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Management and Outcome of Pregnant Women with HIV Acquired by Vertical Transmission

Open Journal of Obstetrics and Gynecology 2015年第9期5卷 470-474页

作者： Verónica Serrano de la Cruz Delgado Alicia Martínez Varea María José Nú?ez Valero vicente diago Almela vicente Maiques Montesinos Amparo García Tejedor Alfredo Perales Marín HUP La Fe ValenciaSpain

The majority of children with perinatally acquired human immunodeficiency virus (HIV) do not survive beyond childhood but this is changing due to the benefit of antiretroviral therapy for the perinatally infected cohort, so affected children are now approaching the age to be mothers. The aim of this article is to evaluate the outcomes of pregnant women with HIV acquired by vertical transmission in our centre and encourage the results obtained in “Thirty Years Later: Pregnancies in Female Perinatally Infected with Human Immunodeficiency Virus-1”, a review article published in this journal in 2012 [2]. We report 6 patients with eight pregnancies with HIV acquired by vertical transmission. They delivered a total of nine newborns between 2004 and 2013. In any case, mother-to-child transmission was reported. The management of pregnant women with HIV acquired by vertical transmission is complicated, since the patients are the most of the cases young and the compliance to the treatment may be poor. The prematurity was the more frequent complication and the cesarean section was the more frequent form of ending. In our case series, mother-to-child transmission was absent.

关键词： HIV Perinatally Acquired HIV Vertical Transmission HIV Pregnancy

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Neonatal Alloimmune Thrombocytopenia Due to Maternal Anti HPA1a Antibodies: Case Report and Management of Subsequent Pregnancy

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Open Journal of Obstetrics and Gynecology 2014年第5期4卷 213-216页

作者： Verónica Serrano-dela Cruz Alicia Martínez-Varea María José Nú?ez-Valera Antonio Abad-Carrascosa vicente diago Alfredo Perales-Marín Department of Obstetrics and Gynecology La Fe University HospitalUniversity of ValenciaValenciaSpain

Fetoneonatal alloimmune thrombocytopenia is an infrequent and severe disease that is unexpectedly found after an uncomplicated first pregnancy. Affected infants might show unexplained purpura, intracranial hemorrhage, and/or gastrointestinal or genitourinary hemorrhage. Nevertheless, in asymptomatic newborns the thrombocytopenia may be discovered incidentally. We describe a case report that highlights that the incidental diagnosis of FNAIT allows both properly managing the newborn, and detecting maternal anti-HPA1a antibodies in order to prevent the disease in subsequent pregnancies. A non-invasive treatment based on IVIgG allowed to this patient to prevent FNAIT in her second pregnancy.

关键词： Fetoneonatal Alloimmune Thrombocytopenia Anti-HPA1a Antibodies

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The issue of the cost of robotic distal pancreatectomies

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Hepatobiliary Surgery and Nutrition 2019年第6期8卷 655-658页

作者： Benedetto Ielpo Javier Nunez-Alfonsel Maria Victoria diago Alvaro Hidalgo Yolanda Quijano Emilio vicente Department of General Surgery Division of HBP SurgeryLeon University HospitalLeonSpain Instituto de Validación de la Eficiencia Clínica Fundación de Investigación HM HospitalesMadridSpain Department of General Surgery Sanchinarro University Hospital HMMadridSpain Department of Economics and Finance Universidad de Castilla la ManchaToledoSpain

Robotic approach is already a new technological system in surgery and its potential advantages such as ergonomics,reduced tremor,3D view and improved instruments movements have been well described(1,2).Concerning the current literature,the studies addressing the robotic benefits on left pancreatectomies are ***,it has been showed that robotic distal pancreatectomy is both feasible and safe as well as the laparoscopic and the standard open ***,there is a lack of high-level economic studies comparing these techniques(3-6).

关键词： robotic cost feasible

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