- An Academic Tertiary Referral Center's Experience with a Vascular Surgery-Based Uterine Artery Embolization Program. [Journal Article]
- AVAnn Vasc Surg 2018 May 16
- CONCLUSIONS: Within the framework of a collaborative, multidisciplinary program, vascular surgery can play a prominent role in providing safe and effective UAE.
- TOTAL LAPAROSCOPIC HYSTERECTOMY FOR ENDOMETRIOSIS AND AN ARTERIOVENOUS MALFORMATION. [Journal Article]
- JMJ Minim Invasive Gynecol 2018 May 14
- CONCLUSIONS: To conclude, preoperative embolization of the arteriovenous shunt improves surgery, avoiding excessive bleeding and permitting an easiest radical hysterectomy for deep pelvic endometriosis. Similar cases has been published  but to our knowledge, our video is the first about the subject. It appears that embolization can fail but hysterectomy stays the gold standard treatment .
- Treatment patterns and health care resource utilization and costs in heavy menstrual bleeding: a Japanese claims database analysis. [Journal Article]
- JMJ Med Econ 2018 May 17; :1-15
- CONCLUSIONS: The main limitations of this study related to its retrospective nature and the fact that only reimbursed medications were captured in the source database.A substantial proportion of HMB patients did not receive the recommended treatments. Healthcare costs were considerably increased in the presence of a HMB diagnosis.
- STUMP, a surprise finding in a large fibroid uterus in a 20-year-old woman. [Journal Article]
- IJInt J Womens Health 2018; 10:211-214
- We report on a case of a 20-year-old nulliparous woman with menorrhagia associated with a smooth muscle tumor of uncertain malignant potential (STUMP) that was responsive to Goserelin. This case deta...
We report on a case of a 20-year-old nulliparous woman with menorrhagia associated with a smooth muscle tumor of uncertain malignant potential (STUMP) that was responsive to Goserelin. This case details the investigation and management of a young woman who desires ongoing fertility preservation. STUMP is a rare uterine tumor with a paucity of literature available regarding management and subsequent malignant potential, particularly in the case of a patient who desires fertility preservation.
- Successful treatment of severe menorrhagia at menarche with recombinant factor VIIa in an adolescent girl with type III von Willebrand's disease. [Journal Article]
- BCBlood Coagul Fibrinolysis 2018 May 09
- : Type III von Willebrand's disease (vWD) is an inherited bleeding disorder, which is frequently associated with menorrhagia in women. Treatment options include antifibrinolytics, desmopressin, von W...
: Type III von Willebrand's disease (vWD) is an inherited bleeding disorder, which is frequently associated with menorrhagia in women. Treatment options include antifibrinolytics, desmopressin, von Willebrand factor/factor VIII concentrates and in intractable bleeding circumstances recombinant factor VIIa (rFVIIa). We present an adolescent case with type III vWD who had a menorrhagia at menarche that was refractory to the standard treatment and ultimately was treated with rFVIIa successfully.
- Patterns of von Willebrand Disease Screening in Girls and Adolescents With Heavy Menstrual Bleeding. [Journal Article]
- OGObstet Gynecol 2018 May 07
- CONCLUSIONS: Despite recommendations by the American College of Obstetricians and Gynecologists for more than 15 years, fewer than 20% of postpubertal girls and adolescents with heavy menstrual bleeding underwent screening for von Willebrand disease in this cohort. Increased clinician awareness and adherence to recommended screening recommendations may increase diagnosis of von Willebrand disease.
- No 292-Saignements utérins anormaux chez les femmes préménopausées. [Journal Article]
- JOJ Obstet Gynaecol Can 2018; 40(5):e414-e441
- No. 292-Abnormal Uterine Bleeding in Pre-Menopausal Women. [Journal Article]
- JOJ Obstet Gynaecol Can 2018; 40(5):e391-e413
- CONCLUSIONS: Abnormal uterine bleeding is a common and sometimes debilitating condition in women of reproductive age. Standardization of related terminology, a systematic approach to diagnosis and investigation, and a step-wise approach to intervention is necessary. Treatment commencing with medical therapeutic modalities followed by the least invasive surgical modalities achieving results satisfactory to the patient is the ultimate goal of all therapeutic interventions.
- Is thermal balloon ablation in women with previous cesarean delivery successful? [Journal Article]
- TJTurk J Med Sci 2018 Apr 30; 48(2):266-270
- Background/aim:Endometrial ablation is used to treat heavy menstrual bleeding in women who do not respond to standard therapy. This study aimed to compare treatment success in women with previous ces...
Background/aim:Endometrial ablation is used to treat heavy menstrual bleeding in women who do not respond to standard therapy. This study aimed to compare treatment success in women with previous cesarean delivery and vaginal delivery who were subjected to thermal balloon ablation. Materials and methods: This cohort study enrolled women with symptoms of heavy menstrual bleeding who had major health problems and were considered as high-risk patients for hysterectomy. Patients were divided into two groups, vaginal delivery and cesarean section (C-section). Thermal balloon ablation was performed under general or regional anesthesia on days 3–5 of the menstrual cycle. Treatment success was compared between the two groups at 12 months. Results: This study involved 63 women with a mean age of 44.14 ± 6.56 years. Of these, 33 patients (54.1%) had a history of cesarean section and revealed positive results (69.7%) after 1 year of treatment. Age ≤ 45 years and uterine length < 9 cm were significantly associated with treatment success in women with a previous C-section. Conclusion: Thermal balloon ablation is a possible therapeutic option to treat menorrhagia occurring as a result of benign causes in women with previous C-section deliveries. The results are particularly successful in younger women with shorter uterine depth.
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- Uterine Tumors Resembling Ovarian Sex Cord Tumors Identified at Resectoscopic Endometrial Ablation: Report of 2 Cases. [Journal Article]
- JMJ Minim Invasive Gynecol 2018 Apr 24
- CONCLUSIONS: Obtaining additional tissue by routine curettage before endometrial ablation and/or endomyometrial resection, in conjunction with removal of any intrauterine lesions, can identify rare unexpected endometrial lesions not sampled by endometrial biopsy, not detected with ultrasound, and masquerading as leiomyomas during endometrial ablation.