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J Minim Invasive Gynecol 2019 Apr 17. Epub 2019 Apr 17.

Department of Obstetrics and Gynecology, University of South Florida, Morsani College of Medicine, Tampa, FL. Electronic address:

Study Objective: To compare the detection rate of adenomyosis when ultrasound is performed by a radiologist compared to a gynecologic expert sonologist.

Design: A retrospective, single center study.

Setting: University teaching hospital PATIENTS: All women above 18 years of age with a positive histopathology diagnosis of adenomyosis obtained in a hysterectomy specimen from October 1, 2011 - October 1, 2017 were screened for inclusion. Read More

Gynecol Oncol 2019 Apr 16. Epub 2019 Apr 16.

Gynecologic and Breast Oncologic Surgery Department, Georges Pompidou European Hospital, Paris, France; Paris Descartes University, Sorbonne Paris Cité, Faculty of Medicine, Paris, France.

Objectives: The purpose of this study was to describe sentinel lymph nodes (SLN) topography in patients with early-stage cervical cancer and to determine factors associated with atypical lymphatic drainage pathway (LDP).

Methods: We analyzed the data of two prospective multicentric trials on SLN biopsy for cervical cancer (SENTICOL I and II) in women undergoing surgery for early-stage cervical cancer. SLN detection was realized with a combined labeling technique (Patent blue and radioactive tracer). Read More

Gynecol Obstet Fertil Senol 2019 Apr 16. Epub 2019 Apr 16.

Département de Gynécologie-Obstétrique, Université de Liège, Centre Hospitalier Régional de la Citadelle, Boulevard du 12(e) de Ligne, 1, 4000 Liège, Belgique.

Objective: To evaluate the place of subtotal hysterectomy during laparoscopic sacrocolpopexy.

Methods: This retrospective observational study includes patients undergoing laparoscopic sacrocolpopexy between November 2010 and March 2015 at the Centre Hospitalier Régional de la Citadelle, Liège, Belgium. Patient characteristics, medical and surgical history were collected. Read More

Gynecol Obstet Fertil Senol 2019 Apr 16. Epub 2019 Apr 16.

Assistance Publique-Hôpitaux de Paris, Hôpital Européen Georges-Pompidou, Chirurgie Cancérologique Gynécologique et du Sein, Paris, France; Université Paris Descartes, INSERM UMR-S 747, Paris, France; Université Paris Descartes, Sorbonne Paris Cité, Faculté de Médecine, Paris, France. Electronic address:

Objectives: Lynch syndrome (LS) is a hereditary predisposition to cancers, first of all, colo-rectal and endometrial cancers in women. Although recommended, gynecologic screening has never proven its benefit. Prophylactic surgery can be consider once the parental project is completed. Read More

Prev Med 2019 Apr 16. Epub 2019 Apr 16.

Surveillance and Health Services Research, American Cancer Society, Atlanta, GA, United States of America.

Recent trends of cervical cancer incidence by histology and age in the United States (U.S.) have not been reported. Read More

J Clin Oncol 2019 Apr 19:JCO1900500. Epub 2019 Apr 19.

1 Beth Israel Deaconess Medical Center and Harvard Medical School, Boston, MA.

A healthy 51-year-old woman presented with increasing abdominal and pelvic pain. Computed tomography imaging of the abdomen and pelvis showed an 11.6-cm pelvic mass, retroperitoneal lymphadenopathy, right hydronephrosis, and mesenteric tumor deposits ( Fig 1A ). Read More

J Obstet Gynaecol 2019 Apr 19:1-6. Epub 2019 Apr 19.

a Dipartimento Scienze della Salute della Donna e del Bambino , Fondazione Policlinico Univeristario A. Gemelli, IRCCS , Rome , Italy ;

A hysterectomy for enlarged uteri is considered a challenge for gynaecologic surgeons, due to the limit of exposure to surgical spaces. Our objective is to investigate the different variables that may have an impact on the risk of conversion to open surgery. This is a retrospective cohort study consisting of 133 women who were submitted to surgery for uterine fibroids and who underwent total hysterectomy by laparoscopic approach attempt. Read More

Acta Obstet Gynecol Scand 2019 Apr 18. Epub 2019 Apr 18.

