{"title":"“Short Epic” on gender-based violence in the healthcare landscape, according to Italian legislation: An example of modern social and cultural evolution","authors":"C. I. Aquino, M. Marisei, D. Surico, G. Di Donna","doi":"10.36129/jog.2023.126","DOIUrl":"https://doi.org/10.36129/jog.2023.126","url":null,"abstract":"","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86433049","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}
H. Yazdi Moghaddam, F. Karimi, E. Jesmani, M. Abdollahi
Objectives. The impact of crises such as the Covid-19 epidemic on the health of pregnant mothers is much bigger than that of other people in the society which can lead to irreparable consequences. The present study was conducted with the aim of determining the relationship between fear of Covid-19 and mental health in pregnant women presenting to health centers in Mashhad. Materials and Methods. This cross-sectional study was conducted in 2022 on 205 pregnant women who presented to health centers in Mashhad. The data were collected using a demographic profile questionnaire, a mental health scale
{"title":"Relationship between fear of COVID-19 and mental health in pregnant women","authors":"H. Yazdi Moghaddam, F. Karimi, E. Jesmani, M. Abdollahi","doi":"10.36129/jog.2023.119","DOIUrl":"https://doi.org/10.36129/jog.2023.119","url":null,"abstract":"Objectives. The impact of crises such as the Covid-19 epidemic on the health of pregnant mothers is much bigger than that of other people in the society which can lead to irreparable consequences. The present study was conducted with the aim of determining the relationship between fear of Covid-19 and mental health in pregnant women presenting to health centers in Mashhad. Materials and Methods. This cross-sectional study was conducted in 2022 on 205 pregnant women who presented to health centers in Mashhad. The data were collected using a demographic profile questionnaire, a mental health scale","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87670047","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}
D. C. Febriany, M.A. Hameed Sultan, Z. Ahmad Sharifuddin, A. Thangavelu, C. Chin
{"title":"The dual danger of pyometra and endometrial carcinoma: A case report","authors":"D. C. Febriany, M.A. Hameed Sultan, Z. Ahmad Sharifuddin, A. Thangavelu, C. Chin","doi":"10.36129/jog.2023.121","DOIUrl":"https://doi.org/10.36129/jog.2023.121","url":null,"abstract":"","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87511717","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}
E. Yasmine, J. Melek, C. Ali, A. Marwa, D. Mohamed, C. Kais, J. Anouar, K. Kamel
Objective. we aimed to compare the anesthetic and analgesic effect of the pudendal nerve block (PNB) and of the local lidocaine infiltration during episiotomy repair and in the following 24 hours. Patients and Methods. 70 parturients undergoing natural birth requiring episiotomy and presenting contraindication or refusal of epidural analgesia were randomized to receive pudendal nerve block with ropivacaine or local lidocaine infiltration. The main endpoint was: evaluation of obstetric analgesia by visual analogical scale . The secondary judgment criteria were: hemodynamic parameters, suture duration, onset time of sensory block, time to first analgesic request, rehabilitation parameters, parturient and obstetrician satisfaction and pain intensifying factors. Results. Mean VAS pain score was