Andrea Stuart
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View article: Evaluation of a new prediction model for the estimation of risk of obstetrical anal sphincter injuries
Evaluation of a new prediction model for the estimation of risk of obstetrical anal sphincter injuries Open
Using antenatally available data, obstetrical anal sphincter injuries can be predicted with moderate certainty. This prediction model has been externally validated and can be used for individualized antenatal counseling and identification …
View article: Ectopic pregnancies: laparoscopic versus vNOTES approach. Surgical and obstetric outcomes
Ectopic pregnancies: laparoscopic versus vNOTES approach. Surgical and obstetric outcomes Open
Introduction Extrauterine pregnancy (EP), represents a significant challenge in reproductive medicine, manifesting in approximately 2% of all pregnancies, primarily implanting within the fallopian tubes (95%). Surgery remains a cornerstone…
View article: Why not vaginal?—Nationwide trends and surgical outcomes in low‐risk hysterectomies: A retrospective cohort study
Why not vaginal?—Nationwide trends and surgical outcomes in low‐risk hysterectomies: A retrospective cohort study Open
Introduction The rate of vaginal hysterectomies is declining globally. We investigated surgical techniques, outcomes, and costs in a large national cohort of benign hysterectomies with prerequisites for vaginal surgery. Material and Method…
View article: To give or not give antibiotic prophylaxis for planned caesarean section: An assessment of risk of postpartum prescription of antibiotics depending on prophylaxis regimen
To give or not give antibiotic prophylaxis for planned caesarean section: An assessment of risk of postpartum prescription of antibiotics depending on prophylaxis regimen Open
We found no evidence that routinely administrated prophylactic antibiotics for women with planned caesarean section reduced the risk of a prescription of postpartum antibiotics in a setting with high hygiene standards. Instead, the inciden…
View article: Intra‐ and Postoperative Complications in 4565 <scp>vNOTES</scp> Hysterectomies: International Registry Cohort Study
Intra‐ and Postoperative Complications in 4565 <span>vNOTES</span> Hysterectomies: International Registry Cohort Study Open
Objective To present the rates of intra‐ and postoperative complications and conversions in a large cohort of unselected vNOTES hysterectomies, performed by surgeons with different levels of expertise. Design International register‐based c…
View article: Conventional vaginal approach vs. transvaginal natural orifice transluminal endoscopic surgery for treating apical prolapse, a randomized controlled study
Conventional vaginal approach vs. transvaginal natural orifice transluminal endoscopic surgery for treating apical prolapse, a randomized controlled study Open
vNOTES hysterectomy with USLS has lower surgical times than conventional vaginal hysterectomy with USLS, lower blood loss and less adverse events. Other surgical objective and subjective outcomes were similar between the approaches.
View article: Too big to bag? - Technique for bagging very large adnexal masses via vNOTES
Too big to bag? - Technique for bagging very large adnexal masses via vNOTES Open
The technique to perform adnexectomy for adnexal masses has shifted over the last decades, from open surgery towards minimally invasive approaches. At the same time caution is warranted to prevent perioperative intra-abdominal spilling of …
View article: Diagnostic accuracy of Impedance Spectroscopy versus Digital Rectal Examination for Obstetric Anal Sphincter Injuries: a postpartum post-hoc analysis
Diagnostic accuracy of Impedance Spectroscopy versus Digital Rectal Examination for Obstetric Anal Sphincter Injuries: a postpartum post-hoc analysis Open
Background Accurate diagnosis of obstetric anal sphincter injuries (OASIs) is critical for timely repair and prevention of long-term morbidity, yet digital rectal examination (DRE) remains insufficiently sensitive. Methods In this post-hoc…
View article: No mess with mesh; vaginal natural orifice transluminal endoscopic surgery (vNOTES) autologous posterior rectus fascia mesh for vaginal urinary incontinence procedures
No mess with mesh; vaginal natural orifice transluminal endoscopic surgery (vNOTES) autologous posterior rectus fascia mesh for vaginal urinary incontinence procedures Open
Urinary incontinence affects 25-45 % of women with the gold standard surgical approach being placement of mid-urethral synthetic slings; tension-free vaginal tape (TVT) and trans-obturator tape (TOT). Due to the controversies regarding vag…
View article: Minimizing tearing during vaginal delivery with a perineal protection device: a randomized controlled trial
Minimizing tearing during vaginal delivery with a perineal protection device: a randomized controlled trial Open
The use of a perineal protection device reduced the risk of grade ≥2 perineal tearing by 60% and labial tearing. El resumen está disponible en Español al final del artículo.
