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[Hysteroscopy clinic: diagnostic and therapeutic method in abnormal uterine bleeding].

BACKGROUND: Abnormal uterine bleeding is a public health problem prevalence exceeded only by abnormal vaginal discharge as a reason for medical consultation. OBJECTIVE: To describe the findings reported by the Hysteroscopy clinic of the Hospital GEA Gonzalez on patients with Abnormal Uterine bleeding diagnosis. MATERIAL AND METHOD: Retrospective, transversal, descriptive study. The total 2546 records of those patient that were evaluated by Office Hysteroscopic between January 2007 and December 2008 on the Hysteroscopy Clinic of Hospital Manuel GEA Gonzalez, then we selected the 1482 records …

Cervico-isthmic corporeal pregnancy with delivery at term: a review of the literature with a case report.

BACKGROUND: True primary cervical pregnancies are rare. Although these can cause massive hemorrhage, most of these abort during the first trimester without having been diagnosed. However, cervico-isthmic and cervico-isthmic corporeal pregnancies are more likely to persist to an advanced gestation in the second and third trimester and cause profuse bleeding with attempted removal of the placenta. CASE PRESENTATION: A case of cervico-isthmic corporeal pregnancy at term with near exsanguinating hemorrhage is reported. A 35-year-old Sri Lankan woman presented for prenatal care with the complaint

Placebo-controlled, double-blind, randomized study of prophylactic antibiotics in elective abdominal hysterectomy.

To assess the efficacy of a single dose of ampicillin or cefazolin in preventing fever and infection after elective abdominal hysterectomy, we conducted a multicentre, randomized, double-blind, controlled trial at Srinagarind Hospital, Faculty of Medicine, Khon Kaen University and Khon Kaen Regional Hospital. Three hundred and thirty patients scheduled for elective abdominal hysterectomy were randomly allocated into either placebo, ampicillin or cefazolin groups. Patients received sterile water (3 mL) or ampicillin (1 g) or cefazolin (1 g) intravenously according to random assignment 30 min be

[The first 100 early medical abortions].

Early medical abortion was introduced in Denmark in 1998. This article describes our experiences with the first 100 patients at Herlev University Hospital. The regimen was 600 mg mifepriston (RU486) given orally on day one. All women had an ultrasound examination before RU486 was given in order to ensure an intrauterine pregnancy and a gestationel age of eight weeks or less, and all had a quantitative P-hCG. On day three the patients received 1 mg gemeprost as vagitory as well as a paracetamol/-codein suppository. They were observed in the department for four hours, and were thereafter dischar

New ambulatory surgical methods using an anatomical classification of urinary dysfunction improve stress, urge and abnormal emptying.

The aim of the study was to introduce an anatomical classification for the management of urinary dysfunction based on the Integral Theory, a new connective tissue theory for female incontinence. Eighty-five unselected patients, aged 27-83 years, 12 with pure stress symptoms and 73 with mixed incontinence symptoms, were classified as having laxity in the anterior, middle or posterior zones of the vagina, using specific symptoms, signs and urodynamic parameters summarized in a pictorial algorithm. Special ambulatory surgical techniques, which included the creation of neoligaments, repaired speci

Generation of interleukin-8 from human monocytes in response to Trichomonas vaginalis stimulation.

Neutrophils are the predominant inflammatory cells found in the vaginal discharges of patients with Trichomonas vaginalis infection. We have investigated the possible role of interleukin-8 (IL-8) in the inflammatory response elicited by T. vaginalis infection. This study has shown that T. vaginalis induces blood monocytes to produce large amounts of bioactive IL-8, mainly by membrane components of T. vaginalis (MTV). Monocyte-derived IL-8 induced by MTV was dose and time dependent. The peak level of IL-8 was 102 +/- 11 ng/ml of conditioned media (mean +/- standard error; n = 5) obtained from M…

Evidence-based cesarean delivery: postoperative care (part 10).

The following review focuses on routine postoperative care after cesarean delivery (CD), including specific Enhanced Recovery After Cesarean recommendations as well as important postpartum counseling points. Following CD, there is insufficient evidence to support administration of prophylactic multi-dose antibiotics to all patients. Additional antibiotic doses are indicated for the following scenarios: patients with obesity who did not receive preoperative azithromycin, CD lasting ≥4 hours since prophylactic dose, blood loss >1500 mL, or those with an intra-amniotic infection. An oxytocin infu

Surgical Management of Cesarean Scar Defect: The Hysteroscopic-Assisted Robotic Single-Site Technique.

