Clinica e Investigacion en Ginecologia y Obstetricia最新文献

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Ablación por radiofrecuencia exitosa de miomas uterinos muy grandes: estudio de 2 casos 成功射频切除非常大的子宫肌瘤:2例研究
IF 0.1
Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2025-10-01 Epub Date: 2025-09-02 DOI: 10.1016/j.gine.2025.101065
C. Torrijo Rodrigo, V. Gómez García, C. Giménez Molina
{"title":"Ablación por radiofrecuencia exitosa de miomas uterinos muy grandes: estudio de 2 casos","authors":"C. Torrijo Rodrigo,&nbsp;V. Gómez García,&nbsp;C. Giménez Molina","doi":"10.1016/j.gine.2025.101065","DOIUrl":"10.1016/j.gine.2025.101065","url":null,"abstract":"<div><h3>Introduction</h3><div>Radiofrequency ablation (RFA) is one of the latest minimally invasive treatment options for symptomatic uterine fibroids. The primary goal is to evaluate the feasibility and effectiveness of RFA as a minimally invasive treatment for large uterine fibroids, preserving the uterus and fertility.</div></div><div><h3>Main symptoms and/or clinical findings</h3><div>Two women, aged 47 and 40, with very large fibroids (approximately 10<!--> <!-->cm in length) exhibited symptoms such as hypermenorrhea, urinary symptoms, back pain, and a painful mass.</div></div><div><h3>Main diagnoses, therapeutic interventions, and outcomes</h3><div>Uterine leiomyomas or fibroids. RFA was performed using a 35<!--> <!-->cm monopolar electrode with a 17 gauge and a 10<!--> <!-->mm active tip. The sizes of the fibroids were reduced by more than half, and symptoms disappeared after the procedure.</div><div>Case 1: A 47-year-old woman with a 10<!--> <!-->cm fibroid showed a significant reduction in fibroid size (from 437 to 9<!--> <!-->cm<sup>3</sup>) and complete resolution of symptoms within one year.</div><div>Case 2: A 40-year-old woman with a 10.5<!--> <!-->cm fibroid experienced a notable reduction in fibroid size (from 472 to 33<!--> <!-->cm<sup>3</sup>) and resolution of symptoms within six months.</div></div><div><h3>Conclusion</h3><div>These cases demonstrate that RFA is a safe and effective method for treating large uterine fibroids, with significant reductions in fibroid volume and resolution of symptoms. The procedure should be performed by gynecologists experienced in minimally invasive techniques.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 4","pages":"Article 101065"},"PeriodicalIF":0.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144925251","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
Premature ovarian insufficiency: An update. A literature review 卵巢早衰:最新进展。文献综述
IF 0.1
Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2025-10-01 Epub Date: 2025-11-11 DOI: 10.1016/j.gine.2025.101071
M.M.A. Abdelhafez , K.A.M. Ahmed , N.A.M. Ahmed , M.H. Ismail , M.N. Bin Mohd Daud , A.M. Eldiasty , M.F. Bin Amri , M.S. Jeffree , F. Kadir , D.M. Pg Baharuddin , M.F. Bin Bolong , F. Hayati , N.B. Azizan , D. Sumpat , S.S. Syed Abdul Rahim , W.W. Than , M. Yusof Ibrahim , L. Zhen Zhen , M. Zoe Soe
{"title":"Premature ovarian insufficiency: An update. A literature review","authors":"M.M.A. Abdelhafez ,&nbsp;K.A.M. Ahmed ,&nbsp;N.A.M. Ahmed ,&nbsp;M.H. Ismail ,&nbsp;M.N. Bin Mohd Daud ,&nbsp;A.M. Eldiasty ,&nbsp;M.F. Bin Amri ,&nbsp;M.S. Jeffree ,&nbsp;F. Kadir ,&nbsp;D.M. Pg Baharuddin ,&nbsp;M.F. Bin Bolong ,&nbsp;F. Hayati ,&nbsp;N.B. Azizan ,&nbsp;D. Sumpat ,&nbsp;S.S. Syed Abdul Rahim ,&nbsp;W.W. Than ,&nbsp;M. Yusof Ibrahim ,&nbsp;L. Zhen Zhen ,&nbsp;M. Zoe Soe","doi":"10.1016/j.gine.2025.101071","DOIUrl":"10.1016/j.gine.2025.101071","url":null,"abstract":"<div><div>Premature ovarian insufficiency is defined as the loss of ovarian function before the age of 40. It is linked to hypoestrogenism and the loss of remaining follicles, which causes irregular menstruation, infertility, and a decline in health-related quality of life. This article goal is to highlight and analyse the various contemporary strategies for the diagnosis and treatment of the disease with reference to the most recent and evidence-based interventions in this context. A comprehensive review of the literature was conducted using database searches in EMBASE, Science Direct, Google Scholar, Scopus, and PubMed to obtain the objectives and aim of the study. The results of the search found that menopause affects about 5% of women between the ages of 40 and 45, while it affects about 1% of women before the age of 40. Under the age of 30, the disease affects about 1 in 1000 women, sometimes as early as adolescence. Our study concluded that: premature ovarian insufficiency is a condition of oestrogen deficiency that has both immediate and long-term effects on health and mental well-being. The physical, psychological, and emotional difficulties brought on by the disease's diagnosis must be handled, and the short- and long-term wellness of these young women must be safeguarded, by healthcare professionals managing these complicated entities successfully.