significantly lower in pudendal group versus infiltration group at T10min(10 minutes after local anesthetic injection) (7.20±8.56 vs. 20.43±18.25, p<0.01), T15min (5.43±8.17 vs. 17.71±16.42, p<0.01), T20min(repair starting) (29.63±23.59 vs. 44.06±28.16, p=0.023), T1h (13.14±19.18 vs. 32.20±21.25, p<0.01), T1h30min (10.57±14.74 vs. 27.34±16.74, p<0.01) and T2h (9.57±15.69 vs. 25.34±16.32, p<0.01), T6h (13.57±14.07 vs. 41.43±23.24, p<0.01), T12h (22.60±20.41 vs. 36.49±23.35, p=0.010) and T18h (12.23±11.84 vs. 27.94±23.40
{"title":"Pudendal nerve block vs usual lidocaine infiltration for pain relief in episiotomy repair: a comparative prospective study","authors":"E. Yasmine, J. Melek, C. Ali, A. Marwa, D. Mohamed, C. Kais, J. Anouar, K. Kamel","doi":"10.36129/jog.2023.122","DOIUrl":"https://doi.org/10.36129/jog.2023.122","url":null,"abstract":"Objective. we aimed to compare the anesthetic and analgesic effect of the pudendal nerve block (PNB) and of the local lidocaine infiltration during episiotomy repair and in the following 24 hours. Patients and Methods. 70 parturients undergoing natural birth requiring episiotomy and presenting contraindication or refusal of epidural analgesia were randomized to receive pudendal nerve block with ropivacaine or local lidocaine infiltration. The main endpoint was: evaluation of obstetric analgesia by visual analogical scale . The secondary judgment criteria were: hemodynamic parameters, suture duration, onset time of sensory block, time to first analgesic request, rehabilitation parameters, parturient and obstetrician satisfaction and pain intensifying factors. Results. Mean VAS pain score was significantly lower in pudendal group versus infiltration group at T10min(10 minutes after local anesthetic injection) (7.20±8.56 vs. 20.43±18.25, p<0.01), T15min (5.43±8.17 vs. 17.71±16.42, p<0.01), T20min(repair starting) (29.63±23.59 vs. 44.06±28.16, p=0.023), T1h (13.14±19.18 vs. 32.20±21.25, p<0.01), T1h30min (10.57±14.74 vs. 27.34±16.74, p<0.01) and T2h (9.57±15.69 vs. 25.34±16.32, p<0.01), T6h (13.57±14.07 vs. 41.43±23.24, p<0.01), T12h (22.60±20.41 vs. 36.49±23.35, p=0.010) and T18h (12.23±11.84 vs. 27.94±23.40","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80059621","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}
E. Vitale, A. Lezzi, T. Buccolieri, M. Carriero, P. Santoro, G. Picciano, A. D'Abate, A. Calabró, L. Conte, A. Rizzo, M. Carvello, R. Lupo
Objective. To explore attitudes and perceptions on Female genital mutilation (FGM) in Italian healthcare professionals, focusing on their agreements or disagreements associated to their education levels in this task. Materials and Methods. An on-line, observational, cross-sectional and multicenter study was carried out from July 2021 to February 2022, through social media platforms. Results. There was insufficient knowledge and preparation on the topic of FGM (p=.002). Only 35.8% (n=86) of professionals disagreed with the practice know the Law n. of 9 January 2006 (p=.001). 80.4% (n=193) of the sample declared the absence of healthcare workers dedicated to support women in this phase. 68.8% (n=165) of participants who disagreed with this practice did not receive post-basic training in the care of the FGM woman (p =.001). Conclusions. There were some gaps in the FGM knowledge among healthcare professionals who were nevertheless recognized by the WHO as the main actors in the eradication of this practice.
