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David Rich Ellington, Phillip Corey Shum, Eva Adiki Dennis, Heather Lynn Willis, Jeff Michael Szychowski, Holly Elizabeth Richter
STUDY OBJECTIVES: To estimate the effect of a virtual reality (VR) anatomical model (VisCubeSX™) on OBGYN residents' knowledge of female pelvic floor anatomy compared to a traditional curriculum. DESIGN: Canadian Task Force Classification I SETTING: Academic Obstetrics and Gynecology resident training program PATIENTS: Not Applicable INTERVENTIONS: Traditional independent study curriculum versus traditional curriculum and VisCubeSXTM VR curriculum MEASUREMENTS: Residents were randomized, stratified by year of training, in 1:1 fashion to traditional independent study curriculum for pelvic anatomy versus traditional curriculum and the VisCubeSX™ VR anatomical model...
September 12, 2018: Journal of Minimally Invasive Gynecology
Mehmet Baki Şentürk, Ozan Doğan, Mesut Polat, Çetin Kılıçcı, Çiğdem Pulatoğlu, Ahter Tanay Tayyar
OBJECTIVE: The aim of the present study was to determine which of the umbilical entry routes for intraperitoneal access has a better cosmetic result. MATERIAL AND METHODS: This was a prospective study (Canadian Task Force classification II-1). In total, 105 patients who underwent laparoscopic surgery were included. A vertical or transverse umbilical incision is appropriately made for the trocar to be inserted, and an infraumbilical, supraumbilical, or transumbilical route was preferred for initial intraperitoneal access...
August 28, 2018: Turkish Journal of Surgery
Mohamed S Sweed, Ahmed K Makled, Medhat A El-Sayed, Mohamed E Shawky, Hamdy A Abd-Elhady, Ahmed M Mansour, Radwa M Mohamed, Hossam Hemeda, Eman A Nasr-Eldin, Neveen S Attia, Ebtihal Eltaieb, Heba Allam, Ahmed Hussein
STUDY OBJECTIVE: Because laparoscopic ovarian cystectomy of endometriomas is known to adversely impact patient ovarian reserve, the search for other techniques of surgical management is ongoing, and the objective of the current study was to evaluate laparoscopic cyst deroofing as a feasible alternative. STUDY DESIGN: Prospective, randomized clinical trial (Canadian Task Force classification I). SETTING: A university maternity hospital. PATIENTS: Women diagnosed with unilateral or bilateral ovarian endometriomas...
September 4, 2018: Journal of Minimally Invasive Gynecology
Renaud Roy, Janice Ma
Background: Spontaneous reports of adverse drug reactions (ADRs) form an essential component of both drug safety monitoring and patient safety initiatives. Pharmacists are well positioned to report ADRs, but many barriers exist to their doing so. Over the past decade, substantial changes have occurred with regard to drug regulations and medication safety initiatives, and it is possible that knowledge-based interventions may be needed to enhance ADR reporting by pharmacists. Objective: To determine whether ADR reporting behaviours of pharmacists improved after release of a revised policy on the reporting of medication incidents...
July 2018: Canadian Journal of Hospital Pharmacy
Maya Haasz, Daniel Ostro, Dennis Scolnik
OBJECTIVES: High patient volumes have a deleterious effect on care in the pediatric emergency department (PED). Our study assessed the motivation for PED visits that could have been assessed by a primary care physician. METHODS: We identified a convenience sample of patients presenting to the SickKids Hospital PED in June and July 2011 with a Paediatric Canadian Triage and Acuity Score 4 or 5. Patients completed a forced answer yes/no survey describing potential motivators for visiting the PED...
September 2018: Pediatric Emergency Care
Rune Svenningsen, Anne Cathrine Staff, Anton Langebrekke, Erik Qvigstad
STUDY OBJECTIVE: To evaluate future pregnancy rates beyond gestational week 24 following cornual resections for interstitial pregnancies, subsequent modes of delivery and the rate of later uterine ruptures. DESIGN: Single-center historical cohort with follow-up registry data (Canadian Task Force classification II-2). SETTING: Department of Gynecology, Oslo University Hospital, Norway. PATIENTS: 40 consecutive women with interstitial ectopic pregnancies were treated in the study period from 2005 to 2016, of which 33 were treated with laparoscopic cornual resection (3 converted to laparotomy)...
