endometrial cancer
endometrial carcinoma
gynaecological oncology
uterine cancer
uterus
post menopausal bleeding
endometrial neoplasms
gynaecology
cancer
Uterine prolapse (also called descensus or procidentia) means the uterus has descended from its normal position in the pelvis farther down into the vagina.Cervicopexy is fertility conserving surgical management of prolapse.
endometrial cancer
endometrial carcinoma
gynaecological oncology
uterine cancer
uterus
post menopausal bleeding
endometrial neoplasms
gynaecology
cancer
Uterine prolapse (also called descensus or procidentia) means the uterus has descended from its normal position in the pelvis farther down into the vagina.Cervicopexy is fertility conserving surgical management of prolapse.
DR. NNC LAPAROSCOPY IN PREGNANCY IAGE VARANASI, 17TH MARCH 2024.pptxNiranjan Chavan
Our journey will navigate the evolution of laparoscopy in the context of pregnancy, detailing key milestones, breakthroughs, and advancements in technology and techniques. The presentation highlights how laparoscopy has revolutionized the diagnosis and treatment of conditions such as ectopic pregnancy, ovarian cysts and other gynecological disorders during pregnancy.
The role of uterine artery embolization in gynecology practiceApollo Hospitals
Uterine artery embolization (UAE) is a minimally invasive interventional radiological procedure to occlude the arterial
supply to the uterus. UAE has been very useful for controlling hemorrhage following delivery/abortion, in ectopic or cervical pregnancy, gestational trophoblastic disease or carcinoma cervix. Currently it is being mostly used for treating uterine fibroids. It requires a shorter Hospital stay with early resumption to normal activity. This review briefly summarizes the role of this relatively new technique in gynecologic practice.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
1. 9/18/2020
1
Adnexal Torsion
in Adolescents
ACOG, 2019
Prof. Aboubakr Elnashar
Benha university
Hospital, Egypt
ABOUBAKR ELNASHAR
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CONTENTS
1.INTRODUCTION
2.EVALUATION
3.MANAGEMENT
4.CONCLUSION
ABOUBAKR ELNASHAR
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1. INTRODUCTION
1.1. Definition
Torsion of
a normal or pathologic ovary
fallopian tube, paratubal cyst, or a combination of
these conditions
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1.2. Incidence
5th most common gynecologic emergency.
30% of all cases of adnexal torsion occur in females
younger than 20 years.
5 of 100,000 females aged 1–20 years are affected
Girls older than 10 years at increased risk
{hormonal influences & gonadal growth: an increased
frequency of physiologic and pathologic masses}.
ABOUBAKR ELNASHAR
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1.3. Risk Factors
1. Pelvic masses exceed 5 cm.
The most common
functional ovarian cysts &
benign teratomas.
Torsion of malignant ovarian masses is rare.
2. Congenitally long ovarian ligaments
3. Excessive laxity of the pelvic ligaments, or a relatively
small uterus:
more space for the adnexa to twist on its axis
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1.4.Site
64% of torsions occur on the right side.
The lower rate of torsion on the left side
{the protective nature of the descending colon}
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1.5. Contents
In contrast to adnexal torsion in adults
adnexal torsion in adolescent involves an ovary
without an associated mass or cyst in as many as
46% of cases.
Rare cases of
isolated tubal torsion and bilateral adnexal torsion
almost always associated with tubal pathology,
such as hydrosalpinx or paratubal cyst
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2. EVALUATION
No clinical or imaging criteria sufficient to confirm the
preoperative diagnosis of adnexal torsion.
Emergent diagnostic laparoscopy in
clinical suspicion for adnexal torsion
DD of an adolescent presenting with abdominal pain
Broad
Presentation of adnexal torsion is nonspecific.
ABOUBAKR ELNASHAR
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2.1. Symptoms:
1. Pain:
The most common clinical sym
Sudden -onset
Intermittent , nonradiating
2. Nausea and vomiting
in 62% and 67% of cases, respectively.
more commonly in premenarchal patients
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2.2. Signs
1. Abdominal tenderness
In 88%
2. Rebound and peritoneal signs
in only 12–27% of patients.
