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Biomedical subjects

Y Behjatnia

Publications and source records attributed to Y Behjatnia.

12 recordsLinked to original sources
PubMed1996

Comparative Hysteroscopic Findings in Women with Primary and Secondary Infertility

We compared hysteroscopic findings in 248 patients with primary infertility with those of 150 women with secondary infertility. Weight and height were not significantly different. The result of hysteroscopy was normal in almost half of the patients, 133 and 68, respectively. Septate uterus (21, 17), endometrial polyps (8, 6), uterine myomata (8, 2), and ostial diaphragm (39, 17) were not statistically different between the groups. The prevalence of intrauterine synechiae was significantly different (24, 31, p <0.01); all of the synechiae in women with primary infertility were due to pelvic tuberculosis. Since the presence of ostial diaphragm was not statistically different between groups, we suggest that its etiology might be an anatomic defect rather than intrauterine synechiae.

Journal Article↗
PubMed1996

Occlusion of the Small Intestine After Operative Laparoscopy

A woman with diagnosis of missed abortion had complications of uterine perforation during dilatation and curettage (D&C). Under laparoscopic guidance the uterus was emptied of the remains of fetal tissue. An opening on the uterus was sutured laparoscopically. There was a superficial tear on the mesosigmoid. The sigmoid colon and the bladder were checked and were intact. Fourteen days after the operation the woman returned complaining of nausea, vomiting, and lower abdominal pain. The diagnosis was obstruction of small intestine. At laparotomy we found a loop of small intestine adhering to the ileum. This was untwisted and the patient was discharged in good condition. The cause of this complication might be trauma to small intestine during D&C that was not diagnosed by laparoscopy, or entry of infected tissue into the peritoneal cavity during D&C. Since the many loops of small intestine make it difficult to check at laparoscopy, it is suggested laparotomy be performed if the surgeon suspects trauma in the intestine.

Journal Article↗
PubMed1996

Complication of Laparoscopic Coagulation of an Endometrioma Surface

A 32-year-old infertile woman with a 9-cm right ovarian endometrioma with severe adhesions to nearby organs was treated with coagulation of the surface of the endometrioma during laparoscopy. Ultrasonography 6 months later showed a normal pregnancy with an 8-cm ovarian cyst. After a normal delivery at term, while cutting the adhesions on the right side, 200 ml of pus was released, the origin of which was not known. Another endometrioma was present on the left ovary. A drain was inserted into the peritoneal cavity and the operation was completed. Five months later the woman returned with a painful point of redness on the skin of her abdomen. Ultrasonography revealed an 8-week pregnancy. We drained the pus and the patient was discharged. The result of the culture was Escherichia coli. We believe this is a case of intestinal fistula caused by coagulation of the surface of the endometrioma in the first operation.

Journal Article↗
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

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↗
PubMed1985

Clinical manifestations of female trichomoniasis and comparison of direct microscopy and culture media in its diagnosis.

A group of 125 women attending a gynecologic clinic was studied to assess the value of four culture media, wet smear and Papanicolaou stained smears and also to re-evaluate the clinical picture in the diagnosis of trichomoniasis. There was no significant difference between the results of 4 different culture media but significant difference was obtained from fresh wet vaginal smears and culture media on the one hand and with Papanicolaou stained smears on the other hand. During the survey, cultures were examined daily for five days, and the Oxoid no. 2 medium gave a majority of positive results and diphasic eggs, CM161 Oxoid, 5447 Merck media were in turn having positive results after 3 days incubation at 36 degrees C. R27, egg, CM161 and 5447 culture techniques and Papanicolaou stained smears, identified T. vaginalis in 37 (29.6%), 33 (26.4%), 30 (24%), 28 (22.4%) and 15 (12%) patients respectively, while the wet mount was positive in 22 (17.6%) patients. R27 culture technique identified T. vaginalis in 37 women, and wet mount was positive in 22 patients (P greater than 0.001). In no case was the vaginal wet mount preparation positive for T. vaginalis and the culture negative. Egg medium detected T. vaginalis in 33 women, in comparison with wet mount positive 22 (P greater than 0.01). Vaginal discharge was described by 72% of the 125 patients, but only 19 (51.4%) Trichomonas vaginalis were detected. Dysuria was present in 73 (58.4%) cases but only 21 (16.8%) were suffering from trichomoniasis. Physical examination revealed no vaginal discharge in 18 (48.6%) of the women, 12 (22.4%) cases had frothy leukorrhea in women with trichomoniasis.

Adolescent↗
PubMed1978

Consultant report: Incomplete abortions treated at Jahanshah Saleh Hospital in Tehran, Iran from May 14, 1973 to April 30, 1974.

In the period from May, 1973 to April, 1974, one hundred patients were treated for incomplete abortion at the Jahanshah Saleh Hospital in Tehran, Iran. Patients admitted to the hospital were from 4 to 28 weeks' gestation and were routinely administered analgestics before the abortion was completed by D & C. The D & C took about 10 minutes and the patient was usually able to go home that same day. Twenty-four women (24.0%) experienced complication(s) including blood loss, fever requiring antibiotic treatment, and pelvic infection.

Abortion, Incomplete↗
PubMed1977

Two cases of polycystic kidneys in two siblings.

Polycystic disease of the kidneys is a generalized lesion of characteristic clinico-pathological entity. It has two clincial forms: adult and infantile. The adult type is transmitted as a dominant disease where the latter is recessive trait. The infantile form had two pathological patterns. Form "A" in which the kidney is large and spongy, of normal shape and the cysts are numerous. Microscopically the connective tissue is not increased. The cysts are of equal size and shape. The nephrons are not reduced. In the form "B" the kidney may not have a normal shape and is not as large as the form "A". Microscopically the connective tissue is increased intensively. The cysts are of spherical shape and different sizes. The nephrons are reduced in number. We are reporting two cases of infantile polycystic kidneys in two siblings, one of whom represented form "A" and the other was similar to form "B". These two cases are interesting from the genetical point of view. We want to know whether the two forms are different manifestations of one disease with one genetic factor or they are two different diseases with two genetic factors? One can assume that the infantile polycystic kidney is a genetical disease with two different pathological manifestations or two different genetic disorders due to two different genetic factors.

Adult↗
PubMed1976

Use of prostaglandin F2alpha in the management of missed abortion.

Intravenous infusion of PG F2alpha was used to induce uterine contractions in 9 cases of missed abortions. Except for one case which was an extra uterine pregnancy, all of the patients aborted successfully. There were no major complications. The use of PG is suggested as a method of choice in the management of missed abortion specially in the second trimester.

Abortion, Missed↗
PubMed1975

The effect of thyroid extract on luteal phase deficiency.

24 patients with infertility caused by lateal phase deficiency were treated with thyroid hormones or placebos. The incidence of pregnancy in the group taking thyroid hormone was much higher, which suggests that a course of thyroid hormone should be administered before a more aggressive therapy with chorionic gonadotropins or clomid is given. The success rate of this therapy is as favorable as any other.

Female↗