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[PMID]:28486368
[Au] Autor:Wu JM; Dieter AA; Pate V; Jonsson Funk M
[Ad] Endereço:Department of Obstetrics and Gynecology, the Center for Women's Health Research, and the Department of Epidemiology, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
[Ti] Título:Cumulative Incidence of a Subsequent Surgery After Stress Urinary Incontinence and Pelvic Organ Prolapse Procedure.
[So] Source:Obstet Gynecol;129(6):1124-1130, 2017 Jun.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To assess the 5-year risk and timing of repeat stress urinary incontinence (SUI) and pelvic organ prolapse (POP) procedures. METHODS: We conducted a retrospective cohort study using a nationwide database, the 2007-2014 MarketScan Commercial Claims and Encounters and Medicare Supplemental Databases (Truven Health Analytics), which contain deidentified health care claims data from approximately 150 employer-based insurance plans across the United States. We included women aged 18-84 years and used Current Procedural Terminology codes to identify surgeries for SUI and POP. We identified index procedures for SUI or POP after at least 3 years of continuous enrollment without a prior procedure. We defined three groups of women based on the index procedure: 1) SUI surgery only; 2) POP surgery only; and 3) Both SUI+POP surgery. We assessed the occurrence of a subsequent SUI or POP procedure over time for women younger than 65 years and 65 years or older with a median follow-up time of 2 years (interquartile range 1-4). RESULTS: We identified a total of 138,003 index procedures: SUI only n=48,196, POP only n=49,120, and both SUI+POP n=40,687. The overall cumulative incidence of a subsequent SUI or POP surgery within 5 years after any index procedure was 7.8% (95% confidence interval [CI] 7.6-8.1) for women younger than 65 years and 9.9% (95% CI 9.4-10.4) for women 65 years or older. The cumulative incidence was lower if the initial surgery was SUI only and higher if an initial POP procedure was performed, whether POP only or SUI+POP. CONCLUSIONS: The 5-year risk of undergoing a repeat SUI or POP surgery was less than 10% with higher risks for women 65 years or older and for those who underwent an initial POP surgery.
[Mh] Termos MeSH primário: Procedimentos Cirúrgicos em Ginecologia/estatística & dados numéricos
Incontinência Urinária por Estresse/cirurgia
Prolapso Visceral/cirurgia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Idoso
Idoso de 80 Anos ou mais
Estudos de Coortes
Bases de Dados Factuais
Feminino
Seres Humanos
Revisão da Utilização de Seguros
Meia-Idade
Reoperação/estatística & dados numéricos
Estudos Retrospectivos
Fatores de Risco
Slings Suburetrais
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170714
[Lr] Data última revisão:
170714
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170510
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002051


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[PMID]:28128916
[Au] Autor:Schreiner L; Santos TG; Nygaard CC; Oliveira DS
[Ad] Endereço:Departamento de Obstetrícia e Ginecologia do Hospital São Lucas da Pontifícia Universidade Católica do Rio Grande do Sul, RS, Brasil.
[Ti] Título:Vaginal evisceration related to genital prolapse in premenopausal woman.
[So] Source:Int Braz J Urol;43(4):766-769, 2017 Jul-Aug.
[Is] ISSN:1677-6119
[Cp] País de publicação:Brazil
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Vaginal evisceration is a rare problem, usually related to a previous hysterectomy. We report a case of spontaneous rupture of the cul-de-sac in a premenopausal woman under treatment with glucocorticoids to treat Systemic Lupus Erythematosus (SLE), with uterine prolapse that occurred during evacuation. Main findings-Case Report: A 40-year-old woman with SLE, using glucocorticoids, with uterine prolapse grade 4 (POP-Q), awaiting surgery presented at the emergency room with vaginal bleeding after Valsalva during defection. Uterine prolapse associated with vaginal evisceration was identified. Under vaginal examination, we confirmed the bowel viability and performed a vaginal hysterectomy and sacrospinous fixation. Case hypothesis: This case draws attention to the extreme risk of untreated uterine prolapse, as well as the importance of multidisciplinary care of patients with vaginal prolapse and chronic diseases.
[Mh] Termos MeSH primário: Doenças Vaginais/cirurgia
Prolapso Visceral/cirurgia
[Mh] Termos MeSH secundário: Adulto
Emergências
Feminino
Seres Humanos
Histerectomia
Pré-Menopausa
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170128
[St] Status:MEDLINE


