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https://www.readbyqxmd.com/read/27900089/pregnancy-and-cesarean-delivery-after-multimodal-therapy-for-vulvar-carcinoma-a-case-report
#1
Kuniaki Toriyabe, Haruki Taniguchi, Tokihiro Senda, Masako Nakano, Yoshinari Kobayashi, Miho Izawa, Hirohiko Tanaka, Tetsuo Asakura, Tsutomu Tabata, Tomoaki Ikeda
Reports of pregnancy following treatment for vulvar carcinoma are extremely uncommon, as the main problem of subsequent pregnancy is vulvar scarring following radical surgery. We herein report the case of a patient who was diagnosed with stage I squamous cell carcinoma of the vulva at the age of 17 years and was treated with multimodal therapy, including neoadjuvant chemotherapy, wide local excision with bilateral inguinal lymph node dissection and adjuvant radiotherapy. The patient became pregnant spontaneously 9 years after her initial diagnosis and the antenatal course was good, except for mild acute pyelonephritis at 25 weeks of gestation...
November 2016: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/27894281/successful-selective-reduction-of-a-heterotopic-cesarean-scar-pregnancy-in-the-second-trimester-a-case-report-and-review-of-the-literature
#2
Haiyan Yu, Hong Luo, Fumin Zhao, Xinghui Liu, Xiaodong Wang
BACKGROUND: Heterotopic cesarean scar pregnancy is a cesarean scar pregnancy combined with an intrauterine pregnancy that predisposes a woman to life-threatening complications such as uterine rupture and massive bleeding. Preservation of the intrauterine pregnancy in heterotopic cesarean scar pregnancy is a great challenge. CASE PRESENTATION: We report a case of a 33-year-old woman with heterotopic cesarean scar pregnancy after IVF-embryo transfer (ET). Expectant management was carried out with early diagnosis of heterotopic cesarean scar pregnancy (HCSP), and selective fetal reduction of cesarean scar pregnancy (CSP) was performed by ultrasound-guided intrathoracic injection of potassium chloride (KCl) at 16 + 4 weeks of gestation due to aggravation of CSP...
November 29, 2016: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/27882763/effect-of-systemic-enzymotherapy-on%C3%A2-cesarean-section-scar-healing
#3
E Dosedla, A Grendelova, P Calda
OBJECTIVES: The aim of our study was to monitor changes in the healing of Caesarean section scars in patients using systemic enzymotherapy in comparison with patients not treated with systemic enzymotherapy (Wobenzym). METHODS: A prospective cohort study was conducted in 60 primiparous women delivered by CS. We compared the following outcomes: scar thickness after the Caesarean section, dehiscence risk coefficient (DRC), severity of the Caesarean section scar defect, uterine cavity dilation, post-operative pain, C-reactive protein level and febrility...
2016: Ceská Gynekologie
https://www.readbyqxmd.com/read/27865447/surgical-management-of-niche-isthmocele-uteroperitoneal-fistula-or-cesarean-scar-defect-a-critical-rebirth-in-the-medical-literature
#4
EDITORIAL
Camran Nezhat, Rebecca Falik, Anjie Li
No abstract text is available yet for this article.
November 16, 2016: Fertility and Sterility
https://www.readbyqxmd.com/read/27857904/successful-pregnancy-after-excision-of-cesarean-scar-endometriosis-with-uterovesicocutaneous-fistula-a-rare-case-report
#5
Sunil Kumar Juneja, Pooja Tandon, Isha Chopra
Scar endometriosis is an infrequent type of extrapelvic endometriosis. The most common extrapelvic form of endometriosis is cutaneous endometriosis, involving scar tissues occurring after obstetric or gynecologic procedures such as episiotomy, hysterotomy, cesarean section, and even laparoscopic surgery. The clinical presentation of scar endometriosis, i.e., tender swellings, mimics other dermatological and/or surgical conditions and delays the diagnosis. Scar endometriosis very rarely can get complicated with uterocutaneous fistula with a reported incidence of very few cases in world literature...
October 2016: International Journal of Applied and Basic Medical Research
https://www.readbyqxmd.com/read/27824616/increased-rates-of-cesarean-sections-and-large-families-a-potentially-dangerous-combination
#6
Ahmed M Saleh, Joachim W Dudenhausen, Badreldeen Ahmed
Rates of cesarean sections have been on the rise over the past three decades all over the world, despite the ideal rate of 10-15% that had been set by the World Health Organization (WHO) in 1985, in Fortaleza, Brazil. This epidemic increase in the rate of cesarean delivery is due to many factors which include, cesarean delivery on request, advanced maternal age at first pregnancy, decrease in number of patients who are willing to try vaginal birth after cesarean delivery, virtual disappearance of vaginal breech delivery, perceived increase in the weight of the fetus and increase in the number of women with chronic medical conditions such as Diabetes Mellitus and congenital heart disease in the reproductive age...