{"title":"Healthcare professionals attitudes on “Female Genital Mutilation”: an observational study","authors":"E. Vitale, A. Lezzi, T. Buccolieri, M. Carriero, P. Santoro, G. Picciano, A. D'Abate, A. Calabró, L. Conte, A. Rizzo, M. Carvello, R. Lupo","doi":"10.36129/jog.2023.117","DOIUrl":"https://doi.org/10.36129/jog.2023.117","url":null,"abstract":"Objective. To explore attitudes and perceptions on Female genital mutilation (FGM) in Italian healthcare professionals, focusing on their agreements or disagreements associated to their education levels in this task. Materials and Methods. An on-line, observational, cross-sectional and multicenter study was carried out from July 2021 to February 2022, through social media platforms. Results. There was insufficient knowledge and preparation on the topic of FGM (p=.002). Only 35.8% (n=86) of professionals disagreed with the practice know the Law n. of 9 January 2006 (p=.001). 80.4% (n=193) of the sample declared the absence of healthcare workers dedicated to support women in this phase. 68.8% (n=165) of participants who disagreed with this practice did not receive post-basic training in the care of the FGM woman (p =.001). Conclusions. There were some gaps in the FGM knowledge among healthcare professionals who were nevertheless recognized by the WHO as the main actors in the eradication of this practice.","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87770686","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}
Objective. to evaluate the performance of ISUOG definition for placenta- mediated fetal growth restriction (FGR) in predicting fetuses at risk of adverse neonatal outcomes. The definition is based on a combination of measures of fetal size percentile and Doppler abnormalities. Material and Methods. this retrospective study included medical records of 55 singleton pregnancies with FGR who were admitted in Ain Shams University Maternity Hospital. FGR was defined as EFW and /or AC below the10th percentile using Hadlock’s fetal growth standard. These criteria were reevaluated in accordance to the ISUOG definition for placenta- mediated fetal growth restriction in predicting adverse outcomes. Our primary outcome was to assess the accuracy of the ISUOG definition in predicting the composite adverse neonatal outcome (ANO) including one or more of the following parameters: neonatal intensive care unit (NICU) admission, 5-min Apgar score < 7, respiratory distress syndrome (RDS), intraventricular hemorrhage (IVH), necrotizing enterocolitis, periventricular leukomalacia, neonatal anemia, pulmonary hypertension, seizures and/or death. Results. Of the 245 pregnancies that were evaluated, only 55 records fulfilled the parameters needed to evaluate the performance of the ISUOG definition. The current study revealed that the ISUOG criteria for the diagnosis of FGR identified all pregnancies that were significantly at risk for composite adverse neonatal outcome. Conclusions. According to the current study, the ISUOG criteria for fetal growth restriction can accurately identify fetuses at risk of adverse perinatal outcomes.
{"title":"Neonatal outcome-based performance of the recent International Society of Ultrasound in Obstetrics and Gynecology (ISUOG) definition of fetal growth restriction: retrospective study","authors":"M. Hassan, G. Elbishry, M. Sweed, R. Ali","doi":"10.36129/jog.2023.123","DOIUrl":"https://doi.org/10.36129/jog.2023.123","url":null,"abstract":"Objective. to evaluate the performance of ISUOG definition for placenta- mediated fetal growth restriction (FGR) in predicting fetuses at risk of adverse neonatal outcomes. The definition is based on a combination of measures of fetal size percentile and Doppler abnormalities. Material and Methods. this retrospective study included medical records of 55 singleton pregnancies with FGR who were admitted in Ain Shams University Maternity Hospital. FGR was defined as EFW and /or AC below the10th percentile using Hadlock’s fetal growth standard. These criteria were reevaluated in accordance to the ISUOG definition for placenta- mediated fetal growth restriction in predicting adverse outcomes. Our primary outcome was to assess the accuracy of the ISUOG definition in predicting the composite adverse neonatal outcome (ANO) including one or more of the following parameters: neonatal intensive care unit (NICU) admission, 5-min Apgar score < 7, respiratory distress syndrome (RDS), intraventricular hemorrhage (IVH), necrotizing enterocolitis, periventricular leukomalacia, neonatal anemia, pulmonary hypertension, seizures and/or death. Results. Of the 245 pregnancies that were evaluated, only 55 records fulfilled the parameters needed to evaluate the performance of the ISUOG definition. The current study revealed that the ISUOG criteria for the diagnosis of FGR identified all pregnancies that were significantly at risk for composite adverse neonatal outcome. Conclusions. According to the current study, the ISUOG criteria for fetal growth restriction can accurately identify fetuses at risk of adverse perinatal outcomes.","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84980288","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}
