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https://www.readbyqxmd.com/read/27895681/rectal-separation-using-hydroxypropyl-methylcellulose-in-intracavitary-brachytherapy-of-cervical-cancer-an-innovative-approach
#1
Swapnendu Basu, Kazi Sazzad Manir, Abhishek Basu, Koushik Ghosh
PURPOSE: This study was initiated to prove feasibility of hydrogel application in recto-vaginal space in intracavitary brachytherapy (ICBT) of cervical cancer in order to reduce rectal toxicity. MATERIAL AND METHODS: In a case of stage IIB cervical cancer, after external beam radiotherapy (EBRT), we planned ICBT 7 Gy × 3 fractions. In 1(st) fraction (Plan 1), due to narrow separation between rectum and cervix (0.18 cm), only 5 Gy was delivered at point A (with high-risk clinical target volume [HR-CTV] D90 5...
October 2016: Journal of Contemporary Brachytherapy
https://www.readbyqxmd.com/read/27861568/appropriateness-of-intrapartum-antibiotic-prophylaxis-to-prevent-neonatal-group-b-streptococcus-disease
#2
Aida Bianco, Elisabetta Larosa, Claudia Pileggi, Maria Pavia
The aims of this study were to describe the adherence to CDC guidelines for intrapartum antibiotic prophylaxis (IAP) and to identify possible factors influencing noncompliance with guidelines. We conducted a retrospective study in Italy. Our cohort included women in whom antenatal Group B Streptococcus (GBS) screening was not performed, was performed, but results were not available at the time of labor or delivery and women who were positive for GBS colonization. The indications for complete execution of IAP according to revised CDC guidelines was evaluated...
2016: PloS One
https://www.readbyqxmd.com/read/27801759/endometrial-stromal-sarcoma-arising-in-colorectal-endometriosis
#3
Rania Kilzieh, Natalia Rakislova, Aureli Torné, Rafael Salvador, Alfons Nadal, Jaume Ordi, Adela Saco
The malignant transformation of endometriosis is very uncommon. Whereas 75% of tumors arising from endometriosis arise in the ovary, location in extra-genital organs is rare and mesenchymal neoplasms are exceptional. A 47 year-old woman who underwent hysterectomy with bilateral salpingo-ooforectomy due to endometriosis 13 years before presented with abdominal pain. The magnetic resonance imaging (MRI) showed a 9.7×7.5 cm solid-cystic supravesical mass and a recto-vaginal tumor, as well as endometriotic nodules in the sigma, right parametrium and peritoneum that had significantly increased in size over a six months period...
October 31, 2016: International Journal of Gynecological Pathology
https://www.readbyqxmd.com/read/27679201/uterine-endometriosis-incidence-in-patients-undergoing-laparoscopic-surgery-for-severe-recto-vaginal-endometriosis-a-prospective-cohort-study
#4
F Shakir, H Jan, C Pearson, P Haines, W Rae-Mitchell, A Kent
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27678940/diagnostic-accuracy-of-rectal-endoscopic-sonography-in-recto-vaginal-endometrisois
#5
A Nargund, R Penketh, A Griffiths, E Bruen, A Roberts, L Kwasnicka
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27572968/maternal-colonization-with-streptococcus-agalactiae-and-associated-stillbirth-and-neonatal-disease-in-coastal-kenya
#6
Anna C Seale, Angela C Koech, Anna E Sheppard, Hellen C Barsosio, Joyce Langat, Emily Anyango, Stella Mwakio, Salim Mwarumba, Susan C Morpeth, Kirimi Anampiu, Alison Vaughan, Adam Giess, Polycarp Mogeni, Leahbell Walusuna, Hope Mwangudzah, Doris Mwanzui, Mariam Salim, Bryn Kemp, Caroline Jones, Neema Mturi, Benjamin Tsofa, Edward Mumbo, David Mulewa, Victor Bandika, Musimbi Soita, Maureen Owiti, Norris Onzere, A Sarah Walker, Stephanie J Schrag, Stephen H Kennedy, Greg Fegan, Derrick W Crook, James A Berkley
Streptococcus agalactiae (group B streptococcus, GBS) causes neonatal disease and stillbirth, but its burden in sub-Saharan Africa is uncertain. We assessed maternal recto-vaginal GBS colonization (7,967 women), stillbirth and neonatal disease. Whole-genome sequencing was used to determine serotypes, sequence types and phylogeny. We found low maternal GBS colonization prevalence (934/7,967, 12%), but comparatively high incidence of GBS-associated stillbirth and early onset neonatal disease (EOD) in hospital (0...
