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Yu-Jin Koo 6 Articles
Classification of endometriosis
Soo-Young Lee, Yu-Jin Koo, Dae-Hyung Lee
Yeungnam Univ J Med. 2021;38(1):10-18.   Published online August 7, 2020
DOI: https://doi.org/10.12701/yujm.2020.00444
  • 22,721 View
  • 725 Download
  • 45 Crossref
AbstractAbstract PDF
Endometriosis is a chronic disease associated with pelvic pain and infertility. Several classification systems for the severity of endometriosis have been proposed. Of these, the revised American Society for Reproductive Medicine classification is the most well-known. The ENZIAN classification was developed to classify deep infiltrating endometriosis and focused on the retroperitoneal structures. The endometriosis fertility index was developed to predict the fertility outcomes in patients who underwent surgery for endometriosis. Finally, the American Association of Gynecological Laparoscopists classification is currently being developed, for which 30 endometriosis experts are analyzing and researching data by assigning scores to categories considered important; however, it has not yet been fully validated and published. Currently, none of the classification systems are considered the gold standard. In this article, we review the classification systems, identify their pros and cons, and discuss what improvements need to be made to each system in the future.

Citations

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    Best Practice & Research Clinical Obstetrics & Gynaecology.2024; 92: 102454.     CrossRef
  • Acupuncture for pain and pain-related disability in deep infiltrating endometriosis
    Giulia Chiarle, Gianni Allais, Silvia Sinigaglia, Gisella Airola, Sara Rolando, Fabiola Bergandi, Salvatore Micalef, Chiara Benedetto
    Frontiers in Pain Research.2024;[Epub]     CrossRef
  • Inguinal hernia following the use of fluid anti-adhesive agents in laparoscopic surgery: a literature review and case report
    Man-Jung Chu, Pei-Shen Huang
    Annals of Medicine & Surgery.2024; 86(3): 1805.     CrossRef
  • Ultrasound Characteristics and Scanning Techniques of Uterosacral Ligaments for the Diagnosis of Endometriosis
    Shae Maple, K Jane Chalmers, Eva Bezak, Katelyn Henry, Nayana Parange
    Journal of Ultrasound in Medicine.2023; 42(6): 1193.     CrossRef
  • The Influence of Lactoferrin in Plasma and Peritoneal Fluid on Iron Metabolism in Women with Endometriosis
    Ewa Skarżyńska, Monika Wróbel, Hanna Zborowska, Mateusz Franciszek Kołek, Grzegorz Mańka, Mariusz Kiecka, Michał Lipa, Damian Warzecha, Robert Spaczyński, Piotr Piekarski, Beata Banaszewska, Artur Jakimiuk, Tadeusz Issat, Wojciech Rokita, Jakub Młodawski,
    International Journal of Molecular Sciences.2023; 24(2): 1619.     CrossRef
  • Long Non-Coding RNA SNHG4 Expression in Women with Endometriosis: A Pilot Study
    Tomasz Szaflik, Hanna Romanowicz, Krzysztof Szyłło, Beata Smolarz
    Genes.2023; 14(1): 152.     CrossRef
  • Epidemiological and Immune Profile Analysis of Italian Subjects with Endometriosis and Multiple Sclerosis
    Brunella Zizolfi, Virginia Foreste, Simona Bonavita, Valentina Rubino, Giuseppina Ruggiero, Vincenzo Brescia Morra, Roberta Lanzillo, Antonio Carotenuto, Francesca Boscia, Maurizio Taglialatela, Maurizio Guida
