Journal articles: 'Gynecology Diagnosis'

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Levakov, S. A., A. G. Kedrova, and N. S. Wanke. "MODERN TRENDS TO LAPAROSCOPIC SURGERY IN GYNECOLOGY." Journal of Clinical Practice 1, no. 3 (September 15, 2010): 98–102. http://dx.doi.org/10.17816/clinpract1398-102.

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Gynecologic laparoscopy has evolved from a limited surgical procedure used only for diagnosis and tubal ligations to a major surgical tool used to treat a multitude of gynecologic indications. Today, laparoscopy is one of the most common surgical procedures performed by gynecologists. The review presents the main trends of development of modern surgery in gynecology with the author's personal views on the key contentious issues of endoscopic sinus surgery.

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Djurdjevic, Srdjan, Lazar Racic, and Milan Zakula. "Gynecologic oncology surgical procedures in the General hospital ”dr. Radivoj Simonovic” in Sombor in the period from 2011-2021." Medical review 75, no. 3-4 (2022): 77–82. http://dx.doi.org/10.2298/mpns2204077d.

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Introduction. In the period from 2011 - 2021, 1482 gynecologic surgeries were performed at the Department of Gynecology and Obstetrics of the General Hospital in Sombor, of which 50 (3.4%) were gynecologic oncology surgical procedures. The distribution of the malignant tumor localization was as follows: vulva 4 (8%), cervix 13 (26%), endometrium 24 (48%), and ovary 9 (18%). Material and Methods. The preoperative diagnosis of all patients included standard laboratory tests of blood and urine, chest X-ray, internal medicine specialist examination, electrocardiography, and imaging procedures (magnetic resonance imaging or computed tomography) of the small pelvis and abdomen. In all cases, the diagnosis of vulvar, cervical, and endometrial cancer was made preoperatively, based on pathohistological findings of the biopsy samples of tumor tissue or material obtained using exploratory curettage. In ovarian cancer, the diagnosis was made during surgery based on ex tempore pathohistological analysis. Results. Most of the operated patients were in the International Federation of Gynecology and Obstetrics stage I - 39 (78%) and the most common pathohistological type of tumor was adenocarcinoma of different localizations - 29 (58%). The number of lymph nodes removed per surgery was 16 - 39 (x: 19) and lymphovascular invasion was present in 31 (62%) operated patients. Intraoperative complications (bleeding, ureteral injury, infection, and wound dehiscence) occurred in 8 (16%) patients, recurrence occurred in 3 (6%), and postoperative lethal outcome occurred in 4 (8%) patients. Conclusion. The essential condition for performing gynecologic oncology surgical procedures in a secondary level healthcare facility is a well-trained gynecology surgeon who has received complete training in gynecologic oncology at the tertiary level, as well as the optimal number of gynecologic oncology surgeries in accordance with recommendations of the European Society of Gynecological Oncology.

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Soergel, Philipp, Martin Loning, Ismini Staboulidou, Cordula Schippert, and Peter Hillemanns. "Photodynamic Diagnosis and Therapy in Gynecology." Journal of Environmental Pathology, Toxicology and Oncology 27, no. 4 (2008): 307–20. http://dx.doi.org/10.1615/jenvironpatholtoxicoloncol.v27.i4.80.

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TAKEUCHI, HISAYA. "Ultrasound diagnosis in obstetrics and gynecology." Juntendo Medical Journal 45, no. 2 (1999): 184–94. http://dx.doi.org/10.14789/pjmj.45.184.

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Boaventura, Camila Silva, José Lucas Scarpinetti Galvão, Giovanna Milanes Bego Soares, Almir Galvão Vieira Bitencourt, Rubens Chojniak, Shenia Lauanna Rezende Bringel, and Louise De Brot. "Synchronous gynecologic cancer and the use of imaging for diagnosis." Revista da Associação Médica Brasileira 62, no. 2 (April 2016): 116–19. http://dx.doi.org/10.1590/1806-9282.62.02.116.

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Summary Endometrial and cervical cancers are the most prevalent gynecologic neoplasms. While endometrial cancer occurs in older women, cervical cancer is more prevalente in young subjects. The most common clinical manifestation in these two gynecological cancers is vaginal bleeding. In the first case, diagnosis is made based on histological and imaging evaluation of the endometrium, while cervical cancers are diagnosed clinically, according to the International Federation of Gynecology and Obstetrics (FIGO). The authors present a case of synchronous gynecological cancer of the endometrium and cervix diagnosed during staging on MRI and confirmed by histological analysis of the surgical specimen.

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Raju, Kalyani, Supreetha Megalamane Sunanda, and Varsha Shree Rajanna. "Cytology-histology correlation of gynecologic and non-gynecologic samples at a tertiary health care center: A two-year study." Biomedical Research and Therapy 6, no. 4 (April 29, 2019): 3096–106. http://dx.doi.org/10.15419/bmrat.v6i4.534.

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Background: Cytology-histology correlation is a method of detection of an error in the diagnostic field. The root cause analysis is done for the discordant cases for quality improvement of the laboratory reports. Aims: To find out the root cause in discordant cytology-histology case pairs. Methods: This is a Retrospective cross-sectional descriptive study. The study was done from January 2016 to December 2017. All FNAC and Pap test cases which had corresponding biopsy slides and reports are included in the study. The discordant cases were classified as sampling error, interpretation error, cytology error, and histopathology error. Descriptive statistical analysis was used for the analysis of results. Results: Of total 639 case pairs, gynecologic case pairs were 447, and nongynecologic case pairs were 192. Among the gynecologic cases, the concordance between cytology and histopathology diagnosis were 425 (95%) and discordance 22 (5%) of which discrepancy in cytology was 11, histopathology was seven, and both cytology and histopathology error was four. The interpretation error was 14, and the sampling error was nine. Among non-gynecologic cases, the concordance between cytology and histopathology diagnosis were 167 (86%) and discordance 25 (14%) of which discrepancy in cytology was 17, histopathology was seven, and both cytology and histopathology error was one. The interpretation error was 16, and the sampling error was ten. The discordance versus concordance ratio was 1:19.3, 1:6.68 and 1:12.5 for gynecology, non-gynecology, and total case pairs respectively. Conclusions: The percentage of error in gynecologic cases was within the range of published data. However, those of non-gynecology cases were slightly higher. Regular professional training and improvement of sampling techniques especially the guided FNAC can reduce the errors.

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Schwarzman, Polina, Salvatore Andrea Mastrolia, Yael Sciaky-Tamir, Joel Baron, Boaz Sheizaf, Giuseppe Trojano, and Reli Hershkovitz. "Diagnosis of Tailgut Cyst in Gynecologic Patients: Systematic Review of the Literature." Journal of Endometriosis and Pelvic Pain Disorders 9, no. 3 (June 19, 2017): 168–73. http://dx.doi.org/10.5301/jeppd.5000293.