November 8, 2016: Journal of Perinatal Medicine
https://www.readbyqxmd.com/read/27821992/successful-conservative-management-of-an-unruptured-cesarean-scar-ectopic-pregnancy
#7
Arun Nayak, Meenal Sarmalkar, Madhuri Mehendale, Neha Singh, Pratibha Dixit, Shamlee Mistry
No abstract text is available yet for this article.
December 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27816234/gynecological-and-obstetrical-outcomes-after-laparoscopic-repair-of-a-cesarean-scar-defect-in-a-series-of-38-women
#8
Olivier Donnez, Jacques Donnez, Renan Orellana, Marie-Madeleine Dolmans
OBJECTIVE: To evaluate gynecological and obstetrical outcomes, as well as remaining myometrial thickness, after laparoscopic repair of a cesarean scar. DESIGN: Observational study and prospective evaluation of the remaining myometrium before and after repair. SETTING: Academic department in a university hospital. PATIENT(S): A series of 38 symptomatic women with cesarean scar defects and remaining myometrial thickness of less than 3 mm, according to magnetic resonance imaging...
November 2, 2016: Fertility and Sterility
https://www.readbyqxmd.com/read/27810608/rapid-progression-of-a-pregnancy-associated-intra-abdominal-desmoid-tumor-in-the-post-partum-period-a-case-report
#9
David Hanna, Michail Magarakis, William S Twaddell, H Richard Alexander, Susan B Kesmodel
INTRODUCTION: The clinical behavior of desmoid tumors can be unpredictable, particularly when they arise in the ante-partum or post-partum period. We present a case of an intra-abdominal desmoid tumor that was identified in the ante-partum period, progressed rapidly in the post-partum period, and was subsequently resected. PRESENTATION OF CASE: The patient is a 19 year-old female who was found to have a 12cm intra-abdominal mass on a fetal assessment ultrasound...
October 26, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27804175/pilot-study-of-mri-us-fusion-in-the-assessment-of-the-cesarean-section-scar-in-the-postpartum-period
#10
Kristina Bolten, Thomas Fischer, Yvonne Yi-Na Bender, Gerd Diederichs, Anke Thomas
OBJECTIVES: To prospectively evaluate the uterine scar after Cesarean section (CS) as well as the corresponding uterine region after vaginal delivery (VD) at 6 weeks using transabdominal (TAUS) and transvaginal ultrasound (TVUS) and magnetic resonance imaging (MRI)/US image fusion to investigate whether image fusion allows standardized and reproducible localization of the scar and uterine wall thickness measurement compared with high-resolution MRI. METHODS: Six weeks after delivery, plain pelvic MRI (was performed in 30 women (10 each after planned Cesarean section (PCS), emergency Cesarean section (ECS), and VD)...
November 2, 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27780708/risk-factors-for-complete-uterine-rupture
#11
Iqbal Al-Zirqi, Anne Kjersti Daltveit, Lisa Forsén, Babill Stray-Pedersen, Siri Vangen
BACKGROUND: Complete uterine rupture is a rare peripartum complication associated with a catastrophic outcome. Because of its rarity, knowledge about its risk factors is not very accurate. Most previous studies were small and over a limited time interval. Moreover, international diagnostic coding was used in most studies. These codes are not able to differentiate between the catastrophic complete type and less catastrophic partial type. Complete uterine rupture is expected to increase as the rate of cesarean delivery increases...
October 22, 2016: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27776031/morbidly-adherent-placenta-interprofessional-management-strategies-for-the-intrapartum-period
#12
Suzanne McMurtry Baird, Nan H Troiano, Margaret Betsy Babb Kennedy
"Morbidly adherent placenta" is a term that describes the continuum of placenta accreta, increta, and percreta. The incidence of this type of abnormal placentation has increased significantly over recent decades. The reason is probably multifactorial but, partly, because of factors such as the increasing number of cesarean births. Women at greatest risk are those who have myometrial damage caused by a previous cesarean birth, with either anterior or posterior placenta previa overlying the uterine scar. This condition poses significant risks of morbidity and/or mortality to the pregnant woman and her fetus...
October 2016: Journal of Perinatal & Neonatal Nursing
https://www.readbyqxmd.com/read/27775189/laparoscopic-repair-with-hysteroscopy-of-cesarean-scar-diverticulum
#13
Song-Jun Liu, Wen Lv, Wu Li
AIM: The aim of this study was to investigate the clinical data of laparoscopic repair with hysteroscopy of cesarean scar diverticulum (CSD). METHODS: We retrospectively evaluated 49 patients with CSD in our hospital who had undergone laparoscopic repair with hysteroscopy from January 2014 to June 2015. All patients had a history of cesarean section deliveries and prolonged postmenstrual spotting (duration 16.1 ± 3.4 days). The diagnosis of CSD was established by using 2-D transvaginal ultrasound...