Department of Women and Children's Health, King's College London, London, UK.

Introduction: Shock Index (SI) is a predictor of hemodynamic compromise in obstetric patients. The Shock Index threshold for action is not well understood. We aimed to evaluate Shock Index thresholds as predictors of outcomes in obstetric patients. Read More

J Midlife Health 2019 Jan-Mar;10(1):48-50

Department of Pathology, Chettinad Hospital and Research Institute, Kanchipuram, Tamil Nadu, India.

Anastomosing hemangioma (AH) is a rare vascular tumor, which has a predilection for the genitourinary system. Ovarian AH is rare, only few cases have been reported in literature so far. Here, we report a case of 50-year-old woman with right ovarian mass clinically diagnosed as ovarian epithelial malignancy. Read More

J Midlife Health 2019 Jan-Mar;10(1):29-32

Department of Obstetrics and Gynecology, NKP Salve Institute of Medical Sciences and Research Centre, Nagpur, Maharashtra, India.

Background: Prophylactic salpingo-oophorectomy refers to the removal of clinically normal ovaries at the time of hysterectomy for benign lesions, to reduce the risk of ovarian and breast cancer in future. This risk reduction holds true for high-risk women, i.e. Read More

J Matern Fetal Neonatal Med 2019 Apr 18:1-191. Epub 2019 Apr 18.

b Department of Obstetrics and Gynecology , Mie University School of Medicine , Mie , Japan.

Objective: We reviewed malignancy related maternal deaths in Japan to ascertain if there were avoidable factors.

Methods: Malignancy related maternal death in Japan reported to the Maternal Death Exploratory Committee, from 2010 to 2016 inclusive.

Results: There were 12 cases of maternal death caused by malignancy. Read More

J Matern Fetal Neonatal Med 2019 Apr 18:1-131. Epub 2019 Apr 18.

a Department of Neuroscience , Reproductive Sciences and Dentistry , School of Medicine , University of Naples "Federico II" , Naples , Italy.

Objective: To evaluate benefits of use of ureteral stents in association with cesarean hysterectomy in case of placenta accreta.

Methods: This was a single center, retrospective, cohort study. Clinical records of all consecutive singleton pregnancies with confirmed placenta accreta who underwent cesarean hysterectomy were included in the study. Read More

Gynecol Oncol Rep 2019 May 20;28:104-108. Epub 2019 Mar 20.

Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, University of Colorado School of Medicine, Denver, CO, United States of America.

A recent survey of fellowship program directors (PD) within gynecologic oncology (GO) noted concerns regarding the abilities of incoming fellows. The objective of this study was to evaluate the perceptions of current and former fellows in gynecologic oncology of their readiness for fellowship training. A previously used survey was modified and distributed in 2016 to current and former fellows in GO. Read More

Clin Case Rep 2019 Apr 6;7(4):753-757. Epub 2019 Mar 6.

Departement of General Surgery Cantonal Hospital Lucerne Luzern Switzerland.

Retained surgical material needs to be a possible differential diagnosis for patients presenting with unspecific abdominal pain after especially cavitary emergency surgery. Even though international standard checklists concerning sponge handling and counting exist, RSM could never be ruled out completely. Read More

Menopause 2019 Apr 15. Epub 2019 Apr 15.

Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, IL.

Objective: The aim of the study was to review the management of endometrial hyperplasia in a woman undergoing liver transplantation for alcoholic cirrhosis.