STUDY OBJECTIVE: To educate surgeons on the advantages of robotic techniques in hysteroscopic-assisted single-site resection of cesarean sca … The second patient was a 34-year-old G4P3013 who complained of dysmenorrhea and a persistent mucus vaginal discharge, with an expressed desire for a cesarean scar defect correction in anticipation of conception. Her surgical history was notable for 3 previous cesarean deliveries. Neither patient's ultrasound report showed adenomyosis or any other pathologies. INT …

Endovascular mechanical thrombectomy for the treatment of extensive postpartum cerebral venous sinus thrombosis: a case report.

BACKGROUND: Cerebral venous sinus thrombosis (CVST) is a rare but potentially life-threatening complication of pregnancy and the postpartum period. Although systemic anticoagulation remains the standard first-line treatment, evidence supporting endovascular mechanical thrombectomy in postpartum patients is limited. CASE PRESENTATION: A 22-year-old woman presented 12 days after an uncomplicated vaginal delivery with progressive headache and vomiting. Neuroimaging confirmed extensive CVST involving the superior sagittal, cortical, left transverse, and sigmoid sinuses, extending to the left jugu

Early and Effective Surgical Treatment of Ossified Cephalohematoma Using a Simple Technique.

AIM: To retrospectively analyze infants treated with early surgical management using the simple excision technique and discusses the outcomes in light of the existing literature. MATERIAL and METHODS: Ten infants with OCH who underwent surgery were included in this study. The following parameters were recorded: age, sex, mode of delivery (normal vaginal delivery, cesarean section, vacuum extraction, or forceps delivery), presence of hematologic disorders or bleeding diathesis, comorbidities or anomalies, lesion localization, lesion size, duration of surgery and anesthesia, estimated blood loss

Bilateral haemorrhagic cysts on ultrasound with an intraoperative diagnosis of spontaneous bilateral unruptured ectopic pregnancies: A case report with management challenges in a rural setting.

Spontaneous bilateral ectopic pregnancy is extremely rare, with an estimated incidence of 1 in 200,000 spontaneous pregnancies. Diagnosis is challenging, particularly in rural and remote settings where clinicians may have limited experience with rare presentations and reduced access to advanced imaging and specialist support. This report presents the case of a 36-year-old woman (gravida4, para 3) who presented to a rural hospital with vaginal bleeding and pelvic pain at 4 + 5 weeks of gestation. Serial quantitative beta-human chorionic gonadotropin levels increased from 962 IU/L to 6545 IU/L o

Management of Known Cushing's Disease in a Nonsurgical Candidate Secondary to a History of Hemorrhagic Stroke Case Report.

BACKGROUND: Cushing's disease can present with hyperglycemia, hypertension, electrolyte abnormalities, headaches, confusion, gastrointestinal (GI) bleeds, and more. Macroadenomas of the pituitary causing cortisol excess can complicate these cases of patients with a recent hemorrhagic stroke with the medical complexities found within both disease processes of hemorrhagic stroke and Cushing's disease. CASE: This is a 61-year-old female patient who returned from a rehabilitation facility after confusion, abdominal pain, vaginal bleeding, and weakness. History included hypertension, hypothyroidis

В ходе химиотерапии был обнаружен продвинутый первичный рак трубчатой трубки в множестве миеломы: отчет о деле и литература.

Множественная миелома (ММ) является общей злокачественной опухолью кровеносной системы, с другой стороны, заболеваемость раком фаллопийских трубок невелика, и на ее долю приходится лишь один случай: 0.1%~1.8% гинекологических злокачественных опухолей. Это крайне редкое явление. two Болезни, которые происходят вместе. В этой газете мы приводим случай первичного рака фаллопийских труб, который был обнаружен и метастазирован в яичник во время химиотерапии для MM, и мы анализируем литературу. ПРЕЗИДЕНТ: Пациент был 69 возраст и постменопаузальный период 19 Годы. Она была доставлена в больницу из-з

Совпадение в аннотации оригинала
BACKGROUND: Multiple myeloma (MM) is a common malignant tumor of the blood system, on the other hand, the incidence of fallopian tube cancer … ears old and had been postmenopausal for 19 years. She was admitted to the hospital due to abnormal vaginal discharge lasting for one week. She had a history of MM for 5 years and had just completed 13 courses of treatment with daretuzumab. Doppler ultrasound and pelvic computed tomography(CT) revealed tubal and ovarian lesions with a high probability of malignancy …

Is it time to abandon staging surgery and prolonged follow-up in patients with primary adult-type granulosa cell tumor?

