Volume 52, Number 5, May2007

  Editorial
343 " align="left" valign="top" class="tocTitle">
 
Lawrence D. Devoe, M.D.
 
 
 


  Original Articles
345 " align="left" valign="top" class="tocTitle">
 
Eve Espey, M.D., M.P.H., Tony Ogburn, M.D., and Elizabeth Puscheck, M.D., M.S.
Positive effects of work hour limitations include perceived improved student attitudes toward obstetrics and gynecology, but negative effects may include impaired resident education.
 
 


349
Ida R. Shihady, M.P.H., Paula Broussard, R.N., R.D.M.S., Linda Burnes Bolton, Dr.Ph., R.N., F.A.A.N., Arlene Fink, Ph.D., Moshe Fridman, Ph.D., Rachel Fridman, M.S., Carolyn Aydin, Ph.D., Lisa M. Korst, M.D., Ph.D., and Kimberly D. Gregory, M.D., M.P.H.
Review of a sample of written vaginal birth after cesarean protocols revealed a wide range of adherence to American College of Obstetricians and Gynecologists recommendations.
 
 


359
Michele R. Lauria, M.D., M.S., Michele D. Branch, M.S., Valerie H. LaCroix, M.Sc., Robert D. Harris, M.D., and Emily R. Baker, M.D.
A genetic sonogram with clear criteria for counseling about an increased T21 risk decreased inappropriate referrals without increasing positive screens.
 
 


365
Fu-Tsai Kung, M.D., Shiuh-Young Chang, M.D., Fu-Jen Huang, M.D., and Kuo-Chung Lan, M.D.
The significance of VEGF measurement remains inconclusive in assessing in vitro fertilization response and prognosis and in predicting ovarian hyperstimulation syndrome.
 
 


375
Lisa N. Abaid, M.D., Sawsan As-Sanie, M.D., M.P.H., and Honor M. Wolfe, M.D.
Given rapid and ongoing improvements in sonographic technology, the lower limits of reliable cardiac activity detection may be as low as 3.0 mm in the near future.
 
 


379
Lois J. Eva, M.D., Kerstin J. Rolfe, Ph.D., Allan B. MacLean, M.D., Wendy M. N. Reid, F.R.C.O.G., Anne Christine Wong Te Fong, Julie Crow, M.D., and Christopher W. Perrett, Ph.D.
Immunohistochemical analysis of inflammatory cytokines in vestibular tissue of women with localized, provoked vulvodynia does not show increased features of inflammation.
 
 


385
Michael G. Ross, M.D., M.P.H., Larry Cousins, M.D., Rosalyn Baxter-Jones, M.D., M.B.A., Rose Bemis-Heys, R.N., N.P., Valerian Catanzarite, M.D., Ph.D., and David Dowling, M.D.
Right and left lateral cervical portio length measurements are highly consistent and provide an effective screen for patients with a short cervix who may benefit from transvaginal ultrasound.
 
 


390
Luciano G. Nardo, M.D., William M. Buckett, M.D., and Francesco Orio, Jr., M.D.
Ultrasonographic imaging provides an effective, noninvasive technique for fully assessing ovarian morphology and reaching a clinical diagnosis of PCOS.
 
 


397
Ka Yu Tse, MBBS, Karen K. L. Chan, MBBChir, MRCOG, FHKAM (O&G), Kar Fai Tam, MBBS, MRCOG, FHKAM (O&G), and Hextan Yuen Sheung Ngan, MBBS, FRCOG, FHKAM (O&G), M.D.
With physician expertise, embolization is probably the treatment of choice because it avoids major surgery and the loss of fertility.
 
 


402
Xu Xiong, M.D., Dr.P.H., Pierre Buekens, M.D., Ph.D., Gabriella Pridjian, M.D., and William D. Fraser, M.D., M.Sc.
Intrauterine growth restriction secondary to pregnancy-induced hypertension is associated with significantly increased perinatal mortality.
 
 


407
Barbara A. Goff, M.D., Amy VanBlaricom, M.D., Lynn Mandel, Ph.D., Michael Chinn, M.D., and Peter Nielsen, M.D.
In a pilot study, the virtual reality hysteroscopy model was not superior to standard models for evaluating surgical skills.
 
 


  Case Reports
413
Kenichiro Hiraoka, M.S., Kaori Hiraoka, B.S., Masayuki Kinutani, M.D., Ph.D., and Kazuo Kinutani, M.D., Ph.D.
Vitrification may be a useful cryopreservation technique not only for zona-intact blastocysts but also for zona-free hatched blastocysts.
 
