Most Read Articles
09 Dec 2017
Intravenous (IV) iron is less toxic and more effective compared to oral iron, making it a potential frontline therapy for neonatal iron deficiency anaemia, suggests a recent study.
Shilpa Kolhe, MBBS, MD, MRCOG; Shilpa Deb, MBBS, DGO, MRCOG, 01 Aug 2012

Dysmenorrhoea is a medical condition characterized by severe uterine pain during menstruation manifesting as cyclical lower abdominal or pelvic pain, which may also radiate to the back and thighs. The term dysmenorrhoea is derived from the Greek words ‘dys’ meaning difficult, painful or abnormal, ‘meno’ meaning month, and ‘rrhea’ meaning flow. It is commonly divided into primary dysmenorrhoea, where there is no coexistent pathology, and secondary dysmenorrhoea where there is an identifiable pathological condition known to contribute to painful menstruation. Symptoms of primary dysmenorrhoea begin a few hours before the start of menstruation and are often relieved during the first few days of bleeding. The initial onset of primary dysmenorrhoea is usually shortly after menarche (6–12 months), when ovulatory cycles are established. Secondary dysmenorrhoea can also occur at any time after menarche but is most commonly observed in women in their third and fourth decade of life in association with an existing condition.

02 Dec 2014
Adolescent females often experience menstrual problems, and these are usually related to mood changes. In this study, the association between dysmenorrhea and depressive symptoms, anxiety, and premenstrual syndrome was examined.
26 Feb 2017
Placement of cervical pessary in women with short cervices and singleton pregnancies does not lower the risk of having preterm births, according to the results of a meta-analysis.

Fewer complications with LARVH than ARH for early-stage cervical cancer

08 Oct 2017

Laparoscopically assisted radical vaginal hysterectomy (LARVH) has similar survival outcomes with abdominal radical hysterectomy (ARH) for early-stage cervical cancer, but confers significantly less blood loss and shorter hospital stay, a new retrospective study has found.

The study included 77 patients, of whom 42 received ARH (median age 46.6 years) while 35 received LARVH (median age 45 years). Both groups were comparable in histological diagnosis, cancer stage, age and body mass index.

In terms of intraoperative factors, the ARG group registered significantly higher mean blood loss (861.91±349.36 vs 502.86±236.69 mL; p<0.05) and transfusion rate (54.8 vs 8.6 percent; p<0.05), with significantly more lymph nodes retrieved (36.19±12.28 vs 23.71±9.45; p<0.05), than the LARVH group.

Operative time (169.33±43.80 vs 182.74±33.98 minutes) and vaginal length (2.1±0.847 vs 2.17±0.72) were similar between the ARH and LARVH groups.

The ARH group also showed a longer mean catheterized period (10.57±4.59 vs 7.83±2.56 days; p<0.05) and hospital stay (21.41±14.94 vs 14.37±11.78 days; p<0.05) than the LARVH group.

In terms of survival outcomes, tumour recurrence was reported in 10 patients in the ARH group as opposed to three in the LARVH group, with the difference reaching statistical significance (p<0.05).

No significant difference was calculated in the other survival outcomes such as length of follow-up, disease-free survival, overall survival and mortality rate.

The current findings indicate that, despite largely similar survival outcomes, LARVH is a suitable alternative to ARH for early-stage cervical cancer because it confers fewer complications and is less invasive.

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Most Read Articles
09 Dec 2017
Intravenous (IV) iron is less toxic and more effective compared to oral iron, making it a potential frontline therapy for neonatal iron deficiency anaemia, suggests a recent study.
Shilpa Kolhe, MBBS, MD, MRCOG; Shilpa Deb, MBBS, DGO, MRCOG, 01 Aug 2012

Dysmenorrhoea is a medical condition characterized by severe uterine pain during menstruation manifesting as cyclical lower abdominal or pelvic pain, which may also radiate to the back and thighs. The term dysmenorrhoea is derived from the Greek words ‘dys’ meaning difficult, painful or abnormal, ‘meno’ meaning month, and ‘rrhea’ meaning flow. It is commonly divided into primary dysmenorrhoea, where there is no coexistent pathology, and secondary dysmenorrhoea where there is an identifiable pathological condition known to contribute to painful menstruation. Symptoms of primary dysmenorrhoea begin a few hours before the start of menstruation and are often relieved during the first few days of bleeding. The initial onset of primary dysmenorrhoea is usually shortly after menarche (6–12 months), when ovulatory cycles are established. Secondary dysmenorrhoea can also occur at any time after menarche but is most commonly observed in women in their third and fourth decade of life in association with an existing condition.

02 Dec 2014
Adolescent females often experience menstrual problems, and these are usually related to mood changes. In this study, the association between dysmenorrhea and depressive symptoms, anxiety, and premenstrual syndrome was examined.
26 Feb 2017
Placement of cervical pessary in women with short cervices and singleton pregnancies does not lower the risk of having preterm births, according to the results of a meta-analysis.