The Experts below are selected from a list of 291 Experts worldwide ranked by ideXlab platform
Sarah Prager - One of the best experts on this subject based on the ideXlab platform.
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bucket handle uterine rupture during second trimester medication abortion a rare form of rupture of the lower uterine segment and Vaginal Fornix a case report
Contraception: X, 2020Co-Authors: Ferid A Abubeker, Abraham Fessehaye, Mekdes Daba Feyssa, Sarah PragerAbstract:Abstract A bucket-handle uterine rupture, a rare form of uterine rupture involving the posterior lower uterine segment and posterior Vaginal Fornix, occurred in a primigravid woman at 23 weeks of gestation during successful medication abortion.
Andrew J. Duffy - One of the best experts on this subject based on the ideXlab platform.
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"Triangle of safety": anatomic considerations in transVaginal natural orifice surgery.
Surgical endoscopy, 2013Co-Authors: Kurt E. Roberts, Daniel Solomon, Robert M. Bell, Andrew J. DuffyAbstract:Background The introduction of transVaginal (TV) natural orifice transluminal endoscopic surgery (NOTES) brings the loss of traditionally used cutaneous landmarks for safe peritoneal access. This video describes the use of landmarks within the posterior Vaginal Fornix to define a “triangle of safety” wherein the peritoneal cavity can be accessed while minimizing the risk of injury to surrounding structures.
Giovanni Simonetti - One of the best experts on this subject based on the ideXlab platform.
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Deeply infiltrating endometriosis: Evaluation of retro-cervical space on MRI after Vaginal opacification
European journal of radiology, 2011Co-Authors: Valeria Fiaschetti, Sonia Crusco, Alessandro Meschini, Valentina Cama, Livio Di Vito, Massimiliano Marziali, Emilio Piccione, Ferdinando Calabria, Giovanni SimonettiAbstract:To prospectively investigate diagnostic value and tolerability of MRI after intra-Vaginal gel opacification for diagnosis and preoperative assessment of deeply infiltrating endometriosis. Sixty-three women with clinical suspicion of deeply infiltrating endometriosis were previously examined with trans-Vaginal ultrasonography and then with MRI pre and post administration of Vaginal gel. We evaluated the tolerability of this procedure with a scoring scale from 0 to 3. We also assessed with a score from 1 to 4 the visibility of four regions: Douglas-pouch, utero-sacral-ligaments, posterior-Vaginal-Fornix and recto-Vaginal-septum. All patients underwent laparoscopic surgery after MRI. Five patients considered procedure intolerable. Visibility of utero-sacral-ligaments and posterior-Vaginal-Fornix showed to be increased with gel (p<0.001). In 57 out of 80 patients the MRI has allowed us to diagnose deeply infiltrating endometriosis. Overall, the percentages of MRI-sensitivity, specificity, positive predictive value and negative predictive value were respectively 67.8%, 95.3%, 89.4 and 83.5% without gel, and 90.8%, 94.6%, 90.8% and 94.6% with gel; trans-Vaginal ultrasonography sensitivity, specificity, positive predictive value and negative predictive value were 57.5%, 96.6%, 90.9% and 79.5%. In evaluation of utero-sacral-ligaments trans-Vaginal ultrasonography, MRI without gel and with gel sensitivity was respectively 61.9%, 47.6% and 81%; for recto-Vaginal-septum these values were 12.5%, 68.7% and 93.7%; for pouch of Douglas 82%, 87% and 97.4%; finally for posterior-Vaginal-Fornix 27.3%, 36.4% and 81.8%. MRI with gel opacification of vagina should be recommended for suspicion of deep infiltrating endometriosis, in particular for the added value in evaluation of recto-Vaginal septum, utero-sacral ligaments and posterior Vaginal Fornix. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.
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Deeply infiltrating endometriosis: Evaluation of retro-cervical space on MRI after Vaginal opacification
European journal of radiology, 2011Co-Authors: Valeria Fiaschetti, Sonia Crusco, Alessandro Meschini, Valentina Cama, Livio Di Vito, Massimiliano Marziali, Emilio Piccione, Ferdinando Calabria, Giovanni SimonettiAbstract:Abstract Objectives To prospectively investigate diagnostic value and tolerability of MRI after intra-Vaginal gel opacification for diagnosis and preoperative assessment of deeply infiltrating endometriosis. Methods Sixty-three women with clinical suspicion of deeply infiltrating endometriosis were previously examined with trans-Vaginal ultrasonography and then with MRI pre and post administration of Vaginal gel. We evaluated the tolerability of this procedure with a scoring scale from 0 to 3. We also assessed with a score from 1 to 4 the visibility of four regions: Douglas-pouch, utero-sacral-ligaments, posterior-Vaginal-Fornix and recto-Vaginal-septum. All patients underwent laparoscopic surgery after MRI. Results Five patients considered procedure intolerable. Visibility of utero-sacral-ligaments and posterior-Vaginal-Fornix showed to be increased with gel ( p Overall, the percentages of MRI-sensitivity, specificity, positive predictive value and negative predictive value were respectively 67.8%, 95.3%, 89.4 and 83.5% without gel, and 90.8%, 94.6%, 90.8% and 94.6% with gel; trans-Vaginal ultrasonography sensitivity, specificity, positive predictive value and negative predictive value were 57.5%, 96.6%, 90.9% and 79.5%. In evaluation of utero-sacral-ligaments trans-Vaginal ultrasonography, MRI without gel and with gel sensitivity was respectively 61.9%, 47.6% and 81%; for recto-Vaginal-septum these values were 12.5%, 68.7% and 93.7%; for pouch of Douglas 82%, 87% and 97.4%; finally for posterior-Vaginal-Fornix 27.3%, 36.4% and 81.8%. Conclusions MRI with gel opacification of vagina should be recommended for suspicion of deep infiltrating endometriosis, in particular for the added value in evaluation of recto-Vaginal septum, utero-sacral ligaments and posterior Vaginal Fornix.
Ferid A Abubeker - One of the best experts on this subject based on the ideXlab platform.
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bucket handle uterine rupture during second trimester medication abortion a rare form of rupture of the lower uterine segment and Vaginal Fornix a case report
Contraception: X, 2020Co-Authors: Ferid A Abubeker, Abraham Fessehaye, Mekdes Daba Feyssa, Sarah PragerAbstract:Abstract A bucket-handle uterine rupture, a rare form of uterine rupture involving the posterior lower uterine segment and posterior Vaginal Fornix, occurred in a primigravid woman at 23 weeks of gestation during successful medication abortion.
Kurt E. Roberts - One of the best experts on this subject based on the ideXlab platform.
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"Triangle of safety": anatomic considerations in transVaginal natural orifice surgery.
Surgical endoscopy, 2013Co-Authors: Kurt E. Roberts, Daniel Solomon, Robert M. Bell, Andrew J. DuffyAbstract:Background The introduction of transVaginal (TV) natural orifice transluminal endoscopic surgery (NOTES) brings the loss of traditionally used cutaneous landmarks for safe peritoneal access. This video describes the use of landmarks within the posterior Vaginal Fornix to define a “triangle of safety” wherein the peritoneal cavity can be accessed while minimizing the risk of injury to surrounding structures.
