Abstract：
:Loss of pelvic support involving the 'middle compartment' is manifested by herniation through the central pelvic floor in proximity to the intersection of an imaginary line from the public symphysis to the coccyx with another from one ischial spine to opposite ischial spine. Loss of middle compartment support may exist in association with 'anterior compartment' defects, 'posterior compartment' defects, or both. The severity of middle compartment relaxation ranges from mild uterine descensus to total uterovaginal prolapse when the uterus is present. When the uterus has been removed, it may range from vaginal vault descent to total vaginal eversion and includes all grades of enterocele. Middle compartment defects are usually not isolated. The recent literature relevant to middle compartment defects consists primarily of additional reports on surgical management, including continued modification and evolution of surgical techniques. Larger surgical series with longer follow-up periods have been reported. Cadaveric and histologic studies have appeared which have added to the understanding of normal anatomy and the disruptions thereof, which can cause middle compartment defects. Sophisticated diagnostic imaging techniques have generated preliminary reports which are of interest.
journal_name
Curr Opin Obstet Gynecoljournal_title
Current opinion in obstetrics & gynecologyauthors
Timmons MC,Addison WAsubject
Has Abstractpub_date
1993-08-01 00:00:00pages
452-7issue
4eissn
1040-872Xissn
1473-656Xjournal_volume
5pub_type
杂志文章,评审abstract：PURPOSE OF REVIEW:To review minimally invasive modifications of traditional surgeries for female stress urinary incontinence (SUI) in light of increased demand. RECENT FINDINGS:Prior to the synthetic mid-urethral sling (MUS), traditional procedures were used to correct SUI. Often these were retropubic colposuspension ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000579
更新日期：2019-12-01 00:00:00
abstract：PURPOSE OF REVIEW:Hysteroscopic myomectomy was a revolution for surgical treatment of symptomatic submucosal myoma. RECENT FINDINGS:A new International Federation of Gynecology and Obstetrics classification for myoma was recently described. Type 0, 1 and 2 are submucosal like in the European Society for Human Reproduc...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e3283630e10
更新日期：2013-08-01 00:00:00
abstract：PURPOSE OF REVIEW:The management of benign ovarian lesions in girls is currently a controversial topic in the pediatric surgical literature. The purpose of this review is to highlight the epidemiology of benign ovarian masses, outline preoperative risk stratification strategies, review the indications and importance of...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000400
更新日期：2017-10-01 00:00:00
abstract：:Current studies verify the safety of surgery in the elderly. Delirium is a costly complication, but its incidence and severity can be reduced by pre- and postoperative interventions. Avoidance of even mild hypothermia has now been shown to reduce cardiovascular morbidity. New information available on the cardiovascula...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1997-10-01 00:00:00
abstract：PURPOSE OF REVIEW:The purpose of this review is to analyze what is known to date about the relation between telomeres and male fertility, and if it is possible for telomeres, or elements related to them, to be used as new prognostic biomarkers in fertility treatment. RECENT FINDINGS:Cells in germ series, including spe...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000451
更新日期：2018-06-01 00:00:00
abstract：:Examination of the placenta may be viewed as a diary of the pregnancy. Apart from its immediate diagnostic value, it can also broadly serve two purposes: 1) it provides a method of auditing antenatal clinical judgment by clinicopathologic correlation, and 2) it makes an important contribution in the context of unsolve...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1992-04-01 00:00:00
abstract：PURPOSE OF REVIEW:To describe the current role of radiation therapy and specific types of radiation therapy used in the management of early stage, locoregionally advanced, and metastatic breast cancer. RECENT FINDINGS:The role of radiation therapy in the management of breast cancer has not changed in recent decades, h...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e3283425401
更新日期：2011-02-01 00:00:00
abstract：:The corpus luteum is controlled by luteinizing hormone (LH) and intraovarian morphofunctional specialization and autocrine/paracrine mechanisms. Corpus luteal insufficiency produces luteal phase defects (LPD). The poor precision and validation of endometrial histologic dating and single or random multiple serum proges...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1994-04-01 00:00:00
