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Laparotomic Myomectomy for a Huge Cervical Myoma in a Young
International Journal of Reproductive BioMedicine Volume 18, Issue no. 2, https://doi.org/10.18502/ijrm.v18i2.6421 Production and Hosting by Knowledge E Case Report Laparotomic myomectomy for a huge cervical myoma in a young nulligravida woman: A case report and review of the literature Hatem Abu Hashim1 M.D., FRCOG, Ph.D., Moustafa Al Khiary1 M.D., Mohamed EL Rakhawy2 M.D. 1Department of Obstetrics and Gynecology, Faculty of Medicine, Mansoura University, Mansoura, Egypt. 2Department of Diagnostic Radiology, Faculty of Medicine, Mansoura University, Mansoura, Egypt. Corresponding Author: Abstract Hatem Abu Hashim; Background: A huge cervical myoma (rare) in a young woman is a nightmare of Department of Obstetrics and Gynecology, Faculty every gynecologist owing to the associated technical challenges in performing a of Medicine, Mansoura myomectomy. Moreover, the 2014 US Food and Drug Administration prohibited power University, Mansoura, Egypt. morcellation during laparoscopic myomectomy due to the inadvertent spread of occult Postal Code: 35516 malignancy and an increased risk of iatrogenic parasitic leiomyoma negatively affected Tel: (+20) 502300002 the overall rate of a minimally invasive surgery. Email: Case: This report described our experience with a case of a huge anterior [email protected] cervical myoma (473 gr) in a young nulligravida woman who successfully underwent Received 28 February 2019 laparotomic myomectomy. After an initial diagnosis by Magnetic resonance imaging Revised 6 August 2019 (MRI), we performed preoperative ureteric catheterization. The myoma was enucleated Accepted 17 September 2019 following the footsteps of Victor Bonney, the pioneer of myomectomy, combined with simple additional steps. We did not use preoperative gonadotropin-releasing Production and Hosting by hormone analog, intraoperative vasopressin injection, or uterine artery ligation. -
A Wertheim Műtét 100 Éves Története PÁLFALVILÁSZLÓ DR., UNGÁR LÁSZLÓD R
BÖNGÉ S ZÉS A MÚLTBAN A Wertheim műtét 100 éves története PÁLFALVILÁSZLÓ DR., UNGÁR LÁSZLÓD R. Szülészet- Nőgyógyászat és Nőgyógyásza ti OnkológiaiOsztá ly, Fővárosi Szent IstvánK órház, Budapest ÖSSZEFOGLALÁS: Két évvel a száz éves évforduló elő tt a szerzők vezetett fel a preparálás biztonságosabbá tételére. Annak ellenére, áttekintik a műtét megalkotásának körülményeit és nyomonkövetik hogy később közleményekben számoltak be e redményeikről, egyik történetét napjainkig, felsorolva a nagy elődök névsorát, akik a műtét szerző sem tudott a másik munkásságáról. Wertheim főművében, az mai technikájának kialakulásához hozzájárultak. 1911-ben megjelent, a kiterjesztett hasi méheltávolításról szóló mo nográfiájában, a „Oie erweiterte abdominale Operation bei Carcinoma colli uteri" előszavában a fent említett szerzőket mint elődöket meg SUMMARY: PálfalviL , Ungár L. The 100 year historyof the Wertheim említi. Sem Wertheim, sem Schauta érdemeit nem kicsinyíti, ha operarion. emlékezünk arra, hogy az e l őttük járó generáció a rákos méh hasi eltávolítását mint Freund féle műtétet, a hüvelyit pedig mint Czerny The authors summarise the one century career of the radical féle hüvelyi totalexstirpatiot emlegette. hysterectomy, paying tribute to Ernst Wertheim's memmory, and Ernst Wertheim 1864 február 21-én született Grazban, apja halálának give a list of the most important authors who contributed to the évében, a család negyedik gyermekeként. Apja Theodor Wertheim development and improvement of the operative treatment of cervical gyógyszerész volt. 1854-ben a pesti egyetem kémia tanárává nevezték cancer. ki. ErnstW ertheimeg yetemi tanulmányait Grazban végezte. Két évig, 1888 és 1890 között a bécsi II. Női Klinikán Rudolf Chrobak mellett Keyw ords:R adical hysterectomy, Wertheim operation. volt gyakornok. 1890-ben Chrobak ajánló sorai segítségével a prágai német egyetem Friedrich Schauta vezette nő i kilinikáján helyezkedett el. -
Looking at the Unborn: Hi S to R I Ca L As P E C T S of Ob S T E T R I C Ult R a S O U N D
