Obstetrics and gynecology
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Obstetrics and gynecology · Aug 2009
Case ReportsSacral neuromodulation in the treatment of vulvar vestibulitis syndrome.
Vulvar vestibular syndrome is a chronic pain syndrome that typically results in pain and irritation of the vulvar vestibule and has few effective options for treatment. ⋯ Sacral neuromodulation was shown to be a valid treatment option for this patient and resulted in excellent patient satisfaction at 2-year follow-up. Although the exact mechanism of action is unknown, sacral neuromodulation may be a viable option for the management of chronic pain syndromes of the vulva and vagina.
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Obstetrics and gynecology · Aug 2009
Meta Analysis Comparative StudyEffects of antenatal exposure to magnesium sulfate on neuroprotection and mortality in preterm infants: a meta-analysis.
To review the evidence regarding neuroprotective effects of antenatal exposure to magnesium sulfate. ⋯ Fetal exposure to magnesium sulfate in women at risk of preterm delivery significantly reduces the risk of cerebral palsy without increasing the risk of death.
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Obstetrics and gynecology · Aug 2009
Multicenter Study Clinical TrialA multiinstitutional experience with robotic-assisted hysterectomy with staging for endometrial cancer.
To report perioperative outcomes and learning curve characteristics from a multiinstitutional experience with robotic-assisted surgical staging for endometrial cancer. ⋯ III.
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Obstetrics and gynecology · Aug 2009
Carpenter-Coustan criteria compared with the national diabetes data group thresholds for gestational diabetes mellitus.
To examine perinatal outcomes in women who would meet the diagnostic criteria for gestational diabetes mellitus (GDM) according to the Carpenter and Coustan but not by the National Diabetes Data Group (NDDG) thresholds. ⋯ II.
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Intestinal obstruction during pregnancy is rare, with volvulus being responsible for about 25% of cases. ⋯ Volvulus in pregnancy carries a high mortality rate, often because diagnosis is delayed due to avoidance of radiography and because of similarity of symptoms to other clinical entities. A high index of suspicion for volvulus must be maintained when a pregnant patient presents with obstructive symptoms. Abdominal radiographs may be justified in aiding the diagnosis, and diagnostic laparoscopy is a viable alternative when the patient has an acute abdomen.