Obstetrics & gynecology science最新文献_第2页

Safety and feasibility of laterally extended endopelvic resection for sarcoma in the female genital tract: a prospective cohort study. 女性生殖道肉瘤的横向扩展盆腔内切除术的安全性和可行性:一项前瞻性队列研究。

IF 1.9

Obstetrics & gynecology science Pub Date : 2022-07-01 Epub Date: 2022-06-27 DOI: 10.5468/ogs.22071

Soo Jin Park, Junhwan Kim, Jae-Weon Kim, Hee Seung Kim, Ga Won Yim

{"title":"Safety and feasibility of laterally extended endopelvic resection for sarcoma in the female genital tract: a prospective cohort study.","authors":"Soo Jin Park, Junhwan Kim, Jae-Weon Kim, Hee Seung Kim, Ga Won Yim","doi":"10.5468/ogs.22071","DOIUrl":"https://doi.org/10.5468/ogs.22071","url":null,"abstract":"Objective: This study aims to evaluate the safety and feasibility of laterally extended endopelvic resection (LEER) for sarcoma in the female genital tract.Methods: We prospectively recruited gynecologic cancer patients with sarcoma arising from female genital tract who underwent LEER at Seoul National University Hospital from December 2016 to March 2021. Clinicopathologic characteristics, surgical outcomes including postoperative complications and pain control, and survival outcomes of the patients were investigated.Results: A total of nine patients were registered for this study. The median age was 56 years. Carcinosarcoma (n=2, 22%), leiomyosarcoma (n=2, 22%), and undifferentiated uterine sarcoma (n=2, 22%) were common histology types. Complete resection was achieved in 88.9%. The most common location of pelvic sidewall tumors was infra-iliac acetabulum (66.7%). The pathologic outcome showed a median tumor size of 9.0 cm and internal iliac vessel resection with pelvic sidewall muscle was performed in all patients. The median estimated blood loss was 1,600 mL (range, 300-22,300), and the patients were postoperatively admitted to the intensive care unit for median 1 day (range, 0-8). Complete response was observed in 44.4% (4/9) in radiologic studies after LEER, and median progression-free survival, treatment-related survival, and overall survival were 3.3, 19.6, and 98.9 months, respectively.Conclusion: LEER was feasible and safe in treating recurrent sarcoma presenting pelvic sidewall invasion with acceptable survival outcomes and manageable postoperative complications.","PeriodicalId":520726,"journal":{"name":"Obstetrics & gynecology science","volume":" ","pages":"355-367"},"PeriodicalIF":1.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/9a/33/ogs-22071.PMC9304442.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40396725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Non-invasive continuous blood pressure monitoring using the ClearSight system for pregnant women at high risks of post-partum hemorrhage: comparison with invasive blood pressure monitoring during cesarean section. 使用ClearSight系统对产后出血高危孕妇进行无创持续血压监测:与剖宫产术中有创血压监测的比较

IF 1.9

Obstetrics & gynecology science Pub Date : 2022-07-01 Epub Date: 2022-06-27 DOI: 10.5468/ogs.22063

Takuya Misugi, Takashi Juri, Koichi Suehiro, Kohei Kitada, Yasushi Kurihara, Mie Tahara, Akihiro Hamuro, Akemi Nakano, Masayasu Koyama, Takasi Mori, Daisuke Tachibana

