Reviews in Gynaecological Practice最新文献_第3页

The role of the nurse hysteroscopist 宫腔镜护士的角色

Reviews in Gynaecological Practice Pub Date : 2005-09-01 DOI: 10.1016/j.rigp.2005.06.001

Siân E. Jones

引用次数: 4

Minimising risk in gynaecological surgery 降低妇科手术的风险

Reviews in Gynaecological Practice Pub Date : 2005-09-01 DOI: 10.1016/j.rigp.2005.05.002

Juhi Siddiqui, Derek Tuffnell

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引用次数: 0

Editorial Board and Aims and Scope 编辑委员会和目标和范围

Reviews in Gynaecological Practice Pub Date : 2005-09-01 DOI: 10.1016/S1471-7697(05)00061-4

引用次数: 0

New developments in the management of VIN VIN管理的新进展

Reviews in Gynaecological Practice Pub Date : 2005-06-01 DOI: 10.1016/j.rigp.2005.04.002

Kim McFadden , Margaret Cruickshank

{"title":"New developments in the management of VIN","authors":"Kim McFadden , Margaret Cruickshank","doi":"10.1016/j.rigp.2005.04.002","DOIUrl":"https://doi.org/10.1016/j.rigp.2005.04.002","url":null,"abstract":"<div><p>Vulvar intraepithelial neoplasia (VIN) is a precancerous skin disorder of the vulva. It is currently classified on the basis of histological findings as VIN1, −2, or −3. Clinically useful tumour markers do not yet exist. Up to 90% of cases of VIN3 are associated with human papillomavirus (HPV). Even with appropriate treatment, approximately 5% of women with VIN3 will develop cancer of the vulva, necessitating appropriate long-term follow-up. The two main aims of management of VIN are to prevent cancer and to resolve symptoms. Research into VIN has been limited by the rarity of the disease. Most data come from published case series focusing on VIN3.</p><p>Surgical local excision is a common treatment for VIN2/3. Rotational skin flap procedures are increasingly used when a large area of vulval tissue requires excision. The carbon dioxide laser is also employed for either ablation or excision of high-grade VIN, especially in non-hairy vulval skin. Ablative therapies do not allow histological assessment and unrecognised malignancy may be missed. Medical treatments, such as topical 5% imiquimod cream, or photodynamic therapy with topical 5-aminolaevulinic acid, result in comparatively poor clearance rates of VIN2/3 and long-term outcomes have not been reported. The importance of treatment-related morbidity on sexuality should not be overlooked. HPV vaccines offer an alternative approach. Early work on therapeutic HPV vaccination for high-grade VIN shows that vaccines can stimulate an immune response but not significant clinical improvement. Prophylactic vaccination may be an exciting way to prevent HPV-related diseases, including VIN.</p></div>","PeriodicalId":101089,"journal":{"name":"Reviews in Gynaecological Practice","volume":"5 2","pages":"Pages 102-108"},"PeriodicalIF":0.0,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rigp.2005.04.002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91773208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 4

Polycystic ovary syndrome: An overview 多囊卵巢综合征:综述

Reviews in Gynaecological Practice Pub Date : 2005-06-01 DOI: 10.1016/J.RIGP.2005.04.001

A. Bako, S. Morad, W. Atiomo

引用次数: 37

Immediate to long-term complications following minimal access surgery in gynaecology 妇科微创手术后的即时至长期并发症

Reviews in Gynaecological Practice Pub Date : 2005-06-01 DOI: 10.1016/j.rigp.2005.04.004

Angus J.M. Thomson , David J. Rowlands

引用次数: 2

Future research in menorrhagia 月经过多的未来研究

Reviews in Gynaecological Practice Pub Date : 2005-06-01 DOI: 10.1016/j.rigp.2005.03.003

T. Justin Clark, Khalid S. Khan

{"title":"Future research in menorrhagia","authors":"T. Justin Clark, Khalid S. Khan","doi":"10.1016/j.rigp.2005.03.003","DOIUrl":"https://doi.org/10.1016/j.rigp.2005.03.003","url":null,"abstract":"<div><p>Menorrhagia is a common clinical problem in routine gynaecological practice. Optimal methods for diagnostic work up and therapeutic interventions remain topics for ongoing debate. This can be explained in part by rapid advances in diagnostic and therapeutic technologies. However, the limited quality of available evidence due to inadequate study conception, design and conduct is responsible for much of this uncertainty. Future research should concentrate on a robust approach to the assessment of health technologies used in diagnosis and treatment, so that relevant studies capable of answering well-formulated research questions are designed. Outcomes of importance to patients, namely health related quality of life, should be used as primary outcome measures. Specific areas highlighted for research in this review include the role of particular diagnostic modalities, such as ultrasound and hysteroscopy, in terms of their ability to change patient outcome thorough primary research and decision-analytic modelling. The place of minimally invasive therapies and appropriate utilisation of the outpatient ‘ambulatory’ setting requires clarification through randomised controlled trials. Economic endpoints need to be assessed to facilitate a rational basis on which to allocate resources and upon which to base clinical decisions.</p></div>","PeriodicalId":101089,"journal":{"name":"Reviews in Gynaecological Practice","volume":"5 2","pages":"Pages 71-81"},"PeriodicalIF":0.0,"publicationDate":"2005-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.rigp.2005.03.003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91773213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Is hysterectomy necessary for the treatment of utero-vaginal prolapse? 子宫阴道脱垂的治疗需要子宫切除术吗?

Reviews in Gynaecological Practice Pub Date : 2005-06-01 DOI: 10.1016/J.RIGP.2005.03.004

P. Hogston

引用次数: 3

Management of vault prolapse 金库脱垂的管理

Reviews in Gynaecological Practice Pub Date : 2005-06-01 DOI: 10.1016/J.RIGP.2005.02.001

C. Chaliha, V. Khullar

引用次数: 6

Editorial Board and Aims and Scope 编辑委员会和目标和范围

Reviews in Gynaecological Practice Pub Date : 2005-06-01 DOI: 10.1016/S1471-7697(05)00034-1

引用次数: 0