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        Current clinical applications of platelet-rich plasma in various gynecological disorders: An appraisal of theory and practice

        Dawood, Ayman Shehata,Salem, Hesham Abdelaziz The Korean Society for Reproductive Medicine 2018 Clinical and Experimental Reproductive Medicine Vol.45 No.2

        The purpose of this paper is to review the current clinical uses of platelet-rich plasma (PRP) in the field of gynecology. All relevant articles published from January 2000 to December 2017 were reviewed and analyzed. The articles on PRP in the field of gynecology were mainly case series, pilot studies, or case reports. PRP is currently considered a new therapeutic modality for some disorders that are refractory to conventional drugs.

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        Surgical outcomes of laparoscopic trachelectomy following supracervical hysterectomy: a multicenter study

        Ayman Shehata Dawood,Heba Fouad Harras,Hossam Ramadan Moussa,Ahmed Saber Soliman 대한산부인과학회 2022 Obstetrics & Gynecology Science Vol.65 No.6

        ObjectiveTo evaluate the feasibility, safety, and surgical outcomes of laparoscopic trachelectomy after supracervical hysterectomy. MethodsThis multicenter study was conducted at Tanta University, Benha University, and Aminah Laparoscopy Center (Benha,Egypt) from June 1, 2018 to October 31, 2021. Forty patients were recruited for this study and counseled on laparoscopictrachelectomy to treat their symptoms after supracervical hysterectomy. Furthermore, cervical biopsy was performedto detect and exclude any malignancy. Histopathological examination of cervical specimens was performedafter surgery. Operative details and outcomes were recorded. ResultsThe median age of the patients was 42 years (range, 38-47). The median body mass index was 25 years (range, 22-28). The median interval between hysterectomy and the clinical presentation was 4.40 years (range, 3.58-5.25). Mostpatients presented with abnormal vaginal discharge (40%) and bleeding (25%). Moreover, a cervical biopsy result revealedstump carcinoma in three cases (7.5%) that were excluded. The median operative time was 210 minutes (range,170-220). The median blood loss was 270 mL (range, 220-320). Additionally, histopathological examinations revealedthat chronic non-specific cervicitis was present in 54.05% of trachelectomy specimens. There were no significant differencesbetween symptomatic and asymptomatic patients regarding operative outcomes, except adhesions, whichwere more significantly increased in symptomatic patients (P=0.015). Minimal complications, both operative and postoperative,were related to the procedure. ConclusionAlthough the operative time was long and adhesions were common during laparoscopic trachelectomy, the procedurewas feasible and safe, with minimal complications.

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