جستجوی مقالات مرتبط با کلیدواژه "tubal" در نشریات گروه "پزشکی"

1. 2-1. 4% of all reported pregnancies are ectopic. Ectopic pregnancy (EP) constitutes a major cause of maternal mortality in the first trimester of pregnancy and its incidence is increasing. The aim of this study was to evaluate the trends in management and clinical presentations of tubal ectopic pregnancy. This descriptive-analytical study was conducted on women with tubal ectopic pregnancy who referred to Imam Reza hospital of Kermanshah، Iran during 2007-2011. Demographic information and variables such as maternal age، gestational age، gravidity and parity were collected. Data were analyzed by SPSS software version 16، chi-square، Kolmogorov-Smirnov، ANOVA and Kruskal–Wallis. P value less than 0. 05 was considered significant. The most frequent ectopic pregnancy was observed in the 26-30 years age group. The most of the EP were admitted in 2011 (29%) and the least were in 2007 (15. 5%). 228 patients (57%) were multiparous and thee mean of gestational age was 6. 52±2. 72 weeks. The most common clinical presentation was abdominal pain (74. 0%) and then vaginal bleeding، amenorrhea and shock، respectively. The variables of trends in treatment (p=0. 001) and bleeding (p=0. 03) were statistically significant during the 5 years of study. The most common site of EP was in ampulla (50. 0%) and 227 patients (56. 8%) were treated surgically. The most common method of surgery was salpingectomy (75. 8%). 49. 1% of patients was treated with a single-dose methotrexate protocol were applied. The results showed that patients with EP have been rising during the period of study. The most common clinical presentation was abdominal pain and vaginal bleeding. Trends in the treatment were developed to increase using medical treatment and decrease in surgical treatment.

Ectopic pregnancy is a phenomenon that occurs in 1% of total pregnancies and molar pregnancies are also reported in 1-2 out of 1000 pregnancies. It is too rare that these two events happen simultaneously. In this case report، we introduce a case of molar ectopic pregnancy in fallopian tube. Case report: The patient was a 32 years old nulliparous woman who had primary infertility for five years. She has been under infertility treatment with the diagnosis of polycystic ovarian syndrome. She has not received any medication in few months ago. After a retard of 15 days in her menstrual cycle، she referred to the clinic with a test of βHCG=1400 and complained of hypogastric pain and spotting. Ultra sonography of the uterus and the appendices was normal. The patient had been under supervision with the possibility of ectopic pregnancy and 10 days later، she underwent laparotomy and salpingectomy. The result of pathology was partial mole in tube. βHCG has reached normal after 35 days and has remained normal during one year follow up.

Introduction & Postoperative pain has harmful effects in many systems. Dextromethorphan reduces postoperative pain in post partum tubal ligation under general anesthesia. In this research 40 patients with ASA class I and II in double blind randomized clinical trial were studied in two groups. 90 minutes before surgery the patients received 90 mg dextromethorphan or placebo (oral). The patients induced general anesthesia with thiopental (5mg/kg), fentanyl 1.5 mg/kg and succinylcholin(1-1.5 mg/kg) and maintenance with halothane and N2O 50%. Patients were observed studied for analgesic requirement, nausea, vomiting, urinary retention and respiratory depression in recovery and 2,4,8 and 24 hours after surgery. There was no significant difference in age, education,. .. Pain in recovery, 2 and 4 hours after surgery in dextromethorphan was less than placebo group. The analgesic requirement (pethidine) in dextromethophan was less than placebo group Administration of 90 mg dextromethorphan 90 minutes before the surgery under GA reduces pain in recovery time, 2 and 4 hours after the surgery.

Contraception is a major component of preventive health care for women. Several methods are used for familly planning but tubal ligation (TL) is different from other contraceptives because often it isn’t reversible.Recently,due to decrease in acceptability of TL in women,there are questions on saftey of this method.

The purpose of this stuy was to investigate attitudes and knowledge about tubal ligation and possibility of Post Tubal Ligation Syndrome in women residing in Rasht.

In this study, 403 women were collected with stratified randomized sampling. The data collection instrument consisted of a three-part questionnaire which included:(1) the demographics (2) knowledge level and (3) questions concerning the attitude. We applied the SPSS.9 statistical analysis software and Chi-square tests, pearsonian coefficient. P<0.05 was determined as statistical significance.

The research showed that 45/9% of women have poor knowledge and 21% have negative attitudes about tubectomy. There were significant correlations between the number of children, education level, and information source with level of knowledge (P<0.05). Also, there were significant correlations between variations like education level, information source and contraception methods with level of attitude (P<0.05). Our results showed that 82/1%,41/5% and 21/8% of women believed that Pelvic and Lumbar pain, Menstrual disorders and Ovarian cyst might occur after tubal ligation respectively.

Our research showed that many of women due to fear of tubal ligation complications (Post Tubal Ligation Syndrome) had a negative attitude. It seems that increasing the knowledge of women and more comprehensive studies are necessary for Post- Tubal Ligation syndrome about which there is no consensus yet.

Nowadays tubal ligation(TL) is a safe method for women that its acceptability is increasing. Several methods are suggested for TL. The two major methods include: minilaparotomy and laparoscopy.

The goal of this study is to compare early and late complications of tubal ligation via laparoscopy and minilaparotomy.

This study is a prospective (cohort) study with one-year follow- up of 118 patients who underwent tubal ligation (TL) in Mahdiye Hospital in 1994. Patients were randomly divided into two groups, 90 patients underwent TL via minilaparotomy and 60 patients underwent TL via laparoscopy. In this study, complications of two methods were evaluated and compared. At last, statistical analysis was carried out with spss.9 software and using chi-square test.

There was not any complication during operation in minilaparotomy group,but in laparoscopic group, mesosalpinx rupture and hematoma were seen in one patient (P>0.05). Serosanginous or purulent secretion of incision was observed in 3 cases in minilaparotomy group (4.1%), but this early complication was not observed in laparoscopy group (P>0.05). Menstrual disorders and pelvic pain (2 cases and 1 case respectively) were observed during one-year follow up in minilaparotomy group and these complications were not observed in laparoscopic group (P>0.05).

Considering the lack of significant difference in complications of two mentioned groups and since minilaparotomy is a more expensive procedure than the other one, it is better to apply laparoscopy for TL at more extensive levels.