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https://www.readbyqxmd.com/read/29660577/value-and-best-way-for-detection-of-sentinel-lymph-node-in-early-stage-endometrial-cancer-selective-lymphadenectomy-algorithm
#1
Ahmed Samy El-Agwany, Mahmoud Hanafy Meleis
INTRODUCTION: The cornerstone of treatment for endometrial carcinoma is total abdominal hysterectomy and bilateral salpingo-oophoprectomy. Pelvic lymphadenectomy, with or without para-aortic lymphadenectomy, plays an important role in the surgical staging of endometrial carcinoma, and provides more accurate prognostic information. AIMS: We aimed to evaluate the value and techniques for SLN mapping in early stage endometrial cancer with low risk for lymph node metastasis and whether selective or systematic lymphadenectomy is needed according to the results of proposed algorithm...
March 23, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29649369/women-with-newly-diagnosed-uterine-fibroids-treatment-patterns-and-cost-comparison-for-select-treatment-options
#2
Machaon M Bonafede, Scott K Pohlman, Jeffrey D Miller, Ellen Thiel, Kathleen A Troeger, Charles E Miller
The primary objective of this study was to describe surgical treatment patterns among women with newly diagnosed uterine fibroids (UF). A secondary objective was to estimate the medical costs associated with other common surgical interventions for UF. Claims-based commercial and Medicare data (2011-2016) were used to identify women aged ≥30 years with continuous enrollment for at least 12 months before and after a new diagnosis of UF. Receipt of a surgical or radiologic procedure (hysterectomy, myomectomy, endometrial ablation, uterine artery embolization, and curettage) was the primary outcome...
March 2018: Population Health Management
https://www.readbyqxmd.com/read/29643632/venous-gas-embolism-in-operative-hysteroscopy-a-devastating-complication-in-a-relatively-simple-surgery
#3
Amit Verma, Madhu Pandey Singh
Venous air embolism can be a catastrophic iatrogenic complication during operative hysteroscopy and makes this simple surgical procedure very risky, especially with the lack of knowledge about its prevention, presentation, and immediate management. Three out of 13 hysteroscopic myoma resections at our center had venous gas embolism (VGE). The prevention, diagnosis, and management of VGE are described in this report of three cases.
January 2018: Journal of Anaesthesiology, Clinical Pharmacology
https://www.readbyqxmd.com/read/29614349/simulation-for-training-and-assessment-in-hysteroscopy-a-systematic-review
#4
REVIEW
Pietro Gambadauro, Milan Milenkovic, Gergö Hadlaczky
Hysteroscopy simulation complements conventional training on patients, yet evidence-based recommendations about its implementation and use are lacking. This systematic review analyzes and critically discusses hysteroscopy simulation literature published over the last 30 years. Systematic searches on PubMed, Embase, PsychINFO, ERIC, and the Cochrane Library produced 27 original articles published through 2017. Strategies based on different simulation models (eg, vegetables, synthetic uteri, virtual reality) were evaluated by users and appeared to facilitate learning...
March 31, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29606892/management-of-abnormal-uterine-bleeding-focus-on-ambulatory-hysteroscopy
#5
REVIEW
Shilpa Kolhe
The rapid evolution in ambulatory hysteroscopy (AH) has transformed the approach to diagnose and manage abnormal uterine bleeding (AUB). The medical management in primary care remains the mainstay for initial treatment of this common presentation; however, many women are referred to secondary care for further evaluation. To confirm the diagnosis of suspected intrauterine pathology, the traditional diagnostic tool of day case hysteroscopy and dilatation and curettage in a hospital setting under general anesthesia is now no longer required...
2018: International Journal of Women's Health
https://www.readbyqxmd.com/read/29602002/hysteroscopic-intact-removal-of-an-angular-pregnancy-with-a-5fr-electrode
#6
Antonio Mollo, Antonio Raffone, Francesco Paolo Improda, Antonio Travaglino, Gabriele Saccone, Pierluigi Giampaolino, Fulvio Zullo, Giuseppe De Placido
No abstract text is available yet for this article.
March 27, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29593992/intracavitary-deposits-on-essure%C3%A2-hysteroscopic-sterilization-devices-a-case-report
#7
L W Maassen, D M van Gastel, E G W M Lentjes, M Y Bongers, S Veersema
Objective: To study the composition of intracavitary deposits on Essure® hysteroscopic sterilization devices. Design: Case report. Setting: Reproductive Medicine and Gynecology department of a University Hospital. Patients: A 39 years old patient presenting with a request for surgical removal of Essure® sterilization devices. Diagnostic hysteroscopy showed a crystal like white deposit attached to one of the devices...