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Tailgut cysts, also called retrorectal cystic hamartomas, are rare findings that usually occur in the retrorectal space. The incidence is estimated to be about 1 in 40,000. The aim of our review is to evaluate the potential pitfalls in the diagnosis of this rare pathologic condition, according to diagnostic procedures for this rare but misleading and subtle entity. We conducted a Medline literature review of the English literature discussing tailgut cysts in female patients. We concentrated on imaging technology used for diagnosis in gynecologic patients. For our search, we used the key words “tailgut cyst”, “retrorectal cystic hamartoma”, “gynecology”, focusing on clinical presentation, imaging technology used for diagnosis, presence of malignancy, and misdiagnosis with more common gynecologic pathology. Our search revealed 143 articles during the years 1975–2016 and, of these, 30 articles describing 91 female patients were considered. We concluded that tailgut cyst should be included in the differential diagnosis of pelvic lesions in gynecologic patients.

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Anrique, Denisse, Anja Anton, Karsten Krüger, Gesine Niedobitek-Kreuter, and Andreas D. Ebert. "Splenosis: An Uncommon Differential Diagnosis in Gynecology." Journal of Minimally Invasive Gynecology 20, no. 5 (September 2013): 708–9. http://dx.doi.org/10.1016/j.jmig.2013.03.002.

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Santoso, Joseph T., Christine M. Lee, and Judith Aronson. "Discrepancy of death diagnosis in gynecology oncology." Gynecologic Oncology 101, no. 2 (May 2006): 311–14. http://dx.doi.org/10.1016/j.ygyno.2005.10.023.

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Wang, Kuo-Gon, Tze-Chien Chen, Tao-Yeuan Wang, Yuh-Cheng Yang, and Tsung-Hsien Su. "Accuracy of Frozen Section Diagnosis in Gynecology." Gynecologic Oncology 70, no. 1 (July 1998): 105–10. http://dx.doi.org/10.1006/gyno.1998.5057.

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Gainty, Michelle L., and Christina Jones. "Non-Gynecologic Causes of Adnexal/Pelvic Masses." Current Women s Health Reviews 15, no. 1 (November 22, 2018): 46–49. http://dx.doi.org/10.2174/1573404814666180406145415.

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Pelvic masses can pose a diagnostic dilemma with a broad differential to include both gynecological and non-gynecologic etiologies. While the initial instinct may be to search for gynecologic causes for the female patient, non-gynecologic etiologies must be considered as well. The presentation can be similar amongst many different causes of pelvic masses and imaging is generally required for further assessment to determine if the mass is intra- or extraperitoneal. The etiology of adnexal masses covers several subspecialties: gynecology, urology, gastroenterology, neurology, and oncology. For this reason, it is important for all to be aware of the differential diagnosis for pelvic masses.

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Lum, Jennifer, and Mark Hiraoka. "Just Images: Gynecology." Donald School Journal of Ultrasound in Obstetrics and Gynecology 10, no. 1 (2016): 42–49. http://dx.doi.org/10.5005/jp-journals-10009-1441.

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ABSTRACT Diagnostic ultrasound is the primary imaging modality utilized to detect abnormalities of the female reproductive tract. The following cases represent some of the interesting cases imaged at our institution. Objectives Interpret ultrasound images of the female reproductive tract. Assimilate the interpretation of sonographic images into a differential diagnosis. Correlate sonographic imaging with clinical outcomes. How to cite this article Lum J, Hiraoka M. Just Images: Gynecology. Donald School J Ultrasound Obstet Gynecol 2016;10(1):42-49.

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Sardesai, Anjali, Vilas Kharat, Pradip Sambarey, and Ashok Deshpande. "Fuzzy Logic-Based Formalisms for Gynecology Disease Diagnosis." Journal of Intelligent Systems 25, no. 2 (April 1, 2016): 283–95. http://dx.doi.org/10.1515/jisys-2015-0106.

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AbstractThe very basis of the present article is the fact that the medical knowledge consisting of clinical presentation, diagnosis, and treatment of a disease is with imprecision and uncertainty. The overall approach in gynecological disease diagnosis could be divided into three distinct stages, and this was confirmed by seven experienced gynecologists. Stage 1 refers to an initial screening process in order to arrive at a single disease diagnosis for the patients, which is based only on the subjective information provided by patients to the physician. In stage 2, the patient who has not received a single diagnostic label in stage 1 is further investigated for a single disease diagnosis using past history criteria. If stage 2 fails to arrive at a single disease diagnosis for a patient, then physical examination and various tests like imaging tests, blood tests, etc., are conducted, and the test results are processed in stage 3. In stage 1, we have revisited fuzzy relational calculus and mathematically evaluated the perceptions of the domain experts (gynecologists) with respect to 31 gynecological diseases. The paper also presents the research findings with a case study focused on stage 2 using a type 1 fuzzy inference system. Out of 226 patients, 50 are correctly diagnosed for a single disease and 147 for multiple diseases in stage 1. The paper concludes that fuzzy relational calculus is an effective method as an “initial screening” process to arrive at a single disease diagnosis. We have identified 29 out of 226 patients satisfying past history criteria to achieve a single disease diagnosis by stage 2. Investigations for stage 3 are in progress.

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Tian, Yu, Hong Luo, and Min He. "Obstetrics and Gynecology Acute Abdomen Clinical Diagnosis and Differential Value of Ultrasonography." Journal of Medical Imaging and Health Informatics 11, no. 8 (August 1, 2021): 2208–16. http://dx.doi.org/10.1166/jmihi.2021.3553.

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Acute abdomen in obstetrics and gynecology is a common disease in clinical emergency, most of the patients have the characteristics of complex condition and rapid progress, and need to be treated through clinical diagnosis. There are many traditional diagnosis methods, but the accuracy is not ideal. Ultrasound is a widely used imaging technique in recent years, which has the characteristics of simple operation and high accuracy, so it is favored by doctors and patients in obstetrics and gynecology. In this study, 200 patients with acute abdomen in obstetrics and gynecology were selected, and the results of pathological examination were taken as the gold standard to evaluate the clinical value of ultrasound examination. As a result, the misdiagnosed ultrasound group was significantly lower after the diagnosis than in the normal group, the difference was significant (P < 0.05). Therefore, the use of ultrasound imaging, the clinical diagnosis of acute abdominal diseases in gynecology and obstetrics achieves a clear diagnostic effect, improves the diagnostic accuracy of patients with acute abdominal disease in the clinical. It is very important for the development of targeted therapeutic programmes.

