Please don't do a laparoscopy !
Many doctors routinely do a laparoscopy and hysteroscopy for all infertile women.They justify this by saying it's a simple diagnostic procedure, which will allow them to confirm that there is no anatomical problem.They also say it's "minor surgery", which just involves a "small cut" and a few hours stay in a hospital.What they don't tell the patient that there's absolutely no need to do a laparoscopy at all ! Let's not forget that the safest surgery is the one you don't need to do !The truth is that laparoscopy does not provide us with any useful information which we cannot obtain with simpler non-invasive tests, such as a HSG and a vaginal ultrasound scan. Even more importantly, it really does not change the treatment options for the infertile couple.The biggest danger is that it can actually reduce your fertility. Once the doctor puts a telescope inside your belly, he often gets "itchy fingers", and will do a procedure which is not called for at all !If you doctor tells you to get a laparoscopy, just say No !
Publication date: Available online 31 March 2020Source: LWTAuthor(s): Feng Wang, Yizhong Zhang, Ling Xu, Haile Ma
Discussion: A tertiary referral center referred 125 individuals to physiotherapy who were eligible for the study; we finally included 93 individuals for statistical analysis. Multiple backward regression analysis showed that gender (95% confidence interval [CI], 2.05-33.82), weight (95% CI, 0.39-1.02), age (95% CI, −0.91 to −0.04), left handgrip strength (95% CI, 0.14-1.44), and inspiratory muscle strength (95% CI, 0.08-0.38) were all independently associated with muscle surface area at L3. All these variables together explained 66% of the variability (R2) in muscle surface area at L3 (P
Publication date: Available online 30 March 2020Source: Sensors and Actuators B: ChemicalAuthor(s): Judit Randek, Carl-Fredrik Mandenius
J. Mater. Chem. A, 2020, Accepted Manuscript DOI: 10.1039/C9TA14034D, PaperTian Gan, Xinqiang Fan, Ye Liu, Chengyu Wang, Haoran Mei, Lijun Fan, Nianjun Hou, Yicheng Zhao, Yongdan Li Ni/Ce0.8Sm0.2O1.9 (SDC) with a three-dimensionally ordered macroporous (3DOM) structure is prepared with poly(methyl methacrylate) as the template and characterized using X-ray powder diffraction, scanning electron microscopy, transmission electron microscopy, H2... The content of this RSS Feed (c) The Royal Society of Chemistry
Publication date: Available online 30 March 2020Source: Journal of Visceral SurgeryAuthor(s): A. Zarzavadjian Le Bian, L. Genser, P. Wind
Cardiac allograft vasculopathy (CAV) is a major cause of morbidity and mortality post heart transplant (HT). Coronary calcium has a sensitivity of 91% for the presence of>50% angiographic stenosis among the general population. Given the different pathophysiology of CAV and atherosclerosis, it is unclear whether visually estimated coronary artery calcification (VECAC) on CT attenuation correction (CTAC) scans can be used to detect CAV post HT and whether there is an association with long-term outcomes in patients with CAV.
Enhanced platelet reactivity may play a role in the development and progression of cardiac allograft vasculopathy (CAV). Although aspirin is often a part of the medication regimen after heart transplantation (HT), limited evidence is available on its effects on CAV and related outcomes. In this large study, we sought to investigate whether aspirin treatment has an independent impact on CAV progression using coronary intravascular ultrasound (IVUS) follow-up studies and clinical outcomes after long-term follow-up post HT.
Endometriosis is a very common finding in infertile women and is one of the most controversial topics. This is true for multiple reasons. For example, lots of patients with endometriosis have no symptoms at all, and this is an incidental finding either on a vaginal ultrasound scan, which picks up a chocolate cyst, or on a diagnostic laparoscopy done for checking infertility. Now, on an ultrasound scan or a laparoscopy, once the diagnosis is made, then doctors usually get itchy fingers and want to treat it. The treatment is usually doing an operative laparoscopy to remove the lesion, but whether this actually helps the pati...
Being infertile is bad enough, but it's a hundred times worse when the infertility is actually caused by your doctor. This is what we call Iatrogenic Infertility and it is of two types. One is permanent , where your fertility is damaged irreversibly because of something which the doctor does. The second is temporary, where your fertility takes a beating because of the medical intervention he advises.Permanent damage is usually because of surgical procedures. The three commonest offenders in this regard arehysteroscopic metroplasty;laparoscopic ovarian drilling;andlaparoscopic surgery for treatment of endometriosis.Let's lo...
This is a guest post from a very thoughtful patient of ours.It describes very eloquently the worries and fears which prey on an infertile patient's mind. It's very hard to discuss them with anyone, and bottling them up just makes things worse !--------------------------------------------------------------------------------------------------------------------------Isn't it a paradox that when India and world's population is exploding at alarming rate; here I am ,struggling to have a single child for 5 long years and with no idea when the struggle will really end.I am being treated at Malpani's and yesterday the doctor urged...