A. Jarraya, M. Kammoun, J. Hadjkacem, Y. Ellouze, M. Derbel, K. Chaabene, K. Kolsi
Objective. The aim of our study was to investigate the impact of antenatal diagnosis of PA on blood loss, blood transfusions, and maternal and neonatal morbidity and mortality. Materials and Methods. This is a monocenter retrospective study including all patients who had failed manual removal of the placenta or evidence of placental invasion at the surgery. The patients included were divided into 2 groups:
{"title":"The impact of antenatal diagnosis of placenta accreta on reducing blood loss: a 57-case monocenter retrospective study","authors":"A. Jarraya, M. Kammoun, J. Hadjkacem, Y. Ellouze, M. Derbel, K. Chaabene, K. Kolsi","doi":"10.36129/jog.2023.120","DOIUrl":"https://doi.org/10.36129/jog.2023.120","url":null,"abstract":"Objective. The aim of our study was to investigate the impact of antenatal diagnosis of PA on blood loss, blood transfusions, and maternal and neonatal morbidity and mortality. Materials and Methods. This is a monocenter retrospective study including all patients who had failed manual removal of the placenta or evidence of placental invasion at the surgery. The patients included were divided into 2 groups:","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84719992","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}
F. Mohamed, S. Amira, H. Mamdouh, M. Ahmed, E. Suzan
Objective. To study the association between exposure to Environmental Tobacco Smoke (ETS) during pregnancy and the adverse birth outcomes in Egypt. Materials and Methods. Target population were mothers admitted to the postnatal ward of the obstetrics department of an educational hospital, giving birth to viable single neonates with or without adverse birth outcomes. The total sample size was 345, and a pre-designed pre-coded structured interviewing questionnaire in Arabic language was used to collect data from the study population within 24 hours after delivery. Results. The study revealed that mothers who reported regular exposure to ETS had two times more risk of experiencing adverse birth outcomes than mothers who reported no exposure (OR 2.0, 95%CI 1.13-3.58). Mothers who were regularly exposed to ETS during pregnancy had 1.36 times more risk of having preterm babies, two times more risk of having small for gestational age (SGA) babies and 3 times more likely to have low birth weight (LBW) babies than mothers who were not exposed to ETS (OR 1.36, 95%CI 0.59-3.09), (OR1.97, 95%CI 0.73-5.3) and (OR 2.74, 95%CI 1.38-5.46) respectively. There was no significant association between exposure to ETS during pregnancy and the risk of congenital anomalies or Neonatal Intensive Care Unit (NICU) admission. Conclusions. Mothers regularly exposed to ETS had two times more risk for adverse birth outcomes compared to non-exposed. Birth weight was the only birth outcome significantly associated with gestational exposure to ETS and low birth weight was the adverse birth outcome most affected by ETS exposure.
{"title":"Maternal environmental tobacco smoke exposure and adverse birth outcomes in Egypt: a cross sectional study","authors":"F. Mohamed, S. Amira, H. Mamdouh, M. Ahmed, E. Suzan","doi":"10.36129/jog.2023.118","DOIUrl":"https://doi.org/10.36129/jog.2023.118","url":null,"abstract":"Objective. To study the association between exposure to Environmental Tobacco Smoke (ETS) during pregnancy and the adverse birth outcomes in Egypt. Materials and Methods. Target population were mothers admitted to the postnatal ward of the obstetrics department of an educational hospital, giving birth to viable single neonates with or without adverse birth outcomes. The total sample size was 345, and a pre-designed pre-coded structured interviewing questionnaire in Arabic language was used to collect data from the study population within 24 hours after delivery. Results. The study revealed that mothers who reported regular exposure to ETS had two times more risk of experiencing adverse birth outcomes than mothers who reported no exposure (OR 2.0, 95%CI 