    Journal of Clinical Medicine.2023; 12(5): 2043.     CrossRef
  • Rectal endometriosis imaging: A case based pictorial essay
    Garvit D. Khatri, Deepashri Basavalingu, Nitin Chaubal, Manjiri Dighe
    WFUMB Ultrasound Open.2023; 1(1): 100002.     CrossRef
  • KRAS mutations and endometriosis burden of disease
    Natasha L Orr, Arianne Albert, Yang Doris Liu, Amy Lum, JooYoon Hong, Catalina L Ionescu, Janine Senz, Tayyebeh M Nazeran, Anna F Lee, Heather Noga, Kate Lawrenson, Catherine Allaire, Christina Williams, Mohamed A Bedaiwy, Michael S Anglesio, Paul J Yong
    The Journal of Pathology: Clinical Research.2023; 9(4): 302.     CrossRef
  • The Clinical Presentation of Endometriosis and Its Association to Current Surgical Staging
    Matilda Shaked Ashkenazi, Ole Linvåg Huseby, Gard Kroken, Marcela Trocha, Aurora Henriksson, Hanna Jasiak, Karen Cuartas, Alessandra Loschiavo, Isabella Kuhn, Dina Støve, Hanna Grindahl, Emilia Latour, Mathias Melbø, Katrine Holstad, Sebastian Kwiatkowski
    Journal of Clinical Medicine.2023; 12(7): 2688.     CrossRef
  • Evaluation and management of endometriosis
    T. Yoldemir
    Climacteric.2023; 26(3): 248.     CrossRef
  • COX isozymes and non-uniform neoangiogenesis: What is their role in endometriosis?
    Andrea Caruana, Charles Savona-Ventura, Jean Calleja-Agius
    Prostaglandins & Other Lipid Mediators.2023; 167: 106734.     CrossRef
  • Time to move beyond surgical classification systems for endometriosis
    María Isabel Hernández Cardona, Christana Ajewole, Hannah Lewis, Jorge F. Carrillo, Mario E. Castellanos, Stefanie Barish, Juan Diego Villegas Echeverri, Georgine Lamvu
    International Journal of Gynecology & Obstetrics.2023; 163(1): 58.     CrossRef
  • Antimüllerian hormone (AMH) and age as predictors of preimplantation genetic testing for aneuploidies (PGT-A) cycle outcomes and blastocyst quality on day 5 in women undergoing in vitro fertilization (IVF)
    A. Arnanz, A. Bayram, I. Elkhatib, A. Abdala, A. El-Damen, R. Patel, B. Lawrenz, L. Melado, H. Fatemi, N. De Munck
    Journal of Assisted Reproduction and Genetics.2023; 40(6): 1467.     CrossRef
  • Association between polymorphisms of cytokine genes and endometriosis: A comprehensive systematic review and meta-analysis
    Shulin Zhong, Yuzhen Liang, Zhixi Wu, Li Wei
    Journal of Reproductive Immunology.2023; 158: 103969.     CrossRef
  • Psychological hallmarks of endometriosis with emphasis on sexual dysfunction, stress, anxiety and depressive symptoms
    Ludek Fiala, Jiri Lenz, Zdenek Adamik, Rachel Sajdlova, Daniela Kestlerova, Vaclav Vetvicka
    International Clinical Pathology Journal.2023; 10(1): 45.     CrossRef
  • Detection of Endometriosis Lesions Using Gd-Based Collagen I Targeting Probe in Murine Models of Endometriosis
    Nazanin Talebloo, Maria Ariadna Ochoa Bernal, Elizabeth Kenyon, Christiane L. Mallett, Asgerally Fazleabas, Anna Moore
    Molecular Imaging and Biology.2023; 25(5): 833.     CrossRef
  • Exosomal microRNAs and long noncoding RNAs: as novel biomarkers for endometriosis
