Pub Date : 2021-08-17DOI: 10.15406/ogij.2021.12.00590
I. Ade-Ojo, T. Okunola, Olufunke Temiloluwa Oso
Introduction: The current prevalence of HIV particularly in Nigeria does not reflect global efforts at curtailing the pandemic. One of the drivers increasing the rate of a new infection is the transmission of HIV by people already living with the virus. Scaling up prevention interventions and strategies will reverse this unwarranted trend. Method: A cross-sectional study was carried out among women living with HIV (WLHIV) receiving care at the Adult Antiretroviral Clinic (ART) of the Ekiti State University Teaching Hospital, Ado-Ekiti between February and April 2021. Results: One hundred and forty-eight eligible WLHIV participated and completed the study. The majority of the participants were married (74.3%), in a monogamous family setting (68.9%), within the reproductive age group (91.8%), and were Christians (75.7%). Only 5.4% earned all the components of prevention interventions and strategies for people living with HIV (PwP) leaving a wide gap of 94.6% missed opportunities. Conclusion: The findings that WLHIV in this study are well literate about HIV risk transmission and prevention strategies and are adherent to their HAART medications did not translate to the adequate observance of prevention interventions and strategies. Scaling up prevention with positive programs (PwP) is urgently needed to prevent the further surge in the rate of new infections.
{"title":"Missed opportunities of poor implementation of prevention with positives among HIV-positive women on treatment in Ekiti State, Southwest Nigeria","authors":"I. Ade-Ojo, T. Okunola, Olufunke Temiloluwa Oso","doi":"10.15406/ogij.2021.12.00590","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00590","url":null,"abstract":"Introduction: The current prevalence of HIV particularly in Nigeria does not reflect global efforts at curtailing the pandemic. One of the drivers increasing the rate of a new infection is the transmission of HIV by people already living with the virus. Scaling up prevention interventions and strategies will reverse this unwarranted trend. Method: A cross-sectional study was carried out among women living with HIV (WLHIV) receiving care at the Adult Antiretroviral Clinic (ART) of the Ekiti State University Teaching Hospital, Ado-Ekiti between February and April 2021. Results: One hundred and forty-eight eligible WLHIV participated and completed the study. The majority of the participants were married (74.3%), in a monogamous family setting (68.9%), within the reproductive age group (91.8%), and were Christians (75.7%). Only 5.4% earned all the components of prevention interventions and strategies for people living with HIV (PwP) leaving a wide gap of 94.6% missed opportunities. Conclusion: The findings that WLHIV in this study are well literate about HIV risk transmission and prevention strategies and are adherent to their HAART medications did not translate to the adequate observance of prevention interventions and strategies. Scaling up prevention with positive programs (PwP) is urgently needed to prevent the further surge in the rate of new infections.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83742197","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}
Pub Date : 2021-08-12DOI: 10.15406/ogij.2021.12.00589
G. Israfilova, Banu Arslanca, Y. E. Sukur, A. Koç
Microvillus inclusion disease is a rare autosomal recessive disorder due to defective apical surface of the enterocytes presenting with severe watery diarrhea starting at birth. We describe a female infant who had antenatal diagnosis of microvillus inclusion disease. At 36th gestational week of a 32-year-old woman ultrasound examination revealed dilatation of fetal sigmoid colon. The amniotic fluid level was normal. An amniocentesis was performed to rule out congenital sodium and chloride diarrhea in the prenatal period. The patient didn't prefer to undergo genetic tests. In conclusion, prenatal ultrasonographic identification of dilated bowel loops without polyhydramnios suggests differential diagnosis of microvillus inclusion disease in addition to congenital chloride diarrhea, jejunoileal atresia, volvulus, meconium ileus, Hirschsprung disease, enteric duplications, anorectal atresia.
