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https://www.readbyqxmd.com/read/28893234/study-comparing-3%C3%A2-hour-and-24%C3%A2-hour-post-operative-removal-of-bladder-catheter-and-vaginal-pack-following-vaginal-surgery-a-randomised-controlled-trial
#1
Priya Rajan, S Soundara Raghavan, Deepak Sharma
BACKGROUND: Traditional practice after vaginal hysterectomy was to keep the vaginal pack and urinary catheter for 24 hours post operatively. But there were studies that prolonged cathterisation was associated with urinary infection. So this study was conducted to compare the post operative outcome when the urinary catheter and vaginal pack were removed after 3 hours and after 24 hours after surgery. METHODS: The study was done in the Department of Obstetrics and Gynecology, in a tertiary teaching institute of South India from September 2008 to March 2010...
September 11, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28892985/cellular-fibroma-of-ovary-coexisting-with-proliferative-endometrium-post-menopause-a-rare-presentation
#2
Vandana Mohapatra, Susama Patra, Mamita Nayak, Radhamohan Gharei, Nibedita Sahoo
Ovarian fibromas are benign sex cord stromal tumours occurring in peri-menopausal and post-menopausal women. These tumours are composed of spindle fibroblastic cells producing collagen. They are almost always endocrine-inert and are rarely associated with hormone production. We report herein a case of a 60-year-old Indian woman presenting as post-menopausal bleeding. Imaging studies and endometrial biopsy revealed a right ovarian solid tumour coexisting with thickened proliferative endometrium, other causes of hyperoestrogenism being excluded in the woman...
July 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28890679/effects-of-salpingectomy-during-abdominal-hysterectomy-on-ovarian-reserve-a-randomized-controlled-trial
#3
Afsaneh Tehranian, Roghayeh Hassani Zangbar, Faezeh Aghajani, Mahdi Sepidarkish, Saeedeh Rafiei, Tayebe Esfidani
BACKGROUND: The aim of this study was to investigate the effect of salpingectomy on ovarian function by measuring AMH. METHODS: This study was a balanced, single-center, double-blind, randomized, controlled trial in Ruin Tan Arash Hospital, Tehran, between May 2013 and November 2014. A total of 30 patients undergoing elective abdominal hysterectomy were randomized into two groups, 15 with salpingectomy and 15 without salpingectomy. The primary objective of this study was to compare mean difference of anti-Mullerian hormone (AMH) between two groups...
2017: Gynecological Surgery
https://www.readbyqxmd.com/read/28876580/a-four-year-across-surgical-discipline-perioperative-and-intraoperative-experience-of-patient-management-in-a-tertiary-academic-hospital-a-review-at-dr-george-mukhari-academic-hospital
#4
S Patel, Z M Koto, S Mutambirwa
BACKGROUND: The occurrence of iatrogenic injuries related to obstetric and gynaecological procedures can have a significant impact on morbidity as well as mortality to these patients. In this study we reviewed patients presenting with iatrogenic injuries post caesarean section and hysterectomies in order to classify types of injuries frequently encountered as well as the management of these injuries. METHOD: Over a four year period, the records of all patients presenting with iatrogenic injuries post obstetric and gynaecological procedures were reviewed...
September 2017: South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
https://www.readbyqxmd.com/read/28866701/p40-in-metastatic-pulmonary-trophoblastic-tumour-potential-diagnostic-pitfall-on-histopathology
#5
A G Vallonthaiel, R Walia, R Pramanik, M C Sharma, D Jain
p40, one of the two isomers of p63, is nowadays widely used for diagnosis of squamous cell carcinoma, especially in subtyping non-small cell carcinoma on lung biopsies. We describe a case in which lung tumour was misdiagnosed as squamous cell carcinoma due to p40 immunopositivity. A 36-year-old lady presented with cough and left sided chest pain of 2 months duration. Chest imaging revealed a lesion in left lower lobe of the lung and biopsy was suggestive of squamous cell carcinoma. However, past history revealed amputation of great toe for non-healing discharging ulcer which on histopathology was diagnosed as choriocarcinoma...
