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G Zur Hausen, J Gröne, D Kaufmann, S M Niehues, K Aschenbrenner, A Stroux, B Hamm, M E Kreis, Johannes C Lauscher
BACKGROUND: Low anterior resection (LAR) for rectal cancer is a potentially challenging operation due to limited space in the pelvis. CT pelvimetry allows to quantify pelvic space, so that its relationship with outcome after LAR may be assessed. Studies investigating this, however, yielded conflicting results. We hypothesized that a small pelvis is associated with a higher rate of incomplete mesorectal excision, anastomotic leakages, and increased rate of urinary dysfunction in patients operated for rectal cancer...
March 18, 2017: International Journal of Colorectal Disease
Marie Franz, Amanda von Bismarck, Maria Delius, Birgit Ertl-Wagner, Charlotte Deppe, Sven Mahner, Uwe Hasbargen, Christoph Hübener
PURPOSE: The purpose of this study was to correlate MR pelvimetric pelvic inlet measurements with mode of delivery and neonatal outcome in patients with suspected fetopelvic disproportion or breech presentation. METHODS: For this retrospective monocentric study, 237 consecutive MR pelvimetry reports (1999-2016) of pregnant women due to either suspected fetopelvic disproportion, pelvic deformation after trauma, or persistent breech presentation were retrieved from the radiologic database and matched with corresponding information from the obstetric database...
January 2, 2017: Archives of Gynecology and Obstetrics
A Ben Abdennebi, S Aubry, L Ounalli, M S Fayache, E Delabrousse, Y Petegnief
PURPOSE: To estimate fetal absorbed doses for pregnant women pelvimetry, a comparative study between EOS imaging system and low-dose spiral CT-scanner was carried out. For this purpose three different studies were investigated: in vivo, in vitro and Monte Carlo calculations. METHODS: In vivo dosimetry was performed, using OSL NanoDot dosimeters, to determine the dose to the skin of twenty pregnant women. In vitro studies were established by using a cubic phantom of water, in order to estimate the out of field doses...
January 2017: Physica Medica: PM
M Bourdon, P F Ceccaldi, G Girard, M Koskas, F Goffinet, C Le Ray
OBJECTIVES: To study inter-observer variability of decision concerning the route of delivery using pelvimetry in case of one previous cesarean section and abnormal pelvic measures. MATERIALS AND METHOD: Observational study conducted in 2014 in 4 university maternity units among 36 obstetricians. Two groups of obstetricians - as they practiced in a center where pelvimetry was routinely performed (n=12) or not (n=24) - had to choose a route of delivery for 10 clinical cases of women with a single uterine scar and a tight pelvis...
November 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Janine Hoffmann, Katrin Thomassen, Patrick Stumpp, Matthias Grothoff, Christoph Engel, Thomas Kahn, Holger Stepan
BACKGROUND: Even if lower vaginal delivery success rates and impaired neonatal short-term outcomes have been reported for primiparous women with breech presentation, vaginal breech delivery remains an option for carefully selected patients. Because Magnetic resonance imaging (MRI) pelvimetry can provide additional information on maternal pelvic morphology, we sought to identify new MRI parameters that predict successful vaginal breech delivery. METHODS: In this retrospective unicentre study, 240 primiparous women with breech presentation at term underwent MRI pelvimetry...
2016: PloS One
Ismail Salk, Ali Cetin, Sultan Salk, Meral Cetin
BACKGROUND: We assessed retrospectively the reference values of pelvic dimensions by 3D CT performed for non-obstetrical indications in non-pregnant multiparous women with a successful vaginal delivery. We further aimed to evaluate the impact of maternal short stature on these parameters. MATERIAL/METHODS: The 3D CT pelvimetry was performed retrospectively in 203 non-pregnant women selected consecutively if they had at least one singleton term delivery with head presentation and if there was no history of maternal or fetal birth trauma or cerebral palsy after childbirth...