    Elahe Soltani-Fard, Marzieh Asadi, Sina Taghvimi, Asma Vafadar, Parisa Vosough, Amir Tajbakhsh, Amir Savardashtaki
    Cell and Tissue Research.2023; 394(1): 55.     CrossRef
  • Use of the Free Endometriosis Risk Advisor App as a Non-Invasive Screening Test for Endometriosis in Patients with Chronic Pelvic Pain and/or Unexplained Infertility
    Camran Nezhat, Ellie Armani, Hsuan-Chih Carolina Chen, Zahra Najmi, Steven R. Lindheim, Ceana Nezhat
    Journal of Clinical Medicine.2023; 12(16): 5234.     CrossRef
  • Endometriosis: Classification, pathophysiology, and treatment options
    Elma Pašalić, Murtaza M. Tambuwala, Altijana Hromić-Jahjefendić
    Pathology - Research and Practice.2023; 251: 154847.     CrossRef
  • Endometriosis Grade 4 in In Vitro Fertilisation and Its Management: A Case Report
    Abhijeet Raj, Kshiti P Deshpande, Neema Acharya
    Cureus.2023;[Epub]     CrossRef
  • Imaging of Urinary Bladder and Ureteral Endometriosis with Emphasis on Diagnosis and Technique
    Anuradha S. Shenoy-Bhangle, Izabela Pires Franco, Lauren J. Ray, Jinjin Cao, Aoife Kilcoyne, Natally Horvat, Luciana Pardini Chamie
    Academic Radiology.2023;[Epub]     CrossRef
  • Prevalence, Surgical, and Medical Management of Patients with Endometriosis amongst Indian Women
    Roya Rozati, Wajeeda Tabasum, Mohammed Sarosh Ahmed, Aleem Ahmed Khan, Talia Nazeer Ahmed, Sumaiya Nayela, Salwa Sahar Azimi
    European Journal of Medical and Health Sciences.2023; 5(6): 101.     CrossRef
  • Endometriosis: An Overview
    Tanvir Agnihotri, Abheek Ghosh, Ashley Lamba, Charles E. Ray
    Seminars in Interventional Radiology.2023; 40(06): 544.     CrossRef
  • Comparison of Clinical and Reproductive Outcomes between Adenomyomectomy and Myomectomy
    Kristyna Hlinecka, Michal Mara, Barbora Boudova, Zdenka Lisa, Adela Richtarova, David Kuzel
    Journal of Minimally Invasive Gynecology.2022; 29(3): 392.     CrossRef
  • Evaluating Surgical Complexity of Endoscopic Hysterectomy: An Inter-rater and Intra-rater Agreement Study of Novel Scoring Tool
    Meenal Misal, Marlene Girardo, Sadikah Behbehani, Vimee Bindra, Mark R. Hoffman, Wei How Lim, Courtney Martin, Sukrant K. Mehta, Alysha Nensi, Thiers Soares, Deborah Taylor, Steve Wagner, Kelly N. Wright, Megan N. Wasson
    Journal of Minimally Invasive Gynecology.2022; 29(5): 683.     CrossRef
  • MRI in the Diagnosis of Endometriosis and Related Diseases
    Aki Kido, Yuki Himoto, Yusaku Moribata, Yasuhisa Kurata, Yuji Nakamoto
    Korean Journal of Radiology.2022; 23(4): 426.     CrossRef
  • Role of Robotic Surgery in Benign Gynecology
    Mireille D. Truong, Lauren N. Tholemeier
    Obstetrics and Gynecology Clinics of North America.2022; 49(2): 273.     CrossRef
  • NLRP3 activated macrophages promote endometrial stromal cells migration in endometriosis
    Feng Zhou, Fanxuan Zhao, Qianmeng Huang, Xiang Lin, Songying Zhang, Yongdong Dai
    Journal of Reproductive Immunology.2022; 152: 103649.     CrossRef
  • Endometriosis: A Disease with Few Direct Treatment Options
    Patricia Ribeiro de Carvalho França, Anna Carolina Pereira Lontra, Patricia Dias Fernandes
    Molecules.2022; 27(13): 4034.     CrossRef
  • The Role of the Immune System in the Development of Endometriosis
