The Experts below are selected from a list of 78 Experts worldwide ranked by ideXlab platform

Cu Casciani - One of the best experts on this subject based on the ideXlab platform.

  • autologous protein reinfusion in severe Ovary Hyperstimulation syndrome
    Journal of The American College of Surgeons, 1994
    Co-Authors: G Splendiani, V. Mazzarella, C. Tozzo, Marco Elli, Cu Casciani
    Abstract:

    Background Ovarian Hyperstimulation syndrome (OHSS) is one of the most serious complications of ovulation induction by exogenous gonadotropins. The pathophysiologic factors of this syndrome are not well known. Increased capillary permeability causes third space fluid shift, which is responsible for ascites, pleural fluid, and edemas. Severe OHSS may result in renal failure, hypovolemic shock, thromboembolic disease, respiratory distress, and may cause death. It has been observed that paracentesis is efficacious, provided that care is taken to reinfuse protein lost in the peritoneal exudate. For this reason, in three patients with severe OHSS we have used a dialytic technique of reinfusion of concentrated ascitic fluid. Study design We treated three patients with severe OHSS (grade 6). Through sonography-guided paracentesis, the ascitic fluid was concentrated by ultrafiltration and reinfused. This treatment was instituted and performed once only. Ultrafiltration was obtained with a common high-flow dialyzer (polyacrylonitryle membrane). The concentrated fluid was returned to the patient in a peripheral vein. We have limited further treatment to restoration of fluid and electrolyte balance, avoiding in particular potentially teratogenic drugs. Results In all three patients, a progressive increase of diuresis was evident during treatment and subjective improvement was almost immediate. Fifteen days after treatment, hematologic and biochemical parameters had returned within normal limits. Conclusions In treating severe OHSS, we have used the technique of reinfusion of concentrated ascitic fluid to avoid protein depletion induced by paracentesis. We have been able to successfully restore to normal the hematologic and biochemical imbalance with one treatment. Use of the technique described herein should be limited to carefully selected instances and treatment should be performed in an intensive care unit.

  • Autologous protein reinfusion in severe Ovary Hyperstimulation syndrome
    Journal of the American College of Surgeons, 1994
    Co-Authors: G Splendiani, V. Mazzarella, C. Tozzo, Marco Elli, Cu Casciani
    Abstract:

    Ovarian Hyperstimulation syndrome (OHSS) is one of the most serious complications of ovulation induction by exogenous gonadotropins. The pathophysiologic factors of this syndrome are not well known. Increased capillary permeability causes third space fluid shift, which is responsible for ascites, pleural fluid, and edemas. Severe OHSS may result in renal failure, hypovolemic shock, thromboembolic disease, respiratory distress, and may cause death. It has been observed that paracentesis is efficacious, provided that care is taken to reinfuse protein lost in the peritoneal exudate. For this reason, in three patients with severe OHSS we have used a dialytic technique of reinfusion of concentrated ascitic fluid. We treated three patients with severe OHSS (grade 6). Through sonography-guided paracentesis, the ascitic fluid was concentrated by ultrafiltration and reinfused. This treatment was instituted and performed once only. Ultrafiltration was obtained with a common high-flow dialyzer (polyacrylonitryle membrane). The concentrated fluid was returned to the patient in a peripheral vein. We have limited further treatment to restoration of fluid and electrolyte balance, avoiding in particular potentially teratogenic drugs. In all three patients, a progressive increase of diuresis was evident during treatment and subjective improvement was almost immediate. Fifteen days after treatment, hematologic and biochemical parameters had returned within normal limits. In treating severe OHSS, we have used the technique of reinfusion of concentrated ascitic fluid to avoid protein depletion induced by paracentesis. We have been able to successfully restore to normal the hematologic and biochemical imbalance with one treatment. Use of the technique described herein should be limited to carefully selected instances and treatment should be performed in an intensive care unit.

Akihide Ohkuchi - One of the best experts on this subject based on the ideXlab platform.

