RESUMEN
To improve enucleation of uterine myomas, we designed a reusable 5-mm laparoscopic drill with a distal forked pin and locking system. Because the device is jointed, it can apply traction not only along its own axis, but also along planes, depending on its bending radius. We compared enucleation time for myomas 5 to 8 cm in size before and after introduction of the drill. The last 23 procedures performed with this instrument were easier, with a reduction in operating time of about 28.5% for the enucleation part of the procedure (p <0.001). (J Am Assoc Gynecol Laparosc 6(2):189-193, 1999)
Asunto(s)
Hemostáticos/administración & dosificación , Laparoscopios , Leiomioma/cirugía , Ornipresina/administración & dosificación , Neoplasias Uterinas/cirugía , Adulto , Análisis de Varianza , Animales , Diseño de Equipo , Seguridad de Equipos , Femenino , Estudios de Seguimiento , Humanos , Inyecciones Intralesiones , Laparoscopía/métodos , Leiomioma/diagnóstico , Persona de Mediana Edad , Probabilidad , Resultado del Tratamiento , Neoplasias Uterinas/diagnósticoRESUMEN
Heart diseases in pregnancy represent the main not-obstetrical cause of death and the fourth in absolute way. Cardiopathies should be diagnosed before pregnancy also to try a possible correct contraception. After discussing the modifications of the cardiovascular apparatus in a healthy pregnant subject, the authors dwell upon the modifications affecting heart patients in pregnancy. Particular attention is given to the therapeutical interruption in pregnant cardiopathic patients.
