Ginekologia polska最新文献_第8页

Comparison of blunt and sharp dissection techniques during cesarean hysterectomy in placenta percreta.

Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2025-02-11 DOI: 10.5603/gpl.101542

Seyhun Sucu, Ibrahim Taskum, Furkan Cetin, Muhammed Hanifi Bademkiran, Ozge Komurcu Karuserci, Huseyin Caglayan Ozcan

{"title":"Comparison of blunt and sharp dissection techniques during cesarean hysterectomy in placenta percreta.","authors":"Seyhun Sucu, Ibrahim Taskum, Furkan Cetin, Muhammed Hanifi Bademkiran, Ozge Komurcu Karuserci, Huseyin Caglayan Ozcan","doi":"10.5603/gpl.101542","DOIUrl":"10.5603/gpl.101542","url":null,"abstract":"Objectives: This study aimed to compare the effects of the blunt dissection technique (BDT) with finger and the sharp dissection technique (SDT) with scissors during cesarean hysterectomy (CH) in patients with placenta percreta.Material and methods: We included 70 patients with placenta percreta who underwent CH in a territory hospital between 2020 and 2023. The patients were divided into two groups: Group 1 included 34 patients who underwent blunt bladder dissection, and Group 2 included 36 patients who underwent sharp bladder dissection. Demographic data, operative complications, surgical parameters, and transfusion rates were compared between the two groups.Results: BDT was associated with a statistically significant reduction in operation time compared to SDT (95.62 ± 20.76 min vs 107.08 ± 26.04 min, p = 0.046). Moreover, the rate of bladder injury was significantly lower in the BDT group compared to the SDT group (11.8% vs 33.3%, p = 0.032). Although there were no significant differences in blood transfusion products between the two groups, postoperative transfusion amounts tended to be lower in the BDT group.Conclusions: BDT may be a proper surgical method to reduce bladder injury rates and operation time compared to SDT in CH of placenta percreta cases.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"192-199"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143392802","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

Cost-effectiveness of nonavalent vs bivalent HPV vaccine in Polish setting. 在波兰环境中，无病毒 HPV 疫苗与二价 HPV 疫苗的成本效益对比。

Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2024-10-16 DOI: 10.5603/gpl.101325

Michal Jakubczyk, Joanna Bieganska, Katarzyna Kowalczuk, Rafal Jaworski, Marcin Czech, Andrew Pavelyev, Vincent Daniels, Maciej Niewada

{"title":"Cost-effectiveness of nonavalent vs bivalent HPV vaccine in Polish setting.","authors":"Michal Jakubczyk, Joanna Bieganska, Katarzyna Kowalczuk, Rafal Jaworski, Marcin Czech, Andrew Pavelyev, Vincent Daniels, Maciej Niewada","doi":"10.5603/gpl.101325","DOIUrl":"10.5603/gpl.101325","url":null,"abstract":"Objectives: Human papillomavirus (HPV) is a prevalent sexually transmitted infection with significant implications for public health. In Poland, a nationwide vaccination program offers a choice between the 9-valent (9v) and 2-valent (2v) HPV vaccines. We aimed to assess the cost-effectiveness of the 9v vs 2v vaccine from the public payer perspective in Poland.Material and methods: A cost-effectiveness analysis was conducted to compare the public health and economic benefits of using 9v vs 2v vaccine in Poland over 100-year horizon using a previously published deterministic dynamic transmission model. A target population of girls and boys aged 12-13 years was considered. The model was populated with local epidemiological inputs, utilities, and costs, including vaccine and administration costs, as well as costs related to medical procedures for HPV-related diseases.Results: The 9v vaccine reduced the prevalence of HPV infections and HPV-related diseases substantially more than 2v vaccine when both are compared to no vaccination strategy. The total discounted cost savings of using the 9v vaccine instead of 2v, excluding the vaccine costs, amounted to EUR 66 million. The incremental cost-effectiveness ratio amounted to 8094 EUR per quality-adjusted life year, much below the official cost-effectiveness threshold in Poland set up at the three times the annual gross domestic product per capita. 9v cost-effectiveness ratio remained unchanged when shorter time-horizons of 20, 40, 60, or 80 years were considered.Conclusions: Using 9v HPV vaccine in Poland is highly cost-effective compared to the 2v vaccine.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"119-125"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484044","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

Breastfeeding myths - the prevalence among the population of Polish women. 母乳喂养误区--波兰妇女中的普遍现象。

Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2024-11-08 DOI: 10.5603/gpl.95496

Zuzanna Tomczewska, Aleksandra Jaron, Joanna Kacperczyk-Bartnik, Agnieszka Dobrowolska-Redo, Ewa Romejko-Wolniewicz

