From Feb. 1989 to July 1993, 84 cases of microsurgical tubal reanastomosis were performed at the Department of Obstetrics and Gynecology, Ewha Womans University Hospital. And 49 cases of tubal reanastomosis were fo11owed-up more than 6 months after operation.

The charateristics of 84 reanastomosis and the results of 49 reanastomosis which have been fol1owed up more than 6 months are as follows :

1) At the time of reanastomosis, mean age of the patients was 32.5 years and average interval between sterilization and reanastomosis was 6.0 years. The mean postoperative tubal lengthwas 5.5cm.

2) The site of the reanastomosis in majority is isthmic to isthmic portion(85.7%) and cornus to isthmic(8.3%).

3) After more than 6 months of postoperative fo11ow-up, it revealed a pregnancy rate of 63.2% (31/49). And by the sterilization type, the pregnancy rate is 68.7% (11/16) in ring group, 63.3% (19/30) in cautery group.

4) The outcome of the 31 pregnancies after reanastomosis were 26 cases of full term delivery, 2 ongoing pregnancy, 2 abortion and 1 tubal pregnancy.

Seventeen subjects with ectopic pregnancies were treated with five doses of intramuscular methotrexate(25mg) injection follow by five doses of Citovorum factor(3mg).

Seventeen subjects were 11 tubal. 4 cornual. and 2 cervical pregnancies.

The diagnosis was established in tubal and cornual pregnancies by laparoscopy following sonography and radioimmunoassay for serum β-subunit of human chorionic gonadotropin. Subjects were followed with every 3 days quantitative serum HCG and sonography.

Fifteen of the seveteen subjects experienced resolution of the ectopic mass and was subjected underwent one cornual resection and one salpingectomy.

The duration of disappearance of β-HCG to normal after treatment were 2~6 weeks.

The most of all subjects were 2~3 weeks(60%). This experience suggests the methotrexate may be an effective alternative for the treatment of early ectopic pregnancy and useful the treatment of cornual. cervical pregnancy.

The continuous fetal heart rate monitoring for assesment of fetal condition during labor is contribute to decrease fetal mortality and morbidity and early detection of fetal distress. Variable deceleration is most common fetal heart rate pattern. The cause of variable deceleration are umbilical cord compression. It is classified with mind, moderate and severe by the degree of decrease heart rate and duration of bradycardia. An experience 42 variable deceleration pattern among 108 high risk pregnancy and the following results obtained. 1) The incidence of variable deceleration were 37% among 108 high risk pregnancy. 2) The incidence of fetal distress(Apgar score below) 6 in 1 minutes were 36% of mind variable deceleration, 50% of moderate, and severe variable deceleration. 3) The mean scalp PH were 7.3in mild 7.25 in moderate variable deceleration. 4) The incidence of nuchal umbilical cord were 40% and the meconium stained amniotic fluid were 45%.

Cutaneous endometriosis is one of the rare condition among the external edomet riosis. The umbilicus is a favored site, as is the lower abdominal wall where surgical scars may be affected. Occasionally the inguinal area, the perineum or the vulva are involved. A case of endometriosis in appendectomy scar is presented with a brief review of related literature.