oalib

Publish in OALib Journal

ISSN: 2333-9721

APC: Only $99

Submit

Search Results: 1 - 10 of 24 matches for " Reitan;Trippia "
All listed articles are free for downloading (OA Articles)
Page 1 /24
Display every page Item
Endometriose profunda infiltrativa: distribui??o anat?mica e tratamento cirúrgico
Kondo, William;Ribeiro, Reitan;Trippia, Carlos;Zomer, Monica Tessmann;
Revista Brasileira de Ginecologia e Obstetrícia , 2012, DOI: 10.1590/S0100-72032012000600007
Abstract: purpose: to evaluate the anatomical distribution of deep infiltrating endometriosis (die) lesions in a sample of women from the south of brazil. methods: a prospective study was conducted on women undergoing surgical treatment for die from january 2010 to january 2012. the lesions were classified according to eight main locations, from least serious to worst: round ligament, anterior uterine serosa/vesicouterine peitoneal reflection, utero-sacral ligament, retrocervical area, vagina, bladder, intestine, ureter. the number and location of the die lesions were studied for each patient according to the above-mentioned criteria and also according to uni- or multifocality. the statistical analysis was performed using statistica version 8.0. the values p<0.05 were considered statistically significant. results: during the study period, a total of 143 women presented 577 die lesions: uterosacral ligament (n=239; 41.4%), retrocervical (n=91; 15.7%), vagina (n=50; 8.7%), round ligament (n=50; 8,7%), vesico-uterine septum (n=41; 7.1%), bladder (n=12; 2.1%), and intestine (n=83; 14.4%), ureter (n=11; 1.9%). multifocal disease was observed in the majority of patients (p<0.0001), and the mean number of die lesions per patient was 4. ovarian endometrioma was present in 57 women (39.9%). sixty-five patients (45.4%) presented intestinal infiltration on histological examination. a total of 83 die intestinal lesions were distributed as follows: appendix (n=7), cecum (n=1) and rectosigmoid (n=75). the mean number of intestinal lesions per patient was 1.3. conclusions: die has a multifocal pattern of distribution, a fact of fundamental importance for the definition of the complete surgical treatment of the disease.
Spontaneous Healing of a Rectovaginal Fistula Developing after Laparoscopic Segmental Bowel Resection for Intestinal Deep Infiltrating Endometriosis
William Kondo,Reitan Ribeiro,Carlos Henrique Trippia,Monica Tessmann Zomer
Case Reports in Obstetrics and Gynecology , 2013, DOI: 10.1155/2013/837903
Abstract: The surgical treatment of intestinal deep infiltrating endometriosis has an associated risk of major complications such as dehiscence of the intestinal anastomosis, pelvic abscess, and rectovaginal fistula. The management of postoperative rectovaginal fistula frequently requires a reoperation and the construction of a stoma for temporary fecal diversion. In this paper we describe a 27-year-old woman undergoing laparoscopic treatment of deep infiltrating endometriosis (extramucosal cystectomy, resection of the uterosacral ligaments, resection of the posterior vaginal fornix, and segmental bowel resection) complicated by a rectovaginal fistula, which healed spontaneously with nonsurgical conservative treatment. 1. Introduction Intestinal deep infiltrating endometriosis (DIE) is defined as lesions involving at least the muscularis propria of the bowel [1]. It affects up to 45.4% of women with DIE lesions [2, 3] and may be found at any level from the anal verge to the small intestine; however, the most frequent sites of involvement are the rectum and the sigmoid colon [3–6]. The management of intestinal DIE lesions may be medical and/or surgical. Medical treatment plays a substantial role in terms of pain relief in women with rectovaginal endometriosis; however it has a temporary effect [7]. Surgical treatment combines different procedures according to the anatomical distribution of the lesions [1, 3]. There are different surgical techniques to approach the intestinal DIE: rectal shaving, mucosal skinning, disc resection, and segmental bowel resection (with or without protective ileostomy). The choice for the procedure depends on several factors, such as (1) size of the lesion, (2) percentage of the circumference of the bowel involved by the lesion, (3) presence of multifocal lesions, and (4) distance between the anal verge and the intestinal DIE lesion [8–11]. No matter which type of rectal surgery is selected, there is an associated risk of major complications such as dehiscence of the intestinal anastomosis, pelvic abscess, and rectovaginal fistula [12–16]. The latter is a catastrophic complication of such intervention because it may drastically alter patient’s self-esteem and intimate relationships and may lead to significant psychosocial and sexual dysfunction [17, 18]. The management of this situation is not easy and frequently requires a reoperation and the construction of a stoma for temporary fecal diversion. The aim of this paper is to report one case of spontaneous healing of a rectovaginal fistula developing after laparoscopic segmental bowel
