Ginekologia polska最新文献_第8页

Robot-assisted surgery - inevitable evil or precious innovation in the field of urogynecology? 机器人辅助手术--泌尿妇科领域不可避免的恶魔还是宝贵的创新？

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2023-12-18 DOI: 10.5603/gpl.98437

Magdalena Emilia Grzybowska, Dariusz Wydra

引用次数: 0

Transvaginal natural orifice transluminal endoscopic surgery-assisted versus transumbilical laparoendoscopic single-site ovarian cystectomy for ovarian mature cystic teratoma. A randomized controlled trial. 经阴道自然孔腔内镜手术辅助与经脐带腹腔镜单部位卵巢囊肿切除术。随机对照试验。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2023-12-15 DOI: 10.5603/gpl.95422

Yulin Zhang, Ying Jia, Xuelin Dai, Fulan Wang, Yao Gong

{"title":"Transvaginal natural orifice transluminal endoscopic surgery-assisted versus transumbilical laparoendoscopic single-site ovarian cystectomy for ovarian mature cystic teratoma. A randomized controlled trial.","authors":"Yulin Zhang, Ying Jia, Xuelin Dai, Fulan Wang, Yao Gong","doi":"10.5603/gpl.95422","DOIUrl":"10.5603/gpl.95422","url":null,"abstract":"Objectives: Transvaginal natural orifice transluminal endoscopic surgery (vNOTES) and transumbilical laparoendoscopic single-site surgery (LESS) have shown the prospection as minimally invasive procedures. Here we aimed to compare ovarian cystectomy assisted by vNOTES and by LESS for ovarian mature cystic teratoma (OMCT).Material and methods: A total of 81 premenopausal women with OMCT were randomized to undergo ovarian cystectomy assisted by either vNOTES (n = 41) or LESS (n = 40). The main outcome was the operative time. Secondary outcomes included the length of hospital stay, visual analog scale (VAS) pain scores, abdominal contamination by teratoma contents, and intraoperative and postoperative complications.Results: There were no intergroup differences in age, body mass index, tumor size, or bilaterality of tumor. The operative time for the vNOTES group was significantly shorter than that for the LESS group (68.41 ± 20.92 min vs 85.05 ± 32.94 min, p = 0.008). The highest VAS pain score 24 hours postoperatively was 1.21 ± 0.48 in the vNOTES group and 2.43 ± 0.57 in the LESS group (p < 0.001). Twenty-four of the 40 patients in the LESS group experienced teratoma rupture intraoperatively, leading to abdominal contamination by the teratoma content, while 5 abdominal contamination was observed in the vNOTES group （p = 0.005. No significant differences between the two groups were observed in the other outcomes.Conclusions: vNOTES assisted ovarian cystectomy has short operative time, fast recovery, no scarring, less pain, and low rate of abdominal contamination. Consequently, vNOTES might be superior to LESS for treating OMCTs.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"343-349"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814001","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 polymerase chain reaction method with culture method in antenatal Group B Streptococcus screening. 聚合酶链反应法与培养法在产前 B 群链球菌筛查中的比较

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-09-17 DOI: 10.5603/gpl.99055

Dogukan Copur, Ozlem Koyuncu Ozyurt, Hulya Kandemir, Betil Ozhak, Dilara Ogunc, Inanc Mendilcioglu