  • Ovary Hyperstimulation syndrome accompanying molar pregnancy: case report and review of the literature
    Archives of Gynecology and Obstetrics, 2014
    Co-Authors: Hirotada Suzuki, Shigeki Matsubara, Shinichiro Uchida, Akihide Ohkuchi
    Abstract:

    Purpose To describe a naturally conceived woman with Ovary Hyperstimulation syndrome (OHSS) accompanying molar pregnancy and review the literature on this condition. Methods We report a 31-year-old 2 parous naturally conceived woman with OHSS accompanying partial molar pregnancy. Dilatation and evacuation (D&E) were performed at 10 weeks of gestation. The signs and symptoms of OHSS were the severest on day 8 after D&E, when hCG had already decreased. This case is reported in detail. We also review the literature. Results A literature search yielded seven cases of this condition. Any type of molar pregnancy, i.e., complete, partial, or invasive, can accompany OHSS. The initial manifestation of OHSS occurred at a median of the 12th week of gestation (range 7–16), which may be later compared with OHSS caused by ovulation induction. In all cases, OHSS aggravated after D&E. Conclusions We must be aware that OHSS can occur during molar pregnancy, and can be exacerbated after D&E.

  • Ovary Hyperstimulation syndrome accompanying molar pregnancy case report and review of the literature
    Archives of Gynecology and Obstetrics, 2014
    Co-Authors: Hirotada Suzuki, Shigeki Matsubara, Shinichiro Uchida, Akihide Ohkuchi
    Abstract:

    Purpose To describe a naturally conceived woman with Ovary Hyperstimulation syndrome (OHSS) accompanying molar pregnancy and review the literature on this condition.

  • Ovary Hyperstimulation syndrome accompanying molar pregnancy: case report and review of the literature
    Archives of gynecology and obstetrics, 2014
    Co-Authors: Hirotada Suzuki, Shigeki Matsubara, Shinichiro Uchida, Akihide Ohkuchi
    Abstract:

    To describe a naturally conceived woman with Ovary Hyperstimulation syndrome (OHSS) accompanying molar pregnancy and review the literature on this condition. We report a 31-year-old 2 parous naturally conceived woman with OHSS accompanying partial molar pregnancy. Dilatation and evacuation (D&E) were performed at 10 weeks of gestation. The signs and symptoms of OHSS were the severest on day 8 after D&E, when hCG had already decreased. This case is reported in detail. We also review the literature. A literature search yielded seven cases of this condition. Any type of molar pregnancy, i.e., complete, partial, or invasive, can accompany OHSS. The initial manifestation of OHSS occurred at a median of the 12th week of gestation (range 7-16), which may be later compared with OHSS caused by ovulation induction. In all cases, OHSS aggravated after D&E. We must be aware that OHSS can occur during molar pregnancy, and can be exacerbated after D&E.

G Splendiani - One of the best experts on this subject based on the ideXlab platform.

  • autologous protein reinfusion in severe Ovary Hyperstimulation syndrome
    Journal of The American College of Surgeons, 1994
    Co-Authors: G Splendiani, V. Mazzarella, C. Tozzo, Marco Elli, Cu Casciani
    Abstract:

    Background Ovarian Hyperstimulation syndrome (OHSS) is one of the most serious complications of ovulation induction by exogenous gonadotropins. The pathophysiologic factors of this syndrome are not well known. Increased capillary permeability causes third space fluid shift, which is responsible for ascites, pleural fluid, and edemas. Severe OHSS may result in renal failure, hypovolemic shock, thromboembolic disease, respiratory distress, and may cause death. It has been observed that paracentesis is efficacious, provided that care is taken to reinfuse protein lost in the peritoneal exudate. For this reason, in three patients with severe OHSS we have used a dialytic technique of reinfusion of concentrated ascitic fluid. Study design We treated three patients with severe OHSS (grade 6). Through sonography-guided paracentesis, the ascitic fluid was concentrated by ultrafiltration and reinfused. This treatment was instituted and performed once only. Ultrafiltration was obtained with a common high-flow dialyzer (polyacrylonitryle membrane). The concentrated fluid was returned to the patient in a peripheral vein. We have limited further treatment to restoration of fluid and electrolyte balance, avoiding in particular potentially teratogenic drugs. Results In all three patients, a progressive increase of diuresis was evident during treatment and subjective improvement was almost immediate. Fifteen days after treatment, hematologic and biochemical parameters had returned within normal limits. Conclusions In treating severe OHSS, we have used the technique of reinfusion of concentrated ascitic fluid to avoid protein depletion induced by paracentesis. We have been able to successfully restore to normal the hematologic and biochemical imbalance with one treatment. Use of the technique described herein should be limited to carefully selected instances and treatment should be performed in an intensive care unit.

