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Case Report
Mounia Bennani* View abstract
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ShareThis is the case of a 48-year-old patient, no Medical or pharmacological history referred in Our dermatology consultation for management of a lesion evolving for 6 years, increasing in size, becoming bleeding on contact, the patient did not complain of pain, but rather an unpleasant feeling of heaviness. On local examination, a multi-lobed tumor of approximately 10 cm wasprotruding through the vagina (Figure1). The mass was firm, pink-reddish, with a smooth surface (Figure 2), the vaginal touch the tumor was in continuity with the cervix, while the vulva was intact. A dermoscopic examination was carried out objectifying the presence of a polymorphic vascularization made of vessels in points, irregular linear, and hairpins in ..... ReadMore -
Editorial
Nagy M Metwally Ahmed* View abstract
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ShareOne of the most common gynecologic complaint is irregular uterine bleeding It is one of the most common Problem in the perimenopausal and postmenopausal years. It has a direct impact on woman physical, social, emotional and material quality of life. While vaginal bleeding is the sign of endometrial cancer in more than 90% of postmenopausal women which is the sixth most common malignant neoplasm in women worldwide and is the most common gynecologic malignancy in developed countries, therefore, the diagnosis of AUB needs to be undertaken seriously. This study was implemented to evaluate the efficacy of suction pipelle-which is an endometrial sampling technique- in diagnosis of endometrial lesions in cases of abnormal uterine bleeding. It was designed as a cross sectional study and included 184 patients complaining of AUB. 2 samples were ta..... ReadMore
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Review Article
Graham A*, Kazerouni H and Sur M View abstract
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ShareIntroductionMucinous tumors of the ovary account for about 15% of all ovarian tumors; 80% are benign, while only 3-4% are invasive carcinoma; the remainder are borderline tumors [1]. Rarely, mucinous tumors may exhibit mural nodules containing a carcinomatous or sarcomatous component; these mural nodules are more commonly associated with mucinous borderline tumors but can also arise within mucinous carcinoma [1, 2]. Prat and Scully first described mucinous ovarian tumors with mural nodules in a series of 7 cases in 1979; these lesions were termed mucinous tumors with sarcoma-like nodules [3,4]. However, classification of mural nodules arising in mucinous ovarian tumors remains unclear, and several authors have proposed different classification systems ..... ReadMore
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Research Article
Nagy M Metwally Ahmed* View abstract
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ShareIntroduction: Ladies with irregular uterine draining need assessment for analysis of various sicknesses especially endometrial carcinoma. Office endometrial testing with pipelle joined with vaginal ultrasonography is simpler, less expensive, non-obtrusive. Destinations of the examination were to research the utilization of both transvaginal ultrasonography and office endometrial testing for the determination of endometrial malady in ladies with vaginal dying. Techniques: The 480 ladies giving anomalous uterine draining were joined up with the investigation. Trans Vaginal ultrasonography was finished. Endometrial testing was finished utilizing endometrial biopsy pipelle, as office system, in the outpatient’s center. The example was sent for Histopathological Examination (HPE), the precision of vaginal ultrasound and pipell..... ReadMore
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Research Article
Hossam M Abd-Elnaby* View abstract
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ShareIntroduction: Uterine myomas are smooth muscle tumor and uterine connective tissues. Myomas occur in women of reproductive age who may represent menorrhagia, abdominal weight, effects of stress and infertility. Myomas symptoms may be affected by the tumor’s size, number, and site. Myomectomy is known as a significant option for women with symptomatic leiomyomas and want potential pregnancy. Myomectomy is the removal of myoma(s) from the womb. Often intraoperative bleeding is often an issue in this procedure, suggesting blood transfusion in up to 20 percent of women and conversion to hysterectomy in 2 percent of women. Therefore, during abdominal myomectomy, several approaches are used to minimize blood loss. One of these is uterine artery interventions such as; peri cervical mechanical tourniquet, bilater..... ReadMore
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Research Article
Bassem A Islam* View abstract
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ShareThere is no uncertainty that total careful organizing is the standard of care for ovarian malignant growth. Lymphadenectomy is a fundamental piece of careful arranging as they have a potential job in both organizing and retroperitoneal debulking. Proof from the writing shows that medical procedure is lacking in 75% of situations when the method is performed by unpracticed specialists. This information reports a 50_100% contrast in 5-year generally endurance. Then again, the wellbeing of the medical procedure is much increasingly significant than its sufficiency in many cases. The careful intercession ought not open the patient to expanded paces of intraoperative difficulties while the specialist is endeavoring endeavors to play out an increasingly broad LND. Since the lymph hubs are found adjoining significant structures including extraor..... ReadMore
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Review Article
Brinderjeet Kaur View abstract
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ShareCesarean section is the most common surgical procedure in the world. Cesarean Section on Maternal Request (CSMR) is one that is performed on pregnant woman without any medical or obstetrics indications and without contraindication to vaginal delivery. CSMR should never be performed before <39 weeks. There is increased incidence of CSMR worldwide, not only for perceived medical benefits but due to social, cultural and lifestyle changes. The validity of consent for CSMR is invalid and the ethical principles surrounding the use are complicated. It is of utmost importance that it does not dent resources of country and deprive care to woman requiring medically individualized care. It is necessary for obstetrician dealing with request for CSMR that they establish reasons for request provide clear unbiased opinions and seek second opinion from a..... ReadMore
