Background: Isolated tubal torsion associated with hydrosalpinx is a rare pathology. Our aim was to analyze clinical and imaging features. Case: A 15-year-old girl was admitted to the gynecological emergency department with lower abdominal pain. She was virgin and did not have gynecological examination. In ultrasonography a 10 cm cystic lumen was observed in the right tube. Right salpingectomy was performed. In the pathological examination, there was ischemic changes due to torsion. Conclusion: Isolated tubal torsion is extremely rare in early adolescent period. Early surgical intervention after diagnosis is important for fertility.
{"title":"Isolated tubal torsion associated with hydrosalpinx","authors":"E. Tamburacı","doi":"10.31083/j.ceog4901005","DOIUrl":"https://doi.org/10.31083/j.ceog4901005","url":null,"abstract":"Background: Isolated tubal torsion associated with hydrosalpinx is a rare pathology. Our aim was to analyze clinical and imaging features. Case: A 15-year-old girl was admitted to the gynecological emergency department with lower abdominal pain. She was virgin and did not have gynecological examination. In ultrasonography a 10 cm cystic lumen was observed in the right tube. Right salpingectomy was performed. In the pathological examination, there was ischemic changes due to torsion. Conclusion: Isolated tubal torsion is extremely rare in early adolescent period. Early surgical intervention after diagnosis is important for fertility.","PeriodicalId":10312,"journal":{"name":"Clinical and experimental obstetrics & gynecology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43881973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
G. Szabó, I. Madár, János Rigó Jr, N. Dobó, N. Ács, A. Bokor
Background: Ultrasound elastography displays information on tissue stiffness. Deep endometriotic nodules are hard fibrotic tissues. Patients are recognized as having deep endometriosis only after several years from the onset of symptoms, therefore it is important to improve diagnostic capabilities. Cases: In this case series, our purpose was to present the applicability and feasibility of transvaginal strain elastography. Five patients with various complaints compatible with endometriosis underwent transvaginal ultrasound with strain elastography. Using the ’International Deep Endometriosis Analysis’ group (IDEA) protocol along with transvaginal strain elastography, preoperative examination clearly demonstrated the size and extent of deep endometriosis. Conclusion: This ultrasonographic technique was effective regardless of whether the ligaments of the female reproductive tract, or the organs of the urinary and intestinal tract were
{"title":"A novel complementary method for ultrasonographic screening of deep endometriosis: a case series of 5 patients diagnosed with transvaginal strain elastography","authors":"G. Szabó, I. Madár, János Rigó Jr, N. Dobó, N. Ács, A. Bokor","doi":"10.31083/j.ceog4901002","DOIUrl":"https://doi.org/10.31083/j.ceog4901002","url":null,"abstract":"Background: Ultrasound elastography displays information on tissue stiffness. Deep endometriotic nodules are hard fibrotic tissues. Patients are recognized as having deep endometriosis only after several years from the onset of symptoms, therefore it is important to improve diagnostic capabilities. Cases: In this case series, our purpose was to present the applicability and feasibility of transvaginal strain elastography. Five patients with various complaints compatible with endometriosis underwent transvaginal ultrasound with strain elastography. Using the ’International Deep Endometriosis Analysis’ group (IDEA) protocol along with transvaginal strain elastography, preoperative examination clearly demonstrated the size and extent of deep endometriosis. Conclusion: This ultrasonographic technique was effective regardless of whether the ligaments of the female reproductive tract, or the organs of the urinary and intestinal tract were","PeriodicalId":10312,"journal":{"name":"Clinical and experimental obstetrics & gynecology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48546685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: This study aimed to explore the effects of cosmetic care on body image (BI), and social avoidance and distress (SAD) in young Chinese breast cancer patients, aged 18–40 years old, receiving adjuvant chemotherapy. Methods: This was a 2-arm quasiexperimental study based on a single-center. A convenience sample of 76 hospitalized young female breast cancer patients, stage 0-III breast cancer diagnosis was recruited. The control group received usual care, while cosmetic care was added to the intervention group. The primary outcomes were BI and SAD accompanying chemotherapy, and the secondary outcome was the appearance satisfaction. It was registered at Clinical Trials.gov, no. NCT04733482. Results: There were significant differences in patients’ body image, and social avoidance and distress scores from the pre-discharge (T0) to at the end of the chemotherapy cycle (T2) between two groups (P < 0.05). However, the intervention did not significantly change the appearance satisfaction at T2 (P > 0.05). Logistic regression suggested there were no confounding demographic factors influencing the intervention. Conclusions: The present study indicated that cosmetic care improved BI and reduced SAD in young Chinese breast cancer patients during adjuvant chemotherapy. However, a randomized study should be undertaken to confirm our results.
