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  1. Artikel: Urodynamic Studies and Pelvic Floor Surgery.

    Rotem, Reut / Weintraub, Adi Y

    The Israel Medical Association journal : IMAJ

    2023  Band 25, Heft 1, Seite(n) 66–67

    Mesh-Begriff(e) Humans ; Pelvic Floor/surgery ; Urodynamics ; Urinary Bladder ; Urologic Surgical Procedures
    Sprache Englisch
    Erscheinungsdatum 2023-02-14
    Erscheinungsland Israel
    Dokumenttyp Editorial ; Comment
    ZDB-ID 2008291-5
    ISSN 1565-1088 ; 0021-2180
    ISSN 1565-1088 ; 0021-2180
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  2. Artikel ; Online: Effect of direct oral anticoagulants on bleeding during and after cataract surgery.

    Maytal, Anat / Naidorf Rosenblatt, Hadar / Rotem, Reut / Segev, Fani

    International ophthalmology

    2024  Band 44, Heft 1, Seite(n) 100

    Abstract: Purpose: To assess the risk for intraoperative and postoperative ocular bleeding associated with direct oral anticoagulant treatment in patients undergoing phacoemulsification surgery.: Methods: Consecutive patients had phacoemulsification and ... ...

    Abstract Purpose: To assess the risk for intraoperative and postoperative ocular bleeding associated with direct oral anticoagulant treatment in patients undergoing phacoemulsification surgery.
    Methods: Consecutive patients had phacoemulsification and intraocular lens implantation while taking uninterrupted direct oral anticoagulants (dabigatran, rivaroxaban, or apixaban). Gender and age-matched patients without antithrombotic therapy were used as the control group. Patients were examined one week postoperatively. Intraoperative and postoperative hemorrhagic and non-hemorrhagic complications were assessed.
    Results: Forty patients (56 eyes) on direct oral anticoagulants and 120 patients (172 eyes) without anticoagulation, at a mean age of 77 years, had phacoemulsification. There was no significant difference between the groups in the rate of intraoperative and postoperative bleeding. One eye (1.8%) in the treatment group and 3 eyes (1.7%) in the control group had hyphema (p = 0.72). No patient had thromboembolic event during or after surgery.
    Conclusions: Cataract surgery was safely performed while continuing direct oral anticoagulation.
    Mesh-Begriff(e) Humans ; Aged ; Cataract Extraction/adverse effects ; Eye ; Postoperative Hemorrhage/chemically induced ; Postoperative Hemorrhage/epidemiology ; Anticoagulants/adverse effects ; Cataract
    Chemische Substanzen Anticoagulants
    Sprache Englisch
    Erscheinungsdatum 2024-02-20
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article
    ZDB-ID 800087-6
    ISSN 1573-2630 ; 0165-5701
    ISSN (online) 1573-2630
    ISSN 0165-5701
    DOI 10.1007/s10792-024-02944-x
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  3. Artikel ; Online: The Correlation Between the Total Decelerations and Accelerations Areas and Cord Blood pH in Women with Low-Risk Pregnancies.

    Shema, Noam / Weintraub, Adi Y / Rotem, Reut / Salem, Shimrit Yaniv

    Reproductive sciences (Thousand Oaks, Calif.)

    2024  Band 31, Heft 5, Seite(n) 1401–1407

    Abstract: Fetal acidosis among low-risk pregnancies is not common; however, identifying those at risk for this complication antenatally is of great interest. We aimed to assess the correlation between the total decelerations area during the last 120 min of fetal ... ...

