Obstetrics & Gynecology International Journal最新文献_第3页

Missed opportunities of poor implementation of prevention with positives among HIV-positive women on treatment in Ekiti State, Southwest Nigeria 在尼日利亚西南部埃基蒂州，艾滋病毒阳性妇女在接受治疗时错过了实施预防措施不力的机会

Obstetrics & Gynecology International Journal Pub Date : 2021-08-17 DOI: 10.15406/ogij.2021.12.00590

I. Ade-Ojo, T. Okunola, Olufunke Temiloluwa Oso

{"title":"Missed opportunities of poor implementation of prevention with positives among HIV-positive women on treatment in Ekiti State, Southwest Nigeria","authors":"I. Ade-Ojo, T. Okunola, Olufunke Temiloluwa Oso","doi":"10.15406/ogij.2021.12.00590","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00590","url":null,"abstract":"Introduction: The current prevalence of HIV particularly in Nigeria does not reflect global efforts at curtailing the pandemic. One of the drivers increasing the rate of a new infection is the transmission of HIV by people already living with the virus. Scaling up prevention interventions and strategies will reverse this unwarranted trend. Method: A cross-sectional study was carried out among women living with HIV (WLHIV) receiving care at the Adult Antiretroviral Clinic (ART) of the Ekiti State University Teaching Hospital, Ado-Ekiti between February and April 2021. Results: One hundred and forty-eight eligible WLHIV participated and completed the study. The majority of the participants were married (74.3%), in a monogamous family setting (68.9%), within the reproductive age group (91.8%), and were Christians (75.7%). Only 5.4% earned all the components of prevention interventions and strategies for people living with HIV (PwP) leaving a wide gap of 94.6% missed opportunities. Conclusion: The findings that WLHIV in this study are well literate about HIV risk transmission and prevention strategies and are adherent to their HAART medications did not translate to the adequate observance of prevention interventions and strategies. Scaling up prevention with positive programs (PwP) is urgently needed to prevent the further surge in the rate of new infections.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83742197","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

Antenatal diagnosis of microvillus inclusion disease 微绒毛包涵性疾病的产前诊断

Obstetrics & Gynecology International Journal Pub Date : 2021-08-12 DOI: 10.15406/ogij.2021.12.00589

G. Israfilova, Banu Arslanca, Y. E. Sukur, A. Koç

引用次数: 0

Uterine stump leiomyosarcoma after sub-total hysterectomy: a case report 子宫次全切除术后子宫残端平滑肌肉瘤1例

Obstetrics & Gynecology International Journal Pub Date : 2021-08-04 DOI: 10.15406/ogij.2021.12.00588

Haitham Abdel Wahab, Mohamed Ayaty, M. Abdallah, A. Elghandor

{"title":"Uterine stump leiomyosarcoma after sub-total hysterectomy: a case report","authors":"Haitham Abdel Wahab, Mohamed Ayaty, M. Abdallah, A. Elghandor","doi":"10.15406/ogij.2021.12.00588","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00588","url":null,"abstract":"Introduction: Uterine sarcomas considered as one of the aggressive tumors of uterine malignancies. It is one of the mesenchymal tumors that originate from smooth muscle of the uterus which is a rare tumor that accounts for 2% to 5% of all uterine malignancies. Very few cases are reported in the literature. Our patient has a unique history of Pelvic-Abdominal swelling reaching xiphisternum level after subtotal hysterectomy one year ago. Abnormal genital bleeding not responding to medical treatment is the usual presentation in uterine sarcoma like in our patient. We report an original case report of an abnormal sequence of this rare tumor arising from the uterine stump after subtotal hysterectomy. Case presentation: A 42-year-old nulliparous woman presented to our gyne-oncology unit in El-Galaa Maternity Teaching Hospital in June 2020 with a significant rapid increase in abdominal circumference, symptoms caused by abdominal pressure (vomiting and constipation) and abnormal genital bleeding after laparotomic sub-total hysterectomy one year ago. Tumor marker CA-125 was raised, LDH was raised and a MRI scan showed a huge mass arising from the pelvis. An exploratory laparotomy was performed and the histopathology report confirmed the diagnosis of uterine leiomyosarcoma weighing around 22kg. Conclusion: Because of their rarity, uterine sarcomas are not suitable for screening. Diagnosis by histopathologic examination and surgery is the only treatment. Pre-operative MRI with contrast for abdomen and pelvis is highly recommended to exclude abdomen metastatic sarcoma if the tumor is confined to the pelvis only.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81928011","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

Clitoral HOOD granulosa cell tumor; case report and review of literature 阴蒂HOOD颗粒细胞瘤;病例报告及文献复习

Obstetrics & Gynecology International Journal Pub Date : 2021-07-30 DOI: 10.15406/ogij.2021.12.00586