Methods: This is a case presentation on a postmenopausal woman with a tissue diagnosis of endometrial intraepithelial neoplasia managed with a levonorgestrel intrauterine device, before and after liver transplantation. Full written informed consent was obtained from the patient to present her case. Read More

J Obstet Gynaecol Res 2019 Apr 16. Epub 2019 Apr 16.

Department of Gynecology, Hwa Mei Hospital, University of Chinese Academy of Sciences, Ningbo, China.

Synchronous mucinous metaplasia and neoplasms of the female genital tract (SMMN-FGT) is a rare disease reported by a few scholars without the consensus of diagnosis and treatment. Here we will report a 57-year-old female patient from Zhejiang China who suffered from this disease. She came to our hospital because of a large amount of vaginal discharge. Read More

Rev Bras Ginecol Obstet 2019 Apr 16. Epub 2019 Apr 16.

Department of Specialized Medicine, Universidade Federal do Piauí, Teresina, PI, Brazil.

Background:  Most endometrial cancers (75%) are diagnosed in early stages (stages I and II), in which abnormal uterine bleeding is the most frequent clinical sign. When the diagnosis is performed in stage IV, the most common sites of metastasis are the lungs, liver and bones. Central nervous system (CNS) metastasis is a rare condition. Read More

Anaesthesist 2019 Apr;68(Suppl 2):113-117

Departement d'Anesthésiologie-Réanimation, Hopitaux de Brabois, Centre Hospitalier Régional Universitaire de Nancy, 4, Rue du Morvan, Nancy, Frankreich.

BMJ Case Rep 2019 Apr 14;12(4). Epub 2019 Apr 14.

Department of Obstetrics and Gynaecology, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Vaginal pessary is a practical and effective tool for pelvic organ prolapse management. Nevertheless, serious complications can occur in neglected patients such as vesicovaginal and rectovaginal fistula, erosion and impaction in adjacent structures. We report a case of neglected pessary found in the uterine cavity. Read More

J Invest Surg 2019 Apr 15:1-7. Epub 2019 Apr 15.

a Department of Obstetrics and Gynecology, Kanuni Sultan Süleyman Research and Training Hospital , Istanbul Health Sciences University , İstanbul, Turkey.

Objectives: The extraperitoneal uterosacral ligament suspension (ULS) can be performed during the removal of the uterus in vaginal hysterectomy to prevent cuff prolapse. In this study, we evaluated the modified extraperitoneal ULS technique in terms of preventing cuff prolapse. Methods/Technique: Forty patients with second and third-stage uterine prolapse who were operated were included in the study. Read More

J Am Vet Med Assoc 2019 May;254(9):1067-1072

Objective: To determine the usefulness of combined assessments of serum anti-Müllerian hormone (AMH) and progesterone (P4) concentrations for diagnosis of ovarian remnant syndrome (ORS) in dogs.

Design: Prospective case series.

Animals: 602 bitches that had previously undergone ovariohysterectomy or ovariectomy without hysterectomy and that were being evaluated for ORS. Read More

Cochrane Database Syst Rev 2019 Apr 15;4:CD011422. Epub 2019 Apr 15.

Cochrane Gynaecological, Neuro-oncology and Orphan Cancer Group, 1st Floor Education Centre, Royal United Hospital, Combe Park, Bath, UK, BA1 3NG.

Background: This is an updated merged review of two originally separate Cochrane reviews: one on robot-assisted surgery (RAS) for benign gynaecological disease, the other on RAS for gynaecological cancer. RAS is a relatively new innovation in laparoscopic surgery that enables the surgeon to conduct the operation from a computer console, situated away from the surgical table. RAS is already widely used in the United States for hysterectomy and has been shown to be feasible for other gynaecological procedures. Read More

Medicine (Baltimore) 2019 Apr;98(15):e15144

The Department of Obstetrics and Gynecology, West China Second University Hospital of Sichuan University, Chengdu, Sichuan.

