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Current approach to episiotomy: Inevitable or unnecessary?

100%
Jovanovic N., Kocijancic D., Terzic M.
Open Medicine
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2011
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vol. 6
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issue 6
685-690
EN
An episiotomy is a surgical incision through the perineum made to provide sufficient area for the delivery of the infant. About 10 to 95% of women who deliver will have episiotomy depending on which part of the world they are having delivery. Too early episiotomy causes extensive bleeding and too late episiotomy causes the excessive stretching of a pelvic floor and lacerations could not be prevented. According to widely accepted arguments, there are many benefits of episiotomy for the neonate: prevention of injuries, shoulder dystocia and mental retardation of the infant. Benefits for the mother are: reduction of severe lacerations, prevention of sexual dysfunction, prevention of urinary and fecal incontinence. But those things could also be complications of episiotomy, if it is being used nonrestrictively. Some other complications are also extensive bleeding, hematoma or infection. There are many different opinions in literature about using episiotomy restrictively or routinely, so it is the right doubt arisen: is it inevitable or unnecessary? There is a wide variation in episiotomy practice, and the decision of performing it or not depends of actual clinical situation. There is still a great need for continuous obstetrics education according to the evidence based guidelines for the patient’s safety.
2
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Hydatidiform mole mimicking an enlarged uterine fibromyoma four months after ART

100%
Terzic M., Dotlic J., Maricic S., Babovic I.
Open Medicine
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2011
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vol. 6
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issue 2
201-204
EN
Hydatidiform mole is a pregnancy disorder, of a benign nature. We present a case of molar tissue within a uterine myoma, the first such entity reported in the literature. In May 2006, a thirty-eight year old infertility patient was admitted for myomectomy. She had anamnesis for chronic pelvic inflammatory disease and surgeries performed for tubal pregnancies. After the sixth intracytoplasmal spermatozoa injection procedure performed in January 2006, she conceived, but curettage was performed in March 2006 for a missed abortion. Following the routine preoperative evaluation in May 2006, four months after the last artificial reproductive technology procedure, myomectomy was performed as uneventful operation, but the histological report appeared unusual, showing degenerated chorionic villi within the uterine myoma. Molar tissue within uterine myoma might evolve even after artificial reproductive procedures. Furthermore, this finding might be misinterpreted as a fibromyoma degeneration. This is the first, and a unique case, of molar tissue within uterine myoma reported in the literature.
3
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Pelvic Leiomyosarcoma obstructing vaginal opening - case report

88%
Terzic M., Aksam S., Bila J., Maricic S., Arsenovic N.
Open Medicine
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2012
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vol. 7
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issue 2
245-248
EN
We present a 42-year-old female admitted for a 4 month history of increasing pelvic discomfort and pain. Clinical examination revealed a large tumor obstructing the vagina. Tumor markers (CA 125, CEA, AFP and CA 19-9), white blood cells and biochemical tests were all within the normal limits. Pelvic ultrasound and magnetic resonance imaging scan confirmed the presence of a large retroperitoneal/pelvic mass. The tumor was surgically excised and pathohistologically diagnosed as a well differentiated leiomyosarcoma, staged IB. Six years after surgery the patient is well and disease free.
4
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Fallopian tube torsion caused by extremely large Morgagni hydatid: A very rare cause of acute abdomen in a virgin adolescent

76%
Terzic M., Arsenovic N., Maricic S., Babovic I., Pilic I., Bila J.
Open Medicine
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2011
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vol. 6
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issue 3
349-352
5
Content available remote

Diagnostic value of serum tumor markers evaluation for adnexal masses

64%
Terzic M., Dotlic J., Likic I., Nikolic B., Brndusic N., Pilic I., Bila J., Maricic S., Arsenovic N.
Open Medicine
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2014
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vol. 9
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issue 2
210-216
6
Content available remote

Diagnostic value of serum tumor markers for adnexal masses

64%
Terzic M., Dotlic J., Likic I., Nikolic B., Brndusic N., Pilic I., Bila J., Maricic S., Arsenovic N.
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