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https://www.readbyqxmd.com/read/27893534/clinical-predictors-of-positive-postoperative-blood-cultures
#1
Libby R Copeland-Halperin, Joshua Stodghill, Erica Emery, Amber W Trickey, Jonathan Dort
OBJECTIVE: To define clinical features of surgical patients in whom postoperative blood cultures are likely to identify pathogens. BACKGROUND: Bacteremia is a worrisome postoperative complication and blood cultures (BCx) are routinely used for evaluation of postoperative bacteremia, but are costly and not always diagnostic. Better methods are needed to select patients in whom BCx identify pathogens. METHODS: We reviewed records of patients ≥18 years old with BCx drawn ≤10 days after surgery in 2013 seeking independent predictors of positive cultures by simple and multiple logistic regression models with statistical significance at α = 0...
November 23, 2016: Annals of Surgery
https://www.readbyqxmd.com/read/27882238/large-uterine-pyomyoma-in-a-perimenopausal-female-a-case-report-and-review-of-50-reported-cases-in-the-literature
#2
Naoyuki Iwahashi, Yasushi Mabuchi, Michihisa Shiro, Shigetaka Yagi, Sawako Minami, Kazuhiko Ino
Pyomyoma is a rare complication, which withoug antibiotics or surgical intervention, may cause sepsis and mortality. The present study reported a case of large uterine pyomyoma in a perimenopausal female. A 53-year-old multigravida woman was referred to the Department of Obstetrics and Gynecology (Wakayama Medical University, Wakayama, Japan) due to progressive abdominal distension. The patient presented with anemia gravis, severe inflammatory reaction and cachexia. Computed tomography revealed a large unilocular mass, 50 cm in size, with an irregular surface and thickened wall, occupying the entire abdomen...
November 2016: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/27876339/diagnosis-and-treatment-of-clostridium-difficile-c-diff-colitis-review-of-the-literature-and-a-perspective-in-gynecologic-oncology
#3
REVIEW
Kristin N Taylor, Michael T McHale, Cheryl C Saenz, Steven C Plaxe
Clostridium difficile infection (CDI) is a major cause of nosocomial diarrhea with the potential for significant morbidity and mortality. Colonization in a susceptible individual, with risk factors such as prior antibiotic use, advanced age, or medical comorbidities, may result in symptomatic infection. Although patients with a gynecologic malignancy may be at a higher risk of developing CDI due to an increased likelihood of having one or more risk factors, data do not consistently support the idea that chemotherapy or cancer itself are independently associated with CDI...
November 19, 2016: Gynecologic Oncology
https://www.readbyqxmd.com/read/27837336/perivaginal-benign-masses-diagnosis-and-therapy-in-a-series-of-66-women
#4
Anna-Lena Liaci, Hans Boesmueller, Markus Huebner, Sara Yvonne Brucker, Christl Reisenauer
PURPOSE: Benign perivaginal masses (PVM) are relatively rare. The aim of this study is, to create a higher awareness for these entities and to point out reliable diagnostics and an accurate treatment. METHODS: The medical records of the Department of Obstetrics and Gynecology Tuebingen were searched for number and type of urogynecological surgery in general, and a surgery, which took place particularly owing to benign PVM, over a period of 5 years. Diagnostics, treatment, histology and postoperative management were summarized and analyzed...
November 12, 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/27679222/the-use-of-antibiotics-in-gynecological-endoscopy-a-randomized-double-blind-placebo-controlled-trial
#5
F Moiety, H Salem, E Oraby
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27651632/laparoscopic-vesicovaginal-fistula-repair-with-limited-cystotomy-a-rewarding-treatment-option
#6
Bastab Ghosh, Deepak K Biswal, Malay K Bera, Dilip K Pal
INTRODUCTION: Vesicovaginal fistula (VVF) is the most common type of urogenital fistula. Gynecologic surgery is the most common cause associated with it. Laparoscopic approach for VVF repair gives the benefit of minimally invasive surgery with principles similar to open transabdominal approach. MATERIALS AND METHODS: We retrospectively reviewed data of 13 patients who underwent laparoscopic vesicovaginal repair at our department from December 2012 to December 2014...
