Deep infiltrating endometriosis (DIE) is defined by the presence of endometrial implants, fibrosis, and muscular hyperplasia below the peritoneum, invading the tissue to a depth of more than 5 mm [1]. Deep endometriosis involves, in descending order of frequency, the uterosacral ligaments (USL), the rectosigmoid colon, the vagina, and the bladder [2]. Pain and infertility are the main manifestations of DIE, including dysmenorrhea pain, chronic pelvic pain, dyspareunia, defecation pain, dysuria and back pain. DIE lesions are deep infiltration, severe pain symptoms, poor conservative treatment, difficult surgery, pelvic adhesions, and high risk of surgical accessory injury. It has been a difficult point in clinical treatment of endometriosis and gynecological laparoscopic surgery, there is no unified clinical type and treatment specifications [3-4]. This paper reported a special case of recurrent vaginal hemorrhage caused by posterior vaginal fornix DIE.
{"title":"A Special Case Report of Aggressive Hemorrhage in Posterior Vaginal Fornix DIE","authors":"D. Tang, Junling Liu, Ruxia Shi, Yunfen Jiang, Zhongfang Zhang, Jiming Chen","doi":"10.33552/WJGWH.2018.01.000514","DOIUrl":"https://doi.org/10.33552/WJGWH.2018.01.000514","url":null,"abstract":"Deep infiltrating endometriosis (DIE) is defined by the presence of endometrial implants, fibrosis, and muscular hyperplasia below the peritoneum, invading the tissue to a depth of more than 5 mm [1]. Deep endometriosis involves, in descending order of frequency, the uterosacral ligaments (USL), the rectosigmoid colon, the vagina, and the bladder [2]. Pain and infertility are the main manifestations of DIE, including dysmenorrhea pain, chronic pelvic pain, dyspareunia, defecation pain, dysuria and back pain. DIE lesions are deep infiltration, severe pain symptoms, poor conservative treatment, difficult surgery, pelvic adhesions, and high risk of surgical accessory injury. It has been a difficult point in clinical treatment of endometriosis and gynecological laparoscopic surgery, there is no unified clinical type and treatment specifications [3-4]. This paper reported a special case of recurrent vaginal hemorrhage caused by posterior vaginal fornix DIE.","PeriodicalId":87379,"journal":{"name":"World journal of gynecology & womens health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48189936","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 : 2018-11-26DOI: 10.33552/WJGWH.2018.01.000513
J. Pirhonen
A common outcome of vaginal delivery is perineal trauma. The most serious among these injuries are thirdand fourthdegree lacerations or obstetric anal sphincter injuries. Studies have reported that 30–50% of women with these lacerations experience anal incontinence. Symptoms of anal incontinence may affect a woman’s social, psychological, and sexual life; moreover, a previous anal sphincter injury can increase the risk of recurrence in subsequent deliveries. Therefore, it is important to prevent these injuries.
{"title":"Preventing Anal Sphincter Tears During Delivery. An Update from Scandinavia","authors":"J. Pirhonen","doi":"10.33552/WJGWH.2018.01.000513","DOIUrl":"https://doi.org/10.33552/WJGWH.2018.01.000513","url":null,"abstract":"A common outcome of vaginal delivery is perineal trauma. The most serious among these injuries are thirdand fourthdegree lacerations or obstetric anal sphincter injuries. Studies have reported that 30–50% of women with these lacerations experience anal incontinence. Symptoms of anal incontinence may affect a woman’s social, psychological, and sexual life; moreover, a previous anal sphincter injury can increase the risk of recurrence in subsequent deliveries. Therefore, it is important to prevent these injuries.","PeriodicalId":87379,"journal":{"name":"World journal of gynecology & womens health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46074501","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 : 2018-11-26DOI: 10.33552/WJGWH.2018.01.000512
Azza Jaafar Bashir, Rihab Jaafar Ibrahim, Y. Elhassan, A. Alawad, S. Handady
{"title":"Maternal and Perinatal Outcomes Among Women Underwent Second-Stage Versus First-Stage Caesarean Delivery at Ibrahim Malik Hospital in Sudan","authors":"Azza Jaafar Bashir, Rihab Jaafar Ibrahim, Y. Elhassan, A. Alawad, S. Handady","doi":"10.33552/WJGWH.2018.01.000512","DOIUrl":"https://doi.org/10.33552/WJGWH.2018.01.000512","url":null,"abstract":"","PeriodicalId":87379,"journal":{"name":"World journal of gynecology & womens health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44559173","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 : 2018-11-20DOI: 10.33552/WJGWH.2018.01.000511
D. Faustin, M. Barlow, A. Trivedi, N. Ferris
{"title":"Chromosome 16 Mutations and Congenital Genitourinary Malformations","authors":"D. Faustin, M. Barlow, A. Trivedi, N. Ferris","doi":"10.33552/WJGWH.2018.01.000511","DOIUrl":"https://doi.org/10.33552/WJGWH.2018.01.000511","url":null,"abstract":"","PeriodicalId":87379,"journal":{"name":"World journal of gynecology & womens health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44043368","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 : 2018-11-16DOI: 10.33552/wjgwh.2018.01.000510
Shahrzad Abbassi Rahbar
