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Modern Pathology : An Official Journal... Dec 2020The terminology and diagnostic criteria presently used by pathologists to report invasive placentation is inconsistent and does not reflect current knowledge of the... (Review)
Review
The terminology and diagnostic criteria presently used by pathologists to report invasive placentation is inconsistent and does not reflect current knowledge of the pathogenesis of the disease or the needs of the clinical care team. A consensus panel was convened to recommend terminology and reporting elements unified across the spectrum of PAS specimens (i.e., delivered placenta, total or partial hysterectomy with or without extrauterine tissues, curetting for retained products of conception). The proposed nomenclature under the umbrella diagnosis of placenta accreta spectrum (PAS) replaces the traditional categorical terminology (placenta accreta, increta, percreta) with a descriptive grading system that parallels the guidelines endorsed by the International Federation of Gynaecology and Obstetrics (FIGO). In addition, the nomenclature for hysterectomy specimens is separated from that for delivered placentas. The goal for each element in the system of nomenclature was to provide diagnostic criteria and guidelines for expected use in clinical practice.
Topics: Biopsy; Consensus; Documentation; Female; Forms and Records Control; Humans; Hysterectomy; Medical Records; Pathology, Clinical; Placenta; Placenta Accreta; Placentation; Predictive Value of Tests; Pregnancy; Severity of Illness Index; Terminology as Topic
PubMed: 32415266
DOI: 10.1038/s41379-020-0569-1 -
PloS One 2021Autonomic neurons innervating uterine horn is probably the only nerve cell population capable of periodical physiological degeneration and regeneration. One of the main...
Autonomic neurons innervating uterine horn is probably the only nerve cell population capable of periodical physiological degeneration and regeneration. One of the main sources of innervation of the uterus is paracervical ganglion (PCG). PCG is a unique structure of the autonomic nervous system. It contains components of both the sympathetic and parasympathetic nervous system. The present study examines the response of neurons of PCG innervating uterine horn to axotomy caused by partial hysterectomy in the domestic pig animal model. The study was performed using a neuronal retrograde tracing and double immunofluorescent staining for tyrosine hydroxylase (TH), dopamine beta-hydroxylase (DβH), choline acetyltransferase (ChAT), vesicular acetylcholine transporter (VAChT), neuronal nictric oxide synthase (nNOS), galanin, neuropeptide Y (NPY), vasoactive intestinal peptide (VIP), pituitary adenylate cyclase-activating peptide (PACAP), somatostatin and substance P (SP). Our study showed that virtually all neurons of the porcine PCG innervating uterine horn are adrenergic and we did not confirm that PCG is the source of cholinergic fibers innervating uterine horn of the pig. After axotomy there was a decrease in expression of catecholamine-synthesizing enzymes (TH, DβH) and a strong increase in the galanin expression. The increase of the number of NPY-IR neurons in the ganglia after axotomy was observed. There were no changes in the expression of other studied substances in the PCG neurons innervating the uterine horn, what was often found in rodents studies. This indicates that neurons can respond to damage in a species-specific way.
Topics: Animals; Choline O-Acetyltransferase; Dopamine beta-Hydroxylase; Female; Ganglia, Spinal; Hysterectomy; Neurons; Nitric Oxide Synthase; Pituitary Adenylate Cyclase-Activating Polypeptide; Somatostatin; Substance P; Swine; Tyrosine 3-Monooxygenase; Uterus; Vasoactive Intestinal Peptide; Vesicular Acetylcholine Transport Proteins
PubMed: 33497400
DOI: 10.1371/journal.pone.0245974 -
PloS One 2021[This corrects the article DOI: 10.1371/journal.pone.0245974.].
[This corrects the article DOI: 10.1371/journal.pone.0245974.].
PubMed: 34138980
DOI: 10.1371/journal.pone.0253676 -
American Journal of Obstetrics and... Dec 2010Gestational trophoblastic disease includes hydatidiform mole (complete and partial) and gestational trophoblastic neoplasia (invasive mole, choriocarcinoma, placental... (Review)
Review
Gestational trophoblastic disease I: epidemiology, pathology, clinical presentation and diagnosis of gestational trophoblastic disease, and management of hydatidiform mole.
Gestational trophoblastic disease includes hydatidiform mole (complete and partial) and gestational trophoblastic neoplasia (invasive mole, choriocarcinoma, placental site trophoblastic tumor, and epithelioid trophoblastic tumor). The epidemiology, pathology, clinical presentation, and diagnosis of each of these trophoblastic disease variants are discussed. Particular emphasis is given to management of hydatidiform mole, including evacuation, twin mole/normal fetus pregnancy, prophylactic chemotherapy, and follow-up.
Topics: Abortion, Therapeutic; Antineoplastic Combined Chemotherapy Protocols; Choriocarcinoma; Combined Modality Therapy; Female; Follow-Up Studies; Gestational Trophoblastic Disease; Humans; Hydatidiform Mole; Hysterectomy; Pregnancy; Risk Assessment; Survival Rate; Treatment Outcome; Uterine Neoplasms
PubMed: 20728069
DOI: 10.1016/j.ajog.2010.06.073 -
Veterinary Surgery : VS Oct 2016To describe the clinical findings, surgical treatment, and long-term outcome of dairy cattle undergoing partial hysterectomy with or without unilateral ovariectomy.
OBJECTIVE
To describe the clinical findings, surgical treatment, and long-term outcome of dairy cattle undergoing partial hysterectomy with or without unilateral ovariectomy.
STUDY DESIGN
Retrospective case series.
ANIMALS
Dairy cattle (n = 7).
