Editorial

Medications in pregnancy: challenges and concerns

Vrachnis Nikolaos, Loufopoulos Aristotelis

Pregnancy is a physiological condition in which drug treatment is a particularly delicate issue, since many medications can cross the blood – placental barrier and potentially cause harm to the fetus. In addition, the physiological changes in pregnancy can negatively affect the pharmacokinetics of medications used …

Research

The impact of current obstetric practice on temporal patterns of childbirth

Sakellariou Vasiliki, Dritsakou Kalliopi, Tzortzi Alexandra, Nousia Konstantina, Farmakides George

Introduction: The actual time of spontaneous delivery has been a matter of investigation for many years by anthropologists and physicians. The aim of this study was to test the possible associations between gestational age, mode, day, duration and time of delivery. Material and Methods: This was an observational study of 412 women given birth in our maternity hospital that were recruited …

Meta-analysis

Vaginal misoprostol (Prostin®) for intrauterine insemination: Α meta – analysis of randomized trials

Pergialiotis Vasilios, Frountzas Maximos, Stefanidis Konstantinos, Prodromidou Anastasia, Perrea Despina, Vlachos D Georgios

Introduction: The seminal fluid contains prostaglandins which seem to be important during the fertilization process. However, these are cleaved during semen preparation for intrauterine insemination (IUI). The purpose of the present meta – analysis is to investigate if vaginal application of prostaglandin E (PGE) improves the pregnancy rates among women undergoing IUI.

Review

Laparoscopic box simulators constitute an accessible, affordable and effective solution for training in laparoscopic surgery

Litos Michail, Siristatidis Charalampos, Chrelias Charalampos, Grammatikakis Ioannis, Trompoukis Pantelis, Papantoniou Nikolaos

Background: Acquisition of laparoscopic surgical skills is best achieved before entering the operating theatre, in the context of a simulated environment. Although mechanical simulators are affordable and effective training tools, they remain non available in many training institutions. This study investigates the options available and the cost for purchasing a mechanical laparoscopic …

Case Report

Degeneration of a pedunculated leiomyoma mimicking ovarian neoplasm. A case report and review of the literature

Karagianni Evdokia, Tsolakidis Dimitrios, Bili Eleni, Vavilis Dimitrios, Tarlatzis Basil

Degeneration of subserous uterine leiomyomas can lead to inaccurate diagnosis of an ovarian mass, mainly in cases with a stalk. We report a case of a pedunculated degenerated leiomyoma in a 31 – year – old woman mimicking ovarian neoplasm according to the preoperative imaging studies, including ultrasound and computing tomography. Surgical removal of the mass and histopathologic …

Case Report

Rare case of twin to twin transfusion syndrome with posterior urethral valves

Tsagias Nikolaos, Kontomanolis N Emmanuel, Limperis Anastasios, Tsikouras Panagiotis, Galazios Georgios

Twin to twin transfusion syndrome (TTTS) is a rare complication of monochorionic twin pregnancies. Posterior urethral valves (PUV) is the main cause of urethral obstruction found almost exclusively in male embryos. A 23 – year – old gravida 1 para 0 presented in our department with diamniotic monochorionic twins at 21 weeks of gestation for ultrasound B – scanning and TTTS accompanied with PUV was diagnosed …