Endoscopic loops for laparoscopic myomectomy

12 11 2010

To the Editor:

We have read with interest the recent paper by Zhao et al., describing laparoscopic myomectomy with vasopressin and loop ligation of the surgical base of fibroids’ pseudocapsule (1).

This combined approach was effective in reducing bleeding during myomectomy for large fibroids. A double technique was needed because the pseudo-capsule globally surrounds the fibroids with its peri-myomatous vessels. Therefore, the loop at the surgical base of the fibroid deals with the vessels there located, while those overlying the fibroid, the first ones to be incised by the surgeon, are pharmacologically ligated by the vasopressin. Unfortunately, the intramyometrial injection of vasopressin implies risks due to potential intravasation and serious complications have been reported with its use (2). Read the rest of this entry »

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Re: Follicular steroid hormone levels are associated with fertilization outcome after intracytoplasmic sperm injection

10 11 2010

To the Editor:

We read the article by Lamb et al. (1) with great interest. They proposed to determine whether follicular steroid hormone levels are associated with fertilization outcome after intracytoplasmic sperm injection (ICSI). Oocytes that fertilized normally had higher estradiol and testosterone concentrations compared with those that degenerated with ICSI. Oocytes that fertilized normally had also higher estradiol and progesterone concentrations compared with those that failed to fertilize in the study. Read the rest of this entry »





Berberine reduces insulin resistance: The roles for glucocorticoid receptor and aryl hydrocarbon receptor

8 11 2010

To the Editor:

We read with interest an article by Zhao et al. entitled “Berberine reduces insulin resistance induced by dexamethasone in theca cells in vitro” recently published in Fertility and Sterility (1). The authors showed that synthetic glucocorticoid dexamethasone-induced insulin resistance in theca cells is diminished by berberine. Read the rest of this entry »