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Osičková, Veronika, Hynek Heřman, and Radovan Pilka. "Triple pregnancy – etiology and early diagnosis." Česká gynekologie 87, no. 5 (October 24, 2022): 338–44. http://dx.doi.org/10.48095/cccg2022338.

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Objective: To provide an overview of the etiology and early diagnosis of triple pregnancy, with emphasis on the possibilities of ultrasound and magnetic resonance (MR) imaging. Methodology: Processing of data from the available literature on the issue of triple pregnancy. Conclusion: Spontaneous triple pregnancy conception is rare. In most cases, it is a concept associated with assisted reproduction methods. Multiple pregnancy is associated with a higher incidence of complications during pregnancy and childbirth, but it also has its own specific complications. Chorionicity and amnionicity of multiple pregnancies are two important parameters in determining the strategy of dispensary care in pregnancy and management of childbirth. The use of ultrasound and MR imaging is crucial for their accurate determination in early pregnancy. Key words: multiple pregnancy – triple pregnancy – high-risk pregnancy

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Júnior, Arilto Eleutério da Silva, Jesus Paula Carvalho, Sophie Françoise Mauricette Derchain, Angélica Nogueira Rodrigues, Renato Moretti, Eduardo Batista Cândido, Ricardo dos Reis, Aline Evangelista Santiago, and Agnaldo Lopes da Silva Filho. "Interest In and Practices Related to Gynecologic Oncology among Members of the Brazilian Federation of Associations of Gynecology and Obstetrics." Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics 41, no. 06 (June 2019): 394–99. http://dx.doi.org/10.1055/s-0039-1692467.

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Objective The present study aims to obtain basic demographic information, the level of interest and of training in gynecology oncology among Brazilian obstetricians and gynecologists (OB-GYNs) to create a professional profile. Methods An online questionnaire was sent to 16,008 gynecologists affiliated to the Brazilian Federation of Associations of Gynecology and Obstetrics (FEBRASGO, in the Portuguese acronym). We considered gynecologists dedicated to gynecologic oncology (OB-GYNs ONCO) those who self-reported that > 50% of their daily practice consists in working with women's cancer care. Results A total of 1,608 (10%) of 16,008 FEBRASGO members responded. The OB-GYNs are concentrated in the southern and southeastern states of Brazil. Gynecologic oncology was considered the 8th greatest area of interest in gynecology among the OB-GYNs. A total of 95 (5.9%) of the OB-GYNs were considered OB-GYNs ONCO. Obstetricians and gynecologists are actively engaged in cancer care: > 60% of them dedicate up to 25% of their daily practice to oncology. The role of the physicians in screening and prevention, diagnosis, in the treatment of precancerous lesions, and in low complexity surgical procedures is notably high. Gynecologists dedicated to gynecologic oncology in Brazil have a heterogeneous, nonstandardized and short training period in gynecologic oncology. These professionals had a more significantly role in performing medium- and high-complexity operations compared with OB-GYNs (65.2% versus 34%, and 47.3% versus 8.4%, respectively). Conclusion The role of OB-GYNs and of OB-GYNs ONCO appears to be complementary. Obstetricians and gynecologists act more often in screening and prevention and in low-complexity surgical procedures, whereas OB-GYNs ONCO are more involved in highly complex cases. Strategies to raise standards in cancer training and to encourage the recognition of gynecologic oncology as a subspecialty should be adopted in Brazil.

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Giuffrida, Giorgia, Francesco Lacarrubba, Simona Boscaglia, Maria Rita Nasca, and Giuseppe Micali. "A Noninvasive Aid for Office-Based Gynecologists for the Diagnosis of Common External Genital Disorders." Obstetrics and Gynecology International 2019 (October 16, 2019): 1–5. http://dx.doi.org/10.1155/2019/1830245.

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Background. Gynecology and dermatology share the diagnosis and the management of some disorders of the female external genital area. In the last decade, clinical diagnosis in dermatology has dramatically improved, thanks to the introduction of dermatoscopy. Technique. Dermatoscopy is a noninvasive, rapid, and simple technique performed with an affordable handheld instrument called dermatoscope, endowed with a light source and a high-quality lens achieving 10 times magnification. Experience. The use of dermatoscopy for the diagnosis of some common external genital disorders, i.e., genital warts (GW), vestibular papillomatosis (VP), molluscum contagiosum (MC), angiokeratoma (AK), and pediculosis pubis (PP), is presented and discussed. Conclusion. The use of dermatoscopy in a gynecologic office may considerably help the specialist to enhance in selected cases the clinical diagnosis and to avoid unnecessary and cumbersome investigations which may be time and money consuming.

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Li, Sicong, and Liangzhi Xu. "Diagnostic Value of Ultrasound Imaging in Obstetrics and Gynecology Acute Abdomen." Journal of Medical Imaging and Health Informatics 11, no. 2 (February 1, 2021): 469–77. http://dx.doi.org/10.1166/jmihi.2021.3307.

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Common types of gynecological acute abdomen include ovarian cyst pedicle torsion, ectopic pregnancy, luteal rupture, and acute pelvic inflammatory disease. Make accurate diagnosis and surgical treatment of acute abdomen patients in obstetrics and gynecology in time, otherwise it will cause life danger or loss of organ function, therefore, accurate and timely diagnosis and treatment of gynecological acute abdomen is very important for the prognosis of patients. Ultrasound imaging has important clinical value for the diagnosis of acute abdomen in obstetrics and gynecology. Ultrasound imaging has the advantages of simple examination, rapid reporting, and no pain in the subject, which is one of the best methods for diagnosing acute abdomen in obstetrics and gynecology. This study analysed and summarized the imaging principles of ultrasound imaging in acute obstetrics and gynecology and the imaging characteristics of various acute abdomen. A retrospective analysis of patients with acute obstetrics and gynaecology performed in our hospital from December 2017 to June 2019 was performed. The diagnostic analysis of ultrasound imaging in acute obstetrics and gynaecology was performed. The results showed that the ultrasound imaging diagnosis results of 202 obstetric and gynecological acute abdomen patients were compared with the results of surgery and pathological diagnosis. Among the 182 cases with correct ultrasound imaging diagnosis, the coincidence rate was 90.1%, and 20 cases were misdiagnosed, accounting for 9.9%. The research of this study shows that the ultrasound examination technique for patients with acute obstetrics and gynaecology is simple, fast, non-invasive, and has high accuracy. Ultrasound imaging can provide reliable objective evidence for the diagnosis and differential diagnosis of most acute abdominal diseases, in order to improve the diagnosis rate and reduce the misdiagnosis rate.

