Pregnancy in women with known and treated Budd-Chiari syndrome: maternal and fetal outcomes.

Background/aims: Budd-Chiari syndrome (BCS) mainly affects women of childbearing age. We aimed to clarify whether pregnancy, a thrombotic risk factor, should be contraindicated in patients with known and treated BCS.

Methods: A retrospective study of pregnancy in women with known and treated BCS.

Vaginal hysterectomy for benign disorders in obese women: a prospective study.

Objective: To compare the morbidity of vaginal hysterectomy in obese and non-obese women in a single institution.

Design: Obese and non-obese women with benign uterine disorders matched for age, parity and race underwent vaginal hysterectomy without laparoscopic assistance. Peri-operative outcome complications were compared.

Tension-free vaginal tape and associated procedures: a case control study.

Objectives: We compare objective and subjective cure rates after tension-free vaginal tape procedures performed alone or in conjunction with vaginal procedures.

Methods: One hundred eighty-six women underwent a tension-free vaginal tape procedure for stress or mixed urinary incontinence. One hundred women treated with tension-free vaginal tape alone (group 1) were compared with 40 women treated with tension-free vaginal tape and concomitant vaginal hysterectomy (group 2), and 46 patients treated with tension-free vaginal tape and pelvic floor reconstruction (group 3).

A French multicenter clinical trial of SPARC for stress urinary incontinence.

Objective: To evaluate the safety and efficacy of the SPARC procedure in women with genuine stress urinary incontinence.

Methods: We conducted a prospective multicenter trial of a suprapubic approach to suburethral polypropylene (SPARC) taping for the treatment of genuine stress urinary incontinence. Between June 2001 and June 2002, 104 consecutive women (mean age 58.

Morbidity of vaginal hysterectomy for benign tumors as a function of uterine weight.

Objective: To evaluate the relationship between uterine weight and morbidity in women undergoing vaginal hysterectomy.

Study Design: A prospective study of vaginal hysterectomy was carried out in women with benign uterine tumors. The only exclusion criteria were a suspected adnexal mass, a very narrow vagina and an immobile uterus.

Body mass index and outcome of tension-free vaginal tape.

Objectives: To assess the effectiveness of tension-free vaginal tape (TVT) in women with high body mass indices (BMIs).

Methods: Thirty-eight consecutive patients with BMIs exceeding 30 who underwent tension-free vaginal tape were compared with 149 consecutive patients with BMIs of 30 or less who underwent the same procedure. Body mass index was calculated pre-operatively and at follow-up.

Sigmoid endometriosis in a postmenopausal woman.

Bowel obstruction resulting from endometriosis is an infrequently observed phenomenon in postmenopausal women. A 69-year-old woman without hormone replacement had clinical and radiologic findings consistent with a pelvic tumor invasive into the wall of the sigmoid colon. The patient underwent resection of the sigmoid colon and total hysterectomy.

Down syndrome maternal serum marker screening after 18 weeks' gestation.

Women having access to prenatal care late in pregnancy may still wish to benefit from maternal serum screening for Down syndrome. Therefore, we established reference values for alpha-feto protein (AFP) and free beta-human chorionic gonadotrophin (beta-hCG), and assessed the diagnostic value of maternal serum marker screening at 18-35 weeks' gestation based upon a series of 4072 sera from unaffected pregnancies and 118 sera from pregnant women with fetuses affected by Down syndrome. Using a 1/250 risk cut-off, a detection rate of 72.