An Indwelling, Intrauterine Foley Balloon Catheter for Intraoperative and Postoperative Bleeding in Cesarean Scar Pregnancy

ConclusionsThe use of an indwelling, intrauterine Foley balloon catheter has positive results in the management of cesarean scar pregnancy.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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Discussion –— Cesarean scar ectopic pregnancy (CSEP) or Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy resulting from implantation of a blastocyst within myometrial scar tissue (old uterine scars) in the anterior lower uterine segment (LUS) at the site of prior Cesarean section.— It is considered amongst the rarest type of ectopic pregnancy, although some do not include it in the category of ectopic pregnancy as implantation occurs within the uterus itself.— Incidence is on rise due to increasing numbers of elective Cesarean sections as well as improved detection with tr...
Source: Sumer's Radiology Site - Category: Radiology Authors: Source Type: blogs
ConclusionsIntrauterine Bigatti Shaver® is a feasible technique for placental remnants removal. Further studies comparing various surgical treatment are needed to define which technique is the safest and completely remove placental remnants.
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
Chronic endometritis (CE) is a sustained inflammation of the endometrial lining characterized by the presence of an excessive number of neutrophils and plasma cells in the endometrial stroma [1 –3]. It is often asymptomatic or coexisting with mild unspecific symptoms including pelvic pain, abnormal uterine bleeding, vaginal discharge, or pain during intercourse [2]. It is recognized that CE is associated with adverse reproductive outcomes including recurrent pregnancy loss and failure of implantation [3].
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Images in Gynecologic Surgery Source Type: research
Chronic endometritis (CE) is a sustained inflammation of the endometrial lining characterized by the presence of excessive number of neutrophils and plasma cells in the endometrial stroma [1-3]. It is often asymptomatic or coexisting with mild unspecific symptoms including pelvic pain, abnormal uterine bleeding, vaginal discharge or pain during intercourse [2]. It is recognized that CE is associated with adverse reproductive outcomes including recurrent pregnancy loss and failure of implantation [3].
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Images in Gynecological Surgery Source Type: research
ConclusionsThe use of an indwelling, intrauterine Foley balloon catheter has positive results in the management of CSP.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
SUMMARY An isthmocele, a cesarean scar defect or uterine niche, is any indentation representing myometrial discontinuity or a triangular anechoic defect in the anterior uterine wall, with the base communicating to the uterine cavity, at the site of a previous cesarean section scar. It can be classified as a small or large defect, depending on the wall thickness of the myometrial deficiency. Although usually asymptomatic, its primary symptom is abnormal or postmenstrual bleeding, and chronic pelvic pain may also occur. Infertility, placenta accrete or praevia, scar dehiscence, uterine rupture, and cesarean scar ectopic preg...
Source: Revista da Associacao Medica Brasileira - Category: General Medicine Source Type: research
ConclusionThe total hysteroscopic approach with a 2-step technique offers an effective, safe, and minimally invasive surgical treatment to ectopic cervical pregnancy. Considering that our method, in contrast with the recent literature 3, 4, 5, is performed without any medical treatment, we reported for the first time an approach, that deserve more clinical data to confirm its effectiveness.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
A 40-year-old woman, gravida 3, para 1, at 7 weeks ’ gestation by last menstrual period, presented with sparse vaginal bleeding. An ultrasound revealed an eccentric gestational sac of 35 mm, without embryo, located in the left uterine cornua, with a 3-mm interface between the sac and the uterine serosal (Figure 1). Her initial serum βhCG level wa s 13,003 IU/ml.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Images in Gynecology Source Type: research
ConclusionThe total hysteroscopic approach with a two steps technique offers an effective, safe and minimally invasive surgical treatment to ectopic cervical pregnancy.Considering that this approach without any medical treatment is reported for the first time in literature, more clinical data are needed to confirm these findings.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
CONCLUSION: A GnRH agonist in combination with transient aromatase inhibitor and tranexamic acid is an effective management strategy to treat and maintain reproduction in women with AVMs associated with AUB. PMID: 30413336 [PubMed - as supplied by publisher]
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research
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