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Facts, Views & Vision in ObGyn

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https://www.readbyqxmd.com/read/29479404/vaginal-lichen-sclerosus-report-of-two-cases
#1
J Xavier, P Vieira-Baptista, A Moreira, R Portugal, J Beires, V Tanos
Background: Lichen sclerosus most commonly affects the genital area. Contrarily to lichen planus, the involvement of the oral or vaginal mucosa is rare. Only four cases of vaginal lichen sclerosus have been described in the literature. Case report: The authors report two cases of postmenopausal women with a history of vulvar pruritus and burning. Both presented with lesions of the vaginal mucosa compatible with lichen sclerosus, and genital prolapse. Vaginal biopsies confirmed the diagnosis...
September 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29479403/uncommon-presentations-of-an-uncommon-entity-ohvira-syndrome-with-hematosalpinx-and-pyocolpos
#2
Z Sleiman, T Zreik, R Bitar, R Sheaib, A Al Bederi, V Tanos
Müllerian malformations result from defective fusion of the Müllerian ducts during development of the female reproductive system. The least common form of these malformations is Herlyn-Werner-Wunderlich syndrome characterized by obstructed hemivagina and ipsilateral renal anomaly (OHVIRA). The most common presentation of this syndrome is a mass secondary to hematocolpos, pain, and dysmenorrhea. Clinical diagnosis is very challenging and requires imaging studies in which ultrasound and MRI play an essential role in the diagnosis, classification and treatment plan...
September 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29479402/mini-laparoscopic-hysterectomy-for-adenocarcinoma-in-situ-of-the-uterine-cervix-using-interchangeable-5-mm-end-effectors-a-way-to-cross-the-line-of-minimally-invasive-surgery-in-gynaecologic-oncology
#3
A Galvao, D Goncalves, Morgado Alexandre, H Ferreira
The incidence of adenocarcinoma of the uterine cervix is increasing. It poses the affected women in risk and the definitive treatment requires hysterectomy. Here we describe a case of adenocarcinoma in situ of the uterine cervix successfully managed by minilaparoscopic hysterectomy using interchangeable 5-mm end effectors.
September 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29479401/patients-ideas-expectations-and-experience-with-self-operated-endovaginal-telemonitoring-a-prospective-pilot-study
#4
S Verdonckt, J Gerris
Objective: To examine advantages and disadvantages as perceived by patients and their partners using home sonography for monitoring ovarian stimulation prior to artificial fertility treatment. Method: We interviewed 25 patients and their partners and took 44 online questionnaires. All interviews were written out and the transcripts were coded, based on words patients used to describe their experience. The query consisted mostly of statements, of which the participant had to ascertain whether or not they agreed (1= I absolutely don't agree and 5 = I absolutely agree)...
September 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29479400/correlation-between-follicle-dimensions-recorded-by-patients-at-home-soet-versus-ultrasound-performed-by-professional-care-providers
#5
L Dalewyn, E Deschepper, J Gerris
Introduction: Serial measurements of the number of follicles and their growth by ultrasound is a standard way of monitoring fertility treatments using controlled ovarian stimulation. This is stressful for both the patient and the professional. Self-operated endovaginal telemonitoring (SOET) is more patient friendly and less time-consuming. Aim of the study: The goal of the study is to see if there's a correlation in the number of follicles and in two- dimensional growth between recordings made using SOET versus measurements performed by a professional sonographer...
September 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29479399/the-prognostic-value-of-perifollicular-blood-flow-in-the-outcome-after-assisted-reproduction-a-systematic-review
#6
REVIEW
S Huyghe, A Verest, A Thijssen, W Ombelet
Background: The overall final outcome of assisted reproductive technologies (ART) is still more often a failure than a success. Assessing perifollicular blood flow (PFBF) is one technique to predict and possibly improve this outcome. The aim was to provide a structured review of studies concerning PFBF and its prognostic value in patients undergoing ART, including IUI (intrauterine insemination). Methods: PUBMED, EMBASE and Cochrane Database of Systematic Reviews were searched for relevant studies published until December 2016...