Rationale: Yolk sac tumors (YSTs) are malignant germ cell tumors that secrete alpha-fetoprotein (AFP). These tumors commonly develop in infants, young children, and young women and often originate in the gonads. Primary endometrial YST is a very rare malignancy, and a primary endometrial YST in the absence of abnormal AFP levels is even rarer. Read More

Clin Nucl Med 2019 Apr 12. Epub 2019 Apr 12.

From the Departments of Nuclear Medicine and.

Primary endometrial hepatoid adenocarcinoma is a rare tumor. We present a case of a 64-year-old woman with vaginal bleeding for 2 months and a markedly elevated serum α-fetoprotein of 3931 ng/mL. Hysteroscopic segmental curettage revealed endometrial adenocarcinoma. Read More

Anesth Analg 2019 Apr 8. Epub 2019 Apr 8.

From the *Department of Anesthesiology and Critical Care, Josie Robertson Surgery Center †Department of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, New York.

Background: Patients with obstructive sleep apnea (OSA) may be at increased risk for serious perioperative complications. The suitability of ambulatory surgery for patients with OSA remains controversial, and several national guidelines call for more evidence that assesses clinically significant outcomes. In this study, we investigate the association between OSA status (STOP-BANG risk, or previously diagnosed) and short-term outcomes and safety for patients undergoing cancer surgery at a freestanding ambulatory surgery facility. Read More

Surg Obes Relat Dis 2019 Jan 11. Epub 2019 Jan 11.

National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland.

Background: Lack of prospective trials have resulted in a dearth of information regarding postbariatric surgery conception rates in women with a preoperative history of infertility.

Objective: To examine associations between preoperative history of infertility and postbariatric surgery conception.

Setting: A multicenter cohort study at 10 United States hospitals (2006-2009). Read More

J Minim Invasive Gynecol 2019 Apr 10. Epub 2019 Apr 10.

Department of Gynecologic Surgery, Mayo Clinic Arizona; 5777 East Mayo Boulevard; Phoenix, Arizona 85054. Electronic address:

Study Objective: Determine safety and feasibility of same-day discharge in patients undergoing vaginal hysterectomy with pelvic floor reconstruction.

Design: Prospective cohort pilot study.

Setting: Single academic medical center. Read More

J Minim Invasive Gynecol 2019 Apr 10. Epub 2019 Apr 10.

Department of Obstetrics and Gynecology, Rambam Health Care Campus, Haifa, Israel; Ruth and Bruce Rappaport Faculty of Medicine, Technion, Haifa, Israel. Electronic address:

Objective: Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) offers similar advantages of traditional vaginal surgery including no incisional pain as well as a better cosmetic outcome. Furthermore, vNOTES allows the surgeon to overcome the limited surgical space and lack of exposure when using the traditional vaginal instrumentation. Vaginal utero-sarcral ligament suspension subsequent to vaginal hysterectomy has the advantages of mesh-free, minimally invasive approach for treatment of pelvic organ prolapse (POP). Read More

J Minim Invasive Gynecol 2019 Apr 10. Epub 2019 Apr 10.

The Ottawa Hospital Research Institute, Ottawa ON; Department of Obstetrics and Gynecology, University of Ottawa, Ottawa ON. Electronic address:

Contraception 2019 Apr 10. Epub 2019 Apr 10.

Family Planning Research Institute, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, PR China; Reproductive Medicine Center, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, PR China. Electronic address:

Objective(s): To explored the antifertility effectiveness and influence on the endometrium of a micro-copper/low-density polyethylene/methyl vinyl silicone rubber (Cu/LDPE/MVQ) composite in rhesus macaques.

Study Design: Healthy reproductive aged female rhesus macaques underwent abdominal hysterotomy for surgical placement of either the experimental Cu/LDPE/MVQ composite (Cu/LDPE/MVQ, n=5), bare copper wire (Cu, n=5), or hysterotomy only sham-operation group [(SOI, n=4), (SOII, n=6)]. Females in the Cu/LPDE/MVQ, Cu, and SOI groups were housed with fertile males for approximately 3 menstrual cycles. Read More

CMAJ Open 2019 Apr-Jun;7(2):E217-E226. Epub 2019 Apr 12.

