Laparoscopic treatment of vesicouterine fistula (a literature review and case report)

GYNECOLOGY ◽  
2021 ◽  
Vol 23 (1) ◽  
pp. 97-101
Author(s):  
Denis P. Kholtobin ◽  
Aziz O. Nabiev ◽  
Sergey A. Nekludov ◽  
Ekaterina V. Kulchavenya
Keyword(s):  
Literature Review ◽  
Clinical Observation ◽  
Ultrasound Examination ◽  
Medical Center ◽  
Laparoscopic Approach ◽  
Laparoscopic Treatment ◽  
Vesicouterine Fistula ◽  
Urinary Leakage ◽  
Pelvic Organs ◽  
Vesicovaginal Fistulas

Urogenital fistulas are common complication of obstetric and gynecological surgery; the most common are vesicovaginal fistulas. Vesicouterine fistulas are rare, which explains the difficulties in diagnosis and treatment. The literature review and own clinical case presented in article. A 43-years-old female patient was consulted with complaint of urinary leakage from vagina, which appeared 1 month after the cesarean section and vesicouterine fistula has been diagnosed. Successful laparoscopic treatment of vesicouterine fistula was performed at the Avicenna Medical Center after 3 months. The urethral catheter was removed 7 days after surgery. At control examination after 1, 3 and 6 months, ultrasound examination of the pelvic organs confirmed the consistency of the scar on the uterus. Urination remained free and painless, the patient did not notice urine leakage. This clinical observation shows the possibility of treating a vesicouterine fistula with a laparoscopic approach with a good result and the possibility of early rehabilitation.

The secrets of placental mosaicism: clinical observation of the full form of confined placental trisomy 22 and literature review

2020 ◽  
Author(s):  
I.V. Komarova, A.A. Nikiforenko, A.V. Fedunyak
Keyword(s):  
Prenatal Diagnosis ◽  
Literature Review ◽  
Fetal Growth ◽  
Fetal Growth Restriction ◽  
Clinical Observation ◽  
Growth Restriction ◽  
Favorable Outcome ◽  
Full Form ◽  
Placental Mosaicism ◽  
In Pregnancy

Literature reports of placental mosaicism, including trisomy 22, were analyzed. The chance of correlation of placental aneuploidy with fetus aneuploidy, also the probability of complications in pregnancy and fetal growth restriction and postnatal patients growth in the cases of confined placental mosaicism, were demonstrated. The case of prenatal diagnosis of confined placental mosaicism of trisomy 22 with favorable outcome is presented. The necessity of cytogenic assay of amniocytes and fetal lymphocytes in the case of placental heteroploidy diagnosis was emphasized.

Standardization of Diagnostic Immunohistochemistry: Literature Review and Geisinger Experience

2014 ◽  
Vol 138 (12) ◽  
pp. 1564-1577 ◽  
Author(s):  
Fan Lin ◽  
Zongming Chen
Keyword(s):  
Quality Management ◽  
Literature Review ◽  
Best Practices ◽  
Critical Points ◽  
Medical Center ◽  
Management Program ◽  
Review Article ◽  
Data Sources ◽  
Test Results ◽  
Antibody Validation

Context Immunohistochemistry has become an indispensable ancillary technique in anatomic pathology laboratories. Standardization of every step in preanalytic, analytic, and postanalytic phases is crucial to achieve reproducible and reliable immunohistochemistry test results. Objective To standardize immunohistochemistry tests from preanalytic, analytic, to postanalytic phases. Data Sources Literature review and Geisinger (Geisinger Medical Center, Danville, Pennsylvania) experience. Conclusions This review article delineates some critical points in preanalytic, analytic, and postanalytic phases; reiterates some important questions, which may or may not have a consensus at this time; and updates the newly proposed guidelines on antibody validation from the College of American Pathologists Pathology and Laboratory Quality Center. Additionally, the article intends to share Geisinger's experience with (1) testing/optimizing a new antibody and troubleshooting; (2) interpreting and reporting immunohistochemistry assay results; (3) improving and implementing a total immunohistochemistry quality management program; and (4) developing best practices in immunohistochemistry.

scholarly journals LATE IMPACT OF THE LAPAROSCOPIC TREATMENT OF DEEP INFILTRATING ENDOMETRIOSIS WITH SEGMENTAL COLORECTAL RESECTION

2018 ◽  
Vol 31 (4) ◽  
Author(s):  
Antonio Matos ROCHA ◽  
Maurício Mendes de ALBUQUERQUE ◽  
Eduardo Miguel SCHMIDT ◽  
Cristiano Denoni FREITAS ◽  
João Paulo FARIAS ◽  
...  
Keyword(s):  
Colorectal Resection ◽  
Positive Impact ◽  
Therapeutic Option ◽  
Case Series ◽  
Laparoscopic Approach ◽  
Deep Infiltrating Endometriosis ◽  
Preoperative Period ◽  
Laparoscopic Treatment ◽  
Bowel Symptoms ◽  
Infiltrating Endometriosis