{"title":"Comparison of polymerase chain reaction method with culture method in antenatal Group B Streptococcus screening.","authors":"Dogukan Copur, Ozlem Koyuncu Ozyurt, Hulya Kandemir, Betil Ozhak, Dilara Ogunc, Inanc Mendilcioglu","doi":"10.5603/gpl.99055","DOIUrl":"10.5603/gpl.99055","url":null,"abstract":"Objectives: The aim of this study was to investigate the prevalence of Group B Streptococcus (GBS) colonization in pregnancies between 35 and 37 weeks of gestation and to compare the effectiveness of polymerase chain reaction (PCR) method with gold standard technique of culture in antenatal GBS screening.Material and methods: Vaginal and rectal swabs of a total of 106 pregnant women between 35th and 37th weeks of gestation, who were admitted to our clinic between January 2022 and August 2022, were evaluated using culture and PCR method. The prevalence of GBS was estimated. The sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV), and accuracy of the PCR method were analyzed.Results: The prevalence of GBS was 10.4% and 21.69% using the culture and PCR method, respectively. Compared to the culture, the sensitivity, specificity, PPV, NPV and accuracy of PCR were found to be 100%, 87%, 47%, 100%, and 88%, respectively.Conclusions: This study results suggest that the PCR method is a simple, effective and fast method with high sensitivity, specificity, PPV, and NPV in antenatal GBS screening.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"935-939"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142304677","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

Influence of pregnancy and mode of delivery on pelvic floor function: a review of literature. 怀孕和分娩方式对盆底功能的影响：文献综述。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-05-08 DOI: 10.5603/gpl.98418

Justyna Zarzecka, Monika Pycek, Katarzyna Pietrzykowska-Szczubelek, Ewa Barcz, Andrzej Pomian

{"title":"Influence of pregnancy and mode of delivery on pelvic floor function: a review of literature.","authors":"Justyna Zarzecka, Monika Pycek, Katarzyna Pietrzykowska-Szczubelek, Ewa Barcz, Andrzej Pomian","doi":"10.5603/gpl.98418","DOIUrl":"10.5603/gpl.98418","url":null,"abstract":"Pelvic floor disorders (PFDs), such as pelvic organ prolapse (POP) and urinary incontinence (UI), severely affect women's quality of life. Among these, stress urinary incontinence (SUI) is the most common, impacting a significant proportion of women. In the US, the lifetime risk of undergoing surgery for UI or POP stands at 20%. Pregnancy-related factors, notably delivery method and UI occurrence during pregnancy, have a potent correlation with PFD onset. The pathophysiology of PFDs during pregnancy is complex, with factors like increased intra-abdominal pressure, changes in bladder neck mobility, and shifts in pelvic floor muscle strength and collagen metabolism playing pivotal roles. PFD risk factors span across pregnancy, labor, and the postnatal phase and include UI or fecal incontinence (FI) during pregnancy, advanced maternal age, elevated BMI, multiple births, instrumental and spontaneous vaginal deliveries, and newborns weighing over 4000 grams. Conversely, Cesarean deliveries are linked with a reduced long-term risk of UI and POP compared to vaginal births. Current prognostic models can predict the likelihood of PFD development based on variables such as delivery method, number of births, and familial history. Preventive measures encompass lifestyle changes like caffeine reduction and weight management, alongside pelvic floor muscle training (PFMT) during pregnancy. Thus, expectant mothers are advised to participate in physical activities, prominently including PFMT.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"830-834"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878217","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

Intrauterine deaths - an unsolved problem in Polish perinatology. 宫内死亡--波兰围产医学中尚未解决的问题。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2023-12-15 DOI: 10.5603/gpl.92940

Tomasz Gora, Kamila A Wojtowicz, Maja Drozdzak, Pawel Guzik, Jakub Kornacki, Katarzyna Kosinska-Kaczynska, Anna Kajdy, Dorota Sys, Stepan Feduniw, Przemyslaw Kosinski, Anna Szczepkowska, Dorota Darmochwal-Kolarz, Pawel Tos, Tomasz Kluz, Anna Zymroz, Magda Rybak-Krzyszkowska, Hubert Huras, Boguslawa Piela, Marzena Malec, Ewa Banas-Fiebrich, Ewa Janowska-Tyc, Katarzyna Stefanska, Malgorzata Swiatkowska-Freund, Agnieszka Mrozinska, Magdalena Bednarek-Jedrzejek, Aleksandra Kukla, Dominika Boboryko, Urszula Warejko, Sebastian Kwiatkowski