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[PMID]:26921365
[Au] Autor:Ribeiro SP; Silva AC; Maciel J; Antunes AS
[Ad] Endereço:Department of General Surgery, Hospital do Espírito Santo, Évora EPE Portugal, Évora, Portugal.
[Ti] Título:Spontaneous transvaginal evisceration: a case of recurrence.
[So] Source:BMJ Case Rep;2016, 2016 Feb 26.
[Is] ISSN:1757-790X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Vaginal evisceration can be defined as a defect in the vaginal wall resulting in prolapse of the intraperitoneal contents. This is a rare complication of hysterectomy, but may result in severe morbidity. We report the case of a postmenopausal woman with transvaginal evisceration of the sigmoid colon 1 year after an abdominal hysterectomy. An exploratory laparotomy was undertaken to reduce the prolapsed sigmoid colon through a combined vaginal-abdominal route. Repair of the defect of the vaginal vault was made using an absorbable running suture. Two years later, the patient presented at the emergency department with a transvaginal evisceration of the omentum. An exclusively vaginal approach was then chosen to repair the smaller vaginal defect and vaginal cuff was closed using non-absorbable sutures. As two different surgical approaches were used in this patient, a discussion of the different treatment options and also of the principles of prevention of vaginal cuff dehiscence is provided.
[Mh] Termos MeSH primário: Histerectomia/efeitos adversos
Doenças Peritoneais/diagnóstico
Vagina/cirurgia
Prolapso Visceral/etiologia
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Laparotomia/métodos
Omento/patologia
Doenças Peritoneais/cirurgia
Recidiva
Resultado do Tratamento
Vagina/anormalidades
Vagina/anatomia & histologia
Prolapso Visceral/complicações
Prolapso Visceral/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1612
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160228
[St] Status:MEDLINE


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[PMID]:26611925
[Au] Autor:Chai N
[Ad] Endereço:Ménagerie du Jardin des Plantes, Muséum national d'Histoire Naturelle, 57 Rue Cuvier, Paris 75005, France. Electronic address: chai@mnhn.fr.
[Ti] Título:Surgery in Amphibians.
[So] Source:Vet Clin North Am Exot Anim Pract;19(1):77-95, 2016 Jan.
[Is] ISSN:1558-4232
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Amphibian surgery has been especially described in research. Since the last decade, interest for captive amphibians has increased, so have the indications for surgical intervention. Clinicians should not hesitate to advocate such manipulations. Amphibian surgeries have no overwhelming obstacles. These patients heal well and tolerate blood loss more than higher vertebrates. Most procedures described in reptiles (mostly lizards) can be undertaken in most amphibians if equipment can be matched to the patients' size. In general, the most difficult aspect would be the provision of adequate anesthesia.
[Mh] Termos MeSH primário: Anfíbios/cirurgia
[Mh] Termos MeSH secundário: Analgesia/veterinária
Anestesia/veterinária
Animais
Cloaca/cirurgia
Procedimentos Cirúrgicos Dermatológicos/veterinária
Intestinos/cirurgia
Masculino
Procedimentos Cirúrgicos Minimamente Invasivos/veterinária
Monitorização Intraoperatória/veterinária
Procedimentos Cirúrgicos Oftalmológicos/veterinária
Ortopedia/veterinária
Ovariectomia/veterinária
Cuidados Pós-Operatórios/veterinária
Cuidados Pré-Operatórios/veterinária
Estômago/cirurgia
Campos Cirúrgicos/veterinária
Testículo/cirurgia
Bexiga Urinária/cirurgia
Prolapso Visceral/cirurgia
Prolapso Visceral/veterinária
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1608
[Cu] Atualização por classe:151127
[Lr] Data última revisão:
151127
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151128
[St] Status:MEDLINE


