Abstract:
OBJECTIVE:To investigate long-term postoperative outcomes of conservative and radical surgery in ectopic tubal pregnancies, and evaluate the results of these techniques. METHODS:A total of 145 patients that operated for tubal pregnancy between January 2006 and January 2009 were reviewed. Data on patient age, reproductive and surgical history history of ectopic pregnancies, serum hCG levels at the time of diagnosis and intraoperative observation were retrospectively obtained from hospital records. Telephone interviews were used to obtain information about exact postoperative time interval in which the patients were trying to get pregnant, and the time when they spontaneously became pregnant. RESULTS:There was no significant difference in cumulative spontaneous intrauterine pregnancy rate for a 2-year of conception period subsequent to conservative (64.3%) and radical (58.3%) surgery (p = 0.636). During the same time interval, the rates of development of ectopic pregnancy for the conservative and radical surgery groups were 17.9% and 4.2%, respectively (p = 0.093). The patients who developed ectopic pregnancy after conservative surgery had significantly higher levels of serum hCG levels (7413 +/- 3155 IU/L) compared with those of patients who not-developed ectopic pregnancy (3436 +/- 2668 IU/L) (p = 0.007). CONCLUSION:In late-diagnosed cases with higher serum hCG levels, conservative treatment should not be the first choice. Indeed, our results suggested that the cumulative pregnancy rates are not significantly higher and the risk of ectopic pregnancy recurrence may be increased with conservative surgery in late tubal pregnancies.
journal_name
Ginekol Poljournal_title
Ginekologia polskaauthors
Ozler A,Turgut A,Evsen MS,Sak ME,Soydinç HE,Başaranoğlu S,Celik Y,Taner MZsubject
Has Abstractpub_date
2012-04-01 00:00:00pages
280-3issue
4eissn
0017-0011issn
2543-6767journal_volume
83pub_type
杂志文章abstract:UNLABELLED:The aim of the study was to assess the significance of some perinatal risk factors and neonatal complications in occurrence of nosocomial infections in the population of NICU patients. MATERIAL AND METHODS:Analysis of risk factors was performed in all patients treated in the years 2005-2008 in NICU Departme...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2009-08-01 00:00:00
abstract::The aim of the study was estimation of endocrinological function of placenta in pregnancy complicated by GDM. The study were performed on a group 13 women with GDM and 14 women in normal pregnancy. All women with GDM were treat by diet and intensive insulinotherapy with self monitoring levels of glucose. In women with...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1995-02-01 00:00:00
abstract:DESIGN:The aim of our study was a currently clinical analysis of menarche. MATERIALS AND METHODS:The mean age of menarche was investigated in 4497 girls between 1975-1997 69 girls were examined throughly in the course of menarche. Age at menarche, body weight, height, body mass index (BMI), some of the hormones and ul...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1999-05-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to evaluate the concentrations of kynurenic acid (KYNA) in blood and urine during the normal pregnancy. MATERIALS AND METHODS:Under the study were 37 pregnant women. Level of KYNA was measured by high performance liquid chromatography (HPLC). RESULTS:The KYNA concentration in blood...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract::Leiomyomatosis peritonealis disseminata(LPD) is a rare smooth muscle pathology, characterized by the presence of multiple tumors in peritoneal cavity mimicking a malignant process with metastases. The diagnosis may be difficult in some cases as the results of ultrasonography and CT imaging may suggest malignancy. The ...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2004-03-01 00:00:00
abstract::Gene therapy is an innovative way of treating genetic disorders, which enables removal or repair of genetic defects. Strategies of gene therapy offer new perspectives in treating cancer diseases. Numerous methods for specifically removing tumor cells are currently used. They can be divided into five main strategies: c...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2010-01-01 00:00:00
abstract:DESIGN:The aim of this study was compare the concentrations TPS and CA 125 in serum 37 patients with ovarian carcinoma in order to evaluate the usefulness of markers in monitoring therapy. MATERIAL AND METHODS:The concentrations of TPS and CA 125 were determined prior to surgery, 1 week after surgery, prior chemothera...