abstract：PURPOSE OF REVIEW:Polycystic ovary syndrome is one of the most common endocrinopathies affecting premenopausal women. This review focuses on this major cause of hyperandrogenism in adolescents and young women, highlighting new diagnostic and therapeutic strategies that are under investigation. The pathophysiologic role...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-200210000-00002
更新日期：2002-10-01 00:00:00
abstract：:Approximately 2-3% of cervical smears will be reported as showing low-grade changes. Many of these smears are in fact associated with high-grade cervical intraepithelial neoplasia requiring treatment, but a significant number will be associated with an absence of cervical intraepithelial neoplasia, where surveillance ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1995-02-01 00:00:00
abstract：PURPOSE OF REVIEW:More than 50% of all gynecologic cancers can be classified as rare tumors (defined as an incidence of <6 per 100 000) and as such represent a major challenge for clinicians. RECENT FINDINGS:The rapidly increasing number of targeted therapies provides a unique opportunity to improve treatment options ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000144
更新日期：2015-02-01 00:00:00
abstract：:Adolescent pregnancy and its consequences continue as major sources of morbidity in the United States. A teenager who becomes a parent is at a significant disadvantage in becoming a contributing adult, both psychosocially and economically. The physician who cares for adolescents has the responsibility of helping paren...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1992-12-01 00:00:00
abstract：:The critical role of angiogenesis in embryology and tumor biology has been recognized for more than 20 years. However, the fact that neovascularization is essential to processes in mammalian female reproduction has only recently been appreciated widely. In this review we focus on a single angiogenic growth factor, vas...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-199906000-00004
更新日期：1999-06-01 00:00:00
abstract：PURPOSE OF REVIEW:The aromatase inhibitors are increasingly used as adjuvant therapy in postmenopausal women with hormone receptor positive breast cancer. With additional experience using these agents, unanticipated side effects have become apparent. Women who experience side effects from adjuvant endocrine therapy are...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e328334e44e
更新日期：2010-02-01 00:00:00
abstract：:The past year has seen major challenges to existing maternal serum alpha-fetoprotein testing protocols for both neural tube defects and chromosomal anomalies. These challenges are reviewed along with the physiology of alpha-fetoprotein; the use of amniocentesis, ultrasonography, and additional serum markers in women w...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1991-04-01 00:00:00
abstract：PURPOSE OF REVIEW:Although there is effective screening for cervical cancer, it continues to be a healthcare problem in developing countries. To increase survival rates, different strategies with neoadjuvant chemotherapy have been developed. Nearly all trials that analysed neoadjuvant chemotherapy plus surgery demonstr...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-200502000-00008
更新日期：2005-02-01 00:00:00
abstract：:In 1991, the abortion literature was characterized by articles relating to 1) epidemiologic issues in abortion care, 2) advances in knowledge and experience with medical abortifacients such as mifepristone (RU 486), and 3) cervical ripening prior to abortion with the use of both mifepristone and prostaglandins. Techni...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1992-08-01 00:00:00
abstract：:Doppler ultrasound velocimetry of uteroplacental, umbilical, and fetal vessels provides the clinician with important information on the hemodynamics of the vascular area under study. Transvaginal color Doppler is a new technique that allows precise investigation of fetomaternal circulation in early pregnancy. Doppler ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1994-10-01 00:00:00
abstract：:Various malignant neoplasms, either primary or secondary, can affect the vagina. The most common primary malignant tumors of the vagina are squamous cell cancers; however, they are among the most uncommon of all primary gynecologic cancers. Vaginal intraepithelial neoplasia is being diagnosed with increasing frequency...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1991-02-01 00:00:00