    Monika Abramiuk, Ewelina Grywalska, Paulina Małkowska, Olga Sierawska, Rafał Hrynkiewicz, Paulina Niedźwiedzka-Rystwej
    Cells.2022; 11(13): 2028.     CrossRef
  • Transvaginal Ultrasound vs. Magnetic Resonance Imaging (MRI) Value in Endometriosis Diagnosis
    Alexandra Baușic, Ciprian Coroleucă, Cătălin Coroleucă, Diana Comandașu, Roxana Matasariu, Andrei Manu, Francesca Frîncu, Claudia Mehedințu, Elvira Brătilă
    Diagnostics.2022; 12(7): 1767.     CrossRef
  • History of Endometriosis Is Independently Associated with an Increased Risk of Ovarian Cancer
    Antonio Sarría-Santamera, Zaukiya Khamitova, Arnur Gusmanov, Milan Terzic, Mar Polo-Santos, Miguel A. Ortega, Angel Asúnsolo
    Journal of Personalized Medicine.2022; 12(8): 1337.     CrossRef
  • Surgical Classification of Endometriosis
    João Nogueira Neto, Mauricio Simões Abrão, Eduardo Schor, Julio Cesar Rosa-e-Silva
    Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics.2022; 44(08): 737.     CrossRef
  • Analysis of Long Non-Coding RNA (lncRNA) UCA1, MALAT1, TC0101441, and H19 Expression in Endometriosis
    Tomasz Szaflik, Hanna Romanowicz, Krzysztof Szyłło, Radosław Kołaciński, Magdalena M. Michalska, Dariusz Samulak, Beata Smolarz
    International Journal of Molecular Sciences.2022; 23(19): 11583.     CrossRef
  • Colorectal infiltrating deep endometriosis: Laparoscopic treatment. A case report
    Giuseppe Di Buono, Matilde Micheli, Gaia Russo, Roberta Vella, Giuseppe Amato, Girolamo Geraci, Antonino Agrusa
    Frontiers in Surgery.2022;[Epub]     CrossRef
  • Aged garlic extract as a potential prophylactic to reduce the progression of endometriosis and associated pain burden
    Emily Redwood, Virginie Lam, Ryusuke Takechi, Deborah Anne Kerr, Connie Jackaman, Arazu Sharif, John Charles Louis Mamo
    Frontiers in Pain Research.2022;[Epub]     CrossRef
  • Histotyping and grading of endometriosis and its association with clinico-pathological parameters
    Jyothika Litson, Rini Agnes, Gayatri Ravikumar
    Journal of Obstetrics and Gynaecology.2022; 42(8): 3628.     CrossRef
  • Plasma and Peritoneal Fluid Fibronectin and Collagen IV Levels as Potential Biomarkers of Endometriosis
    Damian Warzecha, Julia Załęcka, Grzegorz Mańka, Mariusz Kiecka, Michał Lipa, Robert Spaczyński, Piotr Piekarski, Beata Banaszewska, Artur Jakimiuk, Tadeusz Issat, Wojciech Rokita, Jakub Młodawski, Maria Szubert, Piotr Sieroszewski, Grzegorz Raba, Kamil Sz
    International Journal of Molecular Sciences.2022; 23(24): 15669.     CrossRef
  • Progestins in the symptomatic management of endometriosis: a meta-analysis on their effectiveness and safety
    Jon-Benay Mitchell, Sarentha Chetty, Fatima Kathrada
    BMC Women's Health.2022;[Epub]     CrossRef
  • Effects of CDKN2B-AS1 on cellular proliferation, invasion and AKT3 expression are attenuated by miR-424-5p in a model of ovarian endometriosis
    Sixue Wang, Mingyu Yi, Xinyue Zhang, Tingting Zhang, Li Jiang, Le Cao, Yuxin Zhou, Xiaoling Fang
    Reproductive BioMedicine Online.2021; 42(6): 1057.     CrossRef
  • Structured report for dynamic ultrasonography in patients with suspected or known endometriosis: Recommendations of the International Society for Gynecologic Endoscopy (ISGE)
