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https://www.readbyqxmd.com/read/29056510/examination-of-the-pediatric-adolescent-patient
#1
REVIEW
Judith Simms-Cendan
Gynecologic examination of the pediatric adolescent patient provides a valuable opportunity for patient education and diagnosis, yet presents special challenges, including achieving comfort for the patient and guardian and finding equipment that are sized for pediatric patient. Anatomic changes due to the hormonal environment evolve from newborn through pubertal development. As pediatric adolescent gynecology has evolved as a specialty, techniques and training for providing optimal office and surgical examination have emerged...
September 1, 2017: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29054510/safety-and-efficiency-in-a-canadian-outpatient-gynaecological-surgical-centre
#2
Caroline E Lee, Annette Epp
OBJECTIVE: This study sought to describe safety and efficiency outcomes for patients undergoing procedures at the Women's Health Centre, an outpatient gynaecological surgical centre in Saskatoon, SK. METHODS: A retrospective chart review of surgical outpatient health records was conducted for the period of July 2014 to June 2015. Data were abstracted using a standardized data form for patient admissions during the study period. Primary outcomes of interest included procedure time, lead time (registration to discharge), complication rates, readmission rates, and reoperation rates...
October 17, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29046105/safety-and-patients-satisfaction-after-hysteroscopic-sterilisation
#3
María Nieves Cabezas-Palacios, Antonio Jiménez-Caraballo, Sara Tato-Varela, Alicia Sánchez-Sánchez, Carlos Romero-Díaz, Antonio Carrasco-Gallego, Ignacio Zapardiel-Gutiérrez
The aim of this study was to understand the potential complications of the Essure(®) device as well as the factors influencing its onset and patient satisfaction. We present a 9-year descriptive prospective study that included 1068 patients. The device was placed in 1056 of them (98.8%); 894 had no pain or mild pain during the insertion and only 12 patients experienced pain greater than menstrual pain. The proportion of patients without pain was greater in the group that took NSAIDs or NSAIDs and BZD and the unmedicated group had the highest rate of severe pain (p = ...
October 19, 2017: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29038040/hysteroscopic-intrauterine-adhesiolysis-using-a-blunt-spreading-dissection-technique-with-a-double-action-forceps
#4
Huan Huang, Chunxia Cheng, Grace Johnson, Ruoyi Wang, Min Xue, Aiqian Zhang, Dabao Xu, Xiaoming Guan
STUDY OBJECTIVE: To demonstrate step by step the technique of hysteroscopic adhesiolysis (HA) by means of a blunt spreading technique using double action forceps to dissect and restore the layer between the anterior and posterior uterine walls in a patient with severe intrauterine adhesions (IUA), particularly in cases in which the endometrial lining is obscured on ultrasound imaging and the endometrial cavity is completely occluded on hysteroscopy. DESIGN: Step-by-step explanation of the technique using videos and pictures (educative video) (Canadian Task Force Classification III)...
October 13, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29038039/hysteroscopic-transcervical-resection-for-atypical-polypoid-adenomyoma-of-the-uterus-a-valid-fertility-preserving-option
#5
Tatsuyuki Chiyoda, Bao-Liang Lin, Keiko Saotome, Shunki Kiyokawa, Sakura Nakada
STUDY OBJECTIVE: To evaluate hysteroscopic transcervical resection (TCR) for atypical polypoid adenomyoma of the uterus (APA). DESIGN: Retrospective study (Canadian Task Force classification II-2). SETTING: Single tertiary hospital. PATIENTS: Women who underwent TCR for APA at Kawasaki Municipal Hospital between 2003 and 2015. INTERVENTIONS: Clinical records were obtained. MEASUREMENTS AND MAIN RESULTS: Thirty-five APA cases were evaluated...
