2,938 results match your criteria Rectovaginal Fistula


Patient-reported sexual adjustment after definitive chemoradiation and MR-guided brachytherapy for cervical cancer.

Brachytherapy 2018 Nov 30. Epub 2018 Nov 30.

Department of Radiation Oncology, University of Toronto, Toronto, Ontario, Canada; Radiation Medicine Program, University Health Network, Toronto, Ontario, Canada. Electronic address:

Purpose: The treatment of locally advanced cervical cancer with definitive chemoradiation (CRT) is associated with vaginal toxicity and altered sexual satisfaction. This prospective study assessed patient-reported sexual adjustment, vaginal dosimetry, and physician-reported vaginal toxicity in patients with cervical cancer treated with CRT and MR-guided brachytherapy (BT).

Materials And Methods: Between 2008 and 2010, International Federation of Gynecologists and Obstetricians stage IB-IVA patients with cervical cancer receiving definitive CRT were enrolled in a feasibility study assessing MR-guided BT. Read More

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November 2018
1 Read

Neoadjuvant Therapy to Downstage the Extent of Resection of Gastrointestinal Stromal Tumors.

Visc Med 2018 Oct 9;34(5):359-365. Epub 2018 Oct 9.

Division of Surgical Oncology and Thoracic Surgery, Department of Surgery, University Medical Center Mannheim, Medical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.

Introduction: Gastrointestinal stromal tumors (GIST) are rare malignant tumors in terms of incidence, and they are not linked to specific symptoms. Often, primary tumors, particularly of the stomach, rectum, or rectovaginal space, are quite large when detected, and multivisceral resection seems to be the treatment of choice as the mainstay of therapy is complete tumor removal. If a gain-of-function mutation in the gene is present, drug therapy with receptor tyrosine kinase inhibitors (RTKIs) might significantly downstage primary GIST tumors. Read More

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October 2018
2 Reads

Partial Stapled Hemorrhoidopexy Versus Circumferential Stapled Hemorrhoidopexy for Grade III to IV Prolapsing Hemorrhoids: A Randomized, Noninferiority Trial.

Dis Colon Rectum 2018 Nov 26. Epub 2018 Nov 26.

Background: Long-term outcomes and efficacy of partial stapled hemorrhoidopexy are not known.

Objective: The purpose of this study was to compare the long-term clinical efficacy and safety of partial stapled hemorrhoidopexy with circumferential stapled hemorrhoidopexy.

Design: This was a parallel group, randomized, noninferiority clinical trial. Read More

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November 2018
1 Read

Diverting stoma-related complications following colorectal endometriosis surgery: a 163-patient cohort.

Eur J Obstet Gynecol Reprod Biol 2018 Nov 6;232:46-53. Epub 2018 Nov 6.

Expert Center in the Diagnosis and Multidisciplinary Management of Endometriosis, Rouen University Hospital, Rouen, France; Clinique Tivoli-Ducos, Bordeaux, France. Electronic address:

Objective: Deep endometriosis may simultaneously infiltrate the vagina and the rectosigmoid, which associated resection may increase the risk of postoperative complications. Among these complications, rectovaginal fistula is one of the worst. To reduce the risk of rectovaginal fistula and related complications, surgeons may employ diverting stoma. Read More

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November 2018
4 Reads

Risk-based approach versus culture-based screening for identification of group B streptococci among women in labor.

Int J Gynaecol Obstet 2018 Nov 22. Epub 2018 Nov 22.

Department of Clinical Microbiology, Lillebaelt Hospital, Vejle, Denmark.

Objective: To compare a risk-based and culture-based screening approach for identification of group B streptococci (GBS) vaginal colonization using an intrapartum rectovaginal culture as the reference standard.

Methods: Pregnant women attending the prenatal clinic at Lillebaelt Hospital, Kolding, Denmark, between April 1, 2013, and June 30, 2014, were invited to participate in a prospective observational study. For prepartum culture-based screening, vaginal and rectal culture samples were obtained and, for reference, standard, paired vaginal and rectal culture samples were collected during labor. Read More

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November 2018
4 Reads

Diverting Stoma for Refractory Ano-perineal Crohn's Disease, Is It Really Useful in the Anti-TNF Era? A multivariate analysis in 74 consecutive patients.

J Crohns Colitis 2018 Nov 19. Epub 2018 Nov 19.

Department of Colorectal Surgery, Beaujon Hospital, Assistance Publique-Hôpitaux de Paris, (AP-HP), University Denis Diderot (Paris VII), Clichy, France.

