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https://www.readbyqxmd.com/read/27849121/reproductive-prognosis-in-women-with-endometriosis-after-conservative-surgery-a-single-center-experience
#1
Maria C Cesana, Luisa Ferrari, Paolo Passoni, Serena Polizzi, Federica Brunetti, Rodolfo Milani
BACKGROUND: To evaluate the reproductive prognosis in women subjected to conservative surgical treatment for endometriosis seeking pregnancy during the first three years after surgery. We tried to identify operative findings which negative influences prognosys. METHODS: We retrospectively analysed 140 patients with a diagnosis of endometriosis, based on surgical and histological criteria and without other male or female infertility factors who underwent surgery between 01/2002 and 01/2012...
November 16, 2016: Minerva Ginecologica
https://www.readbyqxmd.com/read/27847017/laparoscopy-in-the-diagnosis-of-tuberculosis-in-chronic-pelvic-pain
#2
Shalini Rajaram, Priyanka Gupta, Bindiya Gupta, Iqbal R Kaur, Neerja Goel
BACKGROUND: To estimate the prevalence of genital tuberculosis in women with idiopathic chronic pelvic pain on laparoscopy, correlate laparoscopic findings with microbiological and histological diagnosis of tuberculosis and assess the response to anti tubercular treatment (ATT) in these cases. METHOD: In a prospective cohort study, fifty women with idiopathic chronic pelvic pain were enrolled. Diagnostic laparoscopy was done in all women and fluid from pouch of Douglas and/or saline washings were sent for acid fast bacilli (AFB) smear, conventional and rapid culture and DNA polymerase chain reaction (PCR) analysis for diagnosis of genital TB...
September 2016: International Journal of Mycobacteriology
https://www.readbyqxmd.com/read/27843812/an-unusual-case-of-malignant-struma-ovarii-causing-thyrotoxicosis
#3
Elli Anagnostou, Antonios Polymeris, Georgios Morphopoulos, Alexios Travlos, Vassiliki Sarantopoulou, Irini Papaspyrou
BACKGROUND: Struma ovarii (SO) is a specialized monodermal teratoma predominantly composed of mature thyroid tissue, accounting for approximately 5% of all ovarian teratomas. Thyrotoxicosis is seen in about 8% of patients with SO. Most SO cases are benign with only 5-10% being malignant, and malignant SO causing thyrotoxicosis is very uncommon. CASE: A 64-year-old woman had been diagnosed with thyrotoxicosis 2 years previously. The thyroid gland was palpable with a micronodular texture, and the patient was euthyroid under carbimazole...
September 2016: European Thyroid Journal
https://www.readbyqxmd.com/read/27793386/imelda-transvaginal-approach-to-ectopic-pregnancy-diagnosis-by-transvaginal-hydrolaparoscopy-and-treatment-by-transvaginal-natural-orifice-transluminal-endoscopic-surgery
#4
Jan Baekelandt, Jona Vercammen
OBJECTIVE: To demonstrate a new minimally invasive approach for the diagnosis and treatment of ectopic pregnancy. DESIGN: Stepwise explanation of the technique using original video footage. SETTING: Hospital. PATIENT(S): Since 2014, 15 patients were treated transvaginally for ectopic pregnancy and pregnancy of unknown location (PUL). INTERVENTION(S): In case of a diagnosis of ectopic pregnancy on ultrasound, a 2...
October 25, 2016: Fertility and Sterility
https://www.readbyqxmd.com/read/27687746/unresectability-during-open-surgical-exploration-in-planned-cytoreductive-surgery-and-hyperthermic-intraperitoneal-chemotherapy
#5
Zachary Zihui Yong, Grace Hwei Ching Tan, Joelle Fui Sze Wong, Cindy Lim, Khee Chee Soo, Melissa Ching Ching Teo
BACKGROUND: Cytoreductive surgery and hyperthermic intraperitoneal chemotherapy are the treatment of choice for selected patients with peritoneal metastasis. Despite a stringent selection process, some patients were found to be unresectable only at surgery, which leads to disappointment and poor utilisation of limited infrastructural resources. This study aims to determine the pre-operative factors associated with unresectability in planned CRS and HIPEC. METHODS: Retrospective analysis of 172 consecutive patients eligible for CRS and HIPEC at the National Cancer Centre Singapore from April 2004 to May 2014 was performed...