2016: Nature Microbiology
https://www.readbyqxmd.com/read/27521899/prevalence-and-risk-factors-for-infections-in-a-pregnant-adolescent-population
#7
Christine C Akoh, Eva K Pressman, Elizabeth Cooper, Ruth Anne Queenan, Julie Pillittere, Kimberly O O'Brien
STUDY OBJECTIVE: Our objective was to identify risk factors associated with maternal infections and placental inflammation in pregnant adolescents attending an urban adolescent maternity clinic. DESIGN: This cross-sectional, descriptive study used survey and medical chart data collected at entry and prospectively across gestation. The prevalence of maternal infections and placental inflammation was determined and potential risk factors were identified. SETTING: Rochester Adolescent Maternal Program (RAMP) in Rochester, NY...
August 10, 2016: Journal of Pediatric and Adolescent Gynecology
https://www.readbyqxmd.com/read/27398230/maternal-colonisation-with-streptococcus-agalactiae-and-associated-stillbirth-and-neonatal-disease-in-coastal-kenya
#8
Anna C Seale, Angela C Koech, Anna E Sheppard, Hellen C Barsosio, Joyce Langat, Emily Anyango, Stella Mwakio, Salim Mwarumba, Susan C Morpeth, Kirimi Anampiu, Alison Vaughan, Adam Giess, Polycarp Mogeni, Leahbell Walusuna, Hope Mwangudzah, Doris Mwanzui, Mariam Salim, Bryn Kemp, Caroline Jones, Neema Mturi, Benjamin Tsofa, Edward Mumbo, David Mulewa, Victor Bandika, Musimbi Soita, Maureen Owiti, Norris Onzere, A Sarah Walker, Stephanie J Schrag, Stephen H Kennedy, Greg Fegan, Derrick W Crook, James A Berkley
Streptococcus agalactiae (Group B Streptococcus, GBS) causes neonatal disease and stillbirth, but its burden in sub-Saharan Africa is uncertain. We assessed maternal recto-vaginal GBS colonisation (7967 women), stillbirth and neonatal disease. Whole genome sequencing was used to determine serotypes, sequence types (ST), and phylogeny. We found low maternal GBS colonisation prevalence (934/7967, 12%), but comparatively high incidence of GBS-associated stillbirth and early onset neonatal disease (EOD) in hospital (0...
July 2016: Nature Microbiology
https://www.readbyqxmd.com/read/27274119/management-of-fourth-degree-obstetric-perineal-tear-without-colostomy-using-non-stimulated-gracilis-our-experience-over-eleven-years
#9
Jiten Kulkarni, Anuradha J Patil, Bhaskar Musande, Abhishek B Bhamare
BACKGROUND: Although gracilis muscle transposition for faecal incontinence has been well-described method, its literature for use in obstetric perineal tear without colostomy is sparse. In this study, we have tried to analyse its use in fourth-degree obstetric perineal tears. PATIENTS AND METHODS: A total of 30 patients with recto-vaginal fistula with faecal incontinence secondary to obstetric perineal tear were retrospectively studied between February 2003 and May 2014...
January 2016: Indian Journal of Plastic Surgery: Official Publication of the Association of Plastic Surgeons of India
https://www.readbyqxmd.com/read/27267048/vaginal-dose-de-escalation-in-image-guided-adaptive-brachytherapy-for-locally-advanced-cervical-cancer
#10
Sandy Mohamed, Jacob Christian Lindegaard, Astrid A C de Leeuw, Ina Jürgenliemk-Schulz, Kathrin Kirchheiner, Christian Kirisits, Richard Pötter, Kari Tanderup
PURPOSE: Vaginal stenosis is a major problem following radiotherapy in cervical cancer. We investigated a new dose planning strategy for vaginal dose de-escalation (VDD). MATERIALS AND METHODS: Fifty consecutive locally advanced cervical cancer patients without lower or middle vaginal involvement at diagnosis from 3 institutions were analysed. External beam radiotherapy was combined with MRI-guided brachytherapy. VDD was obtained by decreasing dwell times in ovoid/ring and increasing dwell times in tandem/needles...
