Obstetrics Research Today is a free monthly online journal that collates and summarizes the latest research about Obstetrics, including details on caesarean delivery, child birth, labour.

The role of laparoscopy in the treatment of early ovarian carcinoma.

Semaan AY, Abdallah RT, Mackoul PJ

The George Washington University, Department of Obstetrics and Gynecology, Washington, DC 20037, USA.

Laparoscopic management of early ovarian cancer (EOC) has constituted a controversial issue since it was first described. Recent data reinforced the arguments supporting the use of laparoscopy in the management of EOC. Advances in laparoscopy have enabled surgeons to meet the International Federation of Gynecology and Obstetrics' criteria for staging of EOC. Although most study results are encouraging, the sample size is still too small to be able to draw definite conclusions. Frequently cited concerns such as accuracy of staging, intraabdominal tumor rupture and port site metastasis should not be used as arguments against laparoscopic management of EOC. Clinical evidence is clearly in favor of a larger role for laparoscopy in the management of EOC. This should encourage studies with larger sample sizes to confirm the validity of laparoscopic management of EOC.

Published 24 April 2008 in Eur J Obstet Gynecol Reprod Biol.
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Articles on Obstetrics published 23 April 2008:

Prevalence of probable overactive bladder in a private obstetrics and gynecology group practice.   Curr Med Res Opin, 24(4): 1083-90.

OBJECTIVE: To examine the prevalence of probable overactive bladder (OAB) in black, Hispanic, and white women. RESEARCH DESIGN AND METHODS: This was a cross-sectional survey of women (aged > or = 18 years) presenting to a private obstetrics and gynecology group practice. The survey consisted of the Overactive Bladder-Validated 8 (OAB-V8) and other questions related to ethnicity, health history, desire for treatment, and reason for visit. MAIN OUTCOME MEASURE: The OAB-V8 is a validated, ... [Abstract] [Full-text]

Articles on Obstetrics published 21 April 2008:

Polymorphism of the interleukin 1 receptor antagonist (IL1Ra) gene and placental abruption.   J Reprod Immunol.

Candidate genes with a possible involvement in placental abruption are mainly those related to thrombophilia and preeclampsia. Some reports have shown by placental histologic investigation that increased risk of placental abruption is associated with prolonged inflammation. The polymorphic allele A2 in the gene coding for interleukin 1 receptor antagonist (IL1Ra) has been associated in various diseases of autoimmune or inflammatory nature. In obstetrics, previous research data has linked ... [Abstract] [Full-text]

Successful pregnancies treated with pioglitazone in infertile patients with polycystic ovary syndrome.   Fertil Steril.

OBJECTIVE: To investigate the efficacy of pioglitazone on fecundity in infertile patients with polycystic ovary syndrome (PCOS) who are resistant to conventional ovulation induction such as clomiphene, dexamethasone, or metformin. DESIGN: A retrospective pilot study. SETTING: Department of Obstetrics and Gynecology in a general hospital. PATIENT(S): Nine infertile women with PCOS. INTERVENTION(S): Pioglitazone, 15-30 mg/day, up to 32 weeks. MAIN OUTCOME MEASURE(S): Pregnancy rate. RESULT(S): ... [Abstract] [Full-text]

Articles on Obstetrics published 16 April 2008:

Erroneous statement regarding 2D ultrasound fetal urinary bladder volume measurement.   Arch Gynecol Obstet.

The aim of the current paper is to inform the readers of an erroneous statement on the standard deviation (SD) when estimating the volume of fetal urinary bladder by 2D ultrasound. In the Archives of Gynecology and Obstetrics 2007; 276 (4), page 345-349, the authors Peixoto-Filho F.M. et al. refer to some studies presented by our group versus other studies regarding volume estimation of the fetal urinary bladder, in particular the ellipsoid method pioneered by Stuart Campbell in 1973 and the ... [Abstract] [Full-text]

Articles on Obstetrics published 14 April 2008:

Use of an endoscopic ultrasound probe for the evaluation of the Müllerian rudiments in patients with Rokitansky syndrome.   Fertil Steril, 89(4): 981-3.

OBJECTIVE: To assess the use of an endoscopic ultrasound probe in the evaluation of the uterine horns in a series of patients who were undergoing laparoscopy for the creation of a neovagina. DESIGN: Prospective study. SETTING: Department of Obstetrics and Gynecology in a tertiary care and referral center for Rokitansky syndrome. PATIENT(S): Thirty patients with Rokitansky syndrome who were undergoing laparoscopically assisted creation of a neovagina. INTERVENTION(S): Preoperative assessment ... [Abstract] [Full-text]

Laparoscopic excision of uterine adenomyomas.   Fertil Steril, 89(4): 953-61.

OBJECTIVE: To present a series of six consecutive women with adenomyomas who were successfully managed with a standard treatment strategy to elucidate the feasibility and the effectiveness of laparoscopic treatment of adenomyomas. DESIGN: Cross-sectional case series. SETTING(S): Obstetrics and gynecology department of a tertiary academic hospital and endoscopic unit of a private hospital. PATIENT(S): The six cases described in this report were nonpregnant women of reproductive age (mean age, ... [Abstract] [Full-text]

Laparoscopic management of early primary omental pregnancy.   Fertil Steril, 89(4): 991.e9-11.

OBJECTIVE: To describe the successful laparoscopic management of an omental pregnancy. DESIGN: Case report. SETTING: University of Schleswig-Holstein, Campus Luebeck, Department of Gynecology and Obstetrics. PATIENT(S): A 25-year-old patient with an omental pregnancy. INTERVENTION(S): Laparoscopic partial omentectomy. MAIN OUTCOME MEASURE(S): Successful laparoscopic management of an omental pregnancy. RESULT(S): A 25-year-old woman reported having abdominal pain. Her urine pregnancy test was ... [Abstract] [Full-text]

Ovarian endometrioma: postoperative adhesions following bipolar coagulation and suture.   Fertil Steril, 89(4): 796-9.

OBJECTIVE: To compare bipolar coagulation and suturing of the ovary in terms of postoperative ovarian adhesions after laparoscopic ovarian cystectomy for endometriosis. DESIGN: Prospective, randomized, controlled study. SETTING: Department of Obstetrics and Gynecology, University of Naples "Federico II." PATIENT(S): Thirty-two women with a single endometriotic cyst were randomly divided into two groups of 16 women each (groups A and B). INTERVENTION(S): All patients underwent ... [Abstract] [Full-text]

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