Chronic Viral Illness Service (de Pokomandy, Bakombo, Proulx-Boucher), McGill University Health Centre; Department of Family Medicine (de Pokomandy, O'Brien), McGill University, Montréal, Que.; Department of Family and Community Medicine (Burchell), St. Michael's Hospital; Department of Family and Community Medicine (Burchell), University of Toronto, Toronto, Ont.; Faculty of Health Sciences (Salters, Kaida), Simon Fraser University, Burnaby, BC; BC Centre for Excellence in HIV/AIDS (Salters, Ding, Kaida), Vancouver, BC; Department of Obstetrics and Gynecology (Boucoiran), Hôpital Sainte-Justine and Université de Montréal, Montréal, Que.; Oak Tree Clinic (Pick), BC Women's Hospital; Department of Family Practice (Ogilvie), School of Population and Public Health, University of British Columbia, Vancouver, BC; Women's College Research Institute (Loutfy), Women's College Hospital; Faculty of Medicine (Loutfy), University of Toronto, Toronto, Ont.

Background: Cisgender women with HIV experience an elevated risk of cervical cancer compared with HIV-negative women, but this cancer can be prevented through regular cervical cancer screening. Our study objective was to measure adherence to current national cervical cancer screening guidelines among women with HIV in 3 Canadian provinces and identify factors associated with delays.

Methods: We conducted a cross-sectional study using the baseline questionnaire of the Canadian HIV Women's Sexual and Reproductive Health Cohort Study (CHIWOS). Read More

Niger J Clin Pract 2019 Apr;22(4):478-484

Department of Anesthesiology and Reanimation, Dr. Abdurrahman Yurtaslan Ankara Oncology Education and Research Hospital, Demetevler, Ankara, Turkey.

Background: Analgesic protocol is needed following gynecologic surgery to ensure early mobilization, decrease the duration in the post-anesthetic care unit and hospitalization, and provide patient comfort. Transversus abdominis plane (TAP) blocks are used in the treatment of acute postoperative pain after lower abdominal surgery. TAP block may be a better choice of postoperative pain control. Read More

Am J Clin Oncol 2019 Apr 9. Epub 2019 Apr 9.

Unit of Obstetrics and Gynecology, Azienda USL-IRCCS of Reggio Emilia.

Objectives: The objectives of this study were to evaluate whether the international recommendations on the management of uterine papillary serous carcinoma arising in a polyp are uniformly followed in Italian Oncologic Centers and whether the strategy adopted is effective.

Materials And Methods: Patients with uterine papillary serous carcinoma arising in a polyp and who had undergone a hysterectomy were identified in the 2003-2013 database of 7 Italian Gynecologic Oncology Centers. Clinical and pathologic characteristics and outcomes were compared between staging procedure types. Read More

Urol Int 2019 Apr 10:1-5. Epub 2019 Apr 10.

Department of Urology, King George's Medical University, Lucknow, India.

Objectives: To highlight the transvaginal route as an excellent approach for repair of a simple trigonal, supra-trigonal vesico-vaginal and urethrovaginal fistulae without compromising on the successful patient outcomes. We also determine factors affecting outcomes in such patients.

Materials And Methods: A retrospective analysis was carried out on 58 patients with simple trigonal, supra trigonal and urethrovaginal fistula who underwent transvaginal repair in the last 10 years. Read More

Obstet Gynecol 2019 Apr 5. Epub 2019 Apr 5.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Northwestern University Feinberg School of Medicine, the Robert H. Lurie Comprehensive Cancer Center, Northwestern University, and the Center for Healthcare Studies, Institute for Public Health in Medicine, Chicago, Illinois; the Division of Minimally Invasive Gynecology, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center, Los Angeles, California; and the Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.