Background & Aims: Faecal diversion (FD) can be proposed in patients with refractory anoperineal Crohn's disease (APCD). This study aimed to assess long-term results of this strategy, following the advent of the anti-TNF era.

Methods: All patients who underwent FD for refractory APCD between 2005 and 2017 were included, excluding patients with a history of ileal pouch-anal anastomosis. Read More

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November 2018
4 Reads

Wound Management: Wounds with Special Challenges.

Vet Clin North Am Equine Pract 2018 Dec;34(3):511-538

Department of Large Animal Medicine, College of Veterinary Medicine, University of Georgia, 2200 College Station Road, Athens, GA 30602, USA. Electronic address:

Distal limb wounds in horses heal substantially different than trunk wounds, commonly resulting in exuberant granulation tissue and exposed and sequestered bone. Surgical intervention of severe rectovaginal lacerations in the mare should be delayed until the tissues have heeled and scar tissue has remodeled. Wounds resulting in severe hemorrhage require appropriate emergent fluid therapy and potentially transfusion therapy. Read More

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December 2018
3 Reads

Learning curve for the ultrasonographic diagnosis of deep endometriosis using a structured off-line training program.

Ultrasound Obstet Gynecol 2018 Nov 13. Epub 2018 Nov 13.

Department of Obstetrics and Gynecology, Clínica Universidad de Navarra, School of Medicine, University of Navarra, Pamplona, Spain.

Objective: The aim of the present study was to assess the learning curves of trainees during a structured off-line/hands-on training program on the diagnosis of deep infiltrating endometriosis (DIE).

Methods: A two-week training program was conducted. One day was devoted to theoretical issues and guided off-line analysis of 10 volumes of three-dimensional (3D) ultrasound. Read More

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November 2018
3 Reads

Colovesical fistula as the initial manifestation of advanced colon cancer: A case report and review of literature.

World J Clin Cases 2018 Oct;6(12):538-541

Department of Radiology, Medical University in Lublin, Lublin 20-081, Polen (POL), Poland.

Colovesical fistulas (CVFs) are rare complications of very advanced cancers of the abdominal or pelvic cavity and often cause diagnostic troubles. CVFs are found more often in males, whereas females usually suffer from rectovaginal or vesicovaginal fistulas. This article presents a case of a female patient who was admitted to the hospital because of acute diarrhea, presumably of infectious origin, and with only subtle abnormalities in blood tests and urinalysis. Read More

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October 2018
4 Reads

[Definition, epidemiology and risk factors of obstetric anal sphincter injuries: CNGOF Perineal Prevention and Protection in Obstetrics Guidelines].

Gynecol Obstet Fertil Senol 2018 Oct 29. Epub 2018 Oct 29.

Service de gynécologie-obstétrique, hôpitaux de Nantes, CHU Hôtel-Dieu, 38, boulevard Jean-Monnet, 44000 Nantes, France; Université de Nantes, 1, rue Gaston-Veil, 44000 Nantes, France.

Objectives: The aim of this review was to agree on a definition of the obstetric anal sphincter injuries (OASIS), to determine the prevalence and risk factors.

Methods: A comprehensive review of the literature on the obstetric anal sphincter injuries (OASIS), establishment of levels of evidence (NP), and grades of recommendation according to the methodology of the recommendations for clinical practice.

Results: To classify obstetric anal sphincter injuries (OASIS), we have used the WHO-RCOG classification, which lists 4 degrees of severity. Read More

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October 2018
5 Reads

Trajectories of women's physical and psychosocial health following obstetric fistula repair in Uganda: a longitudinal study.

Trop Med Int Health 2018 Oct 29. Epub 2018 Oct 29.

Department of Obstetrics, Gynecology and Reproductive Sciences, Bixby Center for Global Reproductive Health, University of California, San Francisco, CA, USA.

Objectives: To explore trajectories of physical and psychosocial health, and their interrelationship, among women completing fistula repair in Uganda for 1 year post-surgery.

Methods: We recruited a 60-woman longitudinal cohort at surgical hospitalisation from Mulago Hospital in Kampala Uganda (Dec 2014-June 2015) and followed them for 1 year. We collected survey data on physical and psychosocial health at surgery and at 3, 6, 9 and 12 months via mobile phone. Read More

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October 2018
12 Reads

Obstetrical Outcomes in Adult Patients Born with Complex Anorectal Malformations and Cloacal Anomalies: A Literature Review.

J Pediatr Adolesc Gynecol 2018 Oct 24. Epub 2018 Oct 24.

Nationwide Children's Hospital, Columbus, Ohio.