December 2016: International Journal of Hyperthermia
https://www.readbyqxmd.com/read/27678642/surgical-approach-to-total-laparoscopic-hysterectomy-of-bicornuate-uteri-with-obliteration-of-the-pouch-of-douglas-by-rectovesical-fusion
#6
D N Ginn, R Pasic, S M Biscette
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27665187/silk-suture-granuloma-with-false-positive-findings-on-pet-ct-accompanied-by-peritoneal-metastasis-after-colon-cancer-surgery
#7
Sohei Matsuura, Kazuhito Sasaki, Hiroshi Kawasaki, Hideki Abe, Hideo Nagai, Fuyo Yoshimi
INTRODUCTION: Suture granuloma is a rare benign tumor caused by suture material, which usually appears several months or years after surgery. PRESENTATION OF CASE: A 71-year-old man underwent sigmoidectomy and partial hepatectomy (S6) for sigmoid colon cancer and synchronous liver metastasis at a previous hospital. At 4 postoperative months, surveillance computed tomography (CT) revealed a suspicious tumor at the hepatic resection stump. He was referred to our hospital for further examinations and treatments...
September 17, 2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27647822/ep27-07-tv-us-prediction-of-pouch-of-douglas-obliteration-in-deep-infiltrating-endometriosis
#8
F Fascilla, A de Gennaro, A Chincoli, V Del Vecchio, S Bettocchi, A Vimercati
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27647627/ep27-11-deep-neural-networks-for-predicting-pouch-of-douglas-obliteration-based-on-transvaginal-ultrasound-sliding-sign-videos
#9
K O'Shea, S Reid, G Condous, C Lu
No abstract text is available yet for this article.
September 2016: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/27614758/laparoscopic-fixation-of-the-vaginal-cuff-to-the-uterosacral-ligaments-at-the-time-of-hysterectomy
#10
Kazuaki Nishimura, Kazuaki Yoshimura, Kaori Hoshino, Toru Hachisuga
INTRODUCTION AND HYPOTHESIS: Transvaginal ipsilateral uterosacral ligament colpopexy for pelvic organ prolapse (POP), which was reported by Shull et al. (Shull's colpopexy) in 2000, is one of the most frequently performed non-mesh pelvic floor reconstructive surgical procedures. Despite its excellent anatomical outcomes, ureteral injury and difficulty in uterosacral ligament detection (especially in patients with severe POP) are typical issues with this procedure. METHOD: This video demonstrates the procedure in a 58-year-old woman, gravida 2 para 2, with POP-Q stage II uterine prolapse and stage I cystocele...
September 10, 2016: International Urogynecology Journal
https://www.readbyqxmd.com/read/27599567/uterine-perforation-following-a-fractional-curettage-successfully-treated-with-the-modified-polysaccharide-4dryfield%C3%A2-ph-a-case-report
#11
Nicole Ziegler, Matthias Korell, Anja Herrmann, Maya Sophie de Wilde, Luz Angela Torres-de la Roche, Angelika Larbig, Rudy Leon De Wilde
BACKGROUND: Uterine perforation is the most common complication of curettage and may result in bleeding. Therefore, urgent control of bleeding from the uterine wall perforation is necessary to avoid an emergency hysterectomy or blood transfusion, to prevent peritoneal adhesion formation, possible chronic pelvic pain, and infertility. In the present case, an active bleeding secondary to a perforation of the uterus during curettage, for diagnosis of endometrial carcinoma, was instantaneously and successfully treated with only the application of a novel modified polysaccharide powder...
