Best Practice & Research Clinical Obstetrics & Gynaecology最新文献_第8页

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":"96 ","pages":"Article 102506"},"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":"95 ","pages":"Article 102517"},"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

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

{"title":"Fertility preservation in women with endometriosis: Oocyte cryopreservation and other techniques","authors":"Irene Gazzo , Federica Moffa , Simone Ferrero","doi":"10.1016/j.bpobgyn.2024.102503","DOIUrl":"10.1016/j.bpobgyn.2024.102503","url":null,"abstract":"<div><p>In recent years, advancements in cryopreservation techniques for oocytes, embryos, and ovarian tissue have enabled offering fertility preservation (FP) options to women with endometriosis. It is recommended to always conduct specialized counselling on FP, especially before considering surgical interventions for endometriosis. The decision regarding the methods of FP, the timing, and to which women affected by endometriosis these techniques should be offered are still subjects of discussion. However, several studies suggest that it can be proposed before surgical interventions for endometriosis, particularly if the patient is undergoing mono or bilateral endometrioma surgery. The most recommended technique is ovarian stimulation, followed by oocyte cryopreservation. Nevertheless, the literature contains various studies describing FP through embryo cryopreservation or the retrieval and cryopreservation of ovarian tissue.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"95 ","pages":"Article 102503"},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S152169342400049X/pdfft?md5=b451ddd7c65f867f89fc0ee3eb8238e3&pid=1-s2.0-S152169342400049X-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141048936","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":"95 ","pages":"Article 102518"},"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

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":"95 ","pages":"Article 102500"},"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

Entrapped by pain: The diagnosis and management of endometriosis affecting somatic nerves 被疼痛所困：影响躯体神经的子宫内膜异位症的诊断和治疗。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-07-01 DOI: 10.1016/j.bpobgyn.2024.102502

Peter Thiel , Anna Kobylianskii , Meghan McGrattan , Nucelio Lemos

{"title":"Entrapped by pain: The diagnosis and management of endometriosis affecting somatic nerves","authors":"Peter Thiel , Anna Kobylianskii , Meghan McGrattan , Nucelio Lemos","doi":"10.1016/j.bpobgyn.2024.102502","DOIUrl":"10.1016/j.bpobgyn.2024.102502","url":null,"abstract":"<div><p>Somatic nerve entrapment caused by endometriosis is an underrecognized and often misdiagnosed issue that leads to many women suffering unnecessarily. While the classic symptoms of endometriosis are well-known to the gynaecologic surgeon, the dermatomal-type pain caused by endometriosis impacting neural structures is not within gynecologic day-to-day practice, which often complicates diagnosis and delays treatment. A thorough understanding of pelvic neuroanatomy and a neuropelveologic approach is required for accurate assessments of patients with endometriosis and nerve entrapment. Magnetic resonance imaging is the preferred imaging modality for this presentation of endometriosis. Surgical management with laparoscopic or robotic-assisted techniques is the preferred approach to treatment, with excellent long-term results reported after nerve detrapment and endometriosis excision. The review calls for increased awareness and education on the links between endometriosis and the nervous system, advocating for patient-centered care and further research to refine the diagnosis and treatment of this challenging condition.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"95 ","pages":"Article 102502"},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1521693424000488/pdfft?md5=53d61f8171b75589158dd1d69ef673e9&pid=1-s2.0-S1521693424000488-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140913513","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

Role of single port robotic surgery in gynecology 单孔机器人手术在妇科中的作用。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-07-01 DOI: 10.1016/j.bpobgyn.2024.102497

F. Massimello, V. Cela

引用次数: 0

Keep your attention closer to the ureters: Ureterolysis in deep endometriosis surgery 将注意力集中在输尿管上：深部子宫内膜异位症手术中的输尿管溶解术

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-07-01 DOI: 10.1016/j.bpobgyn.2024.102494

Louisa R. Chatroux, Jon I. Einarsson

{"title":"Keep your attention closer to the ureters: Ureterolysis in deep endometriosis surgery","authors":"Louisa R. Chatroux, Jon I. Einarsson","doi":"10.1016/j.bpobgyn.2024.102494","DOIUrl":"10.1016/j.bpobgyn.2024.102494","url":null,"abstract":"<div><p>Endometriosis surgery involving the ureter poses significant challenges requiring meticulous surgical techniques and vigilant postoperative care. This chapter addresses key aspects of ureterolysis techniques, intraoperative management of ureteral injuries, and postoperative care in the context of endometriosis surgery. Ureterolysis methods aim to isolate and mobilize the ureter while preserving its vascularity. Cold instruments and careful dissection are recommended to prevent thermal injury during surgery. Intraoperative tools such as indocyanine green (ICG) show promise in assessing for vascular compromise. Over half of ureteral injuries are detected postoperatively, necessitating a high index of suspicion. Optimal postoperative care in the case of ureteral injury involves Foley catheterization for decompression, ureteral stenting, and meticulous follow-ups to monitor healing and renal function. While advances have been made in surgical techniques and diagnostic tools, gaps persist in preoperative imaging optimization and predictive models for identifying at-risk patients. This chapter aims to bridge existing knowledge gaps, optimize surgical practices, and enhance the overall care and outcomes of patients undergoing endometriosis surgery involving the ureter.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"95 ","pages":"Article 102494"},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140580955","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

Conservative surgical treatment for adenomyosis: New options for looking beyond uterus removal 子宫腺肌症的保守手术治疗：除切除子宫外的新选择。

IF 3.9 2区医学

Best Practice & Research Clinical Obstetrics & Gynaecology Pub Date : 2024-07-01 DOI: 10.1016/j.bpobgyn.2024.102507

Tommaso Capezzuoli , Federico Toscano , Marcello Ceccaroni , Giovanni Roviglione , Anna Stepniewska , Massimiliano Fambrini , Silvia Vannuccini , Felice Petraglia

{"title":"Conservative surgical treatment for adenomyosis: New options for looking beyond uterus removal","authors":"Tommaso Capezzuoli , Federico Toscano , Marcello Ceccaroni , Giovanni Roviglione , Anna Stepniewska , Massimiliano Fambrini , Silvia Vannuccini , Felice Petraglia","doi":"10.1016/j.bpobgyn.2024.102507","DOIUrl":"10.1016/j.bpobgyn.2024.102507","url":null,"abstract":"<div><p>Adenomyosis is a common benign uterine disorders and patients may present dysmenorrhea, dyspareunia, abnormal uterine bleeding (AUB) and infertility. The treatment is very complex, including medical, surgical or radiological approaches. Hormonal drugs represent the first line therapy of adenomyosis, highly effective on symptoms and uterine volume reduction. Radiological procedures (UAE and HIFU), RFA and hysteroscopy may be proposed in those cases in which medical therapy is ineffective. Considering surgical treatment, hysterectomy remains the only existing definitive treatment but in the last decades the desire of uterus preservation is becoming more and more diffuse. On the other hand, surgical conservative treatments of adenomyosis are very effective in ameliorating AUB and pelvic pain and in reducing uterine volume, with some post-operative risks and obstetrics complications. Cytoreductive surgery for adenomyosis may be very complex, therefore it should be performed by experienced surgeons in dedicated centers, above all in case of concomitant endometriosis.</p></div>","PeriodicalId":50732,"journal":{"name":"Best Practice & Research Clinical Obstetrics & Gynaecology","volume":"95 ","pages":"Article 102507"},"PeriodicalIF":3.9,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S1521693424000531/pdfft?md5=24985635e4407632a18b475cfdb919cf&pid=1-s2.0-S1521693424000531-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141437909","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