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(sterile vaginal exam)
140 results
  • StatPearls: Stages of Labor [BOOK]
    StatPearls Publishing: Treasure Island (FL) Hutchison Julia J California Northstate University Mahdy Heba H Hutchison Justin J Kaiser Modesto BOOK
  • Stages of Labor Labor is the process through which a fetus and placenta are delivered from the uterus through the vagina.[1] Human labor divides into three stages. The first stage is further divided into two phases. Successful labor involves three factors, which include maternal efforts and uterine contractions, fetal characteristics, and pelvic anatomy.[1] This triad is classically referred to a…
  • Diagnosing adenomyosis with MRI: a prospective study revisiting the junctional zone thickness cutoff of 12 mm as a diagnostic marker. [Journal Article]
    Eur Radiol 2019Tellum T, Matic GV, … Lieng M
  • CONCLUSIONS: JZmax was not correlated with adenomyosis in the present premenopausal study population, but direct signs of adenomyosis such as irregularities of the JZ provided a good diagnostic accuracy.• Measuring the junctional zone thickness is of limited value for diagnosing adenomyosis with MRI and should not be used for diagnosing adenomyosis in premenopausal women with moderate disease severity. • An irregular appearance of the junctional zone, the presence of myometrial cysts, and adenomyoma appear to provide the highest specificity for diagnosing adenomyosis. • A consensus for the definition and reading of the junctional zone is needed.
  • Mini-invasive transvaginal repair of isthmocele: a video case report. [Case Reports]
    Fertil Steril 2019; 111(4):828-830Candiani M, Ferrari SM, … Salvatore S
  • CONCLUSIONS: Symptomatic isthmocele can be treated surgically via a hysteroscopic, laparoscopic, or vaginal approach, depending on the clinical findings and the skill set and comfort level of the surgeon. Unfortunately, there is no consensus about the ideal surgical approach. The hysteroscopic approach has been demonstrated to be effective for the treatment of abnormal uterine bleeding; however, it does not strengthen the uterine wall and it has a risk of bladder injury. The laparoscopic approach provides good anatomic results, but it requires general anesthesia and may be associated with bladder injury. The transvaginal approach appears to be a feasible, effective, and safe modality to repair the uterine defect and to restore the original thickness of the myometrium. It is a minimally invasive, scarless, and low-cost procedure. It ensures quick recovery and a relatively pain-free postoperative course with early return to normal function.
  • Extrapelvic endometriosis in abdominal wall scar and PPAR gamma expression: A case report. [Journal Article]
    Int J Surg Case Rep 2018; 53:66-69Harzif AK, Silvia M, … Wiweko B
  • CONCLUSIONS: The endometriosis findings on the abdominal wall are rare cases. Symptoms usually are cyclic pain which is also accompanied by a palpable lump. A meta-analysis of 16 studies concluded that sensory excitatory threshold and pain tolerance approached the lowest value shortly before and during menstruation. In humans, administration of PPARy agonists reduced pain symptoms. Counseling to patients is given about the possibility of recurrence.PPAR expressivity assessment has not been used as a target for endometriosis therapy. Further studies separating epithelial tissue and stroma can be performed to prove the role of PPARγ in the pathogenesis of endometriosis.
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