Ginekologia polska最新文献_第9页

Which treatment should we choose for tubo-ovarian abscesses? Results of an 8-year clinical training in a tertiary center. 输卵管卵巢脓肿应选择哪种治疗方法？一家三级医疗中心为期 8 年的临床培训结果。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2023-12-15 DOI: 10.5603/gpl.96824

Ayşegül Bestel, Osman Samet Günkaya, Merve Aldıkactioglu Talmac, Yasemin Ballica, Seyma Colak Yuksek, Zeynep Gedik Ozkose, Burak Elmas, Hale Goksever Celik

{"title":"Which treatment should we choose for tubo-ovarian abscesses? Results of an 8-year clinical training in a tertiary center.","authors":"Ayşegül Bestel, Osman Samet Günkaya, Merve Aldıkactioglu Talmac, Yasemin Ballica, Seyma Colak Yuksek, Zeynep Gedik Ozkose, Burak Elmas, Hale Goksever Celik","doi":"10.5603/gpl.96824","DOIUrl":"10.5603/gpl.96824","url":null,"abstract":"Objectives: Tubo-ovarian abscess (TOA) is inflammation of the pelvic organs, mainly originating from the lower genital tract and intestinal tract. Treatment options include antibiotic therapy, surgical drainage, and radiologically guided (interventional) drainage. In our study, we aimed to evaluate the treatment method to be chosen and thus to manage patients with tuba ovarian abscesses (TOAs) most accurately.Material and methods: This is a retrospective cohort study, and patients who applied to a tertiary center diagnosed with tuba ovarian abscess (TOA) were included. TOA size (cm), pre-treatment C-reactive protein (CRP) value, pre-treatment white blood cell (WBC) value, previous operation type, postoperative complication, and antibiotics used were screened.Results: 305 patients were included in the study, and medical treatment was applied to 140 patients, organ-sparing surgical drainage to 50 patients, and surgical treatment to 115 patients. TOA dimensions measured at the time of diagnosis were significantly lower in patients for whom only medical treatment was sufficient. Pre-treatment CRP levels, WBC levels, and length of stay were significantly lower in patients for whom only medical treatment was sufficient. There was no significant difference between the pre-and post-procedure CRP difference, antibiotics, and hospitalization time.Conclusions: Preferring minimally invasive treatment in cases requiring invasive treatment reduces the frequency of complications. Treatment of tuba ovarian abscesses (TOA) with minimally invasive methods will be more beneficial in terms of patient morbidity.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"350-355"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138814030","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

Rectus muscle re-approximation in cesarean section - a surgical dilemma: to close or not to close? 剖宫产术中的直肌再贴合--手术难题：贴合还是不贴合？

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-05-08 DOI: 10.5603/gpl.98027

Orkun Cetin, Kübra Ak, Tuba Bozhüyük Sahin, İpek Dokurel Çetin

{"title":"Rectus muscle re-approximation in cesarean section - a surgical dilemma: to close or not to close?","authors":"Orkun Cetin, Kübra Ak, Tuba Bozhüyük Sahin, İpek Dokurel Çetin","doi":"10.5603/gpl.98027","DOIUrl":"10.5603/gpl.98027","url":null,"abstract":"Objectives: Cesarean section is one of the most common operations worldwide since decades. However, the optimum surgical cesarean section technique is still being discussed. Closure or non-closure of the rectus muscles is also unclear among obstetricians. We aimed to evaluate the effect of rectus muscle re-approximation (RMR) in cesarean section on postoperative pain among singleton primi gravida elective cesarean sections at term.Material and methods: The current study was planned as a prospective, blinded, randomized controlled trial. A total of 279 elective primi gravida singleton cesarean sections; 142 undergoing RMR and 137 not-undergoing RMR were included in the study. All participants were managed with our clinic's postoperative protocol and obstetric outcomes were also recorded. The patients' pain was assessed face to face 24 hours and 48 hours after operation by using visual analog scale (VAS) score.Results: The elective singleton primi gravida cesarean sections with and without RMR exhibited no significant difference with respect to maternal age, Body Mass Index, delivery week and other obstetric outcomes. The VAS scores at 24th and 48th hours (67 ± 24 versus 69 ± 25, p: 0.635; 47 ± 25 versus 52 ± 26, p: 0,126, respectively) were similar between the RMR and non-RMR group.Conclusions: RMR has not any negative effect on postoperative pain, operation time, analgesic use and hospital stay in singleton primi gravida elective CS at term. Additionally, RMR did not lead to any adverse postoperative risks such as increased blood loss and sub-rectus hematoma.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"819-823"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140878220","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 effect of intrahepatic cholestasis of pregnancy and ursodeoxycholic acid treatment on Doppler parameters of fetal and maternal circulation. 妊娠肝内胆汁淤积症和熊去氧胆酸治疗对胎儿和母体循环多普勒参数的影响

