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Enormous Ovarian Borderline Serous Cystic Fibroma in Postmenopausal Patient. A Case 绝经后患者的巨大卵巢交界性浆液性囊性纤维瘤。一个案例
Pub Date : 2019-08-12 DOI: 10.33552/wjgwh.2019.02.000544
Sofoudis Chrisostomos, Moschopoulou Sevasti, Apessou Dimitra, Manes Konstantinos, Fagrezos Dimitrios, Karouta Afroditi, S. MayiTsonga, Gerolymatos Andreas
Sofoudis Chrisostomos1*, Moschopoulou Sevasti1, Apessou Dimitra2, Manes Konstantinos3, Fagrezos Dimitrios4, Karouta Afroditi5 and Gerolymatos Andreas1 1Department of Obstetrics and Gynecology, Konstandopoulio General Hospital Athens, Greece 2Department of Pathology, Konstandopoulio General Hospital Athens, Greece 3Department of Surgery, Konstandopoulio General Hospital Athens, Greece 4Department of Computed Tomography, Konstandopoulio General Hospital Athens, Greece 5Department of Ultrasound, Konstandopoulio General Hospital Athens, Greece
Sofoudis Chrisostomos1*, Moschopoulou Sevasti1, Apessou Dimitra2, Manes Konstantinos3, Fagrezos Dimitrios4, Karouta Afroditi5和Gerolymatos Andreas1 1希腊雅典Konstandopoulio综合医院妇产科2希腊雅典Konstandopoulio综合医院病理部3希腊雅典Konstandopoulio综合医院外科4希腊雅典Konstandopoulio综合医院计算机断层摄影部5希腊雅典Konstandopoulio综合医院超声部,希腊雅典Konstandopoulio总医院
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引用次数: 0
Struvite “Sand” in the Vagina as Diagnostic Factor for New-onset Vesicovaginal Fistula and Pessary Management When Present 阴道鸟粪石“沙”作为新发膀胱阴道瘘的诊断因素及存在时的子宫内膜处理
Pub Date : 2019-08-12 DOI: 10.33552/wjgwh.2019.02.000547
A. Cervera, Denise Umpierrez Morley, Mary-Jane McEneaney, Ladin Yurteri Kaplan
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引用次数: 0
Analysis of The Results of Cervical Cancer Screening Campaigns at Owendo’s CHU Maternity Hospital 欧文多CHU妇产医院子宫颈癌筛查活动结果分析
Pub Date : 2019-07-19 DOI: 10.33552/wjgwh.2019.02.000543
Sima Ole B
Introduction: cervical cancer is a common cancer. It is accessible for early detection and treatment. The aim was to describe and analyze the lesions observed and their management with a view to reducing the rate of female cancer morbidity and death in Gabon. Methodology: this was a 31-day descriptive and analytical cross-sectional study over two successive years (2017 and 2018), 62 days. All women who consulted for cervical cancer screening were enrolled. Visual inspection methods (VIA/IVIL) were the procedure method, a biopsy was indicated or not, and management was codified. A simple descriptive analysis and the results expressed as a percentage and on average were performed. Results: the target population was 629 women (45.45%) in 2017 and 755 (54.55%) in 2018, or 1,384 women and an increase of 9.10%. The average age of women was 37.02±1.2 years [15-72 years]. The 25-39 age groups were the most represented (51.5%), 24.4% were over 50 and 68.56% were single. There were as many IELG (4.77%) as there were IELHG (4.48%). Eight cases of invasive cancer (0.58%) were found including 3 cases in the 15-24 age. All precancerous lesions were immediately treated and all 8 cancers were surgically treated after Multidisciplinary Consultation Meeting (MCM) Conclusion: organized screening and efficient use of resources reduce the mortality of women from cervical cancer. Key words: cervical cancer-screening-VIA/VIL-mother mortality.
