Obstetrics and gynecology
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Obstetrics and gynecology · Nov 2000
Comparative StudySymptomatic nephrolithiasis complicating pregnancy.
To review our experiences with diagnosis and management of symptomatic nephrolithiasis complicating pregnancy and to ascertain the efficacy of renal sonography for initial diagnosis compared with plain x-rays or single-shot intravenous pyelography. ⋯ Although the convenience and safety of ultrasonography to initially diagnose nephrolithiasis are indisputable, 40% of calculi were missed when this method alone was used. Thus, if nephrolithiasis is still suspected clinically despite ultrasonographic findings, single-shot pyelography is recommended.
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Obstetrics and gynecology · Nov 2000
Case ReportsDecompression of fetal cardiac tamponade caused by congenital capillary hemangioma of the pericardium.
Isolated fetal pericardial effusion is rare but has been associated with various cardiac masses. Decompression in utero might prolong the pregnancy. ⋯ Isolated fetal pericardial effusion can be caused by capillary hemangioma of the pericardium despite lack of any mass on ultrasound. Decompression of pericardial effusion in utero might relieve fetal cardiac tamponade and extend pregnancy.
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Obstetrics and gynecology · Jul 2000
Hemostatic suturing technique for uterine bleeding during cesarean delivery.
If medical management is unsuccessful in controlling postpartum hemorrhage, conservative surgical intervention or cesarean hysterectomy is required. ⋯ Hemostatic multiple square suturing is an easy, safe, conservative surgical alternative to hysterectomy for treating uncontrollable postpartum hemorrhage.
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To determine the clinical use and associated costs of routine postoperative hematocrit after elective gynecologic surgery. ⋯ Routine postoperative hematocrit in asymptomatic women after uncomplicated elective gynecologic surgery did not improve outcome.
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Obstetrics and gynecology · May 2000
Risk factors for hypercarbia, subcutaneous emphysema, pneumothorax, and pneumomediastinum during laparoscopy.
To determine independent predictors for the development of hypercarbia, subcutaneous emphysema, pneumothorax, and pneumomediastinum during laparoscopy. ⋯ Longer operative times, higher maximum measured end-tidal CO(2), greater number of surgical ports, older patient age, and Nissen fundoplication surgery predispose patients to hypercarbia-related complications during laparoscopy.