Current status of infrastructures of obstetrics and gynecology in South Korea.
Obstetrics & Gynecology Science.2015;58(5):435-437. doi:10.5468/ogs.2015.58.5.435
Obstetrics & Gynecology Science
2002 (v1, n1) to Present ISSN: 1671-8925
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Obstetrics & Gynecology Science.2015;58(5):431-434. doi:10.5468/ogs.2015.58.5.431
Cervical ectopic pregnancy is associated with high risk for massive bleeding conditions. Cervical ectopic pregnancy can usually be treated by methotrexate injection or surgery. We present 4 cases of cervical ectopic pregnancy that were treated successfully with different uterine-conserving methods. By comparing our experience of 4 cases managed in different ways, we found that laparoscopic uterine artery occlusion before cervical curettage is more effective method for preventing massive bleeding.
Curettage* ; Female ; Hemorrhage* ; Hemostatic Techniques ; Laparoscopy ; Methotrexate ; Pregnancy ; Pregnancy, Ectopic* ; Therapeutic Occlusion ; Uterine Artery Embolization ; Uterine Artery*
Curettage* ; Female ; Hemorrhage* ; Hemostatic Techniques ; Laparoscopy ; Methotrexate ; Pregnancy ; Pregnancy, Ectopic* ; Therapeutic Occlusion ; Uterine Artery Embolization ; Uterine Artery*
Obstetrics & Gynecology Science.2015;58(5):427-430. doi:10.5468/ogs.2015.58.5.427
Congenital afibrinogenemia/hypofibrinogenemia is a rare inherited hematologic disorder in which a patient lacks or has insufficient level of fibrinogen, the blood coagulation factor I. The incidence of this uncommon disease is 1 to 2 per 1 million individuals. Hence, massive hemoperitoneum caused by ovulation in a woman with congenital afibrogenemia is also a very rare clinical condition. Massive hemoperitoneum usually presents as acute abdominal pain with potential findings of peritonitis including abdominal distention, hypotension and tachycardia with critical consequences. We performed emergent endoscopic surgery for hemoperitoneum caused by a ruptured corpus luteum cyst in a patient with congenital hypofibrinogenemia. To the best of our knowledge, this was the first case report of such treatment in Korea.
Abdominal Pain ; Afibrinogenemia ; Corpus Luteum* ; Female ; Fibrinogen ; Hemoperitoneum* ; Humans ; Hypotension ; Incidence ; Korea ; Ovarian Cysts* ; Ovulation ; Peritonitis ; Rupture ; Tachycardia
Abdominal Pain ; Afibrinogenemia ; Corpus Luteum* ; Female ; Fibrinogen ; Hemoperitoneum* ; Humans ; Hypotension ; Incidence ; Korea ; Ovarian Cysts* ; Ovulation ; Peritonitis ; Rupture ; Tachycardia
Obstetrics & Gynecology Science.2015;58(5):423-426. doi:10.5468/ogs.2015.58.5.423
Adult granulosa cell tumors (AGCTs) presenting with massive ascites and elevated serum CA-125 levels have rarely been described in the literature. An ovarian mass, massive ascites, and elevated serum CA-125 levels in postmenopausal women generally suggest a malignant ovarian tumor, particularly advanced epithelial ovarian cancer. AGCT has low 18F-fluorodeoxyglucose uptake on positron emission tomography/computed tomography due to its low metabolic activity. In the present report, we describe a case of an AGCT with massive ascites, elevated serum CA-125 level, and low 18F-fluorodeoxyglucose uptake on positron emission tomography/computed tomography.
Adult* ; Ascites* ; Electrons* ; Female ; Granulosa Cell Tumor* ; Granulosa Cells* ; Humans ; Ovarian Neoplasms
Adult* ; Ascites* ; Electrons* ; Female ; Granulosa Cell Tumor* ; Granulosa Cells* ; Humans ; Ovarian Neoplasms
Obstetrics & Gynecology Science.2015;58(5):418-422. doi:10.5468/ogs.2015.58.5.418
Uterine tumor resembling ovarian sex cord tumors (UTROSCT) is an extremely rare type of uterine stromal neoplasm that exhibits prominent sex cord-like differentiation. The clinical characteristics of a UTROSCT are not fully understood. Most reported cases of UTROSCT were treated by hysterectomy with or without bilateral salpingo-oophorectomy; however, a few cases have been treated by only tumor resection in patients who had a strong desire to preserve their fertility. We present a case of UTROSCT with myometrial invasion, which resulted in a successful delivery after the patient was treated by resectoscopic surgery and conservation of the uterus, and a brief review of the literature.
