Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC最新文献

{"title":"Directive clinique n^o 457 : Lésions obstétricales du sphincter anal (LOSA) - Partie I : prévention, détection et prise en charge immédiate.","authors":"Dobrochna Globerman, Alison Carter Ramirez, Maryse Larouche, Dante Pascali, Sinead Dufour, Maria Giroux","doi":"10.1016/j.jogc.2024.102720","DOIUrl":"https://doi.org/10.1016/j.jogc.2024.102720","url":null,"abstract":"<p><strong>Objectif: </strong>La présente directive vise à promouvoir la détection et les stratégies de prévention des lésions obstétricales du sphincter anal. Elle fournit aussi des conseils sur la réparation primaire des lésions obstétricales du sphincter anal et leur prise en charge post-partum immédiate afin de limiter les séquelles indésirables.</p><p><strong>Population cible: </strong>Toutes les patientes ayant subi une lésion obstétricale du sphincter anal à l'accouchement vaginal. RéSULTATS: Certaines stratégies préventives sont associées à une diminution de l'incidence des lésions obstétricales du sphincter anal (p. ex., flexion et contrôle de la tête fœtale, utilisation avisée de l'épisiotomie médio-latérale). Les stratégies de prise en charge, telles que le diagnostic et la réparation appropriés des lésions obstétricales du sphincter anal, l'antibioprophylaxie ainsi que la prise en charge du transit intestinal et de la fonction vésicale post-partum, peuvent réduire les séquelles à court et à long terme. BéNéFICES, RISQUES ET COûTS: La mise en application des recommandations de cette directive peut améliorer la détection, la prévention et la prise en charge adéquate des lésions anales obstétricales, ce qui aura pour effet de limiter le fardeau associé à ces lésions. L'adoption de la classification recommandée des lésions obstétricales du sphincter anal améliorera les efforts de recherche nationaux et internationaux. DONNéES PROBANTES: La littérature publiée dans la période du 1<sup>er</sup> septembre 2014 au 30 novembre 2023 a été colligée par des recherches dans les bases de données PubMed, Ovid, Medline, Embase, Scopus et Cochrane Library au moyen de termes MeSH (delivery, obstetrics, obstetric surgical procedures, obstetric labor complications, anal canal, episiotomy) et mots clés pertinents (OASIS, obstetrical anal sphincter injury, anal injury, anal sphincter, vaginal delivery, suture, fecal incontinence, anal incontinence, overlap repair, end-to-end repair, bladder protocol, analgesia). Seuls les résultats de revues systématiques, de méta-analyses, d'essais cliniques randomisés, d'essais cliniques comparatifs, d'études observationnelles et de lignes directrices de pratique clinique ont été retenus. Les recherches se sont limitées aux publications en anglais ou en français. Les données probantes ont été étayées par des références à la directive n<sup>o</sup> 330 de la Société des obstétriciens et gynécologues du Canada, publiée en 2015. MéTHODES DE VALIDATION: Les auteurs ont évalué la qualité des données probantes et la force des recommandations en utilisant le cadre méthodologique GRADE (Grading of Recommendations, Assessment, Development, and Evaluation). Voir l'annexe A (tableau A1 pour les définitions et tableau A2 pour l'interprétation des recommandations fortes et faibles). PROFESSIONNELS CONCERNéS: Prestataires de soins obstétricaux. RéSUMé DES MéDIAS SOCIAUX: Mise à jour des lignes directrices canadiennes sur la détection,","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"102720"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711627","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Guideline No. 457: Obstetrical Anal Sphincter Injuries (OASIS) Part I: Prevention, Recognition, and Immediate Management.","authors":"Dobrochna Globerman, Alison Carter Ramirez, Maryse Larouche, Dante Pascali, Sinead Dufour, Maria Giroux","doi":"10.1016/j.jogc.2024.102719","DOIUrl":"https://doi.org/10.1016/j.jogc.2024.102719","url":null,"abstract":"<p><strong>Objective: </strong>The purpose of this guideline is to promote recognition and preventive strategies for obstetrical anal sphincter injuries. Furthermore, it provides guidance on primary repair and immediate postpartum management for obstetrical anal sphincter tears in order to minimize further negative sequelae.</p><p><strong>Target population: </strong>All patients having a vaginal delivery and those who have sustained an obstetrical anal sphincter injury.