View article: vNOTES retroperitoneal sentinel lymph node dissection for endometrial cancer staging: First multicenter, prospective case series
vNOTES retroperitoneal sentinel lymph node dissection for endometrial cancer staging: First multicenter, prospective case series Open
Introduction The current standard treatment for endometrial cancer is a laparoscopic hysterectomy with adnexectomies and bilateral sentinel node resection. A retroperitoneal vNOTES sentinel node resection has several theoretical potential …
View article: Vaginal Natural Orifice Transluminal Endoscopic Surgery Hysterectomy Deconstructed: Expanding Minimally Invasive Gynecologic Surgeons' Toolbox
Vaginal Natural Orifice Transluminal Endoscopic Surgery Hysterectomy Deconstructed: Expanding Minimally Invasive Gynecologic Surgeons' Toolbox Open
vNOTES hysterectomy is a unique blend of vaginal, laparoscopic, and laparoendoscopic single-site surgery (LESS) techniques and is not a new procedure, but rather another tool to use in minimally invasive gynecologic surgery. (J GYNECOL SUR…
View article: VaNoLaH trial: a study protocol—a multinational randomised controlled trial including two identical substudies comparing vaginal versus vNOTES (vaginal natural orifice transluminal surgery) hysterectomy or laparoscopic versus vNOTES hysterectomy
VaNoLaH trial: a study protocol—a multinational randomised controlled trial including two identical substudies comparing vaginal versus vNOTES (vaginal natural orifice transluminal surgery) hysterectomy or laparoscopic versus vNOTES hysterectomy Open
Introduction Hysterectomy is one of the most common surgeries performed in women. Minimally invasive methods are on the rise globally as they have been shown to decrease surgical morbidity compared with abdominal hysterectomy. Hysterectomy…
View article: Maternal origin matters: Country of birth as a risk factor for obstetric anal sphincter injuries
Maternal origin matters: Country of birth as a risk factor for obstetric anal sphincter injuries Open
Objective Obstetric anal sphincter injuries (OASIS) are severe complications to vaginal births with potential long‐term consequences. Maternal origin has been proposed to affect the overall risk, but the association and underlying explanat…
View article: vNOTES retroperitoneal transient uterine artery occlusion: a new approach to control bleeding during a high-risk evacuation of products of conception
vNOTES retroperitoneal transient uterine artery occlusion: a new approach to control bleeding during a high-risk evacuation of products of conception Open
Uterine or internal iliac artery ligation can be lifesaving in situations with massive bleeding from the uterus. Current minimally invasive approaches are laparoscopic vessel ligation and, more commonly, uterine artery embolization, which …
View article: Acquired uterine arteriovenous malformation—Does it really exist? A case report
Acquired uterine arteriovenous malformation—Does it really exist? A case report Open
Acquired arteriovenous malformations (AVM) of the uterus can cause life-threatening vaginal bleeding and are associated with previous pregnancy, abortion or pelvic trauma. The pathophysiology is not well understood and the diagnosis is usu…
View article: Old meets new: vNOTES retroperitoneal promontory fixation in conjunction with the uterus preserving Manchester procedure✰,✰✰
Old meets new: vNOTES retroperitoneal promontory fixation in conjunction with the uterus preserving Manchester procedure✰,✰✰ Open
The Manchester procedure is a classic native tissue prolapse technique with low recurrence and low complication rate. vNOTES (vaginal natural orifice transluminal endoscopic surgery) is a vaginal approach to enter the intra or retroperiton…
View article: Relation between perinatal outcome and gestational duration in term primiparous pregnancies stratified by body mass index
Relation between perinatal outcome and gestational duration in term primiparous pregnancies stratified by body mass index Open
Introduction There is growing evidence that induction of labor at 41 completed weeks improves neonatal outcome, at least among primiparous women. This study was performed to investigate whether maternal body mass index (BMI) should be cons…
View article: Obstetric anal sphincter injuries—Maternal, fetal and sociodemographic risk factors: A retrospective register‐based study
Obstetric anal sphincter injuries—Maternal, fetal and sociodemographic risk factors: A retrospective register‐based study Open
Introduction Obstetric anal sphincter injuries (OASIS) are severe complications to vaginal births with potentially serious long‐term consequences and large impact on quality of life. The aim was to determine risk and protective factors for…
View article: Planned cesarean section vs planned vaginal delivery among women without formal medical indication for planned cesarean section: A retrospective cohort study of maternal short‐term complications