BACKGROUND: As current literature does not provide sufficient data to support clear guidelines in patients with a rare adult-type granulosa cell tumor, we aim to investigate: (1) whether additional staging surgery following primary surgical treatment is necessary; (2) how long standard follow-up should be and (3) risk factors for disease recurrence. METHODS: A national multicenter prospective study was initiated in April 2018. Patients with suspected or confirmed adult-type granulosa cell tumor were eligible. Data on staging, follow-up and risk factors were both retrospectively and prospectiv

Successful Resuscitation of a Patient with Pernicious Placenta Previa and Placenta Accrete Presenting with Massive Life-Threatening Hemorrhage During Cesarean Section: A Case Report.

Pernicious placenta previa (PPP) complicated by placenta accreta spectrum (PAS) is a life-threatening obstetric condition associated with significant maternal morbidity and mortality, primarily due to severe hemorrhage during cesarean section. The 2018 FIGO Guidelines defines placenta accreta spectrum (PASDs) as a group of pathologic disorders. Depending on the depth of placental villous invasion into the uterine wall, PASDs are divided into placenta accreta (grade I), placenta increta (grade II), and placenta percreta (grade III). A 28-year-old gravida 4, para 2 woman with a history of two pr

Ureterovaginal fistula after hysterectomy with double-J stent misplacement into the inferior vena cava: a case report.

BACKGROUND: Double-J stent placement is a common and generally safe procedure in urology. However, rare complications such as stent misplace … -old Iranian woman with history of total abdominal hysterectomy presented with complaints of watery vaginal discharge 1 month postoperatively. She was diagnosed with a vesicovaginal fistula and underwent cystoscopy, ureteroscopy, and attempted placement of a double-J stent. Intraoperatively, the stent was found to be misplaced in the suprarenal segment of the infer …

vNOTES retroperitoneal sentinel lymph node biopsy and pelvic lymph node dissection for surgical staging of endometrial cancer: A single-center experience.

INTRODUCTION: Vaginal natural orifice transluminal endoscopic surgery (vNOTES) has shown favourable outcomes in benign gynaecology, but its oncological application remains underexplored. This study aimed to evaluate the technique, operative outcomes and oncological feasibility of vNOTES retroperitoneal sentinel lymph node biopsy (SLNB) and/or pelvic lymph node dissection (PLND) for endometrial cancer staging. METHODS: A retrospective review was conducted of consecutive patients who underwent vNOTES THBSO with SLNB and/or PLND for endometrial malignancy at Singapore General Hospital between Au

Joining forces: a complex cardio-obstetrics case report of severe ergometrine-induced vasospasm.

BACKGROUND: Ergometrine is part of the current guideline-directed management of post-partum haemorrhage (PPH). However, it is also a potent vasoconstrictor capable of causing significant coronary artery vasospasm in susceptible individuals. CASE SUMMARY: A 31-year-old primigravida suffered from post-partum haemorrhagic shock and disseminated intravascular coagulation following vaginal delivery. She was urgently resuscitated with intravenous fluids and blood products. Intramuscular ergometrine was administered, and surgery was required due to retained placenta. Two days later upon extubation,

Multicultural doula support and obstetric and neonatal outcomes: a multi-centre comparative study in Norway.

BACKGROUND: Migrant women face an increased risk of poor obstetric and neonatal outcomes. Norway implemented a multicultural doula (MCD) program in 2018, which was designed to improve pregnancy care for this group in vulnerable circumstances. This study aimed to assess the impact of MCD support, provided in addition to standard care, on obstetric and neonatal outcomes for selected newly arrived migrants. METHODS: This was a multi-centre case-control study involving all nine hospitals actively running the MCD program, which covers four of Norway's five regions. Women who received MCD support a

Intravesical misplacement of vaginal contraceptive ring: a video report and review of the literature.

BACKGROUND: The NuvaRing®, a hormonal vaginal contraceptive device, has gained widespread usage due to its favourable efficacy and safety profiles. Exceedingly rare instances of unintended misplacement in the bladder have been reported. This study presents a review of the literature and the first video report illustrating the extraction of an intravesical NuvaRing®, discussing diagnostic and therapeutic approaches. OBJECTIVE: To illustrate an effective method for intravesical NuvaRing® retrieval and raise awareness about this unusual complication. MATERIALS AND METHODS: A 27-year-old patient