Patients born with complex anorectal malformations often have associated Müllerian anomalies, which might affect fertility and obstetrical outcomes. Other vertebral-anorectal-tracheoesophageal-renal-limb associations, such as renal or cardiac anomalies, could also affect pregnancy intention, fertility rates, and recommendations about mode of delivery or obstetrical outcomes. Associated conditions present at birth, like hydrocolpos, could also potentially affect fertility. Read More

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October 2018
9 Reads

Rectovaginal fistula induced by Resonium A: first case report and literature review.

ANZ J Surg 2018 Oct 22. Epub 2018 Oct 22.

Department of Surgery, Flinders Medical Centre, Adelaide, South Australia, Australia.

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October 2018

MRI review of female pelvic fistulizing disease.

J Magn Reson Imaging 2018 Nov;48(5):1172-1184

Mayo Clinic Department of Radiology, Rochester, Minnesota, USA.

A wide variety of fistulae occur in the female pelvis, most of which cause significant morbidity. Diagnosis, characterization, and treatment planning may be difficult using traditional imaging modalities such as fluoroscopy and computed tomography. To date, there is no comprehensive literature review of the radiologic findings associated with various types of female pelvic fistulae, and furthermore, none dedicated to magnetic resonance imaging (MRI). Read More

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November 2018
5 Reads

Update on the Natural Course of Fistulizing Perianal Crohn's Disease in a Population-Based Cohort.

Inflamm Bowel Dis 2018 Oct 19. Epub 2018 Oct 19.

Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota.

Background: This study sought to re-estimate the cumulative incidence of perianal or rectovaginal fistulas and the associated proctectomy rate in the prebiologic era vs the biologic era using a population-based cohort of Crohn's disease (CD) patients.

Methods: The medical records of 414 residents of Olmsted County, Minnesota, who were diagnosed with CD between 1970 and 2010 were reviewed. The cumulative incidence of perianal or rectovaginal fistulas from time of CD diagnosis and the cumulative rate of proctectomy from date of first perianal or rectovaginal fistula diagnosis were estimated using the Kaplan-Meier method. Read More

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October 2018
1 Read

Migration of a fractured ring IUD resulting in vesicovaginal fistula and vaginal calculus.

Eur J Contracept Reprod Health Care 2018 Oct 16;23(5):387-389. Epub 2018 Oct 16.

a Department of Gynaecology , Taizhou First People's Hospital , Taizhou , China.

Case: Although many complications have been reported with intrauterine contraceptive devices (IUDs), vesicovaginal fistula with secondary vaginal stones is rare. We report the case of a 46-year-old woman who presented with a vaginal discharge lasting 2 months. Two years previously, she had undergone cystoscopic lithotripsy and surgery to remove an IUD, after pelvic radiography had revealed a fractured Chinese stainless steel ring IUD with secondary vesical stones that had been the cause of her urinary tract symptoms. Read More

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October 2018
9 Reads

Obstetric fistula: The role of physiotherapy: A report from the Physiotherapy Committee of the International Continence Society.

Authors:
Gill Brook

Neurourol Urodyn 2018 Oct 12. Epub 2018 Oct 12.

International Organization of Physical Therapists in Women's Health, Burras Lynd, Otley, West Yorkshire, United Kingdom.

Aims: To discuss the role of physiotherapy in the management of women who have suffered an obstetric fistula, referring to research findings when appropriate and available, and the experiences of clinical specialists in the field.

Methods: The experiences of physiotherapists who have worked in countries where obstetric fistula is prevalent, and the limited literature available, were considered in producing this consensus document on behalf of the ICS Physiotherapy Committee.

Results: The role of physiotherapy both pre- and post-fistula repair was identified, and is multi-faceted. Read More

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October 2018
2 Reads

Identifying Outcomes in Clinical Trials of Fistulizing Crohn's Disease for the Development of a Core Outcome Set.

Clin Gastroenterol Hepatol 2018 Oct 4. Epub 2018 Oct 4.

Robarts Clinical Trials, Inc, London, Ontario, Canada; Department of Medicine, Western University, London, Ontario, Canada; Department of Epidemiology and Biostatistics, Western University, London, Ontario, Canada. Electronic address:

Fistulizing complications develop in approximately one third of patients with Crohn's disease (CD), resulting in morbidity and impaired quality of life. Sites of fistulae most commonly include perianal fistulae, but also enterocutaneous, enteroenteric, enterovesical, and rectovaginal. Its management requires combined medical and surgical strategies to prevent abscess formation and induce healing. Read More

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October 2018
2 Reads

Three dimensional sonovaginography to assess posterior fornix and rectovaginal endometriosis - a new approach.