Planned cesarean section vs planned vaginal delivery among women without formal medical indication for planned cesarean section: A retrospective cohort study of maternal short‐term complications Open
Introduction Rates of delivery by cesarean section have gradually risen in many parts of the world, and it is regarded as a safe surgical procedure with expanded indications. We assessed maternal complications within 6 weeks postpartum aft…
View article: Standardized 10‐step approach for successfully performing a hysterectomy via vaginal natural orifice transluminal endoscopic surgery
Standardized 10‐step approach for successfully performing a hysterectomy via vaginal natural orifice transluminal endoscopic surgery Open
Vaginal natural orifice transluminal endoscopic surgery (NOTES) is a novel technique for minimally invasive gynecological surgery. Adequate training and standardization are key elements to patient safety and quality of care. Based on conse…
View article: Obstetric Anal Sphincter Injuries – Maternal, Foetal and Sociodemographic Risk Factors: A Retrospective Register-Based Study
Obstetric Anal Sphincter Injuries – Maternal, Foetal and Sociodemographic Risk Factors: A Retrospective Register-Based Study Open
Objective. To determine risk and protective factors of obstetric anal sphincter injuries (OASIS). Design. A retrospective register-based observational study. Setting. Sweden. Population. A cohort of 988, 988 singleton term deliveries 2005-…
View article: Stillbirth or neonatal death before 45 post‐menstrual weeks in relation to gestational duration in pregnancies at 39 weeks of gestation or beyond: the impact of parity and body mass index. A national cohort study
Stillbirth or neonatal death before 45 post‐menstrual weeks in relation to gestational duration in pregnancies at 39 weeks of gestation or beyond: the impact of parity and body mass index. A national cohort study Open
Objective To investigate the risk of stillbirth or neonatal death before 45 post‐menstrual weeks in relation to gestational duration, stratified by body mass index (BMI) and parity. Design Retrospective study. Setting Data from the Swedish…
View article: Planned caesarean section versus planned vaginal delivery among women without formal medical indication for planned caesarean section: A retrospective cohort study of short-term complications
Planned caesarean section versus planned vaginal delivery among women without formal medical indication for planned caesarean section: A retrospective cohort study of short-term complications Open
Objective: To study complications, within six weeks postpartum, after planned caesarean section (CS) compared with planned vaginal delivery, among women without formal indication for caesarean section. Design: Retrospective cohort study. S…
View article: Retrospective study of maternal and neonatal outcomes after induction compared to spontaneous start of labour in women with one previous birth in uncomplicated pregnancies ≥ 41<sup>+3</sup>
Retrospective study of maternal and neonatal outcomes after induction compared to spontaneous start of labour in women with one previous birth in uncomplicated pregnancies ≥ 41<sup>+3</sup> Open
Objectives To study the association between induction and outcome among two-parous women in uncomplicated pregnancies ≥ 41 +3 , stratified by first labour delivery mode and conditions present at first delivery. Methods The Swedish Medical …
View article: Correlations of obstetric anal sphincter injury (OASIS) grade, specific symptoms of anal incontinence, and measurements by endoanal and transperineal ultrasound
Correlations of obstetric anal sphincter injury (OASIS) grade, specific symptoms of anal incontinence, and measurements by endoanal and transperineal ultrasound Open
Purpose The aim of the study was to investigate the association between the initial grade of obstetrical anal sphincter injury (OASIS), and Wexner score parameters, with ultrasonographic findings by endoanal ultrasound (EAUS, golden standa…
View article: Comparison of transperineal and endoanal ultrasound in detecting residual obstetric anal sphincter injury
Comparison of transperineal and endoanal ultrasound in detecting residual obstetric anal sphincter injury Open
Introduction Endoanal ultrasound is considered the gold standard when assessing the obstetric anal sphincter complex. Due to its relative intrusiveness and economic cost, other ultrasound modalities are on the rise, such as transperineal u…
View article: Improved neonatal outcome after active management of prolonged pregnancies beyond 41<sup>+2</sup> weeks in nulliparous, but not among multiparous women
Improved neonatal outcome after active management of prolonged pregnancies beyond 41<sup>+2</sup> weeks in nulliparous, but not among multiparous women Open
Introduction Prolonged pregnancies are associated with adverse maternal and fetal outcome. In Sweden, no national guidelines exist for when to induce prolonged pregnancies. Material and methods Singleton cephalic prolonged pregnancies (def…