{"title":"Antenatal diagnosis of microvillus inclusion disease","authors":"G. Israfilova, Banu Arslanca, Y. E. Sukur, A. Koç","doi":"10.15406/ogij.2021.12.00589","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00589","url":null,"abstract":"Microvillus inclusion disease is a rare autosomal recessive disorder due to defective apical surface of the enterocytes presenting with severe watery diarrhea starting at birth. We describe a female infant who had antenatal diagnosis of microvillus inclusion disease. At 36th gestational week of a 32-year-old woman ultrasound examination revealed dilatation of fetal sigmoid colon. The amniotic fluid level was normal. An amniocentesis was performed to rule out congenital sodium and chloride diarrhea in the prenatal period. The patient didn't prefer to undergo genetic tests. In conclusion, prenatal ultrasonographic identification of dilated bowel loops without polyhydramnios suggests differential diagnosis of microvillus inclusion disease in addition to congenital chloride diarrhea, jejunoileal atresia, volvulus, meconium ileus, Hirschsprung disease, enteric duplications, anorectal atresia.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"33 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87161785","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}
Pub Date : 2021-08-04DOI: 10.15406/ogij.2021.12.00588
Haitham Abdel Wahab, Mohamed Ayaty, M. Abdallah, A. Elghandor
Introduction: Uterine sarcomas considered as one of the aggressive tumors of uterine malignancies. It is one of the mesenchymal tumors that originate from smooth muscle of the uterus which is a rare tumor that accounts for 2% to 5% of all uterine malignancies. Very few cases are reported in the literature. Our patient has a unique history of Pelvic-Abdominal swelling reaching xiphisternum level after subtotal hysterectomy one year ago. Abnormal genital bleeding not responding to medical treatment is the usual presentation in uterine sarcoma like in our patient. We report an original case report of an abnormal sequence of this rare tumor arising from the uterine stump after subtotal hysterectomy. Case presentation: A 42-year-old nulliparous woman presented to our gyne-oncology unit in El-Galaa Maternity Teaching Hospital in June 2020 with a significant rapid increase in abdominal circumference, symptoms caused by abdominal pressure (vomiting and constipation) and abnormal genital bleeding after laparotomic sub-total hysterectomy one year ago. Tumor marker CA-125 was raised, LDH was raised and a MRI scan showed a huge mass arising from the pelvis. An exploratory laparotomy was performed and the histopathology report confirmed the diagnosis of uterine leiomyosarcoma weighing around 22kg. Conclusion: Because of their rarity, uterine sarcomas are not suitable for screening. Diagnosis by histopathologic examination and surgery is the only treatment. Pre-operative MRI with contrast for abdomen and pelvis is highly recommended to exclude abdomen metastatic sarcoma if the tumor is confined to the pelvis only.
{"title":"Uterine stump leiomyosarcoma after sub-total hysterectomy: a case report","authors":"Haitham Abdel Wahab, Mohamed Ayaty, M. Abdallah, A. Elghandor","doi":"10.15406/ogij.2021.12.00588","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00588","url":null,"abstract":"Introduction: Uterine sarcomas considered as one of the aggressive tumors of uterine malignancies. It is one of the mesenchymal tumors that originate from smooth muscle of the uterus which is a rare tumor that accounts for 2% to 5% of all uterine malignancies. Very few cases are reported in the literature. Our patient has a unique history of Pelvic-Abdominal swelling reaching xiphisternum level after subtotal hysterectomy one year ago. Abnormal genital bleeding not responding to medical treatment is the usual presentation in uterine sarcoma like in our patient. We report an original case report of an abnormal sequence of this rare tumor arising from the uterine stump after subtotal hysterectomy. Case presentation: A 42-year-old nulliparous woman presented to our gyne-oncology unit in El-Galaa Maternity Teaching Hospital in June 2020 with a significant rapid increase in abdominal circumference, symptoms caused by abdominal pressure (vomiting and constipation) and abnormal genital bleeding after laparotomic sub-total hysterectomy one year ago. Tumor marker CA-125 was raised, LDH was raised and a MRI scan showed a huge mass arising from the pelvis. An exploratory laparotomy was performed and the histopathology report confirmed the diagnosis of uterine leiomyosarcoma weighing around 22kg. Conclusion: Because of their rarity, uterine sarcomas are not suitable for screening. Diagnosis by histopathologic examination and surgery is the only treatment. Pre-operative MRI with contrast for abdomen and pelvis is highly recommended to exclude abdomen metastatic sarcoma if the tumor is confined to the pelvis only.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81928011","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}
Pub Date : 2021-07-30DOI: 10.15406/ogij.2021.12.00586
N. Patel, A. Hamilton, Natasha Fievre
Background: Granulosa Cell tumors (GCT) are a sex-cord stroma tumor comprising of 1-2% of ovarian malignancies. Derived from Schwann cells, GCTs are comprised of granulosa cells, a cell of the ovarian stroma. Patients with these tumors present with signs of increased estrogen such as vaginal bleeding, irregular menstruation and rarely hirsutism and virilization.8,10-12 The majority of GCTs are found in the skin, subcutaneous tissue and submucosa with a handful of case reports discussing primary GCTs in the clitoris.3,7 Surgery is required for definitive tissue diagnosis and staging. In this case report, we present a case with tissue diagnosis for granulosa cell tumor found on the clitoral hood. Case: A 56-year-old, female, G6P3033 initially presented for evaluation of persistent clitoral cyst for >2 years Initial evaluation was significant for 1 cm clitoral cyst that was firm, smooth and fluctuant with no irregular borders; with worsening vulvodynia. The patient underwent clitoral hood mass excision. The mass was excised entirely and the post-operative recovery was uncomplicated. Pathology findings were significant for completely excised granulosa cell tumor; margins were negative for tumor. Immunohistochemical stain was positive for CD56, CD68, Vimentin, and S-100, and negative for AE1/13, CD31, CD34, SMA, and Desmin. Conclusion: When evaluating chronic, persistent, or recurrent masses, it is important to take into consideration both benign and malignant causes. Definitive diagnosis is established pathologically. Patients with confirmed GCT should be thorough evaluated pre-operatively with blood work and appropriate imaging. Upon diagnosis, patient with GCT should be regularly followed for recurrence and surveillance.
