ABSTRACT
BACKGROUND: In cases of uterine atony, uterine compression sutures work by applying direct uterine compression. CASE: A 33-year-old gravida 2, para 0101 with preterm premature rupture of the membranes at 31 and 4/7 weeks of gestation underwent cesarean delivery. Because of significant uterine atony, two uterine compression sutures were placed. On postoperative day 8, the patient returned to the operating room secondary to persistent fevers not responsive to antibiotic therapy. At the time of laparotomy, she was found to have fundal uterine necrosis at the location of the second compression suture. CONCLUSION: This case demonstrates uterine necrosis confined to the uterine fundus after placement of a compression suture in this area. Although brace sutures are an invaluable technique for patients with uterine atony, uterine necrosis is a rare complication.
Subject(s)
Suture Techniques/adverse effects , Uterine Diseases/etiology , Uterine Inertia/surgery , Uterus/pathology , Adult , Female , Humans , Necrosis/etiology , Pregnancy , Uterine Diseases/pathologyABSTRACT
Urinary incontinence and pelvic organ prolapse are widely prevalent in the elderly population. The primary care physician should play a leading role in identifying the presence of incontinence in this population, as it can significantly affect quality of life and well-being. Behavioral and lifestyle modification is the cornerstone in treatment and can be initiated in the primary care setting. Frail elderly require special consideration to avoid potentially serious complications of urinary incontinence and pelvic organ prolapse.
Subject(s)
Pelvic Organ Prolapse/diagnosis , Pelvic Organ Prolapse/therapy , Primary Health Care/methods , Urinary Incontinence/diagnosis , Urinary Incontinence/therapy , Aged , Comorbidity , Female , Frail Elderly , Humans , Pelvic Organ Prolapse/epidemiology , Prevalence , Quality of Life , Risk Reduction Behavior , Urinary Incontinence/epidemiology , Urinary Incontinence/psychologyABSTRACT
OBJECTIVES: The purpose of this study was to determine the publication rate of full-text articles after the presentation of abstracts at consecutive annual meetings of the American Urogynecologic Society (AUGS) over a 2-year period. METHODS: Using abstract books published by the Journal of Pelvic Medicine and Surgery, we obtained the text of all abstracts presented at the 2007 and 2008 AUGS annual meetings. A literature search was performed in the US National Library of Medicine to identify the peer-reviewed publications arising from each of those abstracts and to calculate the full-text publication rate and the mean duration from presentation to publication. RESULTS: The overall full-text publication rate was 56% (239/438 publications). The mean time from presentation to publication was 15.7 months. The published articles appeared in 49 peer-reviewed journals, with notable distribution in the International Urogynecology Journal (27%), American Journal of Obstetrics and Gynecology (26%), and Obstetrics and Gynecology (10%). Oral presentations (85%) were more likely than posters (71%) to have first authors with university affiliations (P = 0.002). The greater the number of abstract authors, the more likely that the article was to be published (P = 0.0059). The odds of an oral presentation being published were 7 times the odds of a poster being published (odds ratio, 6.99; P < 0.001). CONCLUSIONS: Because not all presentations are published, it is questionable whether it is acceptable to cite AUGS abstracts that have not passed a journal's peer review process and to implement their results in clinical practice.