ISRN obstetrics and gynecology最新文献_第6页

Changing the route of hysterectomy into a minimal invasive approach. 改变子宫切除路径为微创入路。

ISRN obstetrics and gynecology Pub Date : 2013-05-21 Print Date: 2013-01-01 DOI: 10.1155/2013/249357

Christian Hoyer-Sorensen, Sigurd Hortemo, Marit Lieng

{"title":"Changing the route of hysterectomy into a minimal invasive approach.","authors":"Christian Hoyer-Sorensen, Sigurd Hortemo, Marit Lieng","doi":"10.1155/2013/249357","DOIUrl":"https://doi.org/10.1155/2013/249357","url":null,"abstract":"Objective. To describe the route of hysterectomy in a county hospital and evaluate the shift towards a minimal invasive approach. Design. Retrospective cohort study. Setting. A county hospital in Norway. Population. All women were scheduled for hysterectomy. Methods. Audit the route of hysterectomy in the period 2004-2012. Analyze the outcome of total laparoscopic hysterectomies. Main Outcome Measures. Complications after total laparoscopic hysterectomy. Results. A shift towards a minimal invasive approach has been achieved during the study period. In 2012 only 17.4% of the hysterectomies were performed abdominally, compared to yearly percentages of above 50% in the period 2004-2009. Laparoscopic supracervical hysterectomy was introduced in 2003, but the percentage of abdominal hysterectomy remained above 50% until total laparoscopic hysterectomy was introduced in 2010. Since the introduction of total laparoscopic hysterectomy in April 2010, 58 procedures have been performed. There have been no major complications. Two vaginal vault hematomas and one case of urinary tract infection were reported. Conclusions. It is possible for a county hospital to alter their praxis and perform mini-invasive hysterectomies, but it requires dedicated gynecologists. This change to an advanced procedure like total laparoscopic hysterectomy could be achieved without patients suffering from major complications.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2013 ","pages":"249357"},"PeriodicalIF":0.0,"publicationDate":"2013-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/249357","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31595085","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: 4

The importance of gestational sac size of ectopic pregnancy in response to single-dose methotrexate. 异位妊娠囊大小对单剂量甲氨蝶呤反应的重要性。

ISRN obstetrics and gynecology Pub Date : 2013-05-14 Print Date: 2013-01-01 DOI: 10.1155/2013/269425

Parichehr Kimiaei, Zahra Khani, Azadeh Marefian, Maryam Gholampour Ghavamabadi, Maryam Salimnejad

{"title":"The importance of gestational sac size of ectopic pregnancy in response to single-dose methotrexate.","authors":"Parichehr Kimiaei, Zahra Khani, Azadeh Marefian, Maryam Gholampour Ghavamabadi, Maryam Salimnejad","doi":"10.1155/2013/269425","DOIUrl":"https://doi.org/10.1155/2013/269425","url":null,"abstract":"This retrospective cohort study was designed in a selective group of 185 patients diagnosed with and treated for ectopic pregnancy. Intramuscular administration of a single dose of methotrexate (50 mg/m(2)) was performed to measure predictors of failure or resistance to treatment necessitating surgical intervention. During the time of treatment with a single dose of MTX, 20 patients (10.8%) failed to response, in which 6 of 20 (30%) indicated side effects to MTX and rupture of the ectopic pregnancy. Remaining cases (n = 14) showed resistance to the drug; the level of β -hCG did not fall at least 15% during 7 days after treatment and necessitated laparotomy. In backward-step analysis by multiple logistic regressions of various types of predictor factors, size of gestational sac (coefficient = 1.91, OR = 6.78, 95% confidence interval = 3.18-8.22) and baseline level β -hCG (coefficient = 1.60, OR = 5.0, 95% confidence interval = 4.26-6.72) had significant correlation with leading EP patients failing to response to MTX. This study suggests that further investigation for finding relative contraindications of MTX treatment in EP women should be considered on the gestational sac size because other variables are in the causal pathway of this variable.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2013 ","pages":"269425"},"PeriodicalIF":0.0,"publicationDate":"2013-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/269425","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31595086","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: 13

Fundal height growth curve for thai women. 泰国女性底部身高增长曲线。

ISRN obstetrics and gynecology Pub Date : 2013-04-15 Print Date: 2013-01-01 DOI: 10.1155/2013/463598

Jirawan Deeluea, Supatra Sirichotiyakul, Sawaek Weerakiet, Renu Buntha, Chamaiporn Tawichasri, Jayanton Patumanond

