Current Obstetrics and Gynecology Reports 
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This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.Tumor Markers in Endometrial Cancer
This study showed that higher preoperative laboratory results of human epididymis protein 4 and CA-125 are independent risk factors for pelvic lymph node metastasis in endometrial cancer patients. Based on this research, lymphadenectomy is not recommended if none of independent risk factors is present. Prevention of unnecessary lymph node resection and complications associated with lymphadenectomy for low-risk patients is made possible. The authors suggested more effective predictors of lymph node metastasis should be investigated to provide theoretical support for deciding lymphadenectomy and guide the individualized endo...
Source: Current Obstetrics and Gynecology Reports - January 30, 2020 Category: OBGYN Source Type: research
Adverse Pregnancy Outcomes in Endometriosis – Myths and Realities
AbstractPurpose of ReviewThere is increasing interest in the long-term health and comorbid conditions associated with endometriosis for both women and neonates. The purpose of this review was to synthesize and discuss the current state of the literature investigating endometriosis and risk of adverse pregnancy outcomes.Recent FindingsMethodologic considerations for studying endometriosis and adverse pregnancy outcomes include complexities regarding the comparison population, endometriosis definition, sample size, residual confounding, and interactions. The current research on endometriosis and adverse pregnancy outcomes sh...
Source: Current Obstetrics and Gynecology Reports - January 29, 2020 Category: OBGYN Source Type: research
A Novel Approach for Treatment of Uterine Fibroids: Stereotactic Radiosurgery as a Proposed Treatment Modality
AbstractPurpose of ReviewMinimally invasive therapeutic interventions and the field of stereotactic radiosurgery have advanced enormously in recent years. We briefly review the field of stereotactic radiosurgery and propose its use as a novel treatment modality for benign gynecologic conditions such as uterine fibroids.Recent FindingsComputerized searches of Medline and PubMed were conducted using the key words “stereotactic radiosurgery,” “CyberKnife®,” “uterine fibroids,” and “radiation therapy.” References from identified sources were manually searched to allow for a thorough review. Data from relevant ...
Source: Current Obstetrics and Gynecology Reports - January 22, 2020 Category: OBGYN Source Type: research
Fertility-Sparing Treatment Options in Young Patients with Early-Stage Endometrial Cancer
AbstractPurpose of ReviewTo summarize fertility-sparing treatment options in young patients with early-stage endometrial cancer.Recent FindingsA levonorgestrel-releasing intrauterine device combined with oral progestins seems more effective for patients with endometrial cancer and desiring fertility. Assisted reproductive techniques seem more effective in achieving pregnancy in these young cancer patients than natural conception.SummaryEndometrial cancer is the most common gynecologic cancer in developed countries. For younger patients who wish to have children, fertility preservation methods are available, but not always ...
Source: Current Obstetrics and Gynecology Reports - January 13, 2020 Category: OBGYN Source Type: research
Conservative vs. Radical Management of Placenta Accreta Spectrum (PAS)
AbstractPurpose of ReviewWe review the advantages, disadvantages, and possible risks of current therapeutic alternatives for placenta accreta spectrum (PAS). Details and proper indications may change from one case to another, especially depending on the available resources, practitioner skill, and patient preference. Many treatments are routinely performed without appropriate analysis, which could result in a high rate morbidity. In contrast, undesirable outcomes are typically not reported in the literature, which may lead obstetricians to follow dangerous procedures without accurate information on possible consequences.Re...
Source: Current Obstetrics and Gynecology Reports - January 5, 2020 Category: OBGYN Source Type: research
Promoting Cardiovascular Health in Midlife Women
AbstractPurpose of ReviewCardiovascular disease (CVD) remains the number one cause of death in the USA. In women, coronary heart disease (CHD) accounts for 22% of deaths with an additional 6.2% of deaths secondary to stroke. The prevalence of CVD increases as women age; after the age of 75, the incidence will exceed that reported for men. The risk for CVD in women is systematically underestimated. Both healthcare providers and women need a better understanding of the mechanism and role of traditional CVD risk factors (CVDRF) in women, and the newer identified non-traditional CVDRF which are unique to women and the resultin...
Source: Current Obstetrics and Gynecology Reports - November 20, 2019 Category: OBGYN Source Type: research
Postpartum Hemorrhage: What ’s New?
AbstractPurpose of ReviewPostpartum hemorrhage (PPH) remains an important cause of maternal morbidity and mortality in the USA and in particular worldwide. Recent epidemiological studies have enhanced our ability to identify risk factors for PPH. Novel diagnostic, surgical, and pharmaceutical techniques present opportunities for improving our care of patients with PPH.Recent FindingsThis review aims to highlight recent primary research in the field of PPH. Large studies have refuted some assumed risk factors for PPH, including high body mass index and scheduled repeat cesarean delivery. Non-white race is an increasingly im...