Ultrasound Obstet Gynecol 2018 Oct 4. Epub 2018 Oct 4.

Clínica de Diagnóstico por Imagem (CDPI). Rio de Janeiro, Brazil, Av. Carlos Peixoto 80/401 Botafogo, 22290-090, Rio de Janeiro, Brazil.

Deep infiltrating endometriosis (DIE) is characterized by foci of ectopic endometrial tissue, fibrosis and muscular hyperplasia that penetrate more than 5 mm into affected pelvic organs. Endometriosis of the rectovaginal septum (RVS-DIE) is the most severe form of DIE and has been described as endometriotic lesions that infiltrate both rectum and posterior vaginal fornix with possible extension to the rectovaginal septum. There are doubts regarding the definition and nomenclature involving this topography. Read More

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October 2018
5 Reads

Laparoscopically Assisted Anorectoplasty for Intermediate-Type Imperforate Anus: Comparison of Surgical Outcomes with the Sacroperineal Approach.

J Laparoendosc Adv Surg Tech A 2018 Oct 2. Epub 2018 Oct 2.

1 Division of Pediatric Surgery, Saitama Children's Medical Center , Saitama, Japan .

Aim: This study aimed to compare the surgical outcomes of patients with the intermediate-type imperforate anus who underwent laparoscopically assisted anorectoplasty (LAARP; L group) with those of patients who underwent sacroperineal anorectoplasty (S group).

Materials And Methods: The medical records of patients with intermediate-type imperforate anus at a single institution between April 1983 and April 2017 were retrospectively reviewed. Fecal continence was evaluated using the clinical assessment score for fecal continence developed by the Japanese Study Group of Anorectal Anomalies (maximum score, 8). Read More

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October 2018
2 Reads

Postoperative complications of male to female sex reassignment surgery: A 10-year French retrospective study.

Ann Chir Plast Esthet 2018 Sep 27. Epub 2018 Sep 27.

Department of plastic, reconstructive and aesthetic surgery, Saint-Louis hospital, avenue Claude-Vellefaux, 75475 Paris cedex 10, France; Plastic and reconstructive surgery, François-Mitterand hospital, 14, rue Paul-Gaffarel, 21079 Dijon, France. Electronic address:

In primary male to female (MTF) sex reassignment surgery (SRS), the most frequent postoperative functional complications using the penoscrotal skin technique remain neovaginal stenosis, urinary meatal stenosis and secondary revision surgery. We aimed to retrospectively analyze postoperative functional and anatomical complications, as well as secondary procedures required after MTF SRS by penile skin inversion. All patients operated on for MTF SRS, using the inverted technique, from June 2006 to July 2016, were retrospectively reviewed. Read More

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September 2018
13 Reads

Endometriosis Involving the Sciatic Nerve: A Case Report of Isolated Endometriosis of the Sciatic Nerve and Review of the Literature.

Gynecol Minim Invasive Ther 2018 Apr-Jun;7(2):81-85. Epub 2018 May 2.

Sydney Women's Endosurgery Centre, Sydney, Australia.

Endometriosis is a common gynecological condition which affects 5-10% of women of reproductive age and up to 50% of women with pelvic pain and infertility. The most commonly affected areas are the pelvic peritoneum, ovaries and rectovaginal septum. Isolated endometriosis of the sciatic nerve is very rare. Read More

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May 2018
7 Reads

Martius flap for repair of complex rectovaginal fistulas - a video vignette.

Colorectal Dis 2018 Dec 29;20(12):1152-1153. Epub 2018 Sep 29.

Department of Colorectal Surgery, S. Rita Clinic, Vercelli, Italy.

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December 2018
6 Reads

Imaging and Surgical Management of Anorectal Vaginal Fistulas.

Radiographics 2018 Sep-Oct;38(5):1385-1401

From the Department of Radiology (W.M.V., S.P.S., M.C.W., J.G.F.), Department of Surgery (A.L.L.), and School of Medicine (S.T.K.), Mayo Clinic, 200 First St SW, Rochester, MN 55905; and Department of Radiology, Mayo Clinic, Scottsdale, Ariz (C.O.M.).

Anorectal vaginal fistulas (ARVFs) can result in substantial morbidity and potentially embarrassing symptoms in adult women of all ages. Despite having what may be obvious clinical manifestations, the fistulas themselves can be difficult to identify with imaging. MRI is the modality of choice for the diagnosis and characterization of ARVFs. Read More

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December 2018
1 Read

Use of a gelatin-thrombin hemostatic matrix in obstetrics and gynecological surgery.