2016: Polish Journal of Radiology
Xiao-Cong Zhou, Meng Su, Ke-Qiong Hu, Yin-Fa Su, Ying-Hai Ye, Chong-Quan Huang, Zhen-Lei Yu, Xiao-Yang Li, Hong Zhou, Yao-Zhong Ni, Y I Jiang, Zheng Lou
The present study aimed to evaluate the predictive value of pelvic anatomical and clinicopathological parameters for use in the estimation of the likely technical difficulties that may be encountered when performing open rectal surgery for mid-low rectal cancer. Sixty consecutive patients, undergoing open rectal surgery for mid-low rectal cancer were recruited between June 2009 and April 2014. All of the surgical procedures conducted, were low anterior resection (LAR) or abdominoperineal resection (APR). The operations were performed by the same surgeon and surgical team...
January 2016: Oncology Letters
N Foray
Léon Bouchacourt (1865-1949) was a misknown pioneer of radiology and radiotherapy from Lyon, France. While he was resident in obstetrics in Hôpitaux de Paris from 1892 to 1898, he met Charcot, the future polar explorer, and wrote the first thesis dissertation about X-rays. He invented a new radiology technique for cavitary organs such as vagina, rectum and mouth, the endodiascopy, which permitted him to perform the first pelvimetry and dental radiographies in France. While he undertook the first trials of contact-radiotherapy, he was confronted with radiation-induced reactions...
December 2015: Cancer Radiothérapie: Journal de la Société Française de Radiothérapie Oncologique
T Schmitz
OBJECTIVE: To determine the impact of (i) computed tomographic (CT) pelvimetry for the choice of the mode of delivery, (ii) cesarean, (iii) induction of labor, and of (iv) various delivery managements on the risk of shoulder dystocia in case of fetal macrosomia, with or without maternal diabetes, and in women with previous history of shoulder dystocia. METHODS: The PubMed database, the Cochrane Library and the recommendations from the French and foreign obstetrical societies or colleges have been consulted...
December 2015: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
Ismail Salk, Meral Cetin, Sultan Salk, Ali Cetin
OBJECTIVES: To determine the incidence of gynecoid pelvis by using classical criteria and measured parameters obtained from three-dimensional computed tomography (3D CT) pelvimetry in nonpregnant multiparous women who delivered vaginally. SUBJECTS AND METHODS: Our hospital's picture archiving and communication system was reviewed retrospectively. All adult women who had undergone CT examination with routine abdominal protocols were identified. In the pelvic inlet, midpelvis, and pelvic outlet, classical criteria and measured parameters, both alone and in combination, were used to determine the presence of gynecoid pelvis...
2016: Medical Principles and Practice: International Journal of the Kuwait University, Health Science Centre
Jan Tritten
No abstract text is available yet for this article.
2015: Midwifery Today with International Midwife
Elizabeth Davis
No abstract text is available yet for this article.
2015: Midwifery Today with International Midwife
Keiichiro Narumoto, Motoi Sugimura, Kozue Saga, Youichi Matsunaga
AIM: Pelvic shape affects the progression of labor. The gynecoid-type pelvis has been the most common in women, but a previous study reported that the anthropoid type has increased in Japan. The purpose of this study was to examine: (i) the current prevalence of different pelvic shapes in Japanese pregnant women; and (ii) the changes in the prevalence of the pelvic shapes over the past 50 years. MATERIAL AND METHODS: We conducted a cross-sectional study using descriptive analysis for the prevalence of the pelvic shape and a historical comparison to assess the changes in the proportions of pelvic shapes with Japanese data from the 1960s to the 1980s...
November 2015: Journal of Obstetrics and Gynaecology Research
Alexander Ferko, Ondřej Malý, Július Örhalmi, Josef Dolejš
BACKGROUND: The quality of a total mesorectal excision (TME) is one of the most important prognostic factors for local recurrence of rectal carcinoma. The aim of this study was to clarify the manner in which lesser pelvis dimensions affect the quality of TME via the transabdominal approach, while simultaneously defining the criteria for selecting patients most likely to have Grade 3 TME outcomes for a transanal approach using the TaTME technique. METHODS: An analysis from the registry was conducted using 93 of total 198 patients with rectal cancer of the mid- and lower third of the rectum who underwent: (1) a low anterior resection, (2) an ultra-low resection with coloanal anastomosis, or (3) an intersphincteric rectal resection, all with total mesorectal excision...
