Ginekologia polska最新文献_第6页

Neoadjuvant chemotherapy in patients with vulvar carcinoma: a systematic review. 外阴癌患者的新辅助化疗：系统综述。

Ginekologia polska Pub Date : 2025-02-18 DOI: 10.5603/gpl.97789

Magda Piechowicz, Wojciech Staskiewicz, Joanna Spaczyska, Milosz Pietrus, Kazimierz Pitynski

引用次数: 0

The feasibility of gasless single-port access laparoscopy in overweight patients undergoing adnexal surgery. 无气腹单孔腹腔镜在超重患者行附件手术中的可行性。

Ginekologia polska Pub Date : 2025-02-11 DOI: 10.5603/gpl.101987

Jong Ha Hwang, Bo Wook Kim

{"title":"The feasibility of gasless single-port access laparoscopy in overweight patients undergoing adnexal surgery.","authors":"Jong Ha Hwang, Bo Wook Kim","doi":"10.5603/gpl.101987","DOIUrl":"https://doi.org/10.5603/gpl.101987","url":null,"abstract":"Objectives: To evaluate the feasibility and outcomes of gasless single-port access (SPA) laparoscopy in overweight patients undergoing adnexal surgery.Material and methods: A retrospective review was conducted on the medical records of 118 patients who underwent gasless SPA laparoscopic adnexal surgery using J-shaped or triangular-shaped retractors between May 2017 and June 2022. Patients were categorized into overweight (BMI ≥ 23) and standard-weight (BMI < 23) groups. Surgical characteristics and outcomes were compared between the two groups.Results: Out of 118 patients, 41 were in the overweight group, and 77 were in the standard-weight group. Significant differences were observed in age (p = 0.001), the number of previous abdominal surgeries (p = 0.001), and the number of subjects who had given birth (p = 0.004), all higher in the overweight group. There were no significant differences between the groups in setup time from umbilical skin incision to abdominal wall retraction, use of additional TROCARS: operation time, estimated blood loss, or length of postoperative hospital stay. No serious intraoperative complications, such as urologic, bowel, and vessel injuries were noted in either group. Tumor diameter (p < 0.001), bilaterality (p < 0.001), presence of adhesion (p = 0.026), and setup diameter of the retractor (p = 0.001) significantly correlated with operation time in multivariate analysis (Adjusted R² = 0.645).Conclusions: Gasless SPA laparoscopic adnexal surgery in overweight patients is a feasible and effective alternative to conventional SPA laparoscopy, mitigating the potential negative effects of carbon dioxide gas.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392811","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}

引用次数: 0

Comparison of the efficacy of transumbilical single-port laparoscopy and traditional laparoscopy for type II/III cesarean scar pregnancy. 经脐单孔腹腔镜与传统腹腔镜治疗II/III型瘢痕妊娠的疗效比较。

Ginekologia polska Pub Date : 2025-02-11 DOI: 10.5603/gpl.99855

Min Li, Yanqing Wu, Guichun Tan, Lu Liu, Liming Wang, Ziming Huang, Xiaoling Tao, Xin Du

{"title":"Comparison of the efficacy of transumbilical single-port laparoscopy and traditional laparoscopy for type II/III cesarean scar pregnancy.","authors":"Min Li, Yanqing Wu, Guichun Tan, Lu Liu, Liming Wang, Ziming Huang, Xiaoling Tao, Xin Du","doi":"10.5603/gpl.99855","DOIUrl":"https://doi.org/10.5603/gpl.99855","url":null,"abstract":"Objective: To explore the differences in clinical and cosmetic efficacy between transumbilical single-port laparoscopy (TSPLS) and traditional laparoscopy for type II and III cesarean scar pregnancy (CSP).Methods: We retrospectively included 39 patients with type II and III CSP who were admitted to Hubei Maternal and Child Health Hospital for surgical treatment between June 2018 and June 2021 and classified them into Groups A and B according to patients' wishes. Patients in Group A (n = 15) were treated with TSPLS, and those in Group B (n = 24) were treated with traditional laparoscopy. Both groups underwent CSP resection and lower uterine segment repair via plastic surgery. Based on their condition and intraoperative bleeding, the patients were treated with uterine artery preligation. The operative time, preoperative pretreatment, intraoperative blood loss, decrease in beta-human chorionic gonadotropin (β-hCG) level, postoperative vaginal bleeding time, postoperative intestinal ventilation time, length of hospital stays, complications, and scar cosmesis assessment were compared.Results: The scar cosmesis score was significantly lower in Group A than in Group B (p < 0.01). No significant differences in intraoperative blood loss, absolute decrease in β-hCG level, absolute decrease in blood hemoglobin level, absolute increase in blood C-reactive protein level, postoperative vaginal bleeding time, postoperative intestinal ventilation time, length of hospital stay, and complications were observed between the two groups (p > 0.05). The operative time in the experimental group was slightly longer than that in the control group (p < 0.05).Conclusion: TSPLS had better cosmetic effects than traditional multi-port laparoscopy, without surgical results and postoperative recovery difference, making it valuable for clinical application.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392804","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}