N. Patel, A. Hamilton, Natasha Fievre

{"title":"Clitoral HOOD granulosa cell tumor; case report and review of literature","authors":"N. Patel, A. Hamilton, Natasha Fievre","doi":"10.15406/ogij.2021.12.00586","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00586","url":null,"abstract":"Background: Granulosa Cell tumors (GCT) are a sex-cord stroma tumor comprising of 1-2% of ovarian malignancies. Derived from Schwann cells, GCTs are comprised of granulosa cells, a cell of the ovarian stroma. Patients with these tumors present with signs of increased estrogen such as vaginal bleeding, irregular menstruation and rarely hirsutism and virilization.8,10-12 The majority of GCTs are found in the skin, subcutaneous tissue and submucosa with a handful of case reports discussing primary GCTs in the clitoris.3,7 Surgery is required for definitive tissue diagnosis and staging. In this case report, we present a case with tissue diagnosis for granulosa cell tumor found on the clitoral hood. Case: A 56-year-old, female, G6P3033 initially presented for evaluation of persistent clitoral cyst for >2 years Initial evaluation was significant for 1 cm clitoral cyst that was firm, smooth and fluctuant with no irregular borders; with worsening vulvodynia. The patient underwent clitoral hood mass excision. The mass was excised entirely and the post-operative recovery was uncomplicated. Pathology findings were significant for completely excised granulosa cell tumor; margins were negative for tumor. Immunohistochemical stain was positive for CD56, CD68, Vimentin, and S-100, and negative for AE1/13, CD31, CD34, SMA, and Desmin. Conclusion: When evaluating chronic, persistent, or recurrent masses, it is important to take into consideration both benign and malignant causes. Definitive diagnosis is established pathologically. Patients with confirmed GCT should be thorough evaluated pre-operatively with blood work and appropriate imaging. Upon diagnosis, patient with GCT should be regularly followed for recurrence and surveillance.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91286195","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

Challenges affecting couples resorting to Assisted Reproductive Treatment (ART) in Romania 影响罗马尼亚夫妇诉诸辅助生殖治疗的挑战

Obstetrics & Gynecology International Journal Pub Date : 2021-07-16 DOI: 10.15406/ogij.2021.12.00584

Mădălin-Marius Margan, Roxana Margan, Fira-Mladinescu Corneluta, Putnoky Salomeia, Tuta-Sas Ioana, Bagiu Radu, Z. Popa, E. Bernad, I. Ciuca, C. Dehelean, Esther Hallal, B. Vlaicu

{"title":"Challenges affecting couples resorting to Assisted Reproductive Treatment (ART) in Romania","authors":"Mădălin-Marius Margan, Roxana Margan, Fira-Mladinescu Corneluta, Putnoky Salomeia, Tuta-Sas Ioana, Bagiu Radu, Z. Popa, E. Bernad, I. Ciuca, C. Dehelean, Esther Hallal, B. Vlaicu","doi":"10.15406/ogij.2021.12.00584","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00584","url":null,"abstract":"Objective: The aim of this paper is to illustrate the main points of interest regarding the way treatment of infertility impacts the life of couples who struggle with this condition in Romania. The unique aspects and specific challenges regarding social, financial and psychological implications that affect Romanian couples who access specialized treatment for infertility will be thoroughly discussed. Methods: This study is a descriptive cross-sectional research. The sample population included patients who attended specialized infertility treatment (Assisted Reproductive Techniques - ART) in Fertility Clinics from Romania. The study was conducted between 2017 and 2019 and data was gathered through two infertility questionnaires. Results: The questionnaire for women was filled in by 829 female participants who struggled with infertility and resorted to ART and the questionnaire for men was completed by 227 male participants, as partners of the women, some of them as well with fertility issues. We analysed the results regarding all aspects surrounding infertility and ART, such as: psychological implications, impact of stress, access to specialized treatment, costs for treatment. Conclusion: The results showed that couples who struggle with infertility have to deal with high costs for specialized infertility treatments, in addition to stress related to treatment, creating a combination which negatively impacts their future chances of getting a pregnancy.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77749900","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

The concept of non-umbilical first blind port laparoscopic entry 非脐第一盲口腹腔镜入路的概念

Obstetrics & Gynecology International Journal Pub Date : 2021-07-15 DOI: 10.15406/ogij.2021.12.00583

N. Jain, V. Jain, A. Arya, Shalini Singh, A. Walia, Richa Kallia

引用次数: 0

Antenatal detection of aberrant subclavian artery (ARSA) by 4D-volume contrast ?maging in mid-trimester ultrasound exam 孕中期超声造影4d容积造影产前检测锁骨下动脉异常(ARSA)

Obstetrics & Gynecology International Journal Pub Date : 2021-07-14 DOI: 10.15406/ogij.2021.12.00582

