Renal failure secondary to pelvic organ prolapse; Can it be predicted?

Theofanakis Charalampos, Thomakos Nikolaos, Grigoriadis Themistoklis, Athanasiou Stavros, Rodolakis Alexandros

Pelvic organ prolapse is a condition that, if left untreated, may lead to obstructive uropathy, hydronephrosis and end stage renal disease. We present a case of a patient who presented to our institution in Athens, Greece with acute kidney failure secondary to complete uterine prolapse, also referred to as procidentia

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

Maternal Klippel – Trenaunay syndrome with complete hydatidiform mole and coexistent fetus: A case managed by surgical evacuation with review of literaturee

Ahmed Samy El-Agwany

Introduction: Klippel-Trenaunay Syndrome (KTS) is a rare triad of congenital vascular malformations involving extensive Port wine stains, soft tissue or bone hypertrophy and underlying venous and/or lymphatic malformation affecting limb, pelvic or abdominal organs. Pregnancies with a hydatidiform mole and a live fetus are extremely rare …

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

Esthetic considerations in surgical excision of benign breast lesions

Ioannidis Charilaos

Introduction: Benign lesions are a common finding in the female breast. Surgical excision is, usually, the preferred definitive mode of treatment. This, however, often results in formation of unsightly scars and/or distortion of breast shape. Application of certain plastic surgical principles may contribute to the minimization of the aforementioned sequelae …

Posted in 2016 Volume 15 – Issue 1 Tagged , , , ,

The role of NK cells and HLA system in preeclampsia

Kalinderis Michail, Kalinderi Kallirhoe, Papanikolaou Alexis

Preeclampsia is a pregnancy – specific syndrome associated with increased maternal and fetal morbidity and mortality. The development of preeclampsia occurs in two stages including reduced placental invasion, followed by the activation of endothelial cells and the release of various factors leading to the clinical manifestations of this syndrome. The initial trigger…

Posted in 2016 Volume 15 – Issue 1 Tagged , , ,

A practical guide for managing young women with primary ovarian insufficiency

Drakakis Peter, Tzouma Christina, Dalkalitsis Alexander, Calis Karim, Kalantaridou Sophia

Primary ovarian insufficiency (POI) is a condition characterized by sex-steroid deficiency, amenorrhea, infertility, and elevated gonadotropins in women younger than 40 years of age. Most affected women produce estrogen intermittently and may ovulate despite the presence of high gonadotropin concentrations. POI is a heterogeneous disorder and may occur as a result …

Posted in 2016 Volume 15 – Issue 1 Tagged , , ,

First trimester medical abortion: The several merits of combination mifepristone – misoprostol

Vrachnis Nikolaos, Zygouris Dimitrios, Lolos Markos, Dimitrakaki Alexandra, Salakos Nikolaos

Abortion is a very common procedure among women of reproductive age. Medical abortion is an alternative to surgical evacuation, especially in the early first trimester. Following the introduction of mifepristone, the number of medical abortions has rapidly increased. Mifepristone is used at doses of either 600mg or 200mg in combination with misoprostol and is regarded as a safe…

Posted in 2016 Volume 15 – Issue 1 Tagged , , , , ,

Office hysteroscopy for the diagnosis of endometrial cancer – An interesting case report

Daniilidis Angelos, Panteleris Nikolaos, Stamkopoulou Anthoula, Carcea Fausto, Kogeorgos Stylianos, Besharat Alexander, Asimakopoulos Efstratios

Introduction: Postmenopausal bleeding (PMB) is defined as bleeding from the genital track one year after the cessation of menses. About 1 in 10 women with postmenopausal bleeding will be diagnosed with malignancy. Case presentation: A 62 year old female patient who presented to the gynecological clinic with two incidents of vaginal bleeding in the last 60 days. The gynecological examination …

Posted in 2016 Volume 15 – Issue 1 Tagged , , , , , , , , ,

Surgical management of pelvic organ prolapse: An update

Athanasios Douskos, Eleni Pitsouni, Themos Grigoriadis, Stavros Athanasiou

Pelvic organ prolapse (POP) is a common condition presenting in up to 50% of women depending on age, parity, body mass index, pelvic floor muscle strength and underlying diseases. The symptomatic POP usually presents at 3-10% of women, when the descent organ is at or beyond the level of hymen. Currently, guidelines for the best surgical treatment …

Posted in 2017 Volume 16 – Issue 1 Tagged , , , ,

Burden of iron deficiency anemia in obstetrics

Angelos Daniilidis, Dimitrios Balaouras, Dimitrios Chitzios, Nikolaos Vrachnis, Christiana Zafeirati, Efstratios Asimakopoulos

Worldwide, attention over iron deficiency anemia (IDA) in pregnancy has been recently shifted towards supplementation during pregnancy and ensuring that women, especially adolescents have adequate iron stores prior to conception. Many researchers claim that adolescent or adult women still need supplements during pregnancy in order to avoid IDA, even if iron stores …

Posted in 2017 Volume 16 – Issue 1 Tagged , , , ,

Systematic lymphadenectomy or sentinel lymph node dissection in endometrial cancer: A clinical dilemma

Georgios Androutsopoulos, Ioannis C. Kotsopoulos, Porfyrios Korompelis, Georgios Michail, Georgios Adonakis, Georgios Decavalas

Endometrial cancer represents a common malignancy of the female reproductive system and systematic surgical staging is the primary therapeutic approach, as offers many advantages in diagnosis, treatment and prognosis. Pelvic and para-aortic lymphadenectomy remains an integral part of the primary surgical therapeutic approach of endometrial cancer and provides substantial …

Posted in 2017 Volume 16 – Issue 1 Tagged , , ,

Diagnostic accuracy of the soluble Fms-like tyrosine kinase-1/placental growth factor ratio for preeclampsia with the use of a common cut-off value

Vasilios Pergialiotis, Anastasia Prodromidou, Alexandros Sotiriadis, Nikolaos Papantoniou

Background: To date, predictive markers of preeclampsia have not been established in the field of prenatal care. The Soluble fms-like tyrosine kinase-1/Platelet Growth Factor (sFlt-1/PlGF) ratio has been extensively studied in the literature and seems to be promising. However, consensus regarding its efficacy is lacking. Objective: The purpose of the present meta-analysis is to evaluate the …

Posted in 2017 Volume 16 – Issue 1 Tagged , , , ,

Heterotopic pregnancy in natural conception. A case report and literature review

Serafeim Pousias, Vasiliki Thanopoulou, Lazaros Pantelidis, Vasileios Koukloumperis, Dimitrios Koutsogiann

Heterotopic pregnancy is defined as the coexistence of intrauterine and ectopic pregnancy, each one of which might be single or multiple. The incidence is approximately 1: 30,000 pregnancies and most of the times the diagnosis is set after the occurrence of symptoms. In the following article is reported the case of a 33-year old patient presented at the emergency room, with acute …

Posted in 2017 Volume 16 – Issue 1 Tagged , ,

Asymptomatic bacteriuria and pregnancy

Thanasas I

Asymptomatic bacteriuria is common in pregnancy. History of urinary tract infection is the main predisposing factor and Escherichia coli is the most common pathogen. The diagnosis of asymptomatic bacteriuria is confirmed by the isolation of the causative bacteria in the culture of urine. The absence of clinical manifestations requires the implementation of urine culture to all pregnant …

Posted in 2013 Volume 12 – Issue 2 Tagged ,