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Bagnenko, Sergey F., and Dariko A. Niauri. "Tsvelev Yu.V. Urgent gynecology (a practical guide for doctors)/. Yu.V. Tsvelev, V.F. Bezhenar, I.V. Berlev. - SPb .: OOO "Foliant Publishing House". - 2004 .- 384 p. - 1000 copies. - ISBN 5-93929-099-X (in translation)." Journal of obstetrics and women's diseases 53, no. 4 (November 15, 2004): 89–92. http://dx.doi.org/10.17816/jowd88666.

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Urgent gynecology: a practical guide for doctors. The published practical guide is devoted to one of the most interesting and complex in clinical and practical terms of the section of obstetrics and gynecology - the diagnosis and treatment of emergency pathology.

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Singh, Pooja S., and Haresh U. Doshi. "Study of iatrogenic bladder injury in vaginal hysterectomy: our experience." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 7, no. 3 (February 27, 2018): 903. http://dx.doi.org/10.18203/2320-1770.ijrcog20180863.

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Background: This study was carried out to calculate the incidence of bladder injury detected during benign gynecologic vaginal hysterectomy. This investigation examined the clinical features of urologic complications during gynecologic surgery and outcome of their management.Methods: It was a retrospective study done at Department of Gynecology, GCS medical college, Ahmedabad from year 2012-2016. All patients undergoing vaginal hysterectomy for benign diseases were included in the study. This study assessed the causative disease and surgical approach type, and treatment method of the bladder injury.Results: Of these 237 patients who underwent vaginal hysterectomies, 3 (1.26%) had bladder perforation. All the 3 cases of bladder injury underwent primary suturing during surgery without complications.Conclusions: Bladder injury was the most common urological injury during obstetric and gynecologic surgery. Early diagnosis and urologic intervention is important for better outcomes.

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Kıncı, Mehmet F., Burcu Kasap, and Ahmet A. Sivaslıoğlu. "Ischemia-modified albumin in gynecology." Biomarkers in Medicine 15, no. 6 (April 2021): 455–62. http://dx.doi.org/10.2217/bmm-2020-0616.

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Background: Ischemia-modified albumin (IMA) is an oxidative stress marker used to assess the presence and severity of oxidative stress. This marker was first used for early diagnosis of myocardial ischemia. Materials & methods: A variety of IMA studies were carried out to show the effect of oxidative stress on gynecological disorders. Conclusion: This analysis summarizes the literature by conducting electronic research on the relationship between IMA and gynecological disorders.

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V., Sitalakshmi, and Alpana Bansal. "Gynecological profile of patients undergoing laparoscopy/laparotomy in a tertiary care hospital." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 6 (May 25, 2017): 2475. http://dx.doi.org/10.18203/2320-1770.ijrcog20172334.

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Background: Laparoscopy is not only used in the elective surgery but also used in the emergency surgery. It is also found to be useful in the acute abdominal emergencies. It is useful in removing any diagnostic doubts. It is also useful in the treatment of diseases. The objective of the study was to study the gynecologic profile of patients undergoing laparoscopy/laparotomy in gynecology department of a tertiary care hospitalMethods: A hospital based cross sectional study was carried out at department of Obstetrics and Gynecology of S. V. Medical College, Tirupati from September 2014 to February 2015, for a period of six months. A total of 36 patients were evaluated for gynecological problems during the study period based on the inclusion and exclusion criteria. They were evaluated for menstrual complaints, chief presenting complaints, clinical diagnosis, scan diagnosis and laparotomy evaluation. Institutional Ethics Committee permission was taken before the start of the study. Informed consent was taken from all patients after explaining them about the nature of the study.Results: Ovarian cyst was the most common presentation which constituted more than half of the patients (55.6%). All patients i.e. 36 (100%) had menorrhagia as the complaint of menstrual irregularity. Out of 9 cases, clinical diagnosis differed in all cases, thus giving zero percent of accuracy for clinical diagnosis. Scan diagnosis matched with laparotomy confirmation in only 3 (33.3%) of cases. One case which was labeled as normal was found to have bilateral functional ovarian cyst on laparotomy confirmation. One case which was labeled as left ovarian cyst was found to have no cyst on laparotomy confirmation.Conclusions: Thus, laparoscopy is a useful tool for diagnosis and therapeutic accuracy in gynecological disease in routine as well as in emergencies. It is safe, effective, less time consuming, economical and patient friendly.

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Seistrajkova, Marija, Neda Milevska Kostova, and Stjepan Oreskovic. "Restructuring of Gynecology-Obstetric Services Provision Based on Diagnosis-Related Groups Model." Open Access Macedonian Journal of Medical Sciences 10, B (August 28, 2022): 2166–71. http://dx.doi.org/10.3889/oamjms.2022.10616.

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The implementation of the Diagnosis Related Groups (DRGs) model in public hospitals in North Macedonia started in 2009. Purposes were data collection, cost management, standardization of services and budget allocation. Of all DRG-coded health services, about 25% are related to gynecology/obstetric and neonatology. Aim of this research was to investigate, analyze and evaluate possible restructuring of gynecology-obstetric services on a national level using the existing DRG model in place, focused on deliveries as a benchmark for service provision. We used the Health Insurance Fund DRG database for health services, populated online by medical professionals. Data was retrieved retrospectively for the period 2015-2019, with focus on 2018 as mid-point year. Statistical methods were used to describe the structure of the gynecology/obstetric and delivery services as per the DRG model. Results showed poor structure of the health network for organized provision of delivery service. Transfers to other health facilities (about 18%) and transfers towards tertiary health care (about 22%) showed low capacity of coping with the demand for provision of services (deliveries). Simulation model presents possible restructuring of services and improved hospitals’ efficiency.

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Toth, Bettina, Wolfgang Würfel, Michael Bohlmann, Johannes Zschocke, Sabine Rudnik-Schöneborn, Frank Nawroth, Ekkehard Schleußner, et al. "Recurrent Miscarriage: Diagnostic and Therapeutic Procedures. Guideline of the DGGG, OEGGG and SGGG (S2k-Level, AWMF Registry Number 015/050)." Geburtshilfe und Frauenheilkunde 78, no. 04 (April 2018): 364–81. http://dx.doi.org/10.1055/a-0586-4568.

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Abstract Purpose Official guideline of the German Society of Gynecology and Obstetrics (DGGG), the Austrian Society of Gynecology and Obstetrics (ÖGGG) and the Swiss Society of Gynecology and Obstetrics (SGGG). The aim of this guideline was to standardize the diagnosis and treatment of couples with recurrent miscarriage (RM). Recommendations were based on the current literature and the views of the involved committee members. Methods Based on the current literature, the committee members developed the statements and recommendations of this guideline in a formalized process which included DELPHI rounds and a formal consensus meeting. Recommendations Recommendations for the diagnosis and treatment of patients with RM were compiled based on the international literature. Specific established risk factors such as chromosomal, anatomical, endocrine, hemostatic, psychological, infectious and immunological disorders were taken into consideration.