简介:子宫颈癌是一种常见的癌症。它易于早期发现和治疗。目的是描述和分析观察到的病变及其管理,以降低加蓬女性癌症发病率和死亡率。方法:这是一项为期31天的描述性和分析性横断面研究,连续两年(2017年和2018年),共62天。所有接受子宫颈癌筛查咨询的妇女都被纳入研究。目视检查方法(VIA/IVIL)为程序方法,是否需要活检,并制定了管理方法。一个简单的描述性分析和结果表示为百分比和平均执行。结果:2017年的目标人群为629名女性(45.45%),2018年为755名女性(54.55%),增加了1384名女性,增加了9.10%。女性平均年龄为37.02±1.2岁[15-72岁]。25-39岁年龄段占比最高(51.5%),50岁以上占24.4%,单身占68.56%。IELG人数(4.77%)与IELHG人数(4.48%)相当。浸润性癌8例(0.58%),其中15 ~ 24岁3例。多学科会诊会议(MCM)后,所有癌前病变均立即得到治疗,8例癌均行手术治疗。结论:有组织的筛查和有效的资源利用降低了宫颈癌妇女的死亡率。关键词:宫颈癌筛查- via / vil -母亲死亡率;
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引用次数: 0
Practice of Manual Intrauterine Aspiration for Post- Abortion Care (PAC): Prospective Study of 137 Cases at Owendo’s CHU Maternity Hospital 人工宫内抽吸用于流产后护理(PAC)的实践——对Owendo的CHU妇产医院137例患者的前瞻性研究
Pub Date : 2019-07-17 DOI: 10.33552/wjgwh.2019.02.000542
B SimaOle, C. O. Mounguengui, R. Obame, G MadiTangani, G MbaEdou, L Ebanga, A MewieLendzinga, B. Ja, S. MayiTsonga, N. Jp, Meye Jf
According to the WHO, induced abortion today is one of the frequent complications of the first trimester of pregnancy and one of the pillars responsible for maternal deaths in low-income countries [1,2]. Worldwide, 20 million at-risk abortions and 80000 deaths per year are recorded or 1/8 deaths. Africa has 3.7 million and 23 miles of deaths as a result of these complications [3]. Abortion is a public health problem that affects women of all ages, but especially young women who are less financially well off and less informed about family planning services. Moreover, these are most often advanced clinical forms and their management is often delayed [1]. This delay is multifactorial. In 2009, a series produced by Mayi-Tsonga and al. At the Libreville University Hospital showed that women died from unsafe abortions. These deaths were related to long delays in receiving emergency obstetric care (EOC) [4]. The authorities then supported the recommendations of the Hospital Committee on Maternal Mortality, which called for shortening delays and also improving the care of women suffering from abortion complications. This explains why the Gabonese Society of Obstetric Gynecology and Reproduction (GSOGR) have agreed to participate in the FIGO initiative for the prevention of unsafe abortions and their consequences [5]. For example, hospitals have introduced manual intra-uterine aspiration training (MIA) into health care provider. It is a method of uterine evacuation that mobilizes few means, accessible by all health formations and preserves fertility by avoiding immediate complications. It can be made using syringe Abstract Objective: Describe and analyze the practice of MIA in our environment with a view of contributing to the reduction of morbidity and maternal mortality.
根据世界卫生组织的说法,人工流产是妊娠早期常见的并发症之一,也是低收入国家孕产妇死亡的支柱之一[1,2]。在全球范围内,每年有2000万例高危堕胎和8万例死亡,占死亡人数的1/8。非洲有370万人和23英里的人死于这些并发症[3]。堕胎是一个影响所有年龄段妇女的公共卫生问题,尤其是经济状况较差、对计划生育服务了解较少的年轻妇女。此外,这些通常是高级临床形式,其管理往往被推迟[1]。这种延迟是多因素的。2009年,Mayi Tsonga等人在利伯维尔大学医院制作的一个系列节目显示,妇女死于不安全的堕胎。这些死亡与长期延迟接受产科急诊(EOC)有关[4]。当局随后支持医院孕产妇死亡率委员会的建议,该委员会呼吁缩短延误时间,并改善对患有堕胎并发症的妇女的护理。这就解释了为什么加蓬妇产科和生殖学会(GSOGR)同意参与FIGO预防不安全堕胎及其后果的倡议[5]。例如,医院已经将人工子宫内抽吸训练(MIA)引入医疗保健提供者。这是一种子宫排空方法,调动的手段很少,所有健康组织都可以使用,并通过避免直接并发症来保持生育能力。摘要目的:描述和分析MIA在我们的环境中的实践,以期有助于降低发病率和孕产妇死亡率。
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引用次数: 0
Death from Acute Hyponatremia Following Uneventful Abdominal Hysterectomy: Lessons from a Case Report 平稳腹部子宫切除术后急性低钠血症死亡:一例报告的经验教训
Pub Date : 2019-06-10 DOI: 10.33552/WJGWH.2019.02.000541
G. Vilos
A 38-year-old woman underwent a routine/uneventful abdominal hysterectomy for abnormal uterine bleeding (AUB) and uterine fibroids. Approximately 24 hours later, she developed severe hyponatremia (Na = 118 mEq/L), brain edema and coma, and she died 3 days later. The mechanism of hyponatremia was, likely, due to excessive and/or inappropriate fluid infusion of 2/3:1/3 solution. The inability to regulate her fluids and electrolytes (Na and K), was, likely, related to addback estrogen therapy given for 3 months preoperatively in conjunction with a GnRH agonist to optimize the patient’s hemoglobin and shrink the uterus/fibroids. It has been known that postmenopausal women and men can regulate excessive hyponatremic fluid absorption and electrolytes better than premenopausal women implicating an estrogen role. Estrogen has been found to inhibit the Na/K-ATPase pump in a variety of tissues/organs including the brain. This woman’s pathology of the endometrium was reported as proliferative indicating that enough estrogen may have been available to inhibit her Na/K-ATPase pump resulting in inability to regulate her fluids and electrolytes leading to her death.