2016: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/27553184/fertility-outcomes-following-ablation-using-plasma-energy-versus-cystectomy-in-infertile-women-with-ovarian-endometrioma-a-prospective-multicentric-comparative-study
#12
Oana Mircea, Lucian Puscasiu, Benoit Resch, Jerome Lucas, Pierre Collinet, Peter Von Theobald, Philippe Merviel, Horace Roman
STUDY OBJECTIVE: To compare the probability of postoperative pregnancy in infertile women with ovarian endometrioma larger than 3 cm in diameter, managed by either ablation using plasma energy or cystectomy. DESIGN: A multicentric prospective case-control study enrolling 104 infertile patients managed for ovarian endometrioma larger than 3 cm diameter: 64 patients underwent ablation using plasma energy (cases) and 40 underwent cystectomy (controls). Patients were enrolled in CIRENDO prospective cohort database (NCT02294825) from June 2009 to June 2014 and man- aged in six different facilities...
August 20, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27542707/recurrent-massive-ascites-due-to-mossy-endometriosis
#13
Erica C Dun, Serena Wong, Nisha A Lakhi, Ceana H Nehzat
OBJECTIVE: To report the medical and surgical management of a rare case of recurrent moss-like endometriosis and associated hemorrhagic ascites. DESIGN: Video description of the case, demonstration of the surgical technique, discussion of the histology, and review of endometriosis-associated ascites. SETTING: Tertiary referral center. PATIENT(S): A 26-year-old nulliparous woman of Nigerian heritage with recurrent hemorrhagic ascites due to endometriosis...
August 16, 2016: Fertility and Sterility
https://www.readbyqxmd.com/read/27476254/-multidose-treatment-of-methotrexate-in-cornual-ectopic-pregnancy
#14
M Pantoja Garrido, M N Cabezas-Palacios, S Tato-Varela
BACKROUND: Ectopic pregnancy represents a common entity when the differential diagnosis of first trimester pathologies is performed. Extratubal location, nonetheless, is an in unfrequent situation that delays and difficults the diagnoses. CASE REPORT: 41-year-old women who goes to clinic for a pregnancy test, which proved positive done. During normal ultrasonographic we observed attached with endometrial 8 mm thick, without gestational sac inside, no free liquid in the bottom of the pouch of Douglas...
May 2016: Ginecología y Obstetricia de México
https://www.readbyqxmd.com/read/27434884/a-rare-case-of-ileus-caused-by-ileum-endometriosis
#15
Dan Bratu, Radu Chicea, Tanasescu Ciprian, Laurentiu Beli, Sabau Dan, Alin Mihetiu, Boicean Adrian
INTRODUCTION: We report our experience involving a rare case of ileum endometriosis complicated with small bowel obstruction. PRESENTATION OF CASE: 33 years old female patient, admitted to emergency service with abdominal pain, abdominal distension, and vomiting. Abdominal X-ray showed dilated small bowel loops. Computerized tomography scan showed dilated small intestine segments excepting last ileum loop, gastric distension, enlarged ovaries. Emergency laparotomy was performed, showing acute bowel obstruction due to a stenotic tumor placed on the terminal ileum, cecum tumors, multiple tumors in Douglas pouch, multiple mesenteric enlarged lymph nodes...
2016: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/27405583/combination-of-the-non-invasive-tests-for-the-diagnosis-of-endometriosis
#16
REVIEW
Vicki Nisenblat, Lucy Prentice, Patrick M M Bossuyt, Cindy Farquhar, M Louise Hull, Neil Johnson
BACKGROUND: About 10% of women of reproductive age suffer from endometriosis, a costly chronic disease causing pelvic pain and subfertility. Laparoscopy is the gold standard diagnostic test for endometriosis, but is expensive and carries surgical risks. Currently, there are no non-invasive tests available in clinical practice to accurately diagnose endometriosis. This review assessed the diagnostic accuracy of combinations of different non-invasive testing modalities for endometriosis and provided a summary of all the reviews in the non-invasive tests for endometriosis series...