March 2016: Surgical Endoscopy
Eda Yirmibeşoğlu Erkal, Sinan Karabey, Ayşegül Karabey, Mutlu Hayran, Haldun Şükrü Erkal
PURPOSE: The aim of this study was to evaluate the impact of variations in pelvic dimensions on the dose delivered to the target volumes and the organs at risk (OARs) in patients with high-risk prostate cancer (PCa) to be treated with whole pelvic radiation therapy (WPRT) in an attempt to define the hostile pelvis in terms of intensity modulated radiation therapy (IMRT). METHODS AND MATERIALS: In 45 men with high-risk PCa to be treated with WPRT, the target volumes and the OARs were delineated, the dose constraints for the OARs were defined, and treatment plans were generated according to the Radiation Therapy Oncology Group 0924 protocol...
July 15, 2015: International Journal of Radiation Oncology, Biology, Physics
A C Barbosa, D N Bonifácio, I P Lopes, F L M Martins, M C S A Barbosa, A C Barbosa
INTRODUCTION: Pelvic tilt is clinically assessed based on its relationship with spinal conditions, but there is little evidence from the asymptomatic-population for comparison purposes. OBJECTIVE: To analyze an asymptomatic population focusing,on pelvic asymmetries using photogrammetry. MATERIAL AND METHODS: 92 subjects (18-35 years old) underwent marking of the anterior and posterior iliac spines and were photographed. Alcimage software was used to measure the pelvic tilt angle...
January 2014: Acta Ortopédica Mexicana
A C Nordenskjöld, M Palme, M Kaijser
AIM: To investigate the association between exposure to ionising radiation from pelvimetric examinations in utero and school performance. MATERIAL AND METHODS: This was a population-based cohort study comprising 46,066 children born in the county of Östergötland, Sweden, from 1980 through 1990. Through record linkage between Swedish registers, children exposed in utero to X-ray pelvimetry examination were compared to other children born in the same county during the study period, as well as to their unexposed siblings...
August 2015: Clinical Radiology
Xiaocong Zhou, Meng Su, Keqiong Hu, Yinfa Su, Yinghai Ye, Chongquan Huang, Zhenlei Yu, Xiaoyang Li, Hong Zhou, Yaozhong Ni, Yi Jiang
BACKGROUND: This study aims to evaluate the predictive value of pelvic anatomical and clinical-pathological parameters that influence the success of sphincter preservation procedure (SPP). METHODS: We studied 42 consecutive patients who underwent low anterior resection (LAR) with double stapling technique (DST) anastomosis or abdominoperineal resection (APR) for mid-low rectal cancer between June 2009 and April 2014. The surgical procedures were performed by the same surgeon and surgical team at the Department of Surgery of Wenzhou Central Hospital...
2015: International Journal of Clinical and Experimental Medicine
Ulla Korhonen, Pekka Taipale, Seppo Heinonen
OBJECTIVE: To investigate the diagnostic accuracy of the fetal pelvic index to predict cephalopelvic disproportion. DESIGN: Retrospective observational cohort study. SETTING: Pregnant women who had been examined by X-ray or magnetic resonance imaging pelvimetry because of an increased risk of fetal-pelvic disproportion during 2000-2008 in North Karelia Central Hospital. POPULATION: A total of 274 pregnant women. METHODS: Univariable and multivariable regression analyses were carried out to identify risk factors for cesarean section...
June 2015: Acta Obstetricia et Gynecologica Scandinavica
Ingela Lundgren, Valerie Smith, Christina Nilsson, Katri Vehvilainen-Julkunen, Jane Nicoletti, Declan Devane, Annette Bernloehr, Evelien van Limbeek, Joan Lalor, Cecily Begley
BACKGROUND: The number of caesarean sections (CS) is increasing globally, and repeat CS after a previous CS is a significant contributor to the overall CS rate. Vaginal birth after caesarean (VBAC) can be seen as a real and viable option for most women with previous CS. To achieve success, however, women need the support of their clinicians (obstetricians and midwives). The aim of this study was to evaluate clinician-centred interventions designed to increase the rate of VBAC. METHODS: The bibliographic databases of The Cochrane Library, PubMed, PsychINFO and CINAHL were searched for randomised controlled trials, including cluster randomised trials that evaluated the effectiveness of any intervention targeted directly at clinicians aimed at increasing VBAC rates...
2015: BMC Pregnancy and Childbirth
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