Concurrent postpartum uterine and abdominal wall dehiscence and Streptococcus anginosus infection.


BACKGROUND:Postpartum uterine scar dehiscence is a rare but potentially lethal complication of cesarean deliveries. CASE:Concurrent abdominal and uterine dehiscences after cesarean delivery for arrest of descent with chorioamnionitis occurred in a 16-year-old patient after her first delivery. The uterine and fascia incisions were reclosed during exploratory laparotomy. Streptococcus anginosus was isolated from the peritoneal fluid. The patient remained afebrile and was discharged 6 days after relaparotomy and took levofloxacin and metronidazole orally for 5 more days. CONCLUSION:Uterine scar separation needs to be considered in patients with a fascial dehiscence after cesarean delivery for arrest of labor. Selected cases can be managed conservatively (uterine reclosure), but patients should be counseled about the possible need for hysterectomy at the time of relaparotomy.


Obstet Gynecol


Treszezamsky AD,Feldman D,Sarabanchong VO




Has Abstract


2011-08-01 00:00:00




2 Pt 2










  • 17-α Hydroxyprogesterone Caproate for the Prevention of Recurrent Preterm Birth: One Size May Not Fit All.

    abstract::Spontaneous preterm birth is a syndrome with many causes and thus unresponsive to a single intervention. It logically follows that patients with a prior spontaneous preterm birth are a heterogeneous group unlikely to respond equally to a single preventive intervention such as 17-α hydroxyprogesterone caproate. Further...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Heyborne KD

    更新日期:2016-10-01 00:00:00

  • Effect of human immunodeficiency virus treatment on maternal mortality at a tertiary center in South Africa: a 5-year audit.

    abstract:OBJECTIVE:To review facility-based maternal deaths at a tertiary-level center in Johannesburg, South Africa, during a 5-year period (2003 to 2007) and to investigate the proportion of deaths attributable to human immunodeficiency virus (HIV), the etiology of deaths, and the effects of antiretroviral treatment introduce...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Black V,Brooke S,Chersich MF

    更新日期:2009-08-01 00:00:00

  • Hysteroscopic endometrial ablation with the Nd:Yag laser using a nontouch technique.

    abstract::Thirty-six patients with menorrhagia were treated with a technique for laser destruction of the endometrium in which the end of the fiberoptic guide of the Nd:Yag laser is not allowed to come in contact with the endometrium. The results were excellent in 93.9% of the 33 patients followed over three months. Amenorrhea ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Loffer FD

    更新日期:1987-04-01 00:00:00

  • Nonreassuring Status: Improving Obstetrician-Gynecologist Wellness.

    abstract::Physician wellness directly affects patient and physician health and has broader implications for our health systems. A summary of what is known about physician wellness in medicine, and obstetrics and gynecology in particular, identifies several areas for future focus. To change our culture and the structure of our a...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Winkel AF,Hughes F,Blank SV

    更新日期:2017-11-01 00:00:00

  • Macrosomia. A proposed indication for primary cesarean section.

    abstract::Fetal macrosomia (birthweight equal to or in excess of 4500 g) in a study of 110 affected infants was associated with excessive maternal weight, prolonged gestation, white race, multiparity, maternal diabetes, male fetus, and a previous macrosomic infant. The two most common obstetric complications associated with fet...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Parks DG,Ziel HK

    更新日期:1978-10-01 00:00:00

  • Thecomas and granulosa-theca cell tumors of the ovary: an analysis of 51 tumors,.

    abstract::A retrospective study of 51 thecomas and granulosa-theca cell tumors of the ovary seen at Confederate Memorial Medical Center in Shreveport, Louisiana, is presented. Endometrial tissue was available for study in 38 of the 51 patients. The relation of these tumors to endometrial morphology suggests an excessive estroge...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Stage AH,Grafton WD

    更新日期:1977-07-01 00:00:00

  • State Medicaid Coverage of Medically Necessary Abortions and Severe Maternal Morbidity and Maternal Mortality.

