- Email: [email protected]
Our experience with sentinel lymph nodes detection during surgical therapy of our patients with cervical and endometrial cancer
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Abstracts / European Journal of Obstetrics & Gynecology and Reproductive Biology 206 (2016) e1–e127
Patient safety
Surgical techniques in breast and gynaecological cancers
Poster Presentation
Poster Presentation
Third-degree obstetric perineal tear five years after primary repair: quality of life, clinical and functional results
Our experience with sentinel lymph nodes detection during surgical therapy of our patients with cervical and endometrial cancer
Akvile Statnickaite 1,∗ , Viktorija Taraseviciene 2 , Tomas Birzietis 2 , Saulius Svagzdys 3
1 , Katalin ˝ Ágnes Stefanovits 1,∗ , Péter Gocze 2 2 Zámbó , Erzsébet Schmidt , Krisztina Kovács 3 , Antal Arany 1 , Szilárd Papp 1 , József Bódis 1
1
Lithuanian University of Health Sciences, Lithuania Lithuanian University of Health Sciences Hospital Kaunas Clinics Department of Obs-Gyn, Lithuania 3 Lithuanian University of Health Sciences Hospital Kaunas Clinics Department of Surgery, Lithuania E-mail address: [email protected] (A. Statnickaite). 2
This prospective observational study was designed to establish the quality of life (QoL), long-term clinical and anorectal functional results after primary repair of a third-degree perineal rupture in a cohort of women who suffered a third degree tear (Group 1) and compare the results with a cohort of women who underwent an uncomplicated vaginal delivery (Group 2). Twenty nine consecutive women who had a primary repair of a third-degree perineal rupture in a period 2005–2011, and 58 who underwent an uncomplicated vaginal delivery, were contacted with a validated questionnaires (Wexner‘s and The Modified Faecal Incontinence Quality of life Score). Those who responded were invited to undergo anorectal function testing (anal manometry, anal endosonography) and gynecological examination. Of the total number contacted, sixty women (68.9%) returned the completed questionnaire: nineteen women out of 29 (65.5%) of the original study group and 41 out of 58 (70.6%) of the original control were examined. The incidence of worse bowel control was nearly 6 times higher in women with third-degree lacerations (57.8%) compared with women with no lacerations (9.7%, P < .001). Mean maximal anal squeeze pressures were 64 mmHg in the Group 2 and 42 mmHg in the group 1 (p = 0.028). First sensation to filling of the rectum was decreased in study group (p = 0.01). Group 1 women that pronounced faecal incontinence had lower anal resting pressures (21 mmHg) than those in group 2 (43 mmHg) (p = 0.04). During anal endosonography sphincter defect was found in 16 cases. Patients with severe perineal tears reported a greater impact of symptoms on their quality of life but the difference with the control group was not significant. Anal incontinence prevails in 57% of women 5 years after primary repair of a third-degree perineal rupture. These women are more likely to have bowel incontinence than women without anal sphincter lacerations so it is very important to prevent further sphincter damage and better quality of life. http://dx.doi.org/10.1016/j.ejogrb.2016.07.285
1 Department of Obstetrics and Gynecology of University of Pécs, Hungary 2 Department of Nuclear Medicine of University of Pécs, Hungary 3 Department of Pathology of University of Pécs, Hungary E-mail address: [email protected] (Á. Stefanovits).
In 2011 we started a new program on the University of Pécs, Hungary in collaboration between of the Department of Obstetrics and Gynaecology, and the Department of Nuclear Medicine and the Department of Pathology with the permission of Ethics Committee of University of Pécs. Objective was to install the procedure of the sentinel lymph node technique in our clinical practice during treatment of patients who suffering is gynecological cancers (cervix and endometrial cancer). I would like to present our results in two periods. In the first period (01.01.2011–12.31.2013) we use only singular injection with low molecular weight radioactive isotopes (Tc-99). In the second period we introduce two markers, the previous preoperative lymphoscintigraphy and singular photon emission CT (SPECT CT) supplemented with intraoperative patent blue injection. Summary we can draw the following conclusion: the singular marking is enough in case of cervical cancer, but the dual injection is more useful in patient with endometrial cancer. http://dx.doi.org/10.1016/j.ejogrb.2016.07.286 Imaging in obstetrics Oral Presentation Prenatal parameters to estimate outcome and respiratory morbidity in fetuses with isolated left-sided congenital diaphragmatic hernia Zbynek Stranak 1,∗ , Ladislav Krofta 2 , Lucia Anna Haak 2 , Jiˇrí Vojtˇech 2 , Luboˇs Haˇslík 2 , Jaroslav Feyereisl 2 1 Third Faculty of Medicine, Charles University, Prague, Czech Republic 2 Fetal Medicine Centre, Institute for the Care of Mother and Child, Prague, Czech Republic E-mail address: [email protected] (Z. Stranak).
