scholarly journals Association of Menstrual Extension and Surgery Effectiveness with Ultrasound Parameters of Cesarean Section Scar Diverticulum in Patients Undergoing Transvaginal Uterine Diverticulum Repair

2019 ◽  
Vol 2019 ◽  
pp. 1-8
Author(s):  
Qing Yang ◽  
Min Ren ◽  
Xiaoli Lv ◽  
Fenghua Chen
Keyword(s):  
Retrospective Study ◽  
Cesarean Section ◽  
Surgical Repair ◽  
Transvaginal Ultrasound ◽  
Defect Depth ◽  
Vaginal Repair ◽  
Cutoff Value ◽  
Tongji University ◽  
Ultrasound Parameters ◽  
Ultrasonic Parameter

The association of residual myometrium thickness (RMT) and scar defect depth (D) with menstrual abnormalities and the effectiveness of vaginal repair remain to be determined in patients with cesarean section scar diverticulum (CSD). To assess the value of ultrasound to predict vaginal repair effectiveness. This was a retrospective study of patients with CSD treated with vaginal repair between 01/2014 and 02/2016 at Shanghai First Maternity and Infant Hospital (Tongji University). Transvaginal ultrasound was performed before and 3 months after surgical repair. RMT, D, scar defect length (L), and scar defect width (W) were measured. Width (W), D, and L increased along the duration of menstrual period (P<0.05). When the menstrual extension time was ≥15 days, RMT/D and RMT/RMT+D were smaller than in patients with period <15 days (P<0.05). L was the most positively correlated ultrasonic parameter with menstrual prolongation (r=0.492). RMT/D and RMT/RMT+D were negatively correlated with prolonged menstruation (r=‐0.304 and -0.305, respectively). RMT/D and RMT/RMT+D were associated with the disappearance of CSD after vaginal repair (P<0.05). The cutoff value of RMT/RMT+D was 0.496, with sensitivity of 53.0% and specificity of 61.4%. L of CSD is closely correlated with menstrual extension but has no relationship with the effectiveness of surgery. RMT/RMT+D is correlated with menstrual extension time ≥15 days and the effectiveness of vaginal repair.

Surgical Repair of Acute Gracilis Muscle Rupture in the Racing Greyhound

1992 ◽  
Vol 05 (01) ◽  
pp. 18-21 ◽  
Author(s):  
R. Eaton-Wells
Keyword(s):  
Retrospective Study ◽  
Surgical Technique ◽  
Surgical Repair ◽  
Gracilis Muscle ◽  
Back Muscle ◽  
Suture Materials ◽  
Muscle Rupture

A retrospective study of the surgical repair of 27 cases of acute gracilis muscle rupture ("dropped back muscle") in 23 racing greyhounds was conducted.All of the dogs suffered the injury while racing or training. Suture materials and surgical technique are described. The dogs ability to resume racing was assessed.

scholarly journals Sonographic Signs of Adenomyosis in Women with Endometriosis Are Associated with Infertility

2021 ◽  
Vol 10 (11) ◽  
pp. 2355
Author(s):  
Dean Decter ◽  
Nissim Arbib ◽  
Hila Markovitz ◽  
Daniel S. Seidman ◽  
Vered H. Eisenberg
Keyword(s):  
Laparoscopic Surgery ◽  
Retrospective Study ◽  
Statistical Analysis ◽  
Conservative Management ◽  
Transvaginal Ultrasound ◽  
Control Group ◽  
Study Group ◽  
Control Groups ◽  
Increased Risk ◽  
And Control

We compared the prevalence of ultrasound signs of adenomyosis in women with endometriosis who underwent surgery to those who were managed conservatively. This was a retrospective study of women evaluated at a tertiary endometriosis referral center who underwent 2D/3D transvaginal ultrasound. Adenomyosis diagnosis was based on the presence of at least three sonographic signs. The study group subsequently underwent laparoscopic surgery while the control group continued conservative management. Statistical analysis compared the two groups for demographics, symptoms, clinical data, and sonographic findings. The study and control groups included 244 and 158 women, respectively. The presence of any, 3+, or 5+ sonographic signs of adenomyosis was significantly more prevalent in the study group (OR = 1.93–2.7, p < 0.004, 95% CI; 1.24–4.09). After controlling for age, for all findings but linear striations, the OR for having a specific feature was higher in the study group. Women in the study group with ≥ 5 sonographic signs of adenomyosis had more than twice the risk of experiencing infertility (OR = 2.31, p = 0.012, 95% CI; 1.20–4.45). Sonographic signs of adenomyosis are more prevalent in women with symptomatic endometriosis who underwent surgery compared with those who continued conservative management. Women with 5+ findings have a significantly increased risk of infertility. Adenomyosis on ultrasound should be considered in the management decisions regarding these patients.

