keyword
https://read.qxmd.com/read/33242677/which-imaging-method-is-better-for-the-differentiation-of-adenomyosis-and-uterine-fibroids
#1
Feride Fatma Görgülü, Nefise Tanrıdan Okçu
OBJECTIVE: The paper compares shear wave elastography (SWE), strain elastography (SE) and magnetic resonance imaging apparent diffusion coefficient (MRI ADC) values, to evaluate their efficacy for differentiating between adenomyosis (AM) and uterine fibroids (UF). METHODS: Patients who were scheduled for hysterectomy for AM or UFs, with a preliminary diagnosis, were additionally evaluated before surgery by transabdominal and transvaginal ultrasound elastography...
November 23, 2020: Journal of Gynecology Obstetrics and Human Reproduction
https://read.qxmd.com/read/33242598/association-of-race-ethnicity-with-surgical-route-and-perioperative-outcomes-of-hysterectomy-for-leiomyomas
#2
Jamie S Ko, Christina H Suh, Huang Huang, Haoran Zhuo, Oz Harmanli, Yawei Zhang
STUDY OBJECTIVE: To evaluate the associations between race/ethnicity, route of surgery, and perioperative outcomes for women undergoing hysterectomy for uterine leiomyomas. DESIGN: A retrospective cohort study SETTING: Multistate PATIENTS: Women who underwent hysterectomy for leiomyomas from the American College of Surgeons National Surgical Quality Improvement Program database, 2014-2017. INTERVENTIONS: None. Exposures of interest are race/ethnicity and route of surgery...
November 23, 2020: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/33241429/video-based-self-assessment-enhances-laparoscopic-skills-on-a-virtual-reality-simulator-a-randomized-controlled-trial
#3
Antoine Netter, Andy Schmitt, Aubert Agostini, Patrice Crochet
BACKGROUND: Hysterectomy rates are decreasing in many countries, and virtual reality (VR) simulators bring new training opportunities for residents. As coaching interventions while training on a simulated complex procedure represents a resource challenge, alternative strategies to improve surgical skills must be investigated. We sought to determine whether self-guided learning using a video-based self-assessment (SA) leads to improved surgical skills in laparoscopic hysterectomy (LH) on a VR simulator...
November 25, 2020: Surgical Endoscopy
https://read.qxmd.com/read/33239934/an-unusual-presentation-of-a-huge-nabothian-cyst-of-cervix-with-manifestation-of-uterine-prolapse-a-case-report
#4
Sushna Maharjan, Mamata Tiwari
Background: Nabothian cysts are common benign cervical lesions in women of reproductive age. They usually occur due to childbirth or minor trauma; mostly are small and asymptomatic. However, huge nabothian cysts may have variable presentation and can even mimic malignancy thus, biopsy is recommended to rule out malignancy. The unusual presentation of nabothian cyst as uterine prolapse makes it a diagnostic challenge for management of the patient similar to the present case. Case report: We report a case of a huge nabothian cyst in a perimenopausal, multiparous woman who presented with complaints of something coming out of vagina suddenly after mild heavyweight lifting and pain abdomen...
2020: Clinical Medicine Insights. Case Reports
https://read.qxmd.com/read/33239054/use-of-postmenopausal-hormone-therapies-and-risk-of-histology-and-hormone-receptor-defined-breast-cancer-results-from-a-15-year-prospective-analysis-of-nih-aarp-cohort
#5
Shao-Ming Wang, Ruth M Pfeiffer, Gretchen L Gierach, Roni T Falk
BACKGROUND: Menopausal hormone therapy (MHT) increases breast cancer (BC) risk, but cohort studies largely consider use only at enrollment. Evidence is limited on how changes in MHT use alter the magnitude of risk, and whether risk varies between invasive and in situ cancer, by histology or by hormone receptor status. METHODS: We investigated the roles of estrogen-alone therapy (ET) and estrogen plus progestin therapy (EPT) on BC risk overall, by histology and estrogen receptor (ER) and progesterone receptor (PR) status, and on incidence of in situ disease, in the NIH-AARP cohort...