October 13, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29032251/laparoscopic-isthmocele-repair-with-hysteroscopic-assistance
#6
Elena Suarez Salvador, Cecilia Haladjian, Melissa Bradbury, Montserrat Cubo-Abert, Laura Manalich Barrachina, Eva Vila Escude, Oriol Puig Puig, Antonio Gil Moreno
No abstract text is available yet for this article.
October 12, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29024798/hysteroscopic-management-of-asherman-s-syndrome-special-issue-report-on-uterine-surgery-in-the-journal-of-minimally-invasive-gynecology
#7
Zaraq Khan, Jeffrey M Goldberg
In developed countries, Asherman's Syndrome is almost always the result of a prior intrauterine operative trauma. This is often asymptomatic but may result in hypo- or amenorrhea and can contribute to infertility and pregnancy complications. We will review their etiology, clinical implications, and the systems which have been proposed to classify their extent. The numerous methods reported for performing lysis of intrauterine adhesions will be summarized along with the clinical results. Current strategies to prevent recurrence of intrauterine adhesions have not been conclusively shown to be clinically effective but the potential for endometrial regeneration using stem cells is an exciting modality under investigation...
October 9, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28982101/misoprostol-prior-to-diagnostic-office-hysteroscopy-in-the-subgroup-of-patients-with-no-risk-factors-for-cervical-stenosis-a-randomized-double-blind-placebo-controlled-trial
#8
Usama M Fouda, Khaled A Elsetohy, Hesham S Elshaer, Bahaa Eldin M Hammad, Mona M Shaban, Mohamed A Youssef, Ahmed T Hashem, Ahmed H Attia
AIMS: To assess the effectiveness of vaginal misoprostol in minimizing the pain perceived by patients with no risk factors for cervical stenosis (i.e., parous women of reproductive age who have no history of cesarean section or cervical surgery) during diagnostic office hysteroscopy. METHODS: A total of 100 patients with no risk factors for cervical stenosis were randomized to the misoprostol group (n = 50) or the placebo group (n = 50). In the misoprostol group, 2 misoprostol tablets (400 µg) were administered vaginally 12 h before office hysteroscopy...
October 6, 2017: Gynecologic and Obstetric Investigation
https://www.readbyqxmd.com/read/28980065/conservative-endovascular-management-of-retained-placenta-accreta-with-marked-vascularity-after-abortion-or-delivery
#9
Akihiro Takeda, Wataru Koike
OBJECTIVE: To report our experience on the value of transcatheter arterial embolization (TAE) or transcatheter arterial chemoembolization (TACE) for the uterus-preserving management of retained placenta accreta with marked vascularity after abortion or delivery. STUDY DESIGN: Thirty-eight consecutive women with retained placenta accreta were retrospectively analyzed over a 5-year period. When elevated levels of serum β-hCG (> 25 mIU/mL) were detected, TACE with dactinomycin was chosen for devascularization along with cytotoxic effects on active trophoblasts; in contrast, if the serum β-hCG level was low (≤ 25 mIU/mL), TAE was chosen...
October 4, 2017: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/28975815/office-hysteroscopic-guided-selective-tubal-chromopertubation-acceptability-feasibility-and-diagnostic-accuracy-of-this-new-diagnostic-non-invasive-technique-in-infertile-women
#10
Gaspare Carta, Patrizia Palermo, Chiara Pasquale, Valeria Conte, Ruggero Pulcinella, Stefano Necozione, Vincenza Cofini, Felice Patacchiola
The aim of this study was to evaluate accuracy, tolerability and side effects of office hysteroscopic-guided chromoperturbations in infertile women without anaesthesia. Forty-nine infertile women underwent the procedure to evaluate tubal patency and the uterine cavity. Women with unilateral or bilateral tubal stenosis at hysteroscopy with chromoperturbation, and women with bilateral tubal patency who did not conceive during the period of six months, underwent laparoscopy with chromoperturbation. The results obtained from hysteroscopy and laparoscopy in the assessment of tubal patency were compared...
