This study analyzes the changes in cardiopulmonary parameters of patients undergoing laparoscopic cholecystectomy. No change was observed in EtCO2, PaCO2 or pH in either of these two patients during the course of surgery. After the introduction of transvaginal ultrasound guided recovery of oocyte, the use of laparoscopy in Assisted Reproductive Technology is limited to GIFT and ZIFT or TET method and to the selection of patients.
Six healthy females with normal preoperative cardiopulmonary status were selected for laparoscopic surgery using the same criteria as for traditional cholecystectomy. Respiratory and cardiovascular parameters were collected and compared prior to peritoneal insufflation and just before desufflation.
Patients experienced significant elevations of arterial and end-tidal CO2, accompanied by decreased pH. Bicarbonate concentration, blood pressure and pulse rate remained constant. Based on these results, and on our laboratory investigations, we have introduced helium as an alternate agent for insufflation, and present the data from the first two patients so managed. Thirteen patients affected by endometriosis have been treated with GnRH analogue Buserelin. CA-125 serum levels have been monitored before, during and after treatment.
We conclude that hypercarbia occurs in those undergoing laparoscopic cholecystectomy with CO2 insufflation. This acidosis requires compensation by increased minute ventilation to prevent decline in pH. Ovarian pathology has been more and more treated by a laparoscopic approach. In this paper, the risks and complications of the operative laparoscopy in the different forms of ovarian pathology.
In our initial experience, helium did not produce these changes, and therefore merits further investigation as an alternate agent for abdominal insufflation. In the last few years, the improvements of the operative laparoscopy have led to the use of these techniques as an alternative to traditional surgical approaches.
Analysis of data suggests the hypothesis of an individualized follow up by means of repeated assays of CA-125 and their reference to pre and post treatment graphs. This case report describes a woman who was admitted to the hospital one week before term to an elective cesarean section because of two previously cesarean sections.
Her present pregnancy was uneventful, the CTG on admission was normal. During the operation preformed in epidural anesthesia the uterus was found to have rotated 180 degrees to the right. The two benefits are for nurses education, and for elaboration of a clinic of aesthetic. Two cases illustrate psychotherapeutic aspects of surgical intensive cares for psychiatric patients.
It was easily rotated back to its normal position before a transversal incision was made in the lower uterine segment. Further the authors describes the role of ultrasound in making the diagnosis. The authors emphasize the importance of reconstructing the normal anatomy making the uterine incision in order not to damage the uterine vessels.
In this paper the Authors discuss about these methods, the advantages of tubal gametes or embryos transfer versus uterine transfer. Work of collection of productions made in workshops of expression constitute a specific need for evaluation in art-therapy. The Mediatised Observation is completed by special validated (K-test) and built instruments of description for productions from each mediation (paintings, writings, music...) and for observed behaviours in situ during therapeutic work of creation. Comparison with their style of expression in art-therapy allows a better understanding in their relations with the technical and non human environment. Prolonged administration of neuroleptic drugs increases the density of dopamine D2 receptors in several brain regions.