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-02-09 DOI: 10.5603/gpl.96400

Zehra Vural Yılmaz, Oğuz Özdemir, Gözde Yasemin Kurt, Çağanay Soysal, Elif Yılmaz

{"title":"The effect of intrahepatic cholestasis of pregnancy and ursodeoxycholic acid treatment on Doppler parameters of fetal and maternal circulation.","authors":"Zehra Vural Yılmaz, Oğuz Özdemir, Gözde Yasemin Kurt, Çağanay Soysal, Elif Yılmaz","doi":"10.5603/gpl.96400","DOIUrl":"10.5603/gpl.96400","url":null,"abstract":"Objectives: We aimed to evaluate feto-maternal blood flow parameters using Doppler ultrasonography (USG) in pregnant women with intrahepatic cholestasis of pregnancy (ICP) and the effect of ursodeoxycholic acid (UDCA) treatment on these parameters.Material and methods: This prospective cohort study was performed at Dr. Sami Ulus Women's and Children's Health Teaching and Research Hospital, in Turkey between September 2022 and February 2023. Sixty pregnant women, 30 with ICP disease and 30 healthy women were included in the study. Obstetric Doppler parameters were measured by USG at diagnosis and after 48 hours of UDCA treatment for the ICP group.Results: The obstetric Doppler parameters did not significantly differ in the ICP group and the healthy control group. The Doppler findings were similar after UDCA treatment in the ICP group. Gestational week at delivery and birth weight were lower in the ICP group in our study.Conclusions: We demonstrated that pregnant women with ICP had similar obstetric Doppler parameters when compared with healthy pregnant women and that the UDCA agent used for treatment of ICP disease did not affect these parameters.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"544-548"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139708828","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

Clinical use of the Onclarity test with extended HPV genotyping and phenotyping in patients with suspected squamous intraepithelial lesions. 在疑似鳞状上皮内病变患者中临床使用 Onclarity 检验，并进行扩展 HPV 基因分型和表型分析。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2023-12-15 DOI: 10.5603/gpl.96712

Dominik Pruski, Sonja Millert-Kalinska, Paula Klemenska, Robert Jach, Marcin Przybylski

{"title":"Clinical use of the Onclarity test with extended HPV genotyping and phenotyping in patients with suspected squamous intraepithelial lesions.","authors":"Dominik Pruski, Sonja Millert-Kalinska, Paula Klemenska, Robert Jach, Marcin Przybylski","doi":"10.5603/gpl.96712","DOIUrl":"10.5603/gpl.96712","url":null,"abstract":"Objectives: Human papillomavirus (HPV) is the most widespread virus with oncogenic potential that infects humans and there is a need to look for the most effective screening method among the population. Understanding the role of HPV in cervical dysplasia and viruses typing increased the usage of HPV-based cervical cancer screening tests using genotyping.Material and methods: We aim to assess the usefulness the Onclarity Test with extended genotyping and phenotyping of HPV in detecting cervical squamous intraepithelial lesions in 695 subjects who registered for regular cervical screening or due to abnormal LBC result or positive HPV results.Results: Incidence of positive HPV depended significantly on biopsy outcome (p < 0.001). It was the highest for patients with HSIL (92.5%), lower for patients with LSIL (57.9%) and with HPV outcome of biopsy (50.0%). The sensitivity of positive HPV for detecting HSIL was equal to 92.50% (95% CI: 79.61%-98.43%), and specificity equalled 55.26% (95% CI: 43.41-66.69%). Sensitivity of HPV positive for any of 16, 18, 31, 45, 51 or 52 genotypes but not belonging to the P1, P2 or P3 group for detecting HSIL equalled 62.50% (95% CI: 45.80-77.27%), specificity equalled 72.37% (95% CI: 60.91-82.01%).Conclusions: The Onclarity test is characterised by high sensitivity and specificity in detecting CIN2+ lesions. Extended genotyping enables the identification of the most common oncogenic HPV types in the population. It can be used as a basic tool for secondary prevention or together with LBC.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"328-334"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138813911","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