{"title":"Achieving Tumor Free Margins: Intraoperative Pathology Consultation to Lower Re-Excision Rates at a Community Hospital","authors":"Shahrzad Abbassi Rahbar","doi":"10.33552/wjgwh.2018.01.000510","DOIUrl":"https://doi.org/10.33552/wjgwh.2018.01.000510","url":null,"abstract":"","PeriodicalId":87379,"journal":{"name":"World journal of gynecology & womens health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69448871","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 : 2018-11-13DOI: 10.33552/wjgwh.2018.01.000509
Ahmed M Abbas
{"title":"Biosimilar FSH Preparations Versus Highly Purified Urinary FSH for Simple Ovulation Induction in Infertile Women with Polycystic Ovary Syndrome","authors":"Ahmed M Abbas","doi":"10.33552/wjgwh.2018.01.000509","DOIUrl":"https://doi.org/10.33552/wjgwh.2018.01.000509","url":null,"abstract":"","PeriodicalId":87379,"journal":{"name":"World journal of gynecology & womens health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44349049","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 : 2018-10-29DOI: 10.33552/wjgwh.2018.01.000508
Hassan A Al Shamahy
{"title":"Uterine Rupture and Associated Factors During Labor Amongst Women Delivered in Saudi Hajjah Hospital in Hajjah City North West Yemen","authors":"Hassan A Al Shamahy","doi":"10.33552/wjgwh.2018.01.000508","DOIUrl":"https://doi.org/10.33552/wjgwh.2018.01.000508","url":null,"abstract":"","PeriodicalId":87379,"journal":{"name":"World journal of gynecology & womens health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69448866","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 : 2018-10-12DOI: 10.33552/WJGWH.2018.01.000507
M. Rius, L. Quintas, S. Kauffmann, A. Perez, M Ridaura, C Gurruchaga, F. Carmona, M. Mokni
Background: Endometriosis causes chronic pelvic pain in many of the women affected, which may not remit after surgery or pharmacological treatment. Physical exercise as complementary therapy has already shown to be beneficial QoL in some chronic diseases, including endometriosis, but has not hitherto tested in the form of dance. Material and Methods: A prospective cohort-proof-of-concept, open-label study, was conducted during the first half of 2017 in a private gynecologic center in Barcelona (Spain). Participants attended 12 dance sessions along eight weeks and were followed for one month after the end of the therapy. 6 nulliparous women who had been preciously treated by one or more surgeries, without current evidence of endometriosis but complaining of endometriosis-related chronic pelvic pain were included in this proof-ofconcept study. Pain, QoL and anxiety and kinesiophobia parameters were measured along the study. Results: Results showed a benefit for the QoL parameters, being significant for the SF-36, which improved in a 20.5% for its Mental Component Summary and in a 16.4% for its Physical Component Summary. The other parameters did not reach clinical significance although improvement outcomes were observed for Zung scale and Tampa scale of kinesiophobia. Pain outcomes, measured with the Endometriosis Associated Pelvic Pain scale, did not show a significant improvement along the study. Conclusion: Although studies with more ambitious design are needed in order to extrapolate the results of this proof of concept, physical exercise seems to have a beneficial effect on QoL of women with endometriosis-related chronic pain
{"title":"Therapeutic Role of Dance in the Treatment of Endometriosis-Related Chronic Pelvic Pain: A Proof-of-Concept Study","authors":"M. Rius, L. Quintas, S. Kauffmann, A. Perez, M Ridaura, C Gurruchaga, F. Carmona, M. Mokni","doi":"10.33552/WJGWH.2018.01.000507","DOIUrl":"https://doi.org/10.33552/WJGWH.2018.01.000507","url":null,"abstract":"Background: Endometriosis causes chronic pelvic pain in many of the women affected, which may not remit after surgery or pharmacological treatment. Physical exercise as complementary therapy has already shown to be beneficial QoL in some chronic diseases, including endometriosis, but has not hitherto tested in the form of dance. Material and Methods: A prospective cohort-proof-of-concept, open-label study, was conducted during the first half of 2017 in a private gynecologic center in Barcelona (Spain). Participants attended 12 dance sessions along eight weeks and were followed for one month after the end of the therapy. 6 nulliparous women who had been preciously treated by one or more surgeries, without current evidence of endometriosis but complaining of endometriosis-related chronic pelvic pain were included in this proof-ofconcept study. Pain, QoL and anxiety and kinesiophobia parameters were measured along the study. Results: Results showed a benefit for the QoL parameters, being significant for the SF-36, which improved in a 20.5% for its Mental Component Summary and in a 16.4% for its Physical Component Summary. The other parameters did not reach clinical significance although improvement outcomes were observed for Zung scale and Tampa scale of kinesiophobia. Pain outcomes, measured with the Endometriosis Associated Pelvic Pain scale, did not show a significant improvement along the study. Conclusion: Although studies with more ambitious design are needed in order to extrapolate the results of this proof of concept, physical exercise seems to have a beneficial effect on QoL of women with endometriosis-related chronic pain","PeriodicalId":87379,"journal":{"name":"World journal of gynecology & womens health","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-10-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42787968","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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