August 31, 2018: Journal of Minimally Invasive Gynecology
Mohamed Mabrouk, Diego Raimondo, Alessandro Arena, Raffaella Iodice, Michele Altieri, Neveta Sutherland, Paolo Salucci, Elisa Moro, Renato Seracchioli
OBJECTIVE: Despite the enormous impact of lateral parametrial endometriosis (LPE), only a few studies have evaluated its diagnosis, prevalence and clinical features. Our aim is to estimate the intraoperative prevalence of LPE in patients affected by deep infiltrating endometriosis (DIE) and to analyse clinical and surgical data associated with LPE. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: Endometriosis tertiary level referral center, Sant'Orsola Academic Hospital, Bologna, Italy...
August 31, 2018: Journal of Minimally Invasive Gynecology
Paul MacKoul, Rupen Baxi, Natalya Danilyants, Louise Q van der Does, Leah R Haworth, Nilofar Kazi
STUDY OBJECTIVE: Laparoscopic and robotic-assisted myomectomy are limited in the number and size of myoma that can be removed, while abdominal myomectomy is associated with increased complications and morbidity. The objective of our study was to evaluate surgical outcomes of myomectomy approaches, including laparoscopic-assisted myomectomy, a hybrid approach that combines laparoscopy and minilaparotomy, with bilateral uterine artery occlusion or ligation to control blood loss. DESIGN: Retrospective chart review (Canadian Task Force classification II-1)...
August 28, 2018: Journal of Minimally Invasive Gynecology
Hande Gurbuz Aytuluk, Ahmet Kale, Gulfem Basol
STUDY OBJECTIVE: To evaluate the effect of intraoperative superior hypogastric blocks on postoperative pain management. DESIGN: Prospective observational cohort study (Canadian Task Force classification II-2). SETTING: Kocaeli Derince Training and Research Hospital, University of Health Sciences, Department of Anesthesiology and Reanimation, Department of Gynecology and Obstetrics, Kocaeli, Turkey. PATIENTS: Sixty female patients who underwent elective laparoscopic hysterectomy were included in this study...
August 27, 2018: Journal of Minimally Invasive Gynecology
Ye Zhang, Xiaochen Song, Meng Mao, Jia Kang, Fangfang Ai, Lan Zhu
OBJECTIVE: To evaluate the long-term safety and efficacy of tension-free vaginal tape (TVT). DESIGN: Prospective observational study (Canadian Task Force Classification II-2). SETTING: Tertiary referral center in China. PATIENTS: Between January 2004 and December 2005, 85 consecutive patients who underwent TVT procedure were included. Patients with mixed incontinence or pelvic organ prolapse requiring surgery were excluded...
August 27, 2018: Journal of Minimally Invasive Gynecology
Juan Liu, Jaden Kohn, Huaying Fu, Zhenkun Guan, Xiaoming Guan
STUDY OBJECTIVE: To describe the surgical technique and short-term outcomes for 26 cases of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) sacrocolpopexy for the treatment of pelvic organ prolapse (POP). DESIGN: Retrospective case series study (Canadian Task Force classification II-2). SETTING: Academic tertiary care university hospital in Guangdong, China. PATIENTS: Women diagnosed with stage II-IV POP between May 2017 and May 2018...
August 27, 2018: Journal of Minimally Invasive Gynecology
Aurélie Comptour, Pauline Chauvet, Michel Canis, Anne-Sophie Gremeau, Jean-Luc Pouly, Benoit Rabischong, Bruno Pereira, Nicolas Bourdel
STUDY OBJECTIVE: To assess the impact of surgical treatment of endometriosis on quality of life and pain over a 3- year period of postoperative follow-up. . DESIGN: Prospective and multicenter cohort study (Canadian Task Force classification II-2) SETTING: 5 districts including a tertiary referral center and private and general public hospitals PATIENT: 981 patients, aged 15-50 years, underwent laparoscopic treatment (preferred approach) for endometriosis between January 2004 and December 2012...
August 20, 2018: Journal of Minimally Invasive Gynecology
Pasquale Florio, Luigi Nappi, Luca Mannini, Giovanni Pontrelli, Raffaele Fimiani, Paolo Casadio, Ivano Mazzon, Gioacchino Gonzales