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 …

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 …

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 …

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 …

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 …