3 research outputs found
Laparoscopic microsurgical tubal re-anastomosis: The two-stitch technique
The objective of this study was to determine the effectiveness of the two-stitch unilateral laparoscopic sterilization reversal. Thirty-three patients who had undergone unilateral laparoscopic sterilization reversal between December 2001 and October 2006 were examined. Twenty patients (60.6%) who had had laparoscopic unilateral tubal sterilization reversal achieved an ongoing pregnancy within 1 year of the operation. In vitro fertilization (IVF) was recommended to the other 13 patients, including one patient (3%) who had an ectopic pregnancy. In conclusion, in our study, the pregnancy rate after unilateral two-stitch laparoscopic tubal reversal was 60.6%. In this IVF era, tubal anastomosis will become more popular, causing fewer women to resort to IVF and experience a completely natural conception, making surgery complementary to ART. The number of surgeons skilled in laparoscopic tubal surgery must, therefore, be increased. © 2008 Springer-Verlag
Necrotizing fasciitis in a diabetic patient due to vulvar abscess: A case report
Nekrotizan fasiit, cilt ve ciltaltı fasyası boyunca hızla ilerleyen bir yumuşak doku infeksiyonudur. Kas fasyasının bütünlüğünün çoğu kez bozulmamış olması infeksiyonun derinlemesine yayılmasını önler. Hastalık çoğu kez diabet, ileri yaş, periferik damar hastalığı, beslenme bozukluğu gibi bağışıklık sisteminin zayıfladığı durumlarda görülür. Mortalitesi oldukça yüksek olan bu durumun tedavisi agresif debritman ve geniş spektrumlu antibiyoterapidir. Bu makalede diabetik bir hastada gelişmiş vulva infeksiyonunun, tedavisindeki gecikmeye bağlı olarak, gösterdiği hızlı ilerlemeye dikkat çekmek istiyoruz.Necrotizing fasciitis is an infection which disseminates along the skin and the fascia of the subcutaneous tissue. The integrity of the muscular fascia is always not broken and deep invasion of the infection is rarely seen. Necrotizing fasciitis is usually seen in patients with disease causing immunodeficiency like diabetes, advanced age, peripheral vascular disease and malnutrition. The only treatment option of this highly mortal condition is the debridement of all infected tissues and the use of broad-spectrum antibiotics. In this article, we want to indicate the rapid progression of the vulvar infection in woman with diabetes due to delay of the treatment