E. Aygün

{"title":"Antenatal detection of aberrant subclavian artery (ARSA) by 4D-volume contrast ?maging in mid-trimester ultrasound exam","authors":"E. Aygün","doi":"10.15406/ogij.2021.12.00582","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00582","url":null,"abstract":"Background and Purpose: To report a small series of ARSA (Aberrant Right Subclavian Artery) cases which were diagnosed by 4-D (Dimensional) ultrasound (Volume Contrast Imaging-A Plane) with high definition flow technique. Methods: Clinical data of total 1859 singleton, low risk pregnancies from the hospital database. Total 13 cases with isolated ARSA cases were identified. Results: Total 13 cases with isolated ARSA cases were identified. Median maternal age was 32 years old. Median gestational age at ultrasound exam was 21 weeks. Eleven of thirteen cases were isolated. Case 3 had a muscular ventricular septal defect (VSD) and case 6 had an aberrant left subclavian artery. All cases were detected by 4D VCI-A with high definition flow technique successfully. One fetus with ARSA who was misdiagnosed as normal by conventional 2-D ultrasound, 4D VCI-A with high definition flow revealed abnormal courses of the right subclavian artery. Course of azygos vein was discriminated from the ARSA in all cases. Conclusion: 4D VCI-A mode activated with HD-flow (High Definition) is a valuable tool for the investigation of outflow tracts of fetal heart and proximal branches of aorta in midtrimester scans and carries some advantages over conventional 2D sonography combined with High Definition Flow mode.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73011973","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

Melanoma of vulva in situ, presentation of a case 外阴原位黑色素瘤1例

Obstetrics & Gynecology International Journal Pub Date : 2021-07-14 DOI: 10.15406/ogij.2021.12.00581

V. Hernández, Víctor Aguilar

引用次数: 0

The ideal approach of ovarian dermoid cyst excision; the predicament of laparoscopy versus laparotomy 卵巢皮样囊肿切除术的理想入路腹腔镜手术与剖腹手术的困境

Obstetrics & Gynecology International Journal Pub Date : 2021-07-07 DOI: 10.15406/ogij.2021.12.00578

K. Fram, S. Saleh, N. Muhaidat, F. Fram, R. Fram, A. Massad, Rana M Haddad, Zaid H Sunna, Eiman Sadaqa

{"title":"The ideal approach of ovarian dermoid cyst excision; the predicament of laparoscopy versus laparotomy","authors":"K. Fram, S. Saleh, N. Muhaidat, F. Fram, R. Fram, A. Massad, Rana M Haddad, Zaid H Sunna, Eiman Sadaqa","doi":"10.15406/ogij.2021.12.00578","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00578","url":null,"abstract":"Purpose: The aim of the current retrospective study for reviewing the cases of dermoid cyst managed at our hospital during the study period, to find out the best and safest management approach after taking in consideration the related factors. Setting: This analysis took place at the department of Gynecology and Obstetrics at Jordan University Hospital. Material and methods: The retrospective records were reviewed for over 6 years (from January 2015 to January 2021). The sample of study included a total number of 87 patients operated with ovarian dermoid. Thirty-five patients (40.22%) presented with abdominal mass, 16 patients (18.39%) were accidently found to have this kind of ovarian cysts, 12 patients (13.79%) presented with pressure symptoms, 11 patients (12.64%) presented with dyspareunia and dysmenorrhea, 8 patients (09.19%) with abdominal pain, and 5 patients (05.74%) with recurrent attacks of nausea. Thirty-nine patients (44.83%) treated by laparotomy, another 39 patients (44.83%), the management procedure completed laparoscopically, and 9 patients (10.34%), the procedure started laparoscopically, then converted to laparotomy. Sixty-one patients (70.11%) were found to have right sided ovarian dermoid, while 19 patients (21.84%) were found to have bilateral, and 7 patients (08.05%) were found to have left sided one. The size of the cyst was more than 11 cm in 40 patients (45.98%), while less than 5 cm in 5 patients (5.75%). Results: ovarian cystectomy performed in 70 patients (80.46%), and salpingo-oophorectomy on 17 patients (19.54%) on both reproductive and postmenopausal group. The average blood loss and operative time were more on the laparoscopic group; 298.7 ml, 98.8 minutes respectively. Conclusion: Laparotomy and ovarian cystectomy seems to be superior to other methods of management for ovarian dermoid, particularly when the size of the cyst is more than 5 cm, and predominantly the cysts presentation bilaterally.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"153 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77734629","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: 1

Giant uterine leiomyoma (5 kg) with bunch of 45 fibroids: a challenging case during covid-19 pandemic 巨大子宫平滑肌瘤(5公斤)伴45个肌瘤:covid-19大流行期间的一个具有挑战性的病例

Obstetrics & Gynecology International Journal Pub Date : 2021-07-02 DOI: 10.15406/OGIJ.2021.12.00576

R. Katke, P. C., Sonia S. Asrani

引用次数: 1