Outcome of laparoscopic ovarian drilling (LOD) for women with polycystic ovary syndrome (PCOS): A retrospective case note review

Rifat Syed, Jamal Zaidi, Nabeha Dhar

Objective: To evaluate the effectivity of laparoscopic ovarian drilling procedures at the East Sussex Healthcare Trust, UK, over the past decade on sub-fertile women with polycystic ovary syndrome, regardless of clomiphene resistance. Design: Retrospective case note review of LOD procedures Methods: Study 1: Evaluating a systematic literature review investigating ovulation and pregnancy rates following LOD…

Posted in 2021 Volume 20 – Issue 4 Tagged , ,

Antenatal and perinatal factors associated with newborn behavior: A prospective cohort study

Effrosine Tsekoura, Kleopatra Chrelia, Abraham Pouliakis, Achilleas Attilakos, Paraskevi Matsota

The idea that the newborn is an uncharted and therefore pliable organism, which can be formed according to the will of its parents, has long been rejected, especially after the existence of rules of behavior not only in full-term but also in marginally premature newborns, which are affected by various both prenatal and perinatal factors. The ability of newborns to determine the rules of their behavior …

Posted in 2021 Volume 20 – Issue 4 Tagged , , , ,

Comparison between ibuprofen and paracetamol in primary dysmenorrhea

Panagiotis Christopoulos, Maria-Konstantina Liakopoulou, Victoria Perdikari, Nicolaos Vrachnis, Theodoros Kalampokas, Nikolaos Vlachos

Background: Primary dysmenorrhea refers to the symptom of painful menstruation in the absence of identifiable pelvic or uterus pathology. Initial presentation usually occurs in adolescence and early adulthood. Medications used to treat primary dysmenorrhea include anti-inflammatory drugs, principally, ibuprofen and paracetamol…

Posted in 2021 Volume 20 – Issue 4 Tagged , , , ,

Two critically ill pregnant patients with SARS-CoV-2: A clinical cases report from the Republic of Cyprus

Andria Syka, Kyriakos Alexandrou, Lakis Palazis

An interdisciplinary and individualized approach should be implemented with regard to the management of severe COVID-19 in pregnancy. The present study deals with the clinical course of 2 pregnant women who have been diagnosed with this disease and needed admission to an ICU and mechanical respiratory support in Cyprus. The data collection took place in a general ICU of the General Hospital of Nicosia …

Posted in 2021 Volume 20 – Issue 4 Tagged , , , , , ,

Successful management of cervical ectopic pregnancy following invitro fertilisation

Aloy Okechukwu Ugwu, Christian Chigozie Makwe, Sunday Isaac Omisakin, Nneoma Kwemtochukwu Ani-ugwu, Egba Augustine, Lulu Gethrude Ojiefoh, Ifunanya Tobechukwu Okafor

We report a case of a 45-year-old woman with successful management of cervical ectopic pregnancy using ultrasound guided suction evacuation and balloon tamponade. The case report owes its significance to the high morbidity and mortality associated with this form of ectopic pregnancy in our environment, because of misdiagnosis and late presentation …

Posted in 2021 Volume 20 – Issue 4 Tagged , , , ,

Perioperative fluid management-Goal Directed Therapy (GDT)

Emmanouil Stamatakis, Guram Devadze, Sofia Hadzilia, Dimitrios Valsamidis

Perioperative goal-directed hemodynamic therapy is a protocolized treatment strategy aimed at optimization of global cardiovascular dynamics, including oxygen delivery to tissues and organ perfusion pressure. This is achieved by titrating fluids, vasopressors, and inotropes to predefined physiological target values of hemodynamic variables …

Posted in 2021 Volume 20 – Issue 3 Tagged ,

Breast implant – Associated Anaplastic large cell lymphoma

Charilaos Ioannidis

Breast Implant –Associated Anaplastic Large Cell Lymphoma is a newly recognized malignant neoplasm presenting in breasts of women who have had breast implants for cosmetic or reconstructive purposes. A review of the literature showed thatit is an uncommon, slow growing T-cell lymphoma with morphology and immunophenotype similar to anaplastic lymphoma kinase (ALK)-negative anaplastic large cell lymphoma …

Posted in 2021 Volume 20 – Issue 3 Tagged , , , , , ,

Ovarian hyperstimulation syndrome and the risk of internal jugular vein thrombosis