Turk J Obstet Gynecol 2018 09 3;15(3):193-199. Epub 2018 Sep 3.

Koç University Faculty of Medicine, Department of Obstetrics and Gynecology, İstanbul, Turkey.

Gelatin-thrombin matrix (GTM) is a hemostatic sealant consisting of bovine-derived gelatin matrix and human-derived thrombin, combining both mechanical and active mechanisms to achieve hemostasis. It was approved by the Food and Drug Administration in 1999. GTM has been used by several surgical specialties; however, it is a possibly an under-used tool in obstetrics and gynecology. Read More

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September 2018
7 Reads

Stapled Transperineal Fistula Repair of Rectovaginal Fistula: A Preliminary Experience.

Surg Innov 2018 Sep 10:1553350618799452. Epub 2018 Sep 10.

1 The Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, People's Republic of China.

Purpose: This study is designed to assess the safety, efficacy, and postoperative outcomes of stapled transperineal repair in management of rectovaginal fistula (RVF).

Methods: A prospective database of patients with RVF undergoing stapled transperineal repair between May 2015 and December 2017 was established and studied retrospectively.

Results: Seven consecutive RVF patients underwent stapled transperineal repair. Read More

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September 2018
14 Reads

Preserving fertility by treating the three compartments: laparoscopic approach to deep infiltrating endometriosis.

J Minim Invasive Gynecol 2018 Sep 5. Epub 2018 Sep 5.

Service de Chirurgie Gynécologique, Hôpitaux Universitaires, Strasbourg, France.

Study Objective: To describe a laparoscopic technique for the resection of deep endometriosis, treating the three compartments.

Design: Educational video SETTING: Tertiary referral center in Strasbourg, France PATIENTS: This is the case of a 37-year-old primiparous woman. Her main symptoms included dysmenorrhea and dyspareunia associated with pollakiuria and macroscopic menstrual hematuria (with emission of endometriotic tissue on analysis). Read More

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September 2018
6 Reads

Major and minor complications after resection without bowel resection for deeply infiltrating endometriosis.

Arch Gynecol Obstet 2018 Nov 6;298(5):991-999. Epub 2018 Sep 6.

Department of Obstetrics and Gynecology, Erlangen University Hospital, Friedrich Alexander University of Erlangen-Nuremberg, Erlangen, Germany.

Purpose: To analyze major and minor complications following surgery for deeply infiltrating endometriosis including long-term impairment of intestinal, bladder, and sexual function.

Methods: Patients who had undergone resection for deeply infiltrating endometriosis without anterior rectal resection between 2001 and 2011 were included (n = 134). Clinical and surgical data, as well as minor and major complications, were recorded. Read More

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November 2018
1 Read

Parametrial Endometriosis: the Occult Condition that Makes the Hard Harder.

J Minim Invasive Gynecol 2018 Aug 31. Epub 2018 Aug 31.

Department of Obstetrics and Gynecology, Dipartimento di Scienze Mediche e Chirurgiche, S. Orsola Hospital, University of Bologna, Bologna, Italy.

Study Objective: Despite the enormous impact of lateral parametrial endometriosis (LPE), only a few studies have evaluated its diagnosis, prevalence, and clinical features. Our aim was to estimate the intraoperative prevalence of LPE in patients affected by deep infiltrating endometriosis (DIE) and to analyses clinical and surgical data associated with LPE.

Design: Retrospective cohort study (Canadian Task Force classification II-2). Read More

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August 2018
2 Reads

Obstetric complications after laparoscopic excision of posterior deep infiltrating endometriosis: a case-control study.

Fertil Steril 2018 Aug;110(3):459-466

Department of Gynecology and Gynecological Oncology, University Hospital of Bern and University of Bern, Bern, Switzerland.

Objective: To study obstetric outcomes and complications in women with previously excised posterior deep infiltrating endometriosis (DIE) in comparison with women without endometriosis.

Design: Matched case-control study.

Setting: Tertiary-level academic center. Read More

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August 2018
2 Reads

Single-layer versus double-layer closure of the vaginal cuff with barbed sutures in laparoscopic hysterectomy.

Ginekol Pol 2018 ;89(5):229-234

Department of Obstetrics and Gynecology, Saglik Bilimleri University, Kanuni Sultan Suleyman Training and Research Hospital, Istanbul, Turkey.

