JOURNAL OF GYNECOLOGIC SURGERY最新文献_第4页

Vaginal Natural Orifice Endoscopic Surgery: How It Can Be the Return of Vaginal Surgery 阴道自然孔内窥镜手术:如何成为阴道手术的回归

JOURNAL OF GYNECOLOGIC SURGERY Pub Date : 2023-09-25 DOI: 10.1089/gyn.2023.0085

Jerry Matkins

引用次数: 0

Optimizing Outcomes Using Multimodal Therapy: Persistent Cervical Ectopic Pregnancy with Cardiac Motion 多模式治疗的优化结果:伴有心脏运动的持续性宫颈异位妊娠

JOURNAL OF GYNECOLOGIC SURGERY Pub Date : 2023-09-20 DOI: 10.1089/gyn.2023.0062

Andrew Claffey, Kevin Doody, Kathy Doody

{"title":"Optimizing Outcomes Using Multimodal Therapy: Persistent Cervical Ectopic Pregnancy with Cardiac Motion","authors":"Andrew Claffey, Kevin Doody, Kathy Doody","doi":"10.1089/gyn.2023.0062","DOIUrl":"https://doi.org/10.1089/gyn.2023.0062","url":null,"abstract":"Background: Cervical ectopic pregnancy (CEP) is a rare diagnosis with few reported cases, making establishment of a standardized treatment challenging. CEPs often require multiple therapeutic modalities and curative surgical management. Case: A patient in her late 40s presented with a persistent CEP after in-vitro fertilization (IVF). Initially, the ectopic pregnancy was treated with ultrasound-guided needle aspiration and multiple doses of methotrexate, but further approaches were necessary to resolve the case. Results: This patient had a CEP with a heartbeat and she had a very high β–human chorionic gonadotropin (β-hCG level). She initially responded appropriately to repeat doses of methotrexate and needle aspiration, but her β-hCG levels eventually plateaued. Eventually, definitive suction curettage, vasopressin injection, and an intracervical Foley balloon tamponade provided a successful resolution. Conclusions: This case highlights further how multimodal treatment methods are valuable for safe resolution of CEPs. The patient at first responded appropriately to multiple doses of methotrexate, which decreased her surgical risks and morbidity significantly. (J GYNECOL SURG 20XX:000)","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136308460","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

Augmented Reality to Guide Lymph-Node Resection in Gynecologic Malignancies: A Pilot Study 增强现实技术指导妇科恶性肿瘤淋巴结切除术:一项初步研究

JOURNAL OF GYNECOLOGIC SURGERY Pub Date : 2023-09-13 DOI: 10.1089/gyn.2023.0057

Danielle Mor-Hadar, Eyal Mor, Netanel Nagar, Oliana Vazhgovsky, Olga Saukhat, Shira Felder, David Hochstein, Tima Davidson, Shai Tejman-Yarden, Limor Helpman, Jacob Korach

{"title":"Augmented Reality to Guide Lymph-Node Resection in Gynecologic Malignancies: A Pilot Study","authors":"Danielle Mor-Hadar, Eyal Mor, Netanel Nagar, Oliana Vazhgovsky, Olga Saukhat, Shira Felder, David Hochstein, Tima Davidson, Shai Tejman-Yarden, Limor Helpman, Jacob Korach","doi":"10.1089/gyn.2023.0057","DOIUrl":"https://doi.org/10.1089/gyn.2023.0057","url":null,"abstract":"Objectives: Identifying and resecting gynecologic lymph-node metastases can be challenging. Augmented reality (AR) may improve localization of such lesions and adjacent structures. Materials and Methods: For this prospective case series of women who had lymphadenectomy for gynecologic malignancies at a tertiary-care center, a 3-dimensional targeted lesions model was created. It was based on preoperative axial imaging (computed tomography [CT] or positron emission tomography [PET]) of the lesions, which were evaluated by the surgical team preoperatively. The surgeon wore an AR wireless headset, enabling real-time use of the model to assist lymph-node resection. Results: This pilot study included 7 patients: 4 had lymphadenectomy with hysterectomy and bilateral salpingo-oophorectomy; 2 had lymphadenectomy; and 1 had lymphadenectomy during pelvic exenteration. Median age was 53 (34–70) and mean body mass index was 28.3 (± 6.5). Mean operating room time was 223 (± 130.9) minutes, mean blood loss was 398.5 (± 600.1) mL, and 1 patient needed a blood transfusion. Overall, there were no significant differences between the preoperative assessments of the sizes and locations of the lesions with AR, compared to axial imaging. Surgeons' evaluations of the model revealed that 7 (50%) indicated that the AR model was superior to axial imaging; 4 (28.6%) noted that the AR model prompted them to change their surgical approaches. AR modeling changed the surgical approaches in 2 cases and improved surgical accuracy, disease characteristics, or intra- and postoperative outcomes. Conclusions: Preoperative evaluation with AR was meaningful, compared to conventional methods in 25%–50% of cases. The effect of AR should be investigated further in a larger study. (J GYNECOL SURG 20XX:000)","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135785119","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 Dermabond Prineo Skin Closure System: Benefits and Complications Dermabond-Prineo皮肤闭合系统的优点和并发症

IF 0.3

JOURNAL OF GYNECOLOGIC SURGERY Pub Date : 2023-09-08 DOI: 10.1089/gyn.2023.0038

Alessandro Libretti, Beatrice Bracci, A. De Pedrini, Daniela Surico, Libera Troìa, Valentino Remorgida