June 3, 2016: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://www.readbyqxmd.com/read/27224263/functional-expression-of-fsh-receptor-in-endometriotic-lesions
#11
Donata Ponikwicka-Tyszko, Marcin Chrusciel, Joanna Stelmaszewska, Piotr Bernaczyk, Maria Sztachelska, Iwona Sidorkiewicz, Milena Doroszko, Jakub Tomaszewski, Juha S Tapanainen, Ilpo Huhtaniemi, Slawomir Wolczynski, Nafis A Rahman
CONTEXT: FSH receptor (FSHR), besides being expressed in gonads, is also expressed in some extragonadal tissues at low levels. OBJECTIVE: We examined the functional expression of FSHR in different types of endometriotic lesions. DESIGN: Extensive studies were carried out to detect functional FSHR expression and FSH-stimulated estrogen production in ovarian endometriomas and recto-vaginal endometriotic nodules (RVEN). Normal endometrium, ovary, and myometrium tissues from nonpregnant cycling women served as controls...
July 2016: Journal of Clinical Endocrinology and Metabolism
https://www.readbyqxmd.com/read/27142415/recto-vaginal-septum-cystadenocarcinoma-a-case-report-and-review-of-the-literature
#12
Sophie Warembourg, Mélanie Cayrac, Gauthier Rathat, Arash Rafii
BACKGROUND: Carcinoma of the recto-vaginal septum is a quite rare location and related to peritoneal and primary ovarian carcinomas. There are only few reports in the literature with a very poor prognosis. CASE PRESENTATION: Here we report the case of a 63 years old woman with past medical history of left oophorectomy presenting with a pelvic pain. The magnetic resonance imaging (MRI) demonstrated a 10 cm mass located in the recto-vaginal septum. A block resection was performed allowing the retrieval of a 10 cm solid tumor of the recto-vaginal septum...
2016: BMC Women's Health
https://www.readbyqxmd.com/read/27031453/screening-and-genotyping-of-group-b-streptococcus-in-pregnant-and-non-pregnant-women-in-turkey
#13
Feyza Alp, Duygu Findik, Hatice Turk Dagi, Ugur Arslan, Aybike Tazegul Pekin, Setenay Arzu Yilmaz
INTRODUCTION: The purpose of this study was to investigate group B streptococcus (GBS) colonization, to compare the methods, to determine the relationship between GBS carriage and risk factors, and to genotype the GBS isolates. METHODOLOGY: Recto-vaginal swab specimens were obtained from 500 women, and a questionnaire was administered to each to assess their risk factors for GBS carriage. A culture, GBS antigen test, and polymerase chain reaction (PCR) were performed on all samples...
March 2016: Journal of Infection in Developing Countries
https://www.readbyqxmd.com/read/27016903/transanal-minimally-invasive-surgery-review-of%C3%A2-indications-and-outcomes-from-75-consecutive-patients
#14
Deborah S Keller, Reena N Tahilramani, Juan R Flores-Gonzalez, Ali Mahmood, Eric M Haas
BACKGROUND: Transanal minimally invasive surgery (TAMIS) is an advanced local excision platform that helps overcome technical limitations and morbidity associated with other resection methods. Our goal was to review the indications and outcomes of TAMIS in a large series. STUDY DESIGN: A review of a prospective database identified patients who underwent TAMIS from 2010 to 2014. Demographic, perioperative, short-term outcomes, and recurrence data were analyzed. RESULTS: There were 75 patients with 76 lesions analyzed...
May 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/26780997/dose-effect-relationship-and-risk-factors-for-vaginal-stenosis-after-definitive-radio-chemo-therapy-with-image-guided-brachytherapy-for-locally-advanced-cervical-cancer-in-the-embrace-study
#15
Kathrin Kirchheiner, Remi A Nout, Jacob C Lindegaard, Christine Haie-Meder, Umesh Mahantshetty, Barbara Segedin, Ina M Jürgenliemk-Schulz, Peter J Hoskin, Bhavana Rai, Wolfgang Dörr, Christian Kirisits, Søren M Bentzen, Richard Pötter, Kari Tanderup
BACKGROUND/PURPOSE: To identify risk factors for vaginal stenosis and to establish a dose-effect relationship for image-guided brachytherapy in locally advanced cervical cancer. MATERIALS/METHODS: Patients from the ongoing EMBRACE study with prospectively assessed morbidity (CTCAEv3.0) at baseline and at least one follow-up were selected. Patient-, disease- and treatment characteristics were tested as risk factors for vaginal stenosis G ⩾ 2 in univariate and multivariable analyses (Cox proportional hazards model) and a dose-effect curve was deduced from the estimates...