October 24, 2016: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/27760623/-clinicopathologic-features-of-cesarean-scar-related-complications
#14
X D Chen, Y F Shi
No abstract text is available yet for this article.
October 8, 2016: Zhonghua Bing Li Xue za Zhi Chinese Journal of Pathology
https://www.readbyqxmd.com/read/27751422/can-the-final-sonographic-assessment-of-the-cesarean-section-scar-be-predicted-6-weeks-after-the-operation
#15
Erik Dosedla, Pavel Calda
OBJECTIVE: The aim of the study was to compare the sonographic characteristics of the cesarean section (CS) scar 6 weeks and 6 months after operation. We tested the hypothesis that the dehiscence risk coefficient (DRC) measured 6 weeks and 6 month after CS does not change. MATERIALS AND METHODS: A prospective longitudinal study was conducted in 43 primiparous women delivered by CS. The thickness of the myometrium proximal and distal to the CS scar, and the thickness of the CS scar were measured transvaginally...
October 2016: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27745905/-obstetrical-outcome-after-a-cesarean-section-before-28-weeks-of-gestation%C3%A2-a-case-control-study
#16
M Eslier, M Lemonnier, M Koné, S Roumieux, M Dreyfus
OBJECTIVES: The aim of our study was to compare the mode of delivery after a caesarean performed before 28 weeks of gestation compared to a control group of patients who had a caesarean at term. Our secondary objective was to compare the risk of uterine rupture in these both groups. PATIENTS AND METHODS: This retrospective case-control was realised in a level III maternal center between the 1st of January 2001 and the 31th of December 2010. All patients who underwent caesarean section between 22 and 28 weeks of gestation were included, regardless of the indication of caesarean section, their gender and type of pregnancy (single or multiple)...
October 13, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/27723075/when-and-how-should-we-treat-cesarean-scar-defect-isthmocoele
#17
Konrad Futyma, Krzysztof Gałczyński, Katarzyna Romanek, Aleksandra Filipczak, Tomasz Rechberger
The reported number of cesarean sections in Poland is approximately 30% and is associated with increasing number of early and late complications. The myometrial discontinuity at the site of previous cesarean section is known in the literature as "isthmocoele", "niche", "pouch" or cesarean scar defect. In most cases presence of isthmocoele has no clinical significance, but in some patients it may cause abnormal uterine bleeding, dysmenorrhea, dyspareunia, pelvic pain or be associated with secondary infertility...
2016: Ginekologia Polska
https://www.readbyqxmd.com/read/27693933/comparison-of-systemic-and-local-methotrexate-treatments-in-cesarean-scar-pregnancies-time-to-change-conventional-treatment-and-follow-up-protocols
#18
Semih Z Uludag, Mehmet S Kutuk, Mehmet Ak, Mahmut T Ozgun, Mehmet Dolanbay, Ercan M Aygen, Yılmaz Sahin
OBJECTIVE: The aim of this study was to compare the use of systemic and local methotrexate in the treatment of cesarean scar pregnancy. STUDY DESIGN: In this retrospective cohort study, we collected the data of 44 patients with cesarean scar pregnancy. The patients were grouped according to treatment modality: Group 1, local methotrexate injection (n=17) and Group 2, systemic methotrexate (n=27). The groups were compared with respect to side effects, recovery time, reproductive outcome, and treatment cost...
November 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27692519/-inter-observer-variability-of-decision-concerning-the-route-of-delivery-in-case-of-one-previous-cesarean-section-and-abnormal-pelvic-measures
#19
M Bourdon, P F Ceccaldi, G Girard, M Koskas, F Goffinet, C Le Ray
OBJECTIVES: To study inter-observer variability of decision concerning the route of delivery using pelvimetry in case of one previous cesarean section and abnormal pelvic measures. MATERIALS AND METHOD: Observational study conducted in 2014 in 4 university maternity units among 36 obstetricians. Two groups of obstetricians - as they practiced in a center where pelvimetry was routinely performed (n=12) or not (n=24) - had to choose a route of delivery for 10 clinical cases of women with a single uterine scar and a tight pelvis...
September 28, 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://www.readbyqxmd.com/read/27687853/conservative-management-of-cesarean-scar-pregnancy-following-diagnosis-via-magnetic-resonance-imaging
#20
Nigel Pereira, Rony T Elias
No abstract text is available yet for this article.
September 26, 2016: Journal of Minimally Invasive Gynecology
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