{"title":"The effects of cosmetic care on body image, social avoidance and distress in young Chinese breast cancer patients receiving chemotherapy","authors":"Shengqun Hou, Zhen-qi Lu, Jiajia Qiu, Xiaoju Zhang, Jialing Huang, Yun Li, Cuixia Fu","doi":"10.31083/j.ceog4901003","DOIUrl":"https://doi.org/10.31083/j.ceog4901003","url":null,"abstract":"Background: This study aimed to explore the effects of cosmetic care on body image (BI), and social avoidance and distress (SAD) in young Chinese breast cancer patients, aged 18–40 years old, receiving adjuvant chemotherapy. Methods: This was a 2-arm quasiexperimental study based on a single-center. A convenience sample of 76 hospitalized young female breast cancer patients, stage 0-III breast cancer diagnosis was recruited. The control group received usual care, while cosmetic care was added to the intervention group. The primary outcomes were BI and SAD accompanying chemotherapy, and the secondary outcome was the appearance satisfaction. It was registered at Clinical Trials.gov, no. NCT04733482. Results: There were significant differences in patients’ body image, and social avoidance and distress scores from the pre-discharge (T0) to at the end of the chemotherapy cycle (T2) between two groups (P < 0.05). However, the intervention did not significantly change the appearance satisfaction at T2 (P > 0.05). Logistic regression suggested there were no confounding demographic factors influencing the intervention. Conclusions: The present study indicated that cosmetic care improved BI and reduced SAD in young Chinese breast cancer patients during adjuvant chemotherapy. However, a randomized study should be undertaken to confirm our results.","PeriodicalId":10312,"journal":{"name":"Clinical and experimental obstetrics & gynecology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2022-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49138652","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Obstetrics philosophy of extraperitoneal cesarean section and possible placental percretism into urinary bladder","authors":"D. Habek","doi":"10.31083/j.ceog4805159","DOIUrl":"https://doi.org/10.31083/j.ceog4805159","url":null,"abstract":"","PeriodicalId":10312,"journal":{"name":"Clinical and experimental obstetrics & gynecology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41324995","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sarah Ottum, Conrad Chao, Sejal Tamakuwala, Joshua Dean, Adib Shafi, Katherine Jennifer Kramer, Satinder Kaur, Maurice-Andre Recanati
Background: Multiple tools including Accreditation Council for Graduate Medical Education (ACGME) standardized milestones can be utilized to assess trainee and residency program performance. However, little is known regarding the objective validation of these tools in predicting written board passage.
Methods: In this retrospective study, data was gathered on n = 45 Wayne State University Obstetrics and Gynecology program graduates over the five-year period ending July 2018. United States Medical Licensing Examination (USMLE) scores, Council on Resident Education in Obstetrics and Gynecology (CREOG) in-training scores and ACGME milestones were used to predict American Board of Obstetrics and Gynecology (ABOG) board passage success on first attempt. Significance was set at p < 0.05.
Results: Written board passage was associated with average CREOGs (p = 0.01) and milestones (p = 0.008) while USMLE1 was not significantly associated (p = 0.055). USMLE1 <217 (Positive predictive value (PPV) = 96%). CREOGs <197 (PPV = 100%) and milestones <3.25 (PPV = 100%), particularly practice-based learning and systems-based practice milestones were most strongly correlated with board failure. Using a combination of these two milestones, it is possible to correctly predict board passage using our model (PPV = 86%).
Discussion: This study is the first validating the utility of milestones in a surgical specialty by demonstrating their ability to predict board passage. Residents with CREOGs or milestones below thresholds are at risk for board failure and may warrant early intervention.