abstract：PURPOSE OF REVIEW:Noninvasive prenatal diagnosis for single gene disorders is coming to fruition in its clinical utility. The presence of cell-free DNA in maternal plasma has been recognized for many years, and a number of applications have developed from this. Noninvasive prenatal diagnosis for single gene disorders h...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000347
更新日期：2017-04-01 00:00:00
abstract：:Ultrasound prenatal diagnosis of structural anomalies has become almost a separate branch of obstetrics. The advantages of performing ultrasound in pregnancies at high risk for fetal structural anomalies are clear. Patients and the news media have placed ever-increasing expectations on persons performing diagnostic ul...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1993-04-01 00:00:00
abstract：PURPOSE OF REVIEW:To evaluate the impact of early pregnancy complications involving placentation and early placental development on adverse obstetric outcome in ongoing and subsequent pregnancies. RECENT FINDINGS:We found an increased risk of adverse outcome (odds ratio >2.0) in ongoing pregnancies of preterm delivery...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e3283404e44
更新日期：2010-12-01 00:00:00
abstract：PURPOSE OF REVIEW:There is a growing clinical consensus that Medicaid sterilization consent protections should be revisited because they impede desired care for many women. Here, we consider the broad social and ideological contexts for past sterilization abuses, beyond informed consent. RECENT FINDINGS:Throughout the...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 历史文章,杂志文章,评审
doi：10.1097/GCO.0000000000000121
更新日期：2014-12-01 00:00:00
abstract：PURPOSE OF REVIEW:Evidence-based women's healthcare is underpinned by systematic reviews and guidelines. Generating an evidence synthesis to support guidance for clinical practice is a time-consuming and labour-intensive activity that delays transfer of research into practice. Artificial intelligence has the potential ...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章
doi：10.1097/GCO.0000000000000643
更新日期：2020-10-01 00:00:00
abstract：:Studies published in the past year have attempted to model the pathophysiology of the twin-twin transfusion syndrome and also to establish the minimal diagnostic criteria for the condition. Many papers focused on treatment regimens and their sequelae. Aggressive treatment with serial amnioreduction continues to predom...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-199812000-00002
更新日期：1998-12-01 00:00:00
abstract：PURPOSE OF REVIEW:Gonadotrophin in IVF increases the number of oocytes retrieved, and many doctors regard a high number of oocytes as a measurement of success in IVF. Thus, the dogma of more oocytes provides better IVF success has been broadly accepted. However, some European fertility specialists have argued against t...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0000000000000460
更新日期：2018-06-01 00:00:00
abstract：PURPOSE OF REVIEW:The prevalence and impact of elective deliveries occurring prior to 39 weeks' gestation has been the focus of several important studies published in recent medical literature. Defined as scheduled deliveries in the absence of medical or obstetrical indications, concern has been raised that many of the...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/GCO.0b013e3283404eb4
更新日期：2010-12-01 00:00:00
abstract：PURPOSE OF REVIEW:Monochorionic compared with dichorionic twins have disproportionately high fetal loss rates, perinatal mortality and morbidity. This is because of the unpredictable vascular anastomoses and the often asymmetrical distribution of the single placenta between both twins. RECENT FINDINGS:The pathophysiol...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-200304000-00013
更新日期：2003-04-01 00:00:00
abstract：:The advent of the AIDS epidemic coupled with enhanced recognition of the morbidity and mortality associated with occupationally acquired hepatitis B virus infection has resulted in a great interest in the epidemiologic characteristics of contact of surgical personnel with patient's blood and other bodily fluids in ass...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：
更新日期：1993-06-01 00:00:00
abstract：:The subdermal contraceptive implant etonogestrel (Implanon; NV Organon International, Oss, The Netherlands) exerts complex effects on the endometrium. These include direct effects on the endometrium through endometrial progestin target sites, and indirect effects through suppression of the hypothalamic-pituitary-ovari...
journal_title：Current opinion in obstetrics & gynecology
pub_type： 杂志文章,评审
doi：10.1097/00001703-200106000-00015
更新日期：2001-06-01 00:00:00
