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sbo gyn

Lilan Yi, Hongman Zhang, Jingwen Zou, Peng Luo, Jian Zhang
BACKGROUND: The benefits of adjuvant chemoradiotherapy (CRT) for high-risk endometrial cancer (HREC) in International Federation of Gynecology and Obstetrics (FIGO) stages I-III remain controversial. A systematic review and meta-analysis was conducted to evaluate the clinical effectiveness and safety of postoperative CRT over radiotherapy (RT) alone, exclusively for patients with HREC for the following key endpoints: overall survival (OS), progression-free survival (PFS), the local recurrence rate, the distant metastasis rate, cancer-specific survival (CSS), grade III/IV acute and late toxicities, and the small bowel obstruction rate...
March 9, 2018: Gynecologic Oncology
Pyong Wha Choi
Herniation of small bowel through the peritoneal defect of the Pouch of Douglas is extremely rare type of internal hernia, and this type of internal hernia has been described as an entity of perineal hernia. Here, we describe a case of a 26-year-old female without history of abdominal surgery presenting with incarcerated small bowel hernia through a peritoneal defect of the Pouch of Douglas. She visited an emergency department presenting with abdominal pain and distension. Without improvement symptom by conservative management, an operation was performed...
2017: Case Reports in Surgery
Elena Zucchi, Mara Fornasarig, Luca Martella, Stefania Maiero, Emilio Lucia, Eugenio Borsatti, Luca Balestreri, Giorgio Giorda, Maria Antonietta Annunziata, Renato Cannizzaro
PURPOSE: The purpose of this study was to evaluate patient-centered outcomes of decompressive percutaneous endoscopic gastrostomy (dPEG) in patients with malignant bowel obstruction due to advanced gynecological and gastroenteric malignancies. METHODS: This is a prospective analysis of 158 consecutive patients with small-bowel obstruction from advanced gynecological and gastroenteric cancer who underwent PEG or percutaneous endoscopic jejunostomy (PEJ) positioning for decompressive purposes from 2002 to 2012...
July 2016: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
Aaron Nathan Barksdale, Jeff Lee Hackman, Monica Gaddis, Matt Christopher Gratton
OBJECTIVES: To determine the effect of abdominal computed tomographic (CT) scan results on diagnosis and disposition of patients with non-traumatic abdominal pain who were evaluated by board-certified emergency physicians (EPs). METHODS: Prospective, observational study conducted at a safety-net facility with an emergency medicine residency and 65000 annual adult visits. Patients with non-traumatic abdominal pain who underwent an abdominal CT from 3/2011 through 8/2011 were included...
November 2015: American Journal of Emergency Medicine
M E Timofeev, V G Breusenko, S G Shapoval'yants, E D Fedorov, S E Larichev, V N Kretsu
It is presented the results of diagnostic and curative laparoscopic interventions in 33 patients with acute early adhesive small bowel obstruction. Ileus developed after surgical treatment (laparotomy) of different gynecological diseases. Laparoscopy appeared as the most informative diagnostic method to confirm diagnosis in all patients, to estimate state of abdominal cavity and small pelvis organs what can help to determine method of surgical treatment. Contraindications for laparoscopic surgery were identified in 12 (36...
2015: Khirurgiia
Vicky Makker, Virginia L Filiaci, Lee-May Chen, Christopher J Darus, James E Kendrick, Gregory Sutton, Katherine Moxley, Carol Aghajanian
OBJECTIVE: This two-stage phase II study assessed activity of single agent dalantercept in patients with recurrent/persistent endometrial carcinoma (EMC). METHODS: Eligible patients had persistent/recurrent EMC after 1-2 prior cytotoxic regimens, measurable disease (RECIST 1.1), and GOG performance≤2. Dalantercept 1.2mg/kg subcutaneous was administered once every 3weeks until disease progression (PD)/development of prohibitory toxicity. Primary objectives were to estimate the proportion of patients with persistent/recurrent EMC, who survive progression-free without receiving non-protocol therapy (TPFS) for at least 6months and to estimate the proportion having objective tumor response...
July 2015: Gynecologic Oncology
Nazema Y Siddiqui, Cara L Grimes, Elizabeth R Casiano, Husam T Abed, Peter C Jeppson, Cedric K Olivera, Tatiana V Sanses, Adam C Steinberg, Mary M South, Ethan M Balk, Vivian W Sung
OBJECTIVE: To systematically review outcomes after mesh sacrocolpopexy compared with native tissue vaginal repairs in women with apical prolapse. DATA SOURCES: We searched MEDLINE, EMBASE, the Cochrane Central Register of Controlled Trials, and through June 4, 2012. METHODS OF STUDY SELECTION: For anatomic and functional analyses, we included studies comparing mesh sacrocolpopexy to native tissue vaginal repairs with at least 6 months follow-up...