August 2017: Malaysian Journal of Pathology
https://www.readbyqxmd.com/read/28842515/predictive-role-of-galectin-1-and-integrin-%C3%AE-5%C3%AE-1-in-cisplatin-based-neoadjuvant-chemotherapy-of-bulky-squamous-cervical-cancer
#6
Haiyan Zhu, Aixue Chen, Saisai Li, Xuejiao Tao, Bo Sheng, Mandika Chetry, Xueqiong Zhu
BACKGROUND: Although galectin-1 and integrin α5β1 confer chemoresistance in certain types of cancer, whether their expression predicts the response to cisplatin-based neoadjuvant chemotherapy in squamous cervical cancer remains unclear. METHODS: Paired tumor samples (pre- and post-chemotherapy) were obtained from 35 bulky squamous cervical cancer patients treated with cisplatin-based neoadjuvant chemotherapy and radical hysterectomy at our hospital between January 2007 and August 2014...
August 25, 2017: Bioscience Reports
https://www.readbyqxmd.com/read/28833647/anatomical-complications-of-hysterectomy-a-review
#7
Rebecca C Ramdhan, Marios Loukas, R Shane Tubbs
INTRODUCTION: Hysterectomy is the most commonly performed gynecological procedure in the United States with three possible surgical approaches; vaginal, abdominal and laparoscopic. As with any surgical procedure, various anatomical complications can arise. These include injuries to anatomical structures such as the urinary bladder, ureter, intestines, rectum, anus and a multitude of nervous structures. Other complications include sexual dysfunction, vaginal cuff dehiscence and urinary incontinence...
August 17, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28808931/robotic-total-pelvic-exenteration-video-illustrated-technique
#8
Ioannis T Konstantinidis, William Chu, Federico Tozzi, Clayton Lau, Mark Wakabayashi, Kevin Chan, Byrne Lee
BACKGROUND: Robotic-assisted total pelvic exenteration (TPE) can offer a minimally invasive approach to a major multi-organ operation. METHODS: In this video, we summarize a stepwise approach to robotic TPE in a 70 year-old female Jehovah's witness with a history of cervical cancer post-chemoradiation and radical hysterectomy who experienced local recurrence at the vaginal cuff involving the rectum and bladder. RESULTS: The patient was placed in the lithotomy position...
August 14, 2017: Annals of Surgical Oncology
https://www.readbyqxmd.com/read/28800726/incidence-and-risk-factors-of-chronic-pain-following-hysterectomy-among-southern-jiangsu-chinese-women
#9
Chao Han, Zhijun Ge, Wenjie Jiang, Hailong Zhao, Tieliang Ma
BACKGROUND: Chronic post-surgical pain (CPSP) after hysterectomy has been recognized as a major clinical problem in the Western World. Reports on post-hysterectomy pain are relatively scarce in China. The aim of the current study was to prospectively investigate the incidence and the potential risk factors of CPSP at 3 months following hysterectomy in Chinese population. METHODS: We assessed and collected data on preoperative socio-demographic characteristics, preexisting pain, anxiety and depression, sexual satisfaction, intra-operative variables, and acute postoperative pain intensity in a cohort of 870 women undergoing hysterectomy...
August 11, 2017: BMC Anesthesiology
https://www.readbyqxmd.com/read/28782402/early-catheter-removal-following-laparoscopic-radical-hysterectomy-for-cervical-cancer-assessment-of-a-new-bladder-care-protocol
#10
Patrick Campbell, Maire Casement, Susan Addley, Stephen Dobbs, Ian Harley, Hans Nagar
Evidence to support prolonged catheterisation after radical hysterectomy is lacking. We sought to assess feasibility of a new protocol of early post-operative catheter removal following laparoscopic radical hysterectomy for cervical cancer. A retrospective review of post-operative bladder care in patients who underwent laparoscopic radical hysterectomy for cervical cancer was carried out. The post-operative bladder care protocol recommended catheter removal after 24-72 hours. Three consecutive post-void residual scans of less than 150 millilitres (ml) were considered evidence of normal voiding function...
