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Best Practice & Research Clinical Obstetrics & Gynaecology最新文献

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Preface: Health economics and outcomes research in reproductive medicine: Methods and comparative effectiveness of treatment protocols 前言:生殖医学的卫生经济学和结果研究:治疗方案的方法和比较有效性。
IF 5.5 2区 医学
Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-10-30 DOI: 10.1016/j.bpobgyn.2023.102424
Thomas M. D'Hooghe (Guest Editor)
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引用次数: 0
Preface: Emerging importance of real world evidence in reproductive medicine 前言:现实世界证据在生殖医学中的重要性日益显现。
IF 5.5 2区 医学
Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-10-29 DOI: 10.1016/j.bpobgyn.2023.102423
Thomas D'Hooghe (Guest Editor)
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引用次数: 0
Robot-assisted laparoscopic pelvic floor surgery: Review 机器人辅助腹腔镜盆底手术：综述。
IF 5.5 2区 医学
Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-09-14 DOI: 10.1016/j.bpobgyn.2023.102418
Yair Daykan , Reut Rotem , Barry A. O'Reilly
{"title":"Robot-assisted laparoscopic pelvic floor surgery: Review","authors":"Yair Daykan ,&nbsp;Reut Rotem ,&nbsp;Barry A. O'Reilly","doi":"10.1016/j.bpobgyn.2023.102418","DOIUrl":"10.1016/j.bpobgyn.2023.102418","url":null,"abstract":"<div><p>Minimally invasive surgical techniques<span> have become more common in pelvic floor reconstructive urogynaecological surgery, specifically, robotic-assisted pelvic floor surgery.</span></p><p><span><span>Female pelvic floor anatomy<span><span> is complex, and some repairs require highly experienced surgical skills that can be gained more easily using robotic-assisted surgery. A common application of the robotic platform in urogynaecological surgeries includes sacrocolpopexy, which has become the gold standard approach in the last decade for the correction of </span>apical prolapse. Additional procedures include sacrohysteropexy, sacrocervicopexy, </span></span>fistula repair, and complex procedures involving the </span>bladder and other pelvic organs.</p><p>Despite its increasing use and clear benefit in our field, data in the literature and, in particular, randomised controlled trials are sparse. This review provides an update, incorporating recently published literature and our personal experience in that field.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"91 ","pages":"Article 102418"},"PeriodicalIF":5.5,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41144834","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Corrigendum to “Robotic surgery in ovarian cancer” [Best Pract Res Clin Obst Gynaecol Volume 90 (August 2023) 102391] “卵巢癌机器人手术”的勘误表[Best practice Res clinst gynecol卷90(2023年8月)102391]
IF 5.5 2区 医学
Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-09-14 DOI: 10.1016/j.bpobgyn.2023.102419
Valerio Gallotta , Camilla Certelli , Riccardo Oliva , Andrea Rosati , Alex Federico , Matteo Loverro , Claudio Lodoli , Nazario Foschi , Konstantinos Lathouras , Anna Fagotti , Giovanni Scambia
{"title":"Corrigendum to “Robotic surgery in ovarian cancer” [Best Pract Res Clin Obst Gynaecol Volume 90 (August 2023) 102391]","authors":"Valerio Gallotta ,&nbsp;Camilla Certelli ,&nbsp;Riccardo Oliva ,&nbsp;Andrea Rosati ,&nbsp;Alex Federico ,&nbsp;Matteo Loverro ,&nbsp;Claudio Lodoli ,&nbsp;Nazario Foschi ,&nbsp;Konstantinos Lathouras ,&nbsp;Anna Fagotti ,&nbsp;Giovanni Scambia","doi":"10.1016/j.bpobgyn.2023.102419","DOIUrl":"10.1016/j.bpobgyn.2023.102419","url":null,"abstract":"","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"91 ","pages":"Article 102419"},"PeriodicalIF":5.5,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10284972","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Intrapartum care and management of complications in women with obesity 女性肥胖并发症的产时护理和处理
IF 5.5 2区 医学
Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-09-05 DOI: 10.1016/j.bpobgyn.2023.102404
Namiko Aleker BBiomed Sci, MBBS, FRANZCOG, MPH/TM , Boon H. Lim MBBS, FRCOG, FRANZCOG
{"title":"Intrapartum care and management of complications in women with obesity","authors":"Namiko Aleker BBiomed Sci, MBBS, FRANZCOG, MPH/TM ,&nbsp;Boon H. Lim MBBS, FRCOG, FRANZCOG","doi":"10.1016/j.bpobgyn.2023.102404","DOIUrl":"10.1016/j.bpobgyn.2023.102404","url":null,"abstract":"<div><p>Pregnant women with obesity are at considerable risk during their labor and delivery. The aim of obstetric care is the safe delivery of the baby and the maintenance of good health of the mother while providing an ongoing support for the family unit. The awareness and mitigation of risks associated with caring for women who are obese is vital in ensuring continued good outcomes. Transfer of women for labor care, presence of senior staff, bariatric resources, understanding of the progress of labor with an increase in body mass index, and preparation for complications are covered in this chapter.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"91 ","pages":"Article 102404"},"PeriodicalIF":5.5,"publicationDate":"2023-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10272007","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