Objective: To compare the rate of delayed 30-day lower genitourinary tract injury in women who underwent cystoscopy at the time of hysterectomy for benign indications to those who did not.

Methods: This was a retrospective cohort study of patients who underwent hysterectomy without a concomitant procedure for prolapse or incontinence for benign pathology with a general obstetrician-gynecologist (ob-gyn) recorded in the National Surgical Quality Improvement Program targeted hysterectomy file between 2015 and 2017. The primary outcome was a delayed lower genitourinary tract injury in the 30 days after hysterectomy. Read More

Obstet Gynecol 2019 Apr 5. Epub 2019 Apr 5.

Department of Obstetrics and Gynecology, University of Texas Southwestern Medical Center, Dallas, Texas; Department of Obstetrics, Gynecology, and Reproductive Sciences, University of Pittsburgh School of Medicine, Magee-Womens Hospital of UPMC, Pittsburgh, Pennsylvania.

Objective: To determine whether backfilling the bladder postoperatively will reduce time to discharge in patients undergoing outpatient laparoscopic hysterectomy.

Methods: In a single-blind, randomized, controlled trial among women undergoing outpatient laparoscopic hysterectomy, patients were randomly assigned to a backfill-assisted void trial or a trial of spontaneous voiding. The primary outcome was time to discharge assessed by length of time spent in the postanesthesia care unit. Read More

Abdom Radiol (NY) 2019 Apr 9. Epub 2019 Apr 9.

Department of Radiology and Biomedical Imaging, University of California San Francisco, 505 Parnassus Ave., Box 0628, San Francisco, CA, 94131, USA.

Purpose: To evaluate correlation of "placental bulge sign" with myometrial invasion in placenta accreta spectrum (PAS) disorders. Placental bulge is defined as deviation of external uterine contour from expected plane caused by abnormal outward bulge of placental tissue.

Materials And Methods: In this IRB-approved, retrospective study, all patients undergoing MRI for PAS disorders between March 2014 and 2018 were included. Read More

J Matern Fetal Neonatal Med 2019 Apr 9:1-71. Epub 2019 Apr 9.

a Department of Obstetrics and Gynecology , Jichi Medical University , Tochigi , Japan.

J Minim Invasive Gynecol 2019 Apr 6. Epub 2019 Apr 6.

George Washington University, Department of Obstetrics and Gynecology, Division of Minimally Invasive Gynecologic Surgery, Washington, DC. Electronic address:

Study Objective: To analyze the interaction between the route of hysterectomy for benign disease and postoperative morbidity among patients stratified by BMI and to test for a dose-dependent relationship between obesity severity and postoperative morbidity.

Design: Retrospective cohort study.

Patients: Benign hysterectomy cases were abstracted from the American College of Surgeons National Safety and Quality Improvement Program from 2005-2016. Read More

Anticancer Agents Med Chem 2019 Apr 8. Epub 2019 Apr 8.

Department of Biotechnology, School of Chemical and Life Sciences, Jamia Hamdard, New Delhi, 110062. India.

Background: Uterine leiomyoma is a benign smooth muscle tumor of monoclonal nature in female reproductive tract and is one of the major health problems. More than 70% of female population suffers from uterine leiomyoma in their lifetime and in advanced condition it is associated with pregnancy complications and infertility.

Objective: Characterization and relative expression of mRNA transcripts through transcriptome profiling in uterine leiomyoma and adjacent myometrium. Read More

Gynecol Oncol Rep 2019 May 16;28:71-75. Epub 2019 Mar 16.

Innovating Health International, Port-au-Prince, Haiti.

•Raising awareness is critical to any cancer program and through our outreach events we were able to educate 33,258 women.•We have treated over 4500 women with VIA and cryotherapy or thermocoagulation.•At least 30 of our patients are currently receiving individualized chemotherapy, whether neoadjuvant, adjuvant or palliative. Read More

Nagoya J Med Sci 2019 Feb;81(1):171-176

Department of Obstetrics and Gynecology, Nagoya University Graduate School of Medicine, Nagoya, Japan.

