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Singh S, Jighly A, Sehgal D, Burgueño J, Joukhadar R, Singh SK, Sharma A, Vikram P, Sansaloni CP, Govindan V, Bhavani S, Randhawa M, Solis-Moya E, Singh S, Pardo N, Arif MAR, Laghari KA, Basandrai D, Shokat S, Chaudhary HK, Saeed NA, Basandrai AK, Ledesma-Ramírez L, Sohu VS, Imtiaz M, Sial MA, Wenzl P, Singh GP, Bains NS. Direct introgression of untapped diversity into elite wheat lines. Nat Food 2021; 2:819-827. [PMID: 37117978 DOI: 10.1038/s43016-021-00380-z] [Citation(s) in RCA: 16] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/30/2020] [Accepted: 08/27/2021] [Indexed: 04/30/2023]
Abstract
The effective utilization of natural variation has become essential in addressing the challenges that climate change and population growth pose to global food security. Currently adopted protracted approaches to introgress exotic alleles into elite cultivars need substantial transformation. Here, through a strategic three-way crossing scheme among diverse exotics and the best historical elites (exotic/elite1//elite2), 2,867 pre-breeding lines were developed, genotyped and screened for multiple agronomic traits in four mega-environments. A meta-genome-wide association study, selective sweeps and haplotype-block-based analyses unveiled selection footprints in the genomes of pre-breeding lines as well as exotic-specific associations with agronomic traits. A simulation with a neutrality assumption demonstrated that many pre-breeding lines had significant exotic contributions despite substantial selection bias towards elite genomes. National breeding programmes worldwide have adopted 95 lines for germplasm enhancement, and 7 additional lines are being advanced in varietal release trials. This study presents a great leap forwards in the mobilization of GenBank variation to the breeding pipelines.
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Affiliation(s)
- Sukhwinder Singh
- International Maize and Wheat Improvement Center (CIMMYT), Texcoco, Mexico.
- Geneshifters, Pullman, WA, USA.
| | - A Jighly
- Agriculture Victoria, AgriBio, Centre for AgriBiosciences, Bundoora, Victoria, Australia
| | - D Sehgal
- International Maize and Wheat Improvement Center (CIMMYT), Texcoco, Mexico
| | - J Burgueño
- International Maize and Wheat Improvement Center (CIMMYT), Texcoco, Mexico
| | - R Joukhadar
- Agriculture Victoria, AgriBio, Centre for AgriBiosciences, Bundoora, Victoria, Australia
| | - S K Singh
- ICAR-Indian Institute of Wheat and Barley Research, Karnal, India
| | - A Sharma
- Department of Plant Breeding & Genetics, Punjab Agricultural University, Ludhiana, India
| | - P Vikram
- International Center for Biosaline Agriculture, Dubai, United Arab Emirates
| | - C P Sansaloni
- International Maize and Wheat Improvement Center (CIMMYT), Texcoco, Mexico
| | - V Govindan
- International Maize and Wheat Improvement Center (CIMMYT), Texcoco, Mexico
| | - S Bhavani
- International Maize and Wheat Improvement Center (CIMMYT), Texcoco, Mexico
| | - M Randhawa
- CIMMYT-World Agroforestry Centre (ICRAF), Nairobi, Kenya
| | - E Solis-Moya
- Carretera Celaya-San Miguel de Allende, Celaya, México
| | - S Singh
- ICAR-National Institute of Plant Biotechnology, New Delhi, India
| | - N Pardo
- International Maize and Wheat Improvement Center (CIMMYT), Texcoco, Mexico
| | - M A R Arif
- Nuclear Institute for Agriculture and Biology, Faisalabad, Pakistan
| | - K A Laghari
- Nuclear Institute of Agriculture, Tando Jam, Pakistan
| | - D Basandrai
- CSK Himachal Pradesh Agricultural University Palampur, Palampur, India
| | - S Shokat
- Nuclear Institute for Agriculture and Biology, Faisalabad, Pakistan
- Department of Plant and Environmental Sciences, Crop Science, University of Copenhagen, Taastrup, Denmark
| | - H K Chaudhary
- CSK Himachal Pradesh Agricultural University Palampur, Palampur, India
| | - N A Saeed
- Nuclear Institute for Agriculture and Biology, Faisalabad, Pakistan
| | - A K Basandrai
- CSK Himachal Pradesh Agricultural University Palampur, Palampur, India
| | | | - V S Sohu
- Department of Plant Breeding & Genetics, Punjab Agricultural University, Ludhiana, India
| | | | - M A Sial
- Nuclear Institute of Agriculture, Tando Jam, Pakistan
| | | | - G P Singh
- ICAR-Indian Institute of Wheat and Barley Research, Karnal, India
| | - N S Bains
- Department of Plant Breeding & Genetics, Punjab Agricultural University, Ludhiana, India
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Joukhadar R, Woeckel A, Altides A, Balafoutas D. P–350 Utilizing indocyanine green (ICG)-enhanced fluorescence to localize the ureter during robotic surgery for DIE and a concomitant crossed renal ectopia. Hum Reprod 2021. [DOI: 10.1093/humrep/deab130.349] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Study question
Feasibility of (ICG)-enhanced fluorescence in visualizing the atypical course of the ureter during surgery for (DIE) of pelvic sidewall with a concomitant crossed renal ectopia.
