Gynaecology - Science topic

Este trabajo recupera las investigaciones de ambas autoras con el objeto de describir y analizar, desde una propuesta comparativa, las modalidades de conversión y sociabilidad femenina dentro de la orden sufí Naqshbandi Haqqani en Argentina. Exploraremos similitudes y contrastes emergentes entre los testimonios y experiencias de aquellas mujeres qu...

Background and Objectives: The impact of gynaecological cancer and its treatments on sexual intimacy can be profound on female sexuality. However, very few registered clinical trials have addressed sexual intimacy among this cohort. Materials and Methods: This preliminary randomised control trial (RCT) and content analysis assessed the effectivenes...

Background The global increase in caesarean sections (CS), currently at 21.1% of all deliveries, has led to a rise in uterine scar defects, or ‘niches’, at the hysterotomy site. These niches, detectable in 13%–84% of cases via transvaginal ultrasound (TVS) and 42%–84% through sonohysterography (SHG), may contribute to gynaecological complications,...

The postpartum period is a well-defined risk factor for cerebral venous sinus thrombosis (CVST). However, it is unclear which patients are at risk for CVST in the postpartum period. Thus, determining some CVST risk factors in postpartum patients may be useful for preventing the disorder in this population. Previous studies have shown that preeclamp...

Mitophagy is a process in which impaired or dysfunctional mitochondria are selectively eliminated through the autophagy mechanism to maintain mitochondrial quality control and cellular homeostasis. Based on specific target signals, several mitophagy processes have been identified. Defects in mitophagy are associated with various pathological condit...

Objective Endometriosis affects 10% of women worldwide and is linked to adverse pregnancy outcomes, including preterm birth. Recent epidemiological and genetic studies indicate that endometriosis may influence gestational duration and the likelihood of preterm birth. This study aimed to estimate the direct genetic causal effects of endometriosis on...

El síndrome de ovario poliquístico (SOP) es una condición compleja y multifactorial que afecta a un gran porcentaje de mujeres en edad fértil, presentándose comúnmente con hiperandrogenismo, resistencia a la insulina y disfunción ovárica. A pesar de las inconsistencias en los criterios de diagnóstico, la prevalencia es significativa. Se realizó una...

Introduction Risk‐reducing salpingo‐oophorectomy (RRSO) is recommended by international guidelines in women with BRCA1/2 germline pathogenic variants (PV) to prevent ovarian cancer. Despite the solid recommendation, women frequently refuse surgery and uptake rates reported in the literature are diverse. This study analyses the uptake rate of RRSO i...

BACKGROUND: Maternal vaccination is a key strategy to meet Sustainable Development Goal 3, aiming to eliminate preventable deaths among newborns and children under five by 2030. This study explored obstetricians' knowledge and practices regarding maternal vaccination globally. METHODS: A cross-sectional survey targeting obstetricians was conducted...

Background: Gynaecological morbidities are key components of reproductive health and contribute considerably to the disease burden among women in eastern India. Societal stigma and socio-cultural beliefs often prevent women from reporting and seeking treatment for these morbidities. The objective was to explore the scenario and associated factors o...

Introduction: Nearly one-third of the global burden of disease can be addressed through surgical care. Trauma forms a significant part of this burden, resulting in higher mortality than HIV, tuberculosis, and malaria combined. Mauritania, one of the largest countries in West Africa, lags significantly behind the sustainable development goals set by...

Background Ovarian cancer has the highest mortality rate among gynaecological malignancies and is initially screened using ultrasound. Owing to the high complexity of ultrasound images of ovarian masses and the anatomical characteristics of the deep pelvic cavity, subjective assessment requires extensive experience and skill. Therefore, detecting t...

Cervical cancer (CC) ranks as the second highest cause of morbidity and mortality among young women; however, there are currently no age-specific definitions for young cervical cancer or prognostic models tailored to this demographic. Data on CC diagnosed between 2000 and 2019 were extracted from the Surveillance, Epidemiology, and End Results (SEE...

Background: Obstetric hemorrhage is a worldwide leading cause of maternal morbidity and mortality. Antepartum hemorrhage includes placental abruption, placenta praevia, placenta accreta spectrum and other undetermined causes. Methods: A retrospective observational study was conducted in the Department of Obstetrics and Gynaecology, Shri Lal Bahadur...

