Pub Date : 2025-07-01Epub Date: 2025-04-28DOI: 10.1016/j.gine.2025.101038
M.J. Rol , M.J. Cuerva , A. Briones , J.L. Bartha
Introduction
There's a lack of effective screening methods to predict early breastfeeding cessation. Our study aimed to assess whether a simple screening of anxiety symptoms after the early postpartum period could help identify those families who discontinue exclusive and mixed breastfeeding early, despite their desire to breastfeed.
Methods
This prospective observational study, conducted at a single center, included women who were admitted to the postpartum ward following vaginal term births. Each participant was accompanied by their companions and babies and expressed a desire to breastfeed. Participants were divided into two groups based on whether they exhibited peripartum anxiety symptoms, assessed using the Hospital Anxiety and Depression scale (HADS). Follow-up assessments of the breastfeeding practices were conducted up to three years postpartum.
Results
A total of 113 eligible women participated in the study, with 92 women successfully followed up for three years. At six months postpartum, 56.5% of the women were exclusively breastfeeding, and 78.3% were still breastfeeding. No significant differences were observed in breastfeeding practices between the group exhibiting peripartum anxiety symptoms and the group without such symptoms.
Conclusion
Our approach, which concentrated on anxiety, did not yield an implementable screening tool for early breastfeeding cessation.
{"title":"Peripartum anxiety symptoms and breastfeeding duration: Prospective observational study","authors":"M.J. Rol , M.J. Cuerva , A. Briones , J.L. Bartha","doi":"10.1016/j.gine.2025.101038","DOIUrl":"10.1016/j.gine.2025.101038","url":null,"abstract":"<div><h3>Introduction</h3><div>There's a lack of effective screening methods to predict early breastfeeding cessation. Our study aimed to assess whether a simple screening of anxiety symptoms after the early postpartum period could help identify those families who discontinue exclusive and mixed breastfeeding early, despite their desire to breastfeed.</div></div><div><h3>Methods</h3><div>This prospective observational study, conducted at a single center, included women who were admitted to the postpartum ward following vaginal term births. Each participant was accompanied by their companions and babies and expressed a desire to breastfeed. Participants were divided into two groups based on whether they exhibited peripartum anxiety symptoms, assessed using the Hospital Anxiety and Depression scale (HADS). Follow-up assessments of the breastfeeding practices were conducted up to three years postpartum.</div></div><div><h3>Results</h3><div>A total of 113 eligible women participated in the study, with 92 women successfully followed up for three years. At six months postpartum, 56.5% of the women were exclusively breastfeeding, and 78.3% were still breastfeeding. No significant differences were observed in breastfeeding practices between the group exhibiting peripartum anxiety symptoms and the group without such symptoms.</div></div><div><h3>Conclusion</h3><div>Our approach, which concentrated on anxiety, did not yield an implementable screening tool for early breastfeeding cessation.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101038"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143881960","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 : 2025-07-01Epub Date: 2025-04-18DOI: 10.1016/j.gine.2025.101037
V. Monsalvo , J.C. Corredor , D. Pinzón
Sigmoid volvulus is one of the main causes of intestinal obstruction in the world, leading to consequences that derive from the decrease in mesenteric blood supply that can condition partial intestinal resection, leading to important changes in the quality of life of patients. Ovarian torsion is a gynecological emergency that becomes important in the short, medium and long term due to the crucial role of ovarian function in hormonal regulation and fertility. Both entities can generate an acute surgical abdomen, however few cases have been described in the literature on the simultaneous presence of these pathologies. We present a case of sigmoid volvulus secondary to adnexal cyst with torsion, with successful surgical management with partial salpingo-oophorectomy + sigmoidectomy + terminal colostomy in a 33 year-old woman with no important medical history, in the Regional Hospital of Duitama (Boyacá, Colombia).