{"title":"Clitoral HOOD granulosa cell tumor; case report and review of literature","authors":"N. Patel, A. Hamilton, Natasha Fievre","doi":"10.15406/ogij.2021.12.00586","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00586","url":null,"abstract":"Background: Granulosa Cell tumors (GCT) are a sex-cord stroma tumor comprising of 1-2% of ovarian malignancies. Derived from Schwann cells, GCTs are comprised of granulosa cells, a cell of the ovarian stroma. Patients with these tumors present with signs of increased estrogen such as vaginal bleeding, irregular menstruation and rarely hirsutism and virilization.8,10-12 The majority of GCTs are found in the skin, subcutaneous tissue and submucosa with a handful of case reports discussing primary GCTs in the clitoris.3,7 Surgery is required for definitive tissue diagnosis and staging. In this case report, we present a case with tissue diagnosis for granulosa cell tumor found on the clitoral hood. Case: A 56-year-old, female, G6P3033 initially presented for evaluation of persistent clitoral cyst for >2 years Initial evaluation was significant for 1 cm clitoral cyst that was firm, smooth and fluctuant with no irregular borders; with worsening vulvodynia. The patient underwent clitoral hood mass excision. The mass was excised entirely and the post-operative recovery was uncomplicated. Pathology findings were significant for completely excised granulosa cell tumor; margins were negative for tumor. Immunohistochemical stain was positive for CD56, CD68, Vimentin, and S-100, and negative for AE1/13, CD31, CD34, SMA, and Desmin. Conclusion: When evaluating chronic, persistent, or recurrent masses, it is important to take into consideration both benign and malignant causes. Definitive diagnosis is established pathologically. Patients with confirmed GCT should be thorough evaluated pre-operatively with blood work and appropriate imaging. Upon diagnosis, patient with GCT should be regularly followed for recurrence and surveillance.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91286195","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}
Pub Date : 2021-07-16DOI: 10.15406/ogij.2021.12.00584
Mădălin-Marius Margan, Roxana Margan, Fira-Mladinescu Corneluta, Putnoky Salomeia, Tuta-Sas Ioana, Bagiu Radu, Z. Popa, E. Bernad, I. Ciuca, C. Dehelean, Esther Hallal, B. Vlaicu
Objective: The aim of this paper is to illustrate the main points of interest regarding the way treatment of infertility impacts the life of couples who struggle with this condition in Romania. The unique aspects and specific challenges regarding social, financial and psychological implications that affect Romanian couples who access specialized treatment for infertility will be thoroughly discussed. Methods: This study is a descriptive cross-sectional research. The sample population included patients who attended specialized infertility treatment (Assisted Reproductive Techniques - ART) in Fertility Clinics from Romania. The study was conducted between 2017 and 2019 and data was gathered through two infertility questionnaires. Results: The questionnaire for women was filled in by 829 female participants who struggled with infertility and resorted to ART and the questionnaire for men was completed by 227 male participants, as partners of the women, some of them as well with fertility issues. We analysed the results regarding all aspects surrounding infertility and ART, such as: psychological implications, impact of stress, access to specialized treatment, costs for treatment. Conclusion: The results showed that couples who struggle with infertility have to deal with high costs for specialized infertility treatments, in addition to stress related to treatment, creating a combination which negatively impacts their future chances of getting a pregnancy.