Objectives: The utilization of barbed sutures in laparoscopic hysterectomy has become popular among gynecologic sur-geons. Our aim was to compare the outcomes of two different techniques for closing the vaginal cuff with barbed sutures in laparoscopic hysterectomies.

Material And Methods: A retrospective study was completed on 202 patients who underwent laparoscopic hysterectomy for benign diseases at Istanbul Kanuni Sultan Suleyman Training and Research Hospital from April 2014 through June 2016. Read More

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September 2018
4 Reads

Revision Surgery in the Management of Anorectal Malformations: Experience from a Tertiary Center of India.

J Indian Assoc Pediatr Surg 2018 Jul-Sep;23(3):148-152

Department of Radiodiagnosis, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Raibareli Road, Lucknow, Uttar Pradesh, India.

Aim And Objectives: Despite the significant advancements in the management of anorectal malformations (ARMs), there are various surgical and functional complications reported. Complications are closely related with the surgical techniques adopted and the types of malformations. In this article, we present our experiences with ARM patients who required reoperation after unsuccessful previous surgeries or who had developed complications related to the previous surgical techniques. Read More

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July 2018
6 Reads

Assessment of Electrospun and Ultra-lightweight Polypropylene Meshes in the Sheep Model for Vaginal Surgery.

Eur Urol Focus 2018 Jul 23. Epub 2018 Jul 23.

Centre for Surgical Technologies, Group Biomedical Sciences, KU Leuven, Leuven, Belgium; Department of Development and Regeneration, Woman and Child, Group Biomedical Sciences, KU Leuven, Leuven, Belgium; Pelvic Floor Unit, University Hospitals KU Leuven, Leuven, Belgium. Electronic address:

Background: There is an urgent need to develop better materials to provide anatomical support to the pelvic floor without compromising its function.

Objective: Our aim was to assess outcomes after simulated vaginal prolapse repair in a sheep model using three different materials: (1) ultra-lightweight polypropylene (PP) non-degradable textile (Restorelle) mesh, (2) electrospun biodegradable ureidopyrimidinone-polycarbonate (UPy-PC), and (3) electrospun non-degradable polyurethane (PU) mesh in comparison with simulated native tissue repair (NTR). These implants may reduce implant-related complications and avoid vaginal function loss. Read More

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July 2018
8 Reads

Fluorescence of Deep Infiltrating Endometriosis During Laparoscopic Surgery: A Preliminary Report on 6 Cases.

Surg Innov 2018 Oct 12;25(5):450-454. Epub 2018 Jul 12.

1 St Pierre University Hospital, Université Libre de Bruxelles, Brussels, Belgium.

Background: The standard treatment of rectovaginal deep infiltrating endometriosis nodules (RVDIEN) consists in their surgical removal. RVDIEN are anatomically neovascularized. Indocyanine green (ICG) reveals vascularized structures when becoming fluorescent after exposure to near-infrared (NIR) light. Read More

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October 2018
18 Reads

Gracilis muscle transposition for the treatment of recurrent rectovaginal and pouch-vaginal fistula: is Crohn's disease a risk factor for failure? A prospective cohort study.

Updates Surg 2018 Dec 7;70(4):485-490. Epub 2018 Jul 7.

Surgery of the Alimentary Tract, Department of Medical and Surgical Sciences, Sant'Orsola-Malpighi Hospital, Alma Mater Studiorum University of Bologna, Via Massarenti 9, 40138, Bologna, Italy.

Background: The surgical management of rectovaginal fistulae associated with Crohn's disease is often frustrated by poor results regardless of the different techniques. The outcomes of the gracilis muscle transposition (GMT) for the treatment of recurrent Crohn's-associated fistulae are still debated. The aim of the study is to determine whether the success rate of GMT is similar in Crohn's disease patients and in a control group. Read More

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December 2018
10 Reads

Group B streptococcus late-onset disease,contaminated breast milk and mothers persistently GBS negative: report of 3cases.

BMC Pediatr 2018 Jul 5;18(1):214. Epub 2018 Jul 5.

Unità Operativa di Terapia Intensiva Neonatale, Dipartimento Integrato Materno-Infantile, Azienda Ospedaliero-Universitaria Policlinico, Modena, Italy.

Background: Human milk is fundamental for its nutritional properties and to protect newborns, but it is not sterile and can sometime transmit bacteria. Few anecdotal cases suggest that breast milk could be a possible source of group B Streptococcus (GBS) late onset disease, although the pathogenesis is not entirely understood.

Case Presentation: We report 3 cases of GBS late onset disease in full-term newborns. Read More

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July 2018
7 Reads
1.920 Impact Factor

Prevalence and Clinical Significance of (Groups C or G Streptococci) Colonization in Pregnant Women: A Retrospective Cohort Study.