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Tsvelev, U. V., V. F. Bejenar, S. А. Povzun, and D. В. Fridman. "Clinical diagnosis of adenomyosis." Journal of obstetrics and women's diseases 54, no. 3 (November 1, 2005): 91–98. http://dx.doi.org/10.17816/jowd83488.

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Literature review is performed of modern adenomyosis diagnostics methods, morphologic changes of myometrium, producing diagnostic phenomena are described, comparative analysis of diagnostic value is performed.

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Mangla, Mishu, Ruchira Nautiyal, and Neha Dagar. "What is your diagnosis?" Journal of the Turkish-German Gynecological Association 23, no. 4 (December 1, 2022): 322–24. http://dx.doi.org/10.4274/jtgga.galenos.2022.2022-5-3.

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Tokhiyan, A. A. "Plenum of the Interdepartmental Scientific Council on Obstetrics and Gynecology of the Russian Academy of Medical Sciences M3 RF "Oncological screening, carcinogenesis and early stages of cancer in the practice of a gynecologist"." Journal of obstetrics and women's diseases 50, no. 1 (December 30, 2021): 7. http://dx.doi.org/10.17816/jowd88683.

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October 31 - November 1, 2000 in Izhevsk the Plenum of the Interdepartmental Scientific Council on Obstetrics and Gynecology of the Russian Academy of Medical Sciences M3 of the Russian Federation was held. Despite the allocation of two different specialties in clinical medicine - gynecology and gynecological oncology, the problems of risk and early diagnosis of gynecological cancer occupy a prominent place in the activities of an obstetrician-gynecologist. Diseases of the breast are of no less importance for clinical practice. The topic of this Plenum is a logical continuation of previous discussions on topical issues of modern gynecology - "Ways of development of modern gynecology" and "Ovarian tumors", held within the framework of the Ministry of Taxes and Communications.

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Adamyan, L. V., and E. L. Yarotskaya. "Genital endometriosis: controversial issues and alternative approaches to diagnosis and treatment." Journal of obstetrics and women's diseases 51, no. 3 (December 27, 2021): 103–12. http://dx.doi.org/10.17816/jowd91110.

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On the basis of the Department of Operative Gynecology of the Scientific Center for Obstetrics, Gynecology and Perinatology of the Russian Academy of Medical Sciences from 1992 to 2002. examination, treatment and monitoring of 1234 patients with endometriosis was carried out, which served as material for the study of morphofunctional, endocrine, immune, biochemical, genetic aspects of endometriosis. Our clinical and scientific experience allowed us to determine our own positions and a circle of discussion questions corresponding to the main directions of further research on this problem, which are: is endometriosis a disease or not ?; development mechanisms; classification; diagnostic criteria; features of histological characteristics; endometriosis and genetics; endometriosis and the immune system; endometriosis and adenomyosis; retrocervical endometriosis; endometriosis and pelvic pain; endometriosis and adhesions; endometriosis and infertility; traditional and non-traditional approaches to diagnosis and treatment.

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Doroshenko-Kravchyk, M. V. "NEWEST APPROACHES TO THE DIAGNOSIS OF HYPERPLASTIC PROCESSES IN GYNECOLOGY." World of Medicine and Biology 16, no. 72 (2020): 048. http://dx.doi.org/10.26724/2079-8334-2020-2-72-48-52.

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Nguyen, Katie P., William L. Valentino, Duy Bui, and Honey Milestone. "Ovarian Torsion: Presentation and Management in a Pediatric Patient." Case Reports in Obstetrics and Gynecology 2022 (February 22, 2022): 1–5. http://dx.doi.org/10.1155/2022/9419963.

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Background. Adnexal torsion is the fifth most common gynecologic emergency accounting for approximately 20 to 30% of ovarian surgeries in pediatric patients. Case. The patient is a ten-year-old female who presented to the emergency room for severe left lower quadrant abdominal pain. On presentation, she was hemodynamically stable with an acute abdomen. A transabdominal ultrasound showed a predominantly anechoic structure measuring up to 5.6 cm without definitive Doppler flow, concerning for a large cyst causing ovarian torsion. Gynecology was consulted, and the patient underwent a diagnostic laparoscopy, aspiration of the left ovarian cyst, and left ovarian detorsion. Pathology results were consistent with benign cystic contents. Conclusion. Appropriate diagnosis and timely surgical gynecological intervention allowed this pediatric patient to salvage and preserve ovarian function.

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Thomas, Sumi, Yaser Hussein, Sudeshna Bandyopadhyay, Michele Cote, Oudai Hassan, Eman Abdulfatah, Baraa Alosh, Hui Guan, Robert A. Soslow, and Rouba Ali-Fehmi. "Interobserver Variability in the Diagnosis of Uterine High-Grade Endometrioid Carcinoma." Archives of Pathology & Laboratory Medicine 140, no. 8 (May 3, 2016): 836–43. http://dx.doi.org/10.5858/arpa.2015-0220-oa.

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Context.—Low interobserver diagnostic agreement exists among high-grade endometrial carcinomas. Objective.—To evaluate diagnostic variability in International Federation of Gynecology and Obstetrics (FIGO) grade 3 endometrioid adenocarcinoma (G3EC) in 2 different sign-out practices. Design.—Sixty-six G3EC cases were identified from pathology archives of Wayne State University (WSU, Detroit, Michigan) (general surgical pathology sign-out) and 65 from Memorial Sloan Kettering Cancer Center (MSK, New York, New York) (gynecologic pathology focused sign-out). Each case was reviewed together by 2 gynecologic pathologists, one from each institution, and classified into the G3EC group or a reclassified group. Clinicopathologic parameters were compared. Results.—Twenty-five WSU cases (38%) were reclassified as undifferentiated (n = 2), serous (n = 4), mixed endometrioid and serous carcinomas (n = 12), and FIGO grade 2 endometrioid adenocarcinomas with focal marked nuclear atypia (n = 7). Eleven MSK cases (17%) were reclassified as undifferentiated (n = 5), serous (n = 1), mixed endometrioid and serous carcinomas (n = 4), and mixed endometrioid and clear cell carcinomas (n = 1). Agreement rate between original and review diagnosis was 83% (54 of 65) at MSK and 62% (41 of 66) at WSU (P = .01) with an overall rate of 73% (95 of 131). There were more undifferentiated carcinomas at MSK than there were at WSU (45% [5 of 11] versus 8% [2 of 25]; P = .02). There were more grade 2 endometrioid adenocarcinomas with focal, marked nuclear atypia at WSU (28%; 7 of 25) than there were at MSK (0%) (P = .03). Mixed endometrioid and serous carcinoma was the most common misclassified subtype (44%; 16 of 36). Conclusion.—Moderate interobserver variability exists in the diagnosis of G3EC with a significantly greater diagnostic agreement rate in gynecologic pathology–focused sign-out than in general sign-out practice.