Fertility ; Fertility Preservation ; Humans ; Hysterectomy ; Uterus
Fertility ; Fertility Preservation ; Humans ; Hysterectomy ; Uterus
Obstetrics & Gynecology Science.2015;58(5):414-417. doi:10.5468/ogs.2015.58.5.414
Endometrioid stromal sarcoma is a rare malignancy that originates from mesenchymal cells. It is classified into low-grade endometrioid stromal sarcoma (LGESS) and high-grade endometrioid stromal sarcoma. Ultrasonographic findings of LGESS resemble those of submucosal myomas, leading to the possible preoperative misdiagnosis of LGESS as uterine leiomyoma. Electronic morcellation during laparoscopic surgery in women with LGESS can result in iatrogenic intraabdominal dissemination and a poorer prognosis. Here, we report a patient with LGESS who underwent a supracervical hysterectomy and electronic morcellation for a presumed myoma in another hospital. Disseminated metastatic lesions of LGESS in the posterior cul-de-sac and rectal serosal surface were absent on primary surgery, but found during reexploration. In conclusion, when LGESS is found incidentally following previous morcellation during laparoscopic surgery for presumed benign uterine disease, we highly recommend surgical reexploration, even when there is no evidence of a metastatic lesion in imaging studies.
Diagnostic Errors ; Female ; Humans ; Hysterectomy ; Laparoscopy ; Leiomyoma ; Myoma ; Prognosis ; Sarcoma* ; Sarcoma, Endometrial Stromal ; Uterine Diseases ; Uterus
Diagnostic Errors ; Female ; Humans ; Hysterectomy ; Laparoscopy ; Leiomyoma ; Myoma ; Prognosis ; Sarcoma* ; Sarcoma, Endometrial Stromal ; Uterine Diseases ; Uterus
Successful pregnancy outcome in a Korean patient with symptomatic Wilson's disease.
Obstetrics & Gynecology Science.2015;58(5):409-413. doi:10.5468/ogs.2015.58.5.409
Wilson's disease is an inherited disease of copper metabolism leading to the toxic accumulation of copper, primarily in the liver and brain. Although the literature shows successful outcomes after proper treatment, pregnant patients with Wilson's disease still need close monitoring and management. Here, we report the case of a successful pregnancy in a Korean woman with Wilson's disease. A 33-year-old primigravid patient with Wilson's disease visited our antenatal clinic. Of her own volition, she had stopped her medication 2 years earlier. Oral zinc oxide therapy was started, and she was closely monitored throughout her pregnancy. She delivered a healthy female infant weighing 3.13 kg through a cesarean section. After delivery, the clinical course of both the mother and the baby were uneventful. We review crucial points in the treatment and the management dilemmas raised by the patient.
Adult ; Brain ; Cesarean Section ; Copper ; Female ; Hepatolenticular Degeneration* ; Humans ; Infant ; Liver ; Metabolism ; Mothers ; Pregnancy ; Pregnancy Outcome* ; Pregnancy* ; Volition ; Zinc ; Zinc Oxide
Adult ; Brain ; Cesarean Section ; Copper ; Female ; Hepatolenticular Degeneration* ; Humans ; Infant ; Liver ; Metabolism ; Mothers ; Pregnancy ; Pregnancy Outcome* ; Pregnancy* ; Volition ; Zinc ; Zinc Oxide
Prenatal diagnosis of congenital mesoblastic nephroma.
Obstetrics & Gynecology Science.2015;58(5):405-408. doi:10.5468/ogs.2015.58.5.405
Congenital mesoblastic nephroma is a rare renal tumor that is diagnosed during pregnancy and is associated with polyhydramnios, prematurity, and neonatal hypertension. Differential diagnoses include Wilms tumor, adrenal neuroblastoma, and other abdominal tumors. We report a case of congenital mesoblastic nephroma detected by prenatal ultrasonography as a large fetal renal mass with polyhydramnios at 32 weeks of gestation. Ultrasonography showed a 6x6-cm complex, solid, hyperechoic, round mass in the right kidney. At 35 weeks of gestation, the patient was admitted with preterm premature rupture of membranes and the baby was delivered vaginally. Postnatal ultrasonography and computed tomography showed a heterogeneous solid mass on the right kidney. At the end of the first week of life, a right nephrectomy was performed and subsequent pathological examination confirmed a cellular variant of congenital mesoblastic nephroma with a high mitotic count. Postoperative adjuvant chemotherapy was administered. The newborn was discharged in good condition.