August 6, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28774217/planned-cesarean-hysterectomy-versus-modified-form-of-segmental-resection-in-patients-with-placenta-percreta
#11
Cetin Kilicci, Enis Ozkaya, Ahmet Eser, Evrim Ergen Bostanci, Ilhan Sanverdi, Cigdem Abide Yayla, Elif Tozkir, Semra Kayatas Eser
OBJECTIVES: The aim of this study was to compare some clinical characteristics of two different management alternatives in pregnants with placental invasion anomalies. METHODS: We conducted a single-center retrospective study of all patients who delivered with invasive placentation between January 2016 and May 2017. We included only the patients with placental invasion anomaly and planned cesarean section. RESULTS: Fifty-one pregnants met the inclusion criteria...
August 3, 2017: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/28762535/anatomical-complications-of-hysterectomy-a-review
#12
REVIEW
Rebecca C Ramdhan, Marios Loukas, R Shane Tubbs
Hysterectomy is the most commonly performed gynecological procedure in the United States with three possible surgical approaches; vaginal, abdominal and laparoscopic. As with any surgical procedure, various anatomical complications can arise. These include injuries to anatomical structures such as the urinary bladder, ureter, intestines, rectum, anus, and a multitude of nervous structures. Other complications include sexual dysfunction, vaginal cuff dehiscence, and urinary incontinence. Using standard search engines, the anatomical complications of hysterectomies are reviewed...
August 1, 2017: Clinical Anatomy
https://www.readbyqxmd.com/read/28753500/laparoscopic-minilaparoscopic-single-port-and-percutaneous-hysterectomy-comparison-of-perioperative-outcomes-of-minimally-invasive-approaches-in-gynecologic-surgery
#13
C Rossitto, S Cianci, S Gueli Alletti, E Perrone, S Pizzacalla, G Scambia
OBJECTIVES: During the last decade endoscopic surgical procedures have been constantly evolving. The latest innovation in ultra-minimally invasive surgery (MIS) is the percutaneous technology (Percuvance™ Percutaneous Surgical System (PSS), Teleflex Inc., USA). We compared surgical outcome of hysterectomy, in a retrospective cohort study using the most recent MIS techniques as single-site (LESS) surgery, 3mm laparoscopy (MiniLPS) and percutaneous system (PSS) with standard laparoscopy (LPS)...
July 19, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28747206/laparoscopic-sacrocolpopexy-versus-vaginal-sacrospinous-fixation-for-vaginal-vault-prolapse-a-randomized-controlled-trial-salto-2-trial-study-protocol
#14
RANDOMIZED CONTROLLED TRIAL
Anne-Lotte W M Coolen, Mèlanie N van IJsselmuiden, Anique M J van Oudheusden, J Veen, Hugo W F van Eijndhoven, Ben Willem J Mol, Jan Paul Roovers, Marlies Y Bongers
BACKGROUND: Hysterectomy is one of the most performed surgical procedures during lifetime. Almost 10 % of women who have had a hysterectomy because of prolapse symptoms, will visit a gynaecologist for a surgical correction of a vaginal vault prolapse thereafter. Vaginal vault prolapse can be corrected by many different surgical procedures. A Cochrane review comparing abdominal sacrocolpopexy to vaginal sacrospinous fixation considered the open abdominal procedure as the treatment of first choice for prolapse of the vaginal vault, although operation time and hospital stay is longer...
July 26, 2017: BMC Women's Health
https://www.readbyqxmd.com/read/28735704/effect-of-remote-cesarean-delivery-on-complications-during-hysterectomy-a-cohort-study
#15
Susanne Hesselman, Ulf Högberg, Maria Jonsson
BACKGROUND: Cesarean delivery is performed frequently worldwide, and follow-up studies that report complications at subsequent surgery are warranted. OBJECTIVES: The aim of the study was to investigate the association between a previous abdominal delivery and complications during a subsequent hysterectomy and to estimate the fraction of complications that are driven by the presence of adhesions. STUDY DESIGN: This was a longitudinal population-based register study of 25354 women who underwent a benign hysterectomy at 46 hospital units in Sweden 2000-2014...