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Zhang, Hongyuan, Yuanjing Hu, Yingjun Zhu, and Xu Chen. "Facing the SARS-CoV-2 Outbreak: What Should Obstetricians and Gynecologists Do?" Disaster Medicine and Public Health Preparedness 14, no. 4 (July 27, 2020): e19-e21. http://dx.doi.org/10.1017/dmp.2020.263.

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ABSTRACTAn outbreak of coronavirus disease 2019 (COVID-19) caused by the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread worldwide. In this major outbreak, women are a special group, especially pregnant patients. Many problems faced by clinicians are still unclear and need to be solved. As the largest obstetrics and gynecology hospital in North China, here we summarize the diagnosis and treatment process and key points of obstetrics and gynecology patients in our hospital during the period of the COVID-19 pandemic, hoping to provide available information to inform care of obstetrics and gynecology patients.

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Zeni, G. M., J. Tigdi, H. N. Alsalem, and M. Leonardi. "Superficial Endometriosis: The Ultrasound Diagnosis." Journal of Minimally Invasive Gynecology 29, no. 11 (November 2022): S56—S57. http://dx.doi.org/10.1016/j.jmig.2022.09.190.

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Mutter, Olga, Sarah A. Ackroyd, George A. Taylor, and Juan Diaz. "Minimally invasive hysterectomy for endometriosis: Surgical outcomes based on surgeon specialty." Journal of Endometriosis and Pelvic Pain Disorders 13, no. 2 (January 28, 2021): 89–97. http://dx.doi.org/10.1177/2284026521990201.

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Introduction: To evaluate differences in surgical outcomes of minimally invasive hysterectomy performed for endometriosis between general gynecologists and gynecologic oncologists. Methods: Utilizing the 2016–2018 American College of Surgeons National Surgical Quality Improvement Program (NSQIP) hysterectomy dataset, we evaluated baseline characteristics and surgical outcomes for patients who underwent a minimally invasive hysterectomy for endometriosis between general gynecology and gynecologic oncology groups. Results: From 2016 to 2018, a total of 3751 minimally invasive hysterectomies were performed for the primary diagnosis of endometriosis. Of these cases, 3129 (83.4%) were performed by general gynecologists and 622 (16.6%) by gynecologic oncologists. There were several differences in baseline characteristics between the groups. Notably, general gynecologists performed a higher proportion of vaginal hysterectomies (7.9% vs 0.6%, p < 0.01). There were no statistically significant differences in overall 30-day complications or mortality between general gynecology and oncology groups, with the exception of a higher rate of postoperative sepsis (0.8% vs 0.2%, p = 0.01) in hysterectomies performed by oncologists. Compared to general gynecologists, oncologists had a longer operative time (134.9 ± 65.4 min vs 129 ± 60.9 min, p = 0.05). Multivariate regression of multiple tracked and composite outcomes revealed no consistent confounding variables other than race. In fact, African American race was a statistically significant predictive factor of composite complications (OR 1.80, p < 0.01), morbidity (OR 1.84, p < 0.05), and unplanned readmission (OR 2.30, p < 0.01). Surgeon specialty was not associated with composite complications, hysterectomy-specific complications, or readmission. Conclusion: There are no significant differences in surgical outcomes for minimally invasive hysterectomy for endometriosis between these two surgical subspecialties.

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Hobzová, Pavlína, Nikoleta Chubanovová, and Marta Nováčková. "Distal vaginal agenesis and differential diagnosis of other causes of hematocolpos." Česká gynekologie 87, no. 5 (October 24, 2022): 350–55. http://dx.doi.org/10.48095/cccg2022350.

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Distal vaginal agenesis is an obstructive congenital malformation of the female reproductive tract. The distal part of the vagina is replaced by fibrous tissue and the outflow of the menstrual blood and secretion of the cervical glands is disabled. This congenital anomaly most often manifests during expected menarche by primary amenorrhea and cyclic lower abdominal pain caused by cryptomenorrhea with gradually increasing hematocolpos and hematometra. The diagnosis is based on gynecological examination and the suspected anomaly is confirmed by ultrasound examination and magnetic resonance imaging. Therapy of distal vaginal agenesis is exclusively surgical. A pull-through vaginoplasty is the method of choice for distal vaginal agenesis not exceeding 3 cm. With a greater extent of agenesis and the risk of postoperative vaginal stenosis, replacement of the missing part of the vagina with other tissues or modified balloon vaginoplasty can be used. The aim of the treatment is to enable the evacuation of the menstrual blood, ensure quality sexual intercourse and the possibility of reproduction. Key words: distal vaginal agenesis – distal vaginal atresia – hematocolpos – hematometra – pull-through vaginoplasty

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Siddi Diallo, Boubacar, Boubacar Alpha Diallo, Mamadou Samba Camara, Abdourahamane Diallo, Daniel Leno, Ibrahima Sory Balde, Telly Sy, Yolande Hyjazi, and Namory Keita. "Diagnosis and Management of Uterine Fibromyomas in the Obstetric Gynecology Department of the Regional Hospital of Labe. Guinea." Obstetrics Gynecology and Reproductive Sciences 5, no. 06 (September 6, 2021): 01–04. http://dx.doi.org/10.31579/2578-8965/061.

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Objectives: To calculate the frequency of uterine fibromyomas, to describe the epidemiological profile, to describe the management and to establish the prognosis of women with uterine fibromyomas in the gynaecology-obstetrics department of the Regional Hospital of Labé. Methodology: This was a retrospective descriptive study lasting three (3) years from 1 January 2017 to 31 December 2019. All patients admitted and operated on in the department for uterine fibromyomas during the study period were included. Patients who were not operated for uterine fibromyomas in the department and incomplete records were not included. Our data were collected and analysed using Epi-Info software version 7.2.2.6. Word, Excel and Power point software from Pack office 2016 were used for data entry and presentation. The study involved a continuous series of 115 anaemic pregnant women. We proceeded with an exhaustive recruitment of pregnant women according to the criteria defined above. Results: The frequency of uterine fibromyomas among gynaecological pathologies was 44.75%. The epidemiological profile was that of a 30-39% (40.87%), housewife (53.91%) and nulliparous (40%) woman. Pelvic pain was the dominant reason for consultation (75.65%) and 46.08% of patients had no particular history. Intramural or interstitial uterine fibromyomas were the most common (49.57%) and ultrasound was performed in all patients. The surgical indications were dominated by large polymyomatous uterus 37.39%, followed by haemorrhagic fibroid 26.09%. Myomectomy was performed in 75.65% of cases, exclusively via the abdominal route (100%), while hysterectomy was performed via the abdominal route in 17.39% of cases and vaginal route in 6.96%. The postoperative course was simple in 75.65% of cases and complicated in 24.35%. Complications were dominated by anaemia (13.04). The average length of stay was 6.05 days with extremes of 3 and 13 days. Conclusion: The frequency of the uterine fibromyomas is raised in the region of Labé and the hold in charge is often surgical

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Stamenković, Jelena, Vojislav Parezanović, Olivera Kontić-Vučinić, Ivan Stefanović, Maja Trkulja, Ida Jovanović, Aleksandar Ljubić, and Milena Srbinović. "Prenatally diagnosed fetal heart rhythm abnormalities—incidence, diagnosis and outcome." Clinical and Experimental Obstetrics & Gynecology 49, no. 6 (June 10, 2022): 140. http://dx.doi.org/10.31083/j.ceog4906140.