September 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29479398/maternal-and-neonatal-outcomes-in-a-treated-versus-non-treated-cohort-of-women-with-gestational-diabetes-mellitus-according-to-the-hapo-5-and-4-criteria
#7
A-S Maryns, I Dehaene, G Page
Background: Our aim was to evaluate the treatment effect of gestational diabetes mellitus (GDM) according to the Hyperglycemia and Adverse Pregnancy Outcome group (HAPO) screening. Results: The prevalence of GDM, using HAPO 5 was 23.8%. Of these, 72.8% were treated. Comparison of outcomes between treated and untreated patients showed no differences. The prevalence of GDM according to HAPO 4 criteria was 16.9%. In the untreated group, there were more cases of (pre)eclampsia (P=0...
September 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29479397/the-revival-of-intrauterine-insemination-evidence-based-data-have-changed-the-picture
#8
EDITORIAL
Willem Ombelet
According to a number of high quality studies intrauterine insemination (IUI) with homologous semen should be the first choice treatment in case of unexplained and moderate male factor subfertility. IVF and ICSI are clearly over-used in this selected group of infertile couples. The limited value of IUI in infertility treatment as mentioned in the 2013 NICE guidelines was surely a premature statement and should be adapted to the actual literature. More evidence-based data are becoming available on different variables influencing the success rates after IUI...
September 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29209490/the-importance-of-recognizing-paraneoplastic-symptoms-a-case-report-of-neuroendocrine-small-cell-carcinoma-of-the-endometrium-presenting-as-paraneoplastic-cushing-s-syndrome
#9
A Doukhopelnikoff, G Debrock, T Steelandt, Etm De Jonge
This is the second well documented case of paraneoplastic Cushing's syndrome arising from a small cell carcinoma of the endometrium described in English literature. This tumour has an aggressive biological behaviour and early detection provides the only opportunity for long-term survival. In that regard recognition of associated paraneo- plastic features might be helpful.
June 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29209489/primary-umbilical-endometriosis-a-case-report
#10
Dpa Van den Nouland, M Kaur
Primary umbilical endometriosis is a rare phenomenon accounting for 0,4-1,0% of extragenital endometriosis. Despite the fact that it mostly presents as a typical cyclic umbilical discharge coincidental with a palpable mass, the diagnosis is often delayed due to its low prevalence, as was seen in the presented case. The exact pathogenesis is still unclear. The golden standard for diagnosis is histopathological examination, but diagnostic tools like ultrasound, MRI or CT scan can be helpful. The differential diagnosis includes a wide range of disorders...
June 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29209488/education-early-screening-and-treatment-of-stis-could-reduce-infertility-among-women-in-kenya
#11
EDITORIAL
S M Musundi
In Kenya, sexually transmitted infections (STIs) such as Chlamydia trachomatis, Neisseria gonorrhoea, HIV, herpes simplex virus type 2 (HSV-2), syphilis and trichomoniasis tend to be prevalent, especially in women. Further, the research shows that women who test positive for STIs (other than HIV), have little knowledge of these infections. Of particular concern, is that there has been little attention on the part of government to educate the general public about STIs, yet these diseases can have devastating consequences on women's and men's health...
June 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29209487/first-steps-of-laparoscopic-surgery-in-a-sub-saharan-african-setting-a-nine-month-review-at-the-douala-gynaeco-obstetric-and-pediatric-hospital-cameroon
#12
J T Fouogue, F Y Fouelifack, J H Fouedjio, R Tchounzou, Z Sando, E T Mboudou
Objectives: To describe the first laparoscopic surgeries in a tertiary hospital in Cameroon. Methods: We carried out a descriptive study at the Douala Gynaeco-Obstetric and Pediatric Hospital (DGOPH). We examined the files of the 45 patients who underwent laparoscopic surgery from November 1, 2015 to July 31, 2016. Descriptive statistics were computed for patients' characteristics and surgical parameters. Results: Mean (SD) age was 36.8(11...
June 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29209486/impact-of-the-angle-used-in-2d-ultrasonography-on-the-foetal-femur-diaphysis-measurement
#13
Anouck Lincé, Xavier Capelle, SyLvie Lepage, Frédéric Kridelka, Christine Van Linthout
Objective: The purpose of this pilot study is to compare the 2D scanning measurement of the foetal femoral diaphysis using anterior or lateral/external incidence at ultrasound. Methods: In August 2016, 30 consecutive patients underwent a second trimester morphology ultrasound between 21 and 24 weeks of gestation by a senior sonographist. In each case, the femur length was measured either with an anterior angle, estimating the straight aspect of the diaphysis or with a lateral angle, assessing its curved aspect...
