The journal of obstetrics and gynaecology research
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J. Obstet. Gynaecol. Res. · Jan 2012
Survey on the trends in uterine cervical cancer screening in Japanese women: the efficacy of free coupons in the screening.
In Japan, cytological examination is performed for uterine cervical cancer screening, but the rate of participation in these programs is low. Between October 1, 2009 and March 31, 2010, free coupons for uterine cervical cancer screening were distributed to Japanese women. The Fukuoka Tuberculosis Prevention Center investigated the trends in uterine cervical cancer screening participation of Japanese women in the 6-month screening program. ⋯ The distribution of free coupons serves as an initial step towards promoting awareness of preventive measures against uterine cervical cancer.
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J. Obstet. Gynaecol. Res. · Jan 2012
Laparoscopic management of large ovarian tumors: clinical tips for overcoming common concerns.
This study was performed to assess the feasibility and efficacy of laparoscopic management for patients with large ovarian tumors. ⋯ Laparoscopic management of large ovarian tumors is feasible and efficient with appropriate patient selection and experience of surgeons.
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J. Obstet. Gynaecol. Res. · Dec 2011
Case ReportsSecondary postpartum hemorrhage due to uterine artery pseudoaneurysm rupture in von Willebrand disease.
We here report a case of a 33-year-old woman who experienced secondary postpartum hemorrhage (PPH) due to uterine artery pseudoaneurysm rupture. She had intrauterine balloon tamponade for unexplained primary PPH after spontaneous vaginal delivery, and subsequent angiography showed no abnormal contrast extravasation. However, profuse vaginal bleeding occurred 22 days postpartum. ⋯ She was successfully treated with selective uterine arterial embolization. Decreased levels of von Willebrand factor and factor VIII led to the diagnosis of von Willebrand disease. When it is determined that a patient has unexplained PPH or uterine artery pseudoaneurysm, a high index of suspicion and further investigation for underlying bleeding disorders is warranted.
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J. Obstet. Gynaecol. Res. · Dec 2011
Impact of a single perioperative dose of dexamethasone on the incidence of surgical site infections: a case-control study.
Dexamethasone is recommended in several international guidelines to prevent postoperative nausea and vomiting, a problem especially frequent in gynecological patients. Despite the increasing use of dexamethasone for this indication there are limited data concerning potential harmful effects of corticosteroids in surgical patients, especially the potential negative impact on wound healing and surgical site infection (SSI). This case-control study was conducted to look for potentially harmful effects of a single perioperative dose of dexamethasone with respect to the occurrence of SSI in gynecological and obstetric surgery patients. ⋯ In this case-control study we could not detect any evidence for an increased risk for SSI after a single-dose of dexamethasone (4-8 mg) in gynecological patients.
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J. Obstet. Gynaecol. Res. · Dec 2011
Case ReportsAnti-N-methyl-D-aspartate receptor encephalitis associated with ovarian immature teratoma.
Anti-N-methyl-D-aspartate receptor (anti-NMDAR) encephalitis is a treatment-responsive encephalitis associated with anti-NMDAR antibodies. Unlike classic paraneoplastic encephalitis, this disorder usually develops in young women with ovarian teratoma who typically present with marked neuropsychiatric symptoms, followed by prolonged respiratory failure, clouding of consciousness, and bizarre dyskinesia. This disorder is often treatable by resection of ovarian tumor and immunotherapy, but, delayed diagnosis results in a worse condition and sometimes fatal outcome. ⋯ When physicians encounter a female patient with encephalitis showing marked neuropsychiatric symptoms, search for an ovarian tumor should be promptly initiated. We present a case of anti-NMDAR encephalitis associated with ovarian immature teratoma. The symptoms were dramatically relieved by tumor resection and immunotherapy.