3. Palpable adnexal mass
bimanual examination generally is not necessary or
tolerated
ABOUBAKR ELNASHAR
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2.3.Investigations
Tests
Not useful
Leukocytosis , pyuria
C-reactive protein, ESR
Interleukin -6
D-dimer
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TAUS:
Imaging modality of choice.
Sensitivity: 92%
Specificity: 96%
A completely normal-appearing ovary on US is
unlikely to be twisted.
ABOUBAKR ELNASHAR
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1. Unilateral ovarian enlargement
2. Ovarian edema:
1. Hyperechogenic ovary {echogenic stroma}
2. Peripherally displaced follicles
3. Free fluid
4. Coiled vascular pedicle (“whirlpool sign”)
highly specific
technically difficult to visualize on TAS
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3. Doppler studies
Limited {low sensitivity& operator dependency}.
Presence of Doppler arterial flow does not rule out
torsion
Normal Doppler arterial flow
In 60% of surgically confirmed cases
{intermittent torsion, collateral blood supply from
the utero-ovarian vessels or infundibulopelvic
vessels, or a torsed paratubal cyst}.
Alone should not guide clinical decision making.
ABOUBAKR ELNASHAR
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Ultrasound whirlpool sign in ovarian torsion (A and B).
Color flow on Doppler ultrasonographic image demonstrates
the twisted pedicle (arrows) in a 12-year-old girl with a large,
mature cystic teratoma (T) arising from the left adnexa,
representing the lead point for left adnexal torsion.
ABOUBAKR ELNASHAR
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CT or MRI:
often is performed while evaluating a patient for
causes of abdominal pain.
CT:T2- weighted images
decreased ovarian enhancement post contrast
asymmetric enlargement of the ovary
uterine deviation toward the pathologic side
multiple small peripherally located follicles
ABOUBAKR ELNASHAR
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Scores:
Adnexal torsion is a surgical diagnosis
To reduce the number of negative laparoscopies
Combine clinical& radiologic findings:
vomiting
adnexal volume
adnexal volume ratio [volume of affected ovary/
volume of unaffected ovary])
Further studies are needed to validate these
scores.
ABOUBAKR ELNASHAR
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3. MANAGEMENT
Although viability of an ovary declines as time
elapses from the onset of pain to surgical detorsion,
the ovary’s dual blood supply makes it resistant to
vascular injury
Duration of vascular interruption needed to cause
irreversible damage to the ovary is unknown.
The appearance of the ovary at surgery is not a
reliable indicator of ovarian viability.
ABOUBAKR ELNASHAR
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Multiple studies report future ovarian function despite
a grossly ischemic appearance at the time of surgery.
After detorsion, improvements in the color of the
ovary may not be seen intraoperatively
at second-look laparoscopy, near-normal appearing
ovaries are seen 36 hours after untwisting a blue-
black ovary
No cases of VTE after detorsion.
Preserve the ovary regardless of its appearance and
the timing of presentation.
ABOUBAKR ELNASHAR
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Ovarian torsion treated with
untwisting: second look 36
hours after untwisting.
ABOUBAKR ELNASHAR
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3.1. Operative Considerations
Preoperative Counseling
Consent:
includes the patient’s parent(s)
procedural risks
possibility of a negative laparoscopy
potential for a two-staged procedure
need for postprocedure surveillance
risk of recurrent ovarian torsion.
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3.2. Surgical Approach
Appreciation of the physiologic, anatomic, and
surgical characteristics unique to this population
Minimally invasive approach with laparoscopy is
prefered
ABOUBAKR ELNASHAR
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When performing laparoscopy
1. Abdominal wall tissue integrity varies {fascial wall
tension and strength increases with age through
adolescence}: wide range of abdominal wall
puncture pressure that should be considered to
avoid injury to underlying structures
2. Adolescents are at higher risk of vascular injury
involving the aorta, inferior vena cava, or left
common iliac vein {distance from these major
vessels to the umbilical entry site is short}.
