scholarly journals Restoration of Uterine Cavity Measurements after Surgical Correction

2020 ◽  
Vol 6 (7) ◽  
pp. 58
Author(s):  
Laura Detti ◽  
Mary Emily Christiansen ◽  
Roberto Levi D’Ancona ◽  
Jennifer C. Gordon ◽  
Nicole Van de Velde ◽  
...  
Keyword(s):  
Cavity Length ◽  
Uterine Cavity ◽  
Surgical Correction ◽  
Surgical Incision ◽  
Before And After ◽  
Length Width ◽  
Uterine Length ◽  
Length And Area ◽  
Coronal View ◽  
Cavity Width

Objective: We sought to define the uterine and uterine cavity dimensions of subseptate uteri before and after hysteroscopic surgical incision, and compare them to those obtained in normal uteri with 3-D ultrasound. Methods: Two cohorts of consecutive women with normal-appearing uterine cavity and women diagnosed with uterine subseptations, before and after undergoing hysteroscopic incision. 3-D ultrasound was used to measure the uterine cavity width, length, and area on a frozen coronal view of the uterus. Results: A total of 215 women were included: 89 in the normal, and 126 in the subseptate uterus, groups. Uterine length and height were similar in the pre-operative, post-operative subseptate uteri, and in the normal uteri, while the uterine width was significantly greater in the pre-operative (5.1 + 0.8 cm) than post-operative (4.7 + 0.8 cm) and normal uterus (4.6 + 0.7 cm; p < 0.001) groups. The pre-operative uterine cavity length (3.3 + 0.5 cm), width (3.2 + 0.7 cm), and area (4.4 + 1.2 cm2), were significantly greater than the post-operative ones (length 2.9 + 0.4 cm; width 2.6 + 0.6 cm; area 3.7 + 0.8 cm; overall p < 0.001), and became similar to the dimensions of the normal uterus. Of the patients who subsequently conceived, 2.6% miscarried in the corrected subseptation group and 28.8% miscarried in the normal uterus group. Conclusions: We defined the ultrasound dimensions of the uterine cavity in subseptate uteri and their change after surgical correction. Uterine cavity length, width, and area show very little variability in adult normal uteri, while they are increased in uteri with a subseptation greater than 5.9 mm in length, and regain normal measurements after surgical correction.

scholarly journals Electrocardiographic Changes before and after Surgical Correction of Isolated pulmonic Stenosis

1975 ◽  
Vol 87 (5-6) ◽  
pp. 437-449
Author(s):  
Akiko Okuyama ◽  
Setsuro Tanetani ◽  
Nagayasu Ogasawara ◽  
Hiroshi Sakai ◽  
Hiroshi Sakakibara ◽  
...  
Keyword(s):  
Surgical Correction ◽  
Pulmonic Stenosis ◽  
Before And After ◽  
Electrocardiographic Changes

scholarly journals Reverse cycle chewing before and after orthodontic-surgical correction in class III patients

2013 ◽  
Vol 115 (3) ◽  
pp. 328-331 ◽  
Author(s):  
Maria Grazia Piancino ◽  
Gianluigi Frongia ◽  
Domenico Dalessandri ◽  
Pietro Bracco ◽  
Guglielmo Ramieri
Keyword(s):  
Surgical Correction ◽  
Class Iii ◽  
Before And After

scholarly journals Influence of Hysteroscopic Metroplasty on Reproductive Outcome in Patients with Infertility and Recurrent Pregnancy Loss

PRILOZI ◽  
2014 ◽  
Vol 35 (2) ◽  
pp. 95-103
Author(s):  
Gligor Tofoski ◽  
Vesna Antovska
Keyword(s):  
Reproductive Potential ◽  
Uterine Cavity ◽  
Live Birth Rate ◽  
Abortion Rate ◽  
Control Group ◽  
Reproductive Outcome ◽  
Chi Square ◽  
Foetal Loss ◽  
Uterine Anomalies ◽  
Before And After