Wellcome Witnesses to Twentieth Century Medicine LOOKING AT THE UNBORN: HI S TO R I CA L AS P E C T S OF OB S T E T R I C ULT R A S O U N D Volume 5 – January 2000 A Witness Seminar held at the Wellcome Institute for the History of Medicine, London, on 10 March 1998 Witness Seminar Transcript edited by E M Tansey and D A Christie ©The Trustee of the Wellcome Trust, London, 2000 First published by the Wellcome Trust, 2000 The Wellcome Trust is a registered charity, no. 210183. ISBN 978 184129 011 9 All volumes are freely available online at: www.history.qmul.ac.uk/research/modbiomed/wellcome_witnesses/ Please cite as: Tansey E M, Christie D A. (eds) (2000) Looking at the Unborn: Historical aspects of obstetric ultrasound. Wellcome Witnesses to Twentieth Century Medicine, vol. 5. London: Wellcome Trust. Key Front cover photographs, L to R from the top: Dr Tony Whittingham Mr Usama Abdulla, Mr Thomas Brown, Mr Demetrios Economides Professor Charles Whitfield, Dr Margaret McNay Dr James Willocks, Mrs Lois Reynolds Dr Marcolm Nicolson, Professor Norman McDicken Mr John Fleming, Dr Angus Hall (chair) Mr Thomas Brown, Dr Tony Whittingham Mr Usama Abdulla, Professor Peter Wells Back cover photographs, L to R from the top: Mr Thomas Brown Audience Dr Malcolm Nicolson, Dr Angus Hall (chair) : Professor Norman McDicken, Mrs Alix Donald Dr Norman Slark Professor John MacVicar Dr Angus Hall (chair) CONTENTS Introduction E M Tansey i Transcript 1 List of plates Figure 1. Ian Donald. 6 Figure 2. -
100 Jahre Bayerische Gesellschaft Für Geburtshilfe Und Frauenheilkunde
© Copyright 2012 Georg Thieme Verlag Stuttgart New York © Copyright 2012 Georg Thieme Verlag Stuttgart New York Herausforderungen 100 Jahre Bayerische Gesellschaft für Geburtshilfe und Frauenheilkunde Herausgegeben von C. Anthuber M.W. Beckmann J. Dietl F. Dross W. Frobenius 44 Abbildungen 2 Tabellen Georg Thieme Verlag Stuttgart · New York © Copyright 2012 Georg Thieme Verlag Stuttgart New York IV Prof. Dr. Christoph Anthuber Wichtiger Hinweis: Wie jede Wissenschaft ist die Klinik für Frauenheilkunde und Geburtshilfe Medizin ständigen Entwicklungen unterworfen. For- Oßwaldstraße 1, 82319 Starnberg schung und klinische Erfahrung erweitern unsere Er- Prof. Dr. med. Matthias W. Beckmann kenntnisse, insbesondere, was Behandlung und me- Universitätsklinikum Erlangen, Frauenklinik dikamentöse Therapie anbelangt. Soweit in diesem Universitätsstraße 21–23, 91054 Erlangen Werk eine Dosierung oder eine Applikation erwähnt wird, darf der Leser zwar darauf vertrauen, dass Au- Prof. Dr. med. Johannes Dietl toren, Herausgeber und Verlag große Sorgfalt darauf Frauenklinik und Hebammenschule, verwandt haben, dass diese Angabe dem Wissens- Universitätsklinikum Würzburg stand bei Fertigstellung des Werkes entspricht. Josef-Schneider-Straße 4, 97080 Würzburg Für Angaben über Dosierungsanweisungen und PD Dr. phil. Fritz Dross Applikationsformen kann vom Verlag jedoch keine Institut für Geschichte und Ethik der Medizin Gewähr übernommen werden. Jeder Benutzer ist an- Glückstraße 10, 91054 Erlangen gehalten, durch sorgfältige Prüfung der Beipackzettel PD Dr. -
Vaginal Hysterectomy: Step Ladder Technique Without Postoperative Vault Prolapse
Obstetrics & Gynecology International Journal Editorial Open Access Vaginal hysterectomy: step ladder technique without postoperative vault prolapse Volume 6 Issue 3 - 2017 Editorial Galal Lotfi Obstetrics & gynecology Department, Suez Canal University, Hysterectomy is one of the most practiced gynecologic operations. Egypt In spite of the enthusiasm for laparoscopic and robotic techniques, I Correspondence: Galal Lotfi, Obstetrics & gynecology feel that vaginal route is the best over the abdominal, laparoscopic Department, Faculty of Medicine, Suez Canal University, Ismaila, and even robotic techniques. Training of the technique is simple, add Egypt, Email to that, it is the winner regarding the cost, complications and hospital stay. Received: January 26, 2017 | Published: March 03, 2017 Vaginal vault prolapse is one of the most frustrating complications and the saying “prevention is better than cur” is well applicable in that context. Sir victor Bonney said; the possibility of curing a case of prolapse after hysterectomy without narrowing the vagina, preventing sexual relations is about to be non-existent.1 This explains the surge of papers for correction of such a problem. The index work puts some stress on preventing such a complication by some modifications of the technique of vaginal hysterectomy. Vaginal vault prolapse is either due to loss of normal pelvic support or to omitting the steps that benefit 2. It will be ligated to the ovarian pedicle. of these supportive structures during the operation. Post hysterectomy So, at the end of operation we find that the whole three pedicles are vaginal vault prolapse could be prevented during hysterectomy.2 ligated together on one side with marked stitch. -