{"title":"Challenges affecting couples resorting to Assisted Reproductive Treatment (ART) in Romania","authors":"Mădălin-Marius Margan, Roxana Margan, Fira-Mladinescu Corneluta, Putnoky Salomeia, Tuta-Sas Ioana, Bagiu Radu, Z. Popa, E. Bernad, I. Ciuca, C. Dehelean, Esther Hallal, B. Vlaicu","doi":"10.15406/ogij.2021.12.00584","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00584","url":null,"abstract":"Objective: The aim of this paper is to illustrate the main points of interest regarding the way treatment of infertility impacts the life of couples who struggle with this condition in Romania. The unique aspects and specific challenges regarding social, financial and psychological implications that affect Romanian couples who access specialized treatment for infertility will be thoroughly discussed. Methods: This study is a descriptive cross-sectional research. The sample population included patients who attended specialized infertility treatment (Assisted Reproductive Techniques - ART) in Fertility Clinics from Romania. The study was conducted between 2017 and 2019 and data was gathered through two infertility questionnaires. Results: The questionnaire for women was filled in by 829 female participants who struggled with infertility and resorted to ART and the questionnaire for men was completed by 227 male participants, as partners of the women, some of them as well with fertility issues. We analysed the results regarding all aspects surrounding infertility and ART, such as: psychological implications, impact of stress, access to specialized treatment, costs for treatment. Conclusion: The results showed that couples who struggle with infertility have to deal with high costs for specialized infertility treatments, in addition to stress related to treatment, creating a combination which negatively impacts their future chances of getting a pregnancy.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"13 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77749900","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}
Pub Date : 2021-07-15DOI: 10.15406/ogij.2021.12.00583
N. Jain, V. Jain, A. Arya, Shalini Singh, A. Walia, Richa Kallia
of cyst contents. Hence it will be prudent to use a non - umbilical approach. All this discussion clearly points to adopting a non-umbilical approach in more advanced situations. As we consider the concerns of major vessel injury via direct hit through veress or trocar or visceral injuries in case of bowel adhesions. May be, if we adopt the first blind entry through non-umbilical approach especially in vulnerable cases, we can avoid lot of complications due to the umbilical entry.
{"title":"The concept of non-umbilical first blind port laparoscopic entry","authors":"N. Jain, V. Jain, A. Arya, Shalini Singh, A. Walia, Richa Kallia","doi":"10.15406/ogij.2021.12.00583","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00583","url":null,"abstract":"of cyst contents. Hence it will be prudent to use a non - umbilical approach. All this discussion clearly points to adopting a non-umbilical approach in more advanced situations. As we consider the concerns of major vessel injury via direct hit through veress or trocar or visceral injuries in case of bowel adhesions. May be, if we adopt the first blind entry through non-umbilical approach especially in vulnerable cases, we can avoid lot of complications due to the umbilical entry.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"105 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84214847","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}
Pub Date : 2021-07-14DOI: 10.15406/ogij.2021.12.00582
E. Aygün
Background and Purpose: To report a small series of ARSA (Aberrant Right Subclavian Artery) cases which were diagnosed by 4-D (Dimensional) ultrasound (Volume Contrast Imaging-A Plane) with high definition flow technique. Methods: Clinical data of total 1859 singleton, low risk pregnancies from the hospital database. Total 13 cases with isolated ARSA cases were identified. Results: Total 13 cases with isolated ARSA cases were identified. Median maternal age was 32 years old. Median gestational age at ultrasound exam was 21 weeks. Eleven of thirteen cases were isolated. Case 3 had a muscular ventricular septal defect (VSD) and case 6 had an aberrant left subclavian artery. All cases were detected by 4D VCI-A with high definition flow technique successfully. One fetus with ARSA who was misdiagnosed as normal by conventional 2-D ultrasound, 4D VCI-A with high definition flow revealed abnormal courses of the right subclavian artery. Course of azygos vein was discriminated from the ARSA in all cases. Conclusion: 4D VCI-A mode activated with HD-flow (High Definition) is a valuable tool for the investigation of outflow tracts of fetal heart and proximal branches of aorta in midtrimester scans and carries some advantages over conventional 2D sonography combined with High Definition Flow mode.