    Abstract Fetal acidosis among low-risk pregnancies is not common; however, identifying those at risk for this complication antenatally is of great interest. We aimed to assess the correlation between the total decelerations area during the last 120 min of fetal monitoring prior to delivery and neonatal acidemia in low-risk pregnancies and whether the total acceleration area has a protective effect in the presence of decelerations. A retrospective cohort study was conducted among women with term low-risk pregnancies. A researcher blinded to fetal outcomes interpreted electronic fetal monitor patterns during the 120 min prior to delivery. The primary outcome was fetal acidemia, defined as umbilical artery pH below 7.10. The correlation between the total decelerations and accelerations areas and cord blood pH was tested using the Spearman correlation coefficient. A total of 109 women were included and of these, six (5.5%) delivered infants with cord blood pH < 7.10. A significant correlation was demonstrated between the total decelerations area and cord blood pH (p = 0.01). No correlation was found between the total accelerations area and cord blood pH. Among low-risk pregnancies, a correlation was found between the total decelerations area but not the total accelerations area during the final 120 min of labor and cord blood pH.
    Mesh-Begriff(e) Humans ; Female ; Fetal Blood/chemistry ; Fetal Blood/metabolism ; Pregnancy ; Hydrogen-Ion Concentration ; Retrospective Studies ; Adult ; Acidosis/blood ; Acidosis/physiopathology ; Infant, Newborn ; Heart Rate, Fetal/physiology ; Cardiotocography ; Fetal Monitoring/methods
    Sprache Englisch
    Erscheinungsdatum 2024-01-22
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 2276411-2
    ISSN 1933-7205 ; 1933-7191
    ISSN (online) 1933-7205
    ISSN 1933-7191
    DOI 10.1007/s43032-024-01455-5
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  4. Artikel ; Online: Robot-assisted laparoscopic pelvic floor surgery: Review.

    Daykan, Yair / Rotem, Reut / O'Reilly, Barry A

    Best practice & research. Clinical obstetrics & gynaecology

    2023  Band 91, Seite(n) 102418

    Abstract: Minimally invasive surgical techniques have become more common in pelvic floor reconstructive urogynaecological surgery, specifically, robotic-assisted pelvic floor surgery. Female pelvic floor anatomy is complex, and some repairs require highly ... ...

    Abstract Minimally invasive surgical techniques have become more common in pelvic floor reconstructive urogynaecological surgery, specifically, robotic-assisted pelvic floor surgery. Female pelvic floor anatomy is complex, and some repairs require highly experienced surgical skills that can be gained more easily using robotic-assisted surgery. A common application of the robotic platform in urogynaecological surgeries includes sacrocolpopexy, which has become the gold standard approach in the last decade for the correction of apical prolapse. Additional procedures include sacrohysteropexy, sacrocervicopexy, fistula repair, and complex procedures involving the bladder and other pelvic organs. Despite its increasing use and clear benefit in our field, data in the literature and, in particular, randomised controlled trials are sparse. This review provides an update, incorporating recently published literature and our personal experience in that field.
    Mesh-Begriff(e) Female ; Humans ; Robotic Surgical Procedures/methods ; Robotics ; Pelvic Floor/surgery ; Gynecologic Surgical Procedures/methods ; Pelvic Organ Prolapse/surgery ; Laparoscopy/methods ; Treatment Outcome
    Sprache Englisch
    Erscheinungsdatum 2023-09-14
    Erscheinungsland Netherlands
    Dokumenttyp Journal Article ; Review
    ZDB-ID 2050090-7
    ISSN 1532-1932 ; 1521-6934
    ISSN (online) 1532-1932
    ISSN 1521-6934
    DOI 10.1016/j.bpobgyn.2023.102418
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  5. Artikel ; Online: Response to: vacuum assisted vaginal birth after cesarean: the indication for vacuum assistance matters.

    Rottenstreich, Misgav / Rotem, Reut

    Archives of gynecology and obstetrics

    2021  Band 305, Heft 3, Seite(n) 795

    Mesh-Begriff(e) Delivery, Obstetric ; Female ; Humans ; Parturition ; Pregnancy ; Vacuum Extraction, Obstetrical/adverse effects ; Vaginal Birth after Cesarean
    Sprache Englisch
    Erscheinungsdatum 2021-04-17
    Erscheinungsland Germany
    Dokumenttyp Letter ; Comment
    ZDB-ID 896455-5
    ISSN 1432-0711 ; 0932-0067
    ISSN (online) 1432-0711
    ISSN 0932-0067
    DOI 10.1007/s00404-021-06035-5
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  6. Artikel ; Online: Urodynamic insights: exploring the relationship between detrusor overactivity and pelvic organ prolapse in women with urge incontinence.

    Rotem, Reut / Craven, Simon / Daykan, Yair / Murphy, Jessica / Galvin, Daniel / O'Reilly, Barry A

    Archives of gynecology and obstetrics

    2024  Band 309, Heft 6, Seite(n) 2915–2920

    Abstract: Purpose: Pelvic organ prolapse (POP) and overactive bladder (OAB) commonly affect the aging female population. We aimed to investigate the possible relationship between the two, as reflected by urodynamic studies.: Methods: A retrospective analysis ... ...