METHODS
Medical records (June 2007-June 2014) of dairy cattle that had partial hysterectomy with or without ipsilateral ovariectomy were reviewed. Follow-up data were obtained by telephone interviews with owners and referring veterinarians between 6 months and 7 years following discharge.
RESULTS
Seven dairy cattle met the inclusion criteria. Diagnoses made intra- or postoperatively were ovarian abscess with multiorgan adhesions (4 cows), segmental aplasia of the uterus (2 cows), and uterine lymphosarcoma (1 cow). Partial hysterectomy with or without unilateral ovariectomy was performed without surgical complications by standing flank approach. All cows were successfully discharged from the hospital (short-term prognosis). Five cows became pregnant, and 4 delivered live calves and had a satisfactory productive life without long-term complications.
CONCLUSION
Partial hysterectomy by standing flank approach should be considered as a viable treatment option for unilateral ovarian or uterine problems in dairy cattle. Cattle undergoing partial hysterectomy with or without ipsilateral ovariectomy are capable of satisfactory reproduction and milk production after surgery with no short- or long-term complications.
Topics: Animals; Cattle; Cattle Diseases; Female; Hysterectomy; Ovariectomy; Retrospective Studies; Treatment Outcome
PubMed: 27580873
DOI: 10.1111/vsu.12532 -
Zentralblatt Fur Gynakologie 1995With the advent of endometrial ablation and resection, and the laparoscopic techniques for hysterectomy, there has been renewed interest in subtotal or partial... (Review)
Review
With the advent of endometrial ablation and resection, and the laparoscopic techniques for hysterectomy, there has been renewed interest in subtotal or partial hysterectomy. A number of unsubstantiated claims have been made for these new techniques and these are critically reviewed. There appears to be no reason to advocate a change from total hysterectomy to partial hysterectomy on the basis of the currently available evidence.
Topics: Cervix Uteri; Endometrium; Female; Humans; Hysterectomy; Laparoscopy; Postoperative Complications; Treatment Outcome
PubMed: 8585356
DOI: No ID Found -
American Journal of Obstetrics and... Jun 1986Partial colpocleisis, in comparison with complete colpocleisis, offers several advantages. The most obvious advantage is the avoidance of recurrent prolapse in sexually...
Partial colpocleisis, in comparison with complete colpocleisis, offers several advantages. The most obvious advantage is the avoidance of recurrent prolapse in sexually nonactive, older patients. Historically, colpocleisis has been reported to produce stress incontinence, which may be avoided by partial colpocleisis. Careful attention to avoiding anterior wall adhesions by leaving anterior and posterior vaginal walls separated and a very small, nonfunctional vagina will prevent scarring with fixation at the bladder neck, which in most instances will result in stress incontinence. To leave a functional vagina in an elderly widow, not active for many years and with no plans for sexual activity, will leave the patient with the possibility of recurrent prolapse. Partial colpocleisis, a relatively short procedure with minimal blood loss and with careful attention to the avoidance of scarring between the anterior and posterior walls, will obviate the reported stress incontinence following complete colpocleisis. One hundred two cases from 1970 will be analyzed and reported.
Topics: Aged; Blood; Female; Fever; Humans; Hysterectomy; Hysterectomy, Vaginal; Middle Aged; Postoperative Complications; Time Factors; Urinary Catheterization; Urinary Incontinence; Uterine Prolapse; Vagina
PubMed: 3717230
DOI: 10.1016/0002-9378(86)90699-x -
Surgical Endoscopy Apr 2021There is controversy regarding the widespread uptake of robotic surgery across several surgical disciplines. While it has been shown to confer clinical benefits such as...
BACKGROUND
There is controversy regarding the widespread uptake of robotic surgery across several surgical disciplines. While it has been shown to confer clinical benefits such as decreased blood loss and shorter hospital stays, some argue that the benefits of this technology do not outweigh its high cost. We performed a retrospective insurance-based analysis to investigate how undergoing robotic surgery, compared to open surgery, may impact the time in which an employed individual returns to work after undergoing major surgery.
METHODS
We identified a cohort of US adults with employer-sponsored insurance using claims data from the MarketScan database who underwent either open or robotic radical prostatectomy, hysterectomy/myomectomy, and partial colectomy from 2012 to 2016. We performed multiple regression models incorporating propensity scores to assess the effect of robotic vs. open surgery on the number of absent days from work, adjusting for demographic characteristics and baseline absenteeism.
RESULTS
In a cohort of 1157 individuals with employer-sponsored insurance, those undergoing open surgery, compared to robotic surgery, had 9.9 more absent workdays for radical prostatectomy (95%CI 5.0 to 14.7, p < 0.001), 25.3 for hysterectomy/myomectomy (95%CI 11.0-39.6, p < 0.001), and 29.8 for partial colectomy (95%CI 14.8-44.8, p < 0.001) CONCLUSION: For the three major procedures studied, robotic surgery was associated with fewer missed days from work compared to open surgery. This information helps payers, patients, and providers better understand some of the indirect benefits of robotic surgery relative to its cost.
Topics: Absenteeism; Adolescent; Adult; Colectomy; Female; Humans; Hysterectomy; Male; Middle Aged; Prostatectomy; Retrospective Studies; Robotic Surgical Procedures; Workplace; Young Adult
PubMed: 32291540
DOI: 10.1007/s00464-020-07547-y -
Clinical Obstetrics and Gynecology Dec 1981
Topics: Fallopian Tube Diseases; Female; Genital Diseases, Female; Genital Neoplasms, Female; Humans; Hysterectomy; Ovarian Diseases; Pregnancy; Referral and Consultation; Uterine Diseases
PubMed: 7333047
DOI: 10.1097/00003081-198112000-00020