Abortion in evolution, caesarean scar pregnancy, and cervical ectopic: discerning the triplets on ultrasound.

Background: On the second day of my clinical observership in the Obgyn Department of the Vienna University Hospital, I saw a suspected case of caesarean scar pregnancy on follow-up, with one of my very senior professors, in the gynaecology outpatient clinic.

Methods: The 29-year-old multigravida with a previous caesarean section had earlier presented to the emergency room with vaginal bleeding at 7 weeks of gestation.

Results: Ultrasound scan revealed a non-viable low-lying gestational sac located near the caesarean section scar, with a myometrial thickness of 0.

Institutional guidelines on maternal care and investigations following antepartum stillbirth - a national survey.

Background: Antepartum stillbirth, i.e., intrauterine fetal death (IUFD) above 24 weeks of gestation, occurs with a prevalence of 2.

Joint Guideline of the OEGGG, AGO, AGK and ÖGZ on the Diagnosis and Treatment of Cervical Intraepithelial Neoplasia and Appropriate Procedures When Cytological Specimens Are Unsatisfactory.

On January 1st, 2018, the ÖGZ (Austrian Society of Cytology) revised its cytological nomenclature to make it more similar to the 2015 Bethesda system. Following these changes, the Austrian Society of Gynecology and Obstetrics felt it necessary to revise the approach currently used in Austria to diagnose and treat CIN and to review the procedures to be followed when the quality of cytological specimens is unsatisfactory. It was not possible to adopt the German S3 guideline "Prevention of Cervical Cancer" in its entirety, because the Munich III gynecological cytology nomenclature used in Germany is not used in Austria.

Natural History of Squamous Intraepithelial Lesions in Pregnancy and Mode of Delivery.

Background: Numerous studies have addressed the impact of mode of delivery on the natural history of squamous intraepithelial lesions (SIL) in pregnant women. However, the literature is still contradictory.

Patients And Methods: In the course of a retrospective analysis, data of 63 pregnant women with abnormal cervical smears who were referred to our Outpatient Department for pre-invasive lesions of the cervix were analyzed.

Necessity of colposcopy and biopsy prior to large loop excision of the transformation zone (LLETZ).

Background: The clinical value of colposcopy and biopsy prior to large loop excision of the cervical transformation zone (LLETZ) with respect to negative histology and positive specimen margin rates, was evaluated.

Patients And Methods: A total of 2,050 consecutive patients who had undergone LLETZ from 1997 to 2005, were included. As diagnostic workup prior to LLETZ, 290 patients underwent repeat PAP test only and 1,760 patients had undergone colposcopy/biopsy.

Bacterial colonization in suspected sexually abused children.

Objective: Previous studies concluded that symptomatic prepubertal children with Gardnerella vaginalis infection should be investigated for child sexual abuse. Gardnerella vaginalis is only one out of a group of organism that cause bacterial vaginosis. The aim of the study was to report the frequency of bacterial colonization as well as sexually transmitted diseases and to correlate these data with patient characteristics.

Surgical treatment of endometrial cancer: does closure or non-closure of the vagina affect the local recurrence rate?

Background: Laparoscopic surgery in patients with endometrial cancer has been more widely used in the last 5-10 years, and numerous reports concerning recurrence rate and the surgical technique, laparoscopic vs. open, have been published. However, no data are available concerning the surgical technique of an open or closed vaginal cuff and the vaginal recurrence rate in patients with endometrial cancer.

The lack of laminin-5 as a prognostic marker in low-grade cervical squamous intraepithelial lesions: correlation with clinical follow-up data.

Low-grade cervical squamous intraepithelial lesions have a high rate of spontaneous regression but may undergo surgical treatment (cone biopsy) in case of persistence of the lesion or discrepancy between Pap-smear diagnosis and biopsy diagnosis. This may sometimes lead to surgical complications and/or adverse effects on fertility. Thus, the present study was designed to investigate the potential of laminin-5 as a sensitive molecular marker identifying cervical intraepithelial neoplastic lesions (CIN), which are likely to regress and ultimately spare women unnecessary surgical procedures.

Squamous cell carcinoma antigen serum levels as prognostic parameter in patients with early stage vulvar cancer.

Objective: To determine whether SCC-Ag serum levels can be used as a prognostic parameter in surgically treated early stage vulvar cancer.

Methods: SCC-Ag serum levels were measured preoperatively in 61 surgically staged patients with squamous cell vulvar cancer (UICC pT1 and pT2). Results were correlated to clinical data.

Emphysema of the abdominal wall obscuring postcesarean volvulus. A case report.

Background: Emphysema of the abdominal wall occurs after infection with gas-forming organisms or when intraabdominal gas has a mechanical pathway to the retroperitoneum.

Case: Emphysema of the abdominal wall associated with volvulus developed after cesarean delivery.

Conclusion: Postcesarean abdominal pathology may be associated with emphysema of the abdominal wall.

Microinvasive squamous cell carcinoma of the cervix: immunohistochemically detected prognostic factors in a case with poor clinical outcome.

Background: Established prognostic factors for cervical cancer are tumor stage, vascular space invasion, tumor size/volume, depth of invasion, and lymph node status. Although patients with superficially invasive lesions have a very good prognosis, cases are still reported which have a poor clinical outcome.

Case: We report a case of a 41-year-old woman with very early stromal invasion (0.

Influence on fetal blood pH when adding amniotic fluid: an in vitro model.

Objective: To assess the effect of contamination with amniotic fluid in different quantities on fetal capillary blood pH.

Design: In vitro model.

Setting: Department of Obstetrics, St Pölten Hospital.

Prognostic value of laminin-5 in serous adenocarcinomas of the ovary.

Background: The basement membrane is the first structural barrier that carcinoma cells must penetrate to pass from one compartment to another. In serous papillary cystadenocarcinoma of the ovary, Laminin alpha 1, beta 2, beta 3 and gamma 2 chains are present in about 50% of the neoplastic tissue. The aim of the present study was to evaluate the prognostic significance of the expression of Laminin in patients suffering from malignant serous surface epithelial-stromal tumors of the ovary.