July 13, 2016: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/27381491/pelvic-recurrence-of-an-ovarian-seromucinous-borderline-tumor-detected-by-vaginal-cytology-a-case-report-and-review-of-the-literature
#17
Hironori Hayashi, Shuichi Taniguchi, Shuichi Kurihara, Kazuhisa Hachisuga, Saori Fukuda, Chifumi Inada, Yoshiya Shimao, Kousuke Marutsuka, Tomihiro Shimamoto
Seromucinous borderline tumors are typically confined to the ovaries and rarely relapse after surgery. We report the case of a woman with a seromucinous borderline tumor with peritoneal implant at the Douglas pouch, who was affected by a recurrent tumor at the vaginal stump 2 years and 6 months after the primary surgery. The recurrent lesion was detected by vaginal cytology. Histology of the recurrent lesion showed perineural infiltration, and progression to low-grade adenocarcinoma was suggested. After the second surgery, vaginal cytology showed that the tumor cells remained positive...
July 6, 2016: Diagnostic Cytopathology
https://www.readbyqxmd.com/read/27343269/performance-of-outpatient-transvaginal-hydrolaparoscopy
#18
R Coenders-Tros, M A van Kessel, M M A Vernooij, G J E Oosterhuis, W K H Kuchenbecker, B W J Mol, C A M Koks
STUDY QUESTION: What is the feasibility of performing transvaginal hydrolaparoscopy (THL) in an outpatient setting? SUMMARY ANSWER: It is feasible to perform THL in an outpatient setting, reflected by a low complication and failure rate and a high patients' satisfaction. WHAT IS KNOWN ALREADY: THL is a safe method to investigate tubal patency and exploring the pelvis in subfertile women. STUDY DESIGN, SIZE, DURATION: Retrospective cohort study of 1127 subfertile women who underwent THL as primary diagnostic method for testing tubal patency in an outpatient setting...
October 2016: Human Reproduction
https://www.readbyqxmd.com/read/27190895/human-chorionic-gonadotropine-in-cul-de-sac-fluid-in-tubal-ectopic-pregnacy-a-new-diagnostic-approach
#19
Ayse Karahasanoglu, Isil Uzun, Mucize Ozdemir, Fehmi Yazicioglu
INTRODUCTION: Although new diagnostic abilities are being utilised increasingly yet early detection of tubal pregnancy remains a challenge. The use of highly sensitive hCG kits has facilitated the early diagnosis of a pregnancy. But it takes time to determine the localisation of the pregnancy. Early diagnosis of ectopic pregnancy may reduce the morbidity of ectopic pregnancy. AIM: This study was conducted to analyse the cul-de-sac and serum βhCG ratio in tubal ectopic pregnancy cases which may be a new diagnostic approach for ectopic pregnancy...
April 2016: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/27126664/metastasis-of-extra-ampullary-duodenal-adenocarcinoma-to-the-uterine-cervix
#20
K Takahashi, H Yoshida, R Watanabe, M Ishikawa, S I Ikeda, T Kato
Secondary metastatic tumours of the uterine cervix are rare. There have been no reports of duodenal cancer metastasizing to the uterine cervix. Here we present a rare case of an extra-ampullary duodenal adenocarcinoma that has metastasized to the uterine cervix. The patient was a 71-year-old woman who had surgery for an extra-ampullary duodenal adenocarcinoma five years previously. Follow-up examination revealed a suspicious right ovarian mass and nodules in the cervix and posterior fornix of the vagina. Biopsies suggested squamous cell carcinoma in the cervix and adenocarcinoma in the fornix...
April 2016: Malaysian Journal of Pathology
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