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 …

Posted in 2015 Volume 14 – Issue 3 Tagged , ,

Initial steps and mechanisms of HPV infection

Androutsopoulos Georgios, Thanatsis Nikolaos, Michail Georgios, Adonakis Georgios, Decavalas Georgios

Human papillomaviruses (HPV) are small, non-enveloped viruses. They have circular double-stranded DNA in an icosahedral capsid. Structural proteins of viral capsid, play important role in efficient virus infectivity. The viral L1 protein binds to the exposed basement membrane via heparan sulphate proteoglycans (primary receptor) and α6 integrin (secondary receptor) …

Posted in 2015 Volume 14 – Issue 1

Adnexal torsion in a 7 – year – old girl; dilemma in diagnosis and treatment

Singh Kamal, Thakur Sita, Sharma Monika

Ovarian torsion is an infrequent diagnosis in the pediatric age group but can be catastrophic, especially if ovarian salvage is not possible. The clinical picture is nonspecific, and children cannot always articulate their symptoms, which often make the diagnosis a challenge. Because of its nonspecific manifestations, ovarian torsion is often confused with other conditions …

Posted in 2015 Volume 14 – Issue 1 Tagged , ,

Cervical Pregnancy: A case report

Christodoulaki Chrisi, Stratoudakis Georgios, Zygouris Dimitrios, Kastrinakis Konstantinos, Daskalakis Georgios, Panagopoulos Perikles

Cervical pregnancy is an extremely rare form of ectopic pregnancy. We present a case of a 30 years old patient, diagnosed with cervical pregnancy, in the 7th week of gestation. Initially pharmaceutical treatment was attempted, but due to severe vaginal bleeding the patient underwent surgical therapy. Early diagnosis and prompt treatment lead to a very good outcome minimizing …

Posted in 2015 Volume 14 – Issue 1 Tagged , , ,

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 …

Posted in 2015 Volume 14 – Issue 3 Tagged , , , ,

Why Radical Trachelectomy and not Radical Hysterectomy for the treatment of early stage cervical cancer?

Nikolaos Thomakos, Sofia-Paraskevi Trachana, Michalis Liontos, Aristotelis Bamias, Alexandros Rodolakis

Cervical cancer is one of the most popular and lethal gynecological cancers worldwide. The standard treatment for early stage cervical cancer is radical hysterectomy combined with bilateral pelvic lymph node assessment. The infertility and the serious complications follow the radical hysterectomy, has lead gynecologic-oncologists to revise radical surgical approaches …

Posted in 2016 Volume 15 – Issue 3 Tagged , , ,

Clinical characteristics and current treatment approach of vaginal primary malignant melanoma

Georgios Androutsopoulos, Georgios Michail, Nikolaos Thanatsis, Charalampos Vitsas, Emmanouil Terzakis, Georgios Decavalas

Vaginal primary malignant melanoma (VPMM) is a very rare clinical entity. Most patients with VPMM usually have no specific symptoms or signs (abnormal vaginal bleeding, abnormal vaginal discharge, palpable vaginal mass and pain). VPMM has a very aggressive clinical behaviour. Moreover, patients with VPMM are usually diagnosed at advanced stage disease …

Posted in 2016 Volume 15 – Issue 3 Tagged , , ,

Economic parameters associated with the management of female urinary incontinence in the Greek population

Karachalios Charalampos, Bakas Panagiotis, Grigoriadis Charalampos, Liapis Ilias, Liapis Aggelos

Introduction: Urinary incontinence (UI) generates great expenses for individuals and societies. The aim of this study was to analyze the economic burden of UI in the Greek female population and the National Health System (NHS) as well. Material and Methods: Participants completed a special questionnaire by personal interview. The study group consisted of 2,000 women between 20 and 80 years …

Posted in 2016 Volume 15 – Issue 3 Tagged , , ,

Polycystic ovary-like abnormalities and Single Nucleotide Polymorphisms as potential biomarkers for controlled ovarian stimulation outcome; A novel approach

Theofanakis Charalampos, Anagnostou Elli, Mavrogianni Despoina, Besharat Alexandros, Loutradis Dimitrios

Polycystic ovary – like (PCO-L) abnormalities is a condition characterized by normally menstruating cycles, sporadic anovulation and no known infertility. These women usually present with hyperandrogenism, without polycystic ovarian morphology. With the present study, we attempted to evaluate the role of single nucleotide polymorphisms of FSH …

Posted in 2016 Volume 15 – Issue 3 Tagged , , , ,

Trisomy 16 and Tracheo-oesophageal fistula

Bompoula Maria- Sotiria, Besharat Alexandros, Pampanos Andreas, Theodora Mariana, Daskalakis George, Pappa Kalliopi

We report a case of a 40-year-old woman, diagnosed in the first trimester screening with confined placental mosaicism. The result of chorionic villus sampling was trisomy 16 and sequent amniocentesis revealed a normal male karyotype (46XY). Further examinations during pregnancy showed intrauterine growth restriction in the absence …

Posted in 2016 Volume 15 – Issue 3 Tagged , ,

Patient controlled epidural vs intravenous analgesia in gynecologic oncology: A systematic review

Pergialiotis Vasilios, Christopoulos Evangelos, Kotrogianni Paraskevi, Koutaki Diamanto, Perrea Despina, Vlachos Dimitrios-Efthymios

Background: Gynecologic oncology surgery includes a large variety of procedures which are mainly characterized as major abdominal operations. To date, the effectiveness of patient-controlled epidural analgesia (PCEA) has not been comparedto patient-controlled intravenous analgesia(PCA) for postoperative pain management in patients undergoing these procedures …

Posted in 2016 Volume 15 – Issue 2 Tagged , , ,

Really an epidemic of cesarean section?

Anastasakis Eleftherios, Daskalakis George

In the modern obstetric era, the obstetricians and the maternity units are asked to provide information regarding their obstetric performance. The public debate focus mainly on the percentage of cesarean births. The public belief is that the vaginal delivery is the positive obstetric outcome while caesarian birth is the negative obstetric outcome. However, this approach is not a reliable …

Posted in 2016 Volume 15 – Issue 2 Tagged , ,

The effect of life threatening conditions of women on perinatal outcome

Simsek Arife, Uludag Seyfettin, Benian Ali, Tuten Abdullah, Oncul Mahmut, Acikgoz S. Abdullah

Introduction: The aim of this study is to evaluate the differences in perinatal – neonatal -postneonatal deaths according to the life threatining conditions of women. Material and Methods: A retrospective study was made of records of 14.968 pregnancies. Antenatal, neonatal, postneonatal deaths were recorded. Causes of perinatal–neonatal- postneonatal deaths were examined

Posted in 2016 Volume 15 – Issue 2 Tagged , , ,