November 25, 2020: Breast Cancer Research: BCR
https://read.qxmd.com/read/33238899/women-s-experiences-following-emergency-peripartum-hysterectomy-at-st-francis-hospital-nsambya-a-qualitative-study
#6
Patrick Pilli, Peter Sekweyama, Anthony Kayira
BACKGROUND: Emergency peripartum hysterectomy (EPH) is a known remedy for saving women's lives when faced with the challenging situation of severe post partum hemorrhage not responsive to conservative management. However, EPH by its nature is also a traumatic birth event that causes serious physical, emotional and psychological harm. Unfortunately at St. Francis Hospital Nsambya nothing much is known about these experiences since no study has been undertaken and these women are not routinely followed up...
November 25, 2020: BMC Pregnancy and Childbirth
https://read.qxmd.com/read/33238423/uterus-preservation-in-case-of-vaginal-prolapse-surgery-acts-as-a-protector-against-postoperative-urinary-retention
#7
Christine Bekos, Raffaela Morgenbesser, Heinz Kölbl, Heinrich Husslein, Wolfgang Umek, Klaus Bodner, Barbara Bodner-Adler
BACKGROUND: The aim of this study was to identify clinical risk factors for increased post-void residual (PVR) volumes in patients undergoing vaginal prolapse surgery and to find out whether uterus preservation or prolapse hysterectomy influences the incidence of postoperative urinary retention. METHODS: This retrospective study included women who presented with pelvic organ prolapse (POP) and planned prolapse surgery between January 2017 and July 2019. PVR was assessed postoperatively and increased amounts were defined as incomplete voiding with residual urine volume greater than 150 mL...
November 23, 2020: Journal of Clinical Medicine
https://read.qxmd.com/read/33238233/review-of-mri-imaging-for-placenta-accreta-spectrum-pathophysiologic-insights-imaging-signs-and-recent-developments
#8
REVIEW
Harit Kapoor, Mauro Hanaoka, Adrian Dawkins, Aman Khurana
Placenta Accreta Spectrum (PAS) refers to the range of abnormally adhesive and penetrative placental tissue at a uterine scar. PAS is divided into accreta, increta, and percreta based on degree of myometrial invasion. Its incidence has increased, and PAS is now the leading indication for emergency peripartum hysterectomy in the setting of catastrophic hemorrhage from a non-separating placenta. The recent release of the International Federation of Gynecology and Obstetrics (FIGO) guidelines in 2018 coupled with the joint consensus statement from the Society of Abdominal Radiology (SAR) and European Society of Urogenital Radiology (ESUR) in 2020 reflect decades worth of diagnostic and therapeutic advances in this field...
November 13, 2020: Placenta
https://read.qxmd.com/read/33237461/deep-learning-for-surgical-phase-recognition-using-endoscopic-videos
#9
Annetje C P Guédon, Senna E P Meij, Karim N M M H Osman, Helena A Kloosterman, Karlijn J van Stralen, Matthijs C M Grimbergen, Quirijn A J Eijsbouts, John J van den Dobbelsteen, Andru P Twinanda
BACKGROUND: Operating room planning is a complex task as pre-operative estimations of procedure duration have a limited accuracy. This is due to large variations in the course of procedures. Therefore, information about the progress of procedures is essential to adapt the daily operating room schedule accordingly. This information should ideally be objective, automatically retrievable and in real-time. Recordings made during endoscopic surgeries are a potential source of progress information...
November 25, 2020: Surgical Endoscopy
https://read.qxmd.com/read/33237354/ten-years-follow-up-after-iliococcygeus-fixation-for-the-treatment-of-apical-vaginal-prolapse
#10
Maurizio Serati, Stefano Salvatore, Stavros Athanasiou, Chiara Scancarello, Fabio Ghezzi, Andrea Braga
INTRODUCTION AND HYPOTHESIS: Various surgical techniques have been described for vaginal vault prolapse repair, but the best surgical approach is still to be proven. The aim of this study is to report the long-term objective and subjective outcomes of women who underwent iliococcygeus fixation for the treatment of vaginal vault prolapse with a minimum follow-up of 10 years. METHODS: Women with symptomatic vaginal vault prolapse (Pelvic Organ Prolapse Quantification [POP-Q] stage ≥ 2) who had previously undergone hysterectomy for any reason were prospectively enrolled and treated with iliococcygeus fixation...