1.13-3.58). Mothers who were regularly exposed to ETS during pregnancy had 1.36 times more risk of having preterm babies, two times more risk of having small for gestational age (SGA) babies and 3 times more likely to have low birth weight (LBW) babies than mothers who were not exposed to ETS (OR 1.36, 95%CI 0.59-3.09), (OR1.97, 95%CI 0.73-5.3) and (OR 2.74, 95%CI 1.38-5.46) respectively. There was no significant association between exposure to ETS during pregnancy and the risk of congenital anomalies or Neonatal Intensive Care Unit (NICU) admission. Conclusions. Mothers regularly exposed to ETS had two times more risk for adverse birth outcomes compared to non-exposed. Birth weight was the only birth outcome significantly associated with gestational exposure to ETS and low birth weight was the adverse birth outcome most affected by ETS exposure.","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90300408","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}
Objective . Gestational diabetes mellitus (GDM) is the most common medical disorder complicating pregnancy, which can have serious consequences for mothers and infants. This study was performed with the aim to compare the neonatal and maternal outcomes of two groups of pregnancies: complicated and uncomplicated by diabetes facing a preterm birth . Materials and Methods . This case-control study was undertaken on 196 healthy mothers with preterm birth and 99 premature infants of diabetic mothers referred to Ghaem Hospital in the 2019-21 period. Maternal characteristics including age, rate of pregnancy, type of delivery, delivery complication, and prolonged rupture of the membrane (PROM), along with neonatal characteristics including gestational age, Apgar score, weight, the need for mechanical ventilation, ophthalmic examinations, and laboratory results of neonates including nucleated red blood cell (NRBC), white blood cell (WBC), and venous blood gas were recorded in the checklist. Results . In this study, the mean gestational age of neonates in the groups of healthy and diabetic mothers were 35.03 ± 2.46 and 33.88 ± 2.73 weeks, respectively. Maternal age, type of delivery, prolonged rupture of the membrane, need for cardiopulmonary resuscitation (CPR) and need for ventilation, first minute Apgar score, and retinopathy of prematurity (ROP) exhibited significant differences between the two groups (P-value < 0.05). Conclusions . According to the results of our study, diabetic mothers had pregnancy at an older age, had a longer prolonged rupture of the membrane, and were more likely to have a cesarean-section. Moreover, the preterm infants of diabetic mothers had lower Apgar scores and a greater need for resuscitation at birth. They also run a higher risk of retinopathy of prematurity.
{"title":"Comparison of neonatal prognosis in gestational diabetic and healthy mothers","authors":"H. Boskabadi, N. Behgam, F. Bagheri","doi":"10.36129/jog.2023.116","DOIUrl":"https://doi.org/10.36129/jog.2023.116","url":null,"abstract":"Objective . Gestational diabetes mellitus (GDM) is the most common medical disorder complicating pregnancy, which can have serious consequences for mothers and infants. This study was performed with the aim to compare the neonatal and maternal outcomes of two groups of pregnancies: complicated and uncomplicated by diabetes facing a preterm birth . Materials and Methods . This case-control study was undertaken on 196 healthy mothers with preterm birth and 99 premature infants of diabetic mothers referred to Ghaem Hospital in the 2019-21 period. Maternal characteristics including age, rate of pregnancy, type of delivery, delivery complication, and prolonged rupture of the membrane (PROM), along with neonatal characteristics including gestational age, Apgar score, weight, the need for mechanical ventilation, ophthalmic examinations, and laboratory results of neonates including nucleated red blood cell (NRBC), white blood cell (WBC), and venous blood gas were recorded in the checklist. Results . In this study, the mean gestational age of neonates in the groups of healthy and diabetic mothers were 35.03 ± 2.46 and 33.88 ± 2.73 weeks, respectively. Maternal age, type of delivery, prolonged rupture of the membrane, need for cardiopulmonary resuscitation (CPR) and need for ventilation, first minute Apgar score, and retinopathy of prematurity (ROP) exhibited significant differences between the two groups (P-value < 0.05). Conclusions . According to the results of our study, diabetic mothers had pregnancy at an older age, had a longer prolonged rupture of the membrane, and were more likely to have a cesarean-section. Moreover, the preterm infants of diabetic mothers had lower Apgar scores and a greater need for resuscitation at birth. They also run a higher risk of retinopathy of prematurity.","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83262226","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}