一位38岁的女性因异常子宫出血(AUB)和子宫肌瘤接受了常规/平稳的腹部子宫切除术。约24小时后,患者出现严重低钠血症(Na = 118 mEq/L)、脑水肿和昏迷,3天后死亡。低钠血症的机制可能是由于过量和/或不适当的液体输注2/3:1/3溶液。无法调节她的液体和电解质(钠和钾),可能与术前3个月的补品雌激素治疗联合GnRH激动剂以优化患者的血红蛋白和缩小子宫/肌瘤有关。众所周知,绝经后的女性和男性可以比绝经前的女性更好地调节过度的低钠血症液体吸收和电解质,这意味着雌激素的作用。雌激素已被发现可以抑制包括大脑在内的多种组织/器官中的Na/ k - atp酶泵。据报道,这名妇女的子宫内膜病理呈增生性,表明可能有足够的雌激素可用于抑制她的Na/ k - atp酶泵,导致无法调节她的液体和电解质,导致她死亡。
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引用次数: 2
Importance of Sonographic Endometrial Morphology in Detecting Hyperplasia and Carcinoma 子宫内膜声像图形态学在检测增生和癌中的重要性
Pub Date : 2019-06-03 DOI: 10.33552/WJGWH.2019.02.000540
B. Petrikovsky
In 2008, the American College of Obstetricians and Gynecologists (ACOG) put together a special committee to produce recommendations on the role of transvaginal sonography to evaluate endometrium in postmenopausal women [1]. Transvaginal ultrasonography usually is sufficient for an initial evaluation of postmenopausal bleeding if the ultrasound images reveal a thin endometrial echo (less than or equal to 4 mm), given that an endometrial thickness of 4mm or less has a greater than 99% negative predictive value for endometrial value for endometrial cancer [1].
2008年,美国妇产科学会(ACOG)成立了一个特别委员会,就经阴道超声在评估绝经后妇女子宫内膜方面的作用提出建议[1]。如果超声图像显示子宫内膜回声较薄(小于或等于4mm),经阴道超声通常足以对绝经后出血进行初步评估,因为子宫内膜厚度为4mm或以下对子宫内膜癌症的子宫内膜价值的阴性预测值大于99%[1]。
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引用次数: 1
Updates in Management of Hypertensive Disorders of Pregnancy 妊娠期高血压疾病管理的最新进展
Pub Date : 2019-05-28 DOI: 10.33552/WJGWH.2019.02.000539
A. Gabra, M. Gabra
Hypertensive disorders of pregnancy (HDP) were discovered a long time ago but our knowledge about their etiopathogenesis are still limited. These disorders can affect many pregnant women all over the world putting them, their families and their countries under significant health burden. The main goal of all research efforts regarding treatment of HDP is how to prevent highly morbid complications and mortality of HDP that may affect both mother and fetus. Delivery is the main line of treatment for severe cases but we have to put in our mind risk of prematurity as a possible outcome in case of termination besides the possibility of incidence of complications like eclampsia and hypertensive emergency postnatally. Researchers believed that studies working on prevention would result in major improvement of overall women care worldwide, and screening will definitely allow prompt starting therapy for those patients and prevent further sequences. Recently many guidelines support and recommend Aspirin 81 mg for the prevention of preeclampsia in high-risk patients using evidence-based data about the time and indications of its intake. Great efforts have been contributed to developing evidence-based guidelines to enhance our strategies to deal with these disorders. Reviewing, pooling and comparing these guidelines would help us to refine our questions that may need to be answered by further studies. Trials confirmed that application of standardized strategies for treating HDP significantly improves both maternal and fetal outcomes. In this article, we are going to review recent updates and guidelines about the treatment of HDP and provide references for your further readings.
