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Facts, Views & Vision in ObGyn

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https://www.readbyqxmd.com/read/30510669/ulcer-of-lipschutz-a-rare-and-unknown-cause-of-genital-ulceration
#1
A Moise, P Nervo, J Doyen, F Kridelka, J Maquet, G Vandenbossche
Acute genital ulcers are painful and distressing to women. Lipchutz Ulcer is an uncommon disease that typically occurs in sexually inactive young women. The main differential diagnosis are sexually-transmitted or non-infectious diseases which cause genital or oro-genital ulcerations. This article aims to review the diagnosis of acute genital ulcers and, through a rare case of acute genital ulcerations, to discuss diagnostic procedures.
March 2018: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/30510668/undescended-ovary-and-fallopian-tube-presenting-as-appendiceal-mucocele
#2
Pieter Sinonquel, Julie Bontinck, Marianne Stevens
Undescended ovary is a rare congenital gynecologic condition, frequently associated with urogenital malformations including unicornuate uterus and ectopic kidneys or renal agenesis. Although ectopic ovaries are mostly found during an infertility work up, its role in infertility is still unknown. We report a 38-year-old patient presenting with pain in the right lower quadrant. Explorative laparoscopy reveals a unicornuate uterus and a malpositioning of the right ovary and distal ending of the right fallopian tube...
March 2018: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/30510667/reappraisal-of-clinical-data-supports-double-iui-for-improved-pregnancy-outcomes
#3
G Bahadur, R Homburg
Optimising pregnancy and live birth outcomes for fertility procedures is highly desirable and involves disentangling numerous potentially contributing factors. In IUI procedures would double inseminations within a cycle be beneficial? Despite mistaken belief amongst the fertility practitioners the available evidence including Cochrane review has suggested, there would be beneficial effects of utilising double IUI within a cycle. Here we examine new evidence attempting to clarify the role of double versus single IUI...
March 2018: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/30510666/knowledge-attitudes-and-practices-of-east-flemish-general-practitioners-towards-subscribing-larcs-for-adolescents
#4
I Maes, D Van Braeckel, K Michielsen
Objective: While long acting reversible contraceptives (LARCs) offer a more reliable protection against unintended pregnancies than short acting reversible methods (SARCs), their uptake among adolescents in Flanders (Belgium) is low. This study assesses to what degree general practitioners constitute a barrier for the uptake of LARCs by adolescents. Methods: We did an online survey among 79 general practitioners in East Flanders to assess their knowledge, attitudes and behaviours related to advising and prescribing LARCs to adolescents...
March 2018: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/30510665/influence-of-cervical-cerclage-interventions-upon-the-incidence-of-neonatal-death-a-retrospective-study-comparing-prophylactic-versus-rescue-cerclages
#5
A Wafi, G Faron, J Parra, L Gucciardo
Objective: The purpose of this study was to compare the efficacy of prophylactic and rescue cervical cerclages for pregnant patients with an incompetent cervix, and to assess the neonatal outcomes of both clinical conditions. Methods: This was a retrospective observational study of all women who had an elective or rescue cerclage between January 2008 and December 2016 in our institution. Prophylactic cerclage was defined as a cerclage before 16 weeks of gestation, while rescue cerclages were performed between 16 and 23 weeks of gestation...
March 2018: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/30510664/simulation-and-training-of-gynaecological-skills
#6
H Ferreira, Y van Belle, V Tanos, B Rabischong, G Grimbizis, A Di Spiezio Sardo, R Campo
In order to offer our patients, the "state of the art" treatment in gynaecology, we need a structured teaching program for trainees concerning the gynaecological skills. In recent years, training and education in endoscopic surgery has been critically reviewed. Clinicians, both surgeons as gynaecologists who perform endoscopic surgery without proper training of the specific psychomotor skills, are at higher risk to increased patient morbidity and mortality. The traditional apprentice-tutor model is no longer valid for developing all skills necessary in gynaecological surgery, particularly in endoscopy...
March 2018: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/30510663/gynaecological-cancers-and-leptin-a-focus-on-the-endometrium-and-ovary
#7
REVIEW
A Ray, J Fornsaglio, S Dogan, S Hedau, D Naik, A De
Obesity has an influence on the risk and prognosis of different types of cancers of the female reproductive tract. In the uterus, a common site for neoplasms is the endometrium, the inner lining tissue. Generally, obesity has been documented to be involved in endometrioid carcinoma of the endometrium. Obesity may influence the cancer risk by various mechanisms such as chronic inflammation, dysregulation of sex hormones and abnormal secretion of hormone-like cytokines or adipokines from adipose tissue. One of the important pro-inflammatory adipokines is leptin, which acts via its transmembrane receptors (Ob-R)...
March 2018: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/30510662/improving-the-training-of-the-future-gynaecologist-development-of-a-european-curriculum-in-obstetrics-and-gynaecology-ebcog-pact
#8
EDITORIAL
J E Van der Aa, A J Goverde, F Scheele
The European Board & College of Obstetrics and Gynaecology has initiated improvement of the European standards of training in Obstetrics and Gynaecology through the project called 'EBCOG-PACT'. In this project, a pan-European curriculum for postgraduate training in Obstetrics and Gynaecology has been developed. The curriculum is societally responsive, and based on the latest medical educational methodology. It consists of the description of outcomes of training for the common Core Curriculum and Electives, the General competencies and soft skills to be trained, and strategies for training of obstetrical skills, gynaecological skills, ultrasound skills and bio-psychosocial and communicative skills...