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 4","pages":"Article 101071"},"PeriodicalIF":0.1,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145525816","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
Abdominal access following insufflation with Veress needle at high pressure: A security maneuver for the reduction of surgical complications during laparoscopic access 在高压下用Veress针注入腹部通路:在腹腔镜通路中减少手术并发症的安全操作
IF 0.1
Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2025-07-01 Epub Date: 2025-05-09 DOI: 10.1016/j.gine.2025.101051
F. Palomo-Rodriguez , J. Gallardo-Martinez , R.D. Brenner-Anidjar , Z. Frias-Sanchez , S. Rojo-Novo , M. Pantoja-Garrido , F.J. Pantoja-Rosso , J.J. Fernandez-Alba
{"title":"Abdominal access following insufflation with Veress needle at high pressure: A security maneuver for the reduction of surgical complications during laparoscopic access","authors":"F. Palomo-Rodriguez ,&nbsp;J. Gallardo-Martinez ,&nbsp;R.D. Brenner-Anidjar ,&nbsp;Z. Frias-Sanchez ,&nbsp;S. Rojo-Novo ,&nbsp;M. Pantoja-Garrido ,&nbsp;F.J. Pantoja-Rosso ,&nbsp;J.J. Fernandez-Alba","doi":"10.1016/j.gine.2025.101051","DOIUrl":"10.1016/j.gine.2025.101051","url":null,"abstract":"<div><h3>Introduction</h3><div>Up to 50% of laparoscopic complications arise during access maneuvers to abdominal cavity. Our aim is to determine whether elevated pressures of 20–25<!--> <!-->mmHg during these maneuvers, by increasing the distance between the abdominal wall and intracavitary organs, can help reduce the risk of entry-related complications, without an increase in anesthetic adverse effects.</div></div><div><h3>Methods and materials</h3><div>Prospective observational analytic multi-centered cohort study with 703 patients. The exposed-cohort consisted of patients undergoing gynecological laparoscopic surgeries in which an intra-abdominal pressure of 20–25<!--> <!-->mmHg was used (<em>group 20–25<!--> <!-->mmHg</em>) as opposed to the unexposed-cohort, in which usual<!--> <!-->&lt;<!--> <!-->15<!--> <!-->mmHg pressures (<em>group</em> <!-->&lt;<!--> <em>15<!--> <!-->mmHg</em>) were used. All surgeries were performed using the Veress needle as the method of insufflation.</div></div><div><h3>Results</h3><div>Patients in whom access was performed at pressures<!--> <!-->&lt;<!--> <!-->15<!--> <!-->mmHg had a higher risk of complications than those in whom elevated pressures of 20–25<!--> <!-->mmHg were used, which was statistically significant (OR 3.08, 95% CI95% 1.42–6.65, <em>p</em> <!-->=<!--> <!-->0.004), without finding differences regarding anesthetic complications (<em>p</em> <!-->=<!--> <!-->0.9).</div></div><div><h3>Conclusion</h3><div>The use of high intraabdominal pressure during access maneuvers serves as an effective technique for the prevention of complications, especially major complications, when compared with standard-used pressures, without increasing the incidence of anesthetic adverse effects, due to their temporary maintenance.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101051"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924578","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
Radiofrequency treatment value for uterine fibroids in pregnant and infertile women 妊娠和不孕症妇女子宫肌瘤的射频治疗价值
IF 0.1
Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2025-07-01 Epub Date: 2025-05-13 DOI: 10.1016/j.gine.2025.101052
M. Bonet-Sánchez , I. Pelayo-Delgado
