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The impact of frailty on treatment strategies and survival outcomes of vulvar cancer patients: a systematic review

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Vasilios Pergialiotis, Maria Fanaki, Antonia Varthaliti, Vasilios Lygizos, Dimitrios Haidopoulos, Nikolaos Thomakos

Background: Vulvar cancer is an uncommon gynecologic malignancy that is usually manifested in older ages which have several comorbidities. Frail patients pose a significant subgroup in gynecologic oncology as frailty may affect treatment plans and result in significant reduction of survival outcomes. In the present systematic review we summarize current evidence focusing on the impact of frailty in vulvar cancer patients …

Cardiac Remodelling in ART-Conceived Singletons: A Prospective Cohort Study Comparing Biopsied and Non-Biopsied Embryos with Spontaneously Conceived Embryos

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Wael Saad Elbanna, Osama Azmy, Manal Ahmed Elhinnawi

Objective: To compare cardiac remodelling in intracytoplasmic sperm injection (ICSI)-conceived singleton pregnancies (either biopsied or non-biopsied embryos) compared to spontaneously conceived (SC). Methods: This prospective cohort study comprised 113 pregnant women with biopsied ICSI (n=37), non-biopsied ICSI (n=37), and SC embryos (n=39) …

Prenatal diagnosis of left isomerism: A case report

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Afroditi Pegkou, Athena Souka, Maria Ioanna Chatziioannou, Angeliki Rouvali, Panagiotis Antsaklis, Georgios Daskalakis

Situs solitus is defined as normal development and positioning of the thoracic and abdominal organs. Heterotaxy syndromes describe a spectrum of abnormal organ location including conditions such as asplenia and polysplenia and are best classified by the morphology of the cardiac atria as right and left isomerism …

On the issue of risk stratification of early and late forms of fetal growth restriction

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Yarotska Yu.O., Govsieiev D.O., Ostrovska O.M., Kyshakevych I.T., Rymarchuk M.I., Perkhulyn O.M., Kosylo N.V.

Summary: It should be noted that fetal growth restriction syndrome plays a significant role in the formation of the structure of perinatal morbidity and mortality, the frequency of which, according to domestic authors, ranges from 5 to 17 %, among full-term infants – from 5% to 22 %, among preterm infants – from 18 to 24 %. About 30 million children are born with this diagnosis annually in the world …

Risk factors for small-for-gestational-age neonates: A retrospective study in Northern Greece

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Panagiota Kripouri, Nerisa Tona, Apostolos Mamopoulos, Themistoklis Dagklis, Ioannis Tsakiridis

Introduction: Small-for-gestational-age (SGA) neonates are defined as those born below the 10th percentile for their gestational age. SGA neonates are a major concern in obstetrics due to their association with adverse neonatal outcomes. The objective of this study was to investigate the risk factors for SGA neonates …

Ogilvie’s syndrome (Acute colonic pseudo-obstruction) after caesarean section: case report

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Loubna Slama, Hafsa Taheri, Hanane Saadi, Ahmed Mimouni

Introduction: Acute colonic pseudo-obstruction (Ogilvie’s syndrome) is a rare but potentially life-threatening condition in the immediate postpartum period, particularly following a caesarean section. Early diagnosis and management are crucial to avoid serious complications …

Editorial

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Dimitris Loutradis

Fetal medicine and prenatal diagnosis have seen remarkable advancements in recent years, transforming the way healthcare providers detect and treat conditions before birth. Innovations in imaging, genetic testing, and in-utero interventions are improving pregnancy outcomes and offering hope to families …

Perinatal outcomes of term cesarean sections: A retrospective study in Northern Greece

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Dimitrios Papatheodorou, Eirini Boureka, Ioannis Tsakiridis, Apostolos Mamopoulos, Apostolos Athanasiadis, Themistoklis Dagklis

Introduction: Cesarian section rates are increasing globally, creating a possible risk factor for adverse neonatal outcomes. The present study aimed to investigate the optimal timing for elective cesarean section in pregnant women with a history of prior cesarean with regards to neonatal outcomes. Material and Methods: A retrospective observational study …

Efficacy of Intraoperative Trans-peritoneal TAP Block for Post-Cesarean Analgesia: A Randomized Clinical Trial

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Mohamed Abd Elfattah Elsenity, Ahmed Sherif Abdel Hamid, Abdallah Sami Abdallah Mashaal, Salah Taha Ahmed, Ahmed Hamdy Naguib, Hassan Morsi

Background: Most post‐abdominal surgery pain comes from the abdominal wall incision. The TAP block is important for multimodal pain relief after cesarean delivery. Aim of the Work: This study aimed to assess if the intraoperative TAP (I‐TAP) block effectively reduces opioid use without raising pain scores …

Role of 2D Doppler in the Prediction of Preterm Labor in High-risk Patients in Banha University Hospital; A Prospective Cohort Study

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Hatem Elgendy, Moahmed A Elgazzar, Moahmed Shahat

Background/Objective: Preterm labor is a major obstetric problem. Several ultrasound parameters are used to predict Preterm labor. This study aimed to assess the role of Doppler ultrasound in predicting preterm labor in high-risk patients. Patients and methods: This observational cohort study was conducted between January and August 2024 at Banha University Hospital on 80 high-risk pregnant women for Preterm labor. We performed a Doppler examination of uterine arteries (S/D ratio, pulsatility index, and the presence or absence of notch unilaterally or bilaterally). UTA evaluation …