Background: To compare the efficacy and safety of intracervical Foley’s catheter and misoprostol versus mifepristone and misoprostol induction of midtrimester abortions. Methods: I conducted a retrospective comparative study at a university affliated tertiary hospital at the postpartum unit of the department of obstetrics and gynaecology, Governmen...

Introdução O Ministério da Saúde, MS, vem adquirindo inovações promissoras e controvertidas e as testando mediante estudos controlados em polos de referência da Rede SUS. Apresenta-se o exemplo da aquisição de um robô cirúrgico visando avaliar segurança, efetividade e sua relação de custo-efetividade em um UNACON. Métodos Estudo controlado randomiz...

The purpose of this study was to analyse the factors that influence patients` choice of obstetric and gynaecological medical centre. Patients attending the gynaecological and obstetric outpatient department (gyn./obs.) at a large tertiary university hospital were asked to voluntarily complete an anonymous 34-item-questionnaire on factors influencin...

Objective: High-grade serous ovarian cancer (HGSOC) is the most lethal gynaecological cancer with patients routinely diagnosed at advanced stages with widespread disease. Evidence from screening trials indicates that early diagnosis may not reduce cancer-related deaths, possibly due to an underestimation of the true extent of the disease at screeni...

Introdução: O ensino híbrido combina atividades online, como a educação a distância (EaD), e presenciais, como a simulação, tem surgido como uma estratégia promissora na educação continuada de profissionais de saúde. Objetivo: Elaborar e validar o conteúdo e a aparência de um curso híbrido de parto vaginal pélvico e distócia de ombro para médicos r...

Introducción: El bienestar médico ha cobrado relevancia en la atención de la salud, especialmente frente a la “epidemia de burnout”. Este estudio se propone evaluar la implementación y efectividad de un programa para mejorar el bienestar del personal de la Unidad Académica de Ginecología y Obstetricia A de la Facultad de Medicina de la Universidad...

Ovarian torsion is a gynaecological emergency which requires immediate surgical intervention for salvaging ovary and fertility. Ovarian torsions present with acute pelvic pain which is followed by autonomic reflex response (nausea, emesis and tachycardia). In this case report we are reporting a case of 19 years old female with acute pain abdomen an...

(1) Background: The objectives of this study were to assess survival of patients with a diagnosis of brain metastases secondary to gynaecologic malignancy and the impact of clinicopathological factors on prognosis in this population. (2) Methods: A retrospective cohort of patients with gynaecologic cancers diagnosed with brain metastases treated wi...

Background: Cervical is the most prevalent genital cancer, the second most frequent gynaecological cancer, and the second-highest rate of cancer-related death among Indian women. Cervical cancer is preventable because it has a prolonged preinvasive stage, effective cervical screening programs exist, and preinvasive lesions that can be treated. Meth...

Background: The aim of our study is to represent our experiences with non-descent vaginal hysterectomies (NDVH), the intraoperative and postoperative complications of NDVH, using suture less procedure and only energy sources like cautery, assess intra operative blood loss, operative time, risk of infection, post op hospital stay. The objective was...

Objectives To explore influencing factors for postoperative urinary retention (POUR) in cervical cancer patients and construct and validate a POUR prediction model. Design A prospective cohort study. Setting A large tertiary hospital specialised in child and maternal healthcare in Southwest China. Participants 1101 patients undergoing cervical c...

With recent innovations in artificial intelligence (AI) and its increased usage in healthcare, medical chatbots have emerged as valuable tools in healthcare promotion. These chatbots, acting as conversational agents, can play a crucial role in addressing disparities in healthcare access, particularly in countries like India. This issue becomes even...

Objetivos: determinar la validez y consistencia interna del instrumento HELP Score diseñado para evaluar la severidad de los síntomas de la hiperémesis gravídica. Materiales y métodos: estudio de validación de un instrumento de medición ensamblado en un estudio de corte transversal, se incluyeron mujeres con hiperémesis gravídica. Se evaluó la vali...

Background An increased interest in medical liability claims has been noticed. Nevertheless, detailed data on subject of claims and possible factors that contribute to litigation and indemnity payments are scarce and relatively dated. Insight into these data may provide valuable information to prevent both incidents and malpractice claims. Objecti...

