Proceedings in Obstetrics and Gynecology
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Severe adhesions and advanced laparoscopic surgery
Get PDFA 43 year old, status post hysterectomy, was referred for the management of ovarian retention syndrome. Extensive adhesiolysis was performed and ovaries removed. Bladder cystoscopy with hydrodistension test revealed symptoms of early interstitial cystitis. Estimated blood loss was 800 and operative time 5 hours 23 minutes. The case demonstrates the potential of minimal invasive surgery in a case of severe adhesions that looked initially impossible
Division of General Obstetrics and Gynecology
Get PDFThe Division of General Obstetrics and Gynecology provides well-woman care for women of all ages and complete care for pregnancy and birth. We also evaluate and treat gynecologic disorders. We perform office, outpatient and inpatient gynecologic surgery. We offer minimally invasive hysterectomy including total laparoscopic and robotic surgery. Our division is comprised of fourteen obstetrician-gynecologists, four certified nurse midwives, and four advanced nurse practitioners. We are all dedicated to outstanding clinical practice and teaching
A mysterious growth from vulva mimicking scrotum leading to abandonment by her husband.
Get PDFBenign vulvar growths are rare. Initially these growths remain small and asymtomatic. Due to social stigma, young women in this stage often prefer to conceal the pathology. With considerable growth, apart from physical complaints, they might cause psychological problems of the subjects and even social withdrawal. Urgent detection and subsequent removal of the growth along with counselling is warranted to improve the patient’s self-esteem
Meta-analysis of subchorionic hemorrhage and adverse pregnancy outcomes
Get PDFAbstractThe purpose of this study was to determine whether subchorionic hemorrhage is associated with increased adverse pregnancy outcomes of preterm delivery, spontaneous abortion, and abruption. PUBMED databases were searched for case control, cohort, and cross-sectional human studies that investigated the relationship of ultrasound detected subchorionic hemorrhage and adverse outcomes of preterm delivery, spontaneous abortion, and abruption. Data were extracted by two independent investigators. Nine studies were included in the pooled meta-analysis. Relative risk estimates (RR) and 95% confidence intervals (CI) were pooled across studies. Subchorionic hemorrhage was associated with preterm delivery (pooled RR = 1.64; 95%CI 1.41-1.89), spontaneous abortion (pooled RR = 2.59; 95% CI 2.34-3.25), and abruption (pooled RR = 3.16; 95% CI 2.32 – 4.31). This study suggests that early pregnancy subchorionic hemorrhage may increase the risk of preterm delivery, spontaneous abortion, and abruption. Women may be advised of increased adverse outcomes associated with subchorionic hemorrhage