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Research Article
Ahmed Hagras and Maha M Hagras View abstract
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ShareAbstract: Background: Preeclampsia a chief clinical scenario in obstetric medicine, having highly morbid and grave sequalae particularly if rapidly progressive and left unmanaged. The complexity of immune system components involvement is integrated in the preeclampsia pathology as immune based pathology is one of the cornerstone theories for preeclampsia development that have raised the issue that immune dysfunction affection is an issue that could be investigated in recent research efforts to reveal any immunological biomarker that could be implemented as a predictability tool for preeclampsia development and severity. Aim: To investigate the possible usage of immune biomarkers in prediction of preeclampsia. Methodology: The current study was conducted at Departments of Obstetrics & Gynecology and Clinical Pathology, Tanta Universit..... ReadMore
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Research Article
Ayman El-Dorf and Maha M Hagras View abstract
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ShareAbstract: Background: Preeclampsia at molecular and cellular levels was observed as a disease of placentation that is affected by interaction of various factors that could trigger the disease pathological course and behavior. Prenatal environmental metals exposure is considered a cornerstone factor that could trigger the clinical presentation of preeclampsia due to toxic effects of some trace metals, besides the deficiency of some trace elements is considered a crucial issue in cell apoptosis and remodeling is one of the characteristic features of trophoblastic invasion. Aim: To investigate the predictability value of trace metal screening in predictability of preeclampsia clinical development. Methodology: The current research clinical trial is prospective in manner that recruited 420 research study subjects from January 2017 till Ap..... ReadMore
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Research Article
Mounia Bennani* View abstract
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Share30 yeаrs old patient; without significant pathological antecedents, who had painful and trailing genital ulcerations for two months, increаsing in size and number, she had never presented a similar episode. Moreover, the patient did not report any associated digestive symptoms and in particular not transit problems; nor other systemic signs. The dermatological examination found genital ulcerations of différent size, the largest of which was 4 cm long axis surrounded by an erythematous halos, with a yellowish-white background in fresh breath, evoking genital aphthosis in Figure 1..... ReadMore
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Research Article
Naglaa Hussien* and Mohamed Hashem El Refaey View abstract
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ShareBackground: Preterm premature rupture of membranes is a chief clinical scenario in obstetrics causing morbidity and mortality issues at maternal and fetal levels. Aim: To investigate the correlation and linkage between fetal urinary production rate measured by sonography, and adverse neonatal clinical outcomes in cases with preterm premature rupture of membranes. Methodology: A prospective observational clinical research trial of cases that are singleton gestations diagnosed having PPROM from 24+0 to 34+6 gestational weeks, from January 2016 and March 2019. Gestational age determination was made using the last menstrual period and verified by first trimester sonography. exclusive research criteria were as follows cases that had spontaneous delivery within 48 hours of PPROM, other gestational medical complications (e.g. DM, hypertension..... ReadMore
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Research Article
Waleed Tawfik* and Marwa Elsayed Ahmed View abstract
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ShareBackground: Preterm premature rupture of membranes is a challenging obstetric clinical scenario, since management requires a careful balance between maternal wellbeing and tolerance for continuation of pregnancy and fetal wellbeing and maturity issues. Aim: The influence and effect of non-β-lactam antibiotic administration on the expectant management course of PPROM as regards the neonatal morbidity, mortality issues and maternal Additionally, infectious clinical outcomes. Methodology: Research study subjects inclusive research criteria singleton, with no congenital fetal anomalies’ gestations affected by Preterm premature rupture of membranes at or beyond 240/7 gestational weeks of gestation and delivery at less than 350/7 gestational weeks. 350 research study subjects were recruited for the research study categorized into two rese..... ReadMore
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Research Article
Waleed Tawfik* and Marwa Elsayed Ahmed View abstract
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ShareBackground: Preterm premature rupture of membranes is a frequent every day obstetric clinical scenario the proper line of management is considered lifesaving in some situations. The main aim of most investigators and practitioners all over the globe is to explore the safest management line according to the pros and cons of each decision. Aim: To compare the neonatal clinical outcomes of cases women having PPROM before 34 gestational weeks, in accordance to the management protocol (inpatient versus outpatient care). Methodology: A prospective clinical research trial that recruited 300 research study subjects Inclusive research criteria were admitted with a clinical diagnosis of PPROM between 24+0 and 33+6 gestational weeks and didn’t deliver within the 48 hours after PPROM. Exclusive research criteria have been twin gestations, fetal a..... ReadMore
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Research Article
Mohamed Anwar Elnory and Mahmoud Abosrea* View abstract
