Vacuum-assisted closure in the treatment of complex gynecologic wound failures.


BACKGROUND:Complex wound failures are a source of significant morbidity and mortality. They are costly and time consuming to treat, and may evolve into chronic, debilitating conditions. Vacuum-assisted closure is a novel wound healing technique applying subatmospheric pressure to wounds to expedite healing. CASES:We report the successful use of vacuum-assisted closure therapy on three patients on a gynecologic oncology service with complex wound failures of various chronicity. In all cases, vacuum-assisted closure therapy was well tolerated and demonstrated efficacy within 48 hours of initiation. CONCLUSION:We conclude that vacuum-assisted closure therapy should be included in the armamentarium of the gynecologist addressing complex wound failures.


Obstet Gynecol


Argenta PA,Rahaman J,Gretz HF 3rd,Nezhat F,Cohen CJ




Has Abstract


2002-03-01 00:00:00














  • Malignant mixed mullerian tumor of the uterus in a patient taking raloxifene.

    abstract:BACKGROUND:Uterine malignant mixed mesodermal tumor is a rare variant of uterine cancer. Data suggest that tamoxifen is involved in the pathogenesis. We report a case of a women in whom a malignant mixed mesodermal tumor was diagnosed while she was taking raloxifene, which is also a selective estrogen receptor modulato...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Goldman NA,de Los Angeles MM,Jones JG,Goldberg GL

    更新日期:2005-05-01 00:00:00

  • Committee Opinion No. 639: The Importance of Vital Records and Statistics for the Obstetrician-Gynecologist.

    abstract::Information from vital records is critical to identify and quantify health-related issues and to measure progress toward quality improvement and public health goals. In particular, maternal and infant mortality serve as important indicators of the nation's health, thereby influencing policy development, funding of pro...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审



    更新日期:2015-09-01 00:00:00

  • Vulvovaginal involvement in toxic epidermal necrolysis: a retrospective study of 40 cases.

    abstract:OBJECTIVE:To determine the incidence, features, and surgical treatment of vulvovaginal lesions in toxic epidermal necrolysis. METHODS:Acute genital lesions were studied retrospectively in 40 women hospitalized for toxic epidermal necrolysis in a dermatologic intensive care unit. A questionnaire was sent to evaluate se...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Meneux E,Wolkenstein P,Haddad B,Roujeau JC,Revuz J,Paniel BJ

    更新日期:1998-02-01 00:00:00

  • Magnetic resonance imaging of normal levator ani anatomy and function.

    abstract:OBJECTIVE:To evaluate the anatomy and function of the levator ani in normal women by dynamic magnetic resonance imaging. METHODS:Twelve asymptomatic, nulliparous, premenopausal women with no previous pelvic surgery underwent a dynamic magnetic resonance imaging scan of their pelvis. The origin, orientation, thickness,...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Singh K,Reid WM,Berger LA

    更新日期:2002-03-01 00:00:00

  • Condylomatous carcinoma of the vulva with special reference to human papillomavirus DNA.

    abstract::Nine cases of condylomatous carcinoma (squamous cell carcinoma arising in condyloma acuminatum) of the vulva were studied for their clinical history, histopathology, and presence of human papillomavirus (HPV) DNA. Condylomatous carcinoma occurred primarily in an elderly population with a mean age of 70 years. There wa...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Downey GO,Okagaki T,Ostrow RS,Clark BA,Twiggs LB,Faras AJ

    更新日期:1988-07-01 00:00:00

  • Pelvic exenteration, University of Michigan: 100 patients at 5 years.

    abstract::One hundred patients undergoing pelvic exenteration (total 69, anterior 13, posterior 18) at the University of Michigan Medical Center from 1964-1984 are reported. All patients were followed for at least 5 years or until time of death. The overall cumulative survival was 66% at 3 years and 61% at 5 years. The age of t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Morley GW,Hopkins MP,Lindenauer SM,Roberts JA