{"title":"Breastfeeding myths - the prevalence among the population of Polish women.","authors":"Zuzanna Tomczewska, Aleksandra Jaron, Joanna Kacperczyk-Bartnik, Agnieszka Dobrowolska-Redo, Ewa Romejko-Wolniewicz","doi":"10.5603/gpl.95496","DOIUrl":"10.5603/gpl.95496","url":null,"abstract":"Objectives: Exclusive breastfeeding is recommended until the child is six months of age. However, there are many myths about breastfeeding. The aim of our study was to assess the knowledge of Polish women about breastfeeding.Material and methods: A cross-sectional survey study was conducted among 1536 Polish women. A self-administered questionnaire was created using Google Forms survey management software and distributed online. The participants were asked about the most common myths in society regarding breastfeeding.Results: The highest number of correct answers in all age groups were given to questions related to the nutritional value of breast milk (80.9-94.9%). The fewest correct answers in each age group were recorded to questions concerning the possibility of getting pregnant during the first 6 months of breastfeeding (16.1-35.3%), the safety of drinking non-alcoholic beer during lactation (24.4-37.1%), the benefits of brushing the breast while breastfeeding (16.0-37.1%), and the effectiveness of compresses made of cabbage leaves or sage infusions in relieving ailments during milk rush (6.8-12.4%). Higher education and being a mother were associated with a higher number of correct answers. Age below 25 years was associated with lower number of correct answers.Conclusions: The results of the survey regarding breastfeeding suggest the existence of various beliefs in the population of Polish women which are not evidence based. This indicates the need for spreading adequate information about breastfeeding, especially among younger women and those who did not obtain higher education.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"142-147"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142607679","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

Investigation of lower urinary system symptoms in patients with isolated posterior compartment prolapsus: a cross-sectional study. 孤立性后室脱垂患者下泌尿系统症状调查：一项横断面研究。

Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2024-10-29 DOI: 10.5603/gpl.101029

Burcu Serhanoğlu, Mustafa Cengiz Dura, Şükrü Yıldız, Zınar Serhanoğlu, Berk Gürsoy, Murat Ekin

{"title":"Investigation of lower urinary system symptoms in patients with isolated posterior compartment prolapsus: a cross-sectional study.","authors":"Burcu Serhanoğlu, Mustafa Cengiz Dura, Şükrü Yıldız, Zınar Serhanoğlu, Berk Gürsoy, Murat Ekin","doi":"10.5603/gpl.101029","DOIUrl":"10.5603/gpl.101029","url":null,"abstract":"Objectives: The effects of posterior vaginal wall prolapse on pelvic floor function have not been adequately investigated, particularly for lower urinary tract symptoms (LUTS). We aimed to investigate the effects of isolated posterior compartment prolapse on LUTS.Material and methods: The study was conducted as a prospective cross-sectional study with female patients with isolated posterior prolapse who presented with any LUTS. All patients were evaluated according to the POP-Q system. A total of 41 patients with stage 2-3 isolated pelvic organ prolapse were included in the study group. The control group consisted of a total of 41 patients without significant pelvic organ prolapse. Study and control groups were compared in terms of demographic data and UDI-6, IIQ-7, ICIQ-FLUTS, LUTS QoL, FLUT Sex scales.Results: The incidence of SUI, UI, frequency, nocturia, abnormal evacuation, difficulty in passage and vaginal farting in the study group was found to be statistically significantly higher than the control group. In the study group, the total scores on the UDI-6, IIQ-7, and LUTS QoL measures were significantly higher. While the total scores of the ICIQ-FLUTS Scale \"Filling\" and \"Incontinence\" subgroups were significantly higher in the study group, no significant difference was found in the \"voiding\" subgroup. There was no statistically significant difference between the two groups in terms of their total FLUT Sex scores.Conclusions: It has been shown that isolated posterior prolapse may be associated with an increase in lower urinary tract system symptoms and a decrease in quality of life.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"96-101"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523954","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

Cervical screening during pregnancy - a review of recommendations. 孕期宫颈筛查--建议回顾。

Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2025-01-15 DOI: 10.5603/gpl.102254

Karolina Miszczyk, Edyta Keczkowska, Michal Ciebiera

引用次数: 0

Serum homocysteine and lipid levels in the third trimester and their relationship with perinatal outcomes in diet-controlled gestational diabetes mellitus. 饮食控制妊娠期糖尿病妊娠晚期血清同型半胱氨酸和脂质水平及其与围产期结局的关系

Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2025-01-15 DOI: 10.5603/gpl.101475