</p><p><strong>Outcomes: </strong>Certain preventive strategies have been associated with lower rates of obstetrical anal sphincter injuries (e.g., fetal head flexion and control, appropriate use of mediolateral episiotomy). Management strategies, including appropriate diagnosis and repair of obstetrical anal sphincter injuries, antibiotic prophylaxis, and bowel and bladder function management can decrease associated short- and long-term complications.</p><p><strong>Benefits, harms, and costs: </strong>Implementation of the recommendations in this guideline may increase detection, prevention, and appropriate management of obstetrical anal injuries, thus limiting the future burden associated with these injuries. Implementation of the recommended classification of obstetrical anal sphincter injuries will improve national and international research efforts.</p><p><strong>Evidence: </strong>Published literature was retrieved through searches of PubMed, Ovid, Medline, Embase, Scopus, and the Cochrane Library from September 1, 2014, through November 30, 2023, using appropriate MeSH terms (delivery, obstetrics, obstetric surgical procedures, obstetric labor complications, anal canal, episiotomy) and keywords (OASIS, obstetrical anal sphincter injury, anal injury, anal sphincter, vaginal delivery, suture, fecal incontinence, anal incontinence, overlap repair, end-to-end repair, bladder protocol, analgesia). Results were restricted to systematic reviews, meta-analyses, randomized controlled trials/controlled clinical trials, observational studies, and clinical practice guidelines. Results were limited to English- or French-language materials. Evidence was supplemented with references from the 2015 Society of Obstetricians and Gynaecologists of Canada guideline no. 330.</p><p><strong>Validation methods: </strong>The authors rated the quality of evidence and strength of recommendations using the Grading of Recommendations Assessment, Development and Evaluation (GRADE) approach. See online Appendix A (Tables A1 for definitions and A2 for interpretations of strong and conditional recommendations).</p>","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"102719"},"PeriodicalIF":0.0,"publicationDate":"2024-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142711750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Meckel-Gruber Syndrome: Prenatal Diagnosis of a Lethal Ciliopathy with Multisystem Anomalies.","authors":"Avantika Gupta, Chetan Khare, Satish Choudhury, Manpreet Kaur, Mangani Deepika","doi":"10.1016/j.jogc.2024.102716","DOIUrl":"https://doi.org/10.1016/j.jogc.2024.102716","url":null,"abstract":"","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"102716"},"PeriodicalIF":0.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association of acute histological chorioamnionitis and other placental lesions with subsequent pregnancy outcomes after spontaneous preterm birth.","authors":"Ludmila Porto, Nir Melamed, Jessica Liu, John Kingdom, John Snelgrove, Elizabeth Aztalos, Christopher Sherman, Jon Barrett, Stefania Ronzoni","doi":"10.1016/j.jogc.2024.102715","DOIUrl":"https://doi.org/10.1016/j.jogc.2024.102715","url":null,"abstract":"<p><strong>Objective: </strong>Acute histological chorioamnionitis (HCA) is detected in over 50% of spontaneous preterm birth (PTB) and is associated with worse neonatal prognosis. We aim to investigate whether the presence of HCA impacts subsequent pregnancy outcomes.</p><p><strong>Methods: </strong>This retrospective cohort study included deliveries at a tertiary center from 2014 to 2020. Participants were individuals with a history of spontaneous PTB or pregnancy loss >16 weeks and available placental pathology (index pregnancy) with a subsequent pregnancy followed at the same institution. Placentas were classified according to the presence of HCA, other placental lesions, or no lesions. Subsequent pregnancy outcomes were analyzed. Primary outcome was the rate of overall and spontaneous PTB (<37 weeks ) in the subsequent pregnancy.</p><p><strong>Results: </strong>A total 292 individuals met study criteria, of which 133 had HCA, 61 had other placental lesions, and 98 had no lesions. Individuals with HCA in the index delivery had higher risk of PTB <28 weeks in the subsequent pregnancy, compared to the no-lesion group (10.4% vs 1.0%, P = 0.004). Rates of PTB >28 weeks did not significantly differ. The risk of neonatal adverse composite outcomes was higher in the HCA group (13.9% vs 4.2%, P < 0.01). In a sub-analysis of different placental lesions at the index PTB, only maternal vascular malperfusion was associated with recurrent PTB (aOR 2.57, P = 0.01).