{"title":"Fundal height growth curve for thai women.","authors":"Jirawan Deeluea, Supatra Sirichotiyakul, Sawaek Weerakiet, Renu Buntha, Chamaiporn Tawichasri, Jayanton Patumanond","doi":"10.1155/2013/463598","DOIUrl":"https://doi.org/10.1155/2013/463598","url":null,"abstract":"Objectives. To develop fundal height (FH) growth curve from normal singleton pregnancy based on last menstrual period (LMP) and/or ultrasound dating for women in the northern part of Thailand. Methods. A retrospective time-series study was conducted at four hospitals in the upper northern part of Thailand between January 2009 and March 2011. FH from 20 to 40 weeks was measured in centimeters. The FH growth curve was presented as smoothed function of the 10th, 50th, and 90th percentiles, which were derived from a regression model fitted by a multilevel model for continuous data. Results. FH growth curve was derived from 7,523 measurements of 1,038 women. Gestational age was calculated from LMP in 648 women and ultrasound in 390 women. The FH increased from 19.1 cm at 20 weeks to 35.4 cm at 40 weeks. The maximum increase of 1.0 cm/wk was observed between 20 and 32 weeks, declining to 0.7 cm/wk between 33 and 36 weeks and 0.3 cm/wk between 37 and 40 weeks. A quadratic regression equation was FH (cm) = -19.7882 + 2.438157 GA (wk) - 0.0262178 GA(2) (wk) (R-squared = 0.85). Conclusions. A demographically specific FH growth curve may be an appropriate tool for monitoring and screening abnormal intrauterine growth.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2013 ","pages":"463598"},"PeriodicalIF":0.0,"publicationDate":"2013-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/463598","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31537551","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: 11

Assessment of bony pelvis and vaginally assisted deliveries. 评估骨骨盆和阴道辅助分娩。

ISRN obstetrics and gynecology Pub Date : 2013-04-04 Print Date: 2013-01-01 DOI: 10.1155/2013/763782

Ulla Korhonen, Pekka Taipale, Seppo Heinonen

{"title":"Assessment of bony pelvis and vaginally assisted deliveries.","authors":"Ulla Korhonen, Pekka Taipale, Seppo Heinonen","doi":"10.1155/2013/763782","DOIUrl":"https://doi.org/10.1155/2013/763782","url":null,"abstract":"Objective. To evaluate whether pelvic measurements have any association with operative vaginal deliveries and the duration of the second stage of the delivery. Study design. A retrospective study of pregnant women at an increased risk of fetal-pelvic disproportion during 2000-2008 in North-Carelian Central Hospital. The mode of the vaginal delivery was chosen to represent the reference standard. The target condition was spontaneous vaginal delivery. Patients were divided into subgroups according to the size of the fetus and also by the parity to evaluate the variability reflecting differences in patient groups. Receiver operating characteristic (ROC) curves were established. Results. A total of 226 participants with fetal cephalic presentation delivered vaginally; of these, 184 women delivered spontaneously, and 42 women required operative vaginal delivery with vacuum extraction. There were no clinically or statistically significant differences between the size of the maternal pelvic outlet and the different modes of delivery types within these subgroups. With respect to the pelvic inlet and outlet, the areas under the curve in ROC were 0.566 with the P value of 0.18 and 95% confidence interval (CI) of 0.465-0.667 and 0.573 (95% CI: 0.484-0.622; P = 0.14). Conclusions. The maternal bony pelvic dimensions exhibited virtually no correlation with the need for operative vaginal deliveries.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2013 ","pages":"763782"},"PeriodicalIF":0.0,"publicationDate":"2013-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/763782","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31537552","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: 8

Knowledge about HPV and Screening of Cervical Cancer among Women from the Metropolitan Region of Natal, Brazil. 巴西纳塔尔市大都市区妇女关于HPV和宫颈癌筛查的知识。

ISRN obstetrics and gynecology Pub Date : 2013-03-31 Print Date: 2013-01-01 DOI: 10.1155/2013/930479

Erika Galvão Lima, Diego Breno Soares de Lima, Cleine Aglacy Nunes Miranda, Valeska Santana de Sena Pereira, Jenner Chrystian Veríssimo de Azevedo, Josélio Maria Galvão de Araújo, Thales Allyrio Araújo de Medeiros Fernandes, Paulo Roberto Medeiros de Azevedo, José Veríssimo Fernandes

