Additional value of Doppler ultrasound  to B-mode ultrasound in assessing for uterine intracavitary pathologies among perimenopausal and postmenopausal bleeding women: a multicentre prospective observational study in Vietnam

Nguyen, Phuc Nhon; Nguyen, Van Tuan

doi:10.1007/s40477-022-00732-w

Cited by 3 publications

(3 citation statements)

References 29 publications

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“…These technological advances often include the development of new surgical modalities, innovations in perioperative management and the manufacture of new related endoscopic instruments 20 21. However, there are concerns about the safety and efficacy of these approaches, and there are limited long-term data on recurrence rates and fertility outcomes 22–24. Therefore, the surgical treatment of uterine fibroids must rely on existing methods of diagnosis and treatment to facilitate new progress and improvement.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic continuous seromuscular circumsuture for myomectomy: a real-world, retrospective, East-Asian cohort study

Shi,

Wu,

Liu

et al. 2024

BMJ Open

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ObjectiveThis study aimed to introduce a novel laparoscopic haemostasis for myomectomy and investigate the independent risk factors for uterine fibroid recurrence.DesignA retrospective cohort study.SettingFollowing strengthening the reporting of observational studies in epidemiology (STROBE) criteria, a retrospective study of prospectively collected available data of the consecutive patients who underwent the myomectomy in the department of obstetrics and gynaecology of the single centre between February 2018 and December 2020.Participants177 patients who underwent laparoscopic myomectomy resection were enrolled in the present cohort study.Materials and methodsPatients were classified into two groups according to their different methods of haemostasis in laparoscopic surgery. Recurrence-free survival was compared between the groups during an average follow-up of nearly 2 years.ResultsOf the 177 patients from 672 consecutive patients in the retrospective cohort, laparoscopic circular suture and baseball suture were carried out in 102 (57.6%) and 75 (42.4%) patients, respectively. The total amount of blood lost during surgery varied significantly (37.6 vs 99.5 mL) (p<0.001). Univariable analyses identified that age ≥40 years, position at intramural myoma, multiple fibroids and largest fibroid volume ≥50 mm3(HR 2.222, 95% CI 1.376 to 3.977, p=0.039; HR 3.625, 95% CI 1.526 to 6.985, p=0.003; HR 3.139, 95% CI 1.651 to 5.968, p<0.001; HR 2.328, 95% CI 0.869 to 3.244, p=0.040, respectively) are independent risk factor of the recurrence of uterine fibroids. The formula of the nomogram prediction model was established as the practical clinical tool.ConclusionThe laparoscopic continuous seromuscular circumsuture for myomectomy can effectively reduce the amount of surgical bleeding and accelerate the perioperative recovery for surgical safety. The main factors affecting the recurrence of uterine fibroids were age, location, number and volume of uterine fibroids. The nomogram can more straightforwardly assist clinicians to determine the risk of recurrence after laparoscopic myomectomy.

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Section: Introductionmentioning

confidence: 99%

Laparoscopic continuous seromuscular circumsuture for myomectomy: a real-world, retrospective, East-Asian cohort study

Shi,

Wu,

Liu

et al. 2024

BMJ Open

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“…Although the substantial impact of AUB on women’s health and quality of life is recognised, there is a knowledge gap regarding specific risk factors and early diagnostic methods. Current endometrial pathology diagnoses rely on non-invasive imaging modalities, such as sonography, computed tomography, and magnetic resonance imaging, and invasive procedures, such as blind biopsy and hysteroscopy [ 9 ]. However, these methods often only detect already abnormal diseased tissue and are limited in the early identification of individuals at high risk of developing AUB.…”

Section: Introductionmentioning

confidence: 99%

Contributing factors related to abnormal uterine bleeding in perimenopausal women: a case–control study

Tian,

Bai,

Wang

et al. 2024

J Health Popul Nutr

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Abnormal uterine bleeding (AUB) during the menopausal transition results in reproductive endocrine disorders and both physiological and pathological changes, substantially impacting women’s health. This study aimed to investigate the factors influencing AUB in perimenopausal women. Between April 2021 and June 2022, 120 perimenopausal women with AUB in the menopausal transition, diagnosed and treated at the Gynaecology Department of Kunming Tongren Hospital, were included in the case group. Concurrently, women undergoing routine health examinations at the same hospital were randomly selected as the control group. Univariate and multivariate logistic regression analyses identified factors related to AUB. The univariate analysis revealed significant associations (P < 0.05) between AUB and several factors, including age, body mass index (BMI), age at menarche, gravidity, and intrauterine device (IUD) placement in perimenopausal women. The multivariate regression analysis indicated that the independent risk factors for AUB include benign endometrial lesions (odds ratio [OR] 5.243, 95% confidence interval [CI] 3.082–9.458, P < 0.001), endometrial thickness ≥ 10 mm (OR 1.573, 95% CI 0.984–3.287, P < 0.001), age ≥ 50 years (OR 2.045, 95% CI 1.035–4.762, P = 0.001), BMI ≥ 25 kg/m2 (OR 2.436, 95% CI 1.43–4.86, P = 0.002), and IUD placement (OR 2.458, 95% CI 1.253–4.406, P < 0.001). Abnormal uterine bleeding during the menopausal transition is associated with several factors, including age, BMI, and IUD placement, highlighting the importance of early screening for these risk factors in the diagnosis and treatment of AUB.

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“… 9 , 10 Ultrasonography has been described as giving gynecologists a second set of eyes, because it can reveal changes in uterine size as well as structural abnormalities in the uterine cavity. 11 , 12 , 13 These non-invasive findings are more acceptable first-line imaging modalities than invasive modalities such as endometrial biopsy or hysteroscopy. 4 , 14 Moreover, some studies have attempted to find correlations between the uterine size or endometrial thickness and the hemoglobin (Hb) concentration; however, the results remains limited in the literature.…”

Section: Introductionmentioning

confidence: 99%

Assessment of paraclinical characteristics in peri- and postmenopausal bleeding women: is there a correlation between hemoglobin levels and ultrasonic indices?

Nguyen

2023

Journal of Taibah University Medical Sciences

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Additional value of Doppler ultrasound to B-mode ultrasound in assessing for uterine intracavitary pathologies among perimenopausal and postmenopausal bleeding women: a multicentre prospective observational study in Vietnam

Cited by 3 publications

References 29 publications

Laparoscopic continuous seromuscular circumsuture for myomectomy: a real-world, retrospective, East-Asian cohort study

Laparoscopic continuous seromuscular circumsuture for myomectomy: a real-world, retrospective, East-Asian cohort study

Contributing factors related to abnormal uterine bleeding in perimenopausal women: a case–control study

Assessment of paraclinical characteristics in peri- and postmenopausal bleeding women: is there a correlation between hemoglobin levels and ultrasonic indices?

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