History of The
HISTORY OF THE AMERICAN GYNECOLOGICAL SOCIETY 1876-1981 AND AMERICAN ASSOCIATION OF OBSTETRICIANS AND GYNECOLOGISTS 1888-1981 EDWARD STEWART TAYLOR Denver, Colorado The C. V. Mosby Company ST. LOUIS, MISSOURI 1985 Copyright © 1985 by The C. V. Mosby Company All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or trans- mitted, in any form or by any means, electronic, mechanical, photocopying, recording, or otherwise, without written permission from the publisher. Printed in the United States of America The C. V. Mosby Company 11830 Westline Industrial Drive, St. Louis, Missouri 63146 Library of Congress Cataloging in Publication Data Taylor, E. Stewart (Edward Stewart), 1911- History of the American Gynecological Society, 1876- 1981, and the American Associate of Obstetricians and Gynecologists, 1888-1981. Includes index. 1. American Gynecological Society—History. 2. American Association of Obstetricians and Gynecologists—History. I. American Gynecological Society. II. American Association of Obstetricians and Gynecologists. III. Title. [DNLM: Gynecology—history—United States. 2. Obstetrics— history—United States. 3. Societies, Medical—history— United States, WP 1 A512T] RG1.A567T39 1985 618'.06’073 85-4768 ISBN 0-8016-5101-8 GW/OB/RR 9 8 7 6 5 4 3 2 1 01/C/088 Contents Preface. ......................................................................................................................................................... 5 Introduction. ................................................................................................................................................ -
Background Historical Context
Cambridge University Press 978-0-521-72183-7 - Abnormal Uterine Bleeding Malcolm G. Munro Excerpt More information Section 1 Chapter Background 1 Historical context Chapter summary Historically, our culture has traditionally viewed even normal menstruation as an aberration, ostracizing reproductive-aged women; this legacy impacts contemporary societal perceptions. Many contemporary religions specify behavior for individuals and couples during menstruation. A given woman’s perception of her own symptoms may be impacted by her cultural and religious context; she may be embarrassed to present her symptoms, or may not know that they are indeed abnormal. Contemporary understanding of the pathogenesis of AUB is based on relatively new observations and evidence. Surgical and pharmacological therapy of AUB are currently in a state of relatively rapid evolution after changing little for a century. Introduction For the majority of those who have chosen to read this book, it is obvious that menstru- ation is a normal component of female reproductive physiology. However, perceptions of menstruation by our society at large may vary substantially by age, by culture, and by religious belief. Indeed, even in Western cultures, societal perceptions of normal men- struation may be impacted more than we’d like to think by our cultural legacies which, until relatively recently, were steeped in a context of medical naiveté. Indeed, as recently as the late nineteenth century, menstruation was described by the academic H. Beckwith Whitehouse as, “one of the sacrifices which women must offer at the altar of evolution and civilisation.” [1] Despite the acquisition of vast amounts of knowledge about the female reproductive system in general and an increasing capability to control menstruation and treat its dis- orders, many of these concepts continue to suffuse our culture, contributing to the plight of women affected by AUB. -
Looking at the Unborn Christie, DA; Tansey, EM
