[Surgical treatment of varicocele and associated pathology using the inguinal approach: 32 cases, 3-year follow-up].
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Biomedical subjects
Publications and source records attributed to A Venturini.
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The authors examine the various biometrics parameters evidentiable at the 13th week of pregnancy, which is so important age for the limits imposed by the law 194, that regulates the legal abortion. These findings are studied as for their evidentiability and their diagnostic predictivity aiming to single out the most reliable. As for the results obtained examining the singular parameters, the authors conclude that the goal of the echographist is to search for the fetal CRL and BPD: they are characterised of an optimum predictivity and a good evidentiability, besides they provide direct data about the embryo dimensions. If these measurements are not evidentiable the operator can base his diagnosis on the other parameters that do not refer directly to the embryo. At last the authors sustain that who carried out the ultrasound examination should not "force" the diagnosis trying to establish the gestational age with excessive exactness; on the contrary he must limit himself to provide the evidentiable biometric values, indicating the minimum and the maximum age that is compatible with them. It is up to the physician who performs the termination of pregnancy to draw the correlations about the gestational age.
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The Authors have carried out this survey aiming at having at their disposal biometric indexes to be used in the dynamic and functional study of the female genitalia, since the purely anatomic data cannot be correlated white absolute certainty to the ultrasound data. The survey has been carried out on 42 women of an age between early childhood and late menopause. The patients in their fertile age were examined every other day, from the 10th day of the menstrual cycle; women in menopause or in their pre-puberal age were examined only once, to a total of 158 scans. In each woman the linear and volumetric measurement of the uterus, ovary, ovarian follicle and of the tube has been studied. The results were in conformity with those already reported in the literature.
Thanks to the continuous progress of the ultrasound scanning in obstetrics it is now possible to see the gestation sac already the 5th week of the pregnancy. Aiming to simplify the methods, of the past, the authors suggest the utilisation of a very simple but at the same time extremely accurate methodology to measure the volume of the gestational sac. The comparison between the data which have been obtained with this study and those reported in the literature showed a substantial uniformity, though the results came from different procedure. At the end of the study, the uses of this parameter as well as its application in the solution of that particular problem in the ultrasound diagnosis which is the "blighted ovum" are explained.
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