October 2016: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/27573526/the-disinfect-initiative-decreasing-the-incidence-of-surgical-infections-in-gynecologic-oncology
#7
Jolyn S Taylor, Claire A Marten, Mark F Munsell, Charlotte C Sun, Kimberly A Potts, Jennifer K Burzawa, Alpa M Nick, Larissa A Meyer, Keith Myers, Diane C Bodurka, Thomas A Aloia, Charles F Levenback, David R Lairson, Kathleen M Schmeler
BACKGROUND: Surgical site infections (SSIs) lead to increased patient morbidity and healthcare costs. Our objective was to decrease the SSI rate following gynecologic surgery. METHODS: Adult patients undergoing abdominal surgery for gynecologic malignancy or benign disease received the following: patient education; preoperative antibacterial soap; appropriate antibiotic prophylaxis; change of gloves and use of clean instruments at surgical closure; surgical dressing for 48 h; and a post-discharge phone call...
August 29, 2016: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/27521877/hysterectomy-for-benign-conditions-of-the-uterus-total-abdominal-hysterectomy
#8
REVIEW
Michael Moen
Hysterectomy is the most common major gynecologic procedure. Although alternatives to hysterectomy result in fewer procedures performed annually, and the use of endoscopic techniques and vaginal hysterectomy have resulted in a lower percentage performed by the open abdominal route, certain pelvic disorders require abdominal hysterectomy. Preoperative evaluation with informed consent and surgical planning are essential to select appropriate candidates. Prophylactic antibiotics, thromboprophylaxis, attention to surgical technique, and enhanced recovery protocols should be used to provide optimal outcomes...
September 2016: Obstetrics and Gynecology Clinics of North America
https://www.readbyqxmd.com/read/27306128/perioperative-complications-of-gynecologic-surgery-in-diabetic-patients
#9
Joanna Świrska, Piotr Czuczwar, Agnieszka Zwolak, Beata Matyjaszek-Matuszek
OBJECTIVES: The aim of the study was to estimate whether diabetes was an independent risk factor for perioperative complications in patients undergoing gynecologic surgery. MATERIAL AND METHODS: The study population consisted of 182 women (diabetics and controls) who underwent elective gynecologic surgery. Each patient without diabetes from the control group and matched for age and body mass index diabetic patient were admitted with the same gynecologic diagnosis, underwent the same gynecologic procedure, were operated on in the same operating room and were hospitalized within the same time interval...
2016: Ginekologia Polska
https://www.readbyqxmd.com/read/27269896/the-evolution-of-genomic-stability-to-a-mechanism-in-reproduction-and-psychiatry
#10
Pedro-Antonio Regidor, Claus D Volko, Adolf E Schindler, Uwe D Rohr
There are two forms of immune defense, the specific or adaptive immune defense and the unspecific innate immune defense. Vaccination is utilized against specific bacteria via the adaptive immune system. The innate immunity DNA stress defense is a non-toxic mechanism developed in yeasts and conserved in mammals and in plants. Although the steroidal hormone cascade has overtaken the stress response and allows superfast response via non-genomic receptors, the old innate immunity response is still mediated via the steroidal hormones cascade...
June 7, 2016: Hormone Molecular Biology and Clinical Investigation
https://www.readbyqxmd.com/read/27196085/hysterectomy-for-benign-disease-clinical-practice-guidelines-from-the-french-college-of-obstetrics-and-gynecology
#11
Xavier Deffieux, Bertrand de Rochambeau, Gautier Chene, Tristan Gauthier, Samantha Huet, Géry Lamblin, Aubert Agostini, Maxime Marcelli, François Golfier
OBJECTIVE: The objective of the study was to draw up French College of Obstetrics and Gynecology (CNGOF) clinical practice guidelines based on the best available evidence concerning hysterectomy for benign disease. METHODS: Each recommendation for practice was allocated a grade, which depends on the level of evidence (clinical practice guidelines). RESULTS: Hysterectomy should be performed by a high-volume surgeon (>10 hysterectomy procedures per year) (gradeC)...