De Cicco Nardone, Ficarola, Feole, De Luca, Plotti, Montera, Luvero, Larciprete, Marci, Angioli, Terranova
Objective . Ureter is one of the most important landmarks to be taken into consideration during gynaecological surgery. Today, mini-invasive techniques are available to treat ureteral injuries in a more conservative way. This study aims to propose a progressive operative model to manage ureteral injuries by comparing conservative and open approaches. Materials and Methods. This retrospective study analysed 27 injuries in 24 patients admitted for ureteral injuries following gynaecological surgery (in 3 cases, ureteral injuries were bilateral). We obtained data from 16 lacerations, 5 stenosis, and 6 fistulas. Patients in the study were treated with three different techniques for ureteral injuries: cystoscopy with retrograde ureteral stenting, interventional radiology and ureterocystoneostomy. Results. In a retrospective analysis for ureteral lacerations, success rates of the various techniques were: 100% ureterocystoneostomy, 67% Rendezvous, 58% percutaneous nephrostomy plus ureteral stenting, 33% Percutaneous Nephrostomy, 33% cystoscopy with ureteral stenting. Considering ureteral stenosis, success rates were: ureterocystoneostomy 100%, percutaneous nephrostomy plus ureteral stent 33%, Rendezvous, Percutaneous Nephrostomy and cystoscopy with ureteral stent 0%. For ureteral fistula, success rates were ureterocystoneostomy 100%, Rendezvous 100%, percutaneous nephrostomy plus ureteral stent 100%, cystoscopy with ureteral stent 33%, Percutaneous Nephrostomy 0%. Conclusions. According to the obtained results, conservative radiologic procedures represent a valid alternative to open surgery. We propose a progressive operative model: interventional radiology represents an effective approach that could postpone or avoid invasive procedures. Ureterocystoneostomy is the procedure with higher success rates.
{"title":"Ureteral injuries management in gynaecologic surgery: the role of the conservative approach","authors":"De Cicco Nardone, Ficarola, Feole, De Luca, Plotti, Montera, Luvero, Larciprete, Marci, Angioli, Terranova","doi":"10.36129/jog.2023.127","DOIUrl":"https://doi.org/10.36129/jog.2023.127","url":null,"abstract":"Objective . Ureter is one of the most important landmarks to be taken into consideration during gynaecological surgery. Today, mini-invasive techniques are available to treat ureteral injuries in a more conservative way. This study aims to propose a progressive operative model to manage ureteral injuries by comparing conservative and open approaches. Materials and Methods. This retrospective study analysed 27 injuries in 24 patients admitted for ureteral injuries following gynaecological surgery (in 3 cases, ureteral injuries were bilateral). We obtained data from 16 lacerations, 5 stenosis, and 6 fistulas. Patients in the study were treated with three different techniques for ureteral injuries: cystoscopy with retrograde ureteral stenting, interventional radiology and ureterocystoneostomy. Results. In a retrospective analysis for ureteral lacerations, success rates of the various techniques were: 100% ureterocystoneostomy, 67% Rendezvous, 58% percutaneous nephrostomy plus ureteral stenting, 33% Percutaneous Nephrostomy, 33% cystoscopy with ureteral stenting. Considering ureteral stenosis, success rates were: ureterocystoneostomy 100%, percutaneous nephrostomy plus ureteral stent 33%, Rendezvous, Percutaneous Nephrostomy and cystoscopy with ureteral stent 0%. For ureteral fistula, success rates were ureterocystoneostomy 100%, Rendezvous 100%, percutaneous nephrostomy plus ureteral stent 100%, cystoscopy with ureteral stent 33%, Percutaneous Nephrostomy 0%. Conclusions. According to the obtained results, conservative radiologic procedures represent a valid alternative to open surgery. We propose a progressive operative model: interventional radiology represents an effective approach that could postpone or avoid invasive procedures. Ureterocystoneostomy is the procedure with higher success rates.","PeriodicalId":35717,"journal":{"name":"Italian Journal of Gynaecology and Obstetrics","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75713409","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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