March 2018: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/30250656/prenatal-diagnosis-of-multiple-large-subchorionic-placental-cysts-with-intracystic-hemorraghe
#9
I Witters, P Sieprath, C Van Holsbeke, C Theyskens, K Deraedt
Subchorionic placental cysts occur in up to 5% of pregnancies. Large and numerous placental cysts increase the risk for intrauterine growth restriction. We describe a case with large multiple subchorionic placental cysts complicated by intracystic hemorraghe and fetal growth restriction.
December 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/30250655/external-factors-affecting-fertility-and-how-to-correct-their-impact
#10
F H Comhaire, W Vandenberghe, Wae Decleer
Fertility of both men and women has been negatively influenced by external factors and life style in recent decennia. Mechanisms of hormone disruption, oxidative damage, and epigenetic DNA changes play a pivotal role in this process. In Belgium, strict regulations have been imposed to reduce the exposure to xeno-estrogens, which has resulted in a partial recovery of sperm quality. At the other hand, more couples require in vitro fertilisation (IVF) whereby ovarian stimulation may be associated with epigenetic DNA hyper-methylation of follicular cells, and increased risk of carcinogenesis among offspring...
December 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/30250654/the-value-of-postpartum-ultrasound-for-the-diagnosis-of-retained-products-of-conception-a-systematic-review
#11
J De Winter, H De Raedemaecker, J Muys, Y Jacquemyn
Background: The goal of this review is to evaluate the value of ultrasound for detection of retained products of conception (RCOP) after delivery. Methods: A systematic search was performed using 'postpartum', 'retained placenta', 'retained products' and 'ultrasound' resulting 82 publications, after screening titles and abstracts, 30 remained. Results: On gray scale ultrasound, one must be focus on a thickened endometrial echo complex (EEC) with a cut off value of 10 mm and on an intracavitary mass...
December 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/30250653/the-impact-of-single-versus-double-blastocyst-transfer-on-pregnancy-outcomes-a-prospective-randomized-control-trial
#12
O M Abuzeid, J Deanna, A Abdelaziz, S K Joseph, Y M Abuzeid, W H Salem, M Ashraf, M I Abuzeid
Objective: To determine if elective single blastocyst transfer (e-SBT) compromises pregnancy outcomes compared to double blastocyst transfer (DBT) in patients with favorable reproductive potential. Methods: This Randomized Control Trial included 50 patients with SBT (Group 1) and 50 patients with DBT (Group 2). All women were <35 years and had favorable reproductive potential. Randomization criterion was two good quality blastocysts on day 5. Patients who did not get pregnant or who miscarried underwent subsequent frozen cycles with transfer of two blastocysts (if available) in both groups...
December 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/30250652/ethnic-disparities-and-morbidity-in-the-province-of-antwerp-belgium
#13
C Claeys, L De Souter, G Martens, E Martens, B Blauleiser, E Faes, F Caris Alias Reynders, K Wuyts, Y Jacquemyn
Objective: This study aims to identify geographical disparities in perinatal mortality and morbidity in the province of Antwerp, Belgium. We performed a retrospective cohort study from an existing database. Data included from 1 January , 2000 to 31 December, 2009 and including all deliveries in the Province of Antwerp, Belgium. Collected outcome measures : fetal death, early and late neonatal death, preterm birth, low birth weight. Outcomes were analyzed according to postal code of the pregnant women's address...
December 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/30250651/the-belgian-obstetric-surveillance-system-to-monitor-severe-maternal-morbidity
#14
G Vandenberghe, K Roelens, V Van Leeuw, Y Englert, M Hanssens, H Verstraelen
Background: In 2011 the Belgian Obstetric Surveillance System (B.OSS) was set up to monitor severe maternal morbidity in Belgium. Aim: The aim of B.OSS is to get an accurate picture of the obstetric complications under investigation and secondly, to improve the quality and safety of obstetric care in Belgium by practical recommendations based on the results. Methodology: Data are obtained through prospective active collection of cases by a monthly call according to the principle of nothing-to-report, along with data collection forms that confirm the diagnosis and gather detailed information...
December 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/30250650/lack-of-pain-relief-during-labor-is-blamable-for-the-increase-in-the-women-demands-towards-cesarean-delivery-a-cross-sectional-study
#15
O M Shaaban, A M Abbas, R A Mohamed, Haa Hafiz
Background: This study aims to assess knowledge, attitude and acceptance of antenatal women for pain relief methods during labor and to know the effect of presumed availability of pain relief methods during labor on the attitude of women towards the mode of delivery. Materials and Methods: A cross sectional study was conducted at a tertiary hospital between January and December 2016. A structured interview questionnaire had been administered including data related to current pregnancy, knowledge, attitude and previous experience of pain, labor analgesia, women's attitude toward the mode of delivery and its relation to the availability of adequate analgesia during labor...
December 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/29479404/vaginal-lichen-sclerosus-report-of-two-cases
#16
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
#17
Z Sleiman, T Zreik, R Bitar, R Sheaib, A Al Bederi, V Tanos
M├╝llerian malformations result from defective fusion of the M├╝llerian 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
#18
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
#19
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
#20
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
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