  5 / 117 MEDLINE  
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[PMID]:26674349
[Au] Autor:Goyal LD; Maheshwari S; Kaur S; Kaur H
[Ad] Endereço:Department of Obstetrics and Gynaecology, Gurugobind Singh Médical Hospital, Faridkot, Punjab, 151203, India. lajja.goyal@rediffmail.com.
[Ti] Título:Prolapse of fallopian tube through abdominal wound after caesarean section mimicking scar endometriosis: a case report.
[So] Source:J Med Case Rep;9:280, 2015 Dec 17.
[Is] ISSN:1752-1947
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Prolapse of the fallopian tube after hysterectomy is a rare but known complication. Cases of prolapse of the fallopian tube through the vaginal vault have been reported after abdominal, vaginal or laparoscopic hysterectomies. This is the first case report to the best of our knowledge on the prolapse of a fallopian tube through an abdominal wound after caesarean section. CASE PRESENTATION: We report a case of the prolapse of the fimbrial end of a fallopian tube through an abdominal scar after caesarean section mimicking scar endometriosis. A 24-year-old primipara South Asian woman of Punjabi ethnicity presented to our institute with a fleshy mass protruding through her abdominal scar and bleeding from the mass during menstruation for the past 5 months. She underwent a caesarean section 6 months earlier for breech presentation. Her history revealed she had wound dehiscence on the sixth postoperative day. The major portion of her wound healed in 1 month leaving a 2 cm area in the middle of her vertical scar. An abdominal examination revealed a 2×2 cm fleshy mass protruding through the middle part of her infraumbilical abdominal scar. At the time of the surgery we found that the fimbrial end of her left fallopian tube was protruding through her abdominal scar. CONCLUSION: Awareness of this complication may prevent improper management of wound dehiscence and such complication causing prolonged agony to the patient.
[Mh] Termos MeSH primário: Cesárea/efeitos adversos
Doenças das Tubas Uterinas/diagnóstico
Doenças das Tubas Uterinas/etiologia
Tubas Uterinas/patologia
Prolapso Visceral/etiologia
[Mh] Termos MeSH secundário: Adulto
Cicatriz
Diagnóstico Diferencial
Endometriose/diagnóstico
Doenças das Tubas Uterinas/patologia
Doenças das Tubas Uterinas/cirurgia
Feminino
Seres Humanos
Resultado do Tratamento
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1608
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151218
[St] Status:MEDLINE
[do] DOI:10.1186/s13256-015-0769-3


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[PMID]:25642852
[Au] Autor:Lombardo G; Tantchou I; Petrone P; Karev D; Marini CP
[Ad] Endereço:Division of Trauma Surgery, Surgical Critical Care & Acute Care Surgery, Department of Surgery, New York Medical College, Westchester Medical Center University Hospital, Valhalla, New York, USA.
[Ti] Título:Vaginal evisceration causing small bowel obstruction.
[So] Source:Am Surg;81(2):E45-7, 2015 Feb.
[Is] ISSN:1555-9823
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Obstrução Intestinal/etiologia
Prolapso Visceral/complicações
[Mh] Termos MeSH secundário: Idoso de 80 Anos ou mais
Feminino
Seres Humanos
Obstrução Intestinal/cirurgia
Vagina
Prolapso Visceral/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1503
[Cu] Atualização por classe:150203
[Lr] Data última revisão:
150203
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150203
[St] Status:MEDLINE