    Dusan Djokovic, Patrícia Pinto, Bruno J. van Herendael, Antonio Simone Laganà, Viju Thomas, Jörg Keckstein
    European Journal of Obstetrics & Gynecology and Reproductive Biology.2021; 263: 252.     CrossRef
  • Stigma and Endometriosis: A Brief Overview and Recommendations to Improve Psychosocial Well-Being and Diagnostic Delay
    Omar T. Sims, Jhumka Gupta, Stacey A. Missmer, Irene O. Aninye
    International Journal of Environmental Research and Public Health.2021; 18(15): 8210.     CrossRef
  • AAGL 2021 Endometriosis Classification: An Anatomy-based Surgical Complexity Score
    Mauricio S. Abrao, Marina Paula Andres, Charles E. Miller, Julian A. Gingold, Mariona Rius, Joao Siufi Neto, Francisco Carmona
    Journal of Minimally Invasive Gynecology.2021; 28(11): 1941.     CrossRef
  • Involvement of bradykinin and bradykinin B1 receptor in patients with endometriosis
    Xin Meng, Ying Li, Qingxue Li, Jian Yang, Mingli An, Xinping Fu, Shuancheng Zhang, Jingwei Chen
    Experimental and Therapeutic Medicine.2021;[Epub]     CrossRef
Clinical outcomes of hysterectomy for benign diseases in the female genital tract: 6 years’ experience in a single institute
Hyo-Shin Kim, Yu-Jin Koo, Dae-Hyung Lee
Yeungnam Univ J Med. 2020;37(4):308-313.   Published online April 24, 2020
DOI: https://doi.org/10.12701/yujm.2020.00185
  • 5,637 View
  • 179 Download
  • 1 Crossref
AbstractAbstract PDF
Background
Hysterectomy is one of the major gynecologic surgeries. Historically, several surgical procedures have been used for hysterectomy. The present study aims to evaluate the surgical trends and clinical outcomes of hysterectomy performed for benign diseases at the Yeungnam University Hospital.
Methods
We retrospectively reviewed patients who underwent a hysterectomy for benign diseases from 2013 to 2018. Data included the patients’ demographic characteristics, surgical indications, hysterectomy procedures, postoperative pathologies, and perioperative outcomes.
Results
A total of 809 patients were included. The three major indications for hysterectomy were uterine leiomyoma, pelvic organ prolapse, and adenomyosis. The most common procedure was total laparoscopic hysterectomy (TLH, 45.2%), followed by open hysterectomy (32.6%). During the study period, the rate of open hysterectomy was nearly constant (29.4%–38.1%). The mean operative time was the shortest in the single-port laparoscopic assisted vaginal hysterectomy (LAVH, 89.5 minutes), followed by vaginal hysterectomy (VH, 96.8 minutes) and TLH (105 minutes). The mean decrease in postoperative hemoglobin level was minimum in single-port LAVH (1.8 g/dL) and VH (1.8 g/dL). Conversion to open surgery or multi-port surgery occurred in five cases (0.6%). Surgical complications including wound dehiscence, organ injuries, and conditions requiring reoperation were observed in 52 cases (6.4%).
Conclusion
Minimally invasive approach was used for most hysterectomies for benign diseases, but the rate of open hysterectomy has mostly remained constant. Single-port LAVH and VH showed the most tolerable outcomes in terms of operative time and postoperative drop in hemoglobin level in selected cases.

