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Taiwanese Journal of Obstetrics & Gynecology

Imari Deura, Muneaki Shimada, Yukihiro Azuma, Hiroaki Komatsu, Kei Nagira, Mayumi Sawada, Tasuku Harada
OBJECTIVE: National health insurance coverage for the laparoscopic staging surgery for patients with stage IA endometrial cancer started from April 2014 in Japan. We conducted this retrospective study to evaluate the surgical outcomes of the laparoscopic surgery for patients with low-risk endometrial cancer compared with those of the laparotomy. MATERIALS AND METHODS: A total of 120 patients with presumed low-risk endometrial cancer, who were treated at Tottori University Hospital between 2005 and 2016, were eligible for this study...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Yu-Wei Chang, Fei-Chi Chuang, Ling-Ying Wu, Tsai-Hwa Yang, Fu-Tsai Kung, Kuan-Hui Huang
OBJECTIVE: The aim of this study was to assess the efficacy and clinical outcomes of pelvic floor reconstruction with transvaginal mesh of the Uphold™ Vaginal Support System (Boston Scientific Corporation). MATERIALS AND METHODS: This retrospective study reviewed the medical records of patients with pelvic organ prolapse stage 3 or 4 who underwent pelvic reconstructive surgery with transvaginal mesh of the Uphold™ Vaginal Support System from January 2015 to March 2017...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Hsiao-Chun Yang, Ju-Chun Liu, Fu-Shing Liu
OBJECTIVE: The standard treatment for endometrial cancer is surgery with hysterectomy. However, this procedure will cause infertility in young women who desire to preserve pregnant ability. Conservative management with hormone therapy has been shown to be satisfactory in both tumor control and fertility preservation. Recently, hysteroscopic tumor resection followed by progestin therapy has been reported to be an alternative strategy. In this study we present our experience with this approach...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Hanifi Sahin, Mehmet Mutlu Meydanli, Mustafa Erkan Sari, Eda Kocaman, Zeliha Firat Cuylan, Ibrahim Yalcin, Gonca Coban, Özlem Özen, Levent Sirvan, Tayfun Güngör, Ali Ayhan
OBJECTIVE: The purpose of this study was to determine the patterns of failure and prognostic factors for lymphovascular space invasion (LVSI)-positive endometrioid endometrial cancer (EC) patients in the setting of negative lymph nodes (LNs). MATERIALS AND METHODS: A multicenter, retrospective department database review was performed to identify LVSI-positive patients with disease surgically confined to the uterus at two gynecologic oncology centers in Turkey. Demographic, clinicopathological and survival data were collected...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Ching-Yi Lin, Yu-Ju Chen, Shu-Hsin Lee, Ching-Pyng Kuo, Maw-Sheng Lee, Meng-Chih Lee
OBJECTIVE: This study aimed to assess the efficacy of dietary supplements and herbal medicines for the care of pregnant women undergoing assisted reproductive technologies (ART). MATERIALS AND METHODS: A total of 366 women undergoing ART and their children from the dataset of Taiwan Birth Cohort Study (TBCS, 2005) were enrolled in this study. Structured questionnaires were applied to collect the health information at 6-month follow-up after their delivery. The related use patterns were analyzed to investigate the final birth outcomes...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Chen-Yu Wang, Hsueh-Hsing Pan, Cheng-Chang Chang, Chi-Kang Lin
OBJECTIVE: This study aimed to report our experience of emergent bilateral hypogastric (internal iliac) artery ligation (HAL) in the management of intractable postpartum hemorrhage (PPH) in a tertiary care center. MATERIALS AND METHODS: Patients with severe postpartum hemorrhage that could not be controlled with conservative management were retrospectively reviewed from January 2013 to December 2017. Data were retrieved from patients' hospital records. Two cases involving both transcatheter uterine artery embolization (TAE) and HAL were excluded...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Li-Hua Huang, Yu-Fen Lai, Gin-Den Chen, Maw-Sheng Lee, Soo-Cheen Ng