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[PMID]:23667228
[Au] Autor:Nikolopoulos I; Khan H; Janakan G; Kerwat R
[Ad] Endereço:Department of Surgery, Queen Elizabeth Woolwich, London, UK.
[Ti] Título:Laparoscopically assisted repair of vaginal evisceration after hysterectomy.
[So] Source:BMJ Case Rep;2013, 2013 May 09.
[Is] ISSN:1757-790X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Vaginal evisceration is a rare condition most commonly associated with previous vaginal surgery. It usually presents with vaginal bleeding, lower abdominal pain and a protruding mass, and requires immediate assessment and surgical management to salvage the prolapsed bowel. Any delay in the treatment may result in bowel ischaemia and perforation which is associated with higher morbidity and mortality. We report a case of spontaneous vaginal evisceration during defaecation in a 56-year-old postmenopausal women 11 months post hysterectomy. This case highlights the benefits of a combined laparoscopic and transvaginal approach in the successful management of this surgical emergency.
[Mh] Termos MeSH primário: Histerectomia/efeitos adversos
Enteropatias/cirurgia
Intestinos/cirurgia
Complicações Pós-Operatórias/cirurgia
Vagina/cirurgia
Doenças Vaginais/cirurgia
Prolapso Visceral/cirurgia
[Mh] Termos MeSH secundário: Defecação
Feminino
Seres Humanos
Enteropatias/etiologia
Intestinos/patologia
Laparoscopia/métodos
Meia-Idade
Pós-Menopausa
Vagina/patologia
Doenças Vaginais/etiologia
Prolapso Visceral/etiologia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE
[Em] Mês de entrada:1312
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130514
[St] Status:MEDLINE


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[PMID]:23533212
[Au] Autor:Dordoni C; Ritelli M; Venturini M; Chiarelli N; Pezzani L; Vascellaro A; Calzavara-Pinton P; Colombi M
[Ad] Endereço:Division of Biology and Genetics, Department of Biomedical Sciences and Biotechnology, Medical Faculty, University of Brescia, Brescia, Italy.
[Ti] Título:Recurring and generalized visceroptosis in Ehlers-Danlos syndrome hypermobility type.
[So] Source:Am J Med Genet A;161A(5):1143-7, 2013 May.
[Is] ISSN:1552-4833
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Visceroptosis is described in several heritable connective tissue disorders, including the hypermobility type of Ehlers-Danlos syndrome (hEDS), a.k.a. joint hypermobility syndrome (JHS). Clinical features of hEDS comprise joint hypermobility, mild skin hyperextensibility, joint instability complications, chronic joint/limb pain, and positive family history. Uterine and rectal prolapse has been reported in nulliparous women. We report on a family with two patients with hEDS. The proposita, a 38-year-old woman, present bilateral kidney prolapse requiring three nephropexies, gastric ptosis treated with gastropexy and Billroth I gastrectomy, and liver prolapse treated with a non-codified hepatopexy procedure. Radiological evaluation also showed ovarian and heart prolapse. To our knowledge this is the first case of multiple visceral ptoses in hEDS. Visceral prolapse may lead to severe morbidity, affecting quality of life and a high rate of relapses after surgical procedures. Further investigations are needed to understand the molecular basis of the disease and retrospective studies on surgical outcomes, presentation of case series can be effective in order to offer a better treatment and prevention for hEDS patients.
[Mh] Termos MeSH primário: Síndrome de Ehlers-Danlos/complicações
Prolapso Visceral/complicações
[Mh] Termos MeSH secundário: Adulto
Idoso
Síndrome de Ehlers-Danlos/cirurgia
Feminino
Seres Humanos
Masculino
Prognóstico
Recidiva
Resultado do Tratamento
Prolapso Visceral/cirurgia
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1311
[Cu] Atualização por classe:130423
[Lr] Data última revisão:
130423
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130328
[St] Status:MEDLINE
[do] DOI:10.1002/ajmg.a.35825