July 2017: Case Reports in Women's Health
https://www.readbyqxmd.com/read/29581594/comparison-of-ultrasound-with-hysteroscopic-and-histological-findings-for-intrauterine-assessment
#8
Lukas Reznak, Milan Kudela
INTRODUCTION: Hysteroscopy with biopsy is a common diagnostic and therapeutic method in gynaecology. Its use is preceded by ultrasound examination. The success rate of predicting intrauterine findings based on ultrasound has not been assessed in the Czech Republic for a long time. In the meantime, there have been technological improvements in ultrasound devices. METHOD: Patients indicated for hysteroscopy underwent ultrasound examination and their medical history was recorded...
March 27, 2018: Biomedical Papers of the Medical Faculty of the University Palacký, Olomouc, Czechoslovakia
https://www.readbyqxmd.com/read/29566850/symptoms-and-classification-of-uterine-adenomyosis-including-the-place-of-hysteroscopy-in-diagnosis
#9
REVIEW
Stephan Gordts, Grigoris Grimbizis, Rudi Campo
Where histology used the presence of glands and/or stroma in the myometrium as pathognomonic for adenomyosis, imaging uses the appearance of the myometrium, the presence of striations, related to the presence of endometrial tissue within the myometrium, the presence of intramyometrial cystic structures and the size and asymmetry of the uterus to identify adenomyosis. Preliminary reports show a good correlation between the features detected by imaging and the histological findings. Symptoms associated with adenomyosis are abnormal uterine bleeding, pelvic pain (dysmenorrhea, chronic pelvic pain, dyspareunia), and impaired reproduction...
March 2018: Fertility and Sterility
https://www.readbyqxmd.com/read/29561413/management-of-atypical-polypoid-adenomyoma-of-the-uterus-a-single-center-s-experience
#10
Bo Ma, Yingjun Zhu, Yixin Liu
Atypical polypoid adenomyoma (APA) is a rare uterine lesion, which has a high rate of recurrence and malignant transformation. How to treat this disease is crucial for the prognosis, but there are few reports on it.We retrospectively reviewed the clinical records of all the patients diagnosed with APA after surgical therapy in our hospital. All the clinical information, pathological results, treatment, and outcome were retrieved from the clinical records.A total of 43 patients were diagnosed with APA. The median age was 56...
March 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29557219/hysteroscopic-evaluation-of-tubal-peristaltic-dysfunction-in-unexplained-infertility
#11
Burak Yücel, Emine Demirel, Sefa Kelekci, Osama Shawki
It has been realised that rhythmic peristalsis of the ostia and tubes can be observed during hysteroscopy. The aim of this study was to examine the presence of tubal peristaltic dysfunction in unexplained infertility (UI). Hysteroscopy was performed in 35 women with UI and in 37 healthy fertile women. Bilateral tubal peristalses were assessed hysteroscopically by the observation of methylene blue injection and its transport to the Fallopian tubes. Tubal patency was evaluated with laparoscopic chromopertubation...
March 20, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29555380/minimally-invasive-treatment-of-adenomyosis
#12
REVIEW
Margit Dueholm
The aim of the present review is to give a comprehensive overview of minimal invasive treatment options and suggest a minimally invasive approach in women with adenomyosis (AD). A review of relevant literature on medical and surgical treatment options is performed. Surgical options include endometrial ablation, hysteroscopic endometrial and adenomyoma resection, laparoscopic resection of AD, high-intensity focused ultrasonography (HIFU), and uterine artery embolization (UAE). This review summarizes treatment strategies for the management of AD and highlights the present lack of knowledge, which makes suggestions of evidence-based treatment difficult...
February 15, 2018: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://www.readbyqxmd.com/read/29543301/hysteroscopy-as-an-investigation-tool-in-recurrent-implantation-failure-in-vitro-fertilization
#13
Haifa A Al-Turki
OBJECTIVES: To evaluate the use of hysteroscopy in the assessment of uterine pathologies in infertile women with repeated implantation failure (RIF) after in vitro fertilization (IVF) and determine whether removal of such pathologies increased pregnancy rates in women with RIF. METHODS: This prospective study was conducted at King Fahd Hospital of the University, Al-Khobar, Kingdom of Saudi Arabia, between January 2010 and December 2015. The inclusion criteria were women who underwent IVF treatment cycles and ended in more than 2 RIF, and women who underwent hysterosalpingography (HSG)...
March 2018: Saudi Medical Journal
https://www.readbyqxmd.com/read/29543077/hysteroscopic-polypectomy-a-comparison-between-22-fr-and-26-fr-resectoscopes-under-paracervical-block-anesthesia-a-randomized-controlled-study
#14
Cristina Remondi, Francesco Sesti, Giuseppe Sorrenti, Giovannella Venezia, Roberto Sorge, Adalgisa Pietropolli, Beatrice Silvi, Emilio Piccione
OBJECTIVE: The aim of this study was to compare 22 Fr unipolar resectoscope with the traditional 26 Fr unipolar resectoscope in endometrial polypectomy performed under paracervical block anesthesia. METHODS: The trial took place in Gynecologic Unit, Department of Surgery, Tor Vergata University Hospital, Rome. Inclusion criteria were: diagnosis of endometrial polyps <3 cm at office hysteroscopy; agreement of patients to perform surgery under paracervical block anesthesia but not in office setting...
