ADVANCES IN OBSTETRICS AND GYNECOLOGY
Online ISSN : 1347-6742
Print ISSN : 0370-8446
ISSN-L : 0370-8446
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Volume 47, Issue 3
Displaying 1-6 of 6 articles from this issue
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  • Autologous blood donation in a pregnant woman with total placenta previa
    Ichiro KUNISHIGE, Kazuo MASUHIRO, Kaoru MARUO, Tetsu TAKAGI
    1995 Volume 47 Issue 3 Pages 365-372
    Published: May 01, 1995
    Released on J-STAGE: July 05, 2011
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.47.365
    JOURNAL FREE ACCESS
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    We report autologous blood donation for a pregnant woman with total placenta previa. A 32 -year-old primipara female underwent elective cesarean section due to total placenta previa. From 3 weeks prior to the planned date of cesarean section, 300ml of blood was collected every week and a total of 900ml of blood was stored. During drawing blood, the patient was placed under observation of the fetal heart rate, uteroplacental Doppler waveform patterns and uterine contractions. No uterine contractions, abnormal patterns of fetal heart rate and Doppler waveform were seen. Finally the decrease in hemoglobin of the patient was 0.3g/dl. Under monitoring of kinetics of the iron metabolism, the patient was placed on a supplementation of elemental iron suitably in hospital. While intraoperative blood transfusion was not required, the patient became anemic and complained of malaise 3days after the operation. Then the patient received transfusion of a total of 300ml of the autologous blood. After the transfusion, the general condition of the patient was improved. We advocate that autologous blood donation in obstetrics is safe and advantageous for a part of pregnant woman with high risk for obstetrical hemorrhage. [Adv Obstet Gynecol 47 (3); 365-372, 1995 (H7.5)]
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  • Treatment of ovarian endometrioma by laparoscopy
    Akira OHARA, Ayako SUZUKI, Izuru TAMURA, Yuko TSURUTA, Hiroyuki FURUKA ...
    1995 Volume 47 Issue 3 Pages 373-378
    Published: May 01, 1995
    Released on J-STAGE: July 05, 2011
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.47.373
    JOURNAL FREE ACCESS
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    From January 1990 to December 1993, 24 infertile patients with ovarian endometriomas were treated laparoscopically. Eleven of the 24 patients were treated with simple aspiration of the endometrioma, while aspiration plus ethanol injection of the tumor was performed in the other patients. The pregnancy rate and the recurrence rate in the former group were respectively 45.5% and 54.5%, while those of the latter group were respectively 38.5% and 15.4%. Comparing pregnant with non-pregnant patients, the maximal cyst diameter, revised AFS score, and adhesion score were greater in the non-pregnant patients, but the difference was not significant. The pregnancy rate in these 24 patients was twice that in the 21 patients treated with laparotomy, but the difference was not statistically significant. It is concluded that laparoscopy provides effective treatment of ovarian endometrioma. [Adv Obstet Gynecol 47 (3); 373-378, 1995 (H7.5)]
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  • Ovarian cancer arising in women with a child-bearing desire : Report of two cases
    Yoshihiko NANBU, Nobuya TATSUMI, Ippei KASHU
    1995 Volume 47 Issue 3 Pages 379-387
    Published: May 01, 1995
    Released on J-STAGE: July 05, 2011
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.47.379
    JOURNAL FREE ACCESS
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    Even in the infertility clinic, it is important to be aware of the possible presence of malignant tumors of the female genital tract.
    We report two cases of ovarian cancer found in women with a child-bearing desire. Case 1 is in a 40-year-old woman who visited our hospital with a complaint of infertility for the past 15 years. Pelvic examination and transvaginal ultrasonography revealed no abnormal findings in the uterus or either ovary, but vaginal smear was class IV. Hysteroscopy and endometrial curettage disclosed no malignant findings, but, repeated transvaginal ultrasonography for three months detected an ovarian mass with ascites, and cul -de-sac aspiration cytology was positive. Exploratory laparotomy revealed stage III c ovarian serous cystadenocarcinoma with metastases in the uterus, omentum, and rectal wall. Case 2 is in a 31-year-old housewife who consulted us with infertility for 6 months after her marriage. Pelvic examination and transvaginal ultrasonography revealed no abnormal findings, but subsequent ultrasonography revealed a cystic lesion in the left ovary. Then she became pregnant but had a miscarriage. After the abortion, an ovarian mass with ascites was demonstrated by ultrasonography, and a cul-de-sac aspiration cytology was positive. Laparotomy revealed a stage Ic ovarian serous tumor of borderline malignancy. Repeated transvaginal ultrasonography with cul-de-sac aspiration cytology is useful to detect ovarian cancer in women with infertility. [Adv Obstet Gynecol 47 (3); 379-387, 1995 (H7.5)]
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  • [title in Japanese]
    1995 Volume 47 Issue 3 Pages 388-421
    Published: May 01, 1995
    Released on J-STAGE: July 05, 2011
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.47.388
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    1995 Volume 47 Issue 3 Pages 422-429
    Published: May 01, 1995
    Released on J-STAGE: July 05, 2011
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.47.422
    JOURNAL FREE ACCESS
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  • [title in Japanese]
    [in Japanese]
    1995 Volume 47 Issue 3 Pages 430-439
    Published: May 01, 1995
    Released on J-STAGE: July 05, 2011
    DOIhttps://doi.org/10.11437/sanpunosinpo1949.47.430
    JOURNAL FREE ACCESS
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