Laparoscopic Treatment of Intrauterine Fallopian Tube Incarceration
William Kondo,Rafael Frederico Bruns,Marcelo Chemin Nicola,Reitan Ribeiro,Carlos Henrique Trippia,Monica Tessmann Zomer
Case Reports in Obstetrics and Gynecology , 2013, DOI: 10.1155/2013/205957
Abstract: Herniation of the pelvic structures into the uterine cavity (appendix vermiformis, small bowel, omentum, or fallopian tube) may occur after uterine perforation. In this paper, we describe one case of intrauterine fallopian tube incarceration treated by means of laparoscopic surgery. 1. Introduction Uterine perforation during curettage is a potentially dangerous complication but may go unrecognized on many occasions [1]. Herniation of the pelvic structures into the uterine cavity, such as the appendix vermiformis, small bowel, omentum or fallopian tube, occurring after uterine perforation has been described in the medical literature but is very rare [1–5]. In this paper, we describe one case of intrauterine fallopian tube incarceration treated by means of laparoscopic surgery. 2. A Case Presentation A 22-year-old woman, gravida 2 para 2, came to our office complaining about pelvic pain and amenorrhea since her vaginal delivery. The symptoms of pain were intermittent, but they worsened in the last 3 days before she came to our service including persistent, cramping abdominal pain, and mild abdominal distension. Eleven months ago, she had her second vaginal delivery complicated by retained placenta. The placenta was delivered in multiple fragments followed by sharp curettage. Then, she presented postpartum hemorrhage requiring another curettage of the uterus. On physical examination, the abdominal examination was unremarkable. Gynecologic examination revealed a tender uterus with no adnexal abnormalities. Transvaginal ultrasound (Figure 1(a)) revealed a hypoechoic, irregular tissue within the endometrial cavity. The ovaries were normal. Pelvic MRI (Figure 1(b)) demonstrated a right hydrosalpinx that “infiltrated” the uterine fundus, extending to the endometrial cavity. A diagnostic laparoscopy (Figure 1(c)) was indicated, and during the procedure, the right fallopian tube was found to be adhered to the uterine fundus. The right ovary and the left adnexae were normal. The tube was progressively freed from the uterine wall. A right salpingectomy was conducted because the patient did not want to have any more pregnancies. The uterine wall defect was repaired in multiple layers using caprofyl (poliglecaprone 25) zero (Figure 1(d)). The patient was discharged 12 hours after the procedure. Figure 1: (a) Transvaginal ultrasound showing a hypoechoic structure (blue arrows) within the uterus (U). (b) Pelvic MRI demonstrating a herniation (blue arrow) of the right hydrosalpinx (H) through the uterine wall (U) going up to the endometrial cavity (EC). Both the right
Gravida missbrukare i svensk tv ngsv rd
Therese Reitan
Nordic Studies on Alcohol and Drugs , 2011, DOI: 10.2478/v10199-011-0021-4
Abstract: AIM - The aim of this article is to present a first overview of pregnant substance abusers in compulsory care in Sweden. The current legislation does not allow for compulsory care on the grounds of pregnancy, i.e. out of consideration for the foetus. Nonetheless, a number of the women placed in compulsory care every year also "happen to be" pregnant. DATA - Through client screening interviews, which include a question about whether the client is pregnant, and data from the client administrative system of the National Board of Institutional Care, a total of 81 unique pregnancies (79 unique women) were identified between 2001 and 2008. The average age at admission was 28 years and the women for whom such data was available were on average 5.9 months pregnant. RESULTS - Compared to other clients in compulsory care the situation of the pregnant clients was relatively favourable in some domains, such as living conditions, and physical and psychological status. Their drug profile mostly resembled that of the youngest client group in compulsory care, i.e. dominated by heroine and amphetamine. There were, however, relatively speaking fewer pregnant women who never have injected drugs and it was more common among the pregnant clients to have lost custody of a child or to have a child placed in foster care. CONCLUSIONS - More empirical studies are necessary in order to increase our knowledge about this selected group of clients, both follow-ups on the women and their children as well as in-depth studies of how these women are "processed" in the social and legal systems.