{"title":"Radiofrequency treatment value for uterine fibroids in pregnant and infertile women","authors":"M. Bonet-Sánchez ,&nbsp;I. Pelayo-Delgado","doi":"10.1016/j.gine.2025.101052","DOIUrl":"10.1016/j.gine.2025.101052","url":null,"abstract":"<div><div>Radiofrequency ablation of uterine fibroids is a technique based on the application of a high-frequency electrical current, causing a coagulative necrosis of the fibroid. The aim of this review is to analyse the influence of radiofrequency treatment of fibroids in women with gestational desire and its influence on pregnancy, through the compilation and study of recent articles. Radiofrequency has achieved a similar number of full-term births compared to that of surgical myomectomy, which until now has been the gold standard treatment for women with myomas desiring pregnancy. It also seems to increase obstetric security in pregnant women previously treated compared to other techniques, with fewer rate of preterm deliveries, spontaneous abortions and placental changes. However, more randomized clinical trials focusing specifically on pregnancy are necessary to reach definitive conclusions.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101052"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143937202","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
Impact of deep endometriosis with and without ovarian involvement on quality of life compared to exclusive ovarian endometriosis 与排他性卵巢子宫内膜异位症相比,伴有和不伴有卵巢受累的深部子宫内膜异位症对生活质量的影响
IF 0.1
Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2025-07-01 Epub Date: 2025-05-10 DOI: 10.1016/j.gine.2025.101053
M.d.P. Marín Sánchez , M. Martínez-Esparza , P. García-Peñarrubia , A.J. Ruiz-Alcaraz , J.J. Arense-Gonzálo
{"title":"Impact of deep endometriosis with and without ovarian involvement on quality of life compared to exclusive ovarian endometriosis","authors":"M.d.P. Marín Sánchez ,&nbsp;M. Martínez-Esparza ,&nbsp;P. García-Peñarrubia ,&nbsp;A.J. Ruiz-Alcaraz ,&nbsp;J.J. Arense-Gonzálo","doi":"10.1016/j.gine.2025.101053","DOIUrl":"10.1016/j.gine.2025.101053","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate potential differences in quality of life between patients with deep endometriosis, with or without ovarian involvement (DE), and those with exclusive ovarian endometriosis (OMA).</div></div><div><h3>Material and method</h3><div>A prospective observational study was conducted on patients diagnosed with endometriosis through clinical assessment and imaging techniques, or histological confirmation. Patients were labeled as OMA or DE. Clinical data such as pain (visual analogue scale), demographic and anthropometric data, and QoL (SF-12v2 scale) were evaluated. Statistical analysis was performed using IBM SPSS 25.0.</div></div><div><h3>Results</h3><div>A total of 307 patients were enrolled, 109 with OMA and 198 with DE. Patients with OMA were younger than those with DE. QoL in the physical domain was lower in DE compared to OMA (46<!--> <!-->±<!--> <!-->11.91 vs 49.9<!--> <!-->±<!--> <!-->9.4; <em>p</em> <!-->&lt;<!--> <!-->0.02). No statistically significant differences were observed in the mental domain (41.5<!--> <!-->±<!--> <!-->10.2 vs 42.8<!--> <!-->±<!--> <!-->11; <em>p</em> <!-->&lt;<!--> <!-->0.276). Pain scores on the visual analogue scale did not differ significantly between groups. However, in the pain domain of the SF-12v2 scale, significant differences were found, with lower scores in DE (61.4<!--> <!-->±<!--> <!-->32.7 vs 73.6<!--> <!-->±<!--> <!-->28.6; <em>p</em> <!-->&lt;<!--> <!-->0.001).</div></div><div><h3>Conclusion</h3><div>QoL scales should be utilized in clinical practice as they provide valuable insights into how the disease impacts patients’ lives. Patients with deep endometriosis have a poorer QoL in the physical domain compared to those with exclusive ovarian endometriosis.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101053"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143929403","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
Investigating the impact of sleep disorders on intracytoplasmic sperm injection outcome: A prospective observational study 研究睡眠障碍对卵胞浆内单精子注射结果的影响:一项前瞻性观察研究
IF 0.1
Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2025-07-01 Epub Date: 2025-04-11 DOI: 10.1016/j.gine.2025.101034
M.K. Abd El-Haseeb, O.A. Soliman Sallam, M.S. Abd El-Hamed