{"title":"Vólvulo del sigmoide secundario a torsión ovárica: reporte de caso","authors":"V. Monsalvo , J.C. Corredor , D. Pinzón","doi":"10.1016/j.gine.2025.101037","DOIUrl":"10.1016/j.gine.2025.101037","url":null,"abstract":"<div><div>Sigmoid volvulus is one of the main causes of intestinal obstruction in the world, leading to consequences that derive from the decrease in mesenteric blood supply that can condition partial intestinal resection, leading to important changes in the quality of life of patients. Ovarian torsion is a gynecological emergency that becomes important in the short, medium and long term due to the crucial role of ovarian function in hormonal regulation and fertility. Both entities can generate an acute surgical abdomen, however few cases have been described in the literature on the simultaneous presence of these pathologies. We present a case of sigmoid volvulus secondary to adnexal cyst with torsion, with successful surgical management with partial salpingo-oophorectomy + sigmoidectomy + terminal colostomy in a 33 year-old woman with no important medical history, in the Regional Hospital of Duitama (Boyacá, Colombia).</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101037"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143844242","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 : 2025-07-01Epub Date: 2025-05-20DOI: 10.1016/j.gine.2025.101039
R.A. Kasem , A. Attalla , A. Ramadan , A. Tawfik , A. Salmona , M.K. AbdElhaseeb
Objectives
Preoperative fasting is a common practice in cesarean section deliveries, but prolonged fasting can have negative effects on patient outcomes. Preoperative carbohydrate intake has been proposed as a way to mitigate these effects. The purpose of this systematic review and meta-analysis is to assess the potential benefits and complications of preoperative oral carbohydrates in women undergoing cesarean section (CS).
Methods
A comprehensive search was conducted in PubMed, Cochrane, Web of Science, and Scopus databases until August 2023. Randomized controlled trials (RCTs) that compared preoperative oral carbohydrates to a placebo or fasting group in pregnant women undergoing CS were included. The outcomes included vomiting, insulin resistance, amount of bleeding, plasma glucose and serum insulin.
Results
We included five RCTs with a total of 2275 cases. According to the meta-analysis results, preoperative oral carbohydrates significantly reduced postoperative serum insulin levels (SMD = −0.58, 95% CI [−0.95 to −0.21], P = 0.002) and insulin resistance (SMD = −0.32, 95% CI [−0.58 to −0.07], P = 0.01) compared to control groups. However, preoperative oral carbohydrates did not have a significant effect on postoperative vomiting (RR = 0.96, 95% CI [0.77–1.20], P = 0.73), the amount of bleeding (SMD = −0.17, 95% CI [−0.52 to 0.18], P = 0.34) or plasma glucose levels (SMD = −0.12, 95% CI [−0.29 to 0.05], P = 0.17).
Conclusion
Preoperative oral carbohydrates can improve metabolic outcomes, specifically reducing postoperative serum insulin levels and insulin resistance in women undergoing CS, without increasing the risk of vomiting. However, they did not significantly affect the amount of bleeding or plasma glucose levels.
目的术前禁食是剖宫产的常见做法，但长时间禁食会对患者的预后产生负面影响。术前碳水化合物摄入被认为是减轻这些影响的一种方法。本系统综述和荟萃分析的目的是评估剖宫产（CS）妇女术前口服碳水化合物的潜在益处和并发症。方法截至2023年8月，在PubMed、Cochrane、Web of Science、Scopus等数据库中进行综合检索。随机对照试验（rct）比较术前口服碳水化合物与安慰剂组或禁食组在接受CS的孕妇中。结果包括呕吐、胰岛素抵抗、出血量、血浆葡萄糖和血清胰岛素。结果纳入5项随机对照试验，共2275例。meta分析结果显示，与对照组相比，术前口服碳水化合物显著降低了术后血清胰岛素水平（SMD = - 0.58, 95% CI [- 0.95 ~ - 0.21], P = 0.002）和胰岛素抵抗（SMD = - 0.32, 95% CI [- 0.58 ~ - 0.07], P = 0.01）。然而，术前口服碳水化合物对术后呕吐（RR = 0.96, 95% CI [0.77-1.20], P = 0.73）、出血量（SMD = - 0.17, 95% CI[- 0.52至0.18],P = 0.34）或血浆葡萄糖水平（SMD = - 0.12, 95% CI[- 0.29至0.05],P = 0.17）没有显著影响。结论术前口服碳水化合物可改善CS患者的代谢结局，特别是降低术后血清胰岛素水平和胰岛素抵抗，且不增加呕吐风险。然而，它们并没有显著影响出血量或血浆葡萄糖水平。