{"title":"Intrauterine deaths - an unsolved problem in Polish perinatology.","authors":"Tomasz Gora, Kamila A Wojtowicz, Maja Drozdzak, Pawel Guzik, Jakub Kornacki, Katarzyna Kosinska-Kaczynska, Anna Kajdy, Dorota Sys, Stepan Feduniw, Przemyslaw Kosinski, Anna Szczepkowska, Dorota Darmochwal-Kolarz, Pawel Tos, Tomasz Kluz, Anna Zymroz, Magda Rybak-Krzyszkowska, Hubert Huras, Boguslawa Piela, Marzena Malec, Ewa Banas-Fiebrich, Ewa Janowska-Tyc, Katarzyna Stefanska, Malgorzata Swiatkowska-Freund, Agnieszka Mrozinska, Magdalena Bednarek-Jedrzejek, Aleksandra Kukla, Dominika Boboryko, Urszula Warejko, Sebastian Kwiatkowski","doi":"10.5603/gpl.92940","DOIUrl":"10.5603/gpl.92940","url":null,"abstract":"Objectives: The Polish criteria for \"intrauterine death\" include fetal demise after 22 weeks of gestation, weighing > 500 g and body length at least 25 cm, when the gestational age is unknown. The rate of fetal death in Poland in 2015 is 3:10,000. In 2020, 1,231 stillbirths were registered.Material and methods: An analysis using 142,662 births in the period between 2015-2020 in 11 living in Poland. The first subgroup was admitted as patients > 22 to the beginning of the 30th week of pregnancy (n = 229), and the second from the 30th week of pregnancy inclusively (n = 179). In the case of women from both subgroups, there was a risk of preterm delivery close to hospitalization.Results: It was found that stillbirth in 41% of women in the first pregnancy. For the patient, stillbirth was also the first in his life. The average stillbirth weight was 1487 g, the average body length was 40 cm. Among fetuses up to 30 weeks, male fetuses are born more often, in subgroup II, the sex of the child was usually female. Most fetal deaths occur in mothers < 15 and > 45 years of age.Conclusions: According to the Polish results of the origin of full-term fetuses > 30 weeks of gestation for death in the concomitant antenatal, such as placental-umbilical and fetal hypoxia, acute intrapartum effects rarely, and moreover < 30 Hbd fetal growth restriction (FGR), occurring placental-umbilical, acute intrapartum often.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"693-704"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813991","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

Fetal therapy guidelines - fetal echocardiography is of special value. Statement of the Polish Prenatal Cardiology Society. 胎儿治疗指南--胎儿超声心动图具有特殊价值。波兰产前心脏病学会声明。

Ginekologia polska Pub Date : 2024-01-01 DOI: 10.5603/gpl.103280

Maria Respondek-Liberska, Oskar Sylwestrzak, Maciej Slodki, Iwona Strzelecka

引用次数: 0

Treatment of female stress urinary incontinence after pelvic trauma. 女性骨盆创伤后压力性尿失禁的治疗。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2023-09-28 DOI: 10.5603/gpl.96277

Olaf Pachcinski, Sara Wawrysiuk, Pawel Skorupski, Katarzyna Skorupska, Andrzej Semczuk, Aneta Adamiak-Godlewska

引用次数: 0

The role of estimated fetal weight discordance in dichorionic twin pregnancies. 估计胎儿体重不一致在双胎妊娠中的作用。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2023-11-07 DOI: 10.5603/gpl.96822

