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  • Review Articles

    Isthmocele: From Risk Factors to Management

    Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(1):44-52

    Summary

    Review Articles

    Isthmocele: From Risk Factors to Management

    Revista Brasileira de Ginecologia e Obstetrícia. 2019;41(1):44-52

    DOI 10.1055/s-0038-1676109

    Views31

    Abstract

    Objective

    The aim of the present study was to perform a comprehensive review of the literature to provide a complete and clear picture of isthmocele-a hypoechoic area within themyometriumat the site of the uterine scar of a previous cesarean section-by exploring in depth every aspect of this condition.

    Methods

    A comprehensive review of the literature was performed to identify the most relevant studies about this topic.

    Results

    Every aspect of isthmocele has been studied and described: pathophysiology, clinical symptoms, classification, and diagnosis. Its treatment, both medical and surgical, has also been reported according to the actual literature data.

    Conclusion

    Cesarean section is the most common surgical procedure performed worldwide, and one of the consequences of this technique is isthmocele. A single and systematic classification of isthmocele is needed to improve its diagnosis and management. Further studies should be performed to better understand its pathogenesis.

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    Isthmocele: From Risk Factors to Management
  • Case Reports

    Fetal Noncompaction Cardiomyopathy and Histologic Diagnosis of Spongy Myocardium: Case Report and Review of the Literature

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(11):722-725

    Summary

    Case Reports

    Fetal Noncompaction Cardiomyopathy and Histologic Diagnosis of Spongy Myocardium: Case Report and Review of the Literature

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(11):722-725

    DOI 10.1055/s-0038-1673677

    Views10

    Abstract

    Noncompaction cardiomyopathy (NCCM) and left ventricular noncompaction (LVNC), in their isolated form, are rare cardiomyopathies. They are characterized by a thickened myocardium due to the presence of deep trabeculae recesses, and to thick trabeculae. This condition is associated with a variable clinical phenotype including heart failure, thromboembolism, and sudden death. We report a case of LVNC at 26 weeks and 4 days of gestation revised on the basis of what is currently reported in the literature. A review of the literature was performed to better describe this rare condition. Left ventricular noncompaction is a rare fetal condition and it should be suspected in case of cardiomyopathy.

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    Fetal Noncompaction Cardiomyopathy and Histologic Diagnosis of Spongy Myocardium: Case Report and Review of the Literature
  • Case Report

    Management of Transverse Vaginal Septum by Vaginoscopic Resection: Hymen Conservative Technique

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(10):642-646

    Summary

    Case Report

    Management of Transverse Vaginal Septum by Vaginoscopic Resection: Hymen Conservative Technique

    Revista Brasileira de Ginecologia e Obstetrícia. 2018;40(10):642-646

    DOI 10.1055/s-0038-1670714

    Views19

    Abstract

    Transverse vaginal septum is a rare female genital tract anomaly, and little is described about its surgical treatment. We report the case of a patient who wished to preserve hymenal integrity due to social and cultural beliefs. We performed a vaginoscopic resection of the septum under laparoscopic view, followed by the introduction of a Foley catheter in the vagina, thus preserving the hymen. After 12 months of follow-up, no septal closure was present, and the menstrual flow was effective. Vaginoscopic hysteroscopy is an effectivemethod of vaginal septum resection, even in cases in which hymenal integrity must be preserved due to social and cultural beliefs.

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    Management of Transverse Vaginal Septum by Vaginoscopic Resection: Hymen Conservative Technique
  • Original Article

    Sonographic Cervical Shortening after Labor Induction is a Predictor of Vaginal Delivery

    Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(12):585-588

    Summary

    Original Article

    Sonographic Cervical Shortening after Labor Induction is a Predictor of Vaginal Delivery

    Revista Brasileira de Ginecologia e Obstetrícia. 2016;38(12):585-588

    DOI 10.1055/s-0036-1597629

    Views8

    ABSTRACT

    Objective:

    Analyzing if the sonographic evaluation of the cervix (cervical shortening) is a prognostic marker for vaginal delivery.

    Methods:

    Women who underwent labor induction by using dinoprostone were enrolled. Before the induction and three hours after it, the cervical length was measured by ultrasonography to obtain the cervical shortening. The cervical shortening was introduced in logistic regression models among independent variables and for calculating receiver operating characteristic (ROC) curves.

    Results:

    Each centimeter in the cervical shortening increases the odds of vaginal delivery in 24.4% within 6 hours; in 16.1% within 24 hours; and in 10.5% within 48 hours. The best predictions for vaginal delivery are achieved for births within 6 and 24 hours, while the cervical shortening poorly predicts vaginal delivery within 48 hours.

    Conclusion:

    The greater the cervical shortening 3 hours after labor induction, the higher the likelihood of vaginal delivery within 6, 24 and 48 hours.

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    Sonographic Cervical Shortening after Labor Induction is a Predictor of Vaginal Delivery
  • Can endometrial arylsulfatase A activity predict the onset of endometrial polyps over the years?

    Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(1):05-09

    Summary

    Can endometrial arylsulfatase A activity predict the onset of endometrial polyps over the years?

    Revista Brasileira de Ginecologia e Obstetrícia. 2013;35(1):05-09

    DOI 10.1590/S0100-72032013000100002

    Views0

    PURPOSE: To assess if arylsulfatase A activity (ASA) and sulfatide (SL) concentration in the human endometrium can be predictive of the development of endometrial polyps over the years, since ASA activity reflects the endometrial sensitivity to hormones. METHODS: ASA activity and SL concentration were determined by biochemical procedures on endometrial samples collected between 1990 and 1994 in non-menopausal women. These women underwent a new endometrial sampling following the clinical indication some years after the first endometrial sampling. The histological assessment of the second endometrial specimens found four patients with normal endometrial pattern and 10 patients with one or more endometrial polyps. ASA activity/years elapsed and SL concentration/years elapsed were compared using two tailed Mann-Whitney test for unpaired data between patients with normal pattern and patients with endometrial polyps. RESULTS: Median ASA activities were 2.62 (normal pattern) versus 1.85 (endometrial polyps) nmol hydrolized substrate/min. Median activity/years elapsed is higher in patients with second endometrial sample presenting normal pattern (p=0.006) and median SL concentration/years elapsed does not differ significantly among groups, even if median SL concentration seems to be higher in patients who subsequently developed polyps (1031 µg/g of fresh tissue versus 341,5 µg/g of fresh tissue). CONCLUSIONS: ASA activity can predict the onset of endometrial polyps over the years.

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    Can endometrial arylsulfatase A activity predict the onset of endometrial polyps over the years?

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