IF 0.2 4区医学

生殖医学杂志 Pub Date : 2016-11-01

Ka Yu Tse, Vincent Y T Cheung, Christina Lam, Elaine Yuen Phin Lee, Pek Lan Khong, Hextan Yuen Sheung Ngan

{"title":"Successful Treatment of a Pararenal Pregnancy Using High-Dose Methotrexate Regimen: A Case Report.","authors":"Ka Yu Tse, Vincent Y T Cheung, Christina Lam, Elaine Yuen Phin Lee, Pek Lan Khong, Hextan Yuen Sheung Ngan","doi":"","DOIUrl":"","url":null,"abstract":"Background: Upper abdominal pregnancy is rare. Most patients present with hemoperitoneum, requiring emergency laparotomy.Case: A 32-year-old woman presented with acute abdominal pain and an elevated beta-human chorionic gonadotropin (β-hCG) level. Ultrasound, computerized tomography (CT) scans, and laparoscopy failed to locate the source of elevated hCG. Subsequent positron emission tomography (PET)-CT demonstrated a cystic mass in the left pararenal region with no increased uptake. Repeated ultrasound scan revealed a live fetus implanted laterally to the abdominal aorta. After failing to respond to methotrexate at the usual dosage, a regimen used in gestational trophoblastic neoplasia was given. The pregnancy underwent miscarriage afterwards, and the hCG level gradually returned to normal.Conclusion: The site of an ectopic pregnancy should be sought thoroughly to avoid missing an abdominal pregnancy and hence disastrous hemoperitoneum. While medical therapy with high-dose methotrexate is not a standard treatment, it can be considered after failing the traditional therapy, provided that there is adequate treatment monitoring and expertise in handling the side effects of the medication.","PeriodicalId":50063,"journal":{"name":"生殖医学杂志","volume":"61 11-12","pages":"592-4"},"PeriodicalIF":0.2,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36501989","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Squamous Cell Carcinoma of the Vulva Presenting as an Isolated Inguinal Lymph Node Metastasis: A Case Report. 外阴鳞状细胞癌表现为孤立的腹股沟淋巴结转移一例报告。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2016-11-01

Katherine C Kurnit, Lisa M Bean, Steven C Plaxe, Cheryl C Saenz, Michael T McHale

引用次数: 0

"Pause" for Resident Education in the Operating Room. 手术室住院医师教育的“暂停”。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2016-11-01

Lindsay E Clark Donat, Peter C Klatsky, Gary N Frishman

{"title":"\"Pause\" for Resident Education in the Operating Room.","authors":"Lindsay E Clark Donat, Peter C Klatsky, Gary N Frishman","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To determine if asking residents to discuss their specific learning objectives with the attending physician prior to beginning a surgical case would improve the educational experience in the operating room.Study design: This was a prospective nonrandomized cohort study utilizing a self-administered questionnaire. Prior to the intervention, residents and attendings were asked to fill out surveys evaluating the educational experience in the operating room. Subsequently, attending physicians were instructed to ask residents at the beginning of the surgery, \"What are your goals for this surgical case?\" During this intervention period, the same anonymous survey was filled out. Preintervention and postintervention answers were compared by t test and Fisher's exact test.Results: A total of 49 preintervention and 47 postintervention resident-attending survey pairs were collected. After implementation of the intervention, 100% of residents reported having surgical goals for the procedure as compared to 45% prior to the intervention (p<0.0001). Additionally, during the intervention residents reported they were better able to maximize learning opportunities and were more satisfied with their participation in the case. Attending physicians were more likely to be aware of resident learning objectives after the intervention.Conclusion: We propose the routine addition of an educational pause to the surgical time out.","PeriodicalId":50063,"journal":{"name":"生殖医学杂志","volume":"61 11-12","pages":"534-40"},"PeriodicalIF":0.2,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36497213","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Clinical Risk Factors Do Not Predict Shoulder Dystocia. 临床危险因素不能预测肩难产。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2016-11-01

