Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · May 2006
Comparative StudyPelvic lymphadenectomy as alternative to postoperative radiotherapy in high risk early stage endometrial cancer.
The purpose of the study is to evaluate whether surgery followed by radiotherapy in high-risk patients of early stage endometrial cancer can be replaced by formal surgical staging. Cancer-related survival and recurrence-free survival (RFS) were the endpoints of the analysis. ⋯ According our results the low-risk patients of early stage endometrial adenocarcinoma had excellent survival with minimal intervention. The cancer-related survival and RFS in high-risk patients concerning the therapeutic modalities were comparable. Poor tumor differentiation was the most unfavorable prognostic factor related with RFS. Moderate complications developed only after postoperative radiotherapy.
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To determine the incidence, indications, risk factors, and complications of emergency peripartum hysterectomy. ⋯ This study identified surgical deliveries, uterine rupture, placenta accreta, and uterine atony as risk factors for emergency peripartum hysterectomy. The most common reason for abnormal placental adherence was a previous cesarean section. Multiparity and oxytocin use for uterine stimulation were among the risk factors for uterine atony that necessitated emergency peripartum hysterectomy.
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Arch. Gynecol. Obstet. · May 2006
Case ReportsSedation for percutaneous treatment of hepatic hydatid cyst in a pregnant patient.
A 15 cm hepatic hydatid cyst was diagnosed in a multigravida in 16 weeks of pregnancy and was managed percutaneously under sedation. ⋯ No complication occurred and she gave birth to a healthy male baby after 37 weeks gestation.
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Arch. Gynecol. Obstet. · May 2006
Risk factors and perinatal outcomes associated with umbilical cord prolapse.
To utilize infant outcomes and to identify risk factors associated with umbilical cord prolapse. ⋯ Abnormal fetal presentation, multiparity, low birth weight, prematurity, polyhydramnios, and spontaneous rupture of membranes, in particular with high Bishop scores, are risk factors for umbilical cord prolapse. Early amniotomy increases the variable decelerations and hence increases the rate of cesarean section because of fetal distress, but it may prevent pregnant women from umbilical cord prolapse, which has a high mortality rate. However, large randomized trials are needed to prove that early amniotomy decreases the incidences of umbilical cord prolapse.
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Arch. Gynecol. Obstet. · Apr 2006
Review Case ReportsGestational intestinal obstruction: a case report and review of literature.
Intestinal obstruction in pregnancy is rare and difficult to diagnose. Common causes of gestational intestinal obstruction include adhesions, volvulus, intussuscetion, carcinoma, hernia and appendicitis [3]. ⋯ We report a case of intestinal obstruction at 33 weeks gestation in a woman with previous appendicectomy. Clinical suspicion of the presence of obstruction is required for prompt diagnosis and aggressive intervention, to minimise the morbidity and mortality of this rare complication of pregnancy.