Summary answer
Near-infrared fluorescence after transurethral injection of ICG enables localization of the ureter during surgery, thus facilitating complete excision of the lesions while enhancing patient’s safety.
What is known already
Existing case series refer to the transurethral injection of ICG and visualization under near-infrared (NIR) light during robotic surgery for real-time delineation of the ureter, which helps to prevent iatrogenic ureteral injury during complex surgery. The ICG reversibly stains the inside lining of the ureter by binding to proteins on urothelial layer. The consequent green fluorescence allows its identification throughout the entire case.
The presented case of a DIE of pelvic side wall along with an ipsilateral concomitant crossed renal ectopia (residual function 27%) resembles an utmost challenge for surgery. To our knowledge no similar case has been reported in literature.
Study design, size, duration
Demonstration of the Robotic technique by means of a step-by-step tutorial
Participants/materials, setting, methods
29-year-old patient referred after preceding laparoscopic surgery for DIE of left pelvic sidewall and abortion of surgery due to lack of accessibility/ severeness of the case. We performed renal scintigraphy, pelvic MRI and urological consultation.
Surgery was performed using an XI-da-Vinci robotic system. After cystoscopic placement of mono-Js we injected 4 ml. of ICG-solution (2,5 mg/ml). Visualization of the pelvic kidney was achieved 4 minutes after injection and of the complete ureter after 7–8 Minutes.
Main results and the role of chance
The robotic surgery could be completed safely and achieve a complete resection of the DIE of the pelvic sidewall including adhesiolysis of a broadly adherent bowel, opening of the rectovaginal space, ureterolysis of the distal portion of the ureter, partial excision of the left sacrouterine ligament and deperitonealization of the pelvic sidewall.
Postoperative controle revealed normal renal function and an adequate postoperative course.
Limitations, reasons for caution
ICG cannot be used in patients with iodine allergy.
Wider implications of the findings: Our report underlines the possibility to utilize indocyanine green (ICG)-enhanced fluorescence to localize the ureter during complex surgery for DIE, even in cases with atypical anatomy of the lower urinary tract.
Trial registration number
Not applicable
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Affiliation(s)
- R Joukhadar
- University Hospital of Wuerzburg / Wuerzburg-Germany, OBS & GYN, Wuerzburg, Germany
| | - A Woeckel
- University Hospital of Wuerzburg / Wuerzburg-Germany, OBS & GYN, Wuerzburg, Germany
| | - A Altides
- University Hospital of Wuerzburg / Wuerzburg-Germany, OBS & GYN, Wuerzburg, Germany
| | - D Balafoutas
- University Hospital of Wuerzburg / Wuerzburg-Germany, OBS & GYN, Wuerzburg, Germany
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Hamza A, Solomayer EF, Hagmann J, Takacs Z, Radosa J, Meyberg-Solomayer G, Joukhadar R, Kasoha M. Die Wertigkeit von sFlt-1 und PlGF zur Prädiktion des postpartalen Verlaufes bei Präeklampsie. Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1606157] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022] Open
Affiliation(s)
- A Hamza
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - EF Solomayer
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - J Hagmann
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - Z Takacs
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - J Radosa
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - G Meyberg-Solomayer
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - R Joukhadar
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
| | - M Kasoha
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg
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Hamza A, Solomayer EF, Hagmann J, Takacs Z, Radosa J, Meyberg-Solomayer G, Joukhadar R, Kasoha M. Die Wertigkeit von sFlt-1 und PlGF zur Prädiktion des postpartalen Verlaufes bei Präeklampsie. Geburtshilfe Frauenheilkd 2017. [DOI: 10.1055/s-0037-1600060] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022] Open
Affiliation(s)
- A Hamza
- Universitätsklinikum des Saarlandes, Klinikum für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - EF Solomayer
- Universitätsklinikum des Saarlandes, Klinikum für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - J Hagmann
- Universitätsklinikum des Saarlandes, Klinikum für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - Z Takacs
- Universitätsklinikum des Saarlandes, Klinikum für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - J Radosa
- Universitätsklinikum des Saarlandes, Klinikum für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - G Meyberg-Solomayer
- Universitätsklinikum des Saarlandes, Klinikum für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
| | - R Joukhadar
- Universitätsklinikum Würzburg, Frauenklinik und Poliklinik, Würzburg, Deutschland
| | - M Kasoha
- Universitätsklinikum des Saarlandes, Klinikum für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Homburg, Deutschland