妊娠期高血压疾病(HDP)很早就被发现,但对其发病机制的了解仍然有限。这些疾病可影响世界各地的许多孕妇,使她们、她们的家庭和她们的国家承受巨大的健康负担。所有关于HDP治疗的研究工作的主要目标是如何预防可能影响母亲和胎儿的HDP的高发病率并发症和死亡率。分娩是严重病例的主要治疗方法,但我们必须考虑到,在终止妊娠的情况下,除了可能发生子痫和产后高血压等并发症外,还可能出现早产的风险。研究人员认为,研究预防工作将导致全球范围内女性护理的重大改善,筛查肯定会让这些患者及时开始治疗,并防止进一步的序列。最近,许多指南支持并推荐阿司匹林81mg用于预防高危患者的子痫前期,并使用了关于服用时间和适应症的循证数据。在制定以证据为基础的指导方针以加强我们处理这些疾病的战略方面作出了巨大努力。回顾、汇总和比较这些指导方针将有助于我们完善我们的问题,这些问题可能需要进一步的研究来回答。试验证实,应用标准化策略治疗HDP可显著改善产妇和胎儿结局。在本文中,我们将回顾最近关于HDP治疗的更新和指南,并为您进一步阅读提供参考。
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引用次数: 0
Association of Cytomegalo-Virus and Rubella Virus Infections in Pregnant Women with bad Obstetric History 不良产科史孕妇巨细胞病毒和风疹病毒感染的相关性
Pub Date : 2019-05-22 DOI: 10.33552/WJGWH.2019.02.000538
H. A. Shamahy
Background: Bad obstetric history (BOH) comprises of previous adverse fetal consequences in terms of two or more successive spontaneous abortions, early neonatal deaths, stillbirths, intrauterine fetal deaths, intrauterine growth retardations and congenital anomalies. The infections which are caused by Rubella virus and CMV during pregnancy are often associated with adverse fetus outcomes and reproductive failures. In the Yemen context, the exact seroprevalence of these infections is not known due to unavailability of baseline data. Objectives: The main aim of this study was to determine the correlation of the main viral TORCH infections (Rubella and CMV) during pregnancy among Yemeni females with BOH. Methods: Two hundred- sixty-eight serum samples were collected from participants having BOH, attending Department of Obstetrics and Gynecology, Al-Sabian University hospital, Sana’a city during the period of September 2017 to September 2018. IgM antibodies for Rubella virus and CMV were detected by micro-capture ELISA tests. Results: The common causes of BOH were abortion (52.6%), intrauterine fetal death (22%) followed by intrauterine growth retardation (10.4%). Fourteen (5.2%) of pregnant women were positive for CMV IgM antibodies, 10 (3.7%) for Rubella IgM antibodies and 4 (1.5%) for CMV- Rubella virus in combination; indicating recent infections. There was significant association between the positive results of anti-CMV IgM -anti-Rubella IgM with age group ≥ 36 years (OR=31,6.2 respectively). Also, there was a significant association between the positive results of anti-CMV IgM with congenital deformation (OR=10.2, p<0.001). Conclusion: IgM antibody positivity was high for Rubella and CMV and there is a strong association of these agents with BOH. Thus, screening and early diagnosis for these pathogens in women can help in proper management of these cases to prevent fetus loss.
背景:不良产科病史(BOH)包括两次或两次以上连续自然流产、新生儿早期死亡、死产、宫内胎儿死亡、宫内生长迟缓和先天性畸形等既往不良胎儿后果。妊娠期间由风疹病毒和巨细胞病毒引起的感染通常与不良的胎儿结局和生殖失败有关。在也门,由于缺乏基线数据,这些感染的确切血清流行率尚不清楚。目的:本研究的主要目的是确定也门女性BOH妊娠期间主要病毒TORCH感染(风疹和CMV)的相关性。方法:在2017年9月至2018年9月期间,从萨那市Al Sabian大学医院妇产科就诊的患有BOH的参与者身上采集了268份血清样本。用微量捕获ELISA法检测风疹病毒和巨细胞病毒的IgM抗体。结果:BOH的常见病因为流产(52.6%)、宫内胎儿死亡(22%)、宫内生长迟缓(10.4%),其中14例(5.2%)孕妇CMV-IgM抗体阳性,10例(3.7%)风疹IgM抗体和4例(1.5%)CMV-风疹病毒联合阳性;表明近期感染。抗CMV IgM和抗风疹IgM阳性结果与≥36岁年龄组有显著相关性(OR=31,6.2)。抗CMV IgM阳性结果与先天性变形有显著相关性(OR=10.2,p<0.001)。因此,对妇女进行这些病原体的筛查和早期诊断有助于对这些病例进行适当的管理,以防止胎儿丢失。
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引用次数: 5
Steroids Administration at Term in Egypt: Does it become a Routine Practice? 埃及的定期类固醇管理:是否已成为一种常规做法?
Pub Date : 2019-05-03 DOI: 10.33552/WJGWH.2019.02.000537
A. Dawood, H. Salem
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引用次数: 0
Black Pregnant.2019 黑色妊娠2019
Pub Date : 2019-04-24 DOI: 10.33552/WJGWH.2019.02.000536
K. Gaither
{"title":"Black Pregnant.2019","authors":"K. Gaither","doi":"10.33552/WJGWH.2019.02.000536","DOIUrl":"https://doi.org/10.33552/WJGWH.2019.02.000536","url":null,"abstract":"","PeriodicalId":87379,"journal":{"name":"World journal of gynecology & womens health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46875044","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}
引用次数: 0
期刊
World journal of gynecology & womens health
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