Seromucinous hamartoma of ethmoid sinus in pediatric patient (case report).

Introduction And Importance: Seromucinous hamartoma is a rare benign glandular proliferation arising from the respiratory epithelium, which was originally described by Baillie and Batsakis in 1974. Since this time, case reports started to be published on SH, as a middle aged and elderly disease, here we report a case of a pediatric patient who found to have SH.

Presentation Of The Case: 2-year-old girl, brought by her parent with a complain of a mass at the right medial canthal area for one year.

Operative laparoscopy for the treatment of localized chronic pelvic-abdominal pain caused by postoperative adhesions.

One hundred fifty-six patients with chronic abdominal pain associated with postoperative adhesions were treated with laser laparoscopy. Eighty-eight percent of these patients had complete relief, 9% had satisfactory relief, and 3% required a second laparoscopy to lyse recurrent adhesions. It is concluded that chronic abdominal pain associated with adhesions can be treated successfully with laser laparoscopy.

Comparison of patient reactions and diagnostic quality for hysterosalpingography using ionic and nonionic contrast media.

Rationale And Objectives: We compared adverse reactions and image quality for hysterosalpingography (HSG) performed with ionic (diatrizoate meglumine combined with iodipamide meglumine [DM + IM]) and nonionic (iohexol) contrast media.

Methods: We performed a study of 95 patients who had HSG and were randomly selected to receive DM + IM or iohexol. Patients reported episodes of abdominal pain and other adverse reactions immediately and 24 hr after the procedure and categorized severity of symptoms on a subjective scale.

The appendix as the cause of chronic lower abdominal pain.

The records of 63 patients who had appendectomy for chronic lower abdominal pain were reviewed. Histologically 92% of the removed appendices revealed abnormality, and 95% of these patients were completely cured. It is concluded that appendicopathy does exist and could be the cause of chronic lower abdominal pain.

Hysterosalpingography after hysteroscopic surgery.

We reviewed pre- and postoperative appearances of the uterine cavity on hysterosalpingography (HSG) in 28 patients who had hysteroscopic surgery. Twelve patients presented with primary infertility and 16 patients with secondary infertility. The uterine abnormalities included synechiae (12), septa (8), submucosal fibroids (7), and polyp (1).

Efficacy of hysterosalpingography in evaluating endometriosis.

Endometriosis is a common disease in young women being evaluated for infertility. Although endometriosis may cause tubal abnormalities on hysterosalpingography, efficacy of radiographic evaluation in this disease is not clear. We reviewed the radiographic and laparoscopic examinations in 50 women being studied for infertility.

Postoperative hysterosalpingography. Radiographic appearances and clinical results following tubal surgery.

Medical records and postoperative hysterosalpingograms on 23 women following tubal surgery who failed to become pregnant within 2-28 months were reviewed. A total of 39 tubes were analyzed. The surgical indications were reversal of tubal ligation in 24 tubes and correction of tubal or perifimbrial disease in 15 tubes.

Short hospital stay for gynecologic reconstructive surgery via laparotomy.

Objective: To evaluate the short hospital stay for different gynecologic reconstructive procedures performed by laparotomy.

Methods: Two hundred twelve patients who had tubal reanastomosis, 124 who had salpingoneostomy, and 148 who had myomectomy were studied retrospectively. The study evaluated pregnancy rates, adhesion formation, discomfort, and complications in each group.

Comparison of different treatment methods of endometriomas by laparoscopy.

In a prospective study designed to evaluate four methods of endometrioma treatment by laparoscopy, 26 patients had the endometriomas excised, 24 had them opened and the lining stripped off, 30 had them opened and the lining evaporated by CO2 laser, and 44 had them opened and drained. Only women who had laparoscopy because of pelvic pain and who had no immediate desire for pregnancy were included in this study. Those who did not undergo a second-look laparoscopy were excluded.

Comparison between laparotomy and operative laparoscopy in the treatment of moderate and severe stages of endometriosis.

A retrospective study was designed to compare the results of treatment of moderate and severe stages of endometriosis by laparotomy and by laparoscopy. Patients were divided into three groups: the first consisted of 42 patients treated by laparotomy followed immediately with danazol treatment for 6-9 months; the second, 44 patients treated by operative laparoscopy followed immediately with danazol treatment for 4-6 months; and the third, 62 patients treated by operative laparoscopy followed immediately with danazol treatment for 6-10 weeks. The cumulative pregnancy rate in the laparoscopy groups was better than that of the laparotomy group.

Spontaneous abortions in women with endometriosis.

Pregnancy outcomes were evaluated retrospectively in 350 women to investigate the relationship between endometriosis and spontaneous abortions. The frequency of spontaneous abortions in women with endometriosis was significantly higher than in both a fertile nonendometriosis group and an infertile group with tubal disease. There was no correlation between the severity of the endometriosis and the frequency of spontaneous abortions.