{"title":"From fasting to feasting: Unraveling the postoperative benefits of preoperative carbohydrate intake in cesarean delivery—A systematic review and meta-analysis","authors":"R.A. Kasem , A. Attalla , A. Ramadan , A. Tawfik , A. Salmona , M.K. AbdElhaseeb","doi":"10.1016/j.gine.2025.101039","DOIUrl":"10.1016/j.gine.2025.101039","url":null,"abstract":"<div><h3>Objectives</h3><div>Preoperative fasting is a common practice in cesarean section deliveries, but prolonged fasting can have negative effects on patient outcomes. Preoperative carbohydrate intake has been proposed as a way to mitigate these effects. The purpose of this systematic review and meta-analysis is to assess the potential benefits and complications of preoperative oral carbohydrates in women undergoing cesarean section (CS).</div></div><div><h3>Methods</h3><div>A comprehensive search was conducted in PubMed, Cochrane, Web of Science, and Scopus databases until August 2023. Randomized controlled trials (RCTs) that compared preoperative oral carbohydrates to a placebo or fasting group in pregnant women undergoing CS were included. The outcomes included vomiting, insulin resistance, amount of bleeding, plasma glucose and serum insulin.</div></div><div><h3>Results</h3><div>We included five RCTs with a total of 2275 cases. According to the meta-analysis results, preoperative oral carbohydrates significantly reduced postoperative serum insulin levels (SMD<!--> <!-->=<!--> <!-->−0.58, 95% CI [−0.95 to −0.21], <em>P</em> <!-->=<!--> <!-->0.002) and insulin resistance (SMD<!--> <!-->=<!--> <!-->−0.32, 95% CI [−0.58 to −0.07], <em>P</em> <!-->=<!--> <!-->0.01) compared to control groups. However, preoperative oral carbohydrates did not have a significant effect on postoperative vomiting (RR<!--> <!-->=<!--> <!-->0.96, 95% CI [0.77–1.20], <em>P</em> <!-->=<!--> <!-->0.73), the amount of bleeding (SMD<!--> <!-->=<!--> <!-->−0.17, 95% CI [−0.52 to 0.18], <em>P</em> <!-->=<!--> <!-->0.34) or plasma glucose levels (SMD<!--> <!-->=<!--> <!-->−0.12, 95% CI [−0.29 to 0.05], <em>P</em> <!-->=<!--> <!-->0.17).</div></div><div><h3>Conclusion</h3><div>Preoperative oral carbohydrates can improve metabolic outcomes, specifically reducing postoperative serum insulin levels and insulin resistance in women undergoing CS, without increasing the risk of vomiting. However, they did not significantly affect the amount of bleeding or plasma glucose levels.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101039"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144090266","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 : 2025-07-01Epub Date: 2025-05-10DOI: 10.1016/j.gine.2025.101050
B. Puerto , P. Azumendi , C. Corrales , G. Azumendi
Congenital anomalies of the Central Nervous System are one of the most important and numerous groups of congenital malformations. They constitute the second cause of disability in childhood and more than 95% occur in a population without known risk. The most effective strategy for its detection is to differentiate between 2 levels of care. The first level, the BASIC ULTRASONOGRAPHY, is performed on all pregnant women, while the second level, the DETAILED FETAL NEUROSONOGRAPHY, is performed in cases selected due to the risk of anomaly based on a list of indications or because an abnormality has been detected or suspected. CNS abnormality on basic ultrasound. Its purpose is to perform a complete morphological and biometric multiplanar analysis of all accessible and recognizable brain structures from the axial, coronal and sagittal planes, ideally through transabdominal and transvaginal access. In the 3 plans, an attempt should be made to evaluate the same structures, assuming the limitations posed by the different perspective provided by each of them. When performing it, it is essential to take into account the indication and gestational age, know the morphological patterns, have reference tables of the normality of the different intracranial structures for GD and follow the systematics proposed by scientific societies. The objective of this article is to describe the different planes and provide readers with the key points for the ultrasound detection of the most important and frequent malformations of the CNS.