Citations

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  • Analysis of Different Routes of Hysterectomy Based on a Prospective Algorithm and Their Complications in a Tertiary Care Institute
    Subrat Panda, Ananya Das, Rituparna Das, Nalini Sharma, Wansalan Shullai, Vinayak Jante, Anusuya Sharma, Kaushiki Singh, Prateeti Baruah, Ruksana Makakmayum, Imtiaz Wani
    Minimally Invasive Surgery.2022; 2022: 1.     CrossRef
Clinical and histopathologic analysis of gynecological cancer: a single institute experience over 7 years
Soo-Young Lee, Eunbyeol Kim, Hyo-Shin Kim, Yu-Jin Koo, Dae-Hyung Lee
Yeungnam Univ J Med. 2020;37(3):179-185.   Published online March 5, 2020
DOI: https://doi.org/10.12701/yujm.2019.00451
  • 5,578 View
  • 169 Download
  • 2 Crossref
AbstractAbstract PDF
Background
Approximately 100,000 women are diagnosed with cancer each year in Korea. According to a survey by the Korean central cancer registry in 2016, uterine cervical cancer, uterine corpus cancer, and ovarian cancer were the 5th, 7th, and 8th most prevalent cancers respectively among Korean women. The present study aims to review the clinico-pathologic characteristics of patients who were treated for major gynecological malignancies at Yeungnam University Medical Center.
Methods
Patients with invasive gynecological cancers from January 2012 to February 2019 were retrospectively identified. We analyzed the clinical features, demographic profiles, pathologic data, treatment modality used, adjuvant treatment used, complications, recurrence, and survival outcomes.
Results
A total of 287 patients (cervical cancer 115; corporal cancer 86; and ovarian, tubal, or primary peritoneal cancer 90) were included. Most cervical (82.7%) and corporal cancers (89.5%) were diagnosed in the early stages (stage I or II), while more than half (58.9%) the cases of ovarian, tubal or peritoneal cancers were diagnosed in the advanced stages (stage III or IV). Surgical complications were observed in 12.2% of cervical cancers, 16.3% of uterine corpus cancers, and 11.1% of ovarian, tubal, and peritoneal cancers, respectively. The 5-year overall survival rate was 94.1%, 91.0%, and 77.1% for cervical, corporal, and ovarian, tubal, or peritoneal cancers, respectively.
Conclusion
Surgical treatment was satisfactory in terms of the incidence of complications, and survival outcomes were generally good. Clinicians should be aware of the clinical and histopathological characteristics of patients with gynecological cancers to be able to provide optimal strategies and counseling.

Citations

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  • Molecular landscape of recurrent cervical cancer
    Divya Adiga, Sangavi Eswaran, Deeksha Pandey, Krishna Sharan, Shama Prasada Kabekkodu
    Critical Reviews in Oncology/Hematology.2021; 157: 103178.     CrossRef
  • Histopathological Study of Gynecological Cancers in Patients Admitted to Baqiyatallah Hospital in Tehran during 2011-2019
    Seyedeh Razieh Hashemi, Mohammad Reza Akbari, Zahra Soleimani
    Avicenna Journal of Clinical Medicine.2021; 28(1): 42.     CrossRef
Puerperal septic shock and necrotizing fasciitis caused by Staphylococcus caprae and Escherichia coli
Yu-Jin Koo
Yeungnam Univ J Med. 2018;35(2):248-252.   Published online December 31, 2018
DOI: https://doi.org/10.12701/yujm.2018.35.2.248
  • 6,061 View
  • 68 Download
  • 1 Crossref
AbstractAbstract PDF
Puerperal sepsis is one of the leading causes of maternal morbidity and mortality worldwide. Postpartum pelvic infections can cause various complications, including wound infections and necrotizing fasciitis. Several microorganisms are known to cause such infections; however, no study has reported on Staphylococcus caprae, a coagulase-negative staphylococcus that is isolated frequently from animals and infrequently from human specimens, as a causative agent. Here, we report a rare case of septic shock complicated by necrotizing fasciitis after a cesarean section. This is the first report of a human isolate of S. caprae in association with puerperal sepsis and necrotizing fasciitis.