引用次数: 0

The outcomes of the 5 mm versus 11 mm primary trocar in gynecologic surgery - randomised study. 妇科手术中 5 毫米与 11 毫米主套管的对比结果--随机研究。

Ginekologia polska Pub Date : 2025-02-04 DOI: 10.5603/gpl.100621

Emin Erhan Dönmez, Zafer Bütün, Eyüpcan Kardas, Fisun Vural

引用次数: 0

Retrospective analysis of the effect of electronic cardiotocography on selected birth and neonatal variables among 4172 women from a Single Centre in Warsaw, Poland. 回顾性分析来自波兰华沙单一中心的4172名妇女的电子心动图对选定的出生和新生儿变量的影响。

Ginekologia polska Pub Date : 2025-01-29 DOI: 10.5603/gpl.103375

Sylwia Lidia Rychlewicz, Grazyna Baczek, Patryk Rzonca, Piotr Wegrzyn, Agnieszka Uryga, Justyna Teliga-Czajkowska

{"title":"Retrospective analysis of the effect of electronic cardiotocography on selected birth and neonatal variables among 4172 women from a Single Centre in Warsaw, Poland.","authors":"Sylwia Lidia Rychlewicz, Grazyna Baczek, Patryk Rzonca, Piotr Wegrzyn, Agnieszka Uryga, Justyna Teliga-Czajkowska","doi":"10.5603/gpl.103375","DOIUrl":"https://doi.org/10.5603/gpl.103375","url":null,"abstract":"Objectives: Cardiotocography (KTG) is widely used for continuous or intermittent assessment of fetal heart function. This study aimed to compare the effects of continuous and intermittent KTG during labour on selected variables.Material and methods: In a retrospective study, 4172 medical records of Warsaw Hospital (Poland) patients were analysed. The study group consisted of 2111 women with continuous KTG during labour and the control group of 2061 women with periodic KTG. The median age of the women was 30 years, and the median gestation period was 40 Hbd. Most of the women lived in urban areas (87.15%), were in a relationship (82.05%) and had a higher education (86.60%).Results: In the group with intermittent OCT, delivery by caesarean section was indistinguishably more frequent (OR = 1.06; 95% CI = 0.87-1.30), there were significantly fewer grade II perineal ruptures (OR = 1.65, 95% CI = 1.07-2.55), grade III- and IV perineal ruptures (OR = 5.13, 95% CI = 1.12-23.53) and oxygen therapy (OR = 1.76, p = 0.004). More infants with Apgar scores ≤ 7 points at the fifth minute (OR = 0.34, 95% CI = 0.12-0.094), requiring nCPAP (Nasal Continuous Positive Airway Pressure) (OR = 0.56, 95% CI = 0.39-0.86) and resuscitation [OR = 0.37, 95% CI = 0.17-0.79]) were born in the group with periodic ECG. The analysis showed that the group of women with continuous OCT during labour had a lower risk of acid-base disorders (OR = 0.45, 95% CI = 0.21-0.98) CONCLUSIONS: Continuous KTG during labour in high-risk women increases the likelihood of instrumental delivery (using vacuum) and perineal incision compared with periodic KTG. The use of intermittent ECG during labour reduces the number of newborns with Apgar scores ≤ 7 points and decreases the number of neonatal interventions such as nCPAP and resuscitation.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061826","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}

引用次数: 0

The role of Anti-Müllerian hormone in women health. 抗<s:1>勒氏杆菌激素在女性健康中的作用。

Ginekologia polska Pub Date : 2025-01-29 DOI: 10.5603/gpl.96393

Jakub Krawczyk, Aneta Czerwonogrodzka-Senczyna, Iwona Boniecka, Anna Jeznach-Steinhagen

