background determin prognost signific pretreat level circul lymphocyt clc neutrophil cnc monocyt cmc count patient local advanc cervic carcinoma treat definit radiat method retrospect dualinstitut review patient stage ib2iva from 2005 2015 progressionfre pfs overal surviv were determin high low clc cnc cmc group multivari analysi use confirm prognost valu baselin leukocyt count result 181 patient were includ median followup time 26 389 month cnc had effect pfs pfs similar between cmc group howev signific improv patient low cmc 625 versus 453 month high clc associ improv pfs 485 versus 278 month 584 versus 349 month multivari analysi high cnc associ increas relaps risk 112 low clc associ increas mortal risk 067 conclus this studi demonstr leukocyt valu can provid prognost inform these hypothesisgener find warrant further prospect investig

Sareena Singh

Justin Himler

Christa I. Nagel

Kimberly Resnick

The Prognostic Value of Baseline Lymphocyte, Neutrophil, and Monocyte Counts in Locally Advanced Cervical Carcinoma Treated with Radiation

background the object studi determin whether femal surgic resid underestim surgic abil relat male standard test laparoscop skill method twentysix male femal general surgeri resid 25 femal obstetr gynecolog resid two academ center were ask predict score prior undergo fundament laparoscop surgeri standard skill exam actual predict score well delta valu predict score minus actual score were compar between resid multivari linear regress use determin variabl associ predict score actual score delta score result there differ actual score base resid gender predict score howev were signific lower femal versus male general surgeri resid 258 133 versus 560 160 femal obstetr gynecolog resid versus male general surgeri resid mean differ 209 95 116348 male resid more accur predict score while femal resid signific underestim score conclus gender differ estim surgic abil exist reflect actual differ perform this find need consid when structur mentorship surgic train program

Rebecca L. Flyckt

Eliza E. White

Linnea R. Goodman

Catherine Mohr

Sanjeev Dutta

Kristine M. Zanotti

The Use of Laparoscopy Simulation to Explore Gender Differences in Resident Surgical Confidence

objectiv compar safeti efficaci direct cost dure introduct laparoscop radic hysterectomi within enhanc recoveri pathway method 1 1 singl centr retrospect case control studi 36 propens match pair patient receiv open laparoscop surgeri earli cervic cancer result there were signific differ baselin characterist two cohort open surgeri cohort had signific higher intraop blood loss 189 versus 934 longer postop hospit stay 23 versus 41 day although signific differ intraop postop complic found more urinari tract injuri were record laparoscop cohort laparoscop surgeri had signific longer durat 206 versus 159 minut lower lymph node harvest 126 versus 169 slower bladder function recoveri the median direct hospit cost 4850 laparoscop radic hysterectomi 4400 open surgeri conclus laparoscop radic hysterectomi can safe introduc enhanc recoveri environ without signific increas periop morbid the 10 higher direct hospit cost statist signific expect even out when indirect cost includ

A. Anagnostopoulos

S. Mitra

B. Decruze

R. Macdonald

J. Kirwan

Safety and Cost Considerations during the Introduction Period of Laparoscopic Radical Hysterectomy

caesarean section rate have been increas worldwid have caus concern for meaning comparison made world health organiz recommend use tengroup robson classif global standard assess rate 2625 women who birth over 12month period were analys use classif women previous group 5 compris 109 overal 235 rate women one previous who did attempt vbac contribut 53 overal 235 rate second largest contributor singleton nullipar women cephal present term 51 total 235 induction labour associ higher rate group 1 3 245 versus 119 62 versus 26 resp for postdat iol recommend gatekeep book system minimis be perform 41 week suggest set dedic vbac clinic support women one previous furthermor review definit failur progress labour onli may lower rate group 1 also would reduc size group 5 futur

Keisuke Tanaka

Kassam Mahomed

The Ten-Group Robson Classification: A Single Centre Approach Identifying Strategies to Optimise Caesarean Section Rates

objectiv control excess bleed cesarean section which may caus lifethreaten event even under wellprepar condit use novel atraumat tourniquet techniqu temporari arrest blood flow through uterin ovarian vessel compar other techniqu toothless vascular clamp were use clamp method tourniquet techniqu perform postpartum hemorrhag pph case 19 out 37 were compar 18 other case pph result the differ between preoper postop hemoglobin valu signific lower studi group well number blood product need dure after surgeri conclus this techniqu onli prevent massiv bleed from uterus also allow physician time consid necess further intervent

Baris Buke

Emre Canverenler

Hatice Akkaya

Fuat Akercan

A Novel Atraumatic Tourniquet Technique for Excessive Bleeding during Cesarean Sections

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Obstetrics and Gynecology International publishes articles related to obstetrics, maternal-fetal medicine, gynecologic oncology, uro-gynecology, reproductive medicine, infertility, reproductive endocrinology, and sexual medicine.

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