June 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29209485/influence-of-bmi-and-smoking-on-iui-outcome-with-partner-and-donor-sperm
#14
S Huyghe, A Verest, A Thijssen, W Ombelet
There is limited literature on the influence of smoking and BMI on success rates after intrauterine insemination (IUI). As a result of a prospective cohort study we could investigate data from 1401 IUI cycles with partner semen and 1264 IUI cycles with donor semen, primary outcome being clinical pregnancy rate (CPR). Univariate statistical analysis showed significant influence of female BMI on clinical pregnancy in the partner insemination group (CPR of 6,5%, 8%, 16,3% and 9,4% for a female BMI < 20, 20-24...
June 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29209484/correlation-between-saliva-and-serum-concentrations-of-estradiol-in-women-undergoing-ovarian-hyperstimulation-with-gonadotropins-for-ivf-icsi
#15
C Dielen, T Fiers, S Somers, E Deschepper, J Gerris
Aim of the study: To examine saliva- and serum concentrations correlation of estradiol (E2) in women undergoing ovarian hyperstimulation for IVF/ICSI. Saliva measurements could simplify stimulation follow up. A 'home' test for E2 could be useful. Methods: Prospective interventional academic monocentric study at the Centre for Reproductive Medicine of the University Hospital of Ghent, Belgium. Between November 2014 and August 2015 thirty-one patients were included after random selection (inclusion criteria: < 41 years of age, any rank of IVF/ICSI cycle, serum anti- Müllerian hormone concentration ≥ 1 μg/L, treatment completely at the University Hospital...
June 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29209483/guiding-histological-assessment-of-uterine-lesions-using-3d-in-vitro-ultrasonography-and-stereotaxis
#16
Lieselore Vandermeulen, Ann Cornelis, Christina Kjaergaard Rasmussen, Dirk Timmerman, Thierry Van den Bosch
Objective: To compare ultrasonographic features of uterine lesions with the findings at macroscopy and microscopy. Methods: Case series of ten consecutive women undergoing a hysterectomy for uterine pathology. A preoperative transvaginal ultrasound examination was performed. After hysterectomy, the uterus was re-evaluated by 3D in vitro ultrasonography and in vitro gel instillation sonography (iGIS). The lesion of interest was pinpointed by inserting an intramuscular injection needle using a free-hand 2D-ultrasound guided technique to focus the macroscopic and the microscopic examination by the pathologist...
June 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29209482/the-place-for-prophylactic-cerclage-in-the-infertile-patient-with-established-cervical-incompetence-who-conceived-twins-after-septum-reduction
#17
Jennifer Deanna, Omar Abuzied, Fahmi Islam, Ivana Vettriano, Frederico Rocha, Mostafa Abuzeid
Introduction: It is well known that cervical incompetence and associated preterm birth confers greater morbidity and mortality on birth outcomes, with an additional increased risk of cervical incompetence in higher order gestations. While the pathophysiology of cervical incompetence has yet to be elucidated, research has identified risk factors and assessed outcomes of numerous interventions. Cervical cerclage has been shown, in certain situations involving singleton pregnancies, to improve outcomes...
June 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29209481/endoscopic-surgery-one-picture-worth-thousand-words
#18
EDITORIAL
Arnoud Wattiez
No abstract text is available yet for this article.
June 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29209480/the-introduction-of-a-video-corner-in-facts-view-vision-why-and-when
#19
EDITORIAL
Vasilis Tanos, Rudi Campo, Willem Ombelet
No abstract text is available yet for this article.
June 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/28721185/the-smooth-and-bumpy-road-of-trastuzumab-administration-from-intravenous-iv-in-a-hospital-to-subcutaneous-sc-at-home
#20
Waa Tjalma, M T Huizing, K Papadimitriou
Trastuzumab has become standard of care in the treatment of early and metastatic HER2-positive breast cancer. Initially trastuzumab could only be administered intravenously (IV), however since a few years there is also a subcutaneous (SC) formulation. The efficacy and the safety profile of both formulations is the comparable. The administration logistics however have an impact on the patients, the health care professionals (HCPs), the hospital and the government. The preference for the patients (89%) and the HCPs (77%) is in favour of the SC formulation...
March 2017: Facts, Views & Vision in ObGyn
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