Transvaginal-laparoscopic anterior rectum resection in a hysterectomized woman with deep-infiltrating endometriosis: Description of a gynecologic natural orifice transendoluminal surgery approach

Deep-infiltrating endometriosis may affect the vagina, the rectum, and the cervicoisthmic part of the uterus, resulting in severe pain, particularly dyschezia, dysmenorrhea, dyspareunia, and diminished quality of life. Advanced surgical techniques, such as laparoscopic-assisted anterior rectum resection, are recognized as safe and effective therapeutic approaches. In some cases, a laparotomy or minilaparotomy has to be performed for technical reasons. This can be avoided in some cases by transvaginal-laparoscopic low anterior rectum resection. The technique is a 4-step procedure, which can be described as follows: step 1 (vaginal) - rectovaginal examination, preparation of the rectovaginal septum, opening of the pouch of Douglas, mobilization of the endometriotic nodule and the rectum, temporary vaginal closure; step 2 (laparoscopic) - removal of additional endometriotic lesions, adhesiolysis, final mobilization of the rectum, mobilization of the rectosigmoid, endoscopic resection using an endoscopic stapler step 3 (vaginal) - transvaginal resection of the lesion, preparation of the oral anvil, closure of the vagina; and step 4 (laparoscopic) - endoscopic transanal stapler anastomosis and underwater rectoscopy, prophylaxis of adhesions, drainage. We used this procedure to treat a 46-year-old woman (gravida 2, para 2) who was admitted to our hospital for severe lower abdominal pain, constipation, dyspareunia, dyschezia, and cyclic rectal bleedings. The symptoms were caused by an endometriotic nodule accompanied by a palpable rectum stenosis. In addition, she reported a past abdominal hysterectomy with complications caused by symptomatic myomatous uterus. As a gynecologic natural orifice surgery approach, the transvaginal-laparoscopic anterior rectum resection may be an additional useful surgical technique that could be offered by surgical gynecologists to some women with deep-infiltrating endometriosis

Azathia crown ethers carrying pyrene pendant as receptor molecules for metal sensor systems

A series of crown ethers carrying a pyrene group with nitrogensulfur donor atoms, that differ in having three, four and five sulfur atoms in the macrocycle was designed and synthesized by the reaction of the corresponding macrocyclic compound and 1-bromomethylpyrene. The influence of metal cations such as Mn 2+, Fe2+, Fe3+, Co2+, Ni 2+, Cu2+, Zn2+, Cd2+, Hg 2+, Pb2+ and Al3+ on the spectroscopic properties of the ligands was investigated in acetonitriledichloromethane (1:1) by means of absorption and emission spectrometry. Absorption spectra show isosbestic points in the spectrophotometric titration of Fe2+, Zn2+, Cu2+, Pb2+ and Hg2+. The results of spectrophotometric titration experiments disclosed the complexation compositions and complex stability constants of the novel ligands with Fe 2+, Zn2+, Cu2+, Pb2+ and Hg 2+ cations. The monoazatetrathia crown ether showed good sensitivity for Cu2+ with linearity in the range 5.0×10-72. 5×10-6 M and detection limit of 1.6×10-8 M. © 2010 Elsevier B.V

Complexation of metal ions with the novel diazadithia crown ether carrying two anthryl pendants in acetonitrile-tetrahydrofuran

A new crown ether carrying two anthryl groups with nitrogen-sulfur donor atom was designed and synthesized by the reaction of the corresponding macrocyclic compound and 9-chloromethyl anthracene. The influence of metal cations such as Al3+, Zn2+, Fe2+, Fe3+, Co2+, Ni2+, Mn2+, Cu2+, Cd2+, Hg2+ and Pb2+ on the spectroscopic properties of the ligand was investigated in acetonitrile-tetrahydofuran solution (1/1) by means of absorption and emission spectrometry. Absorption spectra show isosbestic points in the spectrophotometric titration of Fe2+, Fe3+, Al3+, Cu2+ and Hg2+. The results of spectrophotometric titration experiments disclosed the complexation stoichiometry and complex stability constant of the novel ligand with Fe2+, Fe3+, Al3+, Cu2+and Hg2+cations. The presence of excess amounts of Al3+, Zn2+, Fe2+, Fe3+, Co2+, Ni2+, Mn2+, Cu2+, Cd2+, Hg2+ and Pb2+ cations caused an enhancement of anthryl fluorescence. The ligand showed good sensitivity for Zn2+ with respect to other metal cations with linear range and detection limit of 1. 4 × 10-7 to 4. 1 × 10-6 M and 1. 0 × 10-8 M respectively. © 2009 Springer Science+Business Media B.V

Complexation of metal ions with the novel azathia crown ethers carrying anthracene pendant in acetonitrile-dichloromethane

A series of crown ethers carrying an anthracene group with nitrogen-sulfur donor atom, which differ in having three, four and five sulfur atoms in the macrocycle was designed and synthesized by the reaction of the corresponding macrocyclic compound and 9-chloromethyl-anthracene. The influence of metal cations such as Al3+, Zn2+, Fe2+, Fe3+, Co2+, Ni2+, Mn2+, Cu2+, Cd2+, Hg2+ and Pb2+ on the spectroscopic properties of the ligands was investigated in acetonitrile-dichloromethane (1:1) by means of absorption and emission spectrometry. Absorption spectra show isosbestic points in the spectrophotometric titration of Al3+, Zn2+, Fe2+, Fe3+, Cu2+, Hg2+ and Pb2+ the results of which disclosed the complexation compositions and complex stability constants of the novel ligands with these cations. The monoazapentathia crown ether showed sensitivity for Al3+ with linear range and detection limit of 2.6 × 10-6 M-2.6 × 10-5 M and 8.1 × 10-7 M, respectively. © 2009 Elsevier Ltd. All rights reserved

Complexation of metal ions with double-armed diazadithia lariat ether carrying anthracene moieties in acetonitrile-dioxane

A new 14-membered crown ether with nitrogen-sulfur donor atom carrying two anthryl groups was designed and synthesized by the reaction of the corresponding macrocyclic compound and 9-(chloromethyl) anthracene. The influence of metal cations such as Al3+, Zn2+, Fe2+, Fe3+, Co2+, Ni2+, Mn2+, Cu2+, Cd2+, Hg2+ and Pb2+ on the spectroscopic properties of the ligand was investigated in acetonitrile-dioxane solution (1/1) by means of absorption and emission spectrometry. The results of spectrophotometric titration experiments disclosed the complexation stoichiometry and complex stability constant of the novel ligand with Fe2+, Fe3+, Al3+, Cd2+, Cu2+, Zn2+, Pb2+ and Hg2+ cations. Absorption spectra show isobestic points in the spectrophotometric titration of these cations. The presence of excess of Al3+, Zn2+, Fe2+, Fe3+, Co2+, Ni2+, Mn2+, Cu2+, Cd2+, Hg2+ and Pb2+ cations caused an enhancement of anthryl fluorescence. Especially, the enhancement in case of the interaction of Hg2+ and Al3+ cations with the ligand was pronounced. © Springer Science+Business Media B.V. 2010