{"title":"Antenatal detection of aberrant subclavian artery (ARSA) by 4D-volume contrast ?maging in mid-trimester ultrasound exam","authors":"E. Aygün","doi":"10.15406/ogij.2021.12.00582","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00582","url":null,"abstract":"Background and Purpose: To report a small series of ARSA (Aberrant Right Subclavian Artery) cases which were diagnosed by 4-D (Dimensional) ultrasound (Volume Contrast Imaging-A Plane) with high definition flow technique. Methods: Clinical data of total 1859 singleton, low risk pregnancies from the hospital database. Total 13 cases with isolated ARSA cases were identified. Results: Total 13 cases with isolated ARSA cases were identified. Median maternal age was 32 years old. Median gestational age at ultrasound exam was 21 weeks. Eleven of thirteen cases were isolated. Case 3 had a muscular ventricular septal defect (VSD) and case 6 had an aberrant left subclavian artery. All cases were detected by 4D VCI-A with high definition flow technique successfully. One fetus with ARSA who was misdiagnosed as normal by conventional 2-D ultrasound, 4D VCI-A with high definition flow revealed abnormal courses of the right subclavian artery. Course of azygos vein was discriminated from the ARSA in all cases. Conclusion: 4D VCI-A mode activated with HD-flow (High Definition) is a valuable tool for the investigation of outflow tracts of fetal heart and proximal branches of aorta in midtrimester scans and carries some advantages over conventional 2D sonography combined with High Definition Flow mode.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73011973","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}
Pub Date : 2021-07-14DOI: 10.15406/ogij.2021.12.00581
V. Hernández, Víctor Aguilar
Melanoma in situ (MIS) usually arises from a junctional nevus. Clinically, the lesion appears dark brown pigmented; sometimes almost black is rare in the vulva and as a relatively slow but definite progression towards invasive melanoma. The clinical case of an 80-year-old patient with multiple comorbidities with a pigmented lesion on the vulva is described, where the histopathological study reported an MIS, and the litter is reviewed for better management.
{"title":"Melanoma of vulva in situ, presentation of a case","authors":"V. Hernández, Víctor Aguilar","doi":"10.15406/ogij.2021.12.00581","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00581","url":null,"abstract":"Melanoma in situ (MIS) usually arises from a junctional nevus. Clinically, the lesion appears dark brown pigmented; sometimes almost black is rare in the vulva and as a relatively slow but definite progression towards invasive melanoma. The clinical case of an 80-year-old patient with multiple comorbidities with a pigmented lesion on the vulva is described, where the histopathological study reported an MIS, and the litter is reviewed for better management.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89099608","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}
Pub Date : 2021-07-07DOI: 10.15406/ogij.2021.12.00578
K. Fram, S. Saleh, N. Muhaidat, F. Fram, R. Fram, A. Massad, Rana M Haddad, Zaid H Sunna, Eiman Sadaqa
Purpose: The aim of the current retrospective study for reviewing the cases of dermoid cyst managed at our hospital during the study period, to find out the best and safest management approach after taking in consideration the related factors. Setting: This analysis took place at the department of Gynecology and Obstetrics at Jordan University Hospital. Material and methods: The retrospective records were reviewed for over 6 years (from January 2015 to January 2021). The sample of study included a total number of 87 patients operated with ovarian dermoid. Thirty-five patients (40.22%) presented with abdominal mass, 16 patients (18.39%) were accidently found to have this kind of ovarian cysts, 12 patients (13.79%) presented with pressure symptoms, 11 patients (12.64%) presented with dyspareunia and dysmenorrhea, 8 patients (09.19%) with abdominal pain, and 5 patients (05.74%) with recurrent attacks of nausea. Thirty-nine patients (44.83%) treated by laparotomy, another 39 patients (44.83%), the management procedure completed laparoscopically, and 9 patients (10.34%), the procedure started laparoscopically, then converted to laparotomy. Sixty-one patients (70.11%) were found to have right sided ovarian dermoid, while 19 patients (21.84%) were found to have bilateral, and 7 patients (08.05%) were found to have left sided one. The size of the cyst was more than 11 cm in 40 patients (45.98%), while less than 5 cm in 5 patients (5.75%). Results: ovarian cystectomy performed in 70 patients (80.46%), and salpingo-oophorectomy on 17 patients (19.54%) on both reproductive and postmenopausal group. The average blood loss and operative time were more on the laparoscopic group; 298.7 ml, 98.8 minutes respectively. Conclusion: Laparotomy and ovarian cystectomy seems to be superior to other methods of management for ovarian dermoid, particularly when the size of the cyst is more than 5 cm, and predominantly the cysts presentation bilaterally.