{"title":"How to perform a fetal neurosonography: Key points","authors":"B. Puerto , P. Azumendi , C. Corrales , G. Azumendi","doi":"10.1016/j.gine.2025.101050","DOIUrl":"10.1016/j.gine.2025.101050","url":null,"abstract":"<div><div>Congenital anomalies of the Central Nervous System are one of the most important and numerous groups of congenital malformations. They constitute the second cause of disability in childhood and more than 95% occur in a population without known risk. The most effective strategy for its detection is to differentiate between 2 levels of care. The first level, the BASIC ULTRASONOGRAPHY, is performed on all pregnant women, while the second level, the DETAILED FETAL NEUROSONOGRAPHY, is performed in cases selected due to the risk of anomaly based on a list of indications or because an abnormality has been detected or suspected. CNS abnormality on basic ultrasound. Its purpose is to perform a complete morphological and biometric multiplanar analysis of all accessible and recognizable brain structures from the axial, coronal and sagittal planes, ideally through transabdominal and transvaginal access. In the 3 plans, an attempt should be made to evaluate the same structures, assuming the limitations posed by the different perspective provided by each of them. When performing it, it is essential to take into account the indication and gestational age, know the morphological patterns, have reference tables of the normality of the different intracranial structures for GD and follow the systematics proposed by scientific societies. The objective of this article is to describe the different planes and provide readers with the key points for the ultrasound detection of the most important and frequent malformations of the CNS.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101050"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143929404","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 : 2025-07-01Epub Date: 2025-04-12DOI: 10.1016/j.gine.2025.101036
L. Melo, C. Sousa, I. Santos Silva
Until 2014, the options available for women suffering from absolute uterine factor infertility (AUFI) to experience motherhood were adoption or surrogacy and uterine transplantation (UTx) changes this paradigm, emerging as a possible treatment for these patients and despite being associated with a significant risk of morbidity, with 3 or 4 surgeries and immunosuppression being indispensable until hysterectomy is performed, studies prove that pregnancy after UTx is possible, safe and capable of creating healthy newborns.
{"title":"Pregnancy after uterine transplantation. What can we tell to women?","authors":"L. Melo, C. Sousa, I. Santos Silva","doi":"10.1016/j.gine.2025.101036","DOIUrl":"10.1016/j.gine.2025.101036","url":null,"abstract":"<div><div>Until 2014, the options available for women suffering from absolute uterine factor infertility (AUFI) to experience motherhood were adoption or surrogacy and uterine transplantation (UTx) changes this paradigm, emerging as a possible treatment for these patients and despite being associated with a significant risk of morbidity, with 3 or 4 surgeries and immunosuppression being indispensable until hysterectomy is performed, studies prove that pregnancy after UTx is possible, safe and capable of creating healthy newborns.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101036"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143823606","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 : 2025-07-01Epub Date: 2025-04-17DOI: 10.1016/j.gine.2025.101035
M.R. Noguero , A. Azcoaga , C. Valentín , M. De Matías , J.A. Rueda , S. Bartolomé , E. Abreu , R. Barba , A.B. Cuesta
Aims
This study aimed to evaluate the operative time, hospital stay and complications in patients undergoing robotic gynaecological surgery before and after completing the surgical team's learning curve.
Methods
Observational retrospective study that included 185 patients who underwent Da Vinci robot-assisted gynaecological surgery from January 2013 to December 2021 at the Gynaecology and Obstetrics Department of the Rey Juan Carlos University Hospital (Spain). The sample was divided into two groups: those conducted before and after the completion of the established learning curve, set at 35 procedures per surgeon.
