PubMed · 1099495
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A M Siegler, E Kemmann. 1975. Hysteroscopy.. https://doi.org/10.1097/00006254-197509000-00001
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Authors examined the frequency of operative intervention in the uterine cavity, becoming inevitably necessary in late puerperium, in 28,835 mothers divided in 3 groups. In group A the controlling of the placental phase was realised in conservative, exspective way; manual or instrumental intervention in the uterine cavity was applied in the case of suspicion of placental remains. In group B the control of placental phase was performed by active procedure. In this group, as well in group A the uterine cavity was controlled only in the case of suspicion of placental remains. In group C the placental phase was effectuated by active procedure. Immediately in postplacentar period the uterine cavity was controlled with curettage. The numerical data of inevitably necessary operative intervention touching the uterus in late puerperium, were in group A the most favourable.
The implementation of a serum P less than 5.0 ng/mL is important because it resolves the differential diagnosis of EP by enabling timely uterine curettage. Curettage with examination of curettings or documentation of falling hCG can be used to prevent unnecessary laparoscopies in patients undergoing spontaneous abortions and can make possible definitive diagnosis and medical treatment of EP completely eschewing anesthesia and surgery.
A technique of curettage of giant congenital naevi in newborns was proposed by Moss in 1987. We used this technique in 6 children during the last 2 years. The long-term aesthetic results appear to be better than those observed after other methods of treatment. Light microscopy of the pigmented skin confirmed the presence of the majority of naevus cells in the upper dermis. For 3 patients, cultures of the curetted cells showed a melanocyte behaviour similar to that seen in malignant melanoma. These observations are limited to in vitro cultures and are not representative of the in vivo evolution as biopsies of the remaining naevus cells at 3 months of age did not show any malignant characteristics.