journal_title:Ginekologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:2000-12-01 00:00:00
abstract:OBJECTIVES:The aim of the study was retrospective analysis of osteoporosis risk in menopausal women. DESIGN:Retrospective analysis of bone mineral density of 2733 women was performed between 1997 - 1999 year. MATERIAL AND METHODS:Retrospective analysis of bone mineral density of 2733 women aged 16 to > 68 by quantita...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2005-08-01 00:00:00
abstract::Bladder Pain Syndrome remains a great challenge for urologists, both in diagnostics and treatment. Etiopathogenesis of the disease is unknown. It is reported that the reason for Bladder Pain Syndrome is the urothelium dysfunction resulting in the destruction of the protective glycosaminoglycan layer/barrier protecting...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to analyze the course of labor of grand multiparas (4 deliveries and more) in comparison to multiparas (2 or 3 deliveries). MATERIALS AND METHODS:A group of 400 grand multiparas were included in the study and compared with a group of 393 multiparas. All the deliveries took place in ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2006-12-01 00:00:00
abstract::The role of the peritoneal fluid in the physiology of reproduction, as well as in the transportation and survival of gametes, is little recognized. Taking this into consideration, the authors have examined the occurrence of spermatozoa in the peritoneal fluid, collected from patients during diagnostic laparoscopies, f...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1995-04-01 00:00:00
abstract::The purpose of the study was to present the symptoms, diagnostic methods, and treatment in retroperitoneal fibrosis (RPF). We present a case of a 53-year-old woman admitted to the hospital due to low back and abdominal pain complaints lasting a year. Ultrasonography revealed a myoma located along the right bank of the...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:10.17772/gp/60465
更新日期:2015-11-01 00:00:00
abstract::A case of a 30 years old pregnant woman suffering from bilateral ovary tumour was presented. When she was sixteen weeks pregnant she had both tumours enucleated using the method of laparoscopy. Diagnostic and therapeutic process have been described. Authors are convinced that laparoscopy as a method of treatment can b...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2005-05-01 00:00:00
abstract:UNLABELLED:The question in the study was whether radiotherapy of women with neoplasma of genital tract leads to coagulation activation. The study group consisted of 51 women with cervical carcinoma (20 cases), endometrial carcinoma (22 cases) or ovarian neoplasma (9 cases). Fractionated dose of ionic energy were applie...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2000-05-01 00:00:00
abstract::An increase in alpha-amylase activity with parallel decrease in glucose concentration in amniotic fluid is observed during pregnancy. This interdependence is a theoretical basis for using an alpha-amylase/glucose index in fetal maturity evaluation. The aim of the study was to investigate usefulness of the alpha-amylas...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2001-09-01 00:00:00
abstract:OBJECTIVES:Due to hormonal changes during the menopause, women experience a variety of perimenopause and postmenopause symptoms. This review examines the various aspects of nanostructured hormone therapy and its application in the treatments of menopausal symptoms. MATERIAL AND METHODS:Excerpta Medica DataBase, Medica...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:10.5603/GP.a2017.0018
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:Interleukin-6 (IL-6) is a specific marker of early onset infections in the newborns. In recent years it has been suggested that in regulations of IL-6 activity could play a role the genetic polymorphism (-174G/C) in the promoter region of the gene coding for IL-6. The aim of our study was to analyse the frequ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVES:The aim of the study was to determine whether anhydramnios affected the duration of medical abortion in cases with various indications as compared to cases with normal amniotic fluid volume. MATERIAL AND METHODS:Patients who were admitted to our clinic because of medical abortion between January 2010-Decemb...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2016.0058
更新日期:2016-01-01 00:00:00