引用次数: 0

Anesthesia for Urogynecologic Surgery 妇科泌尿外科的麻醉

IF 0.3

JOURNAL OF GYNECOLOGIC SURGERY Pub Date : 2023-09-05 DOI: 10.1089/gyn.2023.0074

Leshawn Richards, Amy I. Lee, Rohini Kotha, Justo Gonzalez

引用次数: 0

Dietary supplementation of solubles from shredded, steam-exploded pine particles modulates cecal microbiome composition in broiler chickens. 在肉鸡饲粮中添加蒸汽炸松碎颗粒的可溶物可调节肉鸡盲肠微生物组成。

IF 2.3

JOURNAL OF GYNECOLOGIC SURGERY Pub Date : 2023-09-01 Epub Date: 2023-09-30 DOI: 10.5187/jast.2023.e15

Chris Major Ncho, Akshat Goel, Vaishali Gupta, Chae-Mi Jeong, Ji-Young Jung, Si-Young Ha, Jae-Kyung Yang, Yang-Ho Choi

{"title":"Dietary supplementation of solubles from shredded, steam-exploded pine particles modulates cecal microbiome composition in broiler chickens.","authors":"Chris Major Ncho, Akshat Goel, Vaishali Gupta, Chae-Mi Jeong, Ji-Young Jung, Si-Young Ha, Jae-Kyung Yang, Yang-Ho Choi","doi":"10.5187/jast.2023.e15","DOIUrl":"10.5187/jast.2023.e15","url":null,"abstract":"This study evaluated the effects of supplementing solubles from shredded, steam-exploded pine particles (SSPP) on growth performances, plasma biochemicals, and microbial composition in broilers. The birds were reared for 28 days and fed basal diets with or without the inclusion of SSPP from 8 days old. There were a total of three dietary treatments supplemented with 0% (0% SSPP), 0.1% (0.1% SSPP) and 0.4% (0.4% SSPP) SSPP in basal diets. Supplementation of SSPP did not significantly affect growth or plasma biochemicals, but there was a clear indication of diet-induced microbial shifts. Beta-diversity analysis revealed SSPP supplementation-related clustering (ANOSIM: r = 0.31, p < 0.01), with an overall lower (PERMDISP: p < 0.05) individual dispersion in comparison to the control group. In addition, the proportions of the Bacteroides were increased, and the relative abundances of the families Vallitaleaceae, Defluviitaleaceae, Clostridiaceae, and the genera Butyricicoccus and Anaerofilum (p < 0.05) were significantly higher in the 0.4% SSPP group than in the control group. Furthermore, the linear discriminant analysis effect size (LEfSe) also showed that beneficial bacteria such as Ruminococcus albus and Butyricicoccus pullicaecorum were identified as microbial biomarkers of dietary SSPP inclusion (p < 0.05; | LDA effect size | > 2.0). Finally, network analysis showed that strong positive correlations were established among microbial species belonging to the class Clostridia, whereas Erysipelotrichia and Bacteroidia were mostly negatively correlated with Clostridia. Taken together, the results suggested that SSPP supplementation modulates the cecal microbial composition of broilers toward a \"healthier\" profile.","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"27 1","pages":"971-988"},"PeriodicalIF":2.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10640930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83235775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Complete Cytoreduction in Advanced Epithelial Ovarian Cancer: The Time Has Come to Define a Standard Boundary 晚期上皮性癌症的完全细胞减少：现在是确定标准边界的时候了

IF 0.3

JOURNAL OF GYNECOLOGIC SURGERY Pub Date : 2023-08-31 DOI: 10.1089/gyn.2022.0124

Divya Sehra, M. Ray

引用次数: 0

Minimally Invasive Surgery Debate for Myomectomy: Conventional or Robotic-Assisted Laparoscopy 子宫肌瘤切除术的微创手术之争:传统手术还是机器人辅助腹腔镜手术

IF 0.3

JOURNAL OF GYNECOLOGIC SURGERY Pub Date : 2023-08-30 DOI: 10.1089/gyn.2023.0059

Jordan Duncan, Samantha Brown, Gina Ranieri, M. Wasson

引用次数: 0

The Management of Vaginal Vault Dehiscence After Laparoscopic Hysterectomy: A Surgical Techniques Video 腹腔镜子宫切除术后阴道穹窿破裂的处理:外科技术录像

IF 0.3

JOURNAL OF GYNECOLOGIC SURGERY Pub Date : 2023-08-30 DOI: 10.1089/gyn.2023.0044

Simon Benoit Dubé, A. Zakhari, D. Nguyen, Jessica Papillon Smith, F. Mansour, S. Krishnamurthy

引用次数: 0

Long Term Trends in Postoperative Outcomes and Route of Benign and Fibroid Hysterectomies After U.S. Food and Drug Administration Statement on Power Morcellators 美国食品和药物管理局关于强力粉碎机的声明后良性和纤维状子宫切除术的术后结果和途径的长期趋势

IF 0.3

JOURNAL OF GYNECOLOGIC SURGERY Pub Date : 2023-08-23 DOI: 10.1089/gyn.2023.0056

Veronica S. Fox, L. Harvey, Zhiguo Zhao, K. Chaves, H. Curlin, O. Fajardo

引用次数: 0