October 4, 2017: Human Fertility: Journal of the British Fertility Society
https://www.readbyqxmd.com/read/28973183/puerperal-complications-of-a-retroplacental-uterine-leiomyoma
#11
Jody M Gerome, Tyler L Church
Leiomyoma can be found concomitant with pregnancy and can cause complications during labor, delivery, and postpartum management. In the present case, a 26-year-old nulliparous patient at 39.4 weeks gestational age with a 12×9-cm retroplacental leiomyoma underwent a spontaneous vaginal delivery. Nine weeks after delivery, the patient presented with acute pain and vaginal bleeding. Immediate manual removal of the bulk of the leiomyoma tissue via vaginal approach was performed. Four weeks later, the patient returned for removal of the remaining tissue via hysteroscopic excision...
October 1, 2017: Journal of the American Osteopathic Association
https://www.readbyqxmd.com/read/28972429/assessment-of-risk-factors-of-intrauterine-adhesions-in-patients-with-induced-abortion-and-the-curative-effect-of-hysteroscopic-surgery
#12
Xiaoliang Mo, Guirong Qin, Zhoulin Zhou, Xiaoli Jiang
OBJECTIVE: To explore the risk factors for intrauterine adhesions in patients with artificial abortion and clinical efficacy of hysteroscopic dissection. METHODS: 1500 patients undergoing artificial abortion between January 2014 and June 2015 were enrolled into this study. The patients were divided into two groups with or without intrauterine adhesions. Univariate and Multiple logistic regression were conducted to assess the effects of multiple factors on the development of intrauterine adhesions following induced abortion...
October 3, 2017: Journal of Investigative Surgery: the Official Journal of the Academy of Surgical Research
https://www.readbyqxmd.com/read/28965558/another-benefit-of-the-office-hysteroscope
#13
EDITORIAL
John C Petrozza
No abstract text is available yet for this article.
October 2017: Fertility and Sterility
https://www.readbyqxmd.com/read/28948169/hysteroscopic-morcellation-of-submucous-myomas-a-systematic-review
#14
REVIEW
Salvatore Giovanni Vitale, Fabrizio Sapia, Agnese Maria Chiara Rapisarda, Gaetano Valenti, Fabrizia Santangelo, Diego Rossetti, Benito Chiofalo, Giuseppe Sarpietro, Valentina Lucia La Rosa, Onofrio Triolo, Marco Noventa, Salvatore Gizzo, Antonio Simone Laganà
Hysteroscopic surgery is the actual gold standard treatment for several types of intrauterine pathologies, including submucous myomas (SMs). To date, the availability of Hysteroscopic Tissue Removal systems (HTRs) opened a new scenario. Based on these elements, the aim of this article is to review the available evidence about HTRs for the management of SMs. We included 8 papers (3 prospective studies and 5 retrospective studies). A total of 283 women underwent intrauterine morcellation of SM: 208 were treated using MyoSure and 75 using Truclear 8...
2017: BioMed Research International
https://www.readbyqxmd.com/read/28939482/review-of-sterilization-techniques-and-clinical-updates
#15
REVIEW
Nisse V Clark, Scott P Endicott, Elisa M Jorgensen, Hye-Chun Hur, Ernest G Lockrow, Mary E Kern, Candice E Jones-Cox, Susan G Dunlow, Jon I Einarsson, Sarah L Cohen
Sterilization is the most common form of contraception used worldwide and is highly effective in preventing unintended pregnancy. Several sterilization methods exist, each with unique advantages and disadvantages that influence the preferred approach for an individual patient. Salpingectomy for sterilization has popularized in recent years with mounting evidence suggesting a protective effect against ovarian cancers that originate from the fallopian tube. At the same time, Essure® hysteroscopic sterilization has come under scrutiny due to increasing reports of adverse effects that may be related to the device...