Objective This study defined a retrospective cohort of patients in England with primary advanced or recurrent (A/R) endometrial cancer (EC) who may have been eligible for clinical trials evaluating immune checkpoint inhibitors (ICIs) in the first-line (1L) setting within a real-world dataset, and described the characteristics, treatment patterns an...

Background: Submucosal myomas can be responsible for abnormal bleeding, spontaneous abortions or even infertility. Objectives: This study aimed to study the correlation between the diagnosis and classification of submucosal fibroids at hysterosonography and at hysteroscopy at Gynaecological Endo-scopic Surgery and Human Reproductive Teaching Hospit...

Background: Gynaecologic cancers (GC) experience unintentional weight loss and inadequate oral intake even before treatment. Cancer patients are at risk of accessing inaccurate advice and misleading information due to the prevalence of misinformation regarding nutrition and cancer in the media. This study aimed to obtain a comprehensive understandi...

Background The intricate interplay between stemness markers and cell death pathways significantly influences the pathophysiology of cervical cancer. SOX2, a pivotal regulator of stem cell pluripotency, has recently been implicated in the modulation of ferroptosis, a specialized form of iron-dependent cell death, in cancer dynamics. This study delin...

Purpose Although therapy and psychosocial care for patients with breast cancer and gynaecological cancer has improved in the last years, there are still many issues that require further investigation. Unmet supportive care needs can lead to a lower adherence to treatment and a lower quality of life. Patients’ needs seem to be highest during the tim...

Resumo O desejo sexual das mulheres tem sido objeto de vários estudos, principalmente focando-se em sua falta ou diminuição. Este trabalho objetivou analisar, sob a perspectiva dos estudos de gênero, a narrativa de mulheres, em relacionamentos prolongados, que consideravam seu desejo sexual como muito bom. Para tanto, foram selecionadas doze mulher...

Resumo Com um crescimento acelerado nas redes sociais desde 2018, o movimento de Ginecologia Natural defende o “empoderamento” feminino através do conhecimento do próprio corpo e da percepção do ciclo menstrual. O presente trabalho analisa os discursos de influenciadoras do movimento no Brasil e na América Latina, tomando como base suas postagens n...

Introdução: O Global Operative Assessment of Laparoscopic Skills (GOALS) é uma ferramenta desenvolvida, validada e que se mostrou eficaz em avaliar as habilidades adquiridas em laparoscopia e eficácia do treinamento proposto. A adaptação transcultural, com todas as suas etapas, é crucial para a disseminação do seu uso. Objetivo: Realizar a adaptaçã...

Objective This study aimed to assess the potential impact of primary Sjögren’s syndrome (pSS) on fertility and ovarian reserve by evaluating the number of antral ovarian follicles (AFC) through ultrasound and analysing serum levels of anti-müllerian hormone (AMH) and follicle-stimulating hormone (FSH), which are currently the most reliable indicato...

In 1836, an article was published in which the terms Rindensubstanz (cortical substance) and Marksubstanz (medullary substance) were introduced for the first time with reference to the adrenal glands. The author was indicated as ‘Dr Nagel’, without any further specification. Modern scientific literature often identifies the author's name as ‘N. Nag...

The compendium comprises four lead papers and single clinical case abstracts of Veterinary Medicine, Veterinary Paraclinical , Animal Reproduction, Gynaecology & Obstetrics & Veterinary Surgery & Radiology subjects.

Objective We aimed to determine frequency, clinical presentation, etiology and management in patients presenting with primary amenorrhea in tertiary care setting. Method This was a case series conducted in outpatient Department of Gynecology and Obstetrics unit II, Dr. Ruth K. M. Pfau Civil Hospital Karachi from 1st July 2019 to 30th June 2022. A...

Background Endometriosis is a common condition affecting 1–10% of all women. The condition is highly associated with pain. Most women with endometriosis are treated as elective outpatients, but these patients sometimes need to visit the emergency department. The aim of this study was to describe experiences and expectations related to repeated gyna...