July 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27159744/using-bundled-interventions-to-reduce-surgical-site-infection-after-major-gynecologic-cancer-surgery
#12
Megan P Johnson, Sharon J Kim, Carrie L Langstraat, Sneha Jain, Elizabeth B Habermann, Jean E Wentink, Pamela L Grubbs, Sharon A Nehring, Amy L Weaver, Michaela E McGree, Robert R Cima, Sean C Dowdy, Jamie N Bakkum-Gamez
OBJECTIVE: To investigate whether implementing a bundle, defined as a set of evidence-based practices performed collectively, can reduce 30-day surgical site infections. METHODS: Baseline surgical site infection rates were determined retrospectively for cases of open uterine cancer, ovarian cancer without bowel resection, and ovarian cancer with bowel resection between January 1, 2010, and December 31, 2012, at an academic center. A perioperative bundle was prospectively implemented during the intervention period (August 1, 2013, to September 30, 2014)...
June 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27146362/comparative-analysis-of-syndromic-and-pcr-based-diagnostic-assay-reveals-misdiagnosis-overtreatment-for-trichomoniasis-based-on-subjective-judgment-in-symptomatic-patients
#13
COMPARATIVE STUDY
Subash Chandra Sonkar, Kirti Wasnik, Anita Kumar, Pratima Mittal, Daman Saluja
BACKGROUND: Trichomoniasis, a sexually transmitted disease (STD), is caused by Trichomonas vaginalis in both men and women. Screening of trichomoniasis is problematic in resource challenged settings as currently available, inexpensive diagnostic methods are of low sensitivity and/or specificity. In India, National AIDS Control organization (NACO) recommended syndromic case management (SCM) for treatment. The objective of the present study was to compare the utility of the NACO-NACP III Algorithms for STI/RTI treatment used by clinicians with PCR based diagnosis...
May 5, 2016: Infectious Diseases of Poverty
https://www.readbyqxmd.com/read/27125402/is-preoperative-bowel-preparation-necessary-for-gynecological-oncology-surgery
#14
Wei-Tin Liu, Cheng-Wen Hsiao, Shu-Wen Jao, Mu-Hsien Yu, Gwo-Jang Wu, Jah-Yao Liu, Chiung-Chen Liu, Ju-Hsuan Chan, Je-Ming Hu, Sheng-I Hu, Pi-Kai Chang
OBJECTIVE: We investigated the necessity of preoperative bowel preparation for gynecological oncology surgery. MATERIALS AND METHODS: We retrospectively reviewed the medical records of patients who underwent gynecological oncology surgery with simultaneous colon or rectal resection between April 2005 and September 2014 at the Tri-Service General Hospital, Taipei, Taiwan. Patients were divided into two groups based on whether preoperative mechanical bowel preparation (MBP) was performed...
April 2016: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27108229/crohn-s-disease-and-gynecologic-manifestations-in-young-females
#15
C N Davis-Kankanamge, J L Bercaw-Pratt, X M Santos, J E Dietrich
STUDY OBJECTIVE: The purpose of this study was to describe the reproductive and gynecological concerns of young females with Crohn's disease. DESIGN, SETTING, PARTICIPANTS: Retrospective chart review of young females with Crohn's disease and gynecologic concerns at a large, urban tertiary children's hospital. INTERVENTIONS: none MAIN OUTCOME MEASURES: Documentation of abnormal bleeding, pelvic pain, genital fistula, ulcer, or abscess. RESULTS: The majority (85...
