Delayed Interval Delivery after Emergency Cerclage of Cervical Incompetency in Twin Pregnancy by in vitro Fertilization / 대한주산의학회잡지

Twin pregnancies are at substantially higher risks for premature delivery than singleton pregnancies. This further increases their risk of perinatal and infant mortality. Recently there has been a marked increase in multiple pregnancies as a direct result of assisted reproductive technology. Cervical incompetency is a condition in which a pregnant woman's cervix begins to dilate and efface before her pregnancy has reached term. And multiple pregnancies and pregnancies by in vitro fertilization (IVF) have been increasing the risk of cervical incompetency. In twin pregnancy during preterm delivery, successful delayed-interval deliveries may improve the neonatal outcomes of the second fetus. We report a case of a delayed interval delivery in twin pregnancy of incompetent of cervix with an interval of 28 days after 3rd emergency cerclage.

Delayed Interval Delivery after Emergency Cerclage of Cervical Incompetency in Twin Pregnancy by in vitro Fertilization / 대한주산의학회잡지

Twin pregnancies are at substantially higher risks for premature delivery than singleton pregnancies. This further increases their risk of perinatal and infant mortality. Recently there has been a marked increase in multiple pregnancies as a direct result of assisted reproductive technology. Cervical incompetency is a condition in which a pregnant woman's cervix begins to dilate and efface before her pregnancy has reached term. And multiple pregnancies and pregnancies by in vitro fertilization (IVF) have been increasing the risk of cervical incompetency. In twin pregnancy during preterm delivery, successful delayed-interval deliveries may improve the neonatal outcomes of the second fetus. We report a case of a delayed interval delivery in twin pregnancy of incompetent of cervix with an interval of 28 days after 3rd emergency cerclage.

A Case of Cornual Curettage Under the High-resolution Ultrasound Guidance / 대한주산의학회잡지

Cornual or interstitial pregnancy is a rare form of ectopic pregnancy. In previous reports it accounted for 2~6% of all ectopic pregnancies. Because this unique anatomic location of the implantation site is a highly vascular area, potentially catastrophic hemorrhage from uterine rupture may occur in 15~20% of the cases, and early diagnosis is very important. As sensitive serum beta-hCGmeasurement and imaging techniques have evolved, it is possible to diagnose cornual pregnancies earlier than in the past. Traditional management is cornual wedge resection or hysterectomy by laparotomy. But this invasive treatment method may increase the morbidity and the risk of uterine rupture in subsequent pregnancies, medical treatment with methotrexate has been applied to treat cornual pregnancies, offering an alternative to surgery. Also there have been case reports of laparoscopic treatment of cornual pregnancy. We report a case of viable cornual pregnancy, which was treated successfully by curettage of the uterine cornus under the guidance of high-resolution ultrasound.

The influence of body mass index on the prevalence of complications after hysterectomy: A comparison of prognosis of hysterectomy related to body mass index / 대한산부인과학회지

OBJECTIVE: To investigate the association between obesity and peri- or postoperative outcome after abdominal or vaginal hysterectomies for benign gynecologic disorder. METHODS: We retrospectively reviewed the charts of all women who underwent abdominal or vaginal hysterectomy for benign gynecologic disorders in Kangnam Sacred Heart Hospital between Jan and Dec, 2006. We analyzed the rate of operative and postoperative complications, length of hospital stay, operative time, and perioperative hemoglobin change for abdominal or vaginal hysterectomy. RESULTS: The study group consisted of 915 women, of who 643 underwent vaginal, and 272 abdominal hysterectomy. Obesity was related to longer operation time for vaginal hysterectomy only. No association was found between BMI and serious complications such as postoperative bleeding, transfusion, urinary tract injury, febrile morbidity, bowel injury, wound complication, ileus, infection. CONCLUSION: Obesity is not a contraindication of vaginal or abdominal hysterectomy. Obese patients did not experience an increased risk of serious morbidity compared to normal weight women. Hysterectomy can be successfully performed, with acceptable morbidity, in obese women.