Best Practice & Research Clinical Obstetrics & Gynaecology最新文献_第3页

Screening for viral hepatitis carriage 筛查病毒性肝炎携带者。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102523

引用次数: 0

“The Green Peace” How ICG can prevent complications in endometriosis surgery? "绿色和平 "ICG 如何预防子宫内膜异位症手术并发症

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102505

引用次数: 0

Endometrioma surgery: Hit with your best shot (But know when to stop) 子宫内膜瘤手术：全力一击（但要懂得适可而止）。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102528

{"title":"Endometrioma surgery: Hit with your best shot (But know when to stop)","authors":"","doi":"10.1016/j.bpobgyn.2024.102528","DOIUrl":"10.1016/j.bpobgyn.2024.102528","url":null,"abstract":"<div><p>Ovarian endometriomas (OEs) are commonly detected by ultrasound in individuals affected by endometriosis. Although surgery was widely regarded in the past as the gold standard for treating OEs, especially in the case of large cysts, the surgical management of OEs remains debated. Firstly, OEs often represent the “tip of the iceberg” of underlying deep endometriosis, and this should be considered when treating OEs to ameliorate patients’ pain for focusing on the surgical objectives and providing better patient counseling. In the context of fertility care, OEs may have a detrimental effect on ovarian reserve through structural alterations, inflammatory responses, and oocyte reserve depletion. Conversely, the surgical approach may exacerbate the decline within the same ovarian reserve. While evidence suggests no improvement in in-vitro fertilization (IVF) outcomes following OE surgery, further studies are needed to understand the impact of OE surgery on spontaneous fertility. Therefore, optimal management of OEs is based on individual patient and fertility characteristics such as the woman's age, length of infertility, results of ovarian reserve tests, and surgical background. Among the available surgical approaches, cystectomy appears advantageous in terms of reduced recurrence rates, and traditionally, bipolar coagulation has been used to achieve hemostasis following this approach. Driven by concerns about the negative impact on ovarian reserve, alternative methods to obtain hemostasis include suturing the cyst bed, and novel methodologies such as CO2 laser and plasma energy have emerged as viable surgical options for OEs. In instances where sonographic OE features are non-reassuring, surgery should be contemplated to obtain tissue for histological diagnosis and rule out eventual ovarian malignancy.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1521693424000749/pdfft?md5=0d301360268f8831263b171bd1607df1&pid=1-s2.0-S1521693424000749-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141560564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Impact of surgery on reproductive outcomes in women with deep endometriosis and proven presurgical infertility: Facts and controversies 手术对患有深部子宫内膜异位症并经证实在手术前不孕的妇女生育结果的影响：事实与争议。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102524

{"title":"Impact of surgery on reproductive outcomes in women with deep endometriosis and proven presurgical infertility: Facts and controversies","authors":"","doi":"10.1016/j.bpobgyn.2024.102524","DOIUrl":"10.1016/j.bpobgyn.2024.102524","url":null,"abstract":"<div><p><span>In women with proven infertility and deep endometriosis (DE), optimal management is controversial. To date, there is no clear evidence on the association between infertility and different stages of rASRM, nor is there clear guidance from leading scientific societies for surgical treatment of DE patients. A comprehensive literature search was conducted on the main databases for English-language trials describing the effectiveness of surgery for DE in patients with proven infertility; 16 studies were deemed eligible for inclusion in this </span>systematic review<span> (CRD42024498888). Quantitative analysis was not possible because of the heterogeneity of the data. A descriptive summary of the results according to location of pathology, surgical technique used, and whether assisted reproductive technology (ART) was needed or not was provided.</span></p><p>A total of 947 infertile women were identified, 486 of whom became pregnant, with an average pregnancy rate of 51.3%. Our review suggests that surgery can be of valuable help in improving reproductive outcomes by improving the results of ART. It has not been possible to reach robust conclusions on the outcomes of surgery based on the location of DE because of the heterogeneity of evidence available to date.</p><p>Overall, although some data encourage first-line surgical management, further investigation is needed to determine its effective application before or after ART failure.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443929","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