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Baum S, Sillem M, Ney JT, Baum A, Friedrich M, Radosa J, Kramer KM, Gronwald B, Gottschling S, Solomayer EF, Rody A, Joukhadar R. What Are the Advantages of 3D Cameras in Gynaecological Laparoscopy? Geburtshilfe Frauenheilkd 2017; 77:45-51. [PMID: 28190888 DOI: 10.1055/s-0042-120845] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
Introduction Minimally invasive operative techniques are being used increasingly in gynaecological surgery. The expansion of the laparoscopic operation spectrum is in part the result of improved imaging. This study investigates the practical advantages of using 3D cameras in routine surgical practice. Materials and Methods Two different 3-dimensional camera systems were compared with a 2-dimensional HD system; the operating surgeon's experiences were documented immediately postoperatively using a questionnaire. Results Significant advantages were reported for suturing and cutting of anatomical structures when using the 3D compared to 2D camera systems. There was only a slight advantage for coagulating. The use of 3D cameras significantly improved the general operative visibility and in particular the representation of spacial depth compared to 2-dimensional images. There was not a significant advantage for image width. Depiction of adhesions and retroperitoneal neural structures was significantly improved by the stereoscopic cameras, though this did not apply to blood vessels, ureter, uterus or ovaries. Conclusion 3-dimensional cameras were particularly advantageous for the depiction of fine anatomical structures due to improved spacial depth representation compared to 2D systems. 3D cameras provide the operating surgeon with a monitor image that more closely resembles actual anatomy, thus simplifying laparoscopic procedures.
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Affiliation(s)
- S Baum
- Klinik für Frauenheilkunde und Geburtshilfe, UKSH Klinik für Frauenheilkunde und Geburtshilfe Campus Lübeck, Lübeck, Germany; Universitätsklinikum des Saarlandes, Klinik für Frauenheilkunde und Geburtshilfe, Homburg/Saar, Germany
| | - M Sillem
- Praxisklinik am Rosengarten, Mannheim, Germany
| | - J T Ney
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany
| | - A Baum
- Praxis Prof. Dr. Dhom & Partner, Ludwigshafen, Germany
| | - M Friedrich
- Frauenklinik, HELIOS-Klinikum Krefeld, Krefeld, Germany
| | - J Radosa
- Universitätsklinikum des Saarlandes, Klinik für Frauenheilkunde und Geburtshilfe, Homburg/Saar, Germany
| | - K M Kramer
- Viszera Chirurgie-Zentrum, Munich, Germany
| | - B Gronwald
- Zentrum für Palliativmedizin und Kinderschmerztherapie, Universitätsklinikum des Saarlandes, Homburg, Germany
| | - S Gottschling
- Universitätsklinikum des Saarlandes, Zentrum für Palliativmedizin und Kinderschmerztherapie, Homburg/Saar
| | - E F Solomayer
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar, Germany
| | - A Rody
- Klinik für Frauenheilkunde und Geburtshilfe, UKSH Klinik für Frauenheilkunde und Geburtshilfe Campus Lübeck, Lübeck, Germany
| | - R Joukhadar
- Universitätsfrauenklinik Würzburg, Würzburg, Germany
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Barski D, Gerullis H, Ecke T, Joukhadar R, Kranz J, Tahbaz R, Queissert F, Schneidewind L, Mühlstädt S, Grabbert M, Huppertz N, Pelzer A, Klinge U, Boros M, Bader W, Puppe F, Otto T. Development of an online platform for registration and outcome measurement of urogynecological implants according to IDEAL-system. Int J Surg 2016. [DOI: 10.1016/j.ijsu.2016.11.048] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
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Joukhadar R, Baum S, Radosa J, Gerlinger C, Hamza A, Juhasz-Böss I, Solomayer EF. Safety and perioperative morbidity of laparoscopic sacropexy: a systematic analysis and a comparison with laparoscopic hysterectomy. Arch Gynecol Obstet 2016; 295:641-649. [PMID: 27896472 DOI: 10.1007/s00404-016-4240-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/18/2016] [Accepted: 11/11/2016] [Indexed: 11/30/2022]
Abstract
PURPOSE The high prevalence of Pelvic Organ Prolapse (POP) along with the demographic trend of the ageing population raises the value of sacropexy in the treatment of POP. Thus, efforts to decrease risks associated with this procedure have the potential for public health impact. We examined the perioperative morbidity of laparoscopic sacropexy regarding the surgical access and compared it with the morbidity of one of the most common gynecological procedure, the laparoscopic hysterectomy. Our aim was to prove the safety of laparoscopic sacropexy. METHODS A retrospective evaluation of 80 consecutive laparoscopic sacropexies performed from Sept. 2012 until Oct. 2014 and 126 laparoscopic hysterectomies for a benign indication were undertaken. We assessed the anatomical outcome and the intra- and postoperative complications using the classification system according to Clavien-Dindo (CD). RESULTS Apical success rate after sacropexy was 100% and global success rate was 95% (POP-Q stage ≤1). The decline in hemoglobin was low in both groups and showed no statistically significant differences. Both operative time (P < 0.001) and the duration of hospitalization (P < 0.001) were longer in case of a sacropexy. Although overall intraoperative complications seemed more frequent during a sacropexy, differences were not statistically significant. Both early and late postoperative complications showed a higher rate of mild complications (CD-I/II) and a lower rate of severe complications (CD-IIIa/IIIb) after a sacropexy. The differences were not statistically significant. CONCLUSION The laparoscopic sacropexy represents a safe procedure with good anatomical outcome. Despite higher technical severity, it doesn't seem to bare higher risks for perioperative morbidity than the laparoscopic hysterectomy does.
