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Our results suggest that adhesion development might be influenced by individual factors more than by the number of cesarean deliveries.

Cellulitis, a diffuse inflammation of connective tissue with severe inflammation of dermal and subcutaneous layers of the skin, is a common lesion in children, usually responsive to systemic antibiotic therapy. However, an unusual course of healing or some nontypical features should call the treating physician to consider and investigate for other diagnoses that might prevent unnecessary treatment and alleviate parental stress. We present a case of posttraumatic fat necrosis, demonstrating some pitfalls in the process of diagnosis.

D&C and misoprostol are both effective treatments for IVF patients with miscarriage, without an adverse effect on subsequent IVF treatment outcome.

Study Objective: The study aimed to evaluate whether there is an association between the ovarian ligament length and ovarian torsion. Design: This is a prospective cohort study. Design Classification: II.2. Setting: The study was conducted in the gynecology department of a university affiliated hospital. Intervention: We measured the length of the ovarian ligaments during laparoscopy. Patients: A total of 56 women were recruited, of which 28 women were operated for ovarian torsion (torsion group) and 28 others for other gynecologic conditions (control group). Measurement and Main Results: The study found correlations between ovarian ligament length and ovarian torsion. The length of the right (2.2 ± 0.6 cm) and left ovarian ligament (2.3 ± 0.8 cm) in the control patients were similar. Ovarian torsions occurred mainly on the right side (67.9 %). The right ovarian ligament was significantly longer in the torsion group (3.2 ± 0.9 cm) than in the control group (2.2 ± 0.6 cm; p < 0.001). Even after exclusion of patients with ovarian cyst, the ovarian ligament was still significantly longer in the torsion group as compared to the control group (3.2 ± 1.1 vs. 2.2 ± 0.6 cm respectively, p = 0.01). Conclusion: Our results suggest that increased length of ovarian ligament might be correlated with the development of ovarian torsion. This could be a basis for ovarian ligament fixation or oophoropexy at the time of conservative surgery for ovarian torsion.

The aim of our study was to evaluate time lapse microscopy (TLM) as a selection tool for single-embryo transfer (SET) on day 5, blastocyst stage. An observational cohort study was conducted. Patients who had SET were compared to patients who had double embryo transfer (DET). A total of 108 patients were included in analysis, 83 had SET, and 25 underwent DET. Embryos were incubated and evaluated using TLM. The pregnancy rates were similar between the groups (42.2% in SET and 48.0% in DET). However, the multiple pregnancy rate was significantly higher in the DET group compared to the SET group (41.7% versus 2.9%, respectively; p < 0.001). This study concludes that SET with TLM do not decrease pregnancy rates compared to DET. However, transfers of two embryos increase the rate of multiple pregnancies.

OBJECTIVE: To determine the impact of short-term metformin therapy on in vitro fertilization-embryo transfer (IVF-ET) outcomes in overweight and obese women with polycystic ovary syndrome (PCOS).DESIGN: A prospective cohort study MATERIALS AND METHODS: This prospective cohort study was performed at a University IVF Center. The study population was composed of 102 overweight and obese women (BMI>24 kg/M 2 ) with PCOS who were undergoing their first fresh autologous IVF-ET cycle with intracytoplasmic sperm injection (ICSI). The study population was composed of two groups according to whether or not they received metformin during the IVF cycle treatment (51 patients in each group). The metformin-treated group received metformin (1,000 mg per day orally) starting from onset of ovarian stimulation therapy and continued until the day of the pregnancy test. For women with a positive pregnancy test, the patients continued metformin until the end of the 12th week of gestation. The primary outcome measures were the number of retrieved oocytes, the number of the fertilized oocytes (two pn oocytes), fertilization rate, implantation rate, clinical pregnancy rate and miscarriage rate.RESULTS: Both the metformin-treated group and the control group were comparable in terms of the age, BMI, duration of infertility, basal FSH, and AFC . The metformin-treated group demonstrated a decreased number of the retrieved oocytes and 2pn oocytes (p < 0.01). There was no difference between the two groups regarding the fertilization rate, implantation rate, multiple pregnancy rates, miscarriage rate or life birth rate (Table2). There were no cases of ovarian hyperstimulation syndrome in either group.CONCLUSIONS: Short-term administration of Metformin to overweight and obese women with PCOS women decreases the number of oocytes retrieved, but otherwise does not affect IVF outcomes.References:1. Consensus on infertility treatment related to polycystic ovary syndrome. Human reproduction. 2008;23(3):462-77.

Objective To assess the correlation between maternal mobility after cesarean delivery and postoperative morbidity. Methods A prospective study was conducted in a tertiary hospital among patients after cesarean delivery. The women were recruited after surgery and before ambulation. Each participant received an accelerometer and routine instructions for mobilization. The patients were asked to wear the accelerometer constantly. It was collected at discharge. Electronic files were reviewed and patients’ outcomes were analyzed. The Mann–Whitney U test was used to compare groups and a receiver operating characteristic curve was calculated for the threshold of number of steps. Results Data were analyzed for 199 patients, among which 107 (54.4%) deliveries were urgent and 90 (45.6%) were elective. The median number of steps was higher for multiparous women compared to nulliparous women (P = 0.035). Patients who developed complications after discharge walked significantly less during their hospitalization compared to those who did not. There was a trend toward increased risk for in‐hospitalization complications among patients who walked less while hospitalized. A threshold of more than 9716 steps per hospitalization was found to be associated with fewer post‐discharge complications. Conclusion There is a significant correlation between the extent of ambulation after cesarean delivery and fewer postoperative complications.