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H T Huddleston

Publications and source records attributed to H T Huddleston.

7 recordsLinked to original sources

Long-term sterilization failure: twenty-three years.

This case presents the longest time interval from tubal sterilization to failure by ectopic pregnancy of which we or our colleagues have ever heard. This multipara had a postpartum sterilization procedure performed at one University Hospital; 23 years later she was admitted to another University Hospital with a hemoperitoneum due to a ruptured ectopic pregnancy. Verification was affirmed by examination of the records of both hospitals.

Female↗

Laparoscopic tubal sterilization in obese women: experience from a teaching institution.

To determine whether laparoscopy presents any significant risks for tubal sterilization in obese women, we retrospectively reviewed the records of 248 consecutive patients who had laparoscopic tubal sterilization between January and December 1991 at our institution. The 147 obese women were compared with the 101 nonobese women as controls for the study parameters. Two methods of closed laparoscopy were used as interval procedures, with similar proportions in obese and nonobese women. We observed no complications in any patient, and there were not significant differences in the mean operating time and estimated blood loss between the two groups of women. We concluded that laparoscopy should be considered safe and laparoscopic tubal sterilization can be performed in obese women with the same efficiency, morbidity rate, and length of hospitalization as in nonobese women.

Adult↗

Magnetic resonance imaging of defects in DeLancey's vaginal support levels I, II, and III.

OBJECTIVE: The aim was to demonstrate paravaginal defects at DeLancey's levels I, II, and III by pelvic magnetic resonance imaging scanning in patients with symptomatic pelvic relaxation preoperatively and to demonstrate the disappearance of such defects after surgical repair. STUDY DESIGN: Magnetic resonance imaging scans of the pelvis were performed in 12 patients exhibiting cystourethroceles and symptomatic urinary stress incontinence. RESULTS: Magnetic resonance imaging scans of bilateral fascial defects at the upper third of the vagina (level I) were unremarkable except for the constant "chevron sign," whereas the middle third of the vagina (level II) displayed the "saddlebags sign," and the lower third of the vagina (level III) displayed the "mustache sign." These defects disappeared postoperatively. CONCLUSIONS: Bilateral defects in the paracolpium at vaginal support levels I, II, and III may be found by magnetic resonance imaging scans before surgery in certain patients with symptomatic pelvic relaxation. Postoperative scans after paravaginal repair demonstrate the disappearance of these defects.

Female↗