</p><p><strong>Conclusion: </strong>PTB with HCA is associated with higher rates of extreme PTB and adverse neonatal outcomes in the subsequent pregnancy. The inclusion of placental pathology analysis may improve individualized risk assessment in future pregnancies.</p>","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"102715"},"PeriodicalIF":0.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral Salpingitis Isthmica Nodosa: A Laparoscopic Clue Supporting its Infectious Etiology.","authors":"Konstantinos Koukoumpanis, Michail Panagiotopoulos, Athanasios Douligeris, Konstantinos Kypriotis, Nikolaos Kathopoulis, Athanasios Protopapas","doi":"10.1016/j.jogc.2024.102717","DOIUrl":"https://doi.org/10.1016/j.jogc.2024.102717","url":null,"abstract":"","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"102717"},"PeriodicalIF":0.0,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142696282","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Innovative 3D Imaging in Pre-Operative Evaluation for Secondary Cytoreductive Surgery in Recurrent Ovarian Cancer: A Pilot Study.","authors":"Michael Lavie, Jumana Joubran, Amit Benady, Phillip Berman, Nadav Michaan, Dan Grisaru, Ido Laskov","doi":"10.1016/j.jogc.2024.102714","DOIUrl":"https://doi.org/10.1016/j.jogc.2024.102714","url":null,"abstract":"<p><strong>Introduction: </strong>The efficacy of secondary cytoreductive surgery (SCS) in recurrent ovarian cancer remains controversial, necessitating meticulous preoperative planning. While 3D imaging has transformed surgical approaches in various disciplines, its application in gynaecologic oncology is nascent. This study introduces a novel investigation employing preoperative 3D modeling in SCS preparation.</p><p><strong>Methods: </strong>A retrospective analysis was undertaken at a university affiliated tertiary medical center, examining patients who underwent SCS for recurrent ovarian cancer between 2017 and 2022. Patients were stratified into two cohorts: those with pre-operative CT-based 3D imaging (Group A) and those without (Group B). Demographic profiles, clinical data, and surgical outcomes were compared between the groups.</p><p><strong>Results: </strong>Among the 76 identified patients, 18 were deemed suitable for surgery, with 7 in Group A undergoing preoperative 3D modeling. Demographics encompassing age and performance status were consistent across both groups, while Serous histology was more prominent in Group B. Although operative metrics and collaborative endeavors exhibited no statistically significant variance, the attainment of optimal debulking with no residual disease (R0) was substantially higher in Group A (100%) compared to Group B (54%), with a significance level of P = 0.05.</p><p><strong>Conclusion: </strong>CT-based 3D modeling in the preoperative phase of secondary cytoreductive surgery for ovarian cancer shows potential for enhancing surgical planning. While this pioneering research highlights the potential benefits of integrating 3D imaging into gynaecologic oncology, the limitations of this retrospective study imply that these findings are primarily hypothesis-generating. Further prospective studies are necessary to validate impact.</p>","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"102714"},"PeriodicalIF":0.0,"publicationDate":"2024-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142640412","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"BILATERAL MULTIPLE MATURE CYSTIC TERATOMA: AN UNUSUAL CASE REPORT.","authors":"Priyanka Mathe, Priya Samanta, Richa Aggarwal","doi":"10.1016/j.jogc.2024.102712","DOIUrl":"https://doi.org/10.1016/j.jogc.2024.102712","url":null,"abstract":"","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"102712"},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635365","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ectopic pregnancy in the posterior cul-de-sac managed successfully with single-dose methotrexate.","authors":"Jessica Shu Nan Li, Yasmin Kerouch, Mara Lindsay Sobel","doi":"10.1016/j.jogc.2024.102713","DOIUrl":"https://doi.org/10.1016/j.jogc.2024.102713","url":null,"abstract":"","PeriodicalId":520287,"journal":{"name":"Journal of obstetrics and gynaecology Canada : JOGC = Journal d'obstetrique et gynecologie du Canada : JOGC","volume":" ","pages":"102713"},"PeriodicalIF":0.0,"publicationDate":"2024-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142635309","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}