Graphene is the wonder material of the 21st century, promising cutting-edge advancements in material science with significant applications across all industries. This study investigates the use of a graphene-based nanomaterials (GBNs) ans trade-registered Hastalex®, as novel materials for surgical implants aimed at treating pelvic organ prolapse (P...

This report highlights the findings of a meeting of obstetricians and gynaecologists based in the Asia-Pacific (APAC) region, during which incision care and dressing selection in obstetrics and gynaecology (OB-GYN) were discussed. The meeting was held in April 2024 and was chaired by Associate Professor Kylie Sandy-Hodgetts. (Australia).

Objetivo: apresentar uma análise bibliométrica sobre a utilização de prontuários eletrônicos obstétricos (PEOs) em pesquisas científicas. Metodologia: revisão bibliométrica, utilizando o software VOSviewer, foram analisados 279 artigos da base de dados BVS e 1059 da PubMed, abrangendo publicações entre os anos de 2000 e 2023. A pesquisa empregou os...

Birth spacing is required to bring improvement in women’s quality of life. Contraception and birth spacing by the permanent method of female sterilization i. ebilateral tubal ligation, holds an important place in this regard. This case series deals with patients, reporting to Gynaecology Outpatient Department with surprise unexpected pregnancy /sus...

Objective: To determine the clinical predictors of preeclampsia in T1DM women during first trimester. Study Design: Cross-sectional study Place and Duration of Study: Gynaecology and Obstetrics Department of Pakistan Emirates Military Hospital, Rawalpindi, Pakistan, from Dec 2022 to Oct 2023. Methodology: A cross sectional study of 245 T1DM women w...

Introduction It is important to incorporate the patient perspective into healthcare education, as we know that patients are experts in their own conditions. The expertise gained through lived experience serves to complement the theoretical knowledge that healthcare educators can provide. This scoping review aims to explore patient involvement...

PROBLEMA: Según la Organización Mundial de la Salud la resistencia bacteriana constituye una de las 10 principales amenazas a la salud pública; esto resulta en infecciones más difíciles de tratar, mayor duración de las enfermedades y un incremento en los costos de atención médica. OBJETIVO: Determinar cuál es la resistencia bacteriana a los antibió...

Background & Methods: The aim of the study is to evaluate the reliability of urea and creatinine values in vaginal wash fluid for the diagnosis of PROM. Study performed on pregnant women in the third trimester between 28 and 37 weeks of gestation with history of possible leakage of amniotic fluid at tending in the department of Obstetrics and Gynae...

Background Epithelial ovarian cancer (EOC) represents the most lethal gynaecological malignancy, yet understanding the connections between its molecular subtypes and their therapeutic implications remains incomplete. Methods We conducted mass spectrometry-based proteomics analyses of 154 EOC tumour samples and 29 normal fallopian tubes, and single...

Abstract Background: Vaginal bleeding during the first trimester of pregnancy is indicative of various conditions such as spontaneous abortion, ectopic pregnancy, and gestational trophoblastic disease. It occurs in approximately 25% to 30% of pregnancies which is associated with a twofold increased risk of complications. Objective: To evaluate peri...

Introdução: A mielomeningocele é o defeito congênito mais comum envolvendo a medula espinhal, caracterizada pela projeção da medula espinhal e das meninges através de um defeito na coluna vertebral do feto. Resulta de uma falha de fechamento do tubo neural nas primeiras semanas de vida fetal, durante uma fase embrionária chamada neurulação primária...

Introduction There is a need to assess and strengthen reproductive rights-based family planning and abortion services in Indian medical schools that play a key role in medical education and service delivery. This study presents the findings of baseline assessment across nine schools in two states and one union territory with objective to assess, id...

CA 125, in gynaecological practice, is seen to be elevated in both benign and malignant conditions. Higher values, usually raise the suspicion of malignancy. Here we report a case of a 21-year-old nulliparous female, with extremely high evels of CA 125, suspected malignancy, but laparoscopy revealed a ruptured ovarian endometrioma, which was confir...

Introduction: The evaluation of fetal kidney has been subject of increased awareness for the assessment of fetal growth and development and prenatal diagnosis of renal anomalies, genetic counselling and treatment of prenatal renal disorders like Wilm's tumor, multicystic renal dysplasia, hydronephrosis. Objective: The aim of the study was to dete...

