Obstetrics and Gynaecology Forum - Volume 13, Issue 3, 2003
Volume 13, Issue 3, 2003
Endometriosis : laparoscopic excision or electro-coagulation / laser vaporization? : guest editorialAuthor S. VolschenkSource: Obstetrics and Gynaecology Forum 13 (2003)More Less
Extracted from text ... GUEST EDITORIAL Obstetrics & Gynaecology Forum - August 2003 1 Endometriosis: Laparoscopic excision or electro-coagulation/ laser vaporization? cessfully by superficial electro-coagulation or laser vaporisation? This will invariably lead to incomplete surgery, which will lead to further repeated laproscopic procedures, which in turn will ultimately lead to aggravation of already upward spiralling health care costs. So, what is the better alternative to electro-coagulation or laser vaporisation? The answer seems to be conservative laproscopic excision of endometriosis by sharp dissection; either with scissors, excision using laser or excision using electro-surgical techniques. The reasons seem obvious. Firstly, we will know that what ..
Source: Obstetrics and Gynaecology Forum 13, pp 6 –10 (2003)More Less
Extracted from text ... REVIEW ARTICLE Obstetrics & Gynaecology Forum - August 2003 6 The role of radiation therapy in epithelial ovarian cancer a) surgical and pathological stage b) histological differentiation grade c) postoperative residuum d) adjuvant therapy e) age These factors will be discussed individually. Surgical effort Surgical diagnosis, complete staging and surgical excision of all operable disease remain an essential first requisite. It has been demonstrated beyond doubt that maximal surgical effort, leaving behind tumour deposits as little and as small as possible, is an important predictor of outcome and an independent prognostic factor. The optimal surgical result remains 'no visible ..
Author H. LombaardSource: Obstetrics and Gynaecology Forum 13, pp 11 –15 (2003)More Less
Extracted from text ... REVIEW ARTICLE Obstetrics & Gynaecology Forum - August 2003 11 Current status of HPV screening The early protein's function in viral replication and transcription: E1: Required for viral episomal replication E2: Transcriptional regulatory activities and interaction with E1 facilitates its function. E4: Function not well understood. E5: E6: Interact with cellular replication machinery to facilitate viral replication. E7: Viral-transforming activity is also associated with these proteins. Infection is initiated in the nucleus of epithelial cells with circular (episomal) form of the virus. Productive viral infection requires episomal replication. Viral integration into cellular chromosomes disrupts the viral life cycle and ..
Source: Obstetrics and Gynaecology Forum 13, pp 16 –20 (2003)More Less
Extracted from text ... REVIEW ARTICLE Obstetrics & Gynaecology Forum -August 2003 16 The immunology of pre-eclampsia: a few key concepts between monozygous twins and other evidence implicating the fetal and therefore the paternal genotype.3-7 Primipaternity is now an accepted risk factor for pre-eclampsia. The risk of primipaternity is qualified, however, by the duration of maternal exposure to paternal antigens through unprotected intercourse and oral sex prior to pregnancy.8, 9The risk for pre-eclampsia is also greater when the male partner from a pre-eclamptic pregnancy fathers a child with another woman. The concept of the "highrisk" male has thus been created. Despite these clear ..
Author Helga M. De MuelenaereSource: Obstetrics and Gynaecology Forum 13, pp 22 –26 (2003)More Less
Extracted from text ... CASE REPORT Obstetrics & Gynaecology Forum - August 2003 22 Advanced abdominal pregnancy and preeclampsia: a case report and literature review Introduction Advanced abdominal pregnancy is a rare form of extra-uterine pregnancy, representing 1,6% of ectopic pregnancies.1 An abdominal pregnancy is defined as an ectopic pregnancy that implants in the peritoneal cavity; tubal, ovarian and intraligamentary pregnancies are excluded. 2 The earliest description of an advanced abdominal pregnancy was recorded by an Arab surgeon in 1000AD. In 1500, a Swiss pig farmer performed a laparotomy on his wife, and both mother and baby survived. The incidence varies between 1 in 402 to 1 in 50 200 deliveries in developing countries, and 1 ..
Source: Obstetrics and Gynaecology Forum 13 (2003)More Less
Extracted from text ... CPD QUESTIONNAIRE Obstetrics & Gynaecology Forum - August 2003 28 Subscribe to the O&G Forum CPD Programme and earn 16 CPD points per year CPD reference number A008/326/02/2003 Continuing Professional Development Point Questionnaire Accredited by the Wits CPD Office 1. The relative risk for development of cervical cancer given HPV detection typically ranges between 20 and 70. 2. The strains associated with HSIL and invasive carcinoma is 16, 18, 31, 51, 52, and 58. 3. The peak insidince is noted in the age group 30- 34 years, gradually declining to an age 40-45 years. 4. The sensitivity of Hybrid ..