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Lin, Oscar. "Challenges in the Interpretation of Peritoneal Cytologic Specimens." Archives of Pathology & Laboratory Medicine 133, no. 5 (May 1, 2009): 739–42. http://dx.doi.org/10.5858/133.5.739.

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Abstract Context.—The presence of malignant cells in peritoneal washings leads to classification as International Federation of Gynecology and Obstetrics stage IC or higher in ovarian carcinomas and at least International Federation of Gynecology and Obstetrics stage IIIA in endometrial carcinomas. Unfortunately, the morphologic examination of cytologic specimens has not proven to be a sensitive or specific diagnostic tool. Malignant cells might be few in number and might be unrecognized among a large population of mesothelial cells and/or macrophages, or reactive mesothelial cells might be misinterpreted as neoplastic cells leading to unnecessary chemotherapy. Objective.—To evaluate the main pitfalls in the evaluation of peritoneal washings in patients with gynecologic malignancies and analyze the ancillary studies that might be helpful to achieve the correct diagnosis with an emphasis on immunocytochemistry. Data Sources.—A comprehensive review of the literature was performed. Conclusions.—Peritoneal effusions may represent major challenges to the pathologist and can have important clinical implications. Immunostains for epithelial markers such as B72.3, MOC-31, and Ber-EP4 represent the best available markers to identify epithelial cells. Caution is advised to not overdiagnose endometriosis or endosalpingiosis as adenocarcinoma.

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Dronov, O. I., V. L. Dronova, L. O. Roschyna, and O. M. Mokryk. "Single clinical observations pseudopapillary solid neoplasms of the pancreas in pregnant women." HEALTH OF WOMAN, no. 4(120) (May 30, 2017): 11–15. http://dx.doi.org/10.15574/hw.2017.120.11.

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The article presents the world data on the incidence, clinical picture and diagnosis of solid pseudopapillary neoplasm both in general and in pregnant women. Two clinical cases of solid pseudopapillary neoplasm in pregnant women were described in detail, with highly specialized surgical and perinatal care in the hospitals of the Center for Surgery of Liver, Biliary and Pancreatic Diseases n.V.S.Zemskov (surgical department) and in the department of surgical gynecology of the SI «Institute of pediatrics, obstetrics and gynecology National Academy of Medical Sciences of Ukraine». Demonstrate the features of diagnosis, surgical treatment of patients with solid pseudopapillary neoplasms during pregnancy. Key words: solid pseudopapillary neoplasm, surgical treatment, pregnancy, management of pregnancy and childbirth.

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Nastasi, María, Ernesto Lara, María Mercedes Pérez, Elianny Betancourt, and Lucía Aguilera. "Cáncer de cuello uterino. Incidencia registrada en el Hospital “Dr. Domingo Luciani” en el año 2020." Revista de Obstetricia y Ginecología de Venezuela 81, no. 04 (December 17, 2021): 314–18. http://dx.doi.org/10.51288/00810404.

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Objective: To estimate the incidence of cervical cancer (CCU) in the year 2020 in the gynecology oncology consultation of the Obstetrics and Gynecology Service of the Hospital “Dr. Domingo Luciani”. Method: Retrospective, descriptive study, where the clinical histories of the patients diagnosed with cervical cancer who attended the first oncology gynecology consultation were reviewed, the period from January to December 2020. Results: Sixty patients met the inclusion criteria, the variables studied were age, histological type, stage at the time of diagnosis and indicated treatment;14.52% were diagnosed with cervical cancer; the mean age at the time of diagnosis was 43.15 years; the most common histological group was squamous, (96.67%). Regarding staging, 28 cases (46.67%) were diagnosed in stage IIIB, 14 cases (23.33%) in stage IIB, and only 6.66% were diagnosed in early stages. Treatment indicated radiotherapy and chemotherapy. Conclusion: We show in the present study that cervical cancer represents a significant percentage of gynecological consultations, that unfortunately the diagnosis is made in advanced stages, negatively affecting the prognosis of these patients and that the age at which it predominates is in full productive life of the women. affected women, constituting a real public health problem and chaos for families and society. Keywords: Cervical cancer, Incidence, Carcinoma, Adenocarcinoma, Stage

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Parvin, Afroza, Monowara Begum, and Atiya Huda. "Uterine artery pseudoaneurysm after cesarean section: case report." Pulse 7, no. 1 (May 7, 2015): 56–60. http://dx.doi.org/10.3329/pulse.v7i1.23253.

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Uterine artery pseudoaneurysm (UAP) occurs rarely and can develop after various gynecologic or obstetric procedures. The delayed diagnosis of this disease often results in life-threatening hemorrhage. Here is described a case of UAP after cesarean section. The patient visited gynecology outpatient department of AHD 60 days after cesarean section done outside AHD because of abnormal per vaginal bleeding. After her cesarean section she had undergone laparotomy outside AHD for post partum haemorrhage but those papers were not available. From there she was sent to our radiology department for color Doppler TVS examination and here she was diagnosed as a case of UAP using color Doppler ultrasonography. The most frequent cause of UAP is cesarean section, which accounted for 47.4% of all cases. Previous studies show that the definitive diagnosis was made at angiography (41.2%), computed tomography (29.4%), or color doppler ultrasonography (29.4%). Almost all cases (94.1%) were conservatively treated with transcatheter uterine artery embolization. Consideration of UAP in the differential diagnosis is crucial for proper treatment before rupture and to preserve fertility.Pulse Vol.7 January-December 2014 p.56-60

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OSBORNE, NEWTON G. "Urinary Tract Infections in Gynecology: Special Issues of Diagnosis and Management." Journal of Gynecologic Surgery 15, no. 4 (January 1999): 207–8. http://dx.doi.org/10.1089/gyn.1999.15.207.