    abstract:OBJECTIVE:To estimate the association between state Medicaid coverage of medically necessary abortion and severe maternal morbidity and in-hospital maternal mortality in the United States. METHODS:We used data on pregnancy-related hospitalizations from the Nationwide Inpatient Sample from 2000 to 2011 (weighted n=38,0...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Jarlenski M,Hutcheon JA,Bodnar LM,Simhan HN

    更新日期:2017-05-01 00:00:00

  • Prenatal ultrasound diagnosis of cerebral arteriovenous fistula.

    abstract:BACKGROUND:We describe a case of arteriovenous fistula of the middle and posterior cerebral arteries detected in a fetus. CASE:Fetal echocardiography revealed a high-output cardiac failure. Color Doppler ultrasound demonstrated an arteriovenous fistula, localized at the middle and posterior cerebral arteries, which dr...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Paladini D,Palmieri S,D'Angelo A,Martinelli P

    更新日期:1996-10-01 00:00:00

  • Minimally Invasive Surgery in Morbidly Obese Women.

    abstract::Minimally invasive gynecologic surgery provides a number of clinical advantages compared with open laparotomy. Over the past 25 years, important modifications and innovations have further expanded the utility of these techniques. Complications such as surgical site infection, venous thromboembolism, and wound cellulit...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Schorge JO

    更新日期:2020-01-01 00:00:00

  • Prevention of bone mineral loss in postmenopausal women by norethisterone.

    abstract::The effect of norethisterone on bone mineral metabolism was examined in 43 postmenopausal women. A significant decline in serum calcium, phosphate, and alkaline phosphatase in urinary calcium/creatinine ratio and in tubular maximum reabsorption of phosphate was demonstrated. There was no alteration in urinary hydroxyp...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章


    authors: Abdalla HI,Hart DM,Lindsay R,Leggate I,Hooke A

    更新日期:1985-12-01 00:00:00

  • Risk of Cervical Intraepithelial Neoplasia 2 or Worse by Cytology, Human Papillomavirus 16/18, and Colposcopy Impression: A Systematic Review and Meta-analysis.

    abstract:OBJECTIVE:To calculate pooled risk estimates for combinations of cytology result, human papillomavirus (HPV) 16/18 genotype and colposcopy impression to provide a basis for risk-stratified colposcopy and biopsy practice. DATA SOURCE:A PubMed search was conducted on June 1, 2016, and a search was con...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,meta分析


    authors: Silver MI,Andrews J,Cooper CK,Gage JC,Gold MA,Khan MJ,Massad LS,Parvu V,Perkins RB,Schiffman M,Smith KM,Wentzensen N

    更新日期:2018-09-01 00:00:00

  • Obstetric complications after treatment of intrauterine synechiae (Asherman's syndrome).

    abstract::This review comprises 36 patients who were treated for Asherman's syndrome from 1968 to 1974 at the Sloane Hospital for Women. Of the 18 patients who later conceived only 6 had uncomplicated term deliveries. Four had premature deliveries resulting in neonatal death. Three had placenta accreta and postpartum hemorrhage...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Jewelewicz R,Khalaf S,Neuwirth RS,Vande Wiele RL

    更新日期:1976-06-01 00:00:00

  • Lidocaine spray compared with submucosal injection for reducing pain during loop electrosurgical excision procedure: a randomized controlled trial.

    abstract:OBJECTIVE:To examine the effectiveness of lidocaine spray compared with conventional lidocaine submucosal injection during a loop electrosurgical excision procedure (LEEP). METHODS:Women undergoing LEEP for any degrees of cervical intraepithelial neoplasia were invited to participate. The participants were randomly as...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验


    authors: Vanichtantikul A,Charoenkwan K

    更新日期:2013-09-01 00:00:00

  • Adaptive growth restriction as a pattern of birth weight discordance in twin gestations.

    abstract:OBJECTIVE:To challenge the hypothesis that discordant growth is a normal variation by relating birth weight discordance to total twin birth weight. METHODS Among 12,565 Israeli live-born twin pairs (1993-98), we compared total twin birth weight decile, the frequencies of three levels of discordance in the general popul...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Blickstein I,Goldman RD,Mazkereth R