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Affiliation(s)
- R Joukhadar
- Frauenklinik und Poliklinik, Universitätsklinikum Würzburg, Josef-Schneider-Str. 4, Haus C15, 97080, Würzburg, Germany. .,Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg, Germany.
| | - S Baum
- Campus Lübeck Abteilung für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Schleswig-Holstein, Lübeck, Germany.,Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg, Germany
| | - J Radosa
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg, Germany
| | - C Gerlinger
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg, Germany
| | - A Hamza
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg, Germany
| | - I Juhasz-Böss
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg, Germany
| | - E-F Solomayer
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg, Germany
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Joukhadar R, Herr D, Hamza A, Meyberg-Solomayer G, Takacs Z, Baum S. Diagnose und Management des retroflexio uteri gravidi mit akutem Harnverhalt in der Schwangerschaft in einer Fallserie von 6 Fällen. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592844] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Joukhadar R, Wulff C, Solomayer E, Hamza A, Baum S. Darstellung und laparoskopische Behandlung einer vesicovaginalen Fistel in zwei Fallbeispielen. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1592862] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Joukhadar R, Baum S, Solomayer EF, Radosa J, Paulus V, Bettin S, Rhein D, Pauli F, Wöckel A. Sicherheit und Outcome von netzgestützten urogynäkologischen Eingriffen im hohen Alter. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593104] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Stotz L, Schweitzer PA, Hamza A, Joukhadar R, Juhasz-Böss I, Solomayer EF, Radosa MP, Radosa JC. Implementierung und Validierung eines postoperativen Schmerzprotokolls für laparoskopische Eingriffe. Geburtshilfe Frauenheilkd 2016. [DOI: 10.1055/s-0036-1593121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022] Open
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Radosa JC, Radosa CG, Kastl C, Mavrova R, Gabriel L, Gräber S, Wagenpfeil G, Baum S, Hamza A, Joukhadar R, Juhasz-Böss I, Heimes AS, Meyberg-Solomayer G, Solomayer EF, Radosa MP. Influence of the Preoperative Decision-Making Process on the Postoperative Outcome after Hysterectomy for Benign Uterine Pathologies. Geburtshilfe Frauenheilkd 2016; 76:383-389. [PMID: 27134293 DOI: 10.1055/s-0041-110396] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
Abstract
Introduction: The aim of this study was to assess whether the preoperative decision-making process might influence treatment success in premenopausal women undergoing hysterectomy for benign uterine pathologies Materials and Methods: All premenopausal women treated with hysterectomy for benign uterine pathologies between April 2011 and June 2013 at a tertiary university center were enrolled in this prospective observational cohort study. Five parameters of the preoperative decision-making process were assessed upon their correlation with postoperative quality of life, sexual function and patients' satisfaction. These outcome measures were assessed for the pre- and postoperative (six months after surgery) status using two validated questionnaires (EQ-5D and "female sexual function index" (FSFI). Patients' satisfaction with the postoperative outcome was assessed with a self-developed questionnaire. Results: 255 of 402 (63 %) patients completed the study. A correlation between the co-variables "interval between first counseling and decision to surgery", "subjectively perceived quality of the preoperative counseling" and "certainty in the decision for the intervention" and postoperative outcomes were found. The co-variables "person mainly responsible for election of hysterectomy mode" and "discussion of decision for surgery with others" showed no influence on postoperative patients-reported outcomes. Conclusion: We found a correlation between certain parameters of the preoperative decision-making process and postoperative patient-reported sexual function, quality of life and patients' satisfaction in premenopausal women undergoing hysterectomy for benign uterine pathologies. An optimization of these factors could contribute to an improvement in treatment outcomes.
