scholarly journals Fistulas secondary to gynecological and obstetrical operations

2003 ◽  
pp. 99-105
Author(s):  
Branislava Jakovljevic ◽  
Tatjana Draca ◽  
Petar Draca
Keyword(s):  
Radical Hysterectomy ◽  
Surgical Procedure ◽  
Obstetrics And Gynecology ◽  
Cesarean Sections ◽  
Vesicovaginal Fistulas ◽  
Novi Sad

The authors present urogenital and rectogenital fistulas treated at the Department of Obstetrics and Gynecology in Novi Sad in the period from 1976 to 1999. The study comprised 28 cases of fistula out of which 17 were vesicovaginal, 3 ureterovaginal, 1 vesicorecto vaginal and 7 recto vaginal. During the investigated period there were 182 Wertheim operations, 3864 total abdominal hysterectomies, 1160 vaginal hysterectomies and 7111 cesarean sections. The vesicovaginal fistulas were most frequent with the incidence of 0.33%, whereas the tocogenic fistulas did not occur. Urogenital fistulas secondary to radical hysterectomy are extremely rare thanks to the administered measures of prevention during the surgical procedure.

Original film of the Okabayashi's radical hysterectomy by Okabayashi himself in 1932, and two films of the precise anatomy necessary for nerve-sparing Okabayashi's radical hysterectomy clarified by Shingo Fujii

2008 ◽  
Vol 18 (2) ◽  
pp. 383-385 ◽  
Author(s):  
S. Fujii
Keyword(s):  
Cervical Cancer ◽  
Surgical Technique ◽  
Original Film ◽  
Radical Hysterectomy ◽  
Surgical Procedure ◽  
Invasive Cervical Cancer ◽  
Nerve Sparing ◽  
Female Pelvis ◽  
Historical Film ◽  
Direct Descendant

Almost 100 years ago, radical hysterectomy was established by Ernst Wertheim as the surgical technique for the treatment of invasive cervical cancer. However, due to the complicated anatomy of the female pelvis, the method has been modified by many surgeons. Among these modifications, the method by Hidekazu Okabayashi at Kyoto Imperial University in Japan, published in 1921, was more radical and outstanding. Then, Okabayashi's method became a standard surgical procedure for invasive cervical cancer in Japan. We have discovered the historical film of radical hysterectomy performed by Okabayashi himself in 1932. In order to share the information of Okabayashi's radical hysterectomy, we decided to distribute the film through the website of IJGC. Moreover, as the direct descendant of Okabayashi, I have further modified the operation clarifying precise anatomy necessary for Okabayashl's radical hysterectomy. In addition, I also clarified the anatomy necessary for nerve sparing Okabayashi's radical hysterectomy. These two films modified by Shingo Fujii are also available on the IJGC website in the hope that these anatomical findings will be useful for young gynecologic surgeons.

scholarly journals Retention of Urine After Radical Hysterectomy for Cervical Cancer

2018 ◽  
Vol 10 ◽  
pp. 1-4
Author(s):  
Jyoti Rana ◽  
Shi Hui Rong ◽  
Suersh Mehata
Keyword(s):  
Cervical Cancer ◽  
Statistical Analysis ◽  
Blood Loss ◽  
Blood Volume ◽  
Radical Hysterectomy ◽  
Bladder Dysfunction ◽  
Operative Procedure ◽  
Obstetrics And Gynecology ◽  
Cross Sectional ◽  
Control Study

