Gynakologisch-geburtshilfliche Rundschau最新文献

[Validation of a comprehensive pelvic floor questionnaire for the hospital, private practice and research]. [对医院、私人诊所和研究的全面骨盆底问卷的验证]。

Gynakologisch-geburtshilfliche Rundschau Pub Date : 2009-01-01 Epub Date: 2010-05-19 DOI: 10.1159/000301098

Kaven Baessler, Carsten Kempkensteffen

{"title":"[Validation of a comprehensive pelvic floor questionnaire for the hospital, private practice and research].","authors":"Kaven Baessler, Carsten Kempkensteffen","doi":"10.1159/000301098","DOIUrl":"https://doi.org/10.1159/000301098","url":null,"abstract":"Objective: The aim of this study was to validate a German pelvic floor questionnaire that integrates bladder, bowel and sexual function, pelvic organ prolapse, severity, bothersomeness and condition-specific quality of life.Methods: Full psychometric testing of a self- and an interviewer-administered questionnaire was performed in 63 urogynaecological patients.Results: Missing data did not exceed 4% for any question. The questionnaire clearly distinguished between urogynaecological and other gynaecological (n = 24) populations. Urodynamics, stress test and prolapse quantification correlated with the questionnaire. Cronbach's C values in the self- and interviewer-administered questionnaires were: bladder domain 0.86 and 0.77, bowel function 0.76 and 0.77, prolapse symptoms 0.82 and 0.83, sexual function 0.80 and 0.71. kappa values in the test-retest analyses varied from 0.61 to 1.0.Conclusions: The pelvic floor questionnaire assessed all aspects of pelvic floor function in a reproducible and valid fashion.","PeriodicalId":12827,"journal":{"name":"Gynakologisch-geburtshilfliche Rundschau","volume":"49 4","pages":"299-307"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000301098","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29040274","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: 34

[Paget disease of the vulva: resolution after local treatment with imiquimod--report of a case and review of the literature]. [外阴Paget病:局部咪喹莫特治疗后的缓解——1例报告及文献复习]。

Gynakologisch-geburtshilfliche Rundschau Pub Date : 2009-01-01 Epub Date: 2010-05-19 DOI: 10.1159/000301110

Serena Bertozzi, Ambrogio P Londero, Arrigo Fruscalzo, Diego Marchesoni, R J Lellé

引用次数: 6

[Diagnosis and treatment of gestational diabetes--the Graz model]. 妊娠期糖尿病的诊断与治疗——Graz模型。

Gynakologisch-geburtshilfliche Rundschau Pub Date : 2009-01-01 Epub Date: 2010-05-19 DOI: 10.1159/000301077

T Panzitt, W Zeck, K Mayer-Pickel

{"title":"[Diagnosis and treatment of gestational diabetes--the Graz model].","authors":"T Panzitt, W Zeck, K Mayer-Pickel","doi":"10.1159/000301077","DOIUrl":"https://doi.org/10.1159/000301077","url":null,"abstract":"Objective: Despite the fact that gestational diabetes mellitus (GDM) is a common problem in pregnancy, a good proportion of cases of GDM is either not recognized or treated only inadequately. The main problems are a general trend of underestimating the risk of morbidity, the lack of integration into obstetric care regulations and heterogeneous guidelines regarding the screening and treatment of GDM.Methods: For decades, the Graz concept of diagnosis and therapy of GDM has offered a 1-step general screening of all pregnant women between gestational weeks 24 and 28; in addition, the option of measuring the amniotic fluid insulin concentration via amniocentesis at gestational weeks 31-32 allows to detect hyperinsulinemic fetuses who represent an obstetric high-risk group.Conclusion: Lower cutoff levels in the oral glucose challenge test as well as the measurement of amniotic fluid insulin concentrations, which have been implemented in the Graz model for a long time, offer a higher detection rate of GDM and allow a targeted therapy of fetuses at high risk. Screening and therapy of GDM are cost-effective instruments to improve obstetric outcomes, therefore obligatory screening and treatment for GDM should be recommended emphatically.","PeriodicalId":12827,"journal":{"name":"Gynakologisch-geburtshilfliche Rundschau","volume":"49 4","pages":"236-43"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000301077","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29042547","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: 0

[Breast-conserving treatment of breast cancer after augmentation with injected hydrophilic polyacrylamide gel and review of the literature]. 【注射亲水聚丙烯酰胺凝胶保乳治疗隆胸后乳腺癌及文献综述】。

Gynakologisch-geburtshilfliche Rundschau Pub Date : 2009-01-01 DOI: 10.1159/000184444