Fibrosarcoma is an extremely rare malignant sex-cord stromal tumor. Fibrosarcoma is generally unknown as an estrogen producing tumor. This report presents, for the first time, a case of estrogen producing ovarian fibrosarcoma in an 83-year-old female. Read More

J Matern Fetal Neonatal Med 2019 Apr 9:1-6. Epub 2019 Apr 9.

a Department of Obstetrics , Chengdu's Women and Children's Central Hospital , Chengdu , China.

Aim: This study aimed to explore the therapeutic effectiveness of prophylactic internal iliac artery balloon occlusion (IIABO) during cesarean delivery in the management of patients with pernicious placenta previa (PPP) coexisting with placenta accreta (PA).

Methods: This retrospectively study enrolled 83 patients diagnosed with PPP coexisting with PA in our hospital between January 2014 and December 2017. The patients were divided into the study group (n = 58, receiving routine cesarean section followed prophylactic IIABO) and control group (n = 25, receiving routine cesarean section alone). Read More

ANZ J Surg 2019 Apr 8. Epub 2019 Apr 8.

Department of Urology, University of Minnesota, Minneapolis, Minnesota, USA.

Background: Malnutrition has been associated with adverse postoperative outcomes in a range of procedures but none have evaluated the interaction between clinical indicators of malnutrition. We aimed to comparatively evaluate how combinations of nutritional parameters impact postoperative outcomes amongst patients undergoing major cancer operations.

Methods: Major abdominopelvic cancer surgery cases (colectomy, cystectomy, esophagectomy, gastrectomy, hysterectomy, nephrectomy, pancreatectomy, pneumonectomy and prostatectomy) were identified in the American College of Surgeons National Surgical Quality Improvement Program database from 2007-2016. Read More

J Minim Invasive Gynecol 2019 Apr 5. Epub 2019 Apr 5.

University Hospital of Cagliari, Cagliari, Italy, SS 554 km 4,500 Monserrato (CA), Italy. Electronic address:

J Matern Fetal Neonatal Med 2019 Apr 7:1-221. Epub 2019 Apr 7.

h Department of Obstetrics and Gynaecology , Faculty of Medicine , Assiut University , Assiut , Egypt.

Background: Postpartum hemorrhage (PPH) is a direct cause of maternal death all over the world. A Bakri balloon is recommended by ACOG and WHO as a treatment line for PPH unresponsive to uterotonics. We carried out a systematic review to assess the safety and effectiveness of Bakri balloon in the management of PPH. Read More

Radiol Case Rep 2019 Jun 25;14(6):673-677. Epub 2019 Mar 25.

University of Kentucky, Department of Radiology, 800 Rose St, Lexington, KY 40536, United States.

Uterine fibroids are common benign tumors seen in women and can be managed with a variety of treatment options, including hysterectomy, myomectomy, and uterine fibroid embolization (UFE). UFE is an acceptable alternative to surgical treatment in well-selected cases and offers the added benefit of decreased hospital stay and avoidance of general anesthesia risk. Like any other procedure, UFE carries risks and complications. Read More

Proc (Bayl Univ Med Cent) 2019 Jan 7;32(1):126-128. Epub 2019 Jan 7.

Division of Gynecologic Oncology, Department of Oncology, Baylor University Medical CenterDallasTexas.

Disseminated peritoneal leiomyomatosis (DPL), also known as leiomyomatosis peritonealis disseminata, is a rare condition characterized by multiple benign smooth muscle tumors proliferating along the peritoneal surfaces. In previous case reports, these tumors have been noted to involve the ovaries, round ligaments, bladder, bowel, peritoneum, and mesentery. To date, approximately 150 cases of DPL have been described in the literature. Read More