<strong>Introduction:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Cervico-isthmic pregnancy is rare, and serious bec...<strong>Introduction:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Cervico-isthmic pregnancy is rare, and serious because of its hemorrhagic complication. Its management varies according to the teams. </span><b><span style="font-family:Verdana;">Observation:</span></b><span style="font-family:Verdana;"> We report a case of cervico-isthmic pregnancy on a cesarean scar. This is a 35-year</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">old, G2P2, who consulted for bleeding from the 1st trimester of pregnancy. </span><a name="_Hlk80358912"></a><span style="font-family:Verdana;">The clinical examination found a minimal uterine bleeding. The diagnosis was made by a vaginal ultrasound which found a cervico-isthmic implantation of the pregnancy on the caesarean scar. A protocol of Mifepristone and Misoprostol followed by administration of a single dose of 1 mg/kg of Methotrexate was performed. Cure was obtained 1 month after treatment by negativation of plasma HCG. No bleeding complications were noted. A follow-up ultrasound performed 2 months later showed a uterine vacuity and the presence of an isthmocoele. It was in fact a pregnancy that had implanted in the isthmocoele. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Cervico-isthmic pregnancy is rare. His treatment is not codified. Drug management was successful</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">.</span></span></span>展开更多
Isthmic spondylolisthesis in adults is a common clinical disease that causes lower back pain. In order to provide the best and effective diagnosis and treatment plan, in 2014, the North American Spine Association (NAS...Isthmic spondylolisthesis in adults is a common clinical disease that causes lower back pain. In order to provide the best and effective diagnosis and treatment plan, in 2014, the North American Spine Association (NASS) formulated the guidelines for the diagnosis and treatment of isthmic spondylolisthesis in adult (hereinafter referred to as the guideline). Through the systematic review of literature, evidence-based medical evidence analysis was conducted to identify different recommended intensities, to discuss the clinical diagnosis and treatment plan mainly from two aspects of diagnosis and treatment. This article gives a brief explanation of the guidelines and discusses them in combination with the clinical practice in China, so as to provide a reference for clinicians.展开更多
Objective To investigate surgical strategy for high-grade isthmic spondylolisthesis(more thanⅡ degree)of 5th lumbar vertebrae.Methods From August 2003 to October 2008,26 patients with high-grade isthmic spondylolisth...Objective To investigate surgical strategy for high-grade isthmic spondylolisthesis(more thanⅡ degree)of 5th lumbar vertebrae.Methods From August 2003 to October 2008,26 patients with high-grade isthmic spondylolisthesis (L5) were展开更多
The laparoscopic abdominal cerclage is an established approach in the management of selected cases of cervical insufficiency.The main challenge is to safely insert the cerclage at the level of cervico-isthmic junction...The laparoscopic abdominal cerclage is an established approach in the management of selected cases of cervical insufficiency.The main challenge is to safely insert the cerclage at the level of cervico-isthmic junction,medial to the uterine vessels.This narrated video demonstrated the step-by-step laparoscopic cervico-isthmic cerclage technique using a handheld Berci fascial closure needle to accurately place the suture,medial to the uterine vasculature.展开更多
文摘<strong>Introduction:</strong><span><span><span style="font-family:""><span style="font-family:Verdana;"> Cervico-isthmic pregnancy is rare, and serious because of its hemorrhagic complication. Its management varies according to the teams. </span><b><span style="font-family:Verdana;">Observation:</span></b><span style="font-family:Verdana;"> We report a case of cervico-isthmic pregnancy on a cesarean scar. This is a 35-year</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:""><span style="font-family:Verdana;">old, G2P2, who consulted for bleeding from the 1st trimester of pregnancy. </span><a name="_Hlk80358912"></a><span style="font-family:Verdana;">The clinical examination found a minimal uterine bleeding. The diagnosis was made by a vaginal ultrasound which found a cervico-isthmic implantation of the pregnancy on the caesarean scar. A protocol of Mifepristone and Misoprostol followed by administration of a single dose of 1 mg/kg of Methotrexate was performed. Cure was obtained 1 month after treatment by negativation of plasma HCG. No bleeding complications were noted. A follow-up ultrasound performed 2 months later showed a uterine vacuity and the presence of an isthmocoele. It was in fact a pregnancy that had implanted in the isthmocoele. </span><b><span style="font-family:Verdana;">Conclusion:</span></b><span style="font-family:Verdana;"> Cervico-isthmic pregnancy is rare. His treatment is not codified. Drug management was successful</span></span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">.</span></span></span>
文摘Isthmic spondylolisthesis in adults is a common clinical disease that causes lower back pain. In order to provide the best and effective diagnosis and treatment plan, in 2014, the North American Spine Association (NASS) formulated the guidelines for the diagnosis and treatment of isthmic spondylolisthesis in adult (hereinafter referred to as the guideline). Through the systematic review of literature, evidence-based medical evidence analysis was conducted to identify different recommended intensities, to discuss the clinical diagnosis and treatment plan mainly from two aspects of diagnosis and treatment. This article gives a brief explanation of the guidelines and discusses them in combination with the clinical practice in China, so as to provide a reference for clinicians.
文摘Objective To investigate surgical strategy for high-grade isthmic spondylolisthesis(more thanⅡ degree)of 5th lumbar vertebrae.Methods From August 2003 to October 2008,26 patients with high-grade isthmic spondylolisthesis (L5) were
文摘The laparoscopic abdominal cerclage is an established approach in the management of selected cases of cervical insufficiency.The main challenge is to safely insert the cerclage at the level of cervico-isthmic junction,medial to the uterine vessels.This narrated video demonstrated the step-by-step laparoscopic cervico-isthmic cerclage technique using a handheld Berci fascial closure needle to accurately place the suture,medial to the uterine vasculature.