    更新日期:1989-12-01 00:00:00

  • A rapid method for the presurgical cleansing of hands.

    abstract::A new rapid method of presurgical cleansing of the hands has been evaluated in a clinical setting. The effectiveness of a 90 second jet wash has been compared with a standard 10-minute presurgical scrub. Bacteriologic cultures were obtained from the fingertips of interns, residents, and staff of the Department of Obst...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Decker LA,Gross A,Miller FC,Read JA,Cutright DE,Devine J

    更新日期:1978-01-01 00:00:00

  • Effects of freezing and thawing on certain properties of early gestation amniotic fluid.

    abstract::The effects of repeated freezing and thawing. on certain properties of early gestation amniotic fluid were studied. Six anmiotic fluids from 15- to 17-week gestations were investigated. Total protein determinations revealed that there was no significant loss of total protein with rapid freezing and thawing up to 10 ti...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Keniston RC,Prescott GH,Pernoll ML

    更新日期:1975-09-01 00:00:00

  • Real-time sonography in obstetrics.

    abstract::Three hundred fifty real-time scans were performed on pregnant women for various indications. Placental localization was satisfactorily obtained in 173 of 174 studies. Estimates of fetal gestation from directly measured biparietal diameter were +/-2 weeks of actual gestation in 153 of 172 (88.9%) measurements. The pre...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Anderson SG

    更新日期:1978-03-01 00:00:00

  • Hysterectomy in obese women: a comparison of abdominal and vaginal routes.

    abstract:OBJECTIVE:To compare perioperative outcome measures of abdominal and vaginal hysterectomies in obese women. METHODS:We reviewed the charts of all obese women (body mass index more than 30 kg/m(2)) who underwent abdominal or vaginal hysterectomy for benign gynecologic conditions in our institution between 1997 and 2002...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Isik-Akbay EF,Harmanli OH,Panganamamula UR,Akbay M,Gaughan J,Chatwani AJ

    更新日期:2004-10-01 00:00:00

  • Renal cell carcinoma in pregnancy: report of three cases and review of the literature.

    abstract:BACKGROUND:Renal cell carcinoma is a potentially fatal tumor that occasionally presents during pregnancy. Based on our experience with three patients and a review of the recent cases in the literature, we believe there has been a change in presentation of this lesion over that described in previous reviews. CASES:Two ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Smith DP,Goldman SM,Beggs DS,Lanigan PJ

    更新日期:1994-05-01 00:00:00

  • Association of E. coli sepsis in pregnancy with a CU-7 intrauterine device in place.

    abstract::Several reports of pregnancy and sepsis associated with an intrauterine device have been reported. A case of a CU-7 in utero with sepsis due to Escherichia coli in a 10-12 week gestation is presented. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Propper NS,Moore JH

    更新日期:1976-07-01 00:00:00

  • Use of a novel visual aid to improve estimation of obstetric blood loss.

    abstract:OBJECTIVE:Visual estimation of blood loss is often inaccurate and imprecise. Obstetric bleeding requires expedient identification and intervention to prevent maternal morbidity and mortality. We aimed to create a visual aid to improve accuracy of estimated obstetric blood loss. METHODS:We designed a pocket card contai...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章


    authors: Zuckerwise LC,Pettker CM,Illuzzi J,Raab CR,Lipkind HS

    更新日期:2014-05-01 00:00:00

  • Effectiveness of treatment strategies of some women with pelvic inflammatory disease: a randomized trial.

    abstract:OBJECTIVE:Among all women with pelvic inflammatory disease (PID), prevention of adverse reproductive consequences appears to be similarly achieved by outpatient treatment and inpatient treatment. We assessed whether outpatient is as effective as inpatient treatment in relevant age, race, and clinical subgroups of women...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验


    authors: Ness RB,Trautmann G,Richter HE,Randall H,Peipert JF,Nelson DB,Schubeck D,McNeeley SG,Trout W,Bass DC,Soper DE

