ADVANCES IN OBSTETRICS AND GYNECOLOGY
Online ISSN : 1347-6742
Print ISSN : 0370-8446
ISSN-L : 0370-8446
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Volume 53, Issue 5
Displaying 1-17 of 17 articles from this issue
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ARTICLES
Clinical report
  • Antepartum pelvimetry by magnetic resonance imaging
    Hisato KOSHIBA, Noriko KIKUCHI, Yoshio OGINO, Keiko KATO, Kohtaro KITA ...
    Subject area: Others
    2001 Volume 53 Issue 5 Pages 393-397
    Published: 2001
    Released on J-STAGE: September 27, 2002
    DOIhttps://doi.org/10.11437/sanpunosinpo.53.393
    JOURNAL RESTRICTED ACCESS
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    Evaluation of the pelvis by pelvimetry plays an important role in selecting patients for possible vaginal delivery. However, x-ray pelvimetry involves the disadvantage of fetal exposure to ionizing radiation. The clear advantage of magnetic resonance imaging (MRI) pelvimetry is that this procedure is free from ionizing radiation. Measurements with MRI are as reliable as those with x-ray pelvimetry and the contrast of MRI is even better. MRI shows soft-tissue structures as well as bone. The use of this scanning technique is contraindicated for patients with pacemakers. But, pacemakers are rarely encountered in young pregnant women. In our department, 203 patients underwent antepartum pelvimetry with MRI during the last 5 years. T1-weighted mediosagittal images were used for measurement of the obstetric conjugate (OC) and to determine whether a straight sacrum can be recognized. Data were compared between patients who had undergone cesarean section due to cephalopelvic disproportion (CPD) and patients who experienced vaginal delivery. OC and OC-biparietal diameter were significantly different between the two groups. MRI can be further used for the diagnosis of CPD and to select patients for whom planned vaginal delivery is appropriate.
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  • Possible effectiveness of rectal instillation of Dai-kenchu-to as a therapy for the ileus after operation and radiation in a uterine cervical cancer patient: a case report
    Koji KUMAGAI, Keijiro NARAHARA, Ken UEKI, Masatsugu UEDA, Takahisa USH ...
    Article type: Others
    Subject area: Others
    2001 Volume 53 Issue 5 Pages 398-401
    Published: 2001
    Released on J-STAGE: September 27, 2002
    DOIhttps://doi.org/10.11437/sanpunosinpo.53.398
    JOURNAL RESTRICTED ACCESS
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    We report a case of ileus, that occurred after treatment for uterine cervical cancer. A 56-year-old Japanese woman was admitted with abdominal distension and vomiting. The clinical course and abdominal plain x-ray revealed an ileus. One year earlier, the patient had undergone preoperative chemotherapy, a radical hysterectomy, and postoperative radiotherapy for uterine cervical cancer, stage IIIb. Following gastric tube placement and intravenous hyperalimentation, Dai-kenchu-to, a traditional Japanese herbal medicine, was administered by bolus into the bowel lumen (10 g/day) for 6 days, by bolus into the gastric lumen (10 g/day) for 4 days, and then orally (15 g/day) thereafter. Subsequently, the ileus improved. Thus, we consider that Dai-kenchu-to may have a positive effect on the ileus after operation and radiation.
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OPINIONS
Clinical view
Current topic
TRANSACTIONS of SECTIONAL MEETINGS
Perinatology (in the 103rd Meeting of the OBSTETRICAL GYNECOLOGICAL SOCIETY OF KINKI DISTRICT JAPAN)
"Indications and limitations of VBAC"
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