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Queen Mary Research Online Looking at the unborn Christie, DA; Tansey, EM For additional information about this publication click this link. http://qmro.qmul.ac.uk/jspui/handle/123456789/2799 Information about this research object was correct at the time of download; we occasionally make corrections to records, please therefore check the published record when citing. For more information contact [email protected] Wellcome Witnesses to Twentieth Century Medicine LOOKING AT THE UNBORN: HI S TO R I CA L AS P E C T S OF OB S T E T R I C ULT R A S O U N D Volume 5 – January 2000 A Witness Seminar held at the Wellcome Institute for the History of Medicine, London, on 10 March 1998 Witness Seminar Transcript edited by E M Tansey and D A Christie ©The Trustee of the Wellcome Trust, London, 2000 First published by the Wellcome Trust, 2000 The Wellcome Trust is a registered charity, no. 210183. ISBN 978 184129 011 9 All volumes are freely available online at: www.history.qmul.ac.uk/research/modbiomed/wellcome_witnesses/ Please cite as: Tansey E M, Christie D A. (eds) (2000) Looking at the Unborn: Historical aspects of obstetric ultrasound. Wellcome Witnesses to Twentieth Century Medicine, vol. 5. London: Wellcome Trust. Key Front cover photographs, L to R from the top: Dr Tony Whittingham Mr Usama Abdulla, Mr Thomas Brown, Mr Demetrios Economides Professor Charles Whitfield, Dr Margaret McNay Dr James Willocks, Mrs Lois Reynolds Dr Marcolm Nicolson, Professor Norman McDicken Mr John Fleming, Dr Angus Hall (chair) Mr Thomas Brown, Dr Tony Whittingham Mr Usama Abdulla, Professor Peter Wells Back cover photographs, L to R from the top: Mr Thomas Brown Audience Dr Malcolm Nicolson, Dr Angus Hall (chair) : Professor Norman McDicken, Mrs Alix Donald Dr Norman Slark Professor John MacVicar Dr Angus Hall (chair) CONTENTS Introduction E M Tansey i Transcript 1 List of plates Figure 1. -
Ernst Wertheim's Radical Approach to Cervical Cancer
J Obstet Gynecol India Vol. 60, No. 1: January/February 2010 pg 23-24 Milestones Ernst Wertheim’s radical approach to cervical cancer Dastur Adi E1, Tank P D2 Honorary Professor Emeritus and Dean, Seth G S Medical College and Nowrosjee Wadia, Maternity Hospital, Mumbai, India1 Honarary Clinical Associates, Nowrosjee Wadia, Maternity Hospital, Mumbai, India2 Surgical therapy for cervical cancer is a medical practice First Vienna Women’s clinic in 1891. Wertheim matured that has been reclaimed after being abandoned in the into a virtuoso vaginal surgeon under Schauta’s tutelage. 19th century. In the early 1800s, therapy for cervical He carried on his work on bacteriology and the study of cancer consisted of surgical dissection of the diseased gonorrhea and its route of spread. He also studied the organ. But the morbidity and mortality were unusually cervix in detail, as the seat of gonococcal infection. With high even for the rudimentary surgical know-how of the detailed knowledge of the anatomy of the cervix and those times. With the rise of radiotherapy, surgery was its vascular and lymphatic systems, came an interest of all but abandoned except in a few European centers. how cervical cancer spread. This helped him to theorize Even here, there was no clarity as to the route of surgery, that the vaginal approach, cervical amputation and the degree of extirpation and post-surgical outcomes. A lack of parametrial dissection were major shortcomings vaginal approach was commonly used and surgery in the surgical treatment of cervical cancer. He embarked essentially consisted of removal of the growth or on an ambitious revival of the abdominal approach to amputation of the cervix. -
Review Article Caesarean Myomectomy- a Versatile Procedure for Management of Fibroids at C
DOI: 10.14260/jemds/2015/266 REVIEW ARTICLE CAESAREAN MYOMECTOMY- A VERSATILE PROCEDURE FOR MANAGEMENT OF FIBROIDS AT C. SECTION Miriam George Fenn1, Mini Isac2 HOW TO CITE THIS ARTICLE: Miriam George Fenn, Mini Isac. “Caesarean Myomectomy- A Versatile Procedure for Management of Fibroids at C. Section”. Journal of Evolution of Medical and Dental Sciences 2015; Vol. 4, Issue 11, February 05; Page: 1863-1866, DOI: 10.14260/jemds/2015/266 ABSTRACT: OBJECTIVE: To study all Caesarean myomectomies done at a tertiary center in South India. METHODS: 29 cases of Caesarean myomectomies were performed from 2004 to 2014, at our institution – a tertiary referral center. The type of fibroids, number and size of myomas, need for blood transfusions, and operating time and post-operative morbidity at Caesarean myomectomy were studied. RESULTS: We had equal number of subserous and intramural fibroids, and one large sub mucous fibroid removed at surgery. 