Beyond the surface: Does stage I-II endometriosis impact fertility? Exploring the challenges of mild disease 超越表面：I-II 期子宫内膜异位症会影响生育吗？探索轻度疾病的挑战。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102501

引用次数: 0

Nerve-sparing surgery in deep endometriosis: Has its time come? 深部子宫内膜异位症的保留神经手术：时机成熟了吗？

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-09-01 DOI: 10.1016/j.bpobgyn.2024.102506

{"title":"Nerve-sparing surgery in deep endometriosis: Has its time come?","authors":"","doi":"10.1016/j.bpobgyn.2024.102506","DOIUrl":"10.1016/j.bpobgyn.2024.102506","url":null,"abstract":"<div><p><span><span>Nerve-sparing (NS) surgery was first introduced for the treatment of deep endometriosis<span> (DE) 20 years ago, drawing on established neuroanatomy and success from oncological applications. It aims to identify and preserve </span></span>autonomic nerve<span> fibres, reduce iatrogenic nerve injury, and minimize postoperative visceral dysfunction, without compromising the therapeutic effectiveness against endometriosis. The evolution of NS surgical techniques over the past two decades has been supported by an expanding body of literature on anatomical details, dissection techniques, and functional outcomes. Recent evidence suggests that NS surgery results in reduced postoperative voiding dysfunction (POVD). Transient POVD may be influenced by preoperative dysfunction, with parametrial infiltration being a strong </span></span>predictive factor<span> for POVD. While the benefits in bowel and sexual functions are less pronounced and consistent, NS surgery potentially prevents de novo dysfunctions in these areas. Furthermore, perioperative complication rates, effectiveness in pain relief, and fertility outcomes are reportedly on par with conventional surgery.</span></p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141393198","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

Improving management of first and second stages of labour in low- and middle-income countries 改善低收入和中等收入国家第一和第二产程的管理

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-07-01 DOI: 10.1016/j.bpobgyn.2024.102517

G Justus Hofmeyr , Badani Moreri-Ntshabele , Zahida Qureshi , Ndiwo Memo , Sarah Hanson , Elani Muller , Mandisa Singata-Madliki

{"title":"Improving management of first and second stages of labour in low- and middle-income countries","authors":"G Justus Hofmeyr , Badani Moreri-Ntshabele , Zahida Qureshi , Ndiwo Memo , Sarah Hanson , Elani Muller , Mandisa Singata-Madliki","doi":"10.1016/j.bpobgyn.2024.102517","DOIUrl":"10.1016/j.bpobgyn.2024.102517","url":null,"abstract":"<div><p>Labour care must balance aspirations of parents with vigilance for unanticipated calamities. The ‘on-site midwife-led primary care birth unit’ facilitates this.</p><p>The World Health Organization have replaced the traditional partograph with the ‘Labour Care Guide’. An implementation project in Botswana included the mnemonic COPE: Companion, Oral fluids, Pain relief and Eliminate the supine position. The Parto-Ma project in Tanzania used guidelines, training and support to improve childbirth outcomes. We list labour practices supported by recent evidence, and highlight new developments. Foetal macrosomia increases risk but mistaken diagnosis increases caesarean births. Obstructed labour is a complex clinical diagnosis, and is difficult to predict. For shoulder dystocia prioritise delivery of the posterior shoulder, facilitated if needed by posterior axilla sling traction. ‘Extended balloon labour induction’ with two or three Foley catheters side by side, may reduce risks associated with uterine stimulants. Bedside ultrasound may facilitate the diagnosis of cephalic malpositions and malpresentations.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1521693424000634/pdfft?md5=405ffdf9c4f99dbd5404d800e82d7e1b&pid=1-s2.0-S1521693424000634-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141409368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Preterm birth in low-middle income Countries 中低收入国家的早产现象。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-07-01 DOI: 10.1016/j.bpobgyn.2024.102518

Alim Swarray-Deen , Perez Sepenu , Teresa E. Mensah , Jeff Osei-Agyapong , Promise E. Sefogah , Kwabena Appiah-Sakyi , Badreldeen Ahmed , Justin C. Konje