April 20, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27101588/evaluating-the-role-of-urinalysis-for-suspected-cystitis-in-women-undergoing-pelvic-radiotherapy
#16
Rebecca Anne Shuford, Caleb R Dulaney, Omer L Burnett, Kevin W Byram, Andrew M McDonald
PURPOSE: The aims of this study were to analyze the effectiveness of urinalysis parameters in predicting positive urine culture and to characterize urinary tract infections in gynecologic cancer patients receiving pelvic radiotherapy. METHODS: The records of 134 women receiving pelvic radiotherapy were retrospectively analyzed with a total of 241 urine specimens. Dipstick, urine microscopy, and urine culture data were recorded. Sensitivity, specificity, positive and negative predictive values, and diagnostic odds ratios of dipstick and microscopy components for predicting positive urine culture were calculated...
April 21, 2016: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/27047692/antibiotic-prophylaxis-for-gynecologic-procedures-prior-to-and-during-the-utilization-of-assisted-reproductive-technologies-a-systematic-review
#17
REVIEW
Nigel Pereira, Anne P Hutchinson, Jovana P Lekovich, Elie Hobeika, Rony T Elias
The use of assisted reproductive technologies (ART) has increased steadily. There has been a corresponding increase in the number of ART-related procedures such as hysterosalpingography (HSG), saline infusion sonography (SIS), hysteroscopy, laparoscopy, oocyte retrieval, and embryo transfer (ET). While performing these procedures, the abdomen, upper vagina, and endocervix are breached, leading to the possibility of seeding pelvic structures with microorganisms. Antibiotic prophylaxis is therefore important to prevent or treat any procedure-related infections...
2016: Journal of Pathogens
https://www.readbyqxmd.com/read/27005705/relation-between-time-interval-from-antenatal-corticosteroids-administration-to-delivery-and-neonatal-outcome-in-twins
#18
Katarzyna Kosinska-Kaczynska, Iwona Szymusik, Paulina Urban, Maria Zachara, Miroslaw Wielgos
AIM: The aim of this study was to evaluate the perinatal outcome in twins, who were administered one complete course of antenatal corticosteroids (ACS) depending on the time interval from corticosteroids to delivery. METHODS: We carried out a retrospective analysis of medical data of women with twins who received a course of ACS and delivered before 34 weeks within or beyond 7 days after ACS were given. Among 652 twin deliveries between 2006 and 2014, 106 met the criteria (50 patients delivered <7 days and 56 ≥ 7 days after ACS administration)...
June 2016: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/26904315/a-tuboovarian-abscess-associated-with-a-ruptured-spleen
#19
Jennifer S Li, Johnathan Michael Sheele
We report the first case of a tuboovarian abscess complicated by a ruptured spleen. Our patient was a 27-year-old female with human immunodeficiency virus (HIV) who presented to the emergency department (ED) with complaints of urinary symptoms and diarrhea. After being diagnosed with a tuboovarian abscess (TOA), she received antibiotics and was admitted to the gynecology service. Shortly thereafter she developed hemorrhagic shock, necessitating a splenectomy and salpingooophorectomy from a ruptured spleen.
2016: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/26874400/-management-of-postpartum-ovarian-vein-thrombosis-the-experience-of-amiens-university-hospital
#20
J Lerouge, S Sanguin, J Gondry, F Sergent
OBJECTIVES: Postpartum ovarian vein thrombophlebitis is an uncommon complication that may threaten mothers' lives. The extension of thrombosis in the inferior vena cava causes a pulmonary embolisme risk and requires urgent care. The main objective of this study was, from a series of patients, to determine the clinical and paraclincal signs to suggest the diagnosis of postpartum ovarian vein thrombosis. Secondary objectives were to assess the location and extent of thrombosis and the therapeutic management of this disease at the University Hospital of Amiens...
February 2016: Gynécologie, Obstétrique & Fertilité
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