Yuting Li, Mingrui Wang, Na Zhang, Yueling Wu, Wei Ye, Weichan Chen

{"title":"Serum homocysteine and lipid levels in the third trimester and their relationship with perinatal outcomes in diet-controlled gestational diabetes mellitus.","authors":"Yuting Li, Mingrui Wang, Na Zhang, Yueling Wu, Wei Ye, Weichan Chen","doi":"10.5603/gpl.101475","DOIUrl":"10.5603/gpl.101475","url":null,"abstract":"Objectives: This study investigates the relationship between serum homocysteine, blood lipids, and perinatal outcomes in patients with diet-controlled gestational diabetes mellitus (GDM) and those with normal glucose tolerance (NGT).Material and methods: A prospective cohort of 150 diet-controlled GDM patients and 150 pregnant women with NGT, all delivering at our hospital, were selected based on predefined criteria. Data on demographics, physical parameters, and perinatal outcomes were compiled. Blood samples for fasting plasma glucose (FPG), homocysteine (Hcy), total cholesterol (TC), triglycerides (TG), high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C), apolipoprotein B (apoB), and apolipoprotein A1 (apoA1) were collected before delivery.Results: GDM patients exhibited higher levels of FPG, Hcy, and the apoB/apoA1 ratio, but lower HDL-C and apoA1 levels compared to the NGT group. Adverse outcomes such as macrosomia, premature rupture of membranes, and postpartum hemorrhage were more prevalent in the GDM group. In GDM patients, neonatal birth weight positively correlated with FPG and TG levels. Stratified Hcy analysis in GDM showed no significant differences in perinatal outcomes. However, the third quartile of the apoB/apoA1 ratio had a lower incidence of macrosomia compared to the first quartile, and the second quartile showed a higher incidence of birth asphyxia.Conclusions: GDM patients demonstrated increased levels of Hcy, FPG, and the apoB/apoA1 ratio, correlating with more adverse perinatal outcomes than healthy pregnant individuals. The relationships between Hcy, lipids, and these outcomes remain inconclusive, highlighting the need for further research.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"175-183"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142985839","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

Extreme pelvic organ prolapse complicated with massive urolithiasis - multiple steps repair. 盆腔脏器极度脱垂并发大量尿路结石--多步骤修复。

Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2024-10-16 DOI: 10.5603/gpl.101149

Aleksandra Kolodynska, Aleksandra Struzyk, Ewa Rechberger-Krolikowska, Tomasz Rechberger

引用次数: 0

A rare case of pseudochylous ascites in the course of ovarian cancer. 卵巢癌病程中出现假性腹水的罕见病例。

Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2024-05-08 DOI: 10.5603/gpl.93812

Kinga Ksiezakowska-Lakoma, Maciej Slodki, Marek Brzezinski

引用次数: 0

Factors associated with neonatal brachial palsy in shoulder dystocia: a longitudinal study. 与肩难产新生儿臂麻痹相关的因素：一项纵向研究。

Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2024-10-16 DOI: 10.5603/gpl.92611

Javier Sánchez-Romero, Almudena Jiménez-Méndez, Lucía Begoña Díaz-Meca, Alberto Rafael Guijarro-Campillo, Julián Jesús Arense-Gonzalo, Evdochia Adoamnei, Aníbal Nieto-Díaz, María Luisa Sánchez-Ferrer

{"title":"Factors associated with neonatal brachial palsy in shoulder dystocia: a longitudinal study.","authors":"Javier Sánchez-Romero, Almudena Jiménez-Méndez, Lucía Begoña Díaz-Meca, Alberto Rafael Guijarro-Campillo, Julián Jesús Arense-Gonzalo, Evdochia Adoamnei, Aníbal Nieto-Díaz, María Luisa Sánchez-Ferrer","doi":"10.5603/gpl.92611","DOIUrl":"10.5603/gpl.92611","url":null,"abstract":"Objectives: The main goal is to analyze factors related to brachial plexus injury (BPI) after Shoulder Dystocia (SD).Material and methods: Longitudinal prospective analysis of SD arose in a tertiary hospital from 1/1st/ 2019 to 12/31st/ 2020. A multivariable logistic regression for BPI after SD and a survival analysis for BPI recovery after SD were performed.Results: In this period 13,414 deliveries were attended, 10,676 of those were vaginal deliveries (79.6%) reporting 69 cases of SD, with an incidence of 0.65%. SD required 102.1 seconds (SD) 10.8 as an average for solving it. Internal maneuvers were needed in 42.0% of SD reported. Neonatal BPI was suspected in 23 newborns (33.3%) at birth. Neonatal BPI at 48 hours of life was statistically associated with maternal BMI above 30 kg/m² (OR = 7.91; CI 95% 1.3-47.7; p = 0.024), > 120 seconds for solving SD (OR = 14.4; CI95% 1.7-121.82; p = 0.014) and operative delivery (OR = 6.8; CI 95% 1.2-37.6; p = 0.028). The BPI recovery was statistically associated with clavicle fracture (HR = 0.31 CI 95% 0.10-0.96 p = 0.042) and specific rehabilitation treatment (HR = 9.2 CI 95% 1.87-45.23 p = 0.006).Conclusions: The following factors were associated with neonatal BPI at 48 hours of life: Maternal BMI above 30 kg/m², operative delivery, or shoulder dystocia that requires more than 120 seconds for solving it. The BPI recovery was associated with clavicle fracture and specific rehabilitation treatment.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"136-141"},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142484048","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

Stroke in twin pregnancy: a rare case of acute ischemic stroke management. 双胎妊娠中风：急性缺血性中风治疗的罕见病例。

Ginekologia polska Pub Date : 2025-01-01 Epub Date: 2024-10-16 DOI: 10.5603/gpl.100723

Aleksandra Pawlucka, Magdalena Kolak, Andrzej Jaworowski, Hubert Huras

引用次数: 0