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[PMID]:23400356
[Au] Autor:Augustin G; Majerovic M; Luetic T
[Ad] Endereço:Department of Surgery, University Hospital Center Zagreb, Kispaticeva 12, 10000, Zagreb, Croatia. augustin.goran@gmail.com
[Ti] Título:Uterine perforation as a complication of surgical abortion causing small bowel obstruction: a review.
[So] Source:Arch Gynecol Obstet;288(2):311-23, 2013 Aug.
[Is] ISSN:1432-0711
[Cp] País de publicação:Germany
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: Small bowel obstruction after unrecognized or conservatively treated uterine perforation is extremely rare. It is a surgical emergency and the delay in diagnosis and treatment has deleterious consequences for the mother. The purpose of this study is to critically review the available literature and ascertain the level of evidence for the mechanisms, diagnosis and management of small bowel obstruction after uterine perforation due to surgical abortion. METHODS: Systematic literature search was conducted in Pubmed (1946 to 2012) and Pubmedcentral (1900 to 2012) including all available English and French language fulltext articles. Three evaluators reviewed and selected all available case reports and case series. Search terms included small bowel obstruction, bowel obstruction, bowel incarceration, bowel entrapment, vaginal evisceration, uterine perforation, uterine rupture, and abortion. The exclusion criteria were (1) complex injuries where small bowel incarceration was present but with bleeding and/or bowel perforation as the leading symptomatology; (2) articles only numbering the patients without details on the topic. Analyses of incidence, risk factors, mechanisms of the disease, time of clinical presentation, diagnostic modalities, treatment, and maternal outcome were included. RESULTS: Of the 73 articles screened 30 cases of small bowel obstruction were included in the review forming incidence, risk factors, and mechanisms of the disease, diagnosis, therapy, and maternal outcome. CONCLUSIONS: A systematic review defined four mechanisms of small bowel obstruction after transvaginal instrumental uterine perforation with significant variations in clinical presentation and time of presentation. Duration of symptoms depend on the mechanism of small bowel obstruction. Vaginal evisceration is surgical emergency and treatment is mandatory without diagnostic workup. Survival rate during last century is 93 %. Multicentric trials and publication of all such cases are needed to determine algorithms for diagnosis and management of small bowel obstruction caused by instrumental uterine perforation.
[Mh] Termos MeSH primário: Aborto Induzido/efeitos adversos
Obstrução Intestinal/diagnóstico
Obstrução Intestinal/etiologia
Perfuração Uterina/diagnóstico
Perfuração Uterina/etiologia
[Mh] Termos MeSH secundário: Feminino
Seres Humanos
Obstrução Intestinal/terapia
Intestino Delgado
Prognóstico
Fatores de Risco
Perfuração Uterina/complicações
Perfuração Uterina/terapia
Prolapso Visceral/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1312
[Cu] Atualização por classe:130717
[Lr] Data última revisão:
130717
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130213
[St] Status:MEDLINE
[do] DOI:10.1007/s00404-013-2749-4


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[PMID]:23292111
[Au] Autor:Masumori K; Maeda K; Hanai T; Sato H; Koide Y; Matsuoka H; Katsuno H; Shiota M
[Ad] Endereço:Department of Surgery, Fujita Health University School of Medicine, 1-98, Kutsukake, Toyoake 470-1192, Aichi, Japan.
[Ti] Título:Short-term outcomes of local correction of stoma prolapse with a stapler device.
[So] Source:Tech Coloproctol;17(4):437-40, 2013 Aug.
[Is] ISSN:1128-045X
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The aim of the present study was to classify the short-term outcomes of local correction of stoma prolapse with a stapler device. METHODS: The medical records of 11 patients undergoing local correction of stoma prolapse using a stapler device were retrospectively reviewed. RESULTS: No mortality or morbidity was observed after the surgery. Median operative time was 35 min (range 15-75 min), and blood loss was minimal. Median duration of follow-up was 12 months (range 6-55 months). One of the 11 patients had a recurrent stoma prolapse. CONCLUSIONS: This technique can be a feasible, safe and minimally invasive correction procedure for stoma prolapse.
[Mh] Termos MeSH primário: Neoplasias Colorretais/cirurgia
Colostomia/efeitos adversos
Grampeadores Cirúrgicos
Prolapso Visceral/cirurgia
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Estudos de Coortes
Colectomia/métodos
Doenças do Colo/cirurgia
Neoplasias Colorretais/patologia
Colostomia/métodos
Feminino
Seguimentos
Seres Humanos
Masculino
Meia-Idade
Reoperação/métodos
Estudos Retrospectivos
Medição de Risco
Fatores de Tempo
Resultado do Tratamento
Prolapso Visceral/etiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1403
[Cu] Atualização por classe:171013
[Lr] Data última revisão:
171013
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:130108
[St] Status:MEDLINE
[do] DOI:10.1007/s10151-012-0959-6



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