Chemotherapy, Adjuvant ; Diagnosis, Differential ; Drug Therapy ; Humans ; Hypertension ; Infant, Newborn ; Kidney ; Membranes ; Nephrectomy ; Nephroma, Mesoblastic* ; Neuroblastoma ; Polyhydramnios ; Pregnancy ; Prenatal Diagnosis* ; Rupture ; Ultrasonography ; Ultrasonography, Prenatal ; Wilms Tumor
Chemotherapy, Adjuvant ; Diagnosis, Differential ; Drug Therapy ; Humans ; Hypertension ; Infant, Newborn ; Kidney ; Membranes ; Nephrectomy ; Nephroma, Mesoblastic* ; Neuroblastoma ; Polyhydramnios ; Pregnancy ; Prenatal Diagnosis* ; Rupture ; Ultrasonography ; Ultrasonography, Prenatal ; Wilms Tumor
Hybrid laparoscopic myomectomy: A novel technique.
Obstetrics & Gynecology Science.2015;58(5):401-404. doi:10.5468/ogs.2015.58.5.401
The objective of this study was to report on a new surgical technique, hybrid laparoscopic myomectomy that integrates the advantages of transumbilical laparoendoscopic single-site surgery and those of isobaric laparoscopy, and the initial experience with 14 cases. All of the procedures were performed by a single surgeon who has over 18 years of experience in laparoscopic surgery and 4 years of experience in laparoendoscopic single-site surgery. All cases of hybrid laparoscopic myomectomy were completed safely and effectively without conversion to conventional laparoscopic procedure. The median operative time was 75 minutes (range, 30 to 100 minutes). No postoperative complication was observed. The findings show that hybrid laparoscopic myomectomy is a safe and feasible surgical technique, and therefore can be a feasible, minimally invasive alternative to either abdominal or laparoendoscopic single-site surgery myomectomy.
Laparoscopy ; Leiomyoma ; Operative Time ; Postoperative Complications
Laparoscopy ; Leiomyoma ; Operative Time ; Postoperative Complications
Obstetrics & Gynecology Science.2015;58(5):397-400. doi:10.5468/ogs.2015.58.5.397
This study assesses the efficacy and safety of a 24-day regimen of drospirenone-containing combined oral contraceptive, and demonstrates that it is an effective and safe option for contraception, releasing symptom of premenstrual dysphoric disorder and acne in Korean women.
Acne Vulgaris ; Contraception ; Contraceptives, Oral, Combined ; Female ; Humans ; Korea
Acne Vulgaris ; Contraception ; Contraceptives, Oral, Combined ; Female ; Humans ; Korea
Country
Republic of Korea
Publisher
Korean Society of Obstetrics and Gynecology; Korean Society of Contraception and Reproductive Health; Korean Society of Gynecologic Endocrinology; Korean Society of Gynecologic Endoscopy and Minimal Invasive Surgery; Korean Society of Maternal Fetal Medicine; Korean Society of Ultrasound in Obstetrics and Gynecology; Korean Urogynecologic Society
ElectronicLinks
http://ogscience.org/Editor-in-chief
Pil Ryang Lee
Abbreviation
Obstet Gynecol Sci
Vernacular Journal Title
ISSN
2287-8572
EISSN
2287-8580
Year Approved
2007
Current Indexing Status
Currently Indexed
Start Year
1991
Description
Obstetrics & Gynecology Science (Obstet Gynecol Sci) is an international peer-review journal publishing scientific and creative research materials to promote women's health. Our journal publishes full-length original papers, case reports, invited review articles, and short communications in the field of obstetrics and gynecology. The journal has an international editorial board and is published on the fifteenth day in every other month in English. Submitted manuscripts should not contain previously published material and should not be under consideration for publication elsewhere.
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