Results
During the study period, 185 patients underwent robot-assisted gynaecological surgery, 77 (41.6%) during period one and 108 (58.4%) during period two after. The median reduction in operative time was 43 min (95% CI 17–70) in period two compared to period one. The median length of hospital stay was two days (IQR = 2–3) and one day (IQR = 1–2) (p = 0.001) respectively. There were no statistically significant differences in transfusion rates, complications, and readmissions.
Conclusions
Completing the learning curve significantly reduced the operative time and hospital stay. While there were fewer complications during the second period, these differences were not statistically significant.
{"title":"Development of a gynecological robotic surgery program with the Da Vinci system: Beginnings and consolidation","authors":"M.R. Noguero , A. Azcoaga , C. Valentín , M. De Matías , J.A. Rueda , S. Bartolomé , E. Abreu , R. Barba , A.B. Cuesta","doi":"10.1016/j.gine.2025.101035","DOIUrl":"10.1016/j.gine.2025.101035","url":null,"abstract":"<div><h3>Aims</h3><div>This study aimed to evaluate the operative time, hospital stay and complications in patients undergoing robotic gynaecological surgery before and after completing the surgical team's learning curve.</div></div><div><h3>Methods</h3><div>Observational retrospective study that included 185 patients who underwent Da Vinci robot-assisted gynaecological surgery from January 2013 to December 2021 at the Gynaecology and Obstetrics Department of the Rey Juan Carlos University Hospital (Spain). The sample was divided into two groups: those conducted before and after the completion of the established learning curve, set at 35 procedures per surgeon.</div></div><div><h3>Results</h3><div>During the study period, 185 patients underwent robot-assisted gynaecological surgery, 77 (41.6%) during period one and 108 (58.4%) during period two after. The median reduction in operative time was 43<!--> <!-->min (95% CI 17–70) in period two compared to period one. The median length of hospital stay was two days (IQR<!--> <!-->=<!--> <!-->2–3) and one day (IQR<!--> <!-->=<!--> <!-->1–2) (<em>p</em> <!-->=<!--> <!-->0.001) respectively. There were no statistically significant differences in transfusion rates, complications, and readmissions.</div></div><div><h3>Conclusions</h3><div>Completing the learning curve significantly reduced the operative time and hospital stay. While there were fewer complications during the second period, these differences were not statistically significant.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 3","pages":"Article 101035"},"PeriodicalIF":0.1,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143839377","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 : 2025-04-01Epub Date: 2025-01-15DOI: 10.1016/j.gine.2024.101018
J.A. García-Mejido , F. Fernández-Palacín , J.A. Sainz-Bueno
We want to determine what the diagnostic criteria for pelvic organ prolapse (POP) should be for each pelvic compartment, establishing their diagnostic capability based on the current literature.
This is a systematic review and meta-analysis of studies published until March 2024 that compared the diagnosis of POP between transperineal ultrasound and clinical POP-Q examination. The authors searched various databases including PubMed/MEDLINE, Scopus, Web of Science, CINAHL, The Cochrane Library and ClinicalTrials.gov.
The Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool was used to assess study quality. Estimates of odds ratios, 95% confidence intervals and significance of sensitivity and specificity were obtained by aggregating all selected studies. All analyses were performed with R software.
The search identified 2359 citations and after applying the inclusion and exclusion criteria, a total of 8 studies were finally included. All studies were considered to have low applicability concerns in terms of patient selection, index test, reference standard, flow and timing. The pooled sensitivity for ultrasound diagnosis of POP was 72.3% with a standard error of 3.1% (p < 0.001), tau of 0.11, I2 of 97.1% (p < 0.001). The pooled specificity for ultrasound diagnosis of POP was 78.0% with a standard error of 4.4% (p < 0.001), tau of 0.16, I2 of 98.6% (p < 0.001).
The value of 10 mm is the cut-off point for the diagnosis of symptomatic cystocele (static measurement). A value of 15 mm is used for the diagnosis of symptomatic rectocele (static measurement) and for uterine prolapse (dynamic measurement). The current evidence is limited, so future research is needed to provide further confirmation.
