Best Practice & Research Clinical Obstetrics & Gynaecology最新文献_第10页

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)

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

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

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

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 , Andrea Kaelin Agten , Ana Monteagudo , Giuseppe Calỉ , Francesco D'Antonio","doi":"10.1016/j.bpobgyn.2023.102409","DOIUrl":"10.1016/j.bpobgyn.2023.102409","url":null,"abstract":"<div>Cesarean scar pregnancy (CSP) is among the most severe complications of cesarean delivery. CSP refers to the abnormal implantation of the gestational sac in the area of the prior cesarean delivery (CD), potentially leading to severe hemorrhage, uterine rupture, or development of placenta accreta spectrum disorders (PAS). The management of women with CSP has not been standardized yet. In women who opted for termination, discussion about the treatments 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 vascularity are also mentioned.</div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":null,"pages":null},"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) , 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>Obesity is a significant health concern worldwide and is associated with numerous health complications, including placental dysfunction during pregnancy. Placental dysfunction can lead to adverse outcomes for both the mother and the foetus, such as preeclampsia, gestational diabetes, preterm birth, and foetal growth restriction.Studies have shown that maternal obesity can lead to placental dysfunction through various mechanisms, including chronic inflammation, oxidative stress, 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.Recent research has also suggested that alteration of gene expression in the placenta due to epigenetic 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.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.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.</div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":null,"pages":null},"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

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

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

引用次数: 0

Prevention of surgical site infection and sepsis in pregnant obese women 预防妊娠期肥胖妇女手术部位感染和败血症

IF 5.5 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2023-08-19 DOI: 10.1016/j.bpobgyn.2023.102406

Emmanuel Ekanem MBBCh, FWACS, MRCOG, MRCPI, MSc (Consultant Obstetrician and Gynaecologist) , Nnabuike Chibuoke Ngene MB BS, Dip Obst (SA), Dip HIV Man (SA), MMed (Fam Med), FCOG (SA), MMmed (O&G), PhD , Jagidesa Moodley MB ChB, FCOG (SA), FRCOG, MD (Emeritus Professor) , Justin Konje MD, MBA, FMCOG, FWACS, FRCOG (Senior Consultant Obstetrician and Gynaecologist, Professor of Obstetrics and Gynecology, Emeritus Professor of Obstetrics and Gynaecology)

{"title":"Prevention of surgical site infection and sepsis in pregnant obese women","authors":"Emmanuel Ekanem MBBCh, FWACS, MRCOG, MRCPI, MSc (Consultant Obstetrician and Gynaecologist) , Nnabuike Chibuoke Ngene MB BS, Dip Obst (SA), Dip HIV Man (SA), MMed (Fam Med), FCOG (SA), MMmed (O&G), PhD , Jagidesa Moodley MB ChB, FCOG (SA), FRCOG, MD (Emeritus Professor) , Justin Konje MD, MBA, FMCOG, FWACS, FRCOG (Senior Consultant Obstetrician and Gynaecologist, Professor of Obstetrics and Gynecology, Emeritus Professor of Obstetrics and Gynaecology)","doi":"10.1016/j.bpobgyn.2023.102406","DOIUrl":"10.1016/j.bpobgyn.2023.102406","url":null,"abstract":"<div>Obesity is a major determinant of health outcomes and is on the increase in women worldwide. It predisposes to surgical site infection (SSI). Risk factors for the SSI include extremes of age, smoking, comorbidities such as hypertension and diabetes, inappropriate vertical abdominal and or uterine wall incisions, increased operating time, subcutaneous layer of 3 cm or more, and unnecessary use of subcutaneous drain. Most bacteria that cause SSIs are human commensals. Common organisms responsible for SSI include Staphylococcus aureus and coliforms such as Proteus mirabilis, and Escherichia coli. A surgeon's gloves post caesarean section in the obese has a preponderance of Firmicutes and Bacteroidetes, which increases SSI risk. The interaction of skin commensals and vaginal microbiome at the surgical incision site increases the risk of SSI in the obese compared to non-obese. Minimizing the risk of SSI involves modification of risk factors, timely treatment of SSI to prevent sepsis and compliance with the recommended care bundles.</div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":5.5,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10209872","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: 2