Joseph G Ouzounian, Lisa M Korst, Michelle Sanchez, Suneet Chauhan, Robert B Gherman, Neisha Opper, Melissa L Wilson

引用次数: 0

Azoospermia Type Does Not Affect Intracytoplasmic Sperm Injection Results When Microdissection Testicular Sperm Extraction Is Performed. 显微解剖睾丸精子提取时无精子症类型不影响卵胞浆内单精子注射结果。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2016-11-01

Turgut Aydin, Burak Yücel, Mustafa Sofikerim, Mert Karadag, Fatma Tokat

{"title":"Azoospermia Type Does Not Affect Intracytoplasmic Sperm Injection Results When Microdissection Testicular Sperm Extraction Is Performed.","authors":"Turgut Aydin, Burak Yücel, Mustafa Sofikerim, Mert Karadag, Fatma Tokat","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To investigate the effect of azoospermia type on fertilization and clinical pregnancy rates when microdissection testicular sperm extraction (TESE) is performed for sperm retrieval in nonobstructive azoospermia (NOA).Study design: STUDY DESIGN: Patients who underwent microdissection TESE for NOA and conventional TESE for obstructive azoospermia (OA) were included in the study. Intracytoplasmic sperm injection (ICSI) results were compared between groups.Results: The mean ages in the 2 groups were similar. FSH and LH levels in the NOA group were significantly higher than those of the OA group. Between groups there was no statistically significant difference in testosterone levels. The sperm retrieval rate was 58.56% in NOA. Fertilization and clinical pregnancy rates were similar for patients with NOA and OA.Conclusion: In patients with NOA, microdissection TESE accurately determines active spermatogenesis areas via the high identification power of the operative microscope. From these areas surgeons can collect healthier spermatozoa, which can result in better ICSI outcomes, the results of which are similar to those with OA.","PeriodicalId":50063,"journal":{"name":"生殖医学杂志","volume":"61 11-12","pages":"581-4"},"PeriodicalIF":0.2,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36498980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fetal Heart Monitor Tracing in a Pregnancy Complicated by a Ruptured Fetal Vessel on the Placenta: A Case Report. 胎儿心脏监护追踪妊娠合并胎盘上胎血管破裂1例报告。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2016-11-01

Kevin C Visconti, Craig V Towers

引用次数: 0

Fetal Myelomeningocele After Maternal Methotrexate Administration: A Case Report. 母体甲氨蝶呤给药后胎儿脊髓脊膜膨出1例。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2016-11-01

Anthony Martino, Mary N W Towner, James E Towner

{"title":"Fetal Myelomeningocele After Maternal Methotrexate Administration: A Case Report.","authors":"Anthony Martino, Mary N W Towner, James E Towner","doi":"","DOIUrl":"","url":null,"abstract":"Background: Folate supplementation in women of reproductive age has a well-established role in the prevention of neural tube defects. Methotrexate is a commonly used drug which functions by inhibiting normal folate metabolism in active cells. An association between fetal methotrexate exposure and myelomeningocele might be expected, considering this relationship. However, to our knowledge, no cases of myelomeningocele secondary to in utero methotrexate exposure have been reported.Case: We present the case of a gravid patient who, having received methotrexate for management of an ectopic pregnancy, was lost to follow-up and returned several weeks later carrying an intrauterine pregnancy. The fetus was found prenatally to be suffering from multiple congenital anomalies. At birth the infant demonstrated many of the abnormalities commonly associated with fetal methotrexate syndrome, including craniosynostosis and talipes equinovarus. Most interestingly, the newborn was also diagnosed with a lumbar myelomeningocele and concomitant type II Chiari malformation, as is often associated with such a neural tube defect.Conclusion: Methotrexate exposure may impact the fetal risk of myelomeningocele. Patients should be counseled thoroughly on the importance of follow-up care.","PeriodicalId":50063,"journal":{"name":"生殖医学杂志","volume":"61 11-12","pages":"609-11"},"PeriodicalIF":0.2,"publicationDate":"2016-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36503851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Obstetric Complications and Pregnancy Outcome Among Grand Multiparous Women. 大产妇女的产科并发症和妊娠结局。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2016-09-01

