Cabinet de groupe gynéco-obstetrique Dr.Namous.Dr Bendali

31/03/2025

عيدكم مبارك وكل عام وانتم بخير

28/11/2024

AJOG Surgeon's Corner: A simplified modification of the Sturmdorf suture - Surgical illustration of previously published Sturmdorf type suture techniques in the English literature
(A) The original Sturmdorf suture. (A: Reprinted with permission from Leslie et al.3) (B) A modified Sturmdorf suture further inverting the vaginal flaps to a higher level at the internal OS. (Reprinted from Drosin et al,4 Copyright [1938] with permission from Elsevier.) (C) A modified Sturmdorf suture with hemostatic sutures at the lateral aspects of the cervix. (Reprinted from Bielecki et al,5 Copyright (1964), with permission from Elsevier.) (D) A single continuous to***co purse type of suture that begins and ends like Sturmdorf suture. (Reprinted from Sokol et al,6 Copyright (1964), with permission from Elsevier.) (E) A modified Sturmdorf suture with hemostatic sutures at the anterior and posterior aspects of the cervix. https://ow.ly/UNou50UfEyb

03/11/2024

Closed- or open-glottis pushing for vaginal delivery: a planned secondary analysis of the TRAnexamic Acid for Preventing postpartum hemorrhage after vaginal delivery study - Pathophysiological hypotheses illustrating effects of pushing mode on obstetrical events
Closed-glottis pushing, using the Valsalva maneuver, is theoretically more effective, but could reduce placental perfusion and affect the fetal acid–base balance by increasing intrathoracic and abdominal pressure and reducing maternal arterial blood pressure. Open-glottis pushing is theoretically less effective, extending the duration of expulsive efforts, but could preserve placental perfusion. https://ow.ly/75Gb50QJNQi

21/10/2024

AJOG Expert Review in Labor: Sonographic evaluation of the fetal head position and attitude during labor - Transabdominal sonographic assessment of the degree of flexion of the fetal head in fetuses in occiput-posterior position using the CCA http://ow.ly/hiiL50OufBV

28/09/2024

AJOG Special Report: A Lexicon for First-Trimester US: Society of Radiologists in Ultrasound Consensus Conference Recommendations: Specific normal and abnormal pregnancy location sites
Schematic illustration of normal pregnancy implantation sites on the left half of the uterine diagram and abnormal implantation sites on the right. Representative round icons indicate the implantation site with corresponding letters to lexicon terms in the box. Of note, it is optional to further describe a tubal ectopic pregnancy location as isthmic, infundibular, or ampullary when the precise location is clear at US. https://ow.ly/r4Hq50T8rA5

26/09/2024

Mechanisms of pain and retrograde menstruation in endometriosis - Mechanism of retrograde menstruation includes denervation of interstitial myometrium
A, Normal interstitial myometrium (stained with hematoxylin and eosin; ×100); B, Normal interstitial myometrium (stained with S100; ×100; nerves stain brown); C, Dilated, interstitial, fallopian tube (stained with hematoxylin and eosin; ×100); D, Dilated, interstitial, fallopian tube with few nerves (stained with S100; ×100); E, Normal barium hysterogram of uterus and fallopian tube (Reproduced, with permission, from Sampson,5 Figure 40); and F, Dilated interstitial fallopian tube, indicated by white arrow https://ow.ly/3h3g50TvVLB

18/08/2024

AJOG Expert Review in Labor: Uterine-sparing surgical procedures to control postpartum hemorrhage - Stepwise uterine devascularization
AbdRabbo has proposed a stepwise uterine devascularization in 5 steps, with each step being performed only if the preceding step did not stop the hemorrhage within 10 minutes: unilateral and then bilateral ligation of the uterine arteries (1+2), stepwise low ligation of both uterine arteries (3), unilateral and then bilateral ligation of the suspensory ligaments of the o***y (4+5). We advised against steps 4 and 5 because of the risk of subsequent ovarian failure. https://ow.ly/shmc50PCNhT

14/08/2024

AJOG Expert Review in Labor: Abnormal fetal heart rate patterns caused by pathophysiologic processes other than fetal acidemia - FHR tracing of a case of hematogenous fetal infection because of Listeria monocytogenes
This patient was at 35 weeks and 5 days gestation in active labor; on admission, there were frequent uterine contractions accompanied by late FHR decelerations (arrows) (A); 60 min after admission, persistent and frequent late decelerations (arrows) with absent FHR variability were noted, resulting in an undulating FHR pattern (B); 90 min after admission, persistent fetal tachycardia, absent variability, and subtle late decelerations (arrows) were noted (C). At cesarean delivery, 90 min after admission, foul smelling amniotic fluid was noted; Apgar scores were 1, 6, and 7 at 1, 5, and 10 minutes, respectively; cord artery pH=7.18, cord vein pH=7.21; neonatal blood cultures were positive for Listeria monocytogenes; the female neonate was treated for neonatal sepsis with gentamycin and ampicillin for 2 weeks. https://ow.ly/HCxP50SsglR

13/08/2024

AJOG Expert Review in Labor: The physiology and pharmacology of oxytocin in labor and in the peripartum period - Illustration of the binding between oxytocin and its receptor https://ow.ly/Onjw50Pbq1R

13/08/2024

Maternal body mass index, birthweight, and placental glucose metabolism: evidence for a role of placental hexokinase - An illustration showing our working hypothesis https://ow.ly/Zpe050QvbbH

27/07/2024