    Abstract Purpose: Pelvic organ prolapse (POP) and overactive bladder (OAB) commonly affect the aging female population. We aimed to investigate the possible relationship between the two, as reflected by urodynamic studies.
    Methods: A retrospective analysis was conducted on women who underwent urodynamic studies at a university-affiliated tertiary medical center from January 2018 to January 2021. Women presenting with urge incontinence and diagnosed with detrusor overactivity (DO) were included in the study. Based on the presence or absence of a modified POP-Q ≥ grade 2, these women were categorized into two groups. Data on general demographics, clinical symptoms, and urodynamic findings were extracted and compared using SPSS.
    Results: During the study period, 949 urodynamic evaluations were performed. Of these, 303 (31.92%) reported urge incontinence. Out of this subset, 151 (49.83%) were diagnosed with DO. Within this group, 18 (11.9%) had POP, while 134 (88.1%) did not. The POP group had a notably higher incidence of prior vaginal hysterectomy and anterior colporrhaphy (p = 0.02 and p = 0.01, respectively). While most urodynamic parameters were similar between groups, there was a significant increase in hesitancy in the POP group (13 s vs 8 s, p = 0.03). There was a trend indicating a reduced median Q max (12 ml/s vs. 18 ml/s, p = 0.06) and an increased flow time (55 s vs 40 s, p = 0.08) in the POP group.
    Conclusion: The urodynamic profile of the POP group suggests an obstructive voiding pattern. Further longitudinal research is essential to fully understand the relationship between POP and OAB.
    Mesh-Begriff(e) Humans ; Female ; Pelvic Organ Prolapse/physiopathology ; Pelvic Organ Prolapse/complications ; Pelvic Organ Prolapse/surgery ; Urinary Bladder, Overactive/physiopathology ; Urinary Bladder, Overactive/complications ; Retrospective Studies ; Middle Aged ; Urodynamics ; Urinary Incontinence, Urge/physiopathology ; Urinary Incontinence, Urge/epidemiology ; Aged ; Adult
    Sprache Englisch
    Erscheinungsdatum 2024-03-22
    Erscheinungsland Germany
    Dokumenttyp Journal Article
    ZDB-ID 896455-5
    ISSN 1432-0711 ; 0932-0067
    ISSN (online) 1432-0711
    ISSN 0932-0067
    DOI 10.1007/s00404-024-07414-4
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  7. Artikel ; Online: Pelvic floor disorders among amateur runners.

    Sade, Shanny / Naor, Inbar / Rotem, Reut / Waichenberg, Lauren / Kravits, Dana Zilberman / Weintraub, Adi Y

    Archives of gynecology and obstetrics

    2024  Band 309, Heft 5, Seite(n) 2223–2228

    Abstract: Background: Sports and physical activity are known risk factors for pelvic floor dysfunction (PFD). The aim of this study is to examine the impact of amateur running on PFD, quality of life (QoL), and sexual function.: Methods: Amateur runners were ... ...

    Abstract Background: Sports and physical activity are known risk factors for pelvic floor dysfunction (PFD). The aim of this study is to examine the impact of amateur running on PFD, quality of life (QoL), and sexual function.
    Methods: Amateur runners were contacted through social media. Their PFD, sexual function, and QoL were evaluated by self-reporting validated questionnaires (PFDI-20, PISQ-12, IIQ-7). They were divided by degree of effort into two categories, 'High effort' and 'Moderate effort'. The differences between the two groups were examined by a Mann-Whitney U Test, T-Test, and Chi-square test.
    Results: 180 women were included. A high incidence of PFD was found among 'High effort' runners in comparison to 'Moderate effort' runners. In addition, women who scored above the median in the PFDI-20 showed significantly greater impairment in QoL and sexual function. Interestingly, the 'High effort' group reported experiencing higher intensity orgasms compared with women in the 'Moderate effort' group. A correlation was also found between the weekly running distance and the intensity of orgasm experienced (P value = 0.004).
    Conclusion: 'High effort' runners present a higher incidence of PFD in comparison to 'Moderate effort' runners. Professional pelvic floor muscle training counselling should be considered even for amateur runners. Future interventional physical therapy studies should be carried out in order to investigate preventative strategies.
    Mesh-Begriff(e) Female ; Humans ; Pelvic Floor Disorders/epidemiology ; Pelvic Floor Disorders/etiology ; Quality of Life ; Pelvic Floor ; Surveys and Questionnaires ; Exercise ; Pelvic Organ Prolapse
    Sprache Englisch
    Erscheinungsdatum 2024-02-11
    Erscheinungsland Germany
    Dokumenttyp Journal Article
    ZDB-ID 896455-5
    ISSN 1432-0711 ; 0932-0067
    ISSN (online) 1432-0711
    ISSN 0932-0067
    DOI 10.1007/s00404-023-07351-8
    Datenquelle MEDical Literature Analysis and Retrieval System OnLINE

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  8. Artikel: Pravastatin and placental insufficiency associated disorders: A systematic review and meta-analysis.

