Placental hormones mimicking the role of hypothalamic and pituitary hormones

Vrachnis Ν, Iliodromiti Ζ, Grigoriadis C, Siristatidis C, Deligeoroglou Ε, Creatsas G

Among the functions of the human placenta, its function as an endocrine organ is crucial, as it results in the production of multiple hormones exerting both endocrine and paracrine roles in the development of the fetus. These hormones, numbering more than thirty, include amines, polypeptides, proteins, glucoproteins, steroid hormones, cytokines and growth factors …

Posted in 2013 Volume 12 – Issue 2 Tagged , , , , , , , , ,

Necrotizing fasciitis after cesarean section

Ioannidis C

Necrotizing fasciitis after cesarean section is a very serious condition. The patient’s fate is related to an early diagnosis, aggressive surgical debridement and adequate supportive medical management. Final reconstruction of the resulting defect is preferably done at a later stage. A case of 33-year old woman who developed necrotizing fasciitis two days after cesarean section …

Posted in 2013 Volume 12 – Issue 2 Tagged , , ,

Infertility: Psychoemotional impact, emotional adjustment to fertility treatment and cognitive behavioral therapy

Efthimiou K, Perdikari E

According to the British Human Fertilization and Embryology Authority, it is estimated that one in six couples will have to deal with some kind of infertility during lifetime, while World Health Organization considers infertility as one of the major problems of world public health. The present review focuses on the psychosocial impact of infertility, its cognitive meaning and the emotional …

Posted in 2013 Volume 12 – Issue 1 Tagged , , ,

The benign diseases of the vulva and vagina

Balaouras D, Daniilidis A, Tantanasis T, Chintzios D, Nasioutziki M, Makris V, Loufopoulos PD, Tantanasis T

The diseases of the vulva and vagina are of great importance in gynecology. They are categorized as inflammatory, non-neoplasmatic precancerous, and malignant. They are caused by fungi, bacteria, protozoa or viruses. The non-neoplasmatic and precancerous diseases appear as skin lesions including leichen, psoriasis, and local allergies.The inflammatory diseases of the vagina could be caused …

Posted in 2013 Volume 12 – Issue 1 Tagged , ,

Humanin, a cytoprotective peptide against oxidative stress: Is it possible to play a role in obstetrics and gynecology?

Nikolakopoulos P

Humanin is a 24-amino acid peptide encoded by mitochondrial 16SRNA, that was firstly isolated from the occipital lobe of patients with Alzheimer’ s disease. Although it was identified as an antineuronal death factor, literature indicates humanin as a wide spectrum survival factor. To date, humanin has been shown to play a role in preventing cell death among various tissues outside …

Posted in 2013 Volume 12 – Issue 1 Tagged , , ,

Intra-abdominal adhesions in gynecological surgery

Evangelinakis N, Nikolaou M, Katasos T

Intra-pelvic and intra-abdominal adhesions represent the basic causes of obstruction of small bowel, infertility, chronic pain, and impaired organ functioning, whereas they increase the risk of post-operative complications in case of a second surgery. Adhesion formation begins with formation of a fibrin matrix on two opposing injured peritoneal surfaces, which typically occurs …

Posted in 2012 Volume 11 – Issue 4 Tagged , ,

Respiratory infections and pregnancy

Pitsiou G, Kioumis I

Respiratory infections during pregnancy, although not uncommon, do not represent a significant burden, however, their management requires special attention. Mostly important entities are pneumonia, influenza and tuberculosis. Diagnosis must be prompt and radiologic investigation can be safe, under the proper security measures. Therapeutic management needs to take in account not only …

Posted in 2012 Volume 11 – Issue 4 Tagged , , ,

Breast cancer and pregnancy: How, why, when

Daniilidis A, Hatzis P, Tantanasis T, Dinas K, Nasioutziki M, Carcea F, Giannoulis C, Loufopoulos A

The aim of the present review was to assess the relationship between pregnancy and breast cancer, the influence of pregnancy on mortality and prognosis of the disease, the consequences of breast cancer on pregnancy and to discuss the possible sequelae for the woman’s fertility. Pregnancy does not seem to influence the prognosis of an already established breast malignancy …

Posted in 2012 Volume 11 – Issue 4 Tagged , , , , , ,

Ultrasound examinations in low risk pregnancies

Pilalis A, Souka A, Kassanos D

The scope of this article was to propose an updated protocol for the routine ultrasound examinations in low risk pregnancy. The protocol presents the requirements for the examiner (training, continuing education, data collection and storage) and analyses the mandated sonographic views. In addition, we review the literature on the sensitivity of ultrasound in the detection of fetal anomalies …

Posted in 2012 Volume 11 – Issue 4 Tagged , , ,

Conization for the management of cervical intraepithelial neoplasia. An audit of a tertiary referral center

Tsetsa P, Haidopoulos D, Rodolakis A, Thomakos N, Vlachos G, Pappa K, Sakellaropoulos G, Kalpaktsoglou, K, Papaspirou E, Sotiropoulou M, Papaefthimiou, M, Antsaklis A

Aim of the study: To assess the degree of agreement between cytology, punch biopsy and cone histology, the percentage of positive cone margins and to define the parameters related to recurrence in women with cervical intraepithelial neoplasia. Materials and methods: A total of 299 cone biopsies performed either by LLETZ or Laser were studied. The Pap smears were examined by two consultant …

Posted in 2012 Volume 11 – Issue 4 Tagged , , , ,