Long-term follow-up and pregnancy after complete sacrectomy with lumbopelvic reconstruction: case report and literature review

Abstract

BackgroundSacrectomy remains a technically complex procedure for resection of malignant pelvic neoplasia. Commonly, postoperative complications include permanent neurological deficits. Only a few studies have reported the long-term functional outcomes of patients who had undergone sacrectomy.Case presentationWe previously reported on the utilization of complete sacrectomy and lumbopelvic reconstruction for the management of primary myofibroblastic sarcoma of the sacrum and ilium in a 15-year-old female patient. In this report, we update her postoperative course with an additional 5 years of follow-up and Health-Related Quality of Life (HRQoL) outcomes. During this time period, she gave birth to two healthy full-term babies.ConclusionTo the best of our knowledge, this is the first report of pregnancy after total sacrectomy and lumbopelvic reconstruction. We outline some of the challenges in the obstetrical management of this patient.

Who benefits from free institutional delivery? evidence from a cross sectional survey of North Central and Southwestern Nigeria

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“…Evidence of the impact of user fees exemption for maternal health on inequality in access to maternal health is scanty and inconsistent. There is evidence that free maternal healthcare reduces [ 9 , 14 ], widens [ 15 – 18 ], and fail to impacts [ 5 , 10 , 19 ] inequality in access to maternal healthcare services. While one study reported that the rate of increase in the use of maternal healthcare services was highest among women in the lowest income strata following the removal of user fees [ 9 ], other studies provide contradictory evidence and even assert that free maternal health intervention benefits women in high and middle income categories more than low-income earners [ 10 , 18 , 19 ].…”

Broken dreams of a better life in Sweden: Thai women’s lived experiences of intimate partner violence by Swedish men in international marriages

“…The World Health Organization (WHO) emphasises that violence by men towards women is a significant health problem affecting one in three women globally [19]. Addressing violence against women is critical for both health and family reasons [22–25]. Research has shown that male intimate partner violence against women can increase when the husband experiences a loss of power and lack of control in addition to socioeconomic poverty; moreover, women’s increased educational level and power position might provoke men [26].…”

Retrospective Comparison of the Safety and Effectiveness of Dexmedetomidine Versus Standard of Care Before and During Cesarean Delivery in a Maternity Unit in Zhengzhou, China

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