Review of La Via Campesina: Globalization and the Power of Peasants
Ruth Reitan
Studies in Social Justice , 2008,
Abstract:
Community Essay: Sustainability science – and what’s needed beyond science
Paul H. Reitan
Sustainability : Science, Practice and Policy , 2005,
Abstract: Educating broadly about the science and technologies of sustainability is essential, because it convinces us that a successfully sustainable future is being undermined. The reason we need to seek a world view compatible with sustainability becomes evident. Education helps to remove the scales from our eyes; it can cure our blindness. But then we have to take the other step – deal with our addiction and denial.
FORMakademisk med st tte fra Norges forskningsr d FORMakademisk med st tte fra Norges forskningsr d
Janne Beate Reitan
FORMakademisk , 2011,
Abstract: Det var med stor glede redaksjonen mottok meldingen fra Norges forskningsr d om at FORMakademisk var innvilget produksjonsst tte for Open-Access-tidsskrift for 2011. Det er f rste gang forskningsr det gir publiseringsst tte til nettbaserte tidsskrift, og vi ser p dette som en stor anerkjennelse for FORMakademisk. Det var med stor glede redaksjonen mottok meldingen fra Norges forskningsr d om at FORMakademisk var innvilget produksjonsst tte for Open-Access-tidsskrift for 2011. Det er f rste gang forskningsr det gir publiseringsst tte til nettbaserte tidsskrift, og vi ser p dette som en stor anerkjennelse for FORMakademisk.
Design og designdidaktikk i fokus
Janne Beate Reitan
FORMakademisk , 2008,
Abstract: F rste utgave av FORMakademisk, det nye forskningstidsskriftet for design og designdidaktikk, er n en realitet. Dette er en viktig begivenhet for fagmilj et, ikke bare i Norge, men for hele Norden. Et akkreditert vitenskapelig tidsskrift med fagfellevurdering er et viktig bidrag i byggingen av design som et eget forskningsfelt, og n er det her!
FORMakademisk med fortl pende publisering FORMakademisk med fortl pende publisering
Janne Beate Reitan
FORMakademisk , 2010,
Abstract: Ved slutten av 3. rgang for FORMakademisk g r vi n et skritt videre n r det gjelder utnytte fordelene ved digital publisering. I forrige temanummer, Research by Design, publiserte vi artikler hvor videoer var integrert i teksten som illustrasjoner. I dette nummeret benytter vi muligheten til publisere artiklene kontinuerlig. Dette gj r at tiden fra innsending, via fagfellevurdering til publisering av artikkel blir kortet ned. Forfatterne jobber i ulikt tempo, og n slipper forfatterne vente p at et visst antall artikler som utgj r et nummer er klare samtidig. Denne utgaven av FORMakademisk er et pent nummer, som vil speile noe av bredden innen forskningsfeltet design og designdidaktikk. Ved slutten av 3. rgang for FORMakademisk g r vi n et skritt videre n r det gjelder utnytte fordelene ved digital publisering. I forrige temanummer, Research by Design, publiserte vi artikler hvor videoer var integrert i teksten som illustrasjoner. I dette nummeret benytter vi muligheten til publisere artiklene kontinuerlig. Dette gj r at tiden fra innsending, via fagfellevurdering til publisering av artikkel blir kortet ned. Forfatterne jobber i ulikt tempo, og n slipper forfatterne vente p at et visst antall artikler som utgj r et nummer er klare samtidig. Denne utgaven av FORMakademisk er et pent nummer, som vil speile noe av bredden innen forskningsfeltet design og designdidaktikk.
Editorial. FORMakademisk as a publishing channel for article-based PhD dissertations Leder. FORMakademisk som publiseringskanal for artikkelbaserte doktoravhandlinger
Janne Beate Reitan
FORMakademisk , 2013,
Abstract: PhD dissertations consisting of separate articles published in various journals and anthologies are becoming increasingly prevalent. Since its inception, FORMakademisk has been a publishing channel for these types o farticles from different countries. We see this purpose as an important contribution to the broadly defined research fields of design and design education. The published articles that comprise doctoral dissertations will provide publishing points and additional revenue for the institutions with which doctoral candidates are affiliated. Doktoravhandlinger som best r av separate artikler som publiseres iulike tidsskrift og antologier blir stadig mer utbredt. FORMakademisk har heltsiden starten v rt en publiseringskanal for denne type artikler fra ulike land.Vi ser dette som et viktig bidrag til bygging av forskningsfeltet innen designog designutdanning, vidt definert. De publiserte artiklene som utgj r doktor-avhandlingen,vil da ogs gi publiseringspoeng og ekstra inntekter til institusjonene doktor-kandidateneer tilknyttet.
Page 1 /24
Display every page Item


Home
Copyright © 2008-2017 Open Access Library. All rights reserved.