{"title":"Systematic review and meta-analysis of the ultrasound diagnosis of pelvic organ prolapse (MUDPOP)","authors":"J.A. García-Mejido , F. Fernández-Palacín , J.A. Sainz-Bueno","doi":"10.1016/j.gine.2024.101018","DOIUrl":"10.1016/j.gine.2024.101018","url":null,"abstract":"<div><div>We want to determine what the diagnostic criteria for pelvic organ prolapse (POP) should be for each pelvic compartment, establishing their diagnostic capability based on the current literature.</div><div>This is a systematic review and meta-analysis of studies published until March 2024 that compared the diagnosis of POP between transperineal ultrasound and clinical POP-Q examination. The authors searched various databases including PubMed/MEDLINE, Scopus, Web of Science, CINAHL, The Cochrane Library and ClinicalTrials.gov.</div><div>The Quality Assessment of Diagnostic Accuracy Studies-2 (QUADAS-2) tool was used to assess study quality. Estimates of odds ratios, 95% confidence intervals and significance of sensitivity and specificity were obtained by aggregating all selected studies. All analyses were performed with R software.</div><div>The search identified 2359 citations and after applying the inclusion and exclusion criteria, a total of 8 studies were finally included. All studies were considered to have low applicability concerns in terms of patient selection, index test, reference standard, flow and timing. The pooled sensitivity for ultrasound diagnosis of POP was 72.3% with a standard error of 3.1% (<em>p</em> <!--><<!--> <!-->0.001), tau of 0.11, <em>I</em><sup>2</sup> of 97.1% (<em>p</em> <!--><<!--> <!-->0.001). The pooled specificity for ultrasound diagnosis of POP was 78.0% with a standard error of 4.4% (<em>p</em> <!--><<!--> <!-->0.001), tau of 0.16, <em>I</em><sup>2</sup> of 98.6% (<em>p</em> <!--><<!--> <!-->0.001).</div><div>The value of 10<!--> <!-->mm is the cut-off point for the diagnosis of symptomatic cystocele (static measurement). A value of 15<!--> <!-->mm is used for the diagnosis of symptomatic rectocele (static measurement) and for uterine prolapse (dynamic measurement). The current evidence is limited, so future research is needed to provide further confirmation.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 2","pages":"Article 101018"},"PeriodicalIF":0.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143168601","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 : 2025-04-01Epub Date: 2025-04-11DOI: 10.1016/j.gine.2025.101033
L. López-Vendrell , L. Blay , I. Pascual , P. Rodriguez , A. Mariscal , M.A. Luna , C. Rios , A. Olivé , J.F. Julian , I. Casafont-Solé
Idiopathic granulomatous mastitis (IGM) is a rare benign chronic inflammatory disease. Diagnosis is by exclusion with histopathological confirmation. Treatment, although not standardized, is medical, complemented with percutaneous drainage and/or surgical treatment. A retrospective observational study of 14 patients diagnosed with IGM at the Germans Trias i Pujol Hospital between 2015 and 2020 was carried out. The average age was 39 years. The most frequent clinical presentation was a solitary painful mass (7/14) in the left breast (8/14). Risk factors were observed in 12 patients (12/14). Treatment in 11 patients (11/14) was with prednisone (PDN). In the absence of clinical remission, methotrexate (MTX) was administered to 6 patients (6/14), and 2 received anti-TNF (2/14) after not responding to PDN or MTX. Antibiotics were administered to 8 patients (8/14), 6 patients required percutaneous drainage (6/14), and 1 patient required surgery. IGM is a rare disease that affects young women. A multidisciplinary and protocolized approach will allow for early diagnosis and treatment.
