1,720,966 research outputs found
Caesarean delivery through deliberate posterior hysterotomy in irreducible uterine torsion
No full textActa Biomed. 2010 Sep;81(2):141-3.
Caesarean delivery through deliberate posterior hysterotomy in irreducible uterine torsion: case report.
De Ioris A, Pezzuto C, Nardelli GB, Modena AB.
SourceDepartment of Gynaecology, Obstetrics and Neonatology, University of Parma, Parma, Italy. [email protected]
Abstract
Gravid uterus rotation is a normal finding in the third trimester of pregnancy. However, a rotation greater than 45 degrees around the longitudinal axis of the uterus--uterine torsion--is a rare pathological condition in the obstetrical practice. We reporte the case of 180 degrees torsion of a myomatous uterus at preterm in which the foetus, in breech presentation, was delivered through a deliberate posterior hysterotomy. An emergency caesarean section was arranged after prolonged foetal bradycardia. Uterine torsion treatment depends on when the torsion occurs during the pregnancy. However, laparotomy is imperative in all cases. When derotation of the uterus is not possible, a transverse incision in the lower posterior uterine segment, if feasible, is a safe choice
Preterm delivery and premature rupture of membranes after conization in 80 women. Preliminary data.
No full textMinerva Ginecol. 2008 Aug;60(4):295-8.
Preterm delivery and premature rupture of membranes after conization in 80 women. Preliminary data.
Patrelli TS, Anfuso S, Vandi F, Valitutto S, Migliore M, Salvati MA, De Ioris A, Condemi V, Fadda GM, Bacchi Modena A, Nardelli GB.
SourceDepartment of Obstetrics, Gynecology and Neonatology, University of Parma, Parma, Italy. [email protected]
Abstract
AIM: Cervical intraepithelial neoplasia is most frequently in young women in reproductive age. Cold knife conization, laser ablation, laser conization and large loop excision are conservative methods of treatment to remove the transformation zone and preserve the cervical function. Previous studies have shown conflicting results on the outcomes of pregnancy following these therapies that might increase the risk of preterm delivery. The purpose of this study was to evaluate the outcome of pregnancy after conization and its role as predictive risk factor.
METHODS: A retrospective study was performed. The study group comprised 80 women who had a conization and that had a subsequent singleton pregnancy. Variables considered includes maternal excision date, surgery procedure, previous surgery treatments, time interval between excisional procedure and subsequent pregnancy; duration and week of pregnancy, mode of delivery, histological grading (no cervical intraepithelial neoplasia [CIN], CIN 1, CIN 2-3) and cone excised depth.
RESULTS: In group study 45 women underwent loop electrosurgical excision procedure (LEEP) conization, 32 cold knife conization and 3 laser CO2. The authors found 11 cases of cone tissue depth1 cm. Eight preterm delivery have been reported to data: 5 between 28 and 34 weeks, 2 lower than 28 weeks and 1 between 34 and 37 weeks.
CONCLUSION: In these preliminary data the percentage of preterm birth appears as 10% and in range 6-15% evaluated for women not submitted to excisional procedure
MANAGEMENT DELLE LESIONI SQUAMOSE INTRAEPITELIALI DI ALTO GRADO MEDIANTE VAPORIZZAZIONE LASER CO2
No full textRuolo dell'Esame Colposcopico e dell'HPV-DNA test nel management delle dischratosi della portio
No full text
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
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