Ceska Gynekologie-Czech Gynaecology最新文献_第9页

Pregnancy termination indications and outcomes before 24 weeks of gestation - a case series. 妊娠 24 周前终止妊娠的指征和结果--病例系列。

IF 0.4

Ceska Gynekologie-Czech Gynaecology Pub Date : 2023-01-01 DOI: 10.48095/cccg2023428

Şükran Doğru, Fatih Akkuş, Aslı A. Atci, Arif Caner Erdoğan, Ali Acar

{"title":"Pregnancy termination indications and outcomes before 24 weeks of gestation - a case series.","authors":"Şükran Doğru, Fatih Akkuş, Aslı A. Atci, Arif Caner Erdoğan, Ali Acar","doi":"10.48095/cccg2023428","DOIUrl":"10.48095/cccg2023428","url":null,"abstract":"Objective: This study aimed to assess termination of pregnancy (TOP) indications and obstetric outcomes before the 24th gestational week.Materials and methods: This is a retrospective study that includes terminations performed in singleton pregnancies between December 2021 and December 2022 in the Perinatology Clinic of Necmettin Erbakan University Meram Medical Faculty. According to the reasons for TOP, all patients were divided into three groups: maternal, fetal, and obstetric reasons. The termination approach and outcomes were evaluated in all cases.Results: A total of 210 patients were included in the study. Considering termination indications, 18 (8.5%) patients had maternal causes, 127 (60.5%) had fetal causes, and 65 (31%) had obstetric causes. Maternal causes were significantly higher in the 1st trimester and fetal causes in the 2nd trimester (P = 0.001). In the maternal group, 77.8% dilatation and curettage were used, 70.1% misoprostol and 29.9% misoprostol + Foley catheter in the fetal group, and 66.2% misoprostol in the obstetric group (P = 0.0001). The length of hospital stay and recurrent revision curettage were not statistically different between the fetal, maternal, and obstetric groups (P = 0.099, P = 0.8, respectively).Conclusion: Termination options should be offered for complicated pregnancies due to fetal, maternal, or obstetric reasons. Pregnancy termination week and indication affect morbidity.","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"88 6","pages":"428-434"},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139088891","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

Relugolix combination therapy and symptoms of uterine myomatosis - selected case reports of indication spectrum and treatment outcomes. Relugolix联合治疗和子宫肌瘤病的症状——选择适应证谱和治疗结果的病例报告。

IF 0.4

Ceska Gynekologie-Czech Gynaecology Pub Date : 2023-01-01 DOI: 10.48095/cccg2023359

Robert Hudeček, Jaroslav Klát, Karel Pohl, Aleš Prokopenko, Lubomír Mikulášek, Soňa Šimová, Petr Krčál, Aleš Ševčík, Pavel Tomeš

{"title":"Relugolix combination therapy and symptoms of uterine myomatosis - selected case reports of indication spectrum and treatment outcomes.","authors":"Robert Hudeček, Jaroslav Klát, Karel Pohl, Aleš Prokopenko, Lubomír Mikulášek, Soňa Šimová, Petr Krčál, Aleš Ševčík, Pavel Tomeš","doi":"10.48095/cccg2023359","DOIUrl":"10.48095/cccg2023359","url":null,"abstract":"Objective: An illustrative review of the indications for relugolix combination therapy (RCT) in the management of symptoms associated with uterine myomatosis.Methods: A set of annotated case reports from outpatient and clinical practice.Results: The file includes a non-invasive methodology for defining excessive menstrual bleeding using the pictorial bleeding assessment chart (PBAC). It also presents the use of RCT as a fertility-sparing procedure prior to elective myomectomy and the management of isthmic fibroids as an uterine factor of infertility. Cases of RCT of adenomyosis in primary sterility and in extragenital forms of endometriosis are commented. Emergent events associated with complications of myomatosis in pregnancy are represented by a case report of necrotizing diff use myomatosis in puerperium. The differential-diagnostic confusion of adnexal pathology and myomatosis, RCT as a final solution to failed pharmacotherapy, and the alternative of hysterectomy in premenopause illustrate the diverse spectrum of indications for pharmacological treatment, including the possibility of dual therapy with RCT and aGnRH.Conclusion: Relugolix combination therapy as an effective and safe causal treatment expands the therapeutic spectrum and options for reproductive medicine specialists and registering gynaecologists. The availability of conservative treatment in combination with surgical treatment leads to optimalization and greater effectiveness of therapeutic procedures and increased quality of life for women with myomatosis.","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"88 5","pages":"359-370"},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71487166","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 efficacy of human papillomavirus vaccination in the prevention of recurrence of severe cervical lesions. 人乳头瘤病毒疫苗预防严重宫颈病变复发的疗效。