{"title":"Can ACGME Milestones predict surgical specialty board passage: an example in Obstetrics and Gynecology.","authors":"Sarah Ottum, Conrad Chao, Sejal Tamakuwala, Joshua Dean, Adib Shafi, Katherine Jennifer Kramer, Satinder Kaur, Maurice-Andre Recanati","doi":"10.31083/j.ceog4805168","DOIUrl":"https://doi.org/10.31083/j.ceog4805168","url":null,"abstract":"<p><strong>Background: </strong>Multiple tools including Accreditation Council for Graduate Medical Education (ACGME) standardized milestones can be utilized to assess trainee and residency program performance. However, little is known regarding the objective validation of these tools in predicting written board passage.</p><p><strong>Methods: </strong>In this retrospective study, data was gathered on n = 45 Wayne State University Obstetrics and Gynecology program graduates over the five-year period ending July 2018. United States Medical Licensing Examination (USMLE) scores, Council on Resident Education in Obstetrics and Gynecology (CREOG) in-training scores and ACGME milestones were used to predict American Board of Obstetrics and Gynecology (ABOG) board passage success on first attempt. Significance was set at <i>p</i> < 0.05.</p><p><strong>Results: </strong>Written board passage was associated with average CREOGs (<i>p</i> = 0.01) and milestones (<i>p</i> = 0.008) while USMLE1 was not significantly associated (<i>p</i> = 0.055). USMLE1 <217 (Positive predictive value (PPV) = 96%). CREOGs <197 (PPV = 100%) and milestones <3.25 (PPV = 100%), particularly practice-based learning and systems-based practice milestones were most strongly correlated with board failure. Using a combination of these two milestones, it is possible to correctly predict board passage using our model (PPV = 86%).</p><p><strong>Discussion: </strong>This study is the first validating the utility of milestones in a surgical specialty by demonstrating their ability to predict board passage. Residents with CREOGs or milestones below thresholds are at risk for board failure and may warrant early intervention.</p>","PeriodicalId":10312,"journal":{"name":"Clinical and experimental obstetrics & gynecology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8555913/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39578765","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
M. Alalfy, S. Hamed, A. Ghani, A. Elgazzar, Amr Abbassy, Ahmed Rashwan, O. Nagy, M. Shalaby, Hatem Hassan, A. Ibrahem, H. Kamal, Reham Mahrous, E. Kamal
{"title":"The accuracy of 3D-TUI and 3D power Doppler using Alalfy simple criteria in the diagnosis of placenta accreta spectrum","authors":"M. Alalfy, S. Hamed, A. Ghani, A. Elgazzar, Amr Abbassy, Ahmed Rashwan, O. Nagy, M. Shalaby, Hatem Hassan, A. Ibrahem, H. Kamal, Reham Mahrous, E. Kamal","doi":"10.31083/j.ceog4805182","DOIUrl":"https://doi.org/10.31083/j.ceog4805182","url":null,"abstract":"","PeriodicalId":10312,"journal":{"name":"Clinical and experimental obstetrics & gynecology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47706193","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of ritodrine tocolysis on fetal cardiac output distribution to the placenta","authors":"R. Shimaoka, T. Shiga, K. Morishige","doi":"10.31083/j.ceog4805181","DOIUrl":"https://doi.org/10.31083/j.ceog4805181","url":null,"abstract":"","PeriodicalId":10312,"journal":{"name":"Clinical and experimental obstetrics & gynecology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47536853","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Natalia Smolarek-Kołecka, M. Englert-Golon, P. Okrzymowska, K. Rożek-Piechura, R. Słopień, B. Pięta
{"title":"Pelvic floor muscle training as a method supporting the treatment of pelvic floor dysfunctions in women","authors":"Natalia Smolarek-Kołecka, M. Englert-Golon, P. Okrzymowska, K. Rożek-Piechura, R. Słopień, B. Pięta","doi":"10.31083/j.ceog4805164","DOIUrl":"https://doi.org/10.31083/j.ceog4805164","url":null,"abstract":"","PeriodicalId":10312,"journal":{"name":"Clinical and experimental obstetrics & gynecology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46352599","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Roncati, Greta Gianotti, E. Ambrogi, G. Attolini
Pregnant women with COVID-19 are less likely to be symptomatic than non-pregnant counterparts. Risk factors for severe disease include being overweight or obese, greater than 35 years old, and having pre-existing comorbidities. Those who develop severe disease have increased rates of admission to an intensive care unit, requiring invasive ventilation and pre-term birth.Pregnant and breastfeeding women with COVID-19 should be investigated as of outside pregnancy and should receive proven therapies (such as corticosteroids and tocilizumab) on a risk/benefit basis. Admitted women should receive multidisciplinary care with input from senior decision makers and early escalation where required. There are no safety concerns -surrounding the COVID-19 vaccination and fertility or pregnancy, and so it should be offered to women based on their age and clinical risk group, in line with non-pregnant women.