  • Autologous protein reinfusion in severe Ovary Hyperstimulation syndrome
    Journal of the American College of Surgeons, 1994
    Co-Authors: G Splendiani, V. Mazzarella, C. Tozzo, Marco Elli, Cu Casciani
    Abstract:

    Ovarian Hyperstimulation syndrome (OHSS) is one of the most serious complications of ovulation induction by exogenous gonadotropins. The pathophysiologic factors of this syndrome are not well known. Increased capillary permeability causes third space fluid shift, which is responsible for ascites, pleural fluid, and edemas. Severe OHSS may result in renal failure, hypovolemic shock, thromboembolic disease, respiratory distress, and may cause death. It has been observed that paracentesis is efficacious, provided that care is taken to reinfuse protein lost in the peritoneal exudate. For this reason, in three patients with severe OHSS we have used a dialytic technique of reinfusion of concentrated ascitic fluid. We treated three patients with severe OHSS (grade 6). Through sonography-guided paracentesis, the ascitic fluid was concentrated by ultrafiltration and reinfused. This treatment was instituted and performed once only. Ultrafiltration was obtained with a common high-flow dialyzer (polyacrylonitryle membrane). The concentrated fluid was returned to the patient in a peripheral vein. We have limited further treatment to restoration of fluid and electrolyte balance, avoiding in particular potentially teratogenic drugs. In all three patients, a progressive increase of diuresis was evident during treatment and subjective improvement was almost immediate. Fifteen days after treatment, hematologic and biochemical parameters had returned within normal limits. In treating severe OHSS, we have used the technique of reinfusion of concentrated ascitic fluid to avoid protein depletion induced by paracentesis. We have been able to successfully restore to normal the hematologic and biochemical imbalance with one treatment. Use of the technique described herein should be limited to carefully selected instances and treatment should be performed in an intensive care unit.

Hirotada Suzuki - One of the best experts on this subject based on the ideXlab platform.

  • Ovary Hyperstimulation syndrome accompanying molar pregnancy: case report and review of the literature
    Archives of Gynecology and Obstetrics, 2014
    Co-Authors: Hirotada Suzuki, Shigeki Matsubara, Shinichiro Uchida, Akihide Ohkuchi
    Abstract:

    Purpose To describe a naturally conceived woman with Ovary Hyperstimulation syndrome (OHSS) accompanying molar pregnancy and review the literature on this condition. Methods We report a 31-year-old 2 parous naturally conceived woman with OHSS accompanying partial molar pregnancy. Dilatation and evacuation (D&E) were performed at 10 weeks of gestation. The signs and symptoms of OHSS were the severest on day 8 after D&E, when hCG had already decreased. This case is reported in detail. We also review the literature. Results A literature search yielded seven cases of this condition. Any type of molar pregnancy, i.e., complete, partial, or invasive, can accompany OHSS. The initial manifestation of OHSS occurred at a median of the 12th week of gestation (range 7–16), which may be later compared with OHSS caused by ovulation induction. In all cases, OHSS aggravated after D&E. Conclusions We must be aware that OHSS can occur during molar pregnancy, and can be exacerbated after D&E.

  • Ovary Hyperstimulation syndrome accompanying molar pregnancy case report and review of the literature
    Archives of Gynecology and Obstetrics, 2014
    Co-Authors: Hirotada Suzuki, Shigeki Matsubara, Shinichiro Uchida, Akihide Ohkuchi
    Abstract:

    Purpose To describe a naturally conceived woman with Ovary Hyperstimulation syndrome (OHSS) accompanying molar pregnancy and review the literature on this condition.

  • Ovary Hyperstimulation syndrome accompanying molar pregnancy: case report and review of the literature
    Archives of gynecology and obstetrics, 2014
    Co-Authors: Hirotada Suzuki, Shigeki Matsubara, Shinichiro Uchida, Akihide Ohkuchi
    Abstract:

    To describe a naturally conceived woman with Ovary Hyperstimulation syndrome (OHSS) accompanying molar pregnancy and review the literature on this condition. We report a 31-year-old 2 parous naturally conceived woman with OHSS accompanying partial molar pregnancy. Dilatation and evacuation (D&E) were performed at 10 weeks of gestation. The signs and symptoms of OHSS were the severest on day 8 after D&E, when hCG had already decreased. This case is reported in detail. We also review the literature. A literature search yielded seven cases of this condition. Any type of molar pregnancy, i.e., complete, partial, or invasive, can accompany OHSS. The initial manifestation of OHSS occurred at a median of the 12th week of gestation (range 7-16), which may be later compared with OHSS caused by ovulation induction. In all cases, OHSS aggravated after D&E. We must be aware that OHSS can occur during molar pregnancy, and can be exacerbated after D&E.