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Gabbe, Steven G., Jennifer Melville, Lynn Mandel, and Edward Walker. "Burnout in chairs of obstetrics and gynecology: Diagnosis, treatment, and prevention." American Journal of Obstetrics and Gynecology 186, no. 4 (April 2002): 601–12. http://dx.doi.org/10.1067/mob.2002.122391.

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ASHRAF E. GHARIEB, M.D., HEND E. HASBY, M. Sc ;., and AHMED M. HAGRAS, M.D. "Comparative Study between Clinical and Ultrasound Diagnosis of Emergency of Gynecology." Medical Journal of Cairo University 86, no. 6 (June 1, 2018): 1875–81. http://dx.doi.org/10.21608/mjcu.2018.56753.

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Arbeille, P., J. Ruiz, M. Chevillot, F. Perrotin, P. H. Hervé, P. Vieyres, and G. Poisson. "OC094: Teleoperated robotic arm for echographic diagnosis in obstetrics and gynecology." Ultrasound in Obstetrics and Gynecology 24, no. 3 (August 2004): 242. http://dx.doi.org/10.1002/uog.1214.

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Gaisin, I. R., and A. S. Iskhakova. "Diagnosis and treatment of hypertensive disorders of pregnancy: a narrative review." "Arterial’naya Gipertenziya" ("Arterial Hypertension") 27, no. 2 (June 29, 2021): 146–69. http://dx.doi.org/10.18705/1607-419x-2021-27-2-146-169.

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The paper overviews classification, diagnosis and treatment of hypertensive disorders of pregnancy and early postpartum period (chronic hypertension (HTN), gestational HTN, pre-eclampsia) provided by different societies of cardiology and obstetrics and gynecology. The definition of pre-eclampsia offered by the International Society for the Study of Hypertension in Pregnancy (ISSHP) in 2018 and supported by the International Federation of Gynecology and Obstetrics (FIGO) in 2019, its screening and prevention are considered. All treatment options of moderate and severe HTN in pregnancy are reviewed. A new US Food and Drug Administration (FDA) classification system of drug therapy for pregnancy and lactation Pregnancy and Lactation Labelling Rule (PLLR, 2015) is presented. Treatment goals of HTN and blood pressure (BP) thresholds in pregnancy as well as risk factors, causes, clinical presentation, diagnostic workup and management of hypertensive emergencies in pregnancy are provided. We discuss the evidence of BP ≥ 130/80 mmHg as a factor of high maternal and neonatal risks proposed by the American College of Cardiology/American Heart Association (2017) as the HTN criteria in pregnancy.

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Chubanovová, Nikoleta, Roman Chmel, Roland Kelčík, Jana Nováková, and Marta Nováčková. "Hymenal atresia – a rare congenital anomaly with the risk of late diagnosis." Česká gynekologie 87, no. 2 (April 26, 2022): 118–23. http://dx.doi.org/10.48095/cccg2022118.

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Objective: Comprehensive analysis of causes, clinical signs, diagnostic process, differential diagnosis and therapy of hymenal atresia. Methods: Literature search using the Web of Science, Google Scholar and PubMed databases with keywords and analysis of articles published in high impact and reviewed journals. Results: Hymenal atresia is a congenital malformation of a woman's genitals, which is manifested by complete obstruction of the vaginal introitus by a closed hymen. It should be diagnosed in the neonatal period, but clinically it usually manifests itself only during puberty as a result of menstrual blood retention (cryptomenorrhea) with the cyclic abdominal pain at monthly intervals. The therapy is based on optimally timed surgical creation of communication in the hymen (hymenotomy, hymenectomy) enabling free evacuation of menstrual contents. The aim of this simple treatment method is immediate subjective relief from pain and a permanent solution to this congenital anomaly. Conclusion: Knowledge of all types of congenital malformations of the female genitalia is a basic condition for an early and effective diagnostic process in adolescent girls with abdominal pain. The girl who has not yet menstruated and has cyclic lower abdominal pain and a tumor behind the pubic symphysis should be examined by a specialist in pediatric and adolescent gynecology who will confirm hymenal atresia according to a bluish and closed hymen, and suggest prompt and effective therapy. Key words: hymenal atresia – hematocolpos – hymen – hymenectomy – hymenotomy

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Nguyen, Katie P., Marlekah Hudspeth, and Honey Milestone. "Spontaneous Heterotopic Pregnancy: Diagnosis and Management." Case Reports in Obstetrics and Gynecology 2022 (July 26, 2022): 1–4. http://dx.doi.org/10.1155/2022/2994808.

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Background. Heterotopic pregnancies albeit rare are conceivably life-threatening if missed. With the development of assisted reproductive techniques, the incidence has increased. Confirmation of an intrauterine pregnancy (IUP) should not preclude the existence of a heterotopic pregnancy. Case. A healthy 27-year-old patient (gravida 4, term 1, preterm 0, abortion 2, living 1) at approximately 5 weeks gestation through natural conception presented to the emergency room with acute abdominal pain and vaginal bleeding. Pelvic ultrasound showed evidence of an IUP and a right adnexal mass, raising suspicion for a heterotopic pregnancy. The patient underwent an uncomplicated laparoscopic right salpingectomy. An IUP was confirmed on ultrasound postoperatively. The patient had an early pregnancy loss at 8 weeks of gestation. Conclusion. With a high index of suspicion from clinical presentation and pelvic imaging, heterotopic pregnancy, while rare, should not be ruled out.

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Chen-Dixon, Katie, Cansu Uzuner, Jason Mak, and George Condous. "Effectiveness of ultrasound for endometriosis diagnosis." Current Opinion in Obstetrics & Gynecology 34, no. 5 (October 2022): 324–31. http://dx.doi.org/10.1097/gco.0000000000000812.

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Ourmantcheeva, A. F., V. M. Merabishvili, S. A. Selcov, V. I. Novik, N. R. Safronnikova, G. F. Kutusheva, A. E. Vorontsova, et al. "Epidemiology and diagnosis of cervical cancer." Journal of obstetrics and women's diseases 50, no. 1 (December 30, 2021): 80–86. http://dx.doi.org/10.17816/jowd89302.

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The data of populational and hospital cancer registers, cytological and immunological laboratories of Saint-Petersburg are examined. More than 350 new invasive cervical cancer cases are registered annually. Since 1970 up to 1991 oncological morbidity decreased from 14,7 to 8,1 per 100000 women, but then we witness steady rise of standardized indeces up to 9,9 in 1999. Increasingrate of so called neglectedforms of cervical cancer (III-IV stages), especially amongyoung women, is a disturbing fact. The issues of prophylaxis and early diagnostics of cervical cancer are discussed in the article. The results of cytological and virological examination of women of different contingents are drawn.

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Journal articles on the topic 'Gynecology Diagnosis'

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