{"title":"Mastitis granulomatosa: ¿quién, cuándo y cómo? Revisión de 14 casos","authors":"L. López-Vendrell , L. Blay , I. Pascual , P. Rodriguez , A. Mariscal , M.A. Luna , C. Rios , A. Olivé , J.F. Julian , I. Casafont-Solé","doi":"10.1016/j.gine.2025.101033","DOIUrl":"10.1016/j.gine.2025.101033","url":null,"abstract":"<div><div>Idiopathic granulomatous mastitis (IGM) is a rare benign chronic inflammatory disease. Diagnosis is by exclusion with histopathological confirmation. Treatment, although not standardized, is medical, complemented with percutaneous drainage and/or surgical treatment. A retrospective observational study of 14 patients diagnosed with IGM at the Germans Trias i Pujol Hospital between 2015 and 2020 was carried out. The average age was 39<!--> <!-->years. The most frequent clinical presentation was a solitary painful mass (7/14) in the left breast (8/14). Risk factors were observed in 12 patients (12/14). Treatment in 11 patients (11/14) was with prednisone (PDN). In the absence of clinical remission, methotrexate (MTX) was administered to 6 patients (6/14), and 2 received anti-TNF (2/14) after not responding to PDN or MTX. Antibiotics were administered to 8 patients (8/14), 6 patients required percutaneous drainage (6/14), and 1<!--> <!-->patient required surgery. IGM is a rare disease that affects young women. A multidisciplinary and protocolized approach will allow for early diagnosis and treatment.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 2","pages":"Article 101033"},"PeriodicalIF":0.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143817313","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 : 2025-04-01Epub Date: 2025-02-11DOI: 10.1016/j.gine.2024.101015
D. Vela , F. Bernardez , C. Braxs , J. Calaf , E. Calle , P. Carpintero , J. Castañeda , F. Carmona
This article reviews two highly prevalent medical conditions: abnormal uterine bleeding (AUB) and heavy menstrual bleeding (HMB), highlighting their impact on women's health and quality of life. It is noted that AUB, particularly HMB, is associated with iron deficiency and anemia, which not only affect physical health but also emotional well-being and work productivity. The importance of early detection and appropriate management to prevent long-term complications is emphasized.
The article reviews the physiology of menstrual bleeding, the structural and non-structural causes of AUB according to the PALM-COEIN classification, and the relevance of iron metabolism in these conditions. Additionally, it discusses the epidemiology of AUB and HMB, noting that these conditions are underdiagnosed, which perpetuates their negative impact.
Methods
for diagnosing HMB in clinical practice are proposed, including qualitative tools such as questionnaires, and the importance of a comprehensive approach that considers the impact of bleeding on patients’ quality of life is highlighted. Finally, treatment strategies for HMB and iron deficiency are discussed, emphasizing the need for individualized and appropriate management.
{"title":"Ferritina antes que hemoglobina. Impacto del sangrado uterino anormal en la calidad de vida","authors":"D. Vela , F. Bernardez , C. Braxs , J. Calaf , E. Calle , P. Carpintero , J. Castañeda , F. Carmona","doi":"10.1016/j.gine.2024.101015","DOIUrl":"10.1016/j.gine.2024.101015","url":null,"abstract":"<div><div>This article reviews two highly prevalent medical conditions: abnormal uterine bleeding (AUB) and heavy menstrual bleeding (HMB), highlighting their impact on women's health and quality of life. It is noted that AUB, particularly HMB, is associated with iron deficiency and anemia, which not only affect physical health but also emotional well-being and work productivity. The importance of early detection and appropriate management to prevent long-term complications is emphasized.</div><div>The article reviews the physiology of menstrual bleeding, the structural and non-structural causes of AUB according to the PALM-COEIN classification, and the relevance of iron metabolism in these conditions. Additionally, it discusses the epidemiology of AUB and HMB, noting that these conditions are underdiagnosed, which perpetuates their negative impact.</div></div><div><h3>Methods</h3><div>for diagnosing HMB in clinical practice are proposed, including qualitative tools such as questionnaires, and the importance of a comprehensive approach that considers the impact of bleeding on patients’ quality of life is highlighted. Finally, treatment strategies for HMB and iron deficiency are discussed, emphasizing the need for individualized and appropriate management.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 2","pages":"Article 101015"},"PeriodicalIF":0.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143863747","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 : 2025-04-01Epub Date: 2025-02-19DOI: 10.1016/j.gine.2024.101029