Comparison of different modalities of treatment for minimal and mild endometriosis.

This is a retrospective study designed to compare the results of treatment of minimal and mild types of endometriosis with danazol alone, operative laparoscopy and danazol combined, and operative laparoscopy alone. The population consisted of 112 patients with minimal endometriosis and 126 patients with the mild type. Pregnancy rate and endometriosis resolution were lowest in patients who were treated with danazol alone and highest in patients treated with operative laparoscopy alone.

The diagnostic value of hysterosalpingography and laparoscopy in infertility investigation.

Four hundred and twenty infertile patients had hysterosalpingography (HSG) and laparoscopy as a part of their infertility workup. A comparison of HSG and laparoscopy findings was carried out to study the diagnostic value of each of these two procedures. It was found that the accuracy in the diagnosis of tubal patency or tubal blockage was quite similar for both procedures.

Serum CA-125 in the evaluation of benign adnexal cysts.

Because serum CA-125 concentrations are increased in women with endometriosis, our objective was to determine whether CA-125 levels could be used to differentiate endometriotic from nonendometriotic benign cysts. During a 2-year period, all women who had an endometrioma (n = 33) or a nonendometriotic cyst (n = 27) that was greater than or equal to 4 cm were included. Serum CA-125 levels were measured by an immunoradiometric assay, and the mean concentrations in women with an endometriotic cyst increased as the diameter of the cyst increased.

Prevention of pelvic adhesion formation by different modalities of treatment.

This prospective study was designed to investigate the effect of glucocorticoids, promethazine (Phenergan), hyskon, heparin, and Ringer's lactated solution in the prevention of pelvic adhesion formation after pelvic surgery. The patients were divided into two groups: The first consisted of 396 patients who had laparotomy for different types of pelvic surgery, and the second group consisted of 546 patients who had operative laparoscopy for different types of pelvic disease. Patients in these two major groups were divided prospectively into different subgroups with different modalities of adjuvant therapy to prevent postoperative pelvic adhesions.

The diagnostic value of hysterosalpingography and hysteroscopy in infertility investigation.

Four hundred infertile patients had hysterosalpingography and hysteroscopy as part of their infertility workup. A comparison between the findings of these two procedures was carried out to study their diagnostic value in female infertility investigation. It was found that hysterosalpingography was as accurate as hysteroscopy in the diagnosis of normal or abnormal uterine cavities while the nature of the intrauterine filling defects was accurately revealed by hysteroscopy only.

Serum CA-125 antigen levels increase during menses.

Serum CA-125 antigen levels were measured by radioimmunoassay before and during menses in women with and without endometriosis. Mean CA-125 levels were significantly increased in both groups during menses. Samples obtained during menses represent a potential source of elevated levels and false positive results.

Comparison between tubouterine implantation and tubouterine anastomosis for repair of cornual occlusion.

Forty-four patients with partial or complete cornual occlusion of their tubes had undergone microsurgical repair in the form of either tubouterine implantation or tubouterine anastomosis. Eighteen of these patients had undergone the implantation procedure and 26 the anastomosis procedure. None of the patients in the implantation group had previous tubal sterilization, while in the anastomosis group 16 had tubal cauterization and 10 had other causes blocking the cornual end of their tubes.

The use of CA-125 in the diagnosis and management of endometriosis.

CA-125, a cell-surface antigen, was measured by a radioimmunoassay in the serum of 414 women to determine its potential usefulness in the diagnosis and management of endometriosis. In women with minimal, mild, moderate, and severe endometriosis, the mean levels (+/- standard deviation) were 13.6 +/- 6.

Comparison between abdominal and hysteroscopic metroplasty.

Thirty-three patients were diagnosed by hysterosalpingography and laparoscopy as having septate uteri, which were assumed to be responsible for their infertility, recurrent abortions, or premature labor. Fourteen of these had Tompkins metroplasty (group 1) while the other 19 had their repairs done by hysteroscopic metroplasty (group 2). Post-operative hysterosalpingography for patients in group 1 revealed normal uterine cavities in 72%, incomplete septum excision in 14%, and intrauterine filling defects in 14%.

Endometriosis and the infertile patient.

Approximately one-third of all patients who suffer from endometriosis may not be able to conceive. More than 10% of infertile patients have endometriosis as the causative factor of their infertility. The stressful effect of infertility on the couple's life may be devastating.

Comparison of tubal surgery with the CO2 laser and the unipolar microelectrode.

The uterine horns of 40 New Zealand White female rabbits were resected and anastomosed to compare microsurgical anastomosis of the horns excised with microscissors, with a laser, and with a microelectrode. The rabbits were divided into four groups. In the first group of ten rabbits, 3 cm of tissue was resected by microscissors from each uterine horn; the cut ends were then anastomosed in one layer with 8-0 Vicryl sutures using the operating microscope.