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Biomedical subjects

R W Cali

Publications and source records attributed to R W Cali.

5 recordsLinked to original sources

Estrogen replacement therapy--boon or bane? Current status of the controversy.

The three primary indications for estrogen replacement therapy in postmenopausal women are severe vasomotor symptoms (hot flashes), prevention or treatment of osteoporosis, and atrophy of the genital tract. Estrogen replacement therapy is well established as reducing the morbidity and mortality associated with osteoporosis. The increased incidence of endometrial cancer associated with estrogen use (from 1/1,000 to 4/1,000 per year) must be accepted and viewed in perspective. Many of these estrogen-related cancers are stage I lesions, with a cure rate of 95%. In addition, the risk associated with estrogen replacement therapy can be reduced by coadministration of a progestogen during the last ten days of the cycle.

Adult

Laparoscopy.

It has been the purpose of this presentation to detail a safe technique for performance of laparoscopy. Emphasis has also been placed on potentially serious complications and how they can be avoided. This procedure employs highly technical equipment, and the surgeon should have formal training in the technique. It is essential to have an in-depth knowledge of the use of optics, electrical principles, gas under pressure, and the physiologic changes that occur when carbon dioxide is placed in the abdominal cavity. Above all, the surgeon must adhere rigidly to guidelines for appropriate technique. Deviation will most assuredly result in complications and even death.

Anesthesia, General