{"title":"Knowledge about HPV and Screening of Cervical Cancer among Women from the Metropolitan Region of Natal, Brazil.","authors":"Erika Galvão Lima, Diego Breno Soares de Lima, Cleine Aglacy Nunes Miranda, Valeska Santana de Sena Pereira, Jenner Chrystian Veríssimo de Azevedo, Josélio Maria Galvão de Araújo, Thales Allyrio Araújo de Medeiros Fernandes, Paulo Roberto Medeiros de Azevedo, José Veríssimo Fernandes","doi":"10.1155/2013/930479","DOIUrl":"https://doi.org/10.1155/2013/930479","url":null,"abstract":"Objective. The purpose of this study was to assess the knowledge level about HPV and screening of cervical cancer in women from the metropolitan region of Natal, Brazil. Materials and Methods. A descriptive cross-sectional study involving sexually active women was conducted. The participants were submitted to a face-to-face interview, using a structured questionnaire that permitted the quantification of data and opinions of the respondents. Results. Most participants (70.9%) had poor knowledge about HPV and also the Pap test (53.0%). The high level of knowledge about HPV was associated with age, education, marital status, household income, and pregnancy, while the high level of knowledge about the Pap test proved to be associated only with education and household income. Conclusion. The results highlight the need for performing educational campaigns emphasizing the role of HPV in the etiology of cervical lesions of different degrees, including cervical cancer, as well as the importance of having a Pap test regularly to prevent these diseases.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2013 ","pages":"930479"},"PeriodicalIF":0.0,"publicationDate":"2013-03-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/930479","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31376563","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: 25

Effectiveness of Heparin during Long-Term Tocolysis. 肝素治疗长期妊娠的疗效。

ISRN obstetrics and gynecology Pub Date : 2013-03-27 Print Date: 2013-01-01 DOI: 10.1155/2013/650532

Tetsunori Inagaki, Shintaro Makino, Takashi Yorifuji, Motoi Sugimura, Satoru Takeda

{"title":"Effectiveness of Heparin during Long-Term Tocolysis.","authors":"Tetsunori Inagaki, Shintaro Makino, Takashi Yorifuji, Motoi Sugimura, Satoru Takeda","doi":"10.1155/2013/650532","DOIUrl":"https://doi.org/10.1155/2013/650532","url":null,"abstract":"Objective. Drip infusion during long-term tocolysis causes mechanical and infectious vasculitis and increases the frequency of peripheral venous catheter exchange (PVC), thereby placing a burden on patients. Our study aim is to confirm whether heparin ameliorates pain due to vasculitis during long-term tocolysis and reduces the frequency of peripheral venous catheter exchange. Design. Prospective study. Setting and Sample. All the patients requiring admission because of the presence of uterine contraction or progressive cervical dilatation from August 2009 to June 2011 at Juntendo University in Japan. Methods. Heparin was used for patients at the time the total number of peripheral venous catheter exchanges exceeded 5 in two weeks, and we evaluated whether heparin reduced the frequency of peripheral venous catheter exchange and improved the visual analog scale (VAS) for patients. The main outcome measures frequency of PVC exchange and VAS. Results. This study demonstrated that heparin reduced the frequency of peripheral venous catheter exchange (P = 0.0069) and VAS (P = 0.042). No side effects were noted. Conclusion. Heparin could satisfy patients during long-term tocolysis in terms of ameliorating pain due to vasculitis and reducing the PVC exchange frequency.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2013 ","pages":"650532"},"PeriodicalIF":0.0,"publicationDate":"2013-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/650532","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31361426","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

Definition of compartment based radical surgery in uterine cancer-part I: therapeutic pelvic and periaortic lymphadenectomy by Michael höckel translated to robotic surgery. 子宫癌中基于腔室的根治性手术的定义-第一部分:治疗性盆腔和腹主动脉周围淋巴结切除术由Michael höckel翻译为机器人手术。

ISRN obstetrics and gynecology Pub Date : 2013-03-25 Print Date: 2013-01-01 DOI: 10.1155/2013/297921

Rainer Kimmig, Antonella Iannaccone, Paul Buderath, Bahriye Aktas, Pauline Wimberger, Martin Heubner

{"title":"Definition of compartment based radical surgery in uterine cancer-part I: therapeutic pelvic and periaortic lymphadenectomy by Michael höckel translated to robotic surgery.","authors":"Rainer Kimmig, Antonella Iannaccone, Paul Buderath, Bahriye Aktas, Pauline Wimberger, Martin Heubner","doi":"10.1155/2013/297921","DOIUrl":"https://doi.org/10.1155/2013/297921","url":null,"abstract":"Objective. To define compartment based therapeutic pelvic and periaortic lymphadenectomy in cervical and endometrial cancer. Compartment based oncologic surgery appears to be favorable for patients in terms of radicality as well as complication rates, and the same appears to be true for robotic surgery. We describe a method of robotically assisted compartment based lymphadenectomy step by step in uterine cancer and demonstrate feasibility data from 35 patients. Methods. Patients with the diagnosis of endometrial (n = 16) or cervical (n = 19) cancer were included. Patients were treated by rTMMR (robotic total mesometrial resection) or rPMMR (robotic peritoneal mesometrial resection) and pelvic or pelvic/periaortic rtLNE (robotic therapeutic lymphadenectomy) with cervical cancer FIGO IB-IIA or endometrial cancer FIGO I-III. Results. No transition to open surgery was necessary. Complication rates were 13% for endometrial cancer and 21% for cervical cancer. Within follow-up time median (22/20) month we noted 1 recurrence of cervical cancer and 2 endometrial cancer recurrences. Conclusions. We conclude that compartment based rtLNE is a feasible and safe technique for the treatment of uterine cancers and is favorable in aspects of radicality and complication rates. It should be analyzed in multicenter studies with extended followup on the basis of the described technique.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2013 ","pages":"297921"},"PeriodicalIF":0.0,"publicationDate":"2013-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/297921","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31360955","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: 27