    Hirsch, Ayala / Rotem, Reut / Ternovsky, Natali / Hirsh Raccah, Bruria

    Frontiers in pharmacology

    2022  Band 13, Seite(n) 1021548

    Abstract: Background: ...

    Abstract Background:
    Sprache Englisch
    Erscheinungsdatum 2022-11-09
    Erscheinungsland Switzerland
    Dokumenttyp Systematic Review
    ZDB-ID 2587355-6
    ISSN 1663-9812
    ISSN 1663-9812
    DOI 10.3389/fphar.2022.1021548
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  9. Artikel ; Online: The correlation between total deceleration and acceleration surface areas on electronic fetal monitoring and neonatal cord blood pH in postdate pregnancies.

    Talmor, Meital / Rotem, Reut / Wientraub, Adi Y / Yaniv Salem, Shimrit

    International journal of gynaecology and obstetrics: the official organ of the International Federation of Gynaecology and Obstetrics

    2022  Band 161, Heft 3, Seite(n) 870–876

    Abstract: Objective: To assess the correlation between the total decelerations area in the final 120 min before delivery and neonatal cord blood pH in postdate pregnancies.: Methods: This cross-sectional study included women with gestational age greater than ... ...

    Abstract Objective: To assess the correlation between the total decelerations area in the final 120 min before delivery and neonatal cord blood pH in postdate pregnancies.
    Methods: This cross-sectional study included women with gestational age greater than 41 weeks, singleton pregnancy, and a category II electronic fetal monitoring (EFM) of at least 30 min during the final 120 min before delivery. We included postdate deliveries of an otherwise low-risk parturient population. Each area was calculated as duration × depth × 1/2. Correlations were tested using the Spearman correlation coefficient.
    Results: A total of 100 EFMs were included in the analysis. Median pH was significantly lower in neonates above the median total deceleration area under the curve (AUC; 7.26 vs. 7.32, P = 0.002). Gestational age at delivery was independently associated with total deceleration AUC above median (adjusted odds ratio 1.21, 95% confidence interval 1.09-1.37) controlling for history of previous cesarean delivery and duration of second stage of labor. A significant correlation was found between cord blood pH and total deceleration area (P < 0.001, Spearman correlation coefficient -0.37).
    Conclusion: Among women with postdate pregnancies, the total deceleration area and the mean maximum duration of decelerations were negatively correlated with cord blood pH. Further studies are needed to incorporate deceleration area as a method in predicting fetal acidemia.
    Mesh-Begriff(e) Pregnancy ; Infant, Newborn ; Female ; Humans ; Infant ; Cardiotocography ; Deceleration ; Fetal Blood ; Cross-Sectional Studies ; Hydrogen-Ion Concentration ; Heart Rate, Fetal ; Retrospective Studies ; Fetal Monitoring
    Sprache Englisch
    Erscheinungsdatum 2022-11-28
    Erscheinungsland United States
    Dokumenttyp Journal Article
    ZDB-ID 80149-5
    ISSN 1879-3479 ; 0020-7292
    ISSN (online) 1879-3479
    ISSN 0020-7292
    DOI 10.1002/ijgo.14558
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  10. Artikel: Labor Induction in Women with Isolated Polyhydramnios at Term: A Multicenter Retrospective Cohort Analysis.

    Lerner, Yael / Peled, Tzuria / Yehushua, Morag / Rotem, Reut / Weiss, Ari / Sela, Hen Y / Grisaru-Granovsky, Sorina / Rottenstreich, Misgav

    Journal of clinical medicine

    2024  Band 13, Heft 5

    Abstract: Background: ...

    Abstract Background:
    Sprache Englisch
    Erscheinungsdatum 2024-02-29
    Erscheinungsland Switzerland
    Dokumenttyp Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm13051416
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