Rio de Janeiro — RJ — Brasil marinanucci gmail. Rio de Janeiro — RJ — Brasil andrezaenfermeira gmail. Rio de Janeiro — RJ — Brasil luiztei3 gmail. This article reflects on the medicalization of childbirth, focusing on the development of synthetic oxytocin in

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Directory of Open Access Journals Sweden. Full Text Available Cyst of posterior vaginal wall is very rare. This case relates to a patient who presented with polypoidal mass protruding out from vagina which could have been easily mistaken as uterovaginal prolapse, but appropriate clinical evaluation supported with investigations clinched the diagnosis easily.

RESULTS: there were no significant differences between the number of women with vaginal delivery in the sublingual group as compared with the vaginal group Se pretende conocer la incidencia de morbilidad en Los datos fueron colectados en marzo y abril de An ex post facto study was done at Belen Hospital Obstetrics Service between January and December to compare the effectiveness of cesarean and vaginal delivery in pregnant women with severe preeclampsia according to maternal and neonatal complications.

The study was made with pregnant women with severe preeclampsia from which had cesarean deliveries and 51 vaginal ones. Both groups were compared according to their demographic and obstetric characteristics, having more incidences Gluteo- vaginal fistula after posterior intravaginal slingplasty: a case report.

In patients with posthysterectomy prolapse of the vaginal vault, the posterior intravaginal slingplasty posterior IVS, Tyco Healthcare, USA has been suggested as an alternative to traditional vaginal vault suspensions. The goal of this technique is to recreate the uterosacral ligaments and to reinforce the rectovaginal fascia with the use of prosthetic material.

We report the case of a year-old woman with a history of 27 months of perineal suppurative discharge after she underwent a vaginal vault prolapse and rectocele repair using a posterior IVS Tyco Healthcare, USA. Imaging studies and surgical exploration confirmed infection of the IVS mesh with the formation of a gluteo- vaginal fistula while the rectovaginal mesh was intact.

Stress urinary incontinence and posterior bladder suspension defects. Results of vaginal repair versus Burch colposuspension. Vaginal repair has been recommended in cases of stress urinary incontinence and posterior bladder suspension defect diagnosed by colpocysto-urethrography. Thirty-eight women with stress urinary incontinence and posterior suspension defect have been treated.

First, 19 women underwent a vaginal In a second period, another 19 consecutive patients had a colposuspension a. The patients have been evaluated 6 months postoperatively and at a long-term follow-up. No significant difference was found postoperatively in the frequency of symptoms and signs of stress incontinence, either Sixty-two term pregnant women, with intact membranes and with indication for labor induction, were included.

They randomly received Assessment of posterior vaginal wall prolapse: comparison of physical findings to cystodefecoperitoneography. The aim of the present study was to compare clinical and radiological findings when assessing posterior vaginal wall prolapse. Defecography can be used to complement the clinical evaluation in patients with posterior vaginal wall prolapse. Further development of the defecography technique, using contrast medium in the urinary bladder and intraperitoneally, have resulted in cystodefecoperitoneography CDP.

All patients answered a standardized bowel function questionnaire. Radiological evaluation may therefore be a useful complement in selected patients. Neonatal outcomes, such as Apgar score and the evolution in the first days of life, were studied. The differences were considered significant when p vaginal injuries; a similar result was observed in the normal group. The number of hospitalization days for the parturient and the newborns was identical, 2.

The newborns in the two groups had similar Apgar scores. Ischiorectal abscess and ischiorectal- vaginal fistula as delayed complications of posterior intravaginal slingplasty: a case report.

Synthetic meshes have been used extensively to augment surgical management of pelvic organ prolapses. There are limited data on long-term safety of this procedure. In a subanalysis of the IVS tapes from the SUSPEND trial performed secondary to the large number of patients with complications of suburethral sling erosions after IVS, it was noted that the sling erosion tended to have a delayed presentation secondary to poor incorporation of the mesh.

A year-old woman with cystocele, uterine prolapse and rectocele had undergone total vaginal hysterectomy, mesh-augmented anterior repair, posterior colporrhaphy and posterior intravaginal slingplasty IVS in July Thirty months after the surgery, she presented with gradual symptoms of copious vaginal discharge for several weeks followed by constant right buttock pain and swelling.

Examination was notable for intact mesh with no signs of erosion and a 3-cm induration deep within the right buttock. Computed tomography suggested a pelvic abscess. Magnetic resonance imaging confirmed a right ischiorectal fossa abscess and a vaginal fistula. The patient underwent sling excision, right ischiorectal fossa exploration and vaginal fistula repair. A fistulous tract was found to extend along the intact sling from the vaginal epithelium toward the right ischiorectal fossa.