abstract::SARS is a highly contagious infection, caused by new coronavirus SARS-CoV. Immunopathological mechanisms responsible for the reaction to SARS-CoV infection have not yet been fully elucidated. Cytokine profile of SARS patients showed marked elevation of Th1 cytokine, interferon gamma, inflammatory cytokines for at leas...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2008-01-01 00:00:00
abstract::There have been many advances in perinatal medicine, but few as impressive as those in Rh-disease. Over several decades, we have seen a disease, which once caused the perinatal death of half of all Rh-immunized pregnancies, almost disappear. The success of this medical campaign should serve as a model for the conqueri...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1998-12-01 00:00:00
abstract::Three cases of small cell carcinoma of the ovary are presented. Attention to diagnostic difficulties, extremely aggressive course and low sensitivity to oncologic treatment was paid. ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract::Basic methods of contraception of unwanted pregnancy are reviewed: mechanical, vaginal devices, hormonal tablets, and IUDs. On the basis of personal experience the author considers that, compared with other methods of contraception, the intrauterine spiral is the safest device for the female organism. An evaluation...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:1975-03-01 00:00:00
abstract:UNLABELLED:About 30% of women population in Poland is already in the perimenopausal age. HRT (hormonal replacement therapy) is the best way of diminishing the unfavorable symptoms of this state. AIM OF STUDY:The effect of HRT on ROI production by neutrophils before and after HRT, to determinate it's antioxidative infl...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2000-02-01 00:00:00
abstract:OBJECTIVES:To analyze the correlation between ultrasound typing and treatment modality of patients with an intrauterine ectopic pregnancy (cervical and cesarean scar). MATERIAL AND METHODS:We retrospectively enrolled 65 patients diagnosed with cesarean scar pregnancy (CSP) or cervical pregnancy (CP) between February 2...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.2020.0026
更新日期:2020-01-01 00:00:00
abstract::It is accepted that alpha-2-M may serve as an important factor for the regulation of homeostasis. For these reasons it is valuable to determine its concentration in some clinical conditions. We have found that the level of alpha-2-M is evidently higher in hypotrophic newborns than in neutrophic newborns. It is interes...
journal_title:Ginekologia polska
pub_type: 临床试验,杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract:OBJECTIVES:This study is aimed to evaluate the role of maternal mean platelet volume (MPV) levels for antenatal prediction marker of early onset neonatal sepsis in term infants born to mothers who have low infection risk. MATERIAL AND METHODS:A total of 62 pregnant women who gave birth in our hospital and whose neonat...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:10.5603/GP.a2017.0058
更新日期:2017-01-01 00:00:00
abstract:OBJECTIVE:The purpose of the study was to compare concentrations of inflammatory and Th1/Th2 cytokines in serum obtained from women with preeclampsia or severe pregnancy hypertension versus normotensive controls. MATERIAL AND METHODS:The study group consisted of 34 pregnant women with hypertension over 140/90mmHg and ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2010-03-01 00:00:00
abstract:UNLABELLED:Gestational Diabetes (GDM) is characterized by insulin resistance and a pro-inflammatory state, both factors possible related to adipokine expression. SUBJECTS AND METHODS:The study included 20 women with GDM, diagnosed according to the WHO criteria, and 23 matched for age and BMI women with normal glucose ...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2010-12-01 00:00:00
abstract::Seventh caesarean section in the same pregnant woman was described. Pregnancy was terminated in 36 week of gestation cause of preterm uterine activity, after getting pulmonary maturation and estimating ultrasound fetal weight over three kilograms. The caesarean section and postoperative period were uncomplicated. Ther...
journal_title:Ginekologia polska
pub_type: 杂志文章
doi:
更新日期:2001-12-01 00:00:00
abstract::The paper contains a review of the literature on the correlation between Chlamydia trachomatis infection and CIN as well as invasive cervical cancer. This infection is not only responsible for inflammation (very often occult) in the upper genital tract and PID but also is probably one of the causes of cervical hypertr...
journal_title:Ginekologia polska
pub_type: 杂志文章,评审
doi:
更新日期:2002-05-01 00:00:00