    更新日期:2000-12-01 00:00:00

  • Long-term effect of tubal sterilization on menstrual indices and pelvic pain.

    abstract:OBJECTIVE:To evaluate the long-term effect of tubal sterilization on menstrual indices and pelvic pain. METHODS:Five hundred women undergoing sterilization were interviewed before sterilization, 6-10 months after surgery, and 3-4.5 years later. Four hundred sixty-six non-sterilized comparison women were interviewed in...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Rulin MC,Davidson AR,Philliber SG,Graves WL,Cushman LF

    更新日期:1993-07-01 00:00:00

  • Fetal blood flow velocity waveforms as predictors of growth retardation.

    abstract::Seventy-five high-risk pregnancies were studied in order to define the clinical value of the analysis of fetal blood flow velocity waveforms in early screening for growth retardation. Recordings were obtained at 26-28 weeks' gestation, in the absence of ultrasonographic signs of growth retardation, using a pulsed dupl...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Arduini D,Rizzo G,Romanini C,Mancuso S

    更新日期:1987-07-01 00:00:00

  • Intracorporeal electromechanical tissue morcellation: a critical review and recommendations for clinical practice.

    abstract::Electromechanical morcellators have come under scrutiny with concerns about complications involving iatrogenic dissemination of both benign and malignant tissues. Although the rapidly rotating blade has resulted in morcellator-related vascular and visceral injuries, equally concerning are the multiple reports in the l...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审


    authors: Kho KA,Anderson TL,Nezhat CH

    更新日期:2014-10-01 00:00:00

  • Neurodevelopmental Outcome After a Single Course of Antenatal Steroids in Children Born Preterm: A Systematic Review and Meta-analysis.

    abstract:OBJECTIVE:To systematically review and integrate data on the neurodevelopmental outcome of children after administration of a single course of antenatal corticosteroids for threatened preterm labor. DATA SOURCES:MEDLINE, Scopus, CENTRAL, and (inception to August 2014) using combinations of the t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,meta分析,评审


    authors: Sotiriadis A,Tsiami A,Papatheodorou S,Baschat AA,Sarafidis K,Makrydimas G

    更新日期:2015-06-01 00:00:00

  • Delayed Umbilical Cord Clamping After Birth: ACOG Committee Opinion, Number 814.

    abstract::Delayed umbilical cord clamping appears to be beneficial for term and preterm infants. In term infants, delayed umbilical cord clamping increases hemoglobin levels at birth and improves iron stores in the first several months of life, which may have a favorable effect on developmental outcomes. There is a small increa...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章



    更新日期:2020-12-01 00:00:00

  • Effects of dihydralazine infusion on the fetoplacental blood flow and maternal prostanoids.

    abstract::The hemodynamic effects of intravenously infused dihydralazine (incremental doses up to 125 micrograms per minute during 60 minutes) were studied in ten women with acute or superimposed severe preeclampsia. The intervillous and umbilical vein blood flow were measured before and during dihydralazine infusion with 133Xe...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Jouppila P,Kirkinen P,Koivula A,Ylikorkala O

    更新日期:1985-01-01 00:00:00

  • Severe preeclampsia and high frequency of genetic thrombophilic mutations.

    abstract:OBJECTIVE:To determine whether severe preeclampsia is associated with genetic thrombophilic mutations or other types of thrombophilia. METHODS:A case-control study compared 63 consecutive women with severe preeclampsia evaluated at our institution between November 1997 and April 1999 with 126 control women matched for...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Kupferminc MJ,Fait G,Many A,Gordon D,Eldor A,Lessing JB

    更新日期:2000-07-01 00:00:00

  • A randomized controlled trial of smoking cessation intervention in pregnancy in an academic clinic.

    abstract::To evaluate the effectiveness of a physician-based intervention to promote smoking cessation during pregnancy, we conducted this randomized controlled trial in the resident-staffed prenatal clinics at the University of North Carolina Women's Hospital . Two hundred fifty prenatal patients who smoked were enrolled at th...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验


    authors: Hartmann KE,Thorp JM Jr,Pahel-Short L,Koch MA

    更新日期:1996-04-01 00:00:00

  • Successful delivery after age 50: a report of two cases as a result of oocyte donation.