ABSTRACT Background: Deep infiltrating colorectal endometriosis may severely affect the quality of life and fertility of patients. Although segmental resection is a therapeutic option that provides positive outcomes in the management of symptoms, its functional effects are still unproven. Aim: Assess the late impact of the laparoscopic approach in treating deep infiltrating endometriosis with segmental colorectal resection. Methods: Prospective case series of 46 patients submitted to laparoscopic treatment of deep infiltrating endometriosis with segmental colorectal resection between 2013 and 2016. Fertility, gynecological and bowel symptoms were assessed at the preoperative period and at three and 12 months (or more) after the procedure. Results: Preoperative interview assessed the prevalence of infertility (45.6%), gynecological (87%) and intestinal (80.4%) symptoms. At the third month after the procedure a significant reduction in the prevalence of gynecological symptoms (p<0,001), tenesmus (p=0,001) and dysquesia (p=0,002) was observed. After a period of 12 months or more following the procedure a significant reduction in the prevalence persisted for dysmenorrhea (p=0,001), deep dyspareunia (p=0,041), chronic pelvic pain (p=0,011) and dysquesia (p=0,001), as compared to the preoperative period. Total pregnancy rate was 57.1% and spontaneous pregnancy 47.6%. Conclusion: The treatment of deep infiltrating endometriosis using segmental colorectal resection has provided early and late relief of gynecological and bowel symptoms. The outcomes also indicate a positive impact on the fertility of infertile patients.

scholarly journals Progressing radiation injury of the rectum. Clinical observation

2020 ◽  
Vol 23 (3) ◽  
pp. 31-36
Author(s):  
T. E. Skvortsova ◽  
I. А. Oganezova
Keyword(s):  
Radiation Therapy ◽  
Clinical Case ◽  
Radiation Injury ◽  
Clinical Observation ◽  
Clinical Manifestations ◽  
Radiation Injuries ◽  
Common Complication ◽  
Pelvic Organs ◽  
Chronic Radiation ◽  
Progressive Course

Radiation damage to the rectum is the most common complication in radiation therapy of malignancies of pelvic organs. Clinical manifestations of chronic radiation proctitis can occur both 3 months after completion of therapy and decades later. Late radiation injuries to the intestine often has a persistent course, drug treatment is prolonged and repeated, in severe cases surgical treatment is required. The article presents literature data on pathophysiology, clinical picture, diagnostics and possibilities of treating this pathology. A clinical case reflecting the progressive course of the disease is described.

scholarly journals V10-07 LAPAROSCOPIC APPROACH FOR VESICOUTERINE FISTULA: STEPPED TECHNIQUE

2018 ◽  
Vol 199 (4S) ◽  
Author(s):  
Patricio Garcia Marchiñena ◽  
Agustin Romeo ◽  
Matias Gonzalez ◽  
Juan Tejerizo ◽  
Gabriel Favre
Keyword(s):  
Laparoscopic Approach ◽  
Vesicouterine Fistula

scholarly journals Laparoscopic treatment of abdominal unicentric castleman’s disease: a case report and literature review

BMC Surgery ◽  
2017 ◽  
Vol 17 (1) ◽  
Author(s):  
Umberto Bracale ◽  
Francesco Pacelli ◽  
Marco Milone ◽  
Umberto Marcello Bracale ◽  
Maurizio Sodo ◽  
...  
Keyword(s):  
Case Report ◽  
Literature Review ◽  
Castleman’S Disease ◽  
Castleman's Disease ◽  
Laparoscopic Treatment

Laparoscopic treatment of varicocele

1995 ◽  
Vol 62 (1_suppl) ◽  
pp. 113-116
Author(s):  
G. Bianchi ◽  
P. Beltrami ◽  
C. Tallarigo ◽  
G. Giusti ◽  
A. Mofferdin ◽  
...  
Keyword(s):  
Operative Time ◽  
Laparoscopic Approach ◽  
Cost Benefit ◽  
Spermatic Vein ◽  
Laparoscopic Treatment ◽  
Everyday Activity ◽  
Benefit Ratio ◽  
Cost Benefit Ratio

— This paper reports the result of our experience on laparoscopic varicocele treatment. Fifty-two patients underwent ligation of the spermatic vein. In 34 patients the procedure was monolateral and in 18 bilateral. Disposable trocars were used for umbilical access; non-disposable trocars were used for the others. Operative time was comparable to that of traditional surgery. Short hospitalization (24–48 hours) and the rapid resumption of everyday activity give the laparoscopic approach a favourable cost/benefit ratio in comparison with standard open techniques.

scholarly journals Sonographic features of the testicular adrenal rests tumors in patients with congenital adrenal hyperplasia: a single-center experience and literature review