July 21, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28734829/feasibility-of-prophylactic-salpingectomy-during-vaginal%C3%A2-hysterectomy
#16
Danielle D Antosh, Rachel High, Heidi W Brown, Sallie S Oliphant, Husam Abed, Nisha Philip, Cara L Grimes
BACKGROUND: The American Congress of Obstetricians and Gynecologists recommends that "the surgeon and patient discuss the potential benefits of the removal of the fallopian tubes during a hysterectomy in women at population risk of ovarian cancer who are not having an oophorectomy," resulting in an increasing rate of salpingectomy at the time of hysterectomy. Rates of salpingectomy are highest for laparoscopic and lowest for vaginal hysterectomy. OBJECTIVE: The primary objective of this study was to determine the feasibility of bilateral salpingectomy at the time of vaginal hysterectomy...
July 20, 2017: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28721180/adenomyosis-back-to-the-future
#17
Z Ferraz, N Nogueira-Martins, F Nogueira-Martins
Adenomyosis is a benign invasion of endometrium into the myometrium. It produces a diffusely enlarged uterus and predominantly affects women in the late reproductive age. It has recently been associated with a negative impact on female fertility. Diagnosis is challenging because nonspecific symptoms can be present. However, it is asymptomatic in the majority of women. Medical treatment with GnRH agonist seems to be promising, particularly in subfertile women. A retrospective study was performed (182 patients) by examination of histopathological results with "adenomyosis" between January/2013 and September/2016...
March 2017: Facts, Views & Vision in ObGyn
https://www.readbyqxmd.com/read/28711761/laparoscopic-versus-open-hysterectomy-for-benign-disease-in-uteri-weighing-1%C3%A2-kg-a-retrospective-analysis-on-258-patients
#18
Stefano Uccella, Chiara Morosi, Nicola Marconi, Anna Arrigo, Baldo Gisone, Jvan Casarin, Ciro Pinelli, Camilla Borghi, Fabio Ghezzi
STUDY OBJECTIVE: To present a large single-center series of hysterectomies for uteri ≥1 kg and to compare the laparoscopic and open abdominal approach in terms of perioperative outcomes and complications. DESIGN: A retrospective analysis of prospectively collected data (Canadian Task Force classification II-2). SETTING: An academic research center. PATIENTS: Consecutive women who underwent hysterectomy for uteri ≥1 kg between January 2000 and December 2016...
July 12, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28685798/cyto-colpo-histologic-correlation-about-an-analytical-study-of-120-colposcopies
#19
Olfa Slimani, Riadh Ben Temim, Tahar Makhlouf, Nabil Mathlouthi, Leila Attia
PROBLEM: Cervical cancer is the second gynecological cancer Tunisian women after breast. This is a sexually transmitted disease including the role of HPV has been proven. Cervical cancer screening is possible due to the accessibility of the cervix with a speculum examination and implementation of cervical smear. AIM OF THE WORK: To study the epidemiological and clinical data of patients, analyze the results of the Pap test, colposcopy and cervical biopsy staging are the lesions observed in colposcopy, compare the results of smears, colposcopy and cervical biopsy...
October 2016: La Tunisie Médicale
https://www.readbyqxmd.com/read/28676403/obstetric-interventions-and-maternal-morbidity-among-women-who-experience-severe-postpartum-hemorrhage-during-cesarean-delivery
#20
K Seligman, B Ramachandran, P Hegde, E T Riley, Y Y El-Sayed, L M Nelson, A J Butwick
BACKGROUND: Compared to vaginal delivery, women undergoing cesarean delivery are at increased risk of postpartum hemorrhage. Management approaches may differ between those undergoing prelabor cesarean delivery compared to intrapartum cesarean delivery. We examined surgical interventions, blood component use, and maternal outcomes among those experiencing severe postpartum hemorrhage within the two distinct cesarean delivery cohorts. METHODS: We performed secondary analyses of data from two cohorts who underwent prelabor cesarean delivery or intrapartum cesarean delivery at a tertiary obstetric center in the United States between 2002 and 2012...
May 2017: International Journal of Obstetric Anesthesia
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