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ShareBackground: The submucous and intramural categories of uterine fibroids are considered by most reproductive practitioners are factors that could hinder embryonic implantation. Aim: Elucidation and investigation of factors correlated to reproductive outcomes in infertility cases having myomectomy procedure for Intramural situated fibroids. Methodology: A clinical research trial in which 150 cases having unexplained infertility in the presence of intramural fibroid category were recruited for the research study data was gathered in a retrospective fashion to elucidate the full clinical data and operative details. Results: There was statistical significance as regards Age > 40 yrs. and Cavity entry (p values=0.0007,0.0017 consecutively), whereas there was no statistical significance for Fibroid measure on imaging and diameter of largest ..... ReadMore
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Research Article
Amal Elshabrawy Elsayed View abstract
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ShareBackground: With increased desires among both patients and physicians all over the world to get the optimum rates of success from ART management protocols, vitamin D is considered one of the crucial and demanding areas of research efforts that requires clarification of its exact role on various fertility aspects. Aim: to investigate whether vitamin D supplementation enhances ICSI outcomes in cases with vitamin D deficiency without clinical symptoms. Methodology: A clinical research study 150 females cases having an age range of 18 to 38 years having serum Vitamin D level under 30ng/ml without symptoms of Vitamin D deficiency were recruited in the research study categorized into two research groups equally numbered placebo and vitamin D research group. Results: Statistical comparative analysis of ICSI outcomes in Vitamin D and placeb..... ReadMore
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Short Communication
AK Mohiuddin* View abstract
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ShareAccording to the American Academy of Family Physicians, up to 20% of women suffer from menstrual cramping severe enough to interfere with daily activities. If prostaglandins levels are higher, more pain is often associated with the cramps. Cycle length, blood loss, period-related symptoms, fluid color, and consistency are all highly variable, even for just one person. However, severe menstrual pain is likely to be caused by a health issue such as PMS, fibroids, or endometriosis and requires medical support. When researchers analyzed frequency and duration of exercise and compared it to reports of period pain, they found exercise did little to reduce discomfort, and in fact this persisted even when a range of other factors-including weight, ethnicity, smoking and use of the birth control pill-were taken into consideration. Some women may a..... ReadMore
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Research Article
Kavya Kota* View abstract
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ShareLeiomyoma of the uterus forms the most common type of benign tumour of the uterus and also most common pelvic tumour in women. The symptomatology continues to be variable. Surgery has for long been the main mode of therapy for the myomas. For women who wish to retain their uterus for future pregnancies or other reasons myomectomy is known. Recent trend has been towards non surgical approaches like GnRH hormone analogues or agonists, RU486 or selective uterine artery embolization, Laparoscopic cryoablation, radio frequency thermal ablation, MRGUS...... ReadMore
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Research Article
Franklin José Espitia De La Hoz* View abstract
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ShareObjective: To evaluate the effectiveness of Hayman’s compressive sutures, as a conservative treatment, in the control of postpartum hemorrhage (PPH).Materials and methods: An observational, retrospective, cross-sectional and descriptive study was carried out, the clinical records were reviewed, and all the patients who had been subject to Hayman’s compressive sutures, due to postpartum hemorrhage resistant to pharmacological treatment were analyzed. The women received care between January 2009 and December 2018 in a third level private institution in Armenia (Quindío, Colombia). Women who suffered postpartum obstetric hemorrhage (vaginal and cesarean section), who did not respond to pharmacological management in the first 6 hours of puerperium were included. Women whose deliveries did not take place in the clinic, with a dead fetus o..... ReadMore
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Case ReportHypogonadotropic Hypogonadism: Can have Multiple Pregnancy and or Ovarian Hyper Stimulation Syndrome
Nisreen Aref Albezrah* View abstract
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ShareHypogonadotropic hypogonadism (HH) is the least common etiology of all the causes of infertility. Patients in whom fertility is desired, induction of gonadotropin secretion by pulsatile GnRH or treatment with exogenous gonadotropin is the current treatment of choice. Ovulation induction in patients with hypogonadotropic hypogonadism (HH) is a challenge to the treating physician. The ovarian response in HH cannot be predicted and may differ substantially from that of normal patients. A step-up protocol longer duration of stimulation is required in some cases to reach that threshold levels of follicle stimulating hormone, in so as to prevent multiple pregnancies and to eliminate the risk of ovarian hyper stimulation syndrome (OHSS)...... ReadMore
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Research Article
Walid M Elnagar View abstract
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ShareObjective: To compare the incidence of SSI(surgicl site infection) betweenanti-sepsis solutions Chlorhexidine-Alcohol (CA) and Povidone-Iodine (PI) before elective CS(cesarean section). Methods: Aprospective randomised controlled trial was conducted from January 2018 tell February, 2019 at the Obstetrics and Gynecology department of King Abd AL-Aziz Hospital, Saudi Arabia. Pregnant women greater than 18 years andreached 37 week of gestation andwere scheduled for elective cesarean delivery wererecruitmed. These womenwere randomly allocated in the ratio of 1:1 and received skin anti-septic preparation A (Chlorhexidine-Gluconate) or B (Povidone-Iodine). The primary outcome was superficial or deep SSI within 30 days after elective CS while the secondary outcomes assessed were hospital length of stay, readmission, endometritis and adverse s..... ReadMore
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