March 15, 2018: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/29526666/hysteroscopic-management-of-endometrial-smooth-muscle-metaplasia-a-rare-cause-of-abnormal-uterine-bleeding
#15
Luis Alonso, Laura Nieto, Jose Carugno
No abstract text is available yet for this article.
March 8, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29525689/high-number-of-endometrial-polyps-is-a-strong-predictor-of-recurrence-findings-of-a-prospective-cohort-study-in-reproductive-age-women
#16
Fang Gu, Huanxiao Zhang, Simin Ruan, Jiamin Li, Xinyan Liu, Yanwen Xu, Canquan Zhou
OBJECTIVE: To compare the incidence of recurrence between a cohort with a high number (≥6) of endometrial polyps (EPs) and a single-EP cohort among reproductive-age patients after polypectomy. DESIGN: Prospective observational cohort study. SETTING: Single university center. PATIENT(S): Premenopausal women who underwent hysteroscopic endometrial polypectomy were recruited. INTERVENTION(S): Patients underwent a transvaginal ultrasound scan every 3 months after polypectomy to detect EP recurrence...
March 7, 2018: Fertility and Sterility
https://www.readbyqxmd.com/read/29524723/hysteroscopic-diagnosis-of-omentum-incarceration-subsequent-to-an-iatrogenic-uterine-perforation
#17
Adel Sedrati, Amal Drizi, Bruno van Herendael, Dusan Djokovic
STUDY OBJECTIVE: To present and discuss the hysteroscopic aspects of incarcerated omentum through uterine perforation caused by previous dilatation and curettage (D&C) for incomplete first-trimester abortion. DESIGN: Case report. SETTING: Constantine University Hospital, Constantine, Algeria. PATIENT: A 40-year-old, G3P2 patient, with a history of an incomplete first-trimester spontaneous abortion, treated 6 months before by D&C, requiring medical assistance due to moderate, chronic pelvic pain...
March 7, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29524609/the-incidence-of-unexpected-uterine-malignancy-in-women-undergoing-hysteroscopic-myomectomy-or-polypectomy-a-national-population-based-study
#18
Jin-Sung Yuk, Ji-Yeon Shin, Hye-Sung Moon, Jung Hun Lee
OBJECTIVE: The objective of this study was to investigate the incidence of unexpected uterine malignancy (UUM) diagnosed after hysteroscopic surgery for presumed submucosal leiomyomas or endometrial polyps. STUDY DESIGN: From the Korean national health insurance database between January 1, 2009 and December 31, 2015, we analyzed inpatient sample data that were extracted by a stratified random sampling (gender and age) method. We extracted women with or without UUM that was diagnosed after hysteroscopic surgery using diagnosis codes and procedure codes...
March 3, 2018: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/29524191/pregnancy-after-tubal-sterilization-in-a-woman-treated-with-biologics-for-severe-psoriasis
#19
Charlée Nardin, Morgane Colas, Vincent Curie, Fabien Pelletier, Eve Puzenat, François Aubin
Little is known about whether immunosuppressed patients mount the immunological response necessary to ensure tubal occlusion. Theoretical concern for non-occlusion has limited the use of hysteroscopic sterilization in patients on immunosuppressive therapies. The effects of tumor necrosis factor-alpha (TNF-α) blockers and interleukin (IL)-17 inhibitors on contraception and pregnancy for patients with psoriasis are poorly documented. We report a case of pregnancy that ended in miscarriage in a patient treated first with TNF-α and then with IL-17 inhibitors for severe psoriasis after tubal sterilization with micro-inserts...
March 9, 2018: Dermatology and Therapy
https://www.readbyqxmd.com/read/29511542/fertility-potential-in-a-man-with-ankylosing-spondylitis-as-revealed-by-semen-analysis-by-light-electron-and-fluorescence-microscopy
#20
Katerina Chatzimeletiou, Nikiforos Galanis, Alexandros Karagiannidis, Antonia Sioga, George Pados, Dimitrios Goulis, Antonis Kalpatsanidis, Basil C Tarlatzis
Ankylosing spondylitis affects 0.1%-0.5% of the adult population. The aim was to investigate the possible effects of both the disease and its treatment on semen quality by performing a highly detailed analysis in a man with ankylosing spondylitis, presenting for infertility. Sperm characteristics were evaluated by light microscopy, morphology by electron microscopy (transmission electron microscopy), DNA fragmentation by terminal deoxynucleotidyl transferase dUTP nick end labeling using fluorescence microscopy and chromosomal abnormalities by fluorescence in situ hybridisation using probes for chromosomes 13,15,16,18,21,22,X and Y...
2018: SAGE Open Medical Case Reports
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