At 2 months' followup, there were no recurrences or other complications. This is the first report of a delayed complication of an ischiorectal abscess associated with an ischiorectal- vaginal fistula that presented 30 months after the placement of a posterior IVS.

Foram identificados custos diretos com recursos humanos, insumos hospitalares, custos de capital e administrativos. Is it safe to combine abdominoplasty and posterior vaginal repair in one surgical session? Full Text Available Many multiparous women complain of protruded and pendulous abdomens and vaginal outlet relaxation which affect their sexual relationships with their male partners. This study included 47 patients who had these complaints.

Some of these patients were working outside the homes and all were mothers of children. Due of their home and job responsibilities, they did not have enough time or money for multiple surgeries in more than one session. Material and Methods: The age of these patients was years and all patients had poor skin elasticity, pendulous excess subcutaneous fat and skin below the level of the anterior vulvar commissure, and a lax musculoaponeurotic anterior abdominal wall. Also, all patients had a relaxed vaginal outlet and 32 patients had rectocele.

Careful perioperative assessment and management was done for each patient to ensure fitness for the long operation and to avoid complications. The combined surgical session consisted of two steps: abdominoplasty and posterior vaginal repair.

All the patients were kept in the hospital for two days and they returned to their usual routines in the third week after surgery, and they resumed their sexual relationships with their male partners in the sixth week after surgery. Results: There were no serious complications and this approach was convenient for the patients and their families. The recovery time of the combined surgical session was the same as that of just abdominoplasty, and significantly less than the sum of the recovery periods if the two surgeries had been performed in two sessions.

The cost of the combined surgical session was significantly less than doing the surgeries in two sessions. All the patients had significant improvement in their sexual relationships.

Clinical observation of a modified surgical method: posterior vaginal mesh suspension of female rectocele with intractable constipation. To explore the feasibility and effectiveness of a modified posterior vaginal mesh suspension method in treating female rectocele with intractable constipation. The Study Center includes 15 physicians, most of whom have received advanced training in pelvic floor dysfunctional disease and can skillfully perform many types of operations in patients with such disease.

Almost operations to treat pelvic floor dysfunctional disease are performed every year at the center. Thirty-six women with rectocele with intractable constipation. Posterior vaginal mesh suspension. All patients were followed up for 15 to 36 months. In 29 patients, the condition was cured completely; in 5 patients it had improved; and in 2 patients, the intervention had no effect.

Insofar as recovery and improved results, the overall effectiveness rate was Posterior vaginal mesh suspension is an effective, harmless, and convenient method for treatment of female rectocele with intractable constipation. It has positive short-term curative effects, with few complications and sequelae. However, the long-term effects of posterior vaginal mesh suspension should be evaluated.

Published by Elsevier Inc. All rights reserved. Full Text Available Objetivo. Se presentaron complicaciones en ambos sistemas. Sin embargo, en el hospitalario predominaron las maternas y en el tradicional, las neonatales.

Las complicaciones observadas pueden atribuirse a los recursos y acciones utilizados en cada sistema. To compare vaginal delivery hospital and traditional care systems to identify resources and practices, as well as maternal and neonatal complications related to each system.

Material and Methods. Between and , a cross-sectional study was conducted in three hospitals of Merida City and four municipalities of the state of Yucatan. The study sample consisted of women who had a normal vaginal delivery. Delivery procedures were observed and a questionnaire to identify complications was applied 15 days after childbirth.

Data analysis consisted in comparison of proportions with the chi-squared test. Maternal and neonatal complications were identified in both systems. Ultrasound in the investigation of posterior compartment vaginal prolapse and obstructed defecation. Recent developments in diagnostic imaging have made gynecologists, colorectal surgeons and gastroenterologists realize as never before that they share a common interest in anorectal and pelvic floor dysfunction.

While we often may be using different words to describe the same phenomenon e. Like no other diagnostic modality, imaging helps us understand each other and provides new insights into conditions we all need to learn to investigate better in order to improve clinical management.

This is advantageous for the women themselves because ultrasound is much better tolerated, as well as for healthcare systems since sonographic imaging is much less expensive. However, there is a substantial need for education, which currently remains unmet. Full Text Available Objetivo: avaliar o colo uterino por meio do toque vaginal e da ultra-sonografia transvaginal em gestantes de risco elevado para o parto prematuro.

Methods: during the period between February and September , 38 pregnant women at high risk of having premature delivery between the 20th and 36th week of gestation were examined. These patients were submitted weekly to both digital and transvaginal ultrasound examinations.

The digital examination evaluated the uterine cervix using two parameters: length and dilation. The transvaginal ultrasound studied the length and the anteroposterior diameter of the uterine cervix. The behavior of these cervical measurements was analyzed throughout the pregnancies.


2017, Number 2

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