November 25, 2020: International Urogynecology Journal
https://read.qxmd.com/read/33235131/mesonephric-like-adenocarcinoma-of-the-ovary-a-case-report-and-a-review-of-the-literature
#11
Qiuhe Chen, Yangmei Shen, Chuan Xie
RATIONALE: Mesonephric-like adenocarcinoma (MLA) from ovary is a very rare tumor which derives from mesonephric duct remnant of the female genital tract. Only six cases have been reported so far in the English literature. PATIENT CONCERNS: A 29-year-old female patient was referred to the local hospital with a 20-day history of abdominal discomfort. DIAGNOSES: Pelvic ultrasound examination revealed a solid and cystic mass measuring 10 cm in diameter in the right adnexal area and a cystic mass measuring 5 cm in the left adnexal area...
November 25, 2020: Medicine (Baltimore)
https://read.qxmd.com/read/33234261/feasibility-and-rationale-of-a-novel-approach-in-advanced-ovarian-cancer-surgery-bat-shaped-en-bloc-total-peritonectomy-and-total-hysterectomy-salpingo-oophorectomy-with-or-without-rectosigmoid-resection-sarta-bat-approach
#12
Ghanim Khatib, Sevtap Seyfettinoglu, Ahmet Baris Guzel, Umran Kucukgoz Gulec, Hakkı Unlugenc, Mehmet Ali Vardar
OBJECTIVE: To evaluate the feasibility of bat-shaped en-bloc total peritonectomy and total hysterectomy-salpingo-oophorectomy with or without rectosigmoid resection as a novel approach in advanced ovarian cancer surgery. METHODS: Advanced ovarian cancer patients with widespread peritoneal implants requiring total peritonectomy were the subject of the study. Thirteen cases were operated with Sarta-Bat approach between February 2019 and July 2020. Patients' clinical and surgical data were collected and statistically analyzed...
November 21, 2020: Gynecologic Oncology
https://read.qxmd.com/read/33232628/the-effect-of-follow-up-contact-on-recovery-after-benign-hysterectomy-a-randomized-single-blinded-four-arm-controlled-multicenter-trial
#13
Gulnara Kassymova, Gunilla Sydsjö, Ninnie Borendal Wodlin, Lena Nilsson, Preben Kjølhede
Background: The objective of this trial was to analyze the effect of follow-up programs using standard follow-up protocol and structured coaching on recovery after hysterectomy in an enhanced recovery after surgery setting. Materials and Methods: A randomized, four-armed, single-blinded, controlled multicenter trial comprising 487 women was conducted at five hospitals in the southeast region of Sweden. The women were allocated (1:1:1:1) to Group A: no planned follow-up contact; Group B: a single, planned, structured, broadly kept, follow-up telephone contact with the research nurse the day after discharge; Group C: planned, structured, broadly kept follow-up telephone contact with the research nurse the day after discharge and then once weekly for 6 weeks; and Group D: as Group C, but with planned, structured, coaching telephone contact...
November 24, 2020: Journal of Women's Health
https://read.qxmd.com/read/33232527/can-we-predict-the-evolution-of-untreated-first-stage-posterior-vaginal-wall-prolapse-in-women-operated-for-anterior-or-apical-prolapse
#14
Rebecca Degliuomini, Maurizio Serati, Alessandro F Ruffolo, Arianna Casiraghi, Sarah S De Bastiani, Marta Parma, Massimo Candiani, Stefano Salvatore
OBJECTIVE: The aim of this study was to evaluate the correlation between pre-existing conditions and worsening of Stage I untreated posterior vaginal wall prolapse (PVWP) after vaginal hysterectomy and anterior repair at 12-month follow-up. METHODS: This is a multicenter retrospective study. Women with symptomatic (vaginal bulging and low back pain) anterior and/or apical pelvic organ prolapse (POP) and I stage PVWP were enrolled. Patients were submitted to vaginal hysterectomy and native-tissue anterior vaginal wall repair...
November 24, 2020: Neurourology and Urodynamics
https://read.qxmd.com/read/33232380/the-uterine-pathological-features-associated-with-sentinel-lymph-node-metastasis-in-endometrial-carcinomas
#15
Yuna Kang, Teresa H Kim, David W Gjertson, Joshua G Cohen, Sanaz Memarzadeh, Neda A Moatamed
BACKGROUND: In recent years, sentinel lymph node excision and ultrastaging have been performed in endometrial carcinomas to obtain information about lymph node status, avoiding unnecessary complete pelvic and paraaortic lymphadenectomy. The purpose of this retrospective study was to provide a comprehensive evaluation of the pathological features of endometrial carcinomas and their significance in association with sentinel lymph node involvement. METHODS: Patients with endometrial carcinomas, preceded by sentinel lymph node mapping, were classified into Group-I and Group-II with negative and positive involvement, respectively...
