Biomedical subjects

NM Tabrizi

Publications and source records attributed to NM Tabrizi.

4 recordsLinked to original sources

PubMed1994

Laparoscopic Endometrial Ablation: A Case Report

A 14 year-old girl was operated on via laparoscopy because of a right adnexal mass. During the operation a noncommunicating right uterine horn was found with a massive right hematosalpinx. The right horn was attached to the left one with a narrow band. The right uterine horn was opened and the endometrial lining was ablated with unipolar cutting current. The layer was then deeply coagulated with a laparoscopic probe. The hematosalpinx was excised and the accumulated blood emptied. Adhesions around the right tube were separated. Operation time was 35 minutes. One year later the patient had a repeat laparoscopy which showed neither adhesion formation nor hematosalpinx. Now, two years after the original operation, the patient is in excellent condition.

Journal Article↗

PubMed1994

Comparison of Adhesion Formation in Open Wedge Resection (OWR) With Microsurgical Wedge Resection (MWR)

In 21 patients with polycystic ovarian disease, a laparotomy ovarian wedge resection was performed on both ovaries. The vessels were coagulated with a mini-bipolar instrument. Then, randomly one ovary was left open and the other closed with Vicryl material (5-0 in the interior and 8-0 on the edge of the ovary). Six weeks later, during a second look laparoscopy, the ovaries were scored according to adhesion formation (AFS classification). The mean score of adhesion in the two groups was 52/21 MWR and 82/21 OWR. The mean and standard error for the differences of scores were 1.43 and 0.94, respectively, which were not significant. Contrary to the previous report (Am J Obstet Gynecol; 163:1674, 1990), our study in humans does not show that the OWR is superior to MWR.

Journal Article↗

PubMed1994

The Use of Veress Needle and 10-mm Trocar (VN) Versus Direct Trocar Insertion (DTI) in the Beginning of Laparoscopy

Seven hundred fifty-six women were randomly divided into two groups. Group 1 (378 cases) were operated on via laparoscopy with VN and group 2 (378 cases) with DTI technique. Complications were compared between the two groups. No major complications occurred. Minor complications were: a problem with insufflation of CO2 (19 VN, 2 DTI, P<0.001); more than one insertion of the instrument (18 VN, 13 DTI, NS); need to alter the technique (6 VN, 10 DTI, NS); and penetration of the fascia but not the peritoneum by trocar sleeve (2 VN, 19 DTI, P<0.001). The significant differences found presented no serious problems, and we concluded that both methods were satisfactory.

Journal Article↗

PubMed1994

The Fate of a Myoma When Left Intraabdominally: A Case Report

A 30 year old infertile woman was a candidate for laparoscopic myomectomy. There were two large myomas, 6x7 cm, and 5x6 cm attached to the corpus of the uterus with a broad base. The 6x7 cm one was separated with the use of bipolar coagulation. At this point the anesthesiologist urged that the operation be finished because of cardiac arrhythmia. The separated mass (6x7 cm) was biopsied and left intraabdominally. After surgery, repeated sonographies showed gradual resolution of the mass. Four months afterwards she had another laparoscopy. There was no sign of the 6x7 cm myoma. There were no intraabdominal adhesions. However, there was an adhesion on the uterus at the place of the separation of the 6x7 cm myoma. During the second laparoscopy, the 5x6 cm myoma was separated by laparoscopy and then removed via minilaparotomy.

Journal Article↗