ABOUBAKR ELNASHAR
9/18/2020
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3. Placement of secondary trocars (and laparotomy
incisions when needed) requires an appreciation for the
attenuated cranial to caudal distance and lateral
abdominal and pelvic distances in the adolescent.
4. The smallest possible trocars should be used
5. Fascial closure should be considered {increased risk
of fascial herniation when compared with adults}
ABOUBAKR ELNASHAR
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6. The process of insufflation requires modification
{tolerable maximum distention pressure is lower in
pediatric and adolescent patients}.
1. Weighing 20 kg or greater: starting insufflation
pressure of 12 mm Hg and flow rates of 3–6 L/min
2. Weighing less than 20 kg: Lower pressure ranges
and flow rates
ABOUBAKR ELNASHAR
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3.3. Management of Adnexal Masses
Cancer: rare (0.4 to 5%).
Edema of the ovary:
Enlargement
± interpreted mistakenly as an ovarian tumor on
imaging studies.
It is reasonable to proceed with a concomitant
cystectomy.
ABOUBAKR ELNASHAR
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Severely edematous and friable:
{cystectomy: ovarian tissue damage and
bleeding that may lead to oophorectomy}
If a cystectomy is not performed: consider incision
and drainage for large cysts.
US to reevaluate the cyst at 6–12 w
Simple cysts resolve within 6–8 w.
Persistent cysts: laparoscopic ovarian
cystectomy can be performed given the risk of
recurrent torsion
ABOUBAKR ELNASHAR
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Cysts measuring 5 cm or more
treated in accordance to guidelines.
Ovulation suppression
with COC or depot medroxyprogesterone acetate
can be initiated to prevent recurrent physiologic
cysts
ABOUBAKR ELNASHAR
15. 9/18/2020
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3.4. Oophoropexy
Indications
Repeat torsion
An absent contralateral ovary
Recurrence rate
low
2% to 12%
Higher in spontaneously torsed normal adnexa
ABOUBAKR ELNASHAR
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3.4. Pain Management
Measures after laparoscopy
Avoid excessively high or prolonged IAP
Remove all insufflating carbon dioxide at the end
of the procedure
Infiltrating all trocar sites with local anesthetic
NSAI in combination with a short course (3 days or
less) of opiates.
{Opioids , including tramadol, as few as 7 days can
develop dependence}
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3.5. Postoperative Counseling and Follow-up
Adolescents generally recover well from surgery and
resume activity quickly.
Weight-based lifting restrictions often are minimal,
and most adolescents will self-limit activities because
of discomfort.
Patients in whom a cyst was noted but not removed
at the time of detorsion should be counseled to limit
high-impact activities pending interval US findings.
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The postoperative visit
Diagnosis and procedure
Prevention and likelihood of recurrence
Potential effect on future fertility
Need for additional imaging
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Diagnosis and management of adnexal torsion in the adolescent.
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4. CONCLUSION
The differential diagnosis of an adolescent presenting
with abdominal pain should include adnexal torsion.
A minimally invasive surgical approach is
recommended with detorsion and preservation of the
adnexal structures regardless of the appearance of
the ovary.
Surgeons should not remove a torsed ovary unless
oophorectomy is unavoidable, such as when a
severely necrotic ovary falls apart.
ABOUBAKR ELNASHAR
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Education of emergency, general, pediatric, and
gynecologic surgeons about current treatment
recommendations for adnexal torsion in adolescent
Adolescents are a unique population with specific
needs; thus, special care for placement of ports and
lower insufflation pressure may be indicated.
Multispecialty collaboration to optimize care and
ensure that minimally invasive detorsion with ovarian
preservation is the standard treatment
ABOUBAKR ELNASHAR
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You can get this lecture & 455 lectures from:
1.My scientific page on Face book: Aboubakr
Elnashar Lectures.
https://www.facebook.com/groups/2277448840913
51/
2.Slide share web site
3.elnashar53@hotmail.com
4.My clinic: Elthwara St. Mansura
ABOUBAKR ELNASHAR