Need for guidelines on fetal therapy. 需要制定胎儿治疗指南。

Ginekologia polska Pub Date : 2024-01-01 DOI: 10.5603/gpl.102080

Asma Khalil

引用次数: 0

The effect of two anti-inflammatory dietary components, omega-3 and resveratrol, on endometriosis. 两种抗炎饮食成分，ω-3和白藜芦醇对子宫内膜异位症的影响。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2023-09-28 DOI: 10.5603/gpl.97573

Anna Sienko, Adrianna Cichosz, Aleksandra Urban, Roman Smolarczyk, Krzysztof Czajkowski, Jacek Sienko

{"title":"The effect of two anti-inflammatory dietary components, omega-3 and resveratrol, on endometriosis.","authors":"Anna Sienko, Adrianna Cichosz, Aleksandra Urban, Roman Smolarczyk, Krzysztof Czajkowski, Jacek Sienko","doi":"10.5603/gpl.97573","DOIUrl":"10.5603/gpl.97573","url":null,"abstract":"Endometriosis is an inflammatory condition defined by the presence of endometrial glands and stroma outside the uterine cavity. Given the substantial body of evidence supporting the role of inflammation in the pathophysiology of various chronic illnesses, the concept of an anti-inflammatory diet has garnered significant attention in recent research. Some nutrients, such as omega-3 fatty acids and resveratrol (RES), have demonstrated distinct anti-inflammatory properties. Therefore, the objective of this systematic review was to search the Embase, Medline, and PubMed databases for literature from August 2008 to August 2023 regarding the effects of two anti-inflammatory dietary components, omega-3 and RES, on endometriosis. A total of 215 records were identified, out of which 58 were screened, 23 met the eligibility criteria, and 19 were included in this review. The results of this systematic review indicate that EPA is suggested to have anti-inflammatory properties and may serve as a potential marker for illness severity. RES offers a range of advantages, including inflammation reduction, angiogenesis suppression, proliferation inhibition, and apoptosis induction. To validate these findings and assess their clinical relevance, future research and clinical trials are warranted.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"573-583"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41176391","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

Natural childbirth and cesarean section - descriptive analysis of queries in Google search engine. 自然分娩和剖腹产--谷歌搜索引擎查询的描述性分析。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-04-18 DOI: 10.5603/gpl.97654

Agata Michalska, Katarzyna Niechcial, Robert Niechcial, Daniel P Wolder, Aleksandra Gladys-Jakubczyk, Karol Bielasik, Grzegorz Swiercz

{"title":"Natural childbirth and cesarean section - descriptive analysis of queries in Google search engine.","authors":"Agata Michalska, Katarzyna Niechcial, Robert Niechcial, Daniel P Wolder, Aleksandra Gladys-Jakubczyk, Karol Bielasik, Grzegorz Swiercz","doi":"10.5603/gpl.97654","DOIUrl":"10.5603/gpl.97654","url":null,"abstract":"Objectives: The use of internet-based search engines for health information is very popular and common. The Internet has become an important source of health information and has a considerable impact on patient's decision making process. Knowledge of pregnant women about childbirth comes from health professionals and personal experiences described by friends or family members. There is a growing interest in digital sources used by pregnant women. Analysis of queries related to regarding to natural childbirth and cesarean section in the Google search engine.Material and methods: In this infodemiology, descriptive study tool \"AlsoAsked\" was used. This is a tool for analyzing data appearing in Google search results. \"AlsoAsked\" search was conducted on April 19, 2023. Search phrases \"natural childbirth\" and \"cesarean section\" in polish language were used. Questions that were typed into the Google search engine, ranked according to popularity (volume) and thematic connections have been discussed.Results: The most frequently asked questions were related to the course and duration of labor as well as the preparation for labor and cesarean section (CS). Comparison between a natural labour and CS in the context of safety and pain received a great deal of attention.Conclusions: The most popular questions regarding CS were related to elective CS and indications for it. Some questions concerned the connection between labor and clinical state of a newborn.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"565-572"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140868884","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

Меtformin-associated maternal and neonatal outcomes in women with gestational diabetes - a retrospective cohort study. Меtformin相关妊娠期糖尿病妇女的孕产妇和新生儿结局——一项回顾性队列研究。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2023-10-16 DOI: 10.5603/gpl.91632

Vesselina Evtimova Yanachkova, Radiana Staynova, Svetoslav Stoev, Zdravko Kamenov