2019 ◽  
Vol 14 (1) ◽  
Author(s):  
Li Ma ◽  
Yu Xia ◽  
Linlin Wang ◽  
Ruifeng Liu ◽  
Xuepei Huang ◽  
...  
Keyword(s):  
Literature Review ◽  
Congenital Adrenal Hyperplasia ◽  
Medical Center ◽  
Semen Analysis ◽  
Steroid Treatment ◽  
Adrenal Hyperplasia ◽  
Hydroxylase Deficiency ◽  
Scrotal Ultrasound ◽  
Testicular Lesions

Abstract Purpose Testicular adrenal rests tumor (TART) is a rare kind of benign tumor in the testis. It usually occurred secondary to congenital adrenal hyperplasia (CAH), a hormonal disorder caused by hydroxylase deficiency. As the first-line examination method, ultrasound provides crucial diagnostic information for TART, although misdiagnosis to malignancy is quite common because of its rare prevalence. We aimed to summarize the sonographic manifestations of TART to improve the diagnostic accuracy and specificity. Methods Eight CAH patients with TART identified by ultrasound in our medical center were retrospectively reviewed. Clinical and hormonal profile, semen analysis and treatment choices were collected. Sonographic examinations were performed at the first evaluation and interpreted by experienced radiologists individually. All patients received regular follow-up, and 5 patients undertook repeated scrotal ultrasound. A literature review of TART in CAH patients was conducted, with 123 patients from 23 articles since 1990 included. Results A total of 8 patients aged between 4 to 27 years old were enrolled. 7 of 8 (87.5%) patients exhibited bilateral testicular lesions. The sizes of the testicular lesions were between 0.18 ml to 5.68 ml, and all showed a clear boundary. 10/15 (66.7%) lesions were homogenously hypoechoic, 4/15 (26.7%) were heterogeneously iso-hypoechoic, and 1/15 (6.7%) were homogenously isoechoic. 10/15 (66.7%) lesions were hyper-vascular. The longitudinal follow-up of 5 patients showed testicular lesions changed in terms of size, echogenicity, and vascularity after steroid treatment. A potential correlation may exist between ACTH levels and tumor size (p = 0.066). From the literature review, 100/123 (81%) patients got bilateral lesions, and 95% of them were located near the mediastinum. 80/103 (78%) lesions exhibited a clear boundary, and predominant lesions (74%) were hypoechogenic. Vascularity was with great diversity. Seventy-nine lesions of 44 patients were followed-up by scrotal ultrasound, among which 29 (37%) remained unchanged, 29(37%) shrank, and 21(27%) disappeared. Conclusions Key sonographic characteristics of TART are: resembled lesions on both testes, located near the mediastinum, clear boundary, and changed in size or echogenicity after steroid treatment. These features can help radiologists to make an accurate diagnosis of TART.

Suprasellar pituitary adenomas: a 10-year experience in a single tertiary medical center and a literature review

Pituitary ◽  
2020 ◽  
Vol 23 (4) ◽  
pp. 367-380
Author(s):  
Jianyu Zhu ◽  
Zhicheng Wang ◽  
Yi Zhang ◽  
Jie Liu ◽  
Xiaoxu Li ◽  
...  
Keyword(s):  
Literature Review ◽  
Pituitary Adenomas ◽  
Medical Center

Laryngeal Langerhans Cell Histiocytosis: A Case Report and Literature Review

2020 ◽  
pp. 000348942095488
Author(s):  
Allen S. Zhou ◽  
Lei Li ◽  
Thomas L. Carroll
Keyword(s):  
Literature Review ◽  
Langerhans Cell Histiocytosis ◽  
Medical Center ◽  
Tertiary Care ◽  
Rare Condition ◽  
Surgical Excision ◽  
Langerhans Cell ◽  
Histopathological Analysis ◽  
Current Case ◽  
Tertiary Care Medical Center

Objective: To describe a case of laryngeal Langerhans cell histiocytosis, discuss its characteristic features and management, and provide a review of the available literature. Methods: A patient presenting to a tertiary care medical center with dyspnea and hoarseness is described. A literature review of laryngeal Langerhans cell histiocytosis cases was performed through a search of articles indexed in the National Institutes of Health PubMed system. Results: We report a case of a 69-year old male, who presented with a laryngeal mass highly suspicious for laryngeal squamous cell carcinoma, was treated with laser excision, and was subsequently found to have laryngeal Langerhans cell histiocytosis upon histological analysis. Including our current case, we found six prior reported cases of laryngeal Langerhans cell histiocytosis in the literature. Of the six cases, four were in adults, while two were in children. Dyspnea is a common presenting complaint present in all cases. Smoking may be a potential risk factor. Conclusions: Laryngeal Langerhans cell histiocytosis is a rare condition and an important consideration in the differential diagnosis of patients presenting with a laryngeal mass and symptoms of dyspnea or hoarseness. Biopsy and histopathological analysis are key to the diagnosis. Surgical excision and radiotherapy are successful treatments used in clinical practice.

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