September 19, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28939480/title-hysteroscopic-removal-of-retained-products-of-conception-implanted-over-a-focal-area-of-adenomyosis-a-case-report
#16
Luis Alonso, Laura Nieto, Jose Carugno
STUDY OBJECTIVE: To describe a technique for hysteroscopic removal of retained products of conception (RPOC) implanted over an area of adenomyosis. DESIGN: Case report (Canadian Task Force classification III) SETTING: Retained products of conception is an unfortunate complication that may occur after resolution of a normal pregnancy, being more common after early pregnancy termination or spontaneous miscarriage. (1) Immediate consequences of RPOC include persistent vaginal bleeding, abdominal pain, pelvic infection, fever and dilated cervix...
September 19, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28915701/comparison-among-fertility-sparing-therapies-for-well-differentiated-early-stage-endometrial-carcinoma-and-complex-atypical-hyperplasia
#17
REVIEW
Qing Zhang, Gonghua Qi, Margaux J Kanis, Ruifen Dong, Baoxia Cui, Xingsheng Yang, Beihua Kong
OBJECTIVE: To compare fertility-sparing therapies including oral progestogens, hysteroscopic resection (HR), and the levonorgestrel- releasing intrauterine system (LNG-IUS) in achieving disease regression, recurrence and live birth rate in well differentiate early-stage endometrial carcinoma (eEC) and complex atypical hyperplasia(CAH). STUDY DESIGN: This was a meta-analysis of previous studies focus on the fertility-sparing therapy for well differentiate early-stage endometrial carcinoma (eEC) and complex atypical hyperplasia (CAH)...
August 22, 2017: Oncotarget
https://www.readbyqxmd.com/read/28915158/simulation-training-for-family-planning-procedures
#18
Lisa M Goldthwaite, Kristina Tocce
PURPOSE OF REVIEW: To review the current evidence for use of simulation in family planning procedural training. RECENT FINDINGS: A variety of simulation models exist for abortion, contraception, and sterilization procedures, ranging from low to high fidelity. Most models for abortion and contraception are low fidelity, inexpensive, and provide opportunities for acquisition and practice of procedural skills. Hysteroscopic and laparoscopic simulation models for sterilization procedures are generally higher fidelity, and their use has been shown to increase knowledge, skill performance, and procedural comfort...
September 14, 2017: Current Opinion in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/28913119/hysteroscopy-a-necessary-method-for-detecting-uterine-pathologies-in-post-menopausal-women-with-abnormal-uterine-bleeding-or-increased-endometrial-thickness
#19
Fatemeh Sarvi, Ashraf Alleyassin, Marzieh Aghahosseini, Marzieh Ghasemi, Sima Gity
OBJECTIVE: To investigate the histologic and hysteroscopic findings of post-menopausal women with uterine bleeding and asymptomatic women with increased endometrial thickness equal or more than 5 mm. MATERIALS AND METHODS: This cross-sectional study was performed between May 2014 and June 2015 on 110 post-menopausal women aged 40-82 years. The women were divided into two groups: Women with abnormal uterine bleeding (AUB group) and asymptomatic women with increased endometrial thickness (asymptomatic group)...
December 2016: Turk J Obstet Gynecol
https://www.readbyqxmd.com/read/28893656/hysteroscopic-isthmoplasty-step-by-step-technique
#20
Attilio Di Spiezio Sardo, Brunella Zizolfi, Gloria Calagna, Pierluigi Giampaolino, Filomena Paolella, Giuseppe Bifulco
BACKGROUND: Isthmocele is a characteristic semi-diverticular anomaly of the anterior isthmic wall of the uterus, located at the site of a previous cesarean delivery scar. The etiopathogenesis of isthmocele is still poorly understood, and several hypotheses have been proposed. Possible factors that could play a role in niche development include a very low incision through cervical tissue, an inadequate suturing technique during the closure of the uterine scar surgical interventions that increase adhesion formation or patient-related factors that impair wound healing, or increase inflammation or adhesion formation...
September 8, 2017: Journal of Minimally Invasive Gynecology
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