Abdallah Abdallah, Alena Wesemann, Omar Saklaoui, Christoph Stuckle, Florian Sommerer, Matthias Zink, Sarantos Papadopoulos

引用次数: 5

[Pregnancy screening in Germany]. [德国的妊娠筛查]。

Gynakologisch-geburtshilfliche Rundschau Pub Date : 2009-01-01 Epub Date: 2010-05-19 DOI: 10.1159/000301092

Barbara Schiessl

引用次数: 4

Abdominal sacrocolpopexy--standardized surgical technique, perioperative management and outcome in women with posthysterectomy vaginal vault prolapse. 腹部骶colpop固定术——标准手术技术、围手术期处理和绝经后阴道穹窿脱垂患者的预后

Gynakologisch-geburtshilfliche Rundschau Pub Date : 2009-01-01 Epub Date: 2010-05-19 DOI: 10.1159/000301101

Markus Huebner, Marc Krzonkalla, Ralf Tunn

{"title":"Abdominal sacrocolpopexy--standardized surgical technique, perioperative management and outcome in women with posthysterectomy vaginal vault prolapse.","authors":"Markus Huebner, Marc Krzonkalla, Ralf Tunn","doi":"10.1159/000301101","DOIUrl":"https://doi.org/10.1159/000301101","url":null,"abstract":"Aims: To provide a detailed description of abdominal sacrocolpopexy and to present a retrospective evaluation of the outcomes.Methods: 78 patients underwent sacrocolpopexy between January 2004 and July 2006; 72% had concomitant procedures; 53 patients participated in the follow-up. Anatomical success was defined as any leading point of the vaginal wall remaining >1 cm above the hymen. Failures were split into 3 groups: (1) asymptomatic, no further treatment; (2) symptomatic, conservative treatment; (3) symptomatic, requiring repeat surgery. The key points of the surgical technique were standardized mesh shape, reasonable choice of fixation of the mesh to the anterior and posterior vaginal walls as well as to the longitudinal ligament at S(2), and short operating time.Results: Standardization kept the mean operating time short (72.7 +/- 14.5 min for sacrocolpopexy only, 86.4 +/- 21.0 min if combined with the Burch procedure; p = 0.03). At the follow-up, none of the 53 patients (100%) presented with a recurrent apical prolapse; 17% (n = 9) had stage II anterior wall prolapse, and 69.8% (n = 37) did not show symptoms specific to anterior wall prolapse. Regarding the posterior compartment, 38% (n = 20) had stage II and 1 stage III posterior wall prolapse; 86.8% (n = 46) did not show symptoms specific to posterior wall prolapse. Questionnaire items showed improvement of quality of life. Nine patients required reinterventions: suburethral sling (3), excision due to erosion (2), anterior (1) and posterior (1) repair, stapled transanal rectal resection (1), botulinum toxin injection (1). Every fourth woman presented with symptoms requiring further treatment.Conclusions: Sacrocolpopexy is a valid technique to treat apical and anterior vaginal wall prolapse.","PeriodicalId":12827,"journal":{"name":"Gynakologisch-geburtshilfliche Rundschau","volume":"49 4","pages":"308-14"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1159/000301101","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"29040275","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: 8

[Weight gain due to hormonal contraception: myth or truth?]. [激素避孕导致体重增加:神话还是事实?]。

Gynakologisch-geburtshilfliche Rundschau Pub Date : 2009-01-01 Epub Date: 2009-03-25 DOI: 10.1159/000197907

Daniela Häni, Bruno Imthurn, Gabriele S Merki-Feld

引用次数: 6

[Fetoplacental disturbances in gestational diabetes mellitus]. 妊娠期糖尿病的胎儿胎盘紊乱。

Gynakologisch-geburtshilfliche Rundschau Pub Date : 2009-01-01 Epub Date: 2010-05-19 DOI: 10.1159/000301073

Ursula Hiden, Uwe Lang, Gernot Desoye

引用次数: 2

[Laparoscopic approach in endometrial cancer: current data and evidence]. [腹腔镜入路治疗子宫内膜癌:当前数据和证据]。

Gynakologisch-geburtshilfliche Rundschau Pub Date : 2009-01-01 Epub Date: 2009-06-11 DOI: 10.1159/000213059

Patrick Imesch, Konstantin Dedes, Daniel Fink

引用次数: 2

[Intrauterine programming of specific organ systems]. [特定器官系统的宫内编程]。

Gynakologisch-geburtshilfliche Rundschau Pub Date : 2009-01-01 DOI: 10.1159/000188283

U Lang, D Fink, R Kimmig

引用次数: 0