    abstract:BACKGROUND:Because of donor oocyte programs, women who previously were considered too old to successfully achieve conception and delivery can now bear children. To our knowledge, there have been no previous reports of pregnancy outcome in women over age 50 who conceived using donor oocytes. This study presents the preg...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Check JH,Nowroozi K,Barnea ER,Shaw KJ,Sauer MV

    更新日期:1993-05-01 00:00:00

  • Cefmenoxime therapy for gynecologic and obstetric infections.

    abstract::Cefmenoxime, a new third-generation cephalosporin, was used as a single drug in the therapy for female genital tract infections. Therapeutic response was considered satisfactory in 21 of 22 cases of pelvic inflammatory disease, six of nine tuboovarian abscesses, two of three severe wound infections, and all five cases...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Rao B,Savage EW,Chuah SK,Bansal MB,Dhawan VK,Thadepalli H

    更新日期:1985-09-01 00:00:00

  • Hepatitis B: a controllable disease.

    abstract::Major advances have been made in understanding the epidemiology and biology of the hepatitis B virus. Two particular developments--hepatitis B immune globulin and a new hepatitis B virus vaccine--are of special interest to obstetricians, gynecologists, and others who provide health care to women. The appropriate use o...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Baker DA,Polk BF

    更新日期:1983-07-01 00:00:00

  • Rizatriptan in the treatment of menstrual migraine.

    abstract:OBJECTIVE:To determine the efficacy of oral rizatriptan 10 mg and 5 mg for treating menstrually associated migraine attacks. METHODS:Data from two large clinical trials with identical designs were included in a retrospective analysis. The studies were randomized, double-masked, placebo-controlled, incomplete block, tw...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Silberstein SD,Massiou H,Le Jeunne C,Johnson-Pratt L,McCarroll KA,Lines CR

    更新日期:2000-08-01 00:00:00

  • Bias in the Peer Review Process: Can We Do Better?

    abstract::Peer review is the major method used by the scientific community to evaluate manuscripts and decide what is suitable for publication. However, this process in its current design is not bulletproof and is prone to reviewer and editorial bias. Its lack of objectivity and transparency raise concerns that manuscripts migh...

    journal_title:Obstetrics and gynecology

    pub_type: 社论


    authors: Tvina A,Spellecy R,Palatnik A

    更新日期:2019-06-01 00:00:00

  • The sonolucent placenta in high-risk obstetrics.

    abstract::Placental sonolucency has been reported to be a normal sonographic finding after 36 weeks' gestation. To further characterize this acoustic phenomenon, 15 placentas from previously scanned high-risk obstetric patients were studied in vitro. Placentas were obtained at delivery, and were washed, weighed, sonographically...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Haney AF,Trought WS

    更新日期:1980-01-01 00:00:00

  • Maternal tryptophan and kynurenine pathway metabolites and risk of preeclampsia.

    abstract:OBJECTIVE:To estimate the association of maternal plasma concentrations of tryptophan and six kynurenine pathway metabolites with the risk of preeclampsia. METHODS:The study was based on a subsample of 2,936 pregnant women who delivered singleton neonates in the Norwegian Mother and Child Cohort Study in 2002-2003. Ma...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Nilsen RM,Bjørke-Monsen AL,Midttun O,Nygård O,Pedersen ER,Ulvik A,Magnus P,Gjessing HK,Vollset SE,Ueland PM

    更新日期:2012-06-01 00:00:00

  • Obesity prevention and treatment practices of U.S. obstetrician-gynecologists.

    abstract:OBJECTIVE:To describe obesity prevention and treatment practices of U.S. obstetrician-gynecologists. METHODS:A cross-sectional survey was mailed to 1,806 practicing members of the American College of Obstetricians and Gynecologists (ACOG) in February-April 2005. RESULTS:Of the 900 respondents who returned questionnai...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Power ML,Cogswell ME,Schulkin J

    更新日期:2006-10-01 00:00:00