The use of pressure balloons in the treatment of first trimester cesarean scar pregnancy 压力球囊在早期妊娠剖宫产瘢痕妊娠治疗中的应用
IF 5.5 2区 医学
Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-08-29 DOI: 10.1016/j.bpobgyn.2023.102409
Ilan E. Timor-Tritsch , Andrea Kaelin Agten , Ana Monteagudo , Giuseppe Calỉ , Francesco D'Antonio
{"title":"The use of pressure balloons in the treatment of first trimester cesarean scar pregnancy","authors":"Ilan E. Timor-Tritsch ,&nbsp;Andrea Kaelin Agten ,&nbsp;Ana Monteagudo ,&nbsp;Giuseppe Calỉ ,&nbsp;Francesco D'Antonio","doi":"10.1016/j.bpobgyn.2023.102409","DOIUrl":"10.1016/j.bpobgyn.2023.102409","url":null,"abstract":"<div><p><span><span>Cesarean scar pregnancy (CSP) is among the most severe complications of cesarean delivery<span>. CSP refers to the abnormal implantation of the gestational sac in the area of the prior cesarean delivery (CD), potentially leading to severe hemorrhage, </span></span>uterine rupture<span>, or development of placenta accreta<span> spectrum disorders (PAS). The management of women with CSP has not been standardized yet. In women who opted for termination, discussion about the treatments<span> should consider maternal symptoms, gestational age at intervention, and the future reproductive risk. A multitude of treatments, either medical or surgical, for CSP has been reported in the published literature. The present review aims to provide up-to-date information on a recently introduced minimally invasive treatments for CSP, including the single and double balloon catheter. The methodology of using the single or double catheter is described in a step-by-step fashion illustrated by pictures as well as video recordings. Both catheters have their deserved place to be used as a primary method for terminating scar pregnancies as well as using them as adjuncts to other treatments. They were successfully used by multiple individual practitioners and institutions due to their simplicity and low complication rates. The rare, but possible post-procedure complications such as recurrent CSP and enhanced myometrial </span></span></span></span>vascularity are also mentioned.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"91 ","pages":"Article 102409"},"PeriodicalIF":5.5,"publicationDate":"2023-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10272004","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Placental dysfunction in obese women and antenatal surveillance 肥胖妇女胎盘功能障碍与产前监测。
IF 5.5 2区 医学
Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-08-23 DOI: 10.1016/j.bpobgyn.2023.102407
Anjum Doshani MD, FRCOG (Consultant Obstetrician and Gynaecologist) , Justin C. Konje MD FRCOG (Professor, Emeritus Professor, Senior Consultant)
{"title":"Placental dysfunction in obese women and antenatal surveillance","authors":"Anjum Doshani MD, FRCOG (Consultant Obstetrician and Gynaecologist) ,&nbsp;Justin C. Konje MD FRCOG (Professor, Emeritus Professor, Senior Consultant)","doi":"10.1016/j.bpobgyn.2023.102407","DOIUrl":"10.1016/j.bpobgyn.2023.102407","url":null,"abstract":"<div><p><span>Obesity is a significant health concern worldwide and is associated with numerous health complications, including placental dysfunction during pregnancy. Placental dysfunction can lead to </span>adverse outcomes<span> for both the mother and the foetus, such as preeclampsia<span>, gestational diabetes<span><span>, preterm birth, and </span>foetal growth restriction.</span></span></span></p><p><span>Studies have shown that maternal obesity<span> can lead to placental dysfunction through various mechanisms, including chronic inflammation, </span></span>oxidative stress<span>, and dysregulation of metabolic pathways. These factors can contribute to changes in the placenta's structure and function, impairing nutrient and oxygen exchange between the mother and foetus.</span></p><p>Recent research has also suggested that alteration of gene expression in the placenta due to epigenetic<span> changes, such as DNA methylation, may play a role in placental dysfunction associated with maternal obesity. These changes can affect altering foetal growth and development.</span></p><p>Prevention and management of maternal obesity are crucial in reducing the risk of placental dysfunction and associated adverse outcomes during pregnancy. This can be achieved through lifestyle modifications, such as diet and exercise, and early detection and management of underlying health conditions.</p><p>In conclusion, maternal obesity is a significant risk factor for placental dysfunction during pregnancy, which can lead to adverse outcomes for both the mother and the foetus. Further research is needed to understand the relationship and mechanisms to develop effective interventions to prevent and manage placental dysfunction in obese pregnant women.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"91 ","pages":"Article 102407"},"PeriodicalIF":5.5,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41180695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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: 1
