Long-term durability of pubovaginal fascial slings in women who then become pregnant and deliver

February 5, 2010 – 7:33 am Conclusions  The pubovaginal fascial sling is a durable option for women with reproductive potential. Given our results, both vaginal delivery and cesarean section appear to be acceptable modes of delivery in this patient population. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00192-010-1098-0Authors Hung-Jui Tan, The University of Michigan Health System and Medical School Department of Urology 3875 Taubman Center, 1500 E. Medical Center Drive Ann Arbor MI 48109-5330 USAWendy Siu, The University of Michigan Health System and Medical School Department of Urology 3875 Taubman Center, 1500 E. Medical Center Drive Ann Arbor MI 48109-5330 USAGary J. Faerber, The University of Michigan Health System and Medical School Department of Urology 3875 Taubman C...

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Rectal perforation from endometriosis in pregnancy: Case report and literature review.

February 5, 2010 – 3:10 am This report is believed to be the first case of spontaneous rectal perforation from endometriosis in pregnancy, and it shows the potential occurrence of serious and unexpected complications of the disease. PMID: 20128037 [PubMed - in process] (Source: World Journal of Gastroenterology : WJG)

Cesarean Delivery and Risk of Intestinal Bacterial Infection

February 5, 2010 – 12:54 am The Journal of Infectious Diseases, Volume 0, Issue 0, Page 000, Latest Articles. Background. An individual’s intestinal bacterial flora is established soon after birth. Delivery by Cesarean section (c‐section) deprives the newborn of colonization with maternal vaginal bacteria. We determined whether delivery by c‐section is associated with an altered risk of infection with intestinal bacterial pathogens. Methods. In a cohort of 1.7 million Danes born 1973–2005 we identified cases of laboratory‐confirmed non‐typhoidal Salmonella species, Campylobacter species, Yersinia enterocolitica, Shigella species, and Shiga toxin–producing Escherichia coli from 1991–2005 in the National Registry of Enteric Pathogens. Using Poisson‐regression we estimated confounder‐adju...

Sutures safer than staples for C-section

February 4, 2010 – 10:55 pm Women who had caesarean sections were less likely to suffer complications if their incisions were closed with sutures instead of staples, a U.S. study suggests. (Source: CBC | Health)

With C-Section, Stitches May Be Best

February 4, 2010 – 1:00 pm More complications noted with staples than sutures, study finds Source: HealthDay Related MedlinePlus Topic: Cesarean Section (Source: MedlinePlus Health News)

With C-Section, Stitches May Be Best

February 4, 2010 – 6:00 am Title: With C-Section, Stitches May Be BestCategory: Health NewsCreated: 2/4/2010 8:10:00 AMLast Editorial Review: 2/4/2010 (Source: MedicineNet Womens Health General)

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Successful treatment of severe retro-peritoneal bleeding with recombinant factor VIIa in women with placenta percreta invading into the left broad ligament: Unusual repeated ante-partum intra-abdominal bleeding

February 3, 2010 – 11:00 pm We experienced unusual repeated ante-partum intra-abdominal bleedings in a woman with placenta percreta invading into the left broad ligament, in whom recombinant factor VIIa was effective for controlling severe retro-peritoneal bleeding. A 34-year-old multiparaous woman with two prior cesarean sections presented acute abdominal pain at 16 weeks of gestation. She also represented with abdominal pain at 22 weeks of gestation, and a diagnostic laparoscopy revealed hemoperitoneum, although we could not identify the exact source of bleeding. She also represented with abdominal pain without vaginal bleeding at 27 weeks of gestation, and an MRI revealed a hematoma in the lower abdomino-pelvic region and placenta percreta invading into the left broad ligament. A classical cesarean section followe...

Is there a role for antioxidants in prevention of pulmonary hypoplasia in nitrofen-induced rat model of congenital diaphragmatic hernia?

February 2, 2010 – 4:47 pm Conclusion  Prenatal administration of NAC and vitamin E in combination with vitamin C represented the best effects to avoid oxidative damage and protein content of the lungs in rat pups with CDH at birth. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00383-010-2552-2Authors Murat Kemal Cigdem, Medical School, Dicle University Department of Pediatric Surgery 21280 Diyarbakir TurkeyGoksel Kizil, Science School, Dicle University Department of Chemistry Diyarbakir TurkeyAbdurrahman Onen, Medical School, Dicle University Department of Pediatric Surgery 21280 Diyarbakir TurkeyMurat Kizil, Science School, Dicle University Department of Chemistry Diyarbakir TurkeyYusuf Nergiz, Medical School, Dicle University Department of Histology Diyarbakir TurkeyYusuf C...

Haiti: New life amid destruction

February 2, 2010 – 4:07 pm After the earthquake, eighteen-year old Djenny was one of the first women to deliver in Isaie Jeanty hospital in the Chancerelle area of Port-Au-Prince. Assisted by the Médecins Sans Frontières (MSF) team, Djenny gave birth to a healthy little boy that she named Mike. Many others have since joined them in the now bustling maternity ward. Before the earthquake, Isaie Jeanty hospital specialized in obstetric and maternity care. However, in order to meet the enormous surgical needs, MSF, working together with staff from the Ministry of Health, began to offer a wider range of services, including orthopedic surgery, post-operative care, physiotherapy and mental health support.  Yet, Isaie Jeanty continued to remain a referral centre for maternal care, with MSF helping to deliver an aver...

Effects of epidural fentanyl on speed and quality of block for emergency cesarean section in extending continuous epidural labor analgesia using ropivacaine and fentanyl.

January 31, 2010 – 11:00 pm Authors: Hong JY, Jee YS, Jeong HJ, Song Y, Kil HK We performed a prospective, randomized, and double-blind study comparing the top-up effects of 2% lidocaine/100 microg fentanyl/epinephrine (n=31) and 2% lidocaine/saline/epinephrine (n=30) when extending an epidural labor analgesia using low-dose ropivacaine and fentanyl. Survival analysis for the sensory blocks to the T4 level showed no statistically significant differences in onset time to T4 between the 2 groups. Onset times (min) to T4-sensory blocks for cold and pinprick were not different between the two groups. However, median maximum sensory level in the lidocaine-fentanyl group (T1 for cold and T2 for pinprick) was significantly higher than that in the lidocaine-saline group (T3 and T4, respectively). The lidocaine-fentanyl g...