Abstract Introduction: Patients with congenital uterine anomalies (CUA) have decreased reproductive potential and an unfavourable reproductive outcome compared to the population with normal uterine cavity. Patients with untreated CUA have a higher abortion rate, higher foetal loss rate and decreased live birth rate. Hysteroscopic metroplasty is a standard, safe and minimally invasive method for the treatment of correctible types of congenital uterine anomalies. The aim of the study was to analyse the reproductive outcome in certain groups of patients with CUA and infertility, before and after hysteroscopic metroplasty. Material and methods: We analyzed 115 patients on whom 129 hysteroscopic metroplasty interventions were performed at the University Clinic of Obstetrics and Gynaecology in Skopje over a one-year period, between 01.01.2011 and 31.12.2011. Patients and their reproductive outcome were monitored over a two-year period and the same group served as a control group, taking into account their previous reproductive history before and after metroplasty. Statistical analysis was performed using the Chi-square test and p < 0.05 was considered to be statistically significant. Results: The most common CUA were types 5b and 6, represented by 83.3%. In a follow-up period of two years, there were 55 patients with previous foetal loss treated by hysteroscopic metroplasty, and 31 of them had pregnancies. There was a statistically significant decrease of abortion rate from 88.5% to 19.3%, and a significant increase in term delivery rate from 2.3% to 71%. Conclusion: Hysteroscopic metroplasty significantly improves the reproductive outcome in patients with previous foetal loss.

Circulatory changes in severe aortic regurgitation before and after surgical correction

1971 ◽  
Vol 28 (4) ◽  
pp. 442-448 ◽  
Author(s):  
Simon J.K. Lee ◽  
Mant Haraphongse ◽  
Richard E. Rossall ◽  
Robert S. Fraser
Keyword(s):  
Aortic Regurgitation ◽  
Surgical Correction ◽  
Severe Aortic Regurgitation ◽  
Before And After

scholarly journals Prediction of clinical height gain from surgical posterior correction of idiopathic scoliosis

2020 ◽  
Vol 33 (4) ◽  
pp. 507-512
Author(s):  
Tristan Langlais ◽  
Stephane Verdun ◽  
Roxane Compagnon ◽  
Catalin Ursu ◽  
Claudio Vergari ◽  
...  
Keyword(s):  
Idiopathic Scoliosis ◽  
Predictive Model ◽  
Spinal Instrumentation ◽  
Population Data ◽  
Standing Position ◽  
Surgical Correction ◽  
Validation Population ◽  
Before And After ◽  
Height Gain ◽  
Actual Height

OBJECTIVEThe best predictors of height gain due to surgical correction are the number of fused vertebrae and the degrees of the corrected Cobb angle. Existing studies of predictive models measured the radiographic spinal height and did not report the clinical height gain. The aims of this study were to determine the best predictive factors of clinical height gain before surgical correction, construct a predictive model using patient population data for machine learning, and test the performance of this model on a validation population.METHODSThe authors reviewed 145 medical records of consecutive patients who underwent surgery that included placement of posterior spinal instrumentation and fusion for idiopathic scoliosis between 2012 and 2016. Standing and sitting clinical heights were measured before and after surgery in patients who had been surgically treated under similar conditions. Multivariate analysis was then performed and the results were used to develop a predictive model for height gain after surgery. The data from the included patients were randomly assigned to a learning set or a test set.RESULTSIn total, 116 patients were included in the analysis, for whom the average postoperative clinical height gain in a standing position was 4.2 ± 1.8 cm (range 0–11 cm). The best prediction model was calculated as follows: standing clinical height gain (cm) = 1 − 0.023 × sitting clinical height (cm) − 0.19 × Risser stage + 0.058 × Cobb preoperative angle (°) + 0.021 × T5–12 kyphosis (°) + 0.14 × number of levels fused. In the validation cohort, 91% of the predicted values had an error of less than one-half of the actual height gain.CONCLUSIONSThis predictive model formula for calculating the potential postoperative height gain after surgical treatment can be used preoperatively to inform idiopathic scoliosis patients of what outcomes they may expect from posterior spinal instrumentation and fusion (taking into account the model’s uncertainty).

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