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Affiliation(s)
- J C Radosa
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - C G Radosa
- Institut und Poliklinik für radiologische Diagnostik, Universitätsklinikum Carl Gustav Carus Dresden, Dresden
| | - C Kastl
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - R Mavrova
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - L Gabriel
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - S Gräber
- Fachrichtung Medizinische Biometrie, Epidemiologie und Medizinische Informatik, Universität des Saarlandes, Campus Homburg/Saar, Homburg/Saar
| | - G Wagenpfeil
- Fachrichtung Medizinische Biometrie, Epidemiologie und Medizinische Informatik, Universität des Saarlandes, Campus Homburg/Saar, Homburg/Saar
| | - S Baum
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - A Hamza
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - R Joukhadar
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - I Juhasz-Böss
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - A-S Heimes
- Klinik für Geburtshilfe und Frauenkrankheiten, Johannes Gutenberg Universität, Mainz
| | - G Meyberg-Solomayer
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - E-F Solomayer
- Universitätsfrauenklinik für Gynäkologie, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum Homburg, Homburg
| | - M P Radosa
- Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Jena, Jena
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Hamza A, Meyberg-Solomayer G, Juhasz-Böss I, Joukhadar R, Takacs Z, Solomayer EF, Baum S, Radosa J, Mavrova L, Herr D. Diagnostic Methods of Ectopic Pregnancy and Early Pregnancy Loss: a Review of the Literature. Geburtshilfe Frauenheilkd 2016; 76:377-382. [PMID: 27134292 DOI: 10.1055/s-0041-110204] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/26/2022] Open
Abstract
This review article presents recent evidence on early pregnancy loss and ectopic pregnancy. In the light of recent evidence, the β-hCG discriminatory zone may be extended in clinically stable cases without evidence of bleeding. A possible cut-off is 4300 mIU/ml, which corresponds to when a sonographer should detect an intrauterine pregnancy. Embryonic demise can be confirmed when a transvaginal ultrasound finding shows no heartbeat in an embryo of more than 7 mm CRL, no embryo in a gestational sac having a mean sac diameter of more than 25 mm, or no appearance of an embryo within 7-10 days after the primary examination. These are considered definitive signs of embryonic demise. Suggestive signs of embryonic demise require closer monitoring of the pregnancy.