{"title":"The role of Anti-Müllerian hormone in women health.","authors":"Jakub Krawczyk, Aneta Czerwonogrodzka-Senczyna, Iwona Boniecka, Anna Jeznach-Steinhagen","doi":"10.5603/gpl.96393","DOIUrl":"https://doi.org/10.5603/gpl.96393","url":null,"abstract":"Anti-Müllerian hormone (AMH), also known as Müller duct inhibitory factor and primarily known for its role in sexual differentiation. In female fetuses, AMH production by granulosa cells begins around the 36th week of gestation and continues in women until menopause. It is becoming more significant in the endocrine and gynecological diagnosis of adult women. The suppressive effect of AMH on follicle-stimulating hormone (FSH)-induced aromatase production likely plays a role in hyperandrogenism in polycystic ovary syndrome (PCOS) and may increase insulin resistance. Female adolescent with type 1 diabetes (T1D) have an increased likelihood of developing PCOS, but it is not known whether they also show elevated AMH levels. The elevated AMH levels observed in prepubertal girls with T1D suggest that there are more small follicles in their ovaries, probably in response to insulin treatment. Elevated levels of androgens and anti-Müllerian hormone have been previously reported in non-pregnant women with diabetes. The increased AMH concentrations can be associated with reduced systemic inflammation [lower c-reactive protein (CRP) values], irrespective of the type of diet and greater insulin sensitivity in old obese males. AMH can also serve as a valuable marker for granulosa cell tumors (folliculomas) and their recurrence. In these clinical scenarios, AMH levels can be significantly elevated and correspond with the size of the tumor.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143060713","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}

引用次数: 0

Study on the regulation of trophoblast activity by abnormally expressed hsa_circ_0002768 in patients with gestational diabetes mellitus. 妊娠期糖尿病患者异常表达hsa_circ_0002768对滋养细胞活性调控的研究

Ginekologia polska Pub Date : 2025-01-29 DOI: 10.5603/gpl.99058

Qian Liu, Lianzhi Wu

引用次数: 0

The influence of ethanol consumption on a course of endometriosis. 乙醇消费对子宫内膜异位症病程的影响。

Ginekologia polska Pub Date : 2025-01-29 DOI: 10.5603/gpl.103148

Monika Kopec, Paula Szlendak, Jan Kotarski, Marek Gogacz

{"title":"The influence of ethanol consumption on a course of endometriosis.","authors":"Monika Kopec, Paula Szlendak, Jan Kotarski, Marek Gogacz","doi":"10.5603/gpl.103148","DOIUrl":"https://doi.org/10.5603/gpl.103148","url":null,"abstract":"Objectives: Due to the increasingly faster pace of life and responsibilities, stress has become an integral part of daily life. Every year, numerous social campaigns in the media raise the issue of increasing alcohol consumption. Endometriosis is a chronic, causally incurable, estrogen-dependent and inflammatory gynecological disorder, described as presence of ectopic endometrial tissue outside the uterine cavity. Some studies suggest that alcohol may aggravate the symptoms of the disease. The aim of the study is to present a comprehensive review reffering to the role of ethanol in the course of endometriosis.Material and methods: A review of the literature available in the PubMed database between 2000 and 2024 was conducted, using the following keywords: \"endometriosis\", \"alcohol\", \"ethanol\". The search included articles published in English. Publications without full text access and duplicates were rejected. 247 records were screened of which 15 met the eligilibity criteria, and 12 were included in this article.Results: Alcohol may affect estrogen production (by increasing the activity of aromatase and interacting with luteinizing hormone), promotes pro-inflammatory pathways and oxidative stress. It is also perceived as a form of self-management therapy resulting from pain, anxiety, and low self-esteem. Patients who are alcohol-dependent more often experience infertility, miscarriages, anovulation and ovarian pathologies.Conclusions: Although there is no clear evidence suggesting the adverse effect of ethanol on the course of endometriosis, the substance may be life-destroying in alcohol-dependent women. It may cause more severe course of endometriosis affecting many ascpectcts of life.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143061831","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}

引用次数: 0

Pelvic splenosis infiltrating the uterus and ovary. 盆腔脾肿大浸润子宫和卵巢。

Ginekologia polska Pub Date : 2025-01-15 DOI: 10.5603/gpl.103029

Monika Bekiesinska-Figatowska, Marta Dziuba, Krystyna Ignaciuk, Malgorzata Gajewska, Tomasz Sarosiek, Jaroslaw B Cwikla

引用次数: 0

Early intervention prevented intrauterine fetus death due to placental abruption in woman with JAK2V617F mutation-positive essential thrombocythemia. 早期干预可预防JAK2V617F突变阳性的原发性血小板增多症妇女因胎盘早剥导致胎儿宫内死亡。

Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2024-10-16 DOI: 10.5603/gpl.101184

Artur Handziuk, Dominika Galli, Aleksandra Pralat, Zuzanna Kandula, Krzysztof Lewandowski, Wieslaw Markwitz

引用次数: 0