{"title":"The ideal approach of ovarian dermoid cyst excision; the predicament of laparoscopy versus laparotomy","authors":"K. Fram, S. Saleh, N. Muhaidat, F. Fram, R. Fram, A. Massad, Rana M Haddad, Zaid H Sunna, Eiman Sadaqa","doi":"10.15406/ogij.2021.12.00578","DOIUrl":"https://doi.org/10.15406/ogij.2021.12.00578","url":null,"abstract":"Purpose: The aim of the current retrospective study for reviewing the cases of dermoid cyst managed at our hospital during the study period, to find out the best and safest management approach after taking in consideration the related factors. Setting: This analysis took place at the department of Gynecology and Obstetrics at Jordan University Hospital. Material and methods: The retrospective records were reviewed for over 6 years (from January 2015 to January 2021). The sample of study included a total number of 87 patients operated with ovarian dermoid. Thirty-five patients (40.22%) presented with abdominal mass, 16 patients (18.39%) were accidently found to have this kind of ovarian cysts, 12 patients (13.79%) presented with pressure symptoms, 11 patients (12.64%) presented with dyspareunia and dysmenorrhea, 8 patients (09.19%) with abdominal pain, and 5 patients (05.74%) with recurrent attacks of nausea. Thirty-nine patients (44.83%) treated by laparotomy, another 39 patients (44.83%), the management procedure completed laparoscopically, and 9 patients (10.34%), the procedure started laparoscopically, then converted to laparotomy. Sixty-one patients (70.11%) were found to have right sided ovarian dermoid, while 19 patients (21.84%) were found to have bilateral, and 7 patients (08.05%) were found to have left sided one. The size of the cyst was more than 11 cm in 40 patients (45.98%), while less than 5 cm in 5 patients (5.75%). Results: ovarian cystectomy performed in 70 patients (80.46%), and salpingo-oophorectomy on 17 patients (19.54%) on both reproductive and postmenopausal group. The average blood loss and operative time were more on the laparoscopic group; 298.7 ml, 98.8 minutes respectively. Conclusion: Laparotomy and ovarian cystectomy seems to be superior to other methods of management for ovarian dermoid, particularly when the size of the cyst is more than 5 cm, and predominantly the cysts presentation bilaterally.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"153 1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77734629","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}
Pub Date : 2021-07-02DOI: 10.15406/OGIJ.2021.12.00576
R. Katke, P. C., Sonia S. Asrani
Leiomyomas are the most common benign tumours of the uterus, arising from the smooth muscles of the uterus but containing varying amount of fibrous tissue. These grow under the influence of oestrogen and progesterone. Fibroids undergo various types of degenerations, most common being hyaline degeneration. Most of them are asymptomatic. Large fibroids may cause pain, pressure symptoms or menstrual dysfunctions. Large fibroids are rare and require expertise to operate them to avoid blood loss, prevent inadvertent injury to ureters, bladder, bowel and the surrounding vital structures. Here we present a case of a large uterine fibroid, disguised as a retroperitoneal mass of an unknown origin, which was managed with expert surgical skills.
{"title":"Giant uterine leiomyoma (5 kg) with bunch of 45 fibroids: a challenging case during covid-19 pandemic","authors":"R. Katke, P. C., Sonia S. Asrani","doi":"10.15406/OGIJ.2021.12.00576","DOIUrl":"https://doi.org/10.15406/OGIJ.2021.12.00576","url":null,"abstract":"Leiomyomas are the most common benign tumours of the uterus, arising from the smooth muscles of the uterus but containing varying amount of fibrous tissue. These grow under the influence of oestrogen and progesterone. Fibroids undergo various types of degenerations, most common being hyaline degeneration. Most of them are asymptomatic. Large fibroids may cause pain, pressure symptoms or menstrual dysfunctions. Large fibroids are rare and require expertise to operate them to avoid blood loss, prevent inadvertent injury to ureters, bladder, bowel and the surrounding vital structures. Here we present a case of a large uterine fibroid, disguised as a retroperitoneal mass of an unknown origin, which was managed with expert surgical skills.","PeriodicalId":19389,"journal":{"name":"Obstetrics & Gynecology International Journal","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78949020","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}
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