Infect Dis Obstet Gynecol 2018 3;2018:2321046. Epub 2018 Jun 3.

Department of Obstetrics and Gynecology, Tampere University Hospital, Tampere, Finland.

Objectives: Little is known about the significance of Streptococcus G or C colonization in pregnant women. The objective of this study was to assess whether vaginal Streptococcus group G or C colonization detected in late pregnancy increases the infectious morbidity of the mother or newborn.

Methods: A total of 15,114 rectovaginal cultures taken at 35-37 weeks of pregnancy were analyzed at Tampere University Hospital, Finland, between 2012 and 2014. Read More

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June 2018
5 Reads

Group B streptococcal colonization in mothers and infants in western China: prevalences and risk factors.

BMC Infect Dis 2018 Jul 3;18(1):291. Epub 2018 Jul 3.

Children's Hospital of Michigan, Detroit, MI, USA.

Background: The epidemiology of maternal and infant Group B streptococcus (GBS) colonization is poorly understood in China. The aim of this study is to explore the prevalence and risk factors associated with maternal and infant GBS colonization in Western China.

Methods: From January 2017 to June 2017, a prospective study was conducted to estimate the maternal and infant GBS colonization rate by maternal rectovaginal and infant nasopharynx, ear canal and umbilical swab culture. Read More

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July 2018
13 Reads

Loop colostomies are safe in anorectal malformations.

J Pediatr Surg 2018 Nov 1;53(11):2170-2173. Epub 2018 Jun 1.

Neonatal and Paediatric Surgery, Great Ormond Street Hospital, London, WC1N 3JH, UK; Stem Cells and Regenerative Medicine Section, DBC, Institute of Child Health, University College London, London, WC1N 1EH, UK. Electronic address:

Aim Of The Study: Divided colostomy (DC) has been recommended in anorectal malformations (ARMs) with previously reported advantages of decreasing overflow into the distal limb and urinary tract infections (UTIs). Skin bridge loop colostomy (LC) is a technically easier alternative without an increase in these complications. We report our institutional experience of LC in ARM. Read More

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November 2018
8 Reads

Hostile pelvis: how to avoid permanent stoma.

Updates Surg 2018 Dec 27;70(4):459-465. Epub 2018 Jun 27.

Department of General Surgery, Sacred Heart - Don Calabria Hospital, Via Don A. Sempreboni 5, 37024, Negrar, Verona, Italy.

The aim was to report our experience with delayed colo-anal anastomosis (DCA) to avoid permanent stoma for complex rectal cases evaluating short- and long-term outcomes. Nine patients who underwent DCA from 2011 to 2016 were collected and analysed case by case. We considered medical history and surgical outcomes. Read More

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December 2018
4 Reads

Immunization Against Group B Streptococci vs. Intrapartum Antibiotic Prophylaxis in Peripartum Pregnant Women and their Neonates: A Review.

Cureus 2017 Oct 13;9(10):e1775. Epub 2017 Oct 13.

University of Central Florida College of Medicine, Orlando, USA.

Group B streptococcus (GBS) is an organism that has an immense global impact on neonatal morbidity and mortality. GBS is known to colonize the gastrointestinal and genitourinary tracts of infected pregnant women. Transmission to the neonate is achieved during labor and delivery. Read More

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October 2017
12 Reads

Clinical use of endovenous indocyanine green during rectosigmoid segmental resection for endometriosis.

Fertil Steril 2018 Jun;109(6):1135

Gynaecology and Human Reproduction Physiopathology, Department of Obstetrics and Gynecology, Dipartimento di Scienze Mediche e Chirurgiche, S. Orsola Hospital, University of Bologna, Bologna, Italy; Department of Obstetrics and Gynecology, Faculty of Medicine, University of Alexandria, Alexandria, Egypt.

Objective: To describe a new use of endovenous indocyanine green (ICG) to allow real-time visualization of bowel perfusion in women with recto-sigmoid endometriosis who may be candidates for segmental resection.

Design: Step-by-step explanation of this method using descriptive text and educational video.

Setting: Tertiary level referral academic center. Read More

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June 2018
4 Reads

Surgery for deep endometriosis without involvement of digestive or urinary tracts: do not worry the patients!

Fertil Steril 2018 Jun;109(6):1079-1085.e1

Expert Center in the Diagnosis and Multidisciplinary Management of Endometriosis, Rouen University Hospital, Rouen, France. Electronic address:

Objective: To report postoperative outcomes after surgery for deep endometriosis without involvement of the digestive or urinary tracts.