 


416
Kian Mei Chong, M.D., Yieh-Loong Tsai, M.D., Jesse Chuang, M.D., Jiann-Loung Hwang, M.D., and Kuan-Tien Chen, M.D.
Of 3 cases of papillary thyroid carcinoma, 2 were diagnosed during pregnancy, and 2 cases underwent thyroidectomy immediately, with the third operation deferred until the postpartum period.
 
 


419
Tse Ngong Leung, M.D., MRCOG, Tak Yeung Leung, MRCOG, Paul Kay Sheung Chan, MRCPath, Tak Yuen Fung, MRCOG, and Tze Kin Lau, M.D., MRCOG
Parvovirus B19 infection in twin fetuses presented differently despite the fact that both fetuses had developed in similar intrauterine environments.
 
 


422
Ali Haberal, M.D., Fulya Kayikcioglu, M.D., Gamze Sinem Caglar, M.D., and Deniz Cavusoglu, M.D.
A case of leiomyomatosis peritonealis disseminata associated with endometriosis and presenting with intravascular extension was treated surgically.
 
 


425
Mevlut Kurt, M.D., Sercan Aksoy, M.D., Sevdenur Cizginer, M.D., Ozgur Harmanci, M.D., Kadri Altundag, M.D., and Nazmiye Karaman, M.D.
Clinicians must be alert to the possibility of gastric cancer in pregnancy and include it in the differential diagnosis of unresolved symptoms of gastrointestinal discomfort.
 
 


428
Ramzi Aboujaoude, M.D., Paul Maloof, Manuel Alvarez, M.D., and Abdulla Al Khan, M.D.
In a woman with cervical insufficiency and absence of cervical tissue, laparoscopic abdominal cerclage, utilizing hydrodissection, can be performed with minimal risks to the gravid uterus.
 
 


431
Luis Rojas-Espaillat, M.D., Karen L. Houck, M.D., Enrique Hernandez, M.D., and Ross S. Berkowitz, M.D.
A case of persistent, nonmetastatic gestational trophoblastic neoplasm in the myometrium was diagnosed by positron emission tomography and successfully treated by partial fundectomy.
 
 


435
Dara P. Aliff, D.O., Christos G. Hatjis, M.D., S. Greg Heywood, M.D., and Randall J. Hill, M.D.
In the first reported case, a ruptured tubal pregnancy was associated with an ongoing intrauterine pregnancy complicated by fetal holoprosencephaly.
 
 


437
Caroline Mitchell, M.D., and Laura Gottlieb, M.D., M.P.H.
A 30-year-old woman developed transaminitis following treatment with clomiphene citrate for ovulation induction.
 
 


439
Kian-Mei Chong, M.D., Jesse Chuang, M.D., Yieh-Loong Tsai, M.D., Jiann-Loung Hwang, M.D., and Chun-Cheng Chu, M.D.
A rare case of peritonitis resulted from endometriosis in the vaginal cuff and caused a fistula between the vaginal and abdominal cavities after laparoscopically assisted vaginal hysterectomy.
 
 


441
Hsiu-Huei Peng, M.D., Tzu-Hao Wang, M.D., Ph.D., Kuan-Gen Huang, M.D., Koon-Kwan Ng, M.D., Swei Hsueh, M.D., and Min-Yu Chen, M.D.
Detailed imaging studies, such as ultrasound and MRI, as in this case, may provide valuable presurgical information for the treatment of cervical verrucous carcinoma.
 
 


445
Reuvit Halperin, M.D., Ph.D., David Schneider, M.D., Ron Maymon, M.D., Amir Peer, M.D., Moti Pansky, M.D., and Arie Herman, M.D.
Medical history, clinical presentation and ultrasonic appearance are the main features for the correct diagnosis and treatment of arteriovenous malformation acquired after uterine curettage.
 
 


450
Wei-Chun Chang, M.D., M.H.A., Yao-Ching Hung, M.D., Ph.D., Huang-Ping Shen, M.D., and Chia-Hung Kao, M.D.
In a case of choriocarcinoma with pulmonary metastasis, FDG-PET helped with locating persistent lesions and therapeutic decision making.
 
 


453
Mandakini Pradhan, M.D., Manisha, M.D., Renu Singh, M.D., and Sadhana Dhingra, M.D.
In a 20-year-old woman, celiac disease manifested as primary amenorrhea.
 
 


456
Hewa M. G. P. K. Dharmarathna, MBBS, Nidhi Tripathi, MRCOG, and Peter Atkinson, MRCPath.
This is the first documented case in the English language of traumatic neuroma of an episiotomy scar.
 
 


458
David Rabinerson, M.D., Zinaida Fradin, M.D., Aliza Zeidman, M.D., and Eran Horowitz, M.D.
This case demonstrated an unexpected complication of treatment for a major disease and the dual, yet sometimes contradictory, obligation of physicians to patients and their relatives.