OBJECTIVE: To evaluate the effect of far-infrared radiation on postpartum perineal pain and sexual function in primiparous women undergoing an episiotomy and 2nd degree perineal laceration. MATERIALS AND METHODS: From May 2016 to May 2017, primiparous women with term pregnancies and vaginal deliveries with an episiotomy due to obstetric indications and 2nd degree perineal lacerations were invited to participate in this study. Women were randomly assigned into a far-infrared (FIR) group and a control group...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Yi-An Tu, Wen-Chun Chang, Chin-Jui Wu, Bor-Ching Sheu
OBJECTIVE: During the vaginal steps of laparoscopic-assisted vaginal hysterectomy (LAVH), excessive bleeding occurs if the vascular pedicles are not securely clamped. Accordingly, this study investigates if an advanced bipolar sealing device (PlasmaKinetics [PK] Sealer), compared to conventional sutures, could improve the efficacy and safety in the vaginal steps of LAVH. MATERIAL AND METHODS: The medical records of 101 women who underwent LAVH for a non-malignant condition between June 2014 and August 2017 were retrospectively reviewed...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Disha, Shailja Sharma, Manu Goyal, Pvsn Kiran Kumar, Raghumoy Ghosh, Praveen Sharma
OBJECTIVE: This study aims to find the blood lead levels in pregnant women and its association with pre-eclampsia. MATERIAL AND METHODS: The study included 44 healthy pregnant females and 23 pre-eclamptic women. Demographic data and common risk factors for lead toxicity were recorded including age, residence, occupation, husband occupation, passive smoking, use of cosmetics, kajal, surma, receiving supplements/vitamins, history of house remodelling, plumbing, source of potable water, paint in house, use of lead-glazed ceramic and pica...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Huseyin Erdinc Besikcioglu, Gulistan Sanem Sarıbas, Candan Ozogul, Meral Tiryaki, Sevtap Kilic, Ferda Alpaslan Pınarlı, Ozlem Gulbahar
OBJECTIVE: Chemotherapy causes depletion of primordial follicles that leads to premature ovarian failure in female cancer survivals. We investigated the effect of bone marrow derived mesenchymal (BMMSCs) and ovarian stromal stem cells (OSSCs) on follicle maturation in chemotherapy induced ovarian failure. MATERIAL AND METHODS: Thirty six Wistar Albino female rats were divided into three groups. Cyclophosphamide at a dose of 200 mg/kg was intraperitoneally (IP) given to the rats in all groups two times...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Hiroshi Kawamura, Koji Nishijima, Kyoko Fujii, Satoshi Tamura, Jin Takahashi, Yoshio Yoshida
No abstract text is available yet for this article.
January 2019: Taiwanese Journal of Obstetrics & Gynecology
You-Chen Wang, Yen-Lin Yu, Chung-Wei Fan, Shih-Yin Huang
OBJECTIVE: Primary cervical signet ring cell carcinoma (PCSRCC) is extremely rare. In this paper, we describe a Case presenting with PCSRCC. CASE REPORT: The 48-year-old woman visited the gynecological department because of postmenopausal bleeding. A cervical mass was discovered through pelvic examination, and the biopsy results indicated a poorly differentiated adenocarcinoma with a signet ring cell pattern. Colonoscopy revealed external compression of the rectum without intraluminal mucosal lesions...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Szu-Hsin Wu, Ryh-Sheng Li, Yuh-Ming Hwu
OBJECTIVE: The aim of this study is to share a valuable experience of perimortem Cesarean delivery (PMCD) when no signs of spontaneous circulation were detected after 4 min of resuscitation. The time interval between maternal cardiac arrest and neonatal delivery was evaluated and reviewed. CASE REPORT: We present the case of an out-of-hospital cardiac arrest (OHCA) in a nulliparous woman who survived a car accident with only seatbelt injuries. The term infant was delivered by PMCD at our emergency department at least 43 min after maternal cardiac arrest...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Liang-Ming Lo, Chii-Shinn Shiau, Kuang-Chao Chen, S W S Shaw, Peter Benn
OBJECTIVE: Non-invasive prenatal testing (NIPT) through the analysis of cell-free DNA in maternal plasma has bee expanded to include clinically-relevant microdeletions such as the 22q11.2 deletion syndrome (22q11.2DS). CASE REPORT: We present a pregnancy where the fetus was affected with 22q11.2DS based on chromosome microarray analysis. Discordant results were obtained through two different NIPT methodologies. The pregnancy was identified as high risk by a SNP-based approach but low risk using a genome-wide counting methodology...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Simona Farcas, Dragos Erdelean, Flavia Anne-Elise Szekely, Dan Navolan, Nicoleta Andreescu, Andreea Cioca