    更新日期:2005-09-01 00:00:00

  • Placental Abruption With Delayed Fetal Compromise in Maternal Acetaminophen Toxicity.

    abstract:BACKGROUND:After maternal acetaminophen overdose, fetal fulminant liver failure, stillbirth, neonatal death, or preterm delivery may occur. CASE:A 27-year-old woman, gravida 2 para 1, presented at 28 weeks of gestation after unintentional acetaminophen overdose. Four days after ingestion, her laboratory values worsene...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Taney J,Anastasio H,Paternostro A,Berghella V,Roman A

    更新日期:2017-07-01 00:00:00

  • Stage IIIC small cell carcinoma of the ovary: survival with conservative surgery and chemotherapy.

    abstract:BACKGROUND:Small cell carcinoma of the ovary is an aggressive tumor primarily affecting young women. Despite adjuvant therapy, the majority of patients described in the literature have fared poorly, even when the disease is diagnosed at an early stage. CASE:A 19-year-old nulligravida with small cell carcinoma of the l...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Rana S,Warren BK,Yamada SD

    更新日期:2004-05-01 00:00:00

  • Embryonic death in early pregnancy: a new look at the first trimester.

    abstract:OBJECTIVE:To examine the frequency of pregnancy loss following successful development of anatomical embryonic landmarks identified with endovaginal ultrasound. METHODS:Two hundred thirty-two women with positive urinary pregnancy tests and no antecedent history of vaginal bleeding had endovaginal sonography performed a...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Goldstein SR

    更新日期:1994-08-01 00:00:00

  • What is new in intrauterine devices? Best articles from the past year.

    abstract::This month, we focus on current research about intrauterine devices. Dr. Hurd discusses four recent publications, and each is concluded with a "bottom line" that is the take-home message. The complete reference for each can be found in on this page, along with direct links to the abstracts. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Hurd WW

    更新日期:2013-10-01 00:00:00

  • Association of Pharmacist Prescription of Hormonal Contraception With Unintended Pregnancies and Medicaid Costs.

    abstract:OBJECTIVE:To estimate unintended pregnancies averted and the cost effectiveness of pharmacist prescription of hormonal contraception. METHODS:A decision-analytic model was developed to determine the cost effectiveness of expanding the scope of pharmacists to prescribe hormonal contraception compared with the standard ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Rodriguez MI,Hersh A,Anderson LB,Hartung DM,Edelman AB

    更新日期:2019-06-01 00:00:00

  • Infant mortality and early postpartum discharge.

    abstract:OBJECTIVE:To assess additional risk of newborn death owing to early discharge. METHODS:This was a historical cohort study using Washington State linked birth certificates, death certificates, and hospital discharge records that covered 47,879 live births in 1989 and 1990. Logistic regression was used to assess risk of...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Malkin JD,Garber S,Broder MS,Keeler E

    更新日期:2000-08-01 00:00:00

  • Placenta previa percreta with bladder invasion.

    abstract:BACKGROUND:Although the clinical presentation and imaging techniques can raise suspicion for placenta previa percreta, this potentially catastrophic condition may remain undiagnosed or its extent underappreciated until delivery. The decision to proceed with definitive surgery in cases of placenta previa percreta should...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Leaphart WL,Schapiro H,Broome J,Welander CE,Bernstein IM

    更新日期:1997-05-01 00:00:00

  • Racial and Ethnic Disparities in Maternal and Neonatal Adverse Outcomes in College-Educated Women.

    abstract:OBJECTIVE:To compare composite maternal and neonatal adverse outcomes among women with at least a bachelor's degree by racial and ethnic groups. METHODS:This was a retrospective cohort study using the U.S. vital statistics data sets. We included women with at least a bachelor's degree who delivered a nonanomalous live...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Tanner LD,Chen HY,Sibai BM,Chauhan SP

    更新日期:2020-07-01 00:00:00

  • Imitators of severe preeclampsia.