{"title":"Investigating the impact of sleep disorders on intracytoplasmic sperm injection outcome: A prospective observational study","authors":"M.K. Abd El-Haseeb,&nbsp;O.A. Soliman Sallam,&nbsp;M.S. Abd El-Hamed","doi":"10.1016/j.gine.2025.101034","DOIUrl":"10.1016/j.gine.2025.101034","url":null,"abstract":"<div><h3>Background</h3><div>The relationship between sleep quality and outcomes of assisted reproductive technologies (ART), particularly intracytoplasmic sperm injection (ICSI), remains relatively unexplored. Understanding this association is crucial for optimizing fertility treatments and improving success rates. This study aimed to investigate the impact of sleep quality on ICSI outcomes and explore potential correlations with various variables.</div></div><div><h3>Methods</h3><div>A prospective observational study was conducted on 150 infertile couples undergoing ICSI treatment. Demographic, clinical, and sleep quality data were collected. Statistical analyses, including Spearman's correlation and multiple linear regression, were performed to assess the relationships between sleep quality, treatment variables, and outcomes.</div></div><div><h3>Results</h3><div>The mean age of participants was 32.71 years, with a majority residing in rural areas. No significant differences were found in pregnancy rates or embryo characteristics across different sleep quality groups. However, moderate positive correlations were observed between sleep quality scores and fertilization rates (<em>p</em> <!-->&lt;<!--> <!-->0.05).</div></div><div><h3>Conclusion</h3><div>While sleep quality did not significantly impact ICSI outcomes in this study, moderate correlations were found with fertilization rates. Further research is needed to elucidate the complex interplay between sleep quality, reproductive treatments, and outcomes to optimize fertility care.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101034"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143815340","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
Peripartum anxiety symptoms and breastfeeding duration: Prospective observational study 围产期焦虑症状与母乳喂养持续时间:前瞻性观察研究
IF 0.1
Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2025-07-01 Epub Date: 2025-04-28 DOI: 10.1016/j.gine.2025.101038
M.J. Rol , M.J. Cuerva , A. Briones , J.L. Bartha
{"title":"Peripartum anxiety symptoms and breastfeeding duration: Prospective observational study","authors":"M.J. Rol ,&nbsp;M.J. Cuerva ,&nbsp;A. Briones ,&nbsp;J.L. Bartha","doi":"10.1016/j.gine.2025.101038","DOIUrl":"10.1016/j.gine.2025.101038","url":null,"abstract":"<div><h3>Introduction</h3><div>There's a lack of effective screening methods to predict early breastfeeding cessation. Our study aimed to assess whether a simple screening of anxiety symptoms after the early postpartum period could help identify those families who discontinue exclusive and mixed breastfeeding early, despite their desire to breastfeed.</div></div><div><h3>Methods</h3><div>This prospective observational study, conducted at a single center, included women who were admitted to the postpartum ward following vaginal term births. Each participant was accompanied by their companions and babies and expressed a desire to breastfeed. Participants were divided into two groups based on whether they exhibited peripartum anxiety symptoms, assessed using the Hospital Anxiety and Depression scale (HADS). Follow-up assessments of the breastfeeding practices were conducted up to three years postpartum.</div></div><div><h3>Results</h3><div>A total of 113 eligible women participated in the study, with 92 women successfully followed up for three years. At six months postpartum, 56.5% of the women were exclusively breastfeeding, and 78.3% were still breastfeeding. No significant differences were observed in breastfeeding practices between the group exhibiting peripartum anxiety symptoms and the group without such symptoms.</div></div><div><h3>Conclusion</h3><div>Our approach, which concentrated on anxiety, did not yield an implementable screening tool for early breastfeeding cessation.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101038"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143881960","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
From fasting to feasting: Unraveling the postoperative benefits of preoperative carbohydrate intake in cesarean delivery—A systematic review and meta-analysis 从禁食到盛宴:揭示剖宫产术前碳水化合物摄入的术后益处——一项系统回顾和荟萃分析
IF 0.1
Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2025-07-01 Epub Date: 2025-05-20 DOI: 10.1016/j.gine.2025.101039
R.A. Kasem , A. Attalla , A. Ramadan , A. Tawfik , A. Salmona , M.K. AbdElhaseeb