IF 0.4

Ceska Gynekologie-Czech Gynaecology Pub Date : 2023-01-01 DOI: 10.48095/cccg2023294

Borek Sehnal, Tomáš Pichlík, Michael J Halaška, Monika Větrovská, Anna Babková, Jana Drozenová, Helena Robová, Lukáš Rob

{"title":"The efficacy of human papillomavirus vaccination in the prevention of recurrence of severe cervical lesions.","authors":"Borek Sehnal, Tomáš Pichlík, Michael J Halaška, Monika Větrovská, Anna Babková, Jana Drozenová, Helena Robová, Lukáš Rob","doi":"10.48095/cccg2023294","DOIUrl":"https://doi.org/10.48095/cccg2023294","url":null,"abstract":"Objective: A review of current knowledge on the efficacy of human papillomavirus (HPV) vaccination in preventing recurrent severe cervical lesions after excisional surgical treatment.Methods and results: HPV infection is necessary for the development of most cervical precancerous lesions and cervical cancers. Currently, three prophylactic vaccines against HPV infection are available on the market: bivalent Cervarix, quadrivalent Gardasil (formerly Silgard) and nonavalent Gardasil9. All three prophylactic vaccines show high effect in preventing the development of precancerous lesions. The highest efficacy is achieved in the HPV naive population. The surgical excision of severe cervical precancers is the standard approach. However, guidelines regarding HPV vaccination at the time of conisation are not clearly determined. Women diagnosed with severe cervical lesions have mostly not been vaccinated against HPV so far. Therefore, it is beneficial to understand the importance and efficacy of HPV vaccination at the time of conisation in preventing recurrent precancerous lesions. The exact value of HPV vaccination in the context of surgical excision of precancerous lesions remains unclear, but vaccination is definitely valuable in reducing the risk of recurrence. Vaccination timing seems to be more favorable before surgery. However, the ideal timing of vaccination is not established. Some of these questions are likely to be answered by the results of ongoing randomized controlled trials.Conclusion: Adjuvant HPV vaccination in the setting of surgical treatment for cervical precancerous lesion is significantly associated with a reduced risk of recurrence. HPV vaccination should be strongly considered as adjuvant therapy, especially in young patients undergoing conisation for a severe cervical lesion.","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"88 4","pages":"294-300"},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10119696","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

Acute recurrent pancreatitis during 3rd trimester of pregnancy. 妊娠晚期急性复发性胰腺炎。

IF 0.4

Ceska Gynekologie-Czech Gynaecology Pub Date : 2023-01-01 DOI: 10.48095/cccg202317

Jakub Tobola, Martin Němec, Petronela Bieliková

引用次数: 0

Anti-Müllerian hormone - clinical use and future possibilities. 抗<s:1>勒氏杆菌激素-临床应用及未来可能性。

IF 0.4

Ceska Gynekologie-Czech Gynaecology Pub Date : 2023-01-01 DOI: 10.48095/cccg2023126

Olga Dubová, Michal Zikán

引用次数: 0

Specifics of infertility treatment in women with premature ovarian failure. 卵巢早衰妇女不孕治疗的具体情况。

IF 0.4

Ceska Gynekologie-Czech Gynaecology Pub Date : 2023-01-01 DOI: 10.48095/cccg2023131

Monika Poláková

引用次数: 0

Medical Termination of Pregnancy (MToP) in the 1st trimester - the role of human chorionic gonadotropin and ultrasound in pregnancy diagnosis and MToP follow-up. 妊娠头三个月的医学终止妊娠（MToP）--人绒毛膜促性腺激素和超声波在妊娠诊断和医学终止妊娠随访中的作用。

IF 0.4

Ceska Gynekologie-Czech Gynaecology Pub Date : 2023-01-01 DOI: 10.48095/cccg2023420

Vladimir Dvořák, Petra Slunska, Michaela Maděrková Tozzi, Katerina Langová, Vladimira Kroutilova, Radovan Pilka, Marek Ľubušký