    abstract::There are several obstetric, medical, and surgical disorders that share many of the clinical and laboratory findings of patients with severe preeclampsia-hemolysis, elevated liver enzymes, and low platelets syndrome. Imitators of severe preeclampsia-hemolysis, elevated liver enzymes, and low platelets syndrome are lif...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审


    authors: Sibai BM

    更新日期:2007-04-01 00:00:00

  • Laparoscopic sterilization. Review of 3600 cases.

    abstract::A review of 3600 cases of laparoscopy sterilization at the John Hopkins Hospital, between the years 1968-1972, is presented. Technics, complications and failure rate are discussed. The criteria for sterilization were: 1) that the patient be 21 years old (unless mentally retarded or unless the patient was a teenager ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Wheeless CR Jr,Thompson BH

    更新日期:1973-11-01 00:00:00

  • Fetal acoustic stimulation as a possible adjunct to diagnostic obstetric ultrasound: a preliminary report.

    abstract::Unfavorable fetal position during diagnostic obstetric ultrasound can interfere with visualization of certain structures, leading to prolonged or repeated examination. Fetal acoustic stimulation induces a fetal startle reflex and an increase in fetal movements. This report describes our experience with fetal acoustic ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Sarno AP Jr,Bruner JP

    更新日期:1990-10-01 00:00:00

  • Intestinal invasion by a dysgerminoma in a patient with Swyer syndrome.

    abstract::An unusual case is presented of advanced dysgerminoma in a patient with Swyer syndrome, 46,XY pure gonadal dysgenesis. Unexpected regional invasion necessitated bowel resection, total abdominal hysterectomy, and bilateral salpingogonadectomy for a complete en bloc excision of the primary tumor mass and the dysgenetic ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Parker M,Barnhill D,Teneriello M,O'Connor D,Park R

    更新日期:1992-09-01 00:00:00

  • Influence of prostaglandins and adrenoceptor agonists on contractile activity in the human cervix at term.

    abstract::The influence of prostaglandins as well as adrenoceptor agonists and antagonists on contractile activity of isolated cervical smooth muscle from term pregnant women was studied. Prostaglandin E2 had an inhibitory effect at extremely low concentrations. Inhibition also was induced by prostaglandin F2 alpha, prostagland...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Bryman I,Norström A,Lindblom B

    更新日期:1986-04-01 00:00:00

  • Health Care Provider Adherence to Surgical Guidelines for Risk-Reducing Salpingo-Oophorectomy.

    abstract:OBJECTIVE:To evaluate health care provider adherence to the surgical protocol endorsed by the National Comprehensive Cancer Network and the American College of Obstetricians and Gynecologists at the time of risk-reducing salpingo-oophorectomy and compare adherence between gynecologic oncologists and obstetrician-gyneco...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究


    authors: Wilhite AM,Oestreich MC,Olson M,Bedell SM,Westenberg D,Bangdiwala A,Ikramuddin S,Sanchez-Avila M,Madoff RD,Khalifa MA,Erickson BK

    更新日期:2019-09-01 00:00:00

  • Uterine rupture occurring during midtrimester abortion.

    abstract::Uterine rupture is an uncommon complication of midtrimester abortion, occurring more frequently in the older multiparous patient and with the use of high doses of oxytocic agents. The clinical presentation may vary from an unexplained drop in the hematocrit or persistent abdominal pain to profound shock and maternal d...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Graham D

    更新日期:1982-06-01 00:00:00

  • Cervical adenosquamous carcinoma: tumor implantation in an episiotomy scar.

    abstract:BACKGROUND:We report a rare case of a cervical adenosquamous carcinoma, initially diagnosed during delivery, with subsequent implantation in the episiotomy scar 5 weeks postpartum. CASE:A 35-year-old woman with cervical adenosquamous carcinoma diagnosed during delivery was treated with radical abdominal hysterectomy w...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章


    authors: Neumann G,Rasmussen KL,Petersen LK

    更新日期:2007-08-01 00:00:00