January 2015: Obstetrics and Gynecology
Shigeoki Hayashi, Masashi Fujii, Tadatoshi Takayama
Postoperative adhesion is a frequent problem in patients undergoing surgery. In particular, gastrectomy is associated with a high risk of bowel obstruction. However, there are few reports of small bowel obstruction (SBO) after gastrectomy in the English-language literature. We reviewed the literature to assess the effectiveness of various techniques for preventing adhesion in patients treated with gastrectomy. We assumed that strategies used to prevent postoperative adhesion associated with colorectal surgery, cholecystectomy, appendectomy and gynecologic procedures are similar to those used in gastrectomy...
November 2015: Surgery Today
Bryan D Macrie, Jonathan B Strauss, Irene B Helenowski, Alfred Rademaker, Julian C Schink, John R Lurain, William Small
OBJECTIVE(S): The aims of this study were to analyze patterns of recurrence in patients with ovarian clear cell adenocarcinoma (CCA) and to evaluate the role of pelvic radiotherapy (RT). METHODS AND MATERIALS: All patients with ovarian CCA treated at a single institution between 1989 and 2012 were identified, and their medical records were reviewed. Eligibility criteria included histologic diagnosis of pure CCA of the ovary, surgical staging for International Federation of Gynecology and Obstetrics stage I-to-IIIC disease, and adjuvant or neoadjuvant chemotherapy...
November 2014: International Journal of Gynecological Cancer
Gaity Ahmad, Fiona L Mackie, David A Iles, Helena O'Flynn, Sofia Dias, Mostafa Metwally, Andrew Watson
BACKGROUND: Adhesions are fibrin bands that are a common consequence of gynaecological surgery. They are caused by various conditions including pelvic inflammatory disease and endometriosis. Adhesions are associated with considerable co-morbidity, including pelvic pain, subfertility and small bowel obstruction. Patients may require further surgery-a fact that has financial implications. OBJECTIVES: To evaluate the role of fluid and pharmacological agents used as adjuvants in preventing formation of adhesions after gynaecological surgery...
July 9, 2014: Cochrane Database of Systematic Reviews
Michelle A Glasgow, Kristin Shields, Rachel Isaksson Vogel, Deanna Teoh, Peter A Argenta
OBJECTIVES: Ileostomy results in a relatively poorer water reabsorption and is associated with dehydration and renal injury. These problems may be exacerbated in the setting of gynecologic cancers owing to both patient and disease-related factors. We evaluated the rate and reasons for hospital readmission within 30 days of ileostomy creation in patients with a gynecologic malignancy. METHODS: We performed a retrospective review of women with gynecologic malignancies who underwent ileostomy creation between 2002 and 2013...
September 2014: Gynecologic Oncology
Karl-Andreas Dumont, Jan Cyril Wexels
INTRODUCTION: Internal herniation of a small bowel behind pelvic vessels is a rare complication seen after pelvic lymphadenectomy. PRESENTATION OF CASE: A 56-year-old woman was operated due to a gynecological cancer. 4 years thereafter she presented with a 2 days history of abdominal pain and vomiting. Clinical and radiological findings indicated a small bowel obstruction. A loop of small bowel had herniated behind the left external iliac artery. Using laparoscopic technique the herniated bowel was reduced...
2013: International Journal of Surgery Case Reports
Danielle D Antosh, Cara L Grimes, Aimee L Smith, Sarah Friedman, Brook L McFadden, Catrina C Crisp, Arielle M Allen, Robert E Gutman, Rebecca G Rogers
OBJECTIVE: To identify risk factors leading to the development of postoperative ileus and small-bowel obstruction (SBO) after benign gynecologic surgery. METHODS: In a multicenter case-control study across the United States, data were examined from women with International Classification of Diseases 9 (ICD-9) and Current Procedural Terminology (CPT) codes who underwent benign gynecologic surgery between January 2005 and June 2010 and subsequently developed an ileus or SBO...
