Recurrence of metastatic trophoblastic disease after negative, plasma human chorionic gonadotropin beta-subunit assay.
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Biomedical subjects
Publications and source records attributed to P McComb.
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Three froms of 10-0 microsuture-monofilament polyglactin-910, polyethylene and nylon-were tested for histologic reaction. Polyglactin had the least long-lived reaction.
The charts of 24 pregnant women subjected to laparotomy for acute appendicitis are reviewed. The correct diagnosis was made preoperatively in 19 (79%). Complications were predominantly associated with perforation of the appendix in the third trimester. Early diagnosis and surgical intervention are stressed. Improved perinatal care allows more aggressive management in acute appendicitis complicating late pregnancy.
Plasma prolactin, estradiol, progesterone, and testosterone, but not HCG-beta levels, were higher in a patient who developed the ovarian hyperstimulation syndrome while undergoing ovulation induction with human gonadotropins than in two other women who also became pregnant after similar treatment without complications. These results suggest that hyperprolactinema, in association with elevated ovarian steroid levels, may be factors in the pathogenesis of this disorder.
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The correlation between the length of the oviduct and degree of fertility was studied in 16 New Zealand White rabbits subjected to microsurgical resection of differing lengths of fallopian tube involving the isthmus in each case. A highly significant (P less than 0.005) linear correlation was found, suggesting that more than 47% of an oviduct must remain distally before fertility can be anticipated. Absence of the isthmic segment of the fallopian tube was found to be associated with supracervical fetal implantations in the uterus. The importance of the assessment of tubal length as a prelude to reconstructive surgery, especially for reversal of sterilization, is emphasized.
The importance of periadnexal adhesions as cause in female infertility is widely recognized. The incidence of salpingo-ovariolysis (in the absence of tubal obstruction) has been reported as being 35% of the surgical procedures to promote fertility. In addition, one of the important causes of failure of reconstructive fertility surgery is related to postoperative adhesions (either reformed of formed de novo). Adhesions may encapsulate the ovary and/or the terminal end of the oviduct; they may disturb the physiologic spatial, relationship between the fimbriae and ovary and thus impair ovum pick up. Adhesions may also disturb ovarian function decreasing the number of ovulations. The importance of postoperative adhesions is evident also by the vast numbers of studies, published on this subject in the last decade.