OBJECTIVE: We describe a rare case of "pure" 8q duplication diagnosed prenatally by conventional karyotyping, that was further characterized by array comparative genomic hybridization (aCGH). CASE REPORT: A 39-year-old, primigravida woman underwent amniocentesis at 23 weeks of gestation because of an abnormal second trimester maternal serum screening for Down syndrome. Conventional cytogenetic analysis demonstrated a karyotype of 46,XX,der(8) (q24.12q24...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Juxian Tang, Yihui Lin, Huachao Mai, Yiping Luo, Renwei Huang, Qi Chen, Duan Xiao
Previously reported haemostatic reference intervals in normal pregnancy displayed considerable contradictions to establish convince gestational age-related haemostatic reference values. 30 clinical reports were recruited to collect and assemble existing clinical reports from the database D-dimer levels increased progressively with gestational ages and exceeded conventional value of 1 mg/L after 29-36 weeks, and reached a peak at 24 h postpartum with mean value of 6.44 mg/L [95% confidence interval (CI): 5...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Li-Hua Huang, Ching-Pyng Kuo, Yen-Chiao Lu, Maw-Sheng Lee, Shu-Hsin Lee
OBJECTIVE: Sleep disturbance is a common issue that can arise from emotional distress. Women who received the complicated invasive in-vitro fertilization (IVF) procedures can be stressful. The purpose of this study is to understanding the association between emotional distress (measured as anxiety and depression) and sleep quality for women undergoing IVF treatment. MATERIALS AND METHODS: This research was of a cross-sectional questionnaire design. Questionnaires were completed during the controlled ovarian hyperstimulation of IVF treatment...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Bahar Yuksel Ozgor, Cem Iyibozkurt, Ercan Bastu, Sinan Berkman, Onay Yalcın, Bedia Cakmakoglu, Halil Saygılı
OBJECTIVE: We aimed to assess resistin gene polymorphisms, namely 420C > G and 62G > A and their effect on the risk of endometrial cancer (EC). MATERIALS AND METHODS: Between January 2012 and January 2015, of the total of 183 patients diagnosed with EC, 94 patients were enrolled into the study. Patients with diabetes mellitus, hypertension and history of any other cancer were excluded. To identify the importance of nucleotide polymorphism including 420C > G and 62G > A in the resistin gene, 94 healthy volunteers were included as the control group...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Hiroaki Soyama, Morikazu Miyamoto, Hiroki Ishibashi, Masaya Nakatsuka, Haruka Kawauchi, Takahiro Sakamoto, Hiroko Matuura, Mika Kuwahara, Kazuki Takasaki, Hideki Iwahashi, Kento Kato, Masashi Yoshida, Masashi Takano, Hidenori Sasa, Kenichi Furuya
OBJECTIVE: Recently, Bakri balloon (BBT) was effective for women with placenta previa to reduce hemorrhage. However, about 10% of women needed to receive an invasive strategy. Thus, the identification of risk factors and the development of additional measurements for BBT failure was needed. The aim of our study is to investigate the cause and measurements of failing prophylactic BBT in women with placenta previa. MATERIALS AND METHODS: Women with placenta previa who underwent cesarean section and had a prophylactic BBT inserted during the operation at our institution between January 2015 and December 2017 were enrolled...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
Jeong Ha Wie, Su Kyung Nam, Hyun Sun Ko, Jong Chul Shin, In Yang Park, Young Lee
OBJECTIVE: The association between abortion and postmenopausal mental health has not been clearly established in Asian women. The objective of this study was to evaluate the effect of abortion experiences on suicidal ideation and mental health in Korean postmenopausal women. MATERIALS AND METHODS: This study included 5133 postmenopausal women registered in the Korean National Health and Nutrition Examination Survey between 2010 and 2012. Difference in suicidal ideation according to type and number of abortions was analyzed...
January 2019: Taiwanese Journal of Obstetrics & Gynecology
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