scholarly journals Thromboembolism following cesarean section: a retrospective study

Hematology ◽  
2017 ◽  
Vol 23 (6) ◽  
pp. 351-356
Author(s):  
Joyce Lai ◽  
Isvarya Venu ◽  
Ann Kinga Malinowski ◽  
Shital Gandhi ◽  
Anne McLeod ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Cesarean Section

scholarly journals Treatment of the lateral patellar luxation in toy poodles

2005 ◽  
Vol 35 (4) ◽  
pp. 843-847 ◽  
Author(s):  
João Guilherme Padilha Filho ◽  
Francisco de Assis Dórea Neto ◽  
Hélia Cristina Dórea ◽  
Rodrigo César Sanches ◽  
Júlio Carlos Canola
Keyword(s):  
Retrospective Study ◽  
Clinical Examination ◽  
Surgical Repair ◽  
Pathological Condition ◽  
Normal Activity ◽  
Sao Paulo ◽  
Tibial Tuberosity ◽  
São Paulo ◽  
Congenital Origin ◽  
Veterinary Hospital

The purpose of this retrospective study was to report the occurrence of lateral patellar luxation in poodles. The animals were referred to the Orthopedics Service of the Veterinary Hospital, Faculdade de Ciências Agrárias e Veterinárias, - Jaboticabal Campus, São Paulo, Brazil, twelve client-owned poodles, seven females and five males poodles ranging in age from three to nine months. Clinical examination showed lameness, pain and deformities of the affected limbs. Surgical trochleoplasties were performed with medial retinacular overlap and medial tibial tuberosity transposition. The animals recovered their normal activity within a period of one to two weeks after surgery. Although this was a rarely occurring pathological condition in poodles, surgical repair was easy to execute because of its similarity to correction of medial patellar luxation. Lateral patellar luxation in small dogs is rare and, when present, is of congenital origin, at times progressing to marked functional impotence of the affected limbs.

scholarly journals Pregnancy complicated by previous cesarean section: a retrospective study

2018 ◽  
Vol 7 (11) ◽  
pp. 4470
Author(s):  
Poornima M.
Keyword(s):  
Retrospective Study ◽  
Cesarean Section ◽  
Medical Records ◽  
Neonatal Outcome ◽  
Perinatal Morbidity ◽  
Cesarean Sections ◽  
Previous Cesarean Section ◽  
Exclusion Criteria ◽  
History Of ◽  
Previous Cesarean

Background: Previous Cesarean section (CS) is one of the important causes of CS in subsequent pregnancies. Moreover, repeated cesarean sections increase maternal as well as perinatal morbidity and mortality. We conducted this study to find out outcome of pregnancies in women who had a history of previous CS.Methods: This was a retrospective study of patients of previous caesarean section for either maternal or fetal indications. The duration of study was 3 years. Total 215 patients were included in this study on the basis of a predefined inclusion and exclusion criteria. The indications, maternal and neonatal outcome were studied from medical records of the patients. Statistical analysis was done using SSPE 22.0 software.Results: Out of 215 studied cases majority of the patients belonged to age group of 21-30 years (75.35%) and were 2nd gravida (61.86%). 164 (76.28%) patients attended ANC OPD at least for 3 times during pregnancy. 73 (33.95%) patients had Hb of less than 10 gms while blood transfusion was required to be given in 11 (5.12%) patients. cesarean section was required in 172 (80%) patients out of which 166 (77.21%) patients had undergone emergency LSCS while in 6 (2.79%) patients elective LSCS was done. Scar tenderness was the most common indication for repeat cesarean section. There was no maternal mortality in any patients while there was 1 still birth and 1 neonatal death.Conclusions: Previous cesarean section is one of the important causes of CS in subsequent pregnancies hence decision of doing CS, especially primigravida, must be taken in accordance with strict guidelines and the practice of “cesarean section on demand” should be discouraged.

Sign in / Sign up

Export Citation Format

Share Document