Theoni Kanellopoulou

Introduction: Thromboembolic events are a rare complication of severe ovarian hyperstimulation syndrome (OHSS). In contrast to the classical left ilio-femoral deep vein thrombosis casesduring pregnancy,atypical localization in upper extremity, including internal jugular vein (IJV)is also reported …

Posted in 2021 Volume 20 – Issue 3 Tagged , ,

Deep vein thrombosis in pregnancy

Zacharias Fasoulakis, Aikaterini Mpairami, George Asimakopoulos, Konstantinos Tasias, Michael Sindos, George Daskalakis, Alexandros Rodolakis, Marianna Theodora

Venous thrombotic events (VTE) prevalence is estimated to be 1-2 for every 10,000 pregnancies, making it one of main causes of maternal mortality in developed countries. VTE’s leading risk factors are history of the condition and hereditary thrombophilia. D-dimer tests conducted during pregnancies have in many cases led to false positive results while a few false negatives have also been found. For pregnant women …

Posted in 2021 Volume 20 – Issue 3 Tagged , , ,

Relationship of soluble Fms-like tyrosine kinase 1, soluble endoglin, placental growth factor blood levels with the severity of late onset preeclampsia

Ethem Serdar Yalvac, Mustafa Kara, Emre Baser, Taylan Onat, Melike Demir Caltekin, Müjgan Ercan, Demet Aydogan Kirmizi

Purpose: Preeclampsia (PE) is a pregnancy-specific syndrome characterized by placentation disorder that increases maternal and fetal morbidity and mortality. Overproduction of anti-angiogenic factors such as soluble fms-like tyrosine kinase receptor 1 (sFlt-1) and soluble endoglin (sEng) and low production of placental growth factor (Pgf) from angiogenic factors contribute to preeclampsia pathogenesis …

Posted in 2021 Volume 20 – Issue 3 Tagged , , ,

Toxoplasmosis, a rare case report that led to a successful pregnancy

Thomas Ntounis, Sofoklis Stavros, Antonios Koutras, Alexandros Katrachouras, Dimitrios Lentzaris, Aikaterini Domali, Kyriacos Konis, Peter Drakakis

A 19-year-old female patient was presented to our clinic for a pregnancy follow-up during which primary toxoplasmosis infection was diagnosed. The patient was successfully treated with spiramycin and finally delivered normally a healthy boy, on term. Serological tests (ELISA) for detection of anti-toxoplasma antibodies along with ultrasonography findings on the fetus are the gold standard for the diagnosis …

Posted in 2021 Volume 20 – Issue 3 Tagged , , , ,

The pandemic paradox: Delay in the treatment of a woman with endometrial cancer during COVID-19 outbreak

Konstantinos Zacharis, Polyxeni Vanakara, Alexandros Daponte

The novel coronavirus (COVID-19) outbreak has been declared a global pandemic. The containment measures implemented in recent weeks to tackle it have led in drastic alterations in people’s daily life. These changes were essential to reduce virus transmission and protect health systems1. However, lockdown and strict measures, including home quarantine and social distancing, have delayed the diagnosis or postponed the therapeutic management of patients with neoplasia, such as surgery…

Posted in 2021 Volume 20 – Issue 3

27th European Congress of Obstetrics and Gynaecology and the 15th Congress of the Hellenic Society of Obstetrics and Gynaecology

Loutradis Dimitris

With the organization of the upcoming combined events of the 27th European Congress of Obstetrics and Gynaecology and the 15th Congress of the Hellenic Society of Obstetrics and Gynaecology Greece has succeeded to overcome barriers posed by the recent outbreak of COVID-19 that has detrimentally changed our daily practice including scientific activities…

Posted in 2021 Volume 20 – Issue 2

Fetal maternal immune cross talking and vaccination during pregnancy

Panagiota Masoura, Georgia Koutsogeorgopoulou, Diamanto Tsianni, Anastasia Kourtesa, Kalliopi Pappa

Maternal adaptations in pregnancy induce complex physiological changes of the immune system which protect mother’s health and ensure the accommodation of the growing embryo. The innate immunity is amplified and the adaptive immunity is partially suppressed, preserving the ability to produce antibodies…

Posted in 2021 Volume 20 – Issue 2 Tagged , , , , ,