January 2016: Radiotherapy and Oncology: Journal of the European Society for Therapeutic Radiology and Oncology
https://www.readbyqxmd.com/read/26710545/-congenital-recto-vaginal-fistula-associated-with-a-normal-anus-type-h-fistula-and-rectal-atresia-in-a-patient-report-of-a-case-and-a-brief-revision-of-the-literature
#16
REVIEW
Jesús Ángel Fernández Fernández, Luis Parodi Hueck
Congenital recto-urogenital type fistulas with a normal anus and rectal atresia, represent both anorectal malformations that are infrequently seen in clinical practice. We describe the case of a girl with an association of these two anomalies, together with a double vagina who, on her seventh day of life, expelled feces through her genitals. The malformations were corrected by means of a posterior sagittal approach, descending from the rectum to the anus without perineal dissection. The vaginal septum was resected thru the vulva...
September 2015: Investigación Clínica
https://www.readbyqxmd.com/read/26654111/obstetric-fistula-management-and-predictors-of-successful-closure-among-women-attending-a-public-tertiary-hospital-in-rwanda-a-retrospective-review-of-records
#17
Tekle G Egziabher, Ngoga Eugene, Karenzi Ben, Kateera Fredrick
BACKGROUND: Globally, 50,000-100,000 women develop obstetric fistula annually. At least 33,000 of these women live in Sub-Saharan Africa where limitations in quality obstetric care and fistula corrective repairs are prevalent. Among women with fistula seeking care at public health facilities in resource-limited settings, there is paucity of data on quality of care received. The aim of this study was to characterize obstetric fistula among Rwandan women managed at a public tertiary hospital and evaluate for predictors of successful fistula closures...
2015: BMC Research Notes
https://www.readbyqxmd.com/read/26628070/the-outcomes-of-ultralow-anterior-resection-or-an-abdominoperineal-pull-through-resection-and-coloanal-anastomosis-for-radiation-induced-recto-vaginal-fistula-patients
#18
Feza Yarbug Karakayali, Tugan Tezcaner, Umit Ozcelik, Gokhan Moray
PURPOSE: The purpose of this study was to evaluate the outcomes of patients who underwent colorectal resections and coloanal anastomosis for radiation-induced recto-vaginal fistulas (RVFs). The effect of the surgical treatment technique on bowel function, fecal continence, and quality of life of patients was also evaluated. METHODS: Twenty-one female patients, who received adjuvant chemotherapy and external beam pelvic radiation for cervix carcinoma after radical hysterectomy + pelvic/paraaortic lymph node dissection, having RVF but without tumor recurrence, were included...
May 2016: Journal of Gastrointestinal Surgery: Official Journal of the Society for Surgery of the Alimentary Tract
https://www.readbyqxmd.com/read/26520839/repair-of-a-traumatic-cloaca-after-obstetric-anal-sphincter-injury
#19
Federico Spelzini, Matteo Frigerio, Stefano Manodoro, Debora Verri, Elena Nicoli, Rodolfo Milani
INTRODUCTION AND HYPOTHESIS: Unsuccessful primary repair of fourth-degree obstetric trauma can lead to permanent communication between the rectum and the vagina, which, in association with full-thickness anal sphincter defects, is characterized by complete fecal incontinence and severe impairment of quality of life. The aim of this video is to serve as a tutorial for repair. METHODS: A 27-year-old woman who developed a full-thickness recto-vaginal defect extended from the perineum to the upper third of the vagina has been managed through layered surgical repair without flaps...
March 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/26467428/carcinoma-of-the-recto-vaginal-septum-comprehensive-literature-review
#20
N Lopez, J P Grabowski, J De Santiago, I Zapardiel
Carcinoma of the recto-vaginal septum is an extremely rare entity. We performed a MEDLINE-based search on recto-vaginal septum carcinoma, focussing on its management, in order to clarify which are the best treatment options for this disease. In addition an unpublished case report has been added to the review. 34 case reports were included in our review. Surgery and adjuvant chemoradiation therapy seem to be the most common treatment option. However, since primary surgical treatment leads to mutilation by removing a large portion of the vagina and the anal sphincter with a permanent terminal colostomy, primary platinum-based chemoradiation therapy could be considered...
May 2016: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
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