Jenifer N Byrnes

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Successful pregnancy in patients on dialysis is uncommon because of a high rate of infertility and complications. The use of hemodialysis to manage pregnant patients needing dialysis has been well reported. However, to our knowledge, only 2 previous cases of pregnant patients using chronic ambulatory peritoneal dialysis (CAPD) have been reported. We discuss(More)
The detection of aortic root abscess by magnetic resonance imaging has not been described previously. We report a patient with an aortic root abscess that was successfully diagnosed by magnetic resonance imaging and echocardiography. Computed tomography failed to detect the abscess. The patient recovered with antibiotic therapy. Based on this case and other(More)
Although vaginal hysterectomy has long been championed by the American College of Obstetricians and Gynecologists as the preferred mode of uterine removal, nationwide vaginal hysterectomy utilization has steadily declined. This article reviews the evidence comparing vaginal with other modes of hysterectomy and highlights areas of ongoing controversy(More)
As minimally invasive technology continues to be developed and refined, surgeons must be discerning in choosing the safest, cost-effective surgical approach associated with the best outcomes for each individual patient. Vaginal hysterectomy can be successfully accomplished even in challenging situations, such as previous pelvic surgery, nulliparity, uterine(More)
This was a systematic review evaluating the literature on urogenital fistula in welland low-resourced countries (WRCs and LRCs respectively). The primary aim was to report fistula etiology. Secondary aims included evaluation of surgical technique and outcomes. Forty-nine articles spanning a 35-year period (1980–2015) were identified from a PubMed and Scopus(More)
OBJECTIVES Rectovaginal fistulae (RVF) often represent surgical challenges, and treatment must be individualized. We describe outcomes after primary surgical repair stratified by fistula etiology and surgical approach. METHODS This retrospective cohort study included women who underwent surgical management of RVF at a tertiary care center between July 1,(More)
The chick embryo was used to study the effects of neutral red (NR) on the frequency of sister-chromatid exchange (SCE) in specific tissues exposed to this mutagen for short and long periods as development proceeded. In short-term trials, aqueous NR at doses of 10, 25 and 100 micrograms was injected in 3-day and 6-day embryos. In each case, embryos were also(More)
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