Objectives: Respiratory morbidity in congenital diaphragmatic hernia (CDH) is associated with high mortality and adverse outcome. Accurate prenatal diagnosis is essential for prognosis and potential treatment in utero. The aim was to evaluate the prenatal ultrasound findings in assessing the respiratory prognosis in fetuses with isolated left-sided CDH. Methods: We retrospectively analyzed the medical records of 59 prenatally diagnosed left-sided CDH cases managed at a tertiary perinatal center. Results: Survival rate in the study group was 73% (43/59). We found no statistically significant relationship between survival
Abstracts / European Journal of Obstetrics & Gynecology and Reproductive Biology 206 (2016) e1–e127
Patient safety
Surgical techniques in breast and gynaecological cancers
Poster Presentation
Poster Presentation
Third-degree obstetric perineal tear five years after primary repair: quality of life, clinical and functional results
Our experience with sentinel lymph nodes detection during surgical therapy of our patients with cervical and endometrial cancer
Akvile Statnickaite 1,∗ , Viktorija Taraseviciene 2 , Tomas Birzietis 2 , Saulius Svagzdys 3
1 , Katalin ˝ Ágnes Stefanovits 1,∗ , Péter Gocze 2 2 Zámbó , Erzsébet Schmidt , Krisztina Kovács 3 , Antal Arany 1 , Szilárd Papp 1 , József Bódis 1
1
Lithuanian University of Health Sciences, Lithuania Lithuanian University of Health Sciences Hospital Kaunas Clinics Department of Obs-Gyn, Lithuania 3 Lithuanian University of Health Sciences Hospital Kaunas Clinics Department of Surgery, Lithuania E-mail address: [email protected] (A. Statnickaite). 2
This prospective observational study was designed to establish the quality of life (QoL), long-term clinical and anorectal functional results after primary repair of a third-degree perineal rupture in a cohort of women who suffered a third degree tear (Group 1) and compare the results with a cohort of women who underwent an uncomplicated vaginal delivery (Group 2). Twenty nine consecutive women who had a primary repair of a third-degree perineal rupture in a period 2005–2011, and 58 who underwent an uncomplicated vaginal delivery, were contacted with a validated questionnaires (Wexner‘s and The Modified Faecal Incontinence Quality of life Score). Those who responded were invited to undergo anorectal function testing (anal manometry, anal endosonography) and gynecological examination. Of the total number contacted, sixty women (68.9%) returned the completed questionnaire: nineteen women out of 29 (65.5%) of the original study group and 41 out of 58 (70.6%) of the original control were examined. The incidence of worse bowel control was nearly 6 times higher in women with third-degree lacerations (57.8%) compared with women with no lacerations (9.7%, P < .001). Mean maximal anal squeeze pressures were 64 mmHg in the Group 2 and 42 mmHg in the group 1 (p = 0.028). First sensation to filling of the rectum was decreased in study group (p = 0.01). Group 1 women that pronounced faecal incontinence had lower anal resting pressures (21 mmHg) than those in group 2 (43 mmHg) (p = 0.04). During anal endosonography sphincter defect was found in 16 cases. Patients with severe perineal tears reported a greater impact of symptoms on their quality of life but the difference with the control group was not significant. Anal incontinence prevails in 57% of women 5 years after primary repair of a third-degree perineal rupture. These women are more likely to have bowel incontinence than women without anal sphincter lacerations so it is very important to prevent further sphincter damage and better quality of life. http://dx.doi.org/10.1016/j.ejogrb.2016.07.285
1 Department of Obstetrics and Gynecology of University of Pécs, Hungary 2 Department of Nuclear Medicine of University of Pécs, Hungary 3 Department of Pathology of University of Pécs, Hungary E-mail address: [email protected] (Á. Stefanovits).
In 2011 we started a new program on the University of Pécs, Hungary in collaboration between of the Department of Obstetrics and Gynaecology, and the Department of Nuclear Medicine and the Department of Pathology with the permission of Ethics Committee of University of Pécs. Objective was to install the procedure of the sentinel lymph node technique in our clinical practice during treatment of patients who suffering is gynecological cancers (cervix and endometrial cancer). I would like to present our results in two periods. In the first period (01.01.2011–12.31.2013) we use only singular injection with low molecular weight radioactive isotopes (Tc-99). In the second period we introduce two markers, the previous preoperative lymphoscintigraphy and singular photon emission CT (SPECT CT) supplemented with intraoperative patent blue injection. Summary we can draw the following conclusion: the singular marking is enough in case of cervical cancer, but the dual injection is more useful in patient with endometrial cancer. http://dx.doi.org/10.1016/j.ejogrb.2016.07.286 Imaging in obstetrics Oral Presentation Prenatal parameters to estimate outcome and respiratory morbidity in fetuses with isolated left-sided congenital diaphragmatic hernia Zbynek Stranak 1,∗ , Ladislav Krofta 2 , Lucia Anna Haak 2 , Jiˇrí Vojtˇech 2 , Luboˇs Haˇslík 2 , Jaroslav Feyereisl 2 1 Third Faculty of Medicine, Charles University, Prague, Czech Republic 2 Fetal Medicine Centre, Institute for the Care of Mother and Child, Prague, Czech Republic E-mail address: [email protected] (Z. Stranak).
Objectives: Respiratory morbidity in congenital diaphragmatic hernia (CDH) is associated with high mortality and adverse outcome. Accurate prenatal diagnosis is essential for prognosis and potential treatment in utero. The aim was to evaluate the prenatal ultrasound findings in assessing the respiratory prognosis in fetuses with isolated left-sided CDH. Methods: We retrospectively analyzed the medical records of 59 prenatally diagnosed left-sided CDH cases managed at a tertiary perinatal center. Results: Survival rate in the study group was 73% (43/59). We found no statistically significant relationship between survival