{"title":"Preterm birth in low-middle income Countries","authors":"Alim Swarray-Deen , Perez Sepenu , Teresa E. Mensah , Jeff Osei-Agyapong , Promise E. Sefogah , Kwabena Appiah-Sakyi , Badreldeen Ahmed , Justin C. Konje","doi":"10.1016/j.bpobgyn.2024.102518","DOIUrl":"10.1016/j.bpobgyn.2024.102518","url":null,"abstract":"<div><p>Preterm birth (PTB), remains a major cause of significant morbidity and mortality world-wide with about 12–15million preterm births occurring every year. Although the overall trend is decreasing, this is mainly in high-income countries (HIC). The rate remains high in low-and middle-income countries (LMIC) varying on average between 10 and 12% compared to 9% in HIC. The pathogenesis of PTB is complex and multifactorial. Attempts to reduce rates that have focused on PTB as a single condition have in general been unsuccessful. However, more recent attempts to phenotype PTB have resulted in targeted preventative approaches which are yielding better results. Prevention (primary or secondary) is the only approach that has been shown to make a difference to rates of PTB. These include identifying risk factors pre-pregnancy and during pregnancy and instituting appropriate measures to address these. In LMIC, although some approaches that have been shown to be effective in some HIC are adaptable, there is a need to involve stakeholders at all levels in utilizing evidence preferrably generated in LMIC to implement strategies that are likely to reduce the rate of PTB. In this review, we focus on prevention and how to involve policy makers in the process of applying evidence into policy that would reduce PTB in LMIC.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1521693424000646/pdfft?md5=711c253f60bc0a63bef79ce3c7f768cf&pid=1-s2.0-S1521693424000646-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141473456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Fertility preservation in women with endometriosis: Oocyte cryopreservation and other techniques 子宫内膜异位症妇女的生育力保存：卵细胞冷冻和其他技术

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-07-01 DOI: 10.1016/j.bpobgyn.2024.102503

Irene Gazzo , Federica Moffa , Simone Ferrero

引用次数: 0

Hormonal Therapies before in vitro fertilization in women with endometriosis: The Minotaur's Labyrinth and the Ariadne's Thread 子宫内膜异位症妇女体外受精前的激素治疗：弥诺陶洛斯的迷宫和阿里阿德涅的丝线

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-07-01 DOI: 10.1016/j.bpobgyn.2024.102500

Antoine Naem , Harald Krentel , Gaby Moawad , Joelle Naem , Renato Venezia , Andrea Etrusco , Sanja Terzic , Antonio Simone Laganà

{"title":"Hormonal Therapies before in vitro fertilization in women with endometriosis: The Minotaur's Labyrinth and the Ariadne's Thread","authors":"Antoine Naem , Harald Krentel , Gaby Moawad , Joelle Naem , Renato Venezia , Andrea Etrusco , Sanja Terzic , Antonio Simone Laganà","doi":"10.1016/j.bpobgyn.2024.102500","DOIUrl":"10.1016/j.bpobgyn.2024.102500","url":null,"abstract":"<div><p>Endometriosis-related infertility is one of the most debated topics in reproductive medicine. In recent years, prolonged pre-cycle hormonal regimens gained attention as a mean of improving the assisted reproduction technologies (ART) success rates in endometriosis patients. GnRH agonists, dienogest, medroxyprogesterone acetate, and aromatase inhibitors are the most studied medications. Conflicting results and a high risk of bias exist in almost all of the conducted studies in the field. However, current evidence suggests that pre-cycle treatment with GnRH agonists may be beneficial for patients with stage III/IV endometriosis. Dienogest and medroxyprogesterone acetate-based progestin-primed ovarian stimulation protocol was shown to be comparable to the prolonged GnRH agonists protocol. Finally, aromatase inhibitors seem to be of limited benefit to the assisted reproductive outcomes of endometriosis patients. Although it is challenging to draw any clinical conclusions, pre-cycle hormonal treatments seem to be best indicated in endometriosis patients who had previously failed ART treatment.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141035643","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