August 2013: International Journal of Gynaecology and Obstetrics
Salim Abunnaja, Andrea Cuviello, Mark S Albini, Issa Mirmehdi, Jinesh Shah, Juan A Sanchez
In 2005, the U.S. Food and Drug Administration (FDA) approved the use of the da Vinci robotic surgical system. This resulted in significant changes in gynecologic surgery. The da Vinci system has improved patient care by reducing the risk of complications associated with surgical intervention and decreasing the length of hospital stays. This study is a retrospective review of the first 215 cases in which the da Vinci surgical technology was implemented in a community hospital. The majority of procedures performed were total abdominal hysterectomies with or without salpingo-oophrectomy...
April 2013: Connecticut Medicine
Sinisa Stanic, Jyoti S Mayadev
OBJECTIVE: The recently published Quantitative Analysis of Normal Tissue Effects in the Clinic (QUANTEC) recommends dose constraints for acute small-bowel toxicity but does not fully address dose constraints for late small-bowel toxicity and the maximum dose tolerance of the small bowel. Radiation oncologists in practice frequently face a challenge when deciding what maximum point dose to accept in a patient's treatment plan. Given this lack of guidance for maximum radiation dose tolerance on the small bowel, we performed a literature search on the topic...
May 2013: International Journal of Gynecological Cancer
Arielle M Allen, Danielle D Antosh, Cara L Grimes, Catrina C Crisp, Aimee L Smith, Sarah Friedman, Brook L McFadden, Robert E Gutman, Rebecca G Rogers
OBJECTIVE: To describe practice preferences for the diagnosis and management of ileus and small-bowel obstruction (SBO) following benign gynecologic surgery. METHODS: A secondary descriptive analysis was performed on data from a multicenter case-control study of patients who underwent gynecologic surgery and subsequently developed ileus or SBO. Information was collected regarding interventions such as type of imaging ordered for diagnosis, diet alterations, antiemetic administration, and need for reoperation...
April 2013: International Journal of Gynaecology and Obstetrics
José Alfredo López Rangel, Jorge Audifred Salomón, Heidy Ortiz Reyes, Pablo Joaquín Cervantes Mondragón
A minimally invasive approach for gynecologic procedures has become popular in recent years. Despite the advantages of this kind of surgery over open technique, laparoscopic hysterectomy is not free of complications. A case of small bowel obstruction secondary to incomplete torsion of proximal ileum ten days after an uneventful total laparoscopic hysterectomy is reported. Partial small bowel obstruction (PSBO) is a rare complication after gynecologic laparoscopy; its post-operatory incidence is 0.036% within a month after...
October 2012: Ginecología y Obstetricia de México
William B Warner, Sonali Vora, Angela Alonge, Jeffrey A Welgoss, Eric A Hurtado, Walter S von Pechmann
OBJECTIVE: This study aimed to quantify the risks of intraoperative and postoperative gastrointestinal (GI) complications associated with laparoscopic sacrocolpopexy and identify possible risk factors. METHODS: A total of 390 medical records were retrospectively reviewed for GI complications. Complications were classified as functional complications [ileus, small bowel obstruction (SBO), and prolonged nausea/emesis] or bowel injury. Nausea/emesis was considered prolonged if these symptoms resulted in a hospital stay of greater than 48 hours, or in readmission...
November 2012: Female Pelvic Medicine & Reconstructive Surgery
Kathleen N Moore, Michael W Sill, David S Miller, Carolyn McCourt, Koen De Geest, Peter G Rose, Higinia R Cardenes, Robert S Mannel, John H Farley, Russell J Schilder, Paula M Fracasso
BACKGROUND: Epithelial growth factor receptor over-expression correlates with poor outcomes in cervical cancer. This study assessed the safety of chemoradiation with cetuximab in the treatment of women with newly diagnosed locally advanced cervical cancer. METHODS: Patients received weekly cisplatin 30 and 40 mg/m(2) [dose level (DL) 1 and 2] and cetuximab 400mg/m(2) loading dose and then 250 mg/m(2) for a total of six weeks with radiotherapy (RT). Patients with nodal metastases received extended field radiation therapy (EFRT)...
December 2012: Gynecologic Oncology
Sílvio Henrique Maia de Almeida, Ricardo Brandina, Vinicius Dall'Aqua
We report a case of small-bowel obstruction caused by an internal hernia produced by the presence of an intraperitoneal sling mesh. A woman with a history of multiple abdominal surgeries was referred from another center after a sling procedure. On the fifth day after surgery, she developed small-bowel obstruction. Exploratory laparotomy showed the distal ileum compressed between the visceral peritoneum of the bladder and a loop mesh sling. The segment of ileum was repositioned into the peritoneal cavity and the sling segment was resected...
August 2013: International Urogynecology Journal
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