C. Tozzo - One of the best experts on this subject based on the ideXlab platform.

  • autologous protein reinfusion in severe Ovary Hyperstimulation syndrome
    Journal of The American College of Surgeons, 1994
    Co-Authors: G Splendiani, V. Mazzarella, C. Tozzo, Marco Elli, Cu Casciani
    Abstract:

    Background Ovarian Hyperstimulation syndrome (OHSS) is one of the most serious complications of ovulation induction by exogenous gonadotropins. The pathophysiologic factors of this syndrome are not well known. Increased capillary permeability causes third space fluid shift, which is responsible for ascites, pleural fluid, and edemas. Severe OHSS may result in renal failure, hypovolemic shock, thromboembolic disease, respiratory distress, and may cause death. It has been observed that paracentesis is efficacious, provided that care is taken to reinfuse protein lost in the peritoneal exudate. For this reason, in three patients with severe OHSS we have used a dialytic technique of reinfusion of concentrated ascitic fluid. Study design We treated three patients with severe OHSS (grade 6). Through sonography-guided paracentesis, the ascitic fluid was concentrated by ultrafiltration and reinfused. This treatment was instituted and performed once only. Ultrafiltration was obtained with a common high-flow dialyzer (polyacrylonitryle membrane). The concentrated fluid was returned to the patient in a peripheral vein. We have limited further treatment to restoration of fluid and electrolyte balance, avoiding in particular potentially teratogenic drugs. Results In all three patients, a progressive increase of diuresis was evident during treatment and subjective improvement was almost immediate. Fifteen days after treatment, hematologic and biochemical parameters had returned within normal limits. Conclusions In treating severe OHSS, we have used the technique of reinfusion of concentrated ascitic fluid to avoid protein depletion induced by paracentesis. We have been able to successfully restore to normal the hematologic and biochemical imbalance with one treatment. Use of the technique described herein should be limited to carefully selected instances and treatment should be performed in an intensive care unit.

  • Autologous protein reinfusion in severe Ovary Hyperstimulation syndrome
    Journal of the American College of Surgeons, 1994
    Co-Authors: G Splendiani, V. Mazzarella, C. Tozzo, Marco Elli, Cu Casciani
    Abstract:

    Ovarian Hyperstimulation syndrome (OHSS) is one of the most serious complications of ovulation induction by exogenous gonadotropins. The pathophysiologic factors of this syndrome are not well known. Increased capillary permeability causes third space fluid shift, which is responsible for ascites, pleural fluid, and edemas. Severe OHSS may result in renal failure, hypovolemic shock, thromboembolic disease, respiratory distress, and may cause death. It has been observed that paracentesis is efficacious, provided that care is taken to reinfuse protein lost in the peritoneal exudate. For this reason, in three patients with severe OHSS we have used a dialytic technique of reinfusion of concentrated ascitic fluid. We treated three patients with severe OHSS (grade 6). Through sonography-guided paracentesis, the ascitic fluid was concentrated by ultrafiltration and reinfused. This treatment was instituted and performed once only. Ultrafiltration was obtained with a common high-flow dialyzer (polyacrylonitryle membrane). The concentrated fluid was returned to the patient in a peripheral vein. We have limited further treatment to restoration of fluid and electrolyte balance, avoiding in particular potentially teratogenic drugs. In all three patients, a progressive increase of diuresis was evident during treatment and subjective improvement was almost immediate. Fifteen days after treatment, hematologic and biochemical parameters had returned within normal limits. In treating severe OHSS, we have used the technique of reinfusion of concentrated ascitic fluid to avoid protein depletion induced by paracentesis. We have been able to successfully restore to normal the hematologic and biochemical imbalance with one treatment. Use of the technique described herein should be limited to carefully selected instances and treatment should be performed in an intensive care unit.