{"title":"Medical Termination of Pregnancy (MToP) in the 1st trimester - the role of human chorionic gonadotropin and ultrasound in pregnancy diagnosis and MToP follow-up.","authors":"Vladimir Dvořák, Petra Slunska, Michaela Maděrková Tozzi, Katerina Langová, Vladimira Kroutilova, Radovan Pilka, Marek Ľubušký","doi":"10.48095/cccg2023420","DOIUrl":"10.48095/cccg2023420","url":null,"abstract":"Objective: In the Czech Republic, it is possible, to carry out Medical Termination of Pregnancy (MToP) in the 1st trimester up until the 49th day of secondary amenorrhea. The aim of the study is to analyse the significance of serum/urine human chorionic gonadotropin (hCG) assessment and ultrasound (US) examination in pregnancy diagnosis and MToP follow-up.Methods: In 2017-2018, MToP was carried out in a total of 109 women by administering a combination of mifepristone (600 mg orally) and misoprostol (400 mcg orally). Serum/urine (LSUP - low sensitivity urine pregnancy test) hCG assessment and US examination were performed at pregnancy diagnosis and MToP follow-up.Results: At pregnancy diagnosis, there was a positive and medium strong correlation between serum hCG and size of the gestational sac - GS (R = 0.711; P 1,000 IU/L and LSUP test was always positive). In 5.5% of women (6/109), a subsequent surgical intervention was carried out including those with ongoing pregnancy (N = 5); missed abortion (N = 1) was treated by additional misoprostol, where surgical intervention was not necessary.Conclusion: At pregnancy diagnosis, there is a positive and medium strong correlation between serum hCG and CRL. In MToP follow-up, a negative LSUP test enables reliable exclusion of ongoing pregnancy and missed abortion. In case of a positive LSUP test, US examination should be performed; however, surgical intervention should not be indicated solely on the basis of uterine cavity dilatation.","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"88 6","pages":"420-427"},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139088887","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

Prevention of intrauterine adhesions. 预防宫内粘连。

IF 0.4

Ceska Gynekologie-Czech Gynaecology Pub Date : 2023-01-01 DOI: 10.48095/cccg2023210

Michal Emingr, Matúš Halaj, Michal Malčák, Jiří Hanáček

引用次数: 0

Laparotomic reposition of acute postpartal uterine inversion. 急性产后宫内翻的剖腹复位。

IF 0.4

Ceska Gynekologie-Czech Gynaecology Pub Date : 2023-01-01 DOI: 10.48095/cccg202392

Monika Uhlířová, Michal Málek

引用次数: 0

A novel injection technique for ilioinguinal nerve block for post-operative pain relief in caesarean delivery - a randomized, double-blind, placebo-controlled trial. 一种用于剖宫产术后疼痛缓解的髂腹股沟神经阻滞的新型注射技术——一项随机、双盲、安慰剂对照试验。

IF 0.4

Ceska Gynekologie-Czech Gynaecology Pub Date : 2023-01-01 DOI: 10.48095/cccg202386

Wael Khafagy, Walaa Elbassioune, Mohamed Ibrahim, Mahmoud Rady, Ahmed Abdeltawab, Muhammad Altoraky, Mahmoud Hegazy, Waled Ayad, Moatazza Alghazaly, Ahmed Elshorbagy, Ahmed Shafik Almorsy, Samir Galal, Hosam Alazazy, Ahmed Zaki, Elmetwally Farouk, Ehab Elhelw, Hamada Abuelmatti, Mohamed Mahmoud, Mohamed Hussein, Elrefaai Marai, Eslam Sultan, Osama Deif

{"title":"A novel injection technique for ilioinguinal nerve block for post-operative pain relief in caesarean delivery - a randomized, double-blind, placebo-controlled trial.","authors":"Wael Khafagy, Walaa Elbassioune, Mohamed Ibrahim, Mahmoud Rady, Ahmed Abdeltawab, Muhammad Altoraky, Mahmoud Hegazy, Waled Ayad, Moatazza Alghazaly, Ahmed Elshorbagy, Ahmed Shafik Almorsy, Samir Galal, Hosam Alazazy, Ahmed Zaki, Elmetwally Farouk, Ehab Elhelw, Hamada Abuelmatti, Mohamed Mahmoud, Mohamed Hussein, Elrefaai Marai, Eslam Sultan, Osama Deif","doi":"10.48095/cccg202386","DOIUrl":"https://doi.org/10.48095/cccg202386","url":null,"abstract":"Aim: To determine whether the novel method is successful in blocking both ilioinguinal nerves to lessen postoperative pain following caesarean surgery.Materials and methods: Between January 2022 and January 2023, 300 patients were enrolled in this study at the Obstetrics and Gynaecology Departments of the Faculty of Medicine at Al-Azhar University. About 150 of these patients received bupivacaine infiltration on both sides close to the anterior superior iliac spine, and 150 received a normal saline injection at the same locations.Results: The study compared the two groups and discovered significant differences in the timing of analgesic requests, interval before the patient's first ambulation, length of hospital stay, postoperative pain score, and incidence of postoperative nausea and vomiting, with group A performing better.Conclusion: After a caesarean section, the local anaesthetic \"bupivacaine\" injection used to block the ilioinguinal nerves bilaterally is an efficient way to lessen postoperative discomfort and analgesic use.","PeriodicalId":43333,"journal":{"name":"Ceska Gynekologie-Czech Gynaecology","volume":"88 2","pages":"86-91"},"PeriodicalIF":0.4,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9778733","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