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Affiliation(s)
- A Hamza
- Department of Obstetrics and Gynaecology, Homburg University Medical Centre, Homburg
| | - G Meyberg-Solomayer
- Department of Obstetrics and Gynaecology, Homburg University Medical Centre, Homburg
| | - I Juhasz-Böss
- Department of Obstetrics and Gynaecology, Homburg University Medical Centre, Homburg
| | - R Joukhadar
- Department of Obstetrics and Gynaecology, Homburg University Medical Centre, Homburg
| | - Z Takacs
- Department of Obstetrics and Gynaecology, Homburg University Medical Centre, Homburg
| | - E-F Solomayer
- Department of Obstetrics and Gynaecology, Homburg University Medical Centre, Homburg
| | - S Baum
- Department of Obstetrics and Gynaecology, Homburg University Medical Centre, Homburg
| | - J Radosa
- Department of Obstetrics and Gynaecology, Homburg University Medical Centre, Homburg
| | - L Mavrova
- Department of Obstetrics and Gynaecology, Homburg University Medical Centre, Homburg
| | - D Herr
- Department of Obstetrics and Gynaecology, Würzburg University Medical Centre, Würzburg
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Hamza A, Solomayer EF, Takacs Z, Juhasz-Boes I, Joukhadar R, Radosa JC, Mavrova R, Marc W, Volk T, Meyberg-Solomayer G. Introduction of basic obstetrical ultrasound screening in undergraduate medical education. Arch Gynecol Obstet 2016; 294:479-85. [DOI: 10.1007/s00404-015-4002-9] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2015] [Accepted: 12/17/2015] [Indexed: 10/22/2022]
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Hamza A, Solomayer EF, Takacs Z, Juhasz-Boess I, Joukhadar R, Baum S, Radosa J, Mavrova R, Von Heesen A, Wagenpfeil S, Meyberg-Solomayer G. Einführung eines praktischen standardisierten Ultraschallkurses in der Medizinlehre. Z Geburtshilfe Neonatol 2015. [DOI: 10.1055/s-0035-1566641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
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Baum S, Meyberg-Solomayer G, Baum A, Radosa J, Hamza A, Gronwald B, Friedrich M, Solomayer EF, Joukhadar R. Deciding Factors for the Referral of a Female Patient to a Specific Hospital from the Viewpoint of Practice-Based Specialists. Geburtshilfe Frauenheilkd 2015; 75:456-461. [PMID: 26097249 DOI: 10.1055/s-0035-1546035] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2014] [Revised: 03/17/2015] [Accepted: 04/06/2015] [Indexed: 10/23/2022] Open
Abstract
Background: One of the key points of patient care is the cooperation between practice-based specialists and clinical facilities. The present study was undertaken in order to illustrate the deciding factors, from the viewpoint of practice-based specialists, for the referral of a female patient to a specific hospital. Methods: Altogether a total of 322 practice-based specialists from various disciplines were contacted in writing and sent a questionnaire. In this survey the recipients were questioned about the criteria, in order of importance, applied for the referral of a (female) patient to a specific clinical facility. Results: In the foreground for the referral of a patient to a specific hospital are the aspects of medical quality and competence. On a closer look we find the surgical spectrum, especially the availability of endoscopic and special operations as a main factor. Further factors are a low rate of complications and the availability of modern diagnostic methods. Also evaluated as an important aspect was the easy reachability of a competent consultant. Factors of lower relevance for referral behaviour were personal familiarity with the colleagues employed in the hospital, specific further training events and the course of previous cooperation. Conclusions: A modern diagnostic and therapeutic spectrum coupled with an easy reachability of competent contact partners are the main factors for cooperation from the viewpoint of the practice-based specialist. Of lowest relevance, among others, was the aspect of previous cooperation. Thus, it can be seen that by means of changes in cooperation an improvement in patient care can be achieved at any time.
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Affiliation(s)
- S Baum
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar
| | - G Meyberg-Solomayer
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar
| | - A Baum
- Praxis Prof. Dr. Dhom & Partner, Ludwigshafen
| | - J Radosa
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar
| | - A Hamza
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar
| | - B Gronwald
- Zentrum für Palliativmedizin und Kinderschmerztherapie, Universitätsklinikum des Saarlandes, Homburg
| | | | - E F Solomayer
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar
| | - R Joukhadar
- Klinik für Frauenheilkunde, Geburtshilfe und Reproduktionsmedizin, Universitätsklinikum des Saarlandes, Homburg/Saar
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Radosa J, Radosa MP, Kastl C, Baum S, Joukhadar R, Hamza A, Juhasz-Böss I, Solomayer EF. Influence of laparoscopic myomectomy on patients' postoperative sexual function and quality of life. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Baum S, Radosa J, Sklavounos P, Solomayer E, Joukhadar R. Verwendung von Indocyaningrün zur Markierung von Wächterlymphknoten beim Zervix-, Endometrium- und Vulvakarzinom. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Baum S, Radosa J, Hamza A, Friedrich M, Solomayer E, Joukhadar R. Zeigen HER2+ Mammakarzinome ein anderes Metastasierungsmuster im Vergleich zu HER2- Karzinomen? Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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Radosa JC, Nau J, Russalina M, Joukhadar R, Hamza A, Juhasz-Böss I, Baum S, Solomayer EF. Influence of loop conization on patients' postoperative sexual function and quality of life. Geburtshilfe Frauenheilkd 2014. [DOI: 10.1055/s-0034-1388569] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/24/2022] Open
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