{"title":"COVID-19 in pregnancy","authors":"L. Roncati, Greta Gianotti, E. Ambrogi, G. Attolini","doi":"10.31083/j.ceog4804124","DOIUrl":"https://doi.org/10.31083/j.ceog4804124","url":null,"abstract":"Pregnant women with COVID-19 are less likely to be symptomatic than non-pregnant counterparts. Risk factors for severe disease include being overweight or obese, greater than 35 years old, and having pre-existing comorbidities. Those who develop severe disease have increased rates of admission to an intensive care unit, requiring invasive ventilation and pre-term birth.Pregnant and breastfeeding women with COVID-19 should be investigated as of outside pregnancy and should receive proven therapies (such as corticosteroids and tocilizumab) on a risk/benefit basis. Admitted women should receive multidisciplinary care with input from senior decision makers and early escalation where required. There are no safety concerns -surrounding the COVID-19 vaccination and fertility or pregnancy, and so it should be offered to women based on their age and clinical risk group, in line with non-pregnant women.","PeriodicalId":10312,"journal":{"name":"Clinical and experimental obstetrics & gynecology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69274983","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K. Traisrisilp, S. Sirichotiyakul, F. Tongprasert, K. Srisupundit, S. Luewan, P. Jatavan, Sirinart Sirilert, T. Tongsong
Background: To determine the association between increased nuchal translucency (INT) and fetal outcomes among Thai population. Methods: A prospective database of fetal Down syndrome screening project was accessed to enable retrieval of the records of any women with recorded NT measurements. The selected pregnancies were categorized into the INT group (>95th percentile) and the normal (<95th percentile) group. The effectiveness of NT for prediction of Down syndrome and hemoglobin Bart's disease was also determined. Pregnancy outcomes were compared, also using multivariate analysis to correct the major confounders. Results: Out of 8225 NT measurements recorded, data from 7126 fetuses were available for analysis. These included 357 in the INT group and 6769 in the normal group. INT was significantly associated with Turner syndrome, Down syndrome, Edwards' syndrome, Patau syndrome, cardiac defect and Hb Bart's disease. After exclusion of fetal abnormalities, rates of abortion, low birth weight (LBW), preterm birth and intrauterine death (IUD) were significantly higher in the INT group, with adjusted odds ratio (95% CI) of 7.82 (7.48–13.66), 0.60 (0.42– 0.86) and 5.10 (1.11–23.42), respectively. INT was effective in predicting Down syndrome with a sensitivity of 61.1% with a false positive rate of 5%. Conclusions: In addition to effectiveness in screening aneuploidy and cardiac defect, INT significantly increased the identification of risk of some diseases specific to a certain geographical area, for example Hb Bart's disease in Thailand. Among the euploid fetuses in this study the rate of abortion, LBW, preterm birth and IUD were also significantly increased.
{"title":"Increased nuchal translucency and fetal outcomes: a population-based study in Thailand","authors":"K. Traisrisilp, S. Sirichotiyakul, F. Tongprasert, K. Srisupundit, S. Luewan, P. Jatavan, Sirinart Sirilert, T. Tongsong","doi":"10.31083/j.ceog4804136","DOIUrl":"https://doi.org/10.31083/j.ceog4804136","url":null,"abstract":"Background: To determine the association between increased nuchal translucency (INT) and fetal outcomes among Thai population. Methods: A prospective database of fetal Down syndrome screening project was accessed to enable retrieval of the records of any women with recorded NT measurements. The selected pregnancies were categorized into the INT group (>95th percentile) and the normal (<95th percentile) group. The effectiveness of NT for prediction of Down syndrome and hemoglobin Bart's disease was also determined. Pregnancy outcomes were compared, also using multivariate analysis to correct the major confounders. Results: Out of 8225 NT measurements recorded, data from 7126 fetuses were available for analysis. These included 357 in the INT group and 6769 in the normal group. INT was significantly associated with Turner syndrome, Down syndrome, Edwards' syndrome, Patau syndrome, cardiac defect and Hb Bart's disease. After exclusion of fetal abnormalities, rates of abortion, low birth weight (LBW), preterm birth and intrauterine death (IUD) were significantly higher in the INT group, with adjusted odds ratio (95% CI) of 7.82 (7.48–13.66), 0.60 (0.42– 0.86) and 5.10 (1.11–23.42), respectively. INT was effective in predicting Down syndrome with a sensitivity of 61.1% with a false positive rate of 5%. Conclusions: In addition to effectiveness in screening aneuploidy and cardiac defect, INT significantly increased the identification of risk of some diseases specific to a certain geographical area, for example Hb Bart's disease in Thailand. Among the euploid fetuses in this study the rate of abortion, LBW, preterm birth and IUD were also significantly increased.","PeriodicalId":10312,"journal":{"name":"Clinical and experimental obstetrics & gynecology","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2021-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48188421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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