must have a keen awareness of the indications of various transfusion modalities so that patients will receive the maximum benefit with minimal risk.
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Cyanotic heart disease has major implications for maternal and fetal well-being during pregnancy. This article reports six patients with cyanotic congenital heart disease recently managed at our institutions. Although the maternal condition deteriorated to some extent during each pregnancy, it was the fetal condition that ultimately dictated delivery in each case.
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Obstet Gynecol Surv · Aug 1989
Review Case ReportsOpioid-addicted parturient, labor, and outcome: a reappraisal.
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Nitrofurantoin has been in clinical use for more than 35 years for the treatment of urinary tract infections (UTIs). In particular, it has been used to treat acute uncomplicated UTIs, recurrent urinary tract infections, and asymptomatic bacteriuria of pregnancy. Most recently, it has been used for both prophylaxis and treatment of nosocomial infections related to urinary tract instrumentation. Nitrofurantoin is being "rediscovered" for urinary tract infections in obstetrics and gynecology because of its continuing safety record and lack of associated R-factor resistance, compared to recently introduced antimicrobials.
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Obstet Gynecol Surv · May 1986
Review Case ReportsGenital rhabdomyosarcoma: current management and review of the literature.
Rhabdomyosarcoma is the most common soft tissue sarcoma in childhood and 20 per cent of these cancers involve the pelvis or genitourinary system. Radical pelvic surgery, such as exenteration, was considered at one time to be the standard treatment for this cancer which carried a very poor prognosis. ⋯ This paper presents a case of rhabdomyosarcoma involving the perineum which was treated by combination chemotherapy of Vincristine, Actinomycin-D, and Cytoxan, followed by wide local excision, interstitial and external beam radiotherapy, and postoperative chemotherapy. The literature on pelvic rhabdomyosarcoma is reviewed and the current approach to treating this cancer using multimodal therapy is discussed.