{"title":"Non-invasive continuous blood pressure monitoring using the ClearSight system for pregnant women at high risks of post-partum hemorrhage: comparison with invasive blood pressure monitoring during cesarean section.","authors":"Takuya Misugi, Takashi Juri, Koichi Suehiro, Kohei Kitada, Yasushi Kurihara, Mie Tahara, Akihiro Hamuro, Akemi Nakano, Masayasu Koyama, Takasi Mori, Daisuke Tachibana","doi":"10.5468/ogs.22063","DOIUrl":"https://doi.org/10.5468/ogs.22063","url":null,"abstract":"Objective: This study aimed to investigate the accuracy and precision of continuous, non-invasive blood pressure obtained using the ClearSight system by comparing it with invasive arterial blood pressure, and to assess the hemodynamic changes using invasive methods and the ClearSight system in patients undergoing cesarean section.Methods: Arterial pressure was measured invasively with an intra-arterial catheter and non-invasively using the ClearSight system during cesarean section in patients with placenta previa or placenta accreta. Blood pressure measurements obtained using these two means were then compared.Results: Total 1,277 blood pressure measurement pairs were collected from 21 patients. Under Bland-Altman analysis, the ClearSight system demonstrated an acceptable accuracy with a bias and standard deviation of 8.8±13.4 mmHg for systolic blood pressure, -6.3±7.1 mmHg for diastolic blood pressure, and -2.7±8.0 mmHg for median blood pressure. Cardiac index levels were significantly elevated during fetal delivery and 5 minutes after placental removal, and systemic vascular resistance index levels were significantly decreased during fetal delivery and 40 minutes after placental removal.Conclusion: In patients undergoing cesarean section, the ClearSight system showed excellent accuracy and precision compared to that of the currently used invasive monitoring system.","PeriodicalId":520726,"journal":{"name":"Obstetrics & gynecology science","volume":" ","pages":"325-334"},"PeriodicalIF":1.9,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/09/f7/ogs-22063.PMC9304436.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40399127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

How and on whom to perform uterine-preserving surgery for uterine prolapse. 如何及对谁进行子宫脱垂保子宫手术。

IF 1.9

Obstetrics & gynecology science Pub Date : 2022-07-01 Epub Date: 2022-06-27 DOI: 10.5468/ogs.22003

Sumin Oh, Myung Jae Jeon

引用次数: 3

Prevalence of malnourishment and predictive factors associated with the nutritional status of gynecologic cancer patients undergoing chemotherapy: a cross-sectional analysis. 接受化疗的妇科癌症患者营养状况的营养不良患病率及预测因素:一项横断面分析。

IF 1.9

Obstetrics & gynecology science Pub Date : 2022-05-01 Epub Date: 2022-03-22 DOI: 10.5468/ogs.21298

Khemmanat Sanguanwongthong, Prapaporn Suprasert

{"title":"Prevalence of malnourishment and predictive factors associated with the nutritional status of gynecologic cancer patients undergoing chemotherapy: a cross-sectional analysis.","authors":"Khemmanat Sanguanwongthong, Prapaporn Suprasert","doi":"10.5468/ogs.21298","DOIUrl":"https://doi.org/10.5468/ogs.21298","url":null,"abstract":"Objective: To investigate the prevalence and predictive factors of malnourishment in patients with gynecologic cancer during chemotherapy.Methods: A total of 101 patients treated with chemotherapy between April 2020 and February 2021 were interviewed using the patient-generated subjective global assessment (PG-SGA). Clinical and laboratory data were also collected. The total number of lymphocytes per cubic milliliter (total lymphocyte count, TLC) and serum albumin were calculated to provide an optimal cut-off point using receiver operating characteristic curves. Clinicopathological variables were compared using univariate and multivariate analyses to identify the independent predictive factors for malnourishment.Results: The prevalence of good, moderate, and severe nourishment was 73.3%, 18.8%, and 7.9%, respectively. The optimal cut-off points for TLC and albumin were 1,450 cells/μL and for albumin was 3.9 g/dL. Univariate analysis indicated that the number of chemotherapy cycles ≤3, albumin level ≤3.95 g/dL, body mass index ≤25 kg/m2, TLC <1,450 cells/μL, anemia, and no neutropenia were significantly associated with malnutrition. However, only a serum albumin level ≤3.95 g/dL was independently associated with malnourishment.Conclusion: Patients with gynecologic cancer treated with chemotherapy were occasionally found to be malnourished, with the independent predictive predictor being a blood albumin level less than or equal to 3.95 g/dL.","PeriodicalId":520726,"journal":{"name":"Obstetrics & gynecology science","volume":" ","pages":"234-243"},"PeriodicalIF":1.9,"publicationDate":"2022-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ac/ea/ogs-21298.PMC9119732.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40311403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2