{"title":"Меtformin-associated maternal and neonatal outcomes in women with gestational diabetes - a retrospective cohort study.","authors":"Vesselina Evtimova Yanachkova, Radiana Staynova, Svetoslav Stoev, Zdravko Kamenov","doi":"10.5603/gpl.91632","DOIUrl":"10.5603/gpl.91632","url":null,"abstract":"Objectives: To assess the maternal and neonatal outcomes in women with GDM treated with metformin, medical nutrition therapy (MNT) or insulin.Material and methods: The current retrospective cohort study includes data from 233 women diagnosed with GDM who gave birth between January 2017 and January 2019 at an obstetrics and gynecology hospital in Sofia, Bulgaria. Patients were assigned to three groups, according to the treatment approach - metformin group (n = 70), insulin group (n = 40), and MNT group (n = 123). Values of fasting plasma glucose (FPG) and glycated hemoglobin (HbA1c) have been evaluated at diagnosis of GDM and the third trimester of pregnancy. A comparative analysis of pregnancy outcomes and short-term neonatal characteristics in the investigated groups has been performed.Results: Women indicated for pharmacological treatment (metformin or insulin) had significantly higher BMI (p < 0.01), FPG (p < 0.001), and HbA1c levels (p < 0.001) at baseline. However, during pregnancy, patients treated with metformin showed a significantly lower BMI (p < 0.01), FPG (p < 0.01), and HbA1c (p < 0.01). Neonates born to metformin-treated mothers had lower birth weight compared to those born to women in the MNT and insulin groups (metformin vs MNT, p < 0.001; metformin vs insulin, p = 0.03). The lowest incidence of newborns with macrosomia and neonatal hypoglycemia has been observed in the metformin cohort. Not a single newborn with an Apgar score under 7 has been identified in the metformin group.Conclusions: According to the current analysis, women with GDM treated with metformin demonstrated better maternal and neonatal outcomes. No short-term complications in newborns have been associated with metformin use during pregnancy.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"259-265"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41242555","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 berberine in polycystic ovary syndrome - a summary of knowledge. 小檗碱在多囊卵巢综合征中的作用--知识综述。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2023-12-18 DOI: 10.5603/gpl.95138

Jan Jurgiel, Adrianna Graniak, Piotr Opyd, Tomasz Zawodny, Michal Lis

引用次数: 0

Serum 25-hydroxyvitamin D is associated with homocysteine in infertile patients with polycystic ovary syndrome (PCOS). 血清 25- 羟维生素 D 与多囊卵巢综合征（PCOS）不育患者的同型半胱氨酸有关。

Ginekologia polska Pub Date : 2024-01-01 Epub Date: 2024-03-20 DOI: 10.5603/gpl.94879

Jinyan Zhao, Shengyu Fu, Qing Chen

{"title":"Serum 25-hydroxyvitamin D is associated with homocysteine in infertile patients with polycystic ovary syndrome (PCOS).","authors":"Jinyan Zhao, Shengyu Fu, Qing Chen","doi":"10.5603/gpl.94879","DOIUrl":"10.5603/gpl.94879","url":null,"abstract":"Objectives: The aim of the study was to investigate whether there is a relationship between serum 25-hydroxyvitamin D and homocysteine in infertile-related PCOS.Material and methods: We retrospectively reviewed 208 participants (86 PCOS and 122 non-PCOS) who met the inclusion and exclusion criteria from March 2020 to October 2021 at the Department of Obstetrics and Gynecology of the Second affiliated hospital of Xi'an Jiaotong University. Methods of Pearson correlation and linear regression were used to evaluate the associations between serum levels of 25-hydroxyvitamin D and homocysteine in infertile-related PCOS, and a smooth curve fitting were used to address potential nonlinearity.Results: An inverse association between serum 25-hydroxyvitamin D and homocysteine was observed (r = -0.392, p < 0.001) in PCOS groups. Multiple linear regression analysis showed serum 25-hydroxyvitamin D was independently negatively associated with homocysteine levels after controlling for confounding factors (β = -0.316, p = 0.006). Age, BMI-stratified multivariate linear regression showed that serum 25-hydroxyvitamin D were independently associated with hyperhomocysteine especially in PCOS women aged 30 years or younger after adjusting age, BMI, and AMH.Conclusions: Herein, the current findings suggest that 25-hydroxyvitamin D levels was negatively associated with serum homocysteine in women with infertility-related PCOS.","PeriodicalId":94021,"journal":{"name":"Ginekologia polska","volume":" ","pages":"763-769"},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140178349","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