{"title":"From fasting to feasting: Unraveling the postoperative benefits of preoperative carbohydrate intake in cesarean delivery—A systematic review and meta-analysis","authors":"R.A. Kasem ,&nbsp;A. Attalla ,&nbsp;A. Ramadan ,&nbsp;A. Tawfik ,&nbsp;A. Salmona ,&nbsp;M.K. AbdElhaseeb","doi":"10.1016/j.gine.2025.101039","DOIUrl":"10.1016/j.gine.2025.101039","url":null,"abstract":"<div><h3>Objectives</h3><div>Preoperative fasting is a common practice in cesarean section deliveries, but prolonged fasting can have negative effects on patient outcomes. Preoperative carbohydrate intake has been proposed as a way to mitigate these effects. The purpose of this systematic review and meta-analysis is to assess the potential benefits and complications of preoperative oral carbohydrates in women undergoing cesarean section (CS).</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted in PubMed, Cochrane, Web of Science, and Scopus databases until August 2023. Randomized controlled trials (RCTs) that compared preoperative oral carbohydrates to a placebo or fasting group in pregnant women undergoing CS were included. The outcomes included vomiting, insulin resistance, amount of bleeding, plasma glucose and serum insulin.</div></div><div><h3>Results</h3><div>We included five RCTs with a total of 2275 cases. According to the meta-analysis results, preoperative oral carbohydrates significantly reduced postoperative serum insulin levels (SMD<!--> <!-->=<!--> <!-->−0.58, 95% CI [−0.95 to −0.21], <em>P</em> <!-->=<!--> <!-->0.002) and insulin resistance (SMD<!--> <!-->=<!--> <!-->−0.32, 95% CI [−0.58 to −0.07], <em>P</em> <!-->=<!--> <!-->0.01) compared to control groups. However, preoperative oral carbohydrates did not have a significant effect on postoperative vomiting (RR<!--> <!-->=<!--> <!-->0.96, 95% CI [0.77–1.20], <em>P</em> <!-->=<!--> <!-->0.73), the amount of bleeding (SMD<!--> <!-->=<!--> <!-->−0.17, 95% CI [−0.52 to 0.18], <em>P</em> <!-->=<!--> <!-->0.34) or plasma glucose levels (SMD<!--> <!-->=<!--> <!-->−0.12, 95% CI [−0.29 to 0.05], <em>P</em> <!-->=<!--> <!-->0.17).</div></div><div><h3>Conclusion</h3><div>Preoperative oral carbohydrates can improve metabolic outcomes, specifically reducing postoperative serum insulin levels and insulin resistance in women undergoing CS, without increasing the risk of vomiting. However, they did not significantly affect the amount of bleeding or plasma glucose levels.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101039"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090266","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
Vólvulo del sigmoide secundario a torsión ovárica: reporte de caso 次级sigmoid -卵巢扭转瓣膜:病例报告
IF 0.1
Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2025-07-01 Epub Date: 2025-04-18 DOI: 10.1016/j.gine.2025.101037
V. Monsalvo , J.C. Corredor , D. Pinzón
{"title":"Vólvulo del sigmoide secundario a torsión ovárica: reporte de caso","authors":"V. Monsalvo ,&nbsp;J.C. Corredor ,&nbsp;D. Pinzón","doi":"10.1016/j.gine.2025.101037","DOIUrl":"10.1016/j.gine.2025.101037","url":null,"abstract":"<div><div>Sigmoid volvulus is one of the main causes of intestinal obstruction in the world, leading to consequences that derive from the decrease in mesenteric blood supply that can condition partial intestinal resection, leading to important changes in the quality of life of patients. Ovarian torsion is a gynecological emergency that becomes important in the short, medium and long term due to the crucial role of ovarian function in hormonal regulation and fertility. Both entities can generate an acute surgical abdomen, however few cases have been described in the literature on the simultaneous presence of these pathologies. We present a case of sigmoid volvulus secondary to adnexal cyst with torsion, with successful surgical management with partial salpingo-oophorectomy + sigmoidectomy + terminal colostomy in a 33 year-old woman with no important medical history, in the Regional Hospital of Duitama (Boyacá, Colombia).</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101037"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844242","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
How to perform a fetal neurosonography: Key points 如何进行胎儿神经超声检查:要点
IF 0.1
Clinica e Investigacion en Ginecologia y Obstetricia Pub Date : 2025-07-01 Epub Date: 2025-05-10 DOI: 10.1016/j.gine.2025.101050
B. Puerto , P. Azumendi , C. Corrales , G. Azumendi
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