[Piperacillin in prevention and therapy in gynecological surgery]. / La piperacillina nella profilassi e terapia della chirurgia ginecologica.

The authors have studied the use of sodic piperacillin in surgical gynecological prophylaxis. The drug, used in the intravenous tract, has proved efficacious for broad spectrum of antibacterial action versus gram+, gram-, and anaerobic and aerobic. It has shown an excellent tolerability by reducing hospital surgical infections (11% of cases) and sepsis (9.2% of cases) with social, economic and professional advantages.

[The Pap-test in the study of viral infections of the female genital tract]. / Il pap-test nello studio delle infezioni virali dell'apparato genitale femminile.

The authors underline a synergism of HPV + HSV and HPV + CIN that, together with general immunodeficiency and local factors are responsible for the oncogenesis of cervico carcinoma. This thesis takes on importance after literature reports of an increase of 10% in viral infections from HSV and HPV with a middle incidence of the 1-2% in all the colpocytologic examination cases not in women between 18 and 65 years. To obtain a successful preventive treatment the authors recommend a colpocytologic examination each year, possibly in association with colposcopic, histologic and molecular studies in all HPV positive cases.

[Pap-smear test today]. / Il pap-test oggi.

Remembering the publication of Papanicolau and Traut's monograph in 1943, the authors have realized the use and the spead of the Pap-Smear until the present. They have analyzed the different risks of cervical carcinoma. They think that to obtain a further reduction of the morbidity and the death-rate of such a neoplasia, it is necessary to do a pap-smear examination once a year for women with HPV infection or other risk factors. It is possible in this way, to improve results till the 90%.

[Laparoscopic total hysterectomy and its complications]. / L'intervento di laparoisterectomia totale e sue complicanze.

The Authors base their experiences on 135 total laparohysterectomy operations. Of a sample of 39 cases the postoperative lapses have shown complications with a percentage of 28.87% so divided: 25 infectious complications (18.51%); 9 thrombophlebitis (6.66%); 3 vascular lesions (2.22%); 2 intestinal lesions (1.48%). They end by saying that to have good clinical conduction of such operations it is necessary to respect the specific hygienic and preventive rules.

[Cytological study of an inflammatory type Pap-test]. / Studio citologico su un campione di pap-test di tipo infiammatorio.

The paper reports the results of the study of 900 s of which 630 were of an inflammatory type (70%). The age group most severely affected by phlogosis was that between 35-45 years old with the highest frequency in the group aged between 35-39 years old. Associated pathologies were found in 191 cases (21.2%), with bacterial infections in 101 cases (11.2%), candida in 43 cases (4.8%), T.V. in 17 cases (1.9%), viral infections in 10 cases (1.1%), CIN in 14 cases (1.5%) and malignant tumours in 2 cases (0.22%).

[Changes in sexual behavior of women receiving substitution therapy after surgical menopause and women in physiological menopause]. / Studio delle modificazioni della sessualità tra donne in menopausa chirurgica sottoposte a terapia sostitutiva ed in menopausa fisiologica.

We have made this study with the aim of comparing changes in sexuality between women who are in surgical menopause taking a substitutive therapy and those who are in physiological menopause. We have used a questionnaire instrument. It has been filled in by a physician during an individual conversation with the women. The results showed that sexuality valued through the parameters of satisfaction, coital frequency and desire, has been have penalized in the first group than in the second. It can be said that the trauma linked to hysterosalpingo-oophorectomy provokes alterations in sexuality which are not sufficiently counterbalanced by substitutive estrogenic therapy.

[Short term post-surgical prophylaxis in gynecology. Use of cefonicid]. / Profilassi post-chirurgica "short-term" in ginecologia. Uso del cefonicid.

In this study the Authors have evaluated the use of cefonicid in "short-term" post-surgical prophylaxis in gynecology. No effects, nor alteration to hematochemical parameters related to the administration of this medicine have been observed and the analysis of data shows that the use of cefonicid contributes to reducing the incidence of post-surgical infections in hospital in a cure group compared to a control group.

[Clinical evaluation of endometrial biopsy]. / La valutazione clinica della biopsia endometriale.

This study comprehends evaluation of endometrial biopsy performed between June 1986 and June 1989 in the Obstetric and Gynaecologic Department of Casorate Primo Hospital in fertile, perimenopausal and post-menopausal patients with uterine bleeding. The results show that on a total amount of 459 cases we registered 78 cases of initial abortions, 3 vesicular mola, 300 dysfunctional bleeding, 63 precancerous situations and 15 endometrial cancers. We confirm the diagnostic and prognostic validity of endometrial biopsy carried out with fractional curettage. The opportunity to prevent and diagnose precancerous pathology through a multiple screening is also estimated.

[Extrauterine pregnancy. Critical review of the clinical diagnosis and early echography]. / Gravidanza extrauterina. Revisione critica della diagnosi clinica ed ecografia precoce.

A case of extrauterine pregnancy is reported. After a short review of the literature on the subject, personal experience of early diagnosis is reported and importance is attributed in IUD carriers to menstrual dysrhythmia and pelvic pain. For correct early diagnosis, such symptomatology must be integrated with laboratory tests and pelvic echography.

[Non-stress test. Evaluation of a new scheme for reading the results]. / Non stress test. Valutazione di un nuovo schema di lettura.

The reliability of a new Non-Stress Test reading protocol is assessed. The protocol provides for an assessment time of between 20 and 60 minutes and considers deceleration as an additional parameter to the ones commonly used. The results confirm the importance of both these factors in reducing the number of false positives.