Sivan Farladansky-Gershnabel, Gil Levy, Ran Neiger

{"title":"Obstetric Complications and Pregnancy Outcome Among Grand Multiparous Women.","authors":"Sivan Farladansky-Gershnabel, Gil Levy, Ran Neiger","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To determine whether there are differences between grand multiparous and non-grand multiparous women regarding obstetric risk factors, obstetric compli- cations, and pregnancy out- come.Study design: A retro- spective case control study was conducted between the years 2011-2012. The study group included grand. mul- tiparous women'(≥5 previous deliveries). The control group included non-grand multiparous women (<5 deliveries) who gave birth immediately after the grand multiparous woman and matched according to parity.Results: Prenatal care was less adequate in the grand multiparous group (p<0.001). A higher rate of maternal anemia was found in the grand multiparous group as compared to the multiparous group (p<0.001). Grand multiparity was associated with higher rates of amniot- ic fluid disorders such as oligohydramnios, polyhydram- nios, and meconium-stained amniotic fluid (p<0.001). Grand multiparity was also associated with higher. birth weight and a lower rate. of instrumental delivery (p<0.001). Higher parity was not a risk factor for di- abetic disorders, hypertension, and cesarean delivery.Conclusion: Grand multiparity is a risk factor for inadequate prenatal care, maternal anemia, and amni- otic fluid disorders and is .associated with lower rates of instrumental deliveries and higher birth weight. However, it does not increase the risk for diabetes, hypertension, and cesarean .deliveries.","PeriodicalId":50063,"journal":{"name":"生殖医学杂志","volume":"61 9-10","pages":"452-456"},"PeriodicalIF":0.2,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36636774","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Successful Laparoscopic Management of Type I Cesarean Scar Pregnancy A Case Series. 腹腔镜下ⅰ型剖宫产瘢痕妊娠的成功治疗

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2016-09-01

Jia-Ying Fan, Jing-Ying Xie, Yan-Ling Lu, Yan Yang, Yun-Qing Chen, Yu-Bin Han

{"title":"Successful Laparoscopic Management of Type I Cesarean Scar Pregnancy A Case Series.","authors":"Jia-Ying Fan, Jing-Ying Xie, Yan-Ling Lu, Yan Yang, Yun-Qing Chen, Yu-Bin Han","doi":"","DOIUrl":"","url":null,"abstract":"Objective: To explore the efficacy of laparoscopic surgery without auxiliary treatment for type II cesarean scar pregnancy (CSP-II).Study design: This was a case series of 7 patients with CSP-II who underwent laparoscopic surgery without auxiliary treatment between April 2014 and April 2015. All cases were diagnosed by ultrasound, confirmed by laparoscopy, and managed by laparoscopic resection of scar and gestational tissue and wound repair.Results: All 7 patients had successful surgeries without complication. Uterine scar and gestational tissues were resected, while also preserving the uterus. The operation time was 70.1 ± 16.3 min and blood loss was 65.7 ± 32.1 mL. Serum β-hCG levels 24 hours after surgery declined by 84.8 ± 9.4%. Serum β-hCG levels went back to <5 IU/L in all 7 patients by 14.4 ± 4.3 days after surgery. The time interval between surgery and first menstruation was 35.3 ± 4.5 days.Conclusion: These results suggest the possibility that skilled surgeons could use laparoscopy without auxiliary pretreatment to remove gestational tissues and uterine scar defect and to repair the wound in patients with CSP-II.","PeriodicalId":50063,"journal":{"name":"生殖医学杂志","volume":"61 9-10","pages":"457-462"},"PeriodicalIF":0.2,"publicationDate":"2016-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36636775","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Purple Urine Bag Syndrome. A Case Report. 紫尿袋综合征。一个病例报告。

IF 0.2 4区医学

生殖医学杂志 Pub Date : 2016-09-01

Na Eun Kim, Vivek Gupta, Allison Wagreich

引用次数: 0

生殖医学杂志最新文献