2020: PloS One
https://read.qxmd.com/read/33231506/a-prospective-study-of-reproductive-factors-in-relation-to-risk-of-systemic-lupus-erythematosus-among-black-women
#16
Yvette C Cozier, Medha Barbhaiya, Nelsy Castro-Webb, Karen H Costenbader, Lynn Rosenberg
OBJECTIVE: Systemic lupus erythematosus (SLE) occurs most commonly among reproductive age women, compatible with a potential role of reproductive factors, although past studies including women of mainly European ancestry have yielded conflicting results. We assessed relationships of reproductive factors to SLE risk among black women. METHODS: We followed 58,243 participants in the Black Women's Health Study (BWHS) from 1995 - 2015 using biennial health questionnaires, on which participants reported reproductive and other factors...
November 24, 2020: Lupus
https://read.qxmd.com/read/33229282/venous-thromboembolism-after-blood-transfusions-in-women-undergoing-hysterectomy-for-non-malignant-indications-a-retrospective-cohort-study
#17
Silvana Sedra, Ranjeeta Mallick, Ameeta L Nayak, Abdul Jamil Choudhry, Olga Bougie, Sukhbir S Singh, Kristina Arendas, Elianna Saidenberg, David R Schramm, Innie Chen
OBJECTIVE: To quantify the effect of blood transfusion on the risk of venous thromboembolism (VTE) among women undergoing hysterectomy for non-malignant indications. METHODS: A retrospective cohort study using the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) was conducted. Women who underwent hysterectomy for non-malignant indications between 2011 and 2016 were identified using the Current Procedural Terminology and Internationally Classification of Diseases codes...
September 30, 2020: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/33229044/development-of-a-clinically-relevant-ovarian-cancer-model-incorporating-surgical-cytoreduction-to-evaluate-treatment-of-micro-metastatic-disease
#18
Christopher B Morse, Valentin Voillet, Breanna M Bates, Edison Y Chiu, Nicolas M Garcia, Raphael Gottardo, Philip D Greenberg, Kristin G Anderson
OBJECTIVES: Mouse models of ovarian cancer commonly transfer large numbers of tumor cells into the peritoneal cavity to establish experimental metastatic disease, which may not adequately model early metastatic spread from a primary tumor site. We hypothesized we could develop an ovarian cancer model that predictably represents micro-metastatic disease. METHODS: Murine ID8VEGF ovarian cancer cells were transduced to express enhanced luciferase (eLuc) to enable intravital detection of microscopic disease burden and injected beneath the ovarian bursa of C57Bl/6 mice...
November 20, 2020: Gynecologic Oncology
https://read.qxmd.com/read/33228398/association-of-sedentary-time-and-incident-heart-failure-hospitalization-in-postmenopausal-women
#19
Michael J LaMonte, Joseph C Larson, JoAnn E Manson, John Bellettiere, Cora E Lewis, Andrea Z LaCroix, Jennifer W Bea, Karen C Johnson, Liviu Klein, Corinna A Noel, Marcia L Stefanick, Jean Wactawski-Wende, Charles B Eaton
BACKGROUND: The 2018 US Physical Activity Guidelines recommend reducing sedentary behavior (SB) for cardiovascular health. SB's role in heart failure (HF) is unclear. METHODS: We studied 80 982 women in the Women's Health Initiative Observational Study, aged 50 to 79 years, who were without known HF and reported ability to walk ≥1 block unassisted at baseline. Mean follow-up was 9 years for physician-adjudicated incident HF hospitalization (1402 cases). SB was assessed repeatedly by questionnaire...
November 24, 2020: Circulation. Heart Failure
https://read.qxmd.com/read/33228348/-clinical-analysis-of-68-cases-of-sepsis-during-pregnancy-and-the-postpartum-period
#20
Y Tao, Z J Sun, L Zhu, J H Lang
Objective: To investigate the clinical features, etiology, and prognosis of sepsis during pregnancy and the postpartum period. Methods: Sixty-eight pregnant women with maternal sepsis treated in Peking Union Medical College Hospital from January 1997 to December 2019 were collected, and divided into obstetric infection group (30 cases) and non-obstetric infection group (38 cases) according to different infection sources. Clinical manifestations, types of infection sources, microbiological characteristics, treatment and outcomes were studied and analyzed...
November 25, 2020: Zhonghua Fu Chan Ke za Zhi
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