Source: Current Obstetrics and Gynecology Reports - November 4, 2019 Category: OBGYN Source Type: research
Endometrial Cancer General Perspectives, Epidemiology
AbstractPurpose of ReviewThis paper focuses on the epidemiologic factors that are effective on the pathology of the endometrial malignancy. Based on previous reviews and recent articles on endometrial cancer, we sought to define risk factors and related diseases to endometrial malignancies.Recent FindingsPrevious studies have shown that phosphoinositide 3-kinase (PI3K) activity is stimulated by diverse oncogenes and growth factor receptors, and elevated PI3K signaling is considered a hallmark of cancer. A major antagonist of PI3K activity is phosphatase and tensin homolog (PTEN), a tumor suppressor which is often mutated o...
Source: Current Obstetrics and Gynecology Reports - October 13, 2019 Category: OBGYN Source Type: research
Robotic Surgery in Endometrial Cancer
AbstractPurpose of ReviewThe number of minimal invasive gynecological oncological operations performed especially for endometrial cancer is increasing rapidly parallel with the increase in robotic systems in hospitals. This paper focuses on evaluating the studies comparing robotic surgery with laparoscopic and open surgery in patients with endometrial cancer in light of current literature.Recent FindingsWhen the current literature is examined, it is seen that the results of robotic surgery have similar results to laparoscopy such as length of hospital stay, postoperative pain, recovery in a short time, and less blood vesse...
Source: Current Obstetrics and Gynecology Reports - September 2, 2019 Category: OBGYN Source Type: research
The Role of Interventional Radiology in the Management of Placenta Accreta Spectrum Disorders
AbstractPurpose of ReviewPlacenta accreta spectrum disorders encompass a heterogeneous group of conditions classified according to the degree of invasion of the trophoblastic tissue trough the myometrium and uterine serosa with a detrimental effect on maternal outcomes, including life-threatening hemorrhage, need for blood transfusion, damage to adjacent organs, and eventually death, and this highlights the need of additional procedures to improve surgery. The present review aims to provide an up to date on the role of interventional radiology procedures in affecting the outcome of women undergoing surgery for PAS disorder...
Source: Current Obstetrics and Gynecology Reports - August 27, 2019 Category: OBGYN Source Type: research
Contemporary Challenges and Developments: Antenatal Corticosteroid Therapy
AbstractPurpose of ReviewThe purpose of this review is to (i) provide an update to the current challenges surrounding the use of antenatal corticosteroids (ACS) and (ii) to provide a brief synthesis of recent findings relating to work to optimize the efficacy and safety and of ACS therapy to better understand its short- and long-term impacts on the developing foetus.Recent FindingsThere are numerous human and experimental animal studies describing the impact of ACS exposure on foetal growth and programming, in particular, changes to the cardiovascular, endocrine and central nervous systems. Moreover, recent studies have re...
Source: Current Obstetrics and Gynecology Reports - August 20, 2019 Category: OBGYN Source Type: research
Correction to: Updates in Minimally Invasive Approaches to Apical Pelvic Organ Prolapse Repair
The original version of this article unfortunately contained mistake at Conflict of Interest. This section should be corrected and presented as follows: (Source: Current Obstetrics and Gynecology Reports)
Source: Current Obstetrics and Gynecology Reports - August 8, 2019 Category: OBGYN Source Type: research
Prenatal Ultrasound Imaging for Placenta Accreta Spectrum (PAS): a Practical Guide
AbstractPurpose of ReviewPlacenta accreta spectrum (PAS) is a rare pregnancy complication with an increasing incidence worldwide. PAS can cause serious maternal morbidity and even mortality at delivery. Ultrasound (US) is an excellent imaging modality for the diagnosis of PAS, but it must be used correctly and there is little standardised training in placental imaging available. The aim of this paper is to discuss US screening for PAS and provide practical advice on its use for antenatal diagnosis.Recent FindingsScreening for PAS in a high-risk population (history of previous caesarean delivery (CD) and an anterior low-lyi...
Source: Current Obstetrics and Gynecology Reports - July 15, 2019 Category: OBGYN Source Type: research
Multidisciplinary Teams in the Management of Placenta Accreta Spectrum Disorders
AbstractPurpose of ReviewThe three-fold purpose of this review is to summarize recent evidence supporting the use of a multidisciplinary team (MDT) approach in patients with placenta accreta spectrum (PAS), to describe essential members and processes of the PAS MDT, and to highlight necessary resources for both planned and unexpected cases of PAS.Recent FindingsMaternal outcomes in women with PAS are improved when an antenatal diagnosis occurs and referral is made to centers with MDT specialization and experience in treating PAS. New guidelines unequivocally recommend referral to higher-volume, experienced PAS centers of e...
Source: Current Obstetrics and Gynecology Reports - July 10, 2019 Category: OBGYN Source Type: research
Managing Placenta Accreta Spectrum Disorders (PAS) in Middle/Low-Resource Settings
AbstractPurpose of ReviewThe purpose of this review is to describe the technical issues associated with managing the placenta accreta spectrum (PAS) disorders in a low-resource setting and to provide insight on how to improve the outcome under these conditions.Recent FindingsThe available literature recommends managing PAS in a specialized center with a multidisciplinary team (MDT), but there are no standardized management strategies that would help reduce maternal and neonatal morbidity and mortality in a low-resource setting. The increase in the incidence of PAS has been mainly in middle/low-income countries due to high ...
Source: Current Obstetrics and Gynecology Reports - June 26, 2019 Category: OBGYN Source Type: research
