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Obstetrical attitude towards performing a trial of labor after cesarean section in Greece: A cross-sectional study

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Elpida Ralli, Kyriaki Mitta, Eirini Toulika, Ioannis Tsakiridis, Apostolos Mamopoulos, Ioannis Kalogiannidis, Apostolos Athanasiadis, Themistoklis Dagklis

Introduction: There has been a notable worldwide rise in the percentage of women delivering via cesarean section. Although cesarean section is generally considered safe, there is a possibility of significant health risks and even mortality associated with it. The aim of this study was to collect pertinent data on the perspectives of healthcare providers, particularly obstetricians, who are involved …

Posted in 2024 Volume 23 – Issue 3 Tagged , , ,

Obstetric Outcomes of pregnant women with Covid-19 infection during first and second waves of Covid Pandemic in Lagos Nigeria

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A. A Oluwole, Obodo Chioma Ethel, Aloy Okechukwu Ugwu, Christian Chigozie Makwe, Kehinde S. Okunade, Emmanuel Owie, Ijeoma Chinenye Ohagwu, Uzoma Chinedu Ifezue, Akase Iorhen, Ngwu Hillary, Ajachukwu Placcid

Background: Coronaviruses are a group of enveloped positive-stranded RNA viruses. They constitute a very important human and animal pathogens. COVID-19, a novel coronavirus was identified towards the end of 2019 following a cluster of pneumonia in Wuhan city in China. Our study aims to document the obstetrics parameters and outcomes of pregnant women diagnosed and managed at the Lagos University Teaching Hospital, Nigeria …

Posted in 2024 Volume 23 – Issue 3 Tagged , , ,

Intraperitoneal analgesia to reduce pain after laparoscopic hysterectomy: Randomized Controlled Trial

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O. I. Kamel, H. M. Samour, M. F. Gomaa, S. A. Mohamed

Background: Laparoscopic hysterectomy patients report high levels of postoperative pain and inadequate pain relief. This minimally invasive procedure is difficult to manage and leads to increased opioid use, limited mobility, and higher risks of complications, delayed rehabilitation and prolonged hospital stay. Objective: To determine the analgesic efficacy of bupivacaine’s intraperitoneal …

Posted in 2024 Volume 23 – Issue 3 Tagged , ,

The Pathognomonic ultrasonographic findings in fetus with COVID-19 infection

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Mohamed Elsherbiny Hamed, Mostafa Hassan Ragab, Waleed Hitlar Ahmed

Aim: The main goal is to identify the pathognomonic sonographic signs for foetal SARS-CoV-2 infection and to determine whether or not transplacental SARS-CoV-2 transmission is possible. Patients and Methods: In total, 105 pregnant women with positive SARS-CoV-2 PCR swabs during the first trimester …

Posted in 2024 Volume 23 – Issue 3 Tagged ,

Post-splenectomy thrombocytosis and survival outcomes of patients submitted to maximal effort cytoreductive surgery for advanced epithelial ovarian cancer

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Vasilios Pergialiotis, Dimitrios Efthymios Vlachos, Loukas Feroussis, Vasilios Lygizos, Ioannis Rodolakis, Konstantinos Bramis, Eleftherios Zachariou, Georgios Daskalakis, Nikolaos Thomakos, Dimitrios Haidopoulos

Background: Splenectomy is a  very common procedure that is frequently necessary in cases requiring upper abdominal surgery for ovarian cancer. To date, the impact of postoperative thrombocytosis on ovarian cancer survival has not been studied. In the present retrospective cohort study we chose to evaluate the impact of post-splenectomy thrombocytosis on survival outcomes of patients with advanced epithelial ovarian cancer …

Posted in 2024 Volume 23 – Issue 3 Tagged , , , , , ,

A Case Report Of An Isolated Dextrogastria Diagnosed In First Trimester Ultrasound Screening

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Koutras A, Fasoulakis Z, Asimakopoulos G, Tasias K, Daskalakis G, Theodora M, Antsaklis P

Isolated dextrogastria is an uncommon congenital abnormality defined by rightward stomach rotation. Although it was usually thought to be a harmless discovery with no long-term implications, potential connections with other congenital malformations have been documented. In our case, a 30-year-old primigravida’s fetus with isolated dextrogastria and an abdominal cyst …

Posted in 2024 Volume 23 – Issue 3 Tagged , , , , , , ,

Editorial

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Dimitris Loutradis

Multiple pregnancies present unique challenges and considerations for both expectant parents and healthcare providers. While the joy of anticipating multiple bundles of joy is undeniable, managing multiple pregnancies requires careful monitoring and personalized care to ensure the health and well-being of both the mother and her fetuses. Prenatal care …

Posted in 2024 Volume 23 – Issue 2

Impact of letrozole on prevention of early-onset ovarian hyperstimulation syndrome in GnRH antagonist protocol: A Randomized Controlled Trial

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Ahmed Abdel Hakim, Fatma Gamal Al Saidi, Ihab Gomaa, Abdel Latif Elkholy, Ahmed Abbas

Background: Letrozole is an aromatase inhibitor that decreases the risk of Ovarian Hyperstimulation Syndrome (OHSS) in assisted reproductive technology. We aimed to evaluate the clinical outcomes of high-risk patients undergoing different Intracytoplasmic Sperm Injection (ICSI) protocols, one with letrozole …

Posted in 2024 Volume 23 – Issue 2 Tagged , ,

Effect of COVID-19 infection during pregnancy on Cerebro-placental circulation (Prospective study)

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Monira Ali Ali, Mostafa Hassan Ragab, Karam Mohamed Bioumy

Background: Most pregnant women who are positive for SARS-COV-2 are asymptomatic and have a low prevalence of perinatal complications. Initially, there was an overreaction concerning the potential complications of SARS-COV-2 in pregnancy, with an increase in rate of indicated preterm birth in order to avoid foetal exposure to the virus. However, now that clinical experience has accumulated, the general …

Posted in 2024 Volume 23 – Issue 2 Tagged ,

Effect of Warm Fluid Distension Media in relieving Pain in outpatient Hysteroscopy: Randomized Controlled Trial

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Mortada ElSayed Ahmed, Ahmed Mohamed Hashad, Rania Gamal El-Skaan, Amira Mohamed Zanoun, Nermeen Moustafa El-Ghareeb

Objective: To detect the significance of using warm saline (body temperature 37C) as distension media in-office hysteroscopy in reducing pain.
Methods: This randomized control trial was conducted at the Early Cancer Detection and Gynecological Endoscopy Unit, Maternity Hospital, Ain Shams University, on 100 women who underwent office hysteroscopy …

Posted in 2024 Volume 23 – Issue 2 Tagged , ,