Assisted vaginal delivery in the obese patient 肥胖患者的辅助阴道分娩
IF 5.5 2区 医学
Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-08-22 DOI: 10.1016/j.bpobgyn.2023.102403
Aoife M. McTiernan , Chetan K. Ruprai , Stephen W. Lindow
{"title":"Assisted vaginal delivery in the obese patient","authors":"Aoife M. McTiernan ,&nbsp;Chetan K. Ruprai ,&nbsp;Stephen W. Lindow","doi":"10.1016/j.bpobgyn.2023.102403","DOIUrl":"10.1016/j.bpobgyn.2023.102403","url":null,"abstract":"<div><p><span>Appropriate use of ventouse or </span>obstetric<span><span> forceps as options in the management of the second-stage of labor is good medical practice. The instruments are not inherently dangerous, however, the manner in which they are used may be. In addition to a working knowledge of the instruments, the operator must have the willingness to abandon an unsuccessful procedure. Awareness that failure of assisted vaginal delivery<span> is more likely in women with BMI &gt;30, hence, gives pause to consider trial in theatre with early recourse to cesarean delivery if unsuccessful Awareness that obesity is associated with increased risk of </span></span>intrapartum<span><span> complications, such as the need for second-stage assistance to achieve delivery, shoulder dystocia and postnatal complications, such as obstetric </span>anal sphincter injury and febrile morbidity.</span></span></p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"91 ","pages":"Article 102403"},"PeriodicalIF":5.5,"publicationDate":"2023-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10190375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Robotic-assisted para-aortic lymphadenectomy: Technique and indications in gynecological oncology 机器人辅助主动脉旁淋巴结清扫术：妇科肿瘤学的技术和适应症
IF 5.5 2区 医学
Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-08-21 DOI: 10.1016/j.bpobgyn.2023.102401
Jordi Ponce MD PhD , Sergi Fernández PhD , Marc Barahona PhD , José Manuel Martínez PhD , Carlos Ortega PhD , Lola Martí MD PhD
{"title":"Robotic-assisted para-aortic lymphadenectomy: Technique and indications in gynecological oncology","authors":"Jordi Ponce MD PhD ,&nbsp;Sergi Fernández PhD ,&nbsp;Marc Barahona PhD ,&nbsp;José Manuel Martínez PhD ,&nbsp;Carlos Ortega PhD ,&nbsp;Lola Martí MD PhD","doi":"10.1016/j.bpobgyn.2023.102401","DOIUrl":"10.1016/j.bpobgyn.2023.102401","url":null,"abstract":"<div><p>The benefits of minimally-invasive surgeries have been documented, and they have been established as the preferred approach for gynecological surgeries<span>. With the development of robotic surgery<span>, many highly complex surgeries can benefit from these advantages. Due to the complexity of aortocaval lymphadenectomy, surgical technique protocols have been described to reduce risks by maximizing benefits.</span></span></p><p>We describe the technique using five ports (4 robotic arms and an assistant) to work the upper abdominal field, and different instruments recommended in each of their positions to reduce errors and optimize surgical time. After the “step by step” description, we summarize indications of aortocaval lymphadenectomy for every gynecological cancer in different stages.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"91 ","pages":"Article 102401"},"PeriodicalIF":5.5,"publicationDate":"2023-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10181046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
An overview of contraception in women with obesity 肥胖妇女避孕综述
IF 5.5 2区 医学
Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-08-19 DOI: 10.1016/j.bpobgyn.2023.102408
Wafaa Ali Belail Hammad MD, MRCOG , Neerja Gupta MRCOG, DFFP, PG dip USS , Justin C. Konje MD, FRCOG
{"title":"An overview of contraception in women with obesity","authors":"Wafaa Ali Belail Hammad MD, MRCOG ,&nbsp;Neerja Gupta MRCOG, DFFP, PG dip USS ,&nbsp;Justin C. Konje MD, FRCOG","doi":"10.1016/j.bpobgyn.2023.102408","DOIUrl":"10.1016/j.bpobgyn.2023.102408","url":null,"abstract":"<div><p>The use of safe and effective contraception is essential for preventing unplanned pregnancy in women of all body sizes. When counseling women with obesity about contraception, it is important to consider the pharmacokinetic alterations of obesity on various modern contraceptive methods. However, evidence is reassuring that most contraceptive methods are safe and effective in women with obesity. Individual countries and the World Health Organization have published Medical Eligibility Criteria to guide contraceptive selection in women with medical issues including obesity. When choosing contraception, specific risks of the method relative to any underlying medical disorders must also be balanced against the risks of unintended pregnancy in this group.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"91 ","pages":"Article 102408"},"PeriodicalIF":5.5,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10188346","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
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