Citations

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  • Factors Affecting Postpartum Infection: A Systematic Review
    Maryam Malmir, Narges Azizi Boroojerdi, Seyedeh Zahra Masoumi, Parisa Parsa
    Infectious Disorders - Drug Targets.2022;[Epub]     CrossRef
Recent advances in minimally invasive surgery for gynecologic indications
Yu-Jin Koo
Yeungnam Univ J Med. 2018;35(2):150-155.   Published online December 31, 2018
DOI: https://doi.org/10.12701/yujm.2018.35.2.150
  • 5,133 View
  • 102 Download
  • 11 Crossref
AbstractAbstract PDF
Recently, an increasing interest in less invasive surgery has led to the advent of laparoendoscopic singlesite surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES). LESS and NOTES could be technically challenging, but available literature has demonstrated the feasibility and safety of LESS for benign gynecologic diseases. However, the evidence is not strong enough to recommend the use of LESS over that of conventional multiport laparoscopic surgery (MLS). As per the results of the most recently published meta-analysis, the majority of surgical outcomes are equivalent between LESS and MLS, except for the longer operative time in LESS for both adnexal surgery and hysterectomy. Although an increasing number of studies have reported on robotic LESS, NOTES, and LESS for gynecologic malignancy, definite conclusions have not been drawn owing to the lack of sufficient information.

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  • Comparative study to determine the proper sequence of simulation training, pelvic trainer versus virtual reality simulator: a pilot study
    Ngima Yangji Sherpa, Ahmed El Minawi, Ahmed N Askalany, Marwa Abdalla
    Middle East Fertility Society Journal.2024;[Epub]     CrossRef
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    Liam Swanepoel, Alexander Przybysz, Pieter Fourie, Jurgen Kosel
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    Pei-Chen Chen, Pei-Chen Li, Hsuan Chen, Dah-Ching Ding
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    Journal of Clinical Medicine.2021; 10(10): 2073.     CrossRef
  • Cervicovaginal reconstruction with small intestinal submucosa graft in congenital cervicovaginal atresia: A report of 38 cases
    Yan Ding, Xuyin Zhang, Ying Zhang, Fang Shen, Jingxin Ding, Keqin Hua
    European Journal of Obstetrics & Gynecology and Reproductive Biology.2021; 267: 49.     CrossRef
  • Benefícios relacionados à cirurgia minimamente invasiva na ginecologia
    Isys Holanda Albuquerque de Vasconcelos, Renata Nogueira Andrade, Beatriz Amâncio Rodrigues, Beatriz Leite Assis, Lorenna da Silva Santos, Luana Lemos Alves, Marlon José dos Santos Rosa, Monica Aparecida Miranda Carvalho, Renata Correia Freire, Scanagatt
    Revista Científica Multidisciplinar Núcleo do Conhecimento.2020; : 28.     CrossRef
Successful delayed-interval delivery performed 128 days after the vaginal delivery of the first fetus in a twin pregnancy
Yu-Jin Koo
Yeungnam Univ J Med. 2018;35(1):135-139.   Published online June 30, 2018
DOI: https://doi.org/10.12701/yujm.2018.35.1.135
  • 5,503 View
  • 67 Download
AbstractAbstract PDF
There has been a significant increase in the number of multiple pregnancies that are associated with a high risk of preterm delivery among Korean women. However, to date, delayed-interval delivery in women with multiple pregnancy is rare. We report a case of delayed-interval delivery performed 128 days after the vaginal delivery of the first fetus in a dichorionic diamniotic twin pregnancy. The patient presented with vaginal leakage of amniotic fluid at 16 weeks of gestation and was diagnosed with a preterm premature rupture of membranes. Three days later, the first twin was delivered, but the neonate died soon after. The second twin remained in utero, and we decided to retain the fetus in utero to reduce the morbidity and mortality associated with a preterm birth. The patient was managed with antibiotics and tocolytics. Cervical cerclage was not performed. The second twin was delivered vaginally at 34 weeks and 5 days of gestation, 128 days after the delivery of the first-born fetus. This neonate was healthy and showed normal development during the 1-year follow-up period. Based on our experience with this case, we propose that delayed-interval delivery may improve perinatal survival and decrease morbidity in the second neonate in highly selected cases.

JYMS : Journal of Yeungnam Medical Science