A. Mangana Molina , I. Da Cuña Carrera , A. Alonso Calvete , L. Núñez Remiseiro , M. Fernández Paz
Postmenopause is the period following menopause, where women experience a series of changes, including vasomotor symptoms, difficulty sleeping, low mood, and vaginal dryness. These are associated with a deterioration in physical, mental and sexual health, which decreases women's quality of life. Physiotherapy as a therapeutic alternative has great benefits to relieve these symptoms, so this review aims to compile the most current scientific literature to evaluate its effects on the quality of life of postmenopausal women. A bibliographic search was carried out during the month of December 2023 in the PubMed, Web of Science, Medline, Scopus, CINAHL, Cochrane Library and PEDro databases. The descriptors «Physical Therapy Modalities», «Menopause», «Climacteric» and «Quality of Life» were used. Randomized clinical trials that were published in the last 6 years in English or Spanish were included. After applying the eligibility criteria, 9 results were obtained. The chosen studies developed different physiotherapy interventions, including different exercise programs, yoga or Pilates sessions, craniofacial massage and even psycho-educational programs. In all of them, the main variable analyzed was quality of life. The different modalities of physical therapy seem to improve symptoms and, therefore, the quality of life of women in the postmenopausal stage.
绝经后是指绝经后的一段时间，女性会经历一系列变化，包括血管舒缩症状、睡眠困难、情绪低落和阴道干燥。这些都与身体、精神和性健康的恶化有关，从而降低了妇女的生活质量。物理治疗作为一种治疗方法对缓解这些症状有很大的好处，因此本综述旨在收集最新的科学文献来评估其对绝经后妇女生活质量的影响。我们于2023年12月在PubMed、Web of Science、Medline、Scopus、CINAHL、Cochrane Library和PEDro数据库中进行了文献检索。使用了描述符“物理治疗方式”、“更年期”、“更年期”和“生活质量”。在过去6年中以英语或西班牙语发表的随机临床试验也被纳入其中。应用合格标准，得到9个结果。所选的研究开发了不同的物理治疗干预措施，包括不同的运动项目，瑜伽或普拉提课程，颅面按摩，甚至心理教育项目。在所有这些研究中，分析的主要变量是生活质量。不同形式的物理治疗似乎改善症状，因此，生活质量的妇女在绝经后阶段。
{"title":"Fisioterapia en la calidad de vida de las mujeres posmenopáusicas","authors":"A. Mangana Molina , I. Da Cuña Carrera , A. Alonso Calvete , L. Núñez Remiseiro , M. Fernández Paz","doi":"10.1016/j.gine.2024.101029","DOIUrl":"10.1016/j.gine.2024.101029","url":null,"abstract":"<div><div>Postmenopause is the period following menopause, where women experience a series of changes, including vasomotor symptoms, difficulty sleeping, low mood, and vaginal dryness. These are associated with a deterioration in physical, mental and sexual health, which decreases women's quality of life. Physiotherapy as a therapeutic alternative has great benefits to relieve these symptoms, so this review aims to compile the most current scientific literature to evaluate its effects on the quality of life of postmenopausal women. A bibliographic search was carried out during the month of December 2023 in the PubMed, Web of Science, Medline, Scopus, CINAHL, Cochrane Library and PEDro databases. The descriptors «Physical Therapy Modalities», «Menopause», «Climacteric» and «Quality of Life» were used. Randomized clinical trials that were published in the last 6 years in English or Spanish were included. After applying the eligibility criteria, 9 results were obtained. The chosen studies developed different physiotherapy interventions, including different exercise programs, yoga or Pilates sessions, craniofacial massage and even psycho-educational programs. In all of them, the main variable analyzed was quality of life. The different modalities of physical therapy seem to improve symptoms and, therefore, the quality of life of women in the postmenopausal stage.</div></div>","PeriodicalId":41294,"journal":{"name":"Clinica e Investigacion en Ginecologia y Obstetricia","volume":"52 2","pages":"Article 101029"},"PeriodicalIF":0.1,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143864554","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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