Design: Retrospective study using data prospectively recorded in the North-West Inter Regional Female Cohort for Patients with Endometriosis (CIRENDO) database.

Setting: University tertiary referral center. Read More

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June 2018
8 Reads

Transvaginal native-tissue repair of enterocele.

Int Urogynecol J 2018 Jun 22. Epub 2018 Jun 22.

ASST Monza, San Gerardo Hospital, Monza, Italy.

Introduction And Hypothesis: Enterocele repair represents a challenge for pelvic surgeons. Surgical management implies enterocele sac removal. Subsequently, hernial port closure and adequate suspension may be achieved with Shull uterosacral ligament suspension (ULS). Read More

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Is it correct to perform omentoplasty to repair rectovaginal fistulas in oncological patients?

Authors:
Antonio Macrì

Tech Coloproctol 2018 Jun 7. Epub 2018 Jun 7.

Peritoneal Surface Malignancy and Soft Tissue Sarcoma Program, Messina University Medical School Hospital, Via Consolare Valeria, 98125, Messina, Italy.

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Daily Vaginal Application of Dienogest (Visanne©) for 3 Months in Symptomatic Deeply Infiltrating Rectovaginal Endometriosis: A Possible New Treatment Approach?

Authors:
Andreas D Ebert

Case Rep Obstet Gynecol 2018 10;2018:8175870. Epub 2018 May 10.

Praxis für Frauengesundheit, Gynäkologie und Geburtshilfe, Nürnberger Strasse 67, 10787 Berlin, Germany.

A 27-year-old patient suffering from deeply infiltrating rectovaginal endometriosis was treated with 2 mg/day dienogest vaginally for 3 months. The therapy was tolerated very well. The patient reported less side effects compared to the oral use of dienogest. Read More

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May 2018
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Treatment of Rectovaginal Fistula Using Sphincteroplasty and Fistulectomy.

Obstet Gynecol Int 2018 6;2018:5298214. Epub 2018 May 6.

Department of Obstetrics and Gynecology, Hacettepe University, Ankara, Turkey.

Aim: To assess the results of the treatment of rectovaginal fistulas with incontinence and impaired anal tonus.

Materials And Methods: This study comprised three rectovaginal fistula groups that were treated using sphincteroplasty and fistulectomy: group 1: eight women with simple rectovaginal fistula due to birth trauma; group 2: six rectovaginal fistula cases that were associated with chronic inflammatory diseases; and group 3: five cases with at least one failed repair attempt. In the second step, operations that took place before the year 2000 were compared to the operations that took place after the year 2000 in terms of demographic and clinical characteristics. Read More

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May 2018
3 Reads

[Colonization rates by Streptococcus agalactiae in Spanish and foreign pregnant women in the Fuenlabrada University Hospital].

Rev Esp Quimioter 2018 Jun 28;31(3):274-277. Epub 2018 May 28.

Jerónimo Jaqueti Aroca. Laboratorio Clínico, Hospital Universitario de Fuenlabrada. Camino del Molino, 2. 28942-Madrid, Spain.

Objective: In pregnant women, the rectovaginal colonization by Streptococcus agalactiae (GBS) is related with geographic area of origin (6.5% to 36%). It was analysed GBS carriage in pregnant women in 2012-2014 in our hospital. Read More

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June 2018
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Evaluation of sexual function in women with deep infiltrating endometriosis.

Sex Reprod Healthc 2018 Jun 3;16:6-9. Epub 2018 Jan 3.

Department of Biomedical, Experimental and Clinical Sciences - Division of Obstetrics and Gynecology, University of Florence, Italy.

Introduction: The influence of deep infiltrating endometriosis (DIE) on sexual function has been poorly studied. The aim of this study was to evaluate the impact of DIE on sexual function by administering questionnaires to women.

Methods: Women with a clinical and ultrasound diagnosis of DIE and histological confirmation of endometriosis were included in the study. Read More

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Modified extraperitoneal uterosacral ligament suspension for prevention of vault prolapse after vaginal hysterectomy.

Int Urogynecol J 2018 May 17. Epub 2018 May 17.

Katihar Medical College, Katihar, Bihar, India.

Introduction And Hypothesis: During vaginal hysterectomy, extraperitoneal uterosacral ligament suspension (ULS) bites can be taken before removing the uterus. We evaluated this modified extraperitoneal ULS for vault prolapse prevention.

Methods: Study period was 3. Read More

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May 2018
2 Reads