Objectives To explore the barriers and facilitators to help-seeking behaviour for symptoms among patients with ovarian cancer in China. Design This semistructured interview-based study used a descriptive phenomenological research method. Setting The study was conducted in China. Participants 17 patients with ovarian cancer were selected based on...

Introduction Micropapillary serous borderline ovarian tumours (MP-SBOTs) are an aggressive subtype of serous borderline ovarian tumours (SBOTs). Surgery is the mainstay of treatment. Radical surgery (RS, including debulking) is an alternative. However, for patients who are of reproductive age, another treatment option is fertility-sparing surgery (...

Background/Objectives: Nutritional knowledge, attitudes, and practice are important ways of assuring a healthy pregnancy start, which can be shaped during the pre-pregnancy period by the intervention of healthcare providers. In this cross-sectional study, the main objective was to explore contextual determinants of diet quality in women of fertile...

Aim The study aimed to analyse selected clinical data affecting the quality of life of women with endometriosis. Design A cross‐sectional study. Method The study was conducted in 2020–2022 among 425 women with endometriosis receiving health care. A diagnostic survey method with a questionnaire technique was used. The research tools are the Endome...

Background: Women with an aplastic uterus (ESHRE/ESGE classification) or Müllerian agenesis (ASRM MAC 2021) might present with functional uterine remnants. Our study aimed to report the clinical course of symptomatic uterine rudiments in adolescents and adults with Mayer–Rokitansky–Küster–Hauser syndrome (MRKHS). Methods: This study involved 20 pat...

Borayflo Haemostatic matrix is a new absorbable hemostatic gelatin matrix which can be used for intraoperative assisted hemostasis. In a prospective, multicenter, non-inferiority, randomized controlled trial, a total of 354 subjects were recruited from the departments of hepatobiliary surgery, obstetrics and gynaecology and orthopaedics of 4 hospit...

El cuidado humanizado es un imperativo moral de la práctica en enfermería. El objetivo general de esta investigación fue analizar las características del cuidado humanizado que proveen los profesionales de enfermería en tres servicios de un hospital ecuatoriano: medicina interna, cirugía general, así como de ginecología y obstetricia. La investigac...

Background The early integration of a specialist palliative care team is demonstrated to have numerous benefits for patients. These extend beyond end-of-life care to include reducing depressive symptoms, improving quality of life and reducing unnecessary interventions. Aims This study aims to characterise the patient population referred to the spe...

A dismenorreia membranosa (DM) é uma condição ginecológica rara caracterizada pela descamação completa do endométrio, resultando na expulsão de um tecido membranoso pela vagina. Apesar de ser descrita há séculos, a DM ainda é pouco compreendida e subdiagnosticada devido à sua natureza incomum. Este relato de caso apresenta uma paciente com históric...

Background Management of postoperative pain leads to positive patient progress and shortens the duration of hospital stay. There is a lack of information on nurse’s postoperative pain management practice and its associated factors. Objective To assess postoperative pain management practice and associated factors among nurses working in public hosp...

Since ancient times, Indian Balam Kheera or Kigelia africana sausage trees have been utilized to heal a variety of human a ictions. Ethnobotanists have documented the traditional uses of K. africana, which include the management of skin conditions, cancer, and gynaecological problems. Scientists have been interested in assessing the bioactivity of...

Background Hyperprolactinaemia can cause infertility. Serum prolactin and clinical features of hyperprolactinaemia may vary between obese and non-obese infertile women. Identifying the differences may inform changes in the management of obese women with hyperprolactinaemia. This study aimed to compare the serum prolactin levels and the clinical fea...

Cone beam CT is integral to most modern radiotherapy treatments. The application of daily and repeat CBCT imaging can lead to high imaging doses over a large volume of tissue that extends beyond the treatment site. Hence, it is important to ensure exposures are optimised to keep doses as low as reasonably achievable, whilst ensuring images are suit...

Objectives To estimate the prevalence and severity of patient-reported physical and non-physical harm following surgery cancellation. Design Cross-sectional study. Setting A large Danish university hospital. Participants Patients (≥18 years) from various surgical specialities, such as orthopaedic, spinal, abdominal, gynaecological, thoracic, vas...