Search results for "Pelvi"
showing 10 items of 330 documents
Perioperative morbidity and rate of upstaging after laparoscopic staging for patients with locally advanced cervical cancer: results of a prospective…
2015
Objective The International Federation of Gynecology and Obstetrics (FIGO) staging for cervical cancer is based on clinical examination. Previous studies have demonstrated significant upstaging with surgical staging. However, no randomized trial has ever shown a survival benefit when radiation combined with chemoradiation (RCTX) is modified according to surgical staging. The objective of the study was to evaluate the feasibility and outcomes of surgical staging prior to radical RCTX treatment among patients with locally advanced cervical cancer in the setting of a larger, prospective, randomized study (the Uterus-11 study of the German Gynecologic Oncology Group). Study Design Between 2009 …
Mesh complications following prolapse surgery: management and outcome.
2011
Abstract Objective This is a description of complications following prolapse surgery with the use of alloplastic materials, the management and outcome. Study design 54 women have been referred to Mainz, urogynecology referral center due to complications following mesh-augmented prolapse surgery. Results The complaints who lead to the admission are expressed by the new terminology and standardized classification for complications arising directly from the insertion of prostheses and grafts in female pelvic floor surgery [1] . Pain (66.7%), mesh erosion (55.6%) and vaginal discharge (48.1%) were the most frequent complaints. Revision was performed after a median time of 27.2 months post mesh …
July 2003: 62-year-old female with progressive muscular weakness
2004
The July 2003 Case of the Month (COM). A 62-year-old female patient experienced progressive muscular weakness over the last ten years, involving shoulder and pelvic girdle muscles, paraspinal and facial muscles. A biopsy was taken from the left deltoid muscle where hepatitis vaccination had taken place 4 weeks previously. The specimen revealed macrophagic myofasciitis due to the injection of aluminium-bound vaccines. The finding can be reproduced experimentally by injecting vaccines in rats. The pathomechanism is supposed to involve immune stimulation due to long term persistence of the adjuvant. Macrophagic myofasciitis has been suggested to occasionally cause myopathy but is supposed to b…
A Revised Sex Assessment of the Epigravettian Human Remain ST1 from San Teodoro Cave (Messina, Sicily)
2013
Bias in skeletal sexing is well known and depends upon the completeness of the skeletal remains. The problem is very hard concerning prehistorical remains. We applied ‘Visual methods’ and ‘Probabilistic Sex Diagnosis’ (DSP) on the coxal bones on the Epigravettian skeleton (ST1) from San Teodoro (Messina, Sicily). On the basis of cranial characters and the overall robustness of the postcranial skeleton, it was suggested, since the time of the discovery, a male sex for ST1. This determination was later modified on the basis of the pelvic girdle morphology, and the skeleton was attributed the female sex for many years by large consensus. Our results indicate without ambiguity that ST1 is a mal…
El prolapso genital como factor de riesgo de fractura osteoporótica en la mujer
2022
El estudio consiste en analizar la correlación existente entre el prolapso genital y la fractura osteoporótica, ambas patología de alta prevalencia en la mujer envejecida. Ya existen indicios biblliográficos (en estudios de datos poblacionales) de esta posible asociación, pero siempre de manera retrospectiva y nunca buscando esta asociación como objetivo principal, con los sesgos inherentes a cada perfil de estudio. Proponemos un estudio analítico, observacional y prospectivo con el fin de demostrar nuestra hipótesis principal; que el propaso de órganos pélvicos es un factor de riesgo independiente para fractura osteoporótica. Como objetivo secundario, intentaremos demostrar que existen mar…
The Effect of Medium-Intensity Electromagnetic Stimulation on Pelvic Floor Muscle Activity in a Young Woman—A Case Report
2021
Aims In recent years, devices for deep electromagnetic stimulation have been implemented in clinical practice. These devices generate pulses with a frequency of 1 to 50 Hz and magnetic induction of up to 2.5 T. Due to the possibility of producing or an effective deep-penetrating mechanical vibration, electromagnetic stimulation is increasingly used in the physiotherapy of urogynecological disorders. This study aimed to analyse of the effect of deep electromagnetic stimulation on the bioelectrical activity of pelvic floor muscles in a young woman. Case report The case of a 24-year-old woman with no diagnosed stress urinary incontinence is presented. The subject underwent electromagnetic stim…
The LANN technique to reduce postoperative functional morbidity in laparoscopic radical pelvic surgery
2005
BACKGROUND: We investigated the feasibility and advantages of introducing Laparoscopic Neuro-Navigation (LANN) into the field of laparoscopic gynecologic radical pelvic surgery. STUDY DESIGN: In a prospective pilot study, 261 consecutive patients underwent laparoscopic radical pelvic surgery for cervical cancer or deep infiltrating endometriosis of the parametria. During the procedure, dissection and electrostimulation, and consequently, sparing of the pelvic parasympathetic nerves by transection of the parametria, were performed. Postoperative bladder dysfunction was documented. RESULTS: Laparoscopic dissection and electrostimulation of the pelvic splanchnic nerves were feasible in all pat…
Influence of nerve growth factor in endometriosis-associated symptoms
2011
To investigate the role of the nerve growth factor (NGF) in the development of dysmenorrhea/pelvic pain in patients with endometriosis, we performed a prospective, clinical, blind study. Peritoneal fluids (PFs) were obtained from patients with histologically proven endometriosis. Patients with endometriosis were divided into 7 different groups depending on their preoperative pain score and symptomatology: patients with no pain, patients with minimal pain (dysmenorrhea, pelvic pain, or both), and patients with severe pain (dysmenorrhea, pelvic pain, or both) and were used for the neuronal growth assay with cultured chicken dorsal root ganglia (DRG) and for Western blot analyses. Dorsal root …
Fitz-hugh-curtis syndrome secondary to postpartum endometritis: Case Report and literature review
2021
We report a case of Fitz‑Hugh‑Curtis syndrome (FHCS) 1 week after an urgent cesarean section. Although its onset in the postpartum period is poorly reported in the literature, we suggest that FHCS can complicate puerperal endometritis; therefore, it should be consider in differential diagnosis in puerpera with right upper quadrant pain. Again, it can be useful to perform a contrast computed tomography that allows early diagnosis and conservative treatment
Early adulthood and current physical activity and their association with symptoms of pelvic floor disorders in middle-aged women : an observational s…
2023
Objective To investigate associations of early and middle adulthood physical activity (PA) with symptoms of pelvic floor disorders (PFD), i.e., stress urinary incontinence (SUI), urge urinary incontinence (UUI), fecal incontinence (FI), constipation or defecation difficulties (CDD), and feeling of pelvic organ prolapse (POP) among middle-aged women. Design A cross-sectional, observational study with retrospective PA assessment. Setting University Research Laboratory. Sample A random population sample of 1098 47-to-55-year-old Finnish women. Methods Early adulthood PA, current PA, and demographical and gynaecological variables were assessed using self-report questionnaires. Logistic regressi…