Case series of monoamniotic and pseudomonoamniotic twin gestations. 单羊膜和假单羊膜双胎妊娠病例系列。

ISRN obstetrics and gynecology Pub Date : 2013-01-01 Epub Date: 2013-02-21 DOI: 10.1155/2013/369419

Shunji Suzuki

引用次数: 16

Is the simple closure technique effective in the treatment of genital fistulas? 单纯闭口术治疗生殖器瘘是否有效?

ISRN obstetrics and gynecology Pub Date : 2013-01-01 Epub Date: 2013-02-13 DOI: 10.1155/2013/672540

Eylem Unlubilgin, Tolgay Tuyan Ilhan, Ahmet Akin Sivaslioglu, Ismail Dolen

{"title":"Is the simple closure technique effective in the treatment of genital fistulas?","authors":"Eylem Unlubilgin, Tolgay Tuyan Ilhan, Ahmet Akin Sivaslioglu, Ismail Dolen","doi":"10.1155/2013/672540","DOIUrl":"https://doi.org/10.1155/2013/672540","url":null,"abstract":"Aim. Genitourinary fistulas are bothersome clinical entities not only for the patient but also for the treating surgeon as well. A lot of surgical procedures have been proposed; however, most of the fistulas can be easily treated with plain surgical techniques, such as the simple surgical closure of the fistula tract. Material and Method. The study was carried out in the urogynecology department of Ankara Etlik Zübeyde Hanım Maternity Training and Research Hospital. The study included 12 cases with vesicovaginal fistulas and 15 cases with rectovaginal fistulas. Twenty-six patients underwent simple surgical closure technique. The age, the referral time to the hospital, the longest diameter of the fistula opening, the hospitalization time, the follow-up period and identifiable risk factors of the patients were evaluated. Results. Caeserean section was detected as primary risk factor for vesicovaginal fistulas and prolonged labor was detected as the most important risk factor for rectovaginal fistulas. In our study, we found that the simple closure technique cured 91% of vesicovaginal fistulas and 93% of rectovaginal fistulas. Conclusion. The simple closure technique has very high cure rates for both vesicovaginal and rectovaginal fistulas when the longest diameter of the fistula openings is ≤5 mm.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":"2013 ","pages":"672540"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1155/2013/672540","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"31293885","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: 1

Trends in ectopic pregnancies in eastern saudi arabia. 沙特阿拉伯东部异位妊娠的趋势。

ISRN obstetrics and gynecology Pub Date : 2013-01-01 Epub Date: 2013-02-25 DOI: 10.1155/2013/975251

Haifa Abdulaziz Al-Turki

{"title":"Trends in ectopic pregnancies in eastern saudi arabia.","authors":"Haifa Abdulaziz Al-Turki","doi":"10.1155/2013/975251","DOIUrl":"10.1155/2013/975251","url":null,"abstract":"Background. The objective of this study was to estimate trends in ectopic pregnancies (EP) in a tertiary care center of Eastern Saudi Arabia. Method. Information about patients with ectopic pregnancies who had been admitted to King Fahd Hospital of the University, AlKhobar, between January 2000 and 31 December 2011 was collected from a computerized hospital registry. Age-specific ectopic pregnancy incidence was calculated. The data was analyzed using SPSS (Statistical Package for the Social Sciences), version 14.0 (Chicago, IL, USA). Results. There were 274 EPs during the study period; the yearly incidence in terms of 24,098 deliveries was 1.19%. The average age was 28.99 Å 5.62 years. During a three-year period (2000-2002), the incidence was 0.92%; from 2003 to 2005, the incidence was 1.01%; from 2006 to 2008, the incidence was 1.51%; and from 2009 to 2011, the incidence was 1.35%. Age-adjusted ectopic pregnancy incidence rates steadily increased from 92.23 per 10,000 women years during the period 2000-2002 to 149.408 during the 2006-2008 period; since then, it has declined to 110.313 per 10,000 women years. Conclusions. Our study reveals that the incidence of EP has decreased from what it had been during the mid-2000s but has remained significantly elevated when compared to the early 2000s.","PeriodicalId":73520,"journal":{"name":"ISRN obstetrics and gynecology","volume":" ","pages":"975251"},"PeriodicalIF":0.0,"publicationDate":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3596907/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40227419","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