7 fibroids were very large (> 10 cm diameter). 6 patients had more than 3 fibroids removed at surgery. 8 required blood transfusions, and none of our patients required hysterectomy. CONCLUSION: The authors find Caesarean myomectomy a feasible and safe option in women with fibroids undergoing Caesarean section. KEYWORDS: Caesarean myomectomy, leiomyomas in pregnancy. INTRODUCTION: The incidence of leiomyomas in pregnancy is 2–4%. Elective myomectomy at the time of Caesarean section has been traditionally discouraged due to the attendant morbidity, primarily from haemorrhage. If myomectomy during Caesarean -
This Book Is Amust. This Is Particularly True and Scrape Before Them. The
Book Reviews exercise in excessive regulation based on tended and weeded by local gardeners. overly abstracted scientific norms. To Many of these men were the most skilled counter this, Warren ends with a call for a diagnosticians or accomplished surgeons in reconstituted coalition of science and public the profession although, of course, other activism. In this sense Brush with death Harley Street practitioners flaunted the participates in the history it chronicles: a same style without having equivalent book written with a rare combination of substance. Perhaps rather less flamboyantly scholarly rigour and passionate public and rather more nervously, display of concern, it provides an intelligent and medical opulence continued during the provocative platform on which to rethink inter-war years, although the Rolls-Royce our place in our leaden world. and the Daimler replaced the horse-drawn carriage. Democratic sentiments, socialist Ian A Burney, doctors and a murmuring about state Wellcome Unit for the History of Medicine, medicine no doubt fostered this slightly University of Manchester more muted statement of the profession's ideal place in society. Victor Bonney was born in 1872, the son of a general practitioner living in Chelsea. G Chamberlain, Victor Bonney: the Under the tutelage of John Bland Sutton at gynaecological surgeon of the twentieth the Middlesex Hospital and the Chelsea century, Carnforth, Parthenon Publishing, Hospital for Women, this promising young 2000, pp. xi, 140, illus., £19.95, US$29.95 man had by the First World War become (1-85070-712-X). one of the most skilled general surgeons, with particular dexterity in gynaecological operations, to grace the London scene. -
GYNAECOLOGY Professor W
THEr BRTTTSR 714 APRIL 22, 19331 UTERINE ACTION AND ITS ABNORMALITIES [MEDICAL JOURNAL i natal period, and thus help to annihilate the dread CONGRESS OF OBSTETRICS AND of labour. GYNAECOLOGY Professor W. BLAIR-BELL, Dr. M. M. DATNOW, and Dr. T. K. JEFFCOATE presented a paper on the mechanism of uterine action and its disorders. In vivo and The ninth British Congress of Obstetrics and Gynaeco- in vitro experiments on animals were described and graphs of logy was h3ld at the University of Birmingham on April 5th, 6th, and 7th, under the presidency of Professor uterine contractions shown. In woman the anterior pituitary hormone was in excess in the early months, BECKWITH WHITEHOUSE. The foreign visitors were Pro- fessor Oskar Fraenkl of Vienna, Professor Van Rooy of but diminished as pregnancy continued, and by the fourth month the influence of the corpus luteum was on Amsterdam, and Professor Birger Lundqvist of Gothen- the burg. wane. The function of the corpus luteum varied quanti- tatively and qualitatively in different animals. Neither UTERINE ACTION AND ITS ABNORMALITIES oestrin nor " antuitrin S " had any effect on the isolated At the morning session on April 5th, with Professor uterus ; oestrin sensitized the uterus to respond to infun- Whitehouse in the chair, Mr. ALECK BOURNE read the open- dibulin, and it assisted in bringing about hypertrophy ing paper, " The Uterine Action and its Abnormalities." and increased vascularity of the uterine musculature He said that feeble contractions were the cause of many during pregnancy. The hormone of the corpus luteum of the disasters of labour. For the child the long labour inhibited uterine activity ; but after the first two months was a considerable risk.