Background: Radical hysterectomy is the main treatment for cervical cancer. But must of the patients suffered from postoperative bladder dysfunction, such as retention of urine. Objective: To evaluate the retention of urine after radical hysterectomy for cervical cancer in the patients up to stages IA to IIB. Methodology: A cross sectional control study was conducted in the patients diagnosed with cervical cancer and treated with radical hysterectomy in the department of obstetrics and gynecology, first affiliated hospital, Zhengzhou University, P. R. of China to evaluate the postoperative retention of urine in 90 patients from 2003 to 2006. Result and Conclusion: A total of 90 patients with cervical cancer, who underwent radical hysterectomy were included in this study. 25 patients, i.e. 27.8% were menopausal and 11 patients, i.e. 12.2% had blood loss more than 500ml. The patients with retention of urine after radical hysterectomy was compared in relation with loss of blood volume intra- operatively, parity, and menopause; as the possible causes of retention of urine. The overall frequency of retention of urine among the patients who underwent radical hysterectomy for the cervical cancer was 42.2%. The statistical analysis showed that the relation of urine after radical hysterectomy for cervical cancer with loss of blood volume, parity and menopause was found to be nonsignificant. So, retention of urine after radical hysterectomy for cervical cancer might be related to the operative procedure which effects partial sympathetic and parasympathetic denervation during a radical dissection. DOI: http://dx.doi.org/10.3126/hprospect.v10i0.5636Health Prospect Vol.10 2011, pp.1-4

L'enterocistoplastica nel recupero della funzione vescicale gravemente compromessa nella donna non neurologica. Nostra esperienza

1994 ◽  
Vol 61 (1_suppl) ◽  
pp. 243-244
Author(s):  
F. Catanzaro ◽  
M. Pizzoccaro ◽  
F. Cappellano ◽  
F. Torelli ◽  
M. Baruffi ◽  
...  
Keyword(s):  
Urinary Tract ◽  
Radical Hysterectomy ◽  
Surgical Procedure ◽  
Bladder Capacity ◽  
Upper Urinary Tract ◽  
Bladder Function ◽  
Ureteral Reimplantation ◽  
Female Patients ◽  
Tract Function

The Authors report their experience in the recovery of bladder function in 8 female patients (5 of whom had undergone radical hysterectomy + CHT + RT for gynecological tumours) by means of ileovesicoplasty and bilateral ureteral reimplantation. They underline the improvement of bladder capacity (7/7), continence (7/7), voiding (good results in 5/7) and upper urinary tract function (5/7). All patients are satisfied at a mean follow-up of 31 months. The Authors propose this surgical procedure as an alternative to external diversion.

Investigation of Cesarean Sections at Istanbul Training and Research Hospital Obstetrics and Gynecology Department between 2005 and 2012

2013 ◽  
Vol 14 (2) ◽  
pp. 112-116 ◽  
Author(s):  
Cihangir Uzuncakmak ◽  
Ahmet Guldas ◽  
Selvi Aydin ◽  
Altan Var ◽  
Hasene Ozcam
Keyword(s):  
Obstetrics And Gynecology ◽  
Cesarean Sections ◽  
Research Hospital ◽  
Training And Research

scholarly journals Statistical Analysis of Obstetric Complications A Hospital Based Data in WadMedani Obstetrics and Gynecology Hospital, Gezira State, Sudan (2017)

2018 ◽  
pp. 201-203
Author(s):  
Fatima A Mohamed ◽  
Ahmed Alnory
Keyword(s):  
Placenta Previa ◽  
Obstetric Complications ◽  
Obstetrics And Gynecology ◽  
Cesarean Sections ◽  
Main Study ◽  
Chi Square ◽  
Development Path ◽  
Study Results ◽  
Induced Hypertension ◽  
Data Source

Obstetric complications are an issue of concern in all countries and especially, in developing countries. The prevalence of obstetrics complications measures the development path and the implementation of motherhood initiative 1999 for reducing obstetric complications and maternal mortality. The study aimed at estimating the level and socio-economic causes of obstetric complication in Gezira state. The data source of this research is based on a longitudinal sample of 400 women who were admitted to Wad Medani Obstetrics and Gynecology Hospital. The research used descriptive statistics, cross tabs with chi- square and logistic regression analyses utilizing SPSS program. The main study results include that: the rate of obstetric complications is high in Gezira state amounting to 60 % approximately. The results also indicated that the modal complications are pregnancy induced hypertension, septicemia and placenta previa while the modal problems are malaria and anemia. The study recommended reducing intervention delays by consultants upon admission, abolish unnecessary cesarean sections and women must go to antenatal care clinics according to WHO protocol.