Mateusz Kryczka, Mateusz G Stepien, Wlodzimierz Sawicki

{"title":"The role of estimated fetal weight discordance in dichorionic twin pregnancies.","authors":"Mateusz Kryczka, Mateusz G Stepien, Wlodzimierz Sawicki","doi":"10.5603/gpl.96822","DOIUrl":"10.5603/gpl.96822","url":null,"abstract":"Evaluation of relative fetal growth in the form of estimated fetal weight discordance (EFWd) is a necessary element of any ultrasound examination in twin pregnancies. It is one of the criteria for the diagnosis of selective fetal growth restriction (sFGR) according to the most established worldwide guidelines. Apart from the effectiveness of this parameter for the diagnosis of sFGR, it may also be used as an independent factor for risk stratification of neonatal and maternal complications. Furthermore, numerous studies have proven the greater prognostic value of EFWd in dichorionic pregnancies, which may result from differences in the pathogenesis of fetal growth abnormalities in mono- and dichorionic pregnancies. Because of the variability of this parameter throughout pregnancy, there is an ongoing discussion regarding replacing or individualizing it with percentile charts. An additional element, complementary to EFWd in assessing the risk of complications in twin pregnancies is the use of this measurement in combination with Doppler assessment, which increases its predictive value. The use of EFWd as one of the factors influencing care and decision-making in dichorionic twin pregnancies seems to be a simple and effective method, however, further research assessing the use and possible applications of this indicator is necessary.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"408-413"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"71490374","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 impact of endometriosis on the quality of women's life. 子宫内膜异位症对妇女生活质量的影响。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-02-09 DOI: 10.5603/gpl.93995

Grazyna Baczek, Marta Mietus, Julia Klimanek, Urszula Tataj-Puzyna, Zofia Sienkiewicz, Grazyna Dykowska, Aneta Duda-Zalewska, Justyna Teliga-Czajkowska

{"title":"The impact of endometriosis on the quality of women's life.","authors":"Grazyna Baczek, Marta Mietus, Julia Klimanek, Urszula Tataj-Puzyna, Zofia Sienkiewicz, Grazyna Dykowska, Aneta Duda-Zalewska, Justyna Teliga-Czajkowska","doi":"10.5603/gpl.93995","DOIUrl":"10.5603/gpl.93995","url":null,"abstract":"Objectives: Endometriosis is a disease that involves the ectopic growth of the endometrial tissue outside the uterine cavity. Its average occurrence is about 10% of women of reproductive age. Making a diagnosis of the disease is commonly long-lasting and ambiguous due to the wide variety and intensity of symptoms. The aim of the study is to determine factors affecting the quality of life of women struggling with endometriosis.Material and methods: A cross-sectional study was conducted using a diagnostic survey method with the use of the author's questionnaire and the WHOQOL-BREF questionnaire. The study population included 650 people (group with endometriosis - 361 women and group without endometriosis - 289 women).Results: In the group of women with endometriosis, the mean age was significantly higher (31.87 vs 24.99). Difficulties with conception were significantly more common (51.67%) in the endometriosis group compared to 5.52% in the non-endometriosis group. In each area, the quality of life of women with endometriosis was significantly lower (p = 0.000). Women with the history of the disease of over 3 years significantly more often complained of dyspareunia (p = 0.048), bladder pain (p = 0.01) and lower back pain (p = 0.029).Conclusions: Endometriosis significantly reduces women's quality of life. Factors that deteriorate the quality of life of women with endometriosis include severe pain, infertility, dyspareunia and reduced satisfaction in various spheres of life (somatic, mental, social). More research is necessary to improve the quality of life of women with endometriosis.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"356-364"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708829","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

Guidelines of the Polish Society of Gynecologists and Obstetricians on the management of women with endometriosis. 波兰妇产科医师协会关于子宫内膜异位症妇女管理的指南。

Ginekologia polska Pub Date : 2024-01-01 DOI: 10.5603/gpl.100261

Malgorzata Kedzia, Pawel Basta, Krzysztof Czajkowski, Marek Gogacz, Robert Spaczynski, Beata Mroczkowska, Rafal Stojko, Tomasz Szaflik, Maria Szubert, Krzysztof Szyllo, Mikolaj Zaborowski, Piotr Sieroszewski

引用次数: 0