scholarly journals The Changing Scenario of Obstetrics and Gynecology Residency Training

2015 ◽  
Vol 7 (3) ◽  
pp. 401-406 ◽  
Author(s):  
Natasha Gupta ◽  
Kristina Dragovic ◽  
Richard Trester ◽  
Josef Blankstein
Keyword(s):  
Medical Education ◽  
Obstetrics And Gynecology ◽  
Cesarean Sections ◽  
Training Experience ◽  
Innovative Strategies ◽  
The Past ◽  
Changing Trends ◽  
Operative Case ◽  
Vaginal Deliveries ◽  
Case Logs

ABSTRACT Background Significant changes have been noted in aspects of obstetrics-gynecology (ob-gyn) training over the last decade, which is reflected in Accreditation Council for Graduate Medical Education (ACGME) operative case logs for graduating ob-gyn residents. Objective We sought to understand the changing trends of ob-gyn residents' experience in obstetric procedures over the past 11 years. Methods We analyzed national ACGME procedure logs for all obstetric procedures recorded by 12 728 ob-gyn residents who graduated between academic years 2002–2003 and 2012–2013. Results The average number of cesarean sections per resident increased from 191.8 in 2002–2003 to 233.4 in 2012–2013 (17%; P < .001; 95% CI −47.769 to −35.431), the number of vaginal deliveries declined from 320.8 to 261 (18.6%; P < .001; 95% CI 38.842–56.35), the number of forceps deliveries declined from 23.8 to 8.4 (64.7%; P < .001; 95% CI 14.061–16.739), and the number of vacuum deliveries declined from 23.8 to 17.6 (26%; P < .001; 95% CI 5.043–7.357). Between 2002–2003 and 2007–2008, amniocentesis decreased from 18.5 to 11 (P < .001, 95% CI 6.298–8.702), and multifetal vaginal deliveries increased from 10.8 to 14 (P < .001, 95% CI −3.895 to −2.505). Both were not included in ACGME reporting after 2008. Conclusions Ob-gyn residents' training experience changed substantially over the past decade. ACGME obstetric logs demonstrated decreases in volume of vaginal, forceps, and vacuum deliveries, and increases in cesarean and multifetal deliveries. Change in experience may require use of innovative strategies to help improve residents' basic obstetric skills.

scholarly journals Necrotizing Fasciitis and Toxic Shock Syndrome fromClostridium septicumfollowing a Term Cesarean Delivery

2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
B. H. Rimawi ◽  
W. Graybill ◽  
J. Y. Pierce ◽  
M. Kohler ◽  
E. A. Eriksson ◽  
...  
Keyword(s):  
Necrotizing Fasciitis ◽  
Cesarean Delivery ◽  
Toxic Shock Syndrome ◽  
Surgical Procedure ◽  
Surgical Intervention ◽  
Case Reports ◽  
Obstetrics And Gynecology ◽  
Toxic Shock ◽  
Clostridium Septicum ◽  
Life Threatening

Necrotizing fasciitis and toxic shock syndrome are life-threatening conditions that can be seen after any surgical procedure. With only 4 previous published case reports in the obstetrics and gynecology literature of these two conditions occurring secondary toClostridium septicum, we describe a case of necrotizing fasciitis and toxic shock syndrome occurring after a term cesarean delivery caused by this microorganism, requiring aggressive medical and surgical intervention.

scholarly journals Block dissection of inguinofemoral lymph nodes using separate "S" incision in surgical treatment of vulvar carcinoma

2004 ◽  
Vol 57 (7-8) ◽  
pp. 343-348
Author(s):  
Srdjan Djurdjevic ◽  
Dimitrije Segedi
Keyword(s):  
Surgical Treatment ◽  
Postoperative Complications ◽  
Postoperative Period ◽  
Malignant Tumors ◽  
Wound Dehiscence ◽  
Obstetrics And Gynecology ◽  
Vulvar Carcinoma ◽  
Novi Sad ◽  
Inguinofemoral Lymphadenectomy ◽  
Female Genital

Vulvar carcinomas account for almost 3-5% of all malignant tumors of the female genital organs. The primary therapeutic approach is surgical in all cases. Since 1994, we have used a separate "S" incision for inguinofemoral lymphadenectomy in the treatment of invasive vulvar carcinoma. In the period from 1985 to 2003, 46 patients with invasive forms of vulvar carcinoma were operated at the Department of Obstetrics and Gynecology in Novi Sad. Inguinofemoral lymphadenectomy was performed in 37 (84.4%) patients. During 1994, a wide "block" dissection of the vulva, mons pubis and inguinal area of a "butterfly" shape was performed, whereas during the following period, the operative area was reduced by application of separate inguinal "S" incisions leaving a tissue bridge in between. There were 5 patients with stage I, 1 with stage II and 4 with stage III carcinoma. By applying the technique of two separate inguinal "S" incisions we achieved shortening the intrahospital postoperative period to 14 days and reduction of the risk of wound dehiscence and postoperative complications in the period following 1994.

scholarly journals Radical hysterectomy in surgical treatment of invasive cervical cancer at the Department of gynecology and obstetrics in Novi Sad in the period 1993-2013.

2015 ◽  
Vol 68 (7-8) ◽  
pp. 227-233
Author(s):  
Srdjan Djurdjevic ◽  
Sanja Stojanovic ◽  
Milos Pantelic ◽  
Dragan Nikolic ◽  
Marijana Basta-Nikolic ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Lymph Nodes ◽  
Radical Hysterectomy ◽  
Invasive Cervical Cancer ◽  
International Federation ◽  
Stage I ◽  
Stage Ii ◽  
Gynecology And Obstetrics ◽  
Paraaortic Lymph Nodes ◽  
Novi Sad

Introduction. During the period from 1993 - 2013, 175 women with invasive cervical cancer underwent radical hysterectomy sec. Wertheim-Meigs at the Department of Gynecology and Obstetrics, Clinical Center of Vojvodina in Novi Sad. Indications for radical hysterectomy comprise histopathologically confirmed invasive cervical cancer in stages I B 1 - II B according to the International Federation of Gynecology and Obstetrics. Material and Methods. Stage of the disease or extent of the disease spread to the adjacent structures was assessed in accordance with the International Federation of Gynecology and Obstetrics staging system from 2009. Exclusion criteria were all other stages of this disease: I A and stages higher than II B, as well as the absence of definite histological confirmation of the cervical cancer (primary endometrial or vaginal cancer which infiltrates the uterine cervix). Prior the operation, the following had to be done: the imaging of pelvis and abdomen, chest X-ray in two directions, electrocardiography, internist and anesthesiological examination. Results. The patients? age ranged from 24-79 years (x : 46 years), and the operation duration was 120-300 minutes (x : 210 min.). Stage I B 1 was found in 64.6% of operated patients, 14.8% of the patients were in stage I B 2, 9.1% were in stage II A and 11.4 % were in stage II B. Blood loss during the operation ranged from 50-800 ml (on average 300 ml), and the number of removed lymph nodes per operation was 14-75 (x : 32). Intraoperative and postoperative complications developed in 6.8% of and 17.7% of patients, respectively. Recurrence was reported in 22 (12.5%) patients, most often in paraaortic lymph nodes (3.4%) and parametria (2.8%), while the overall 5-year survival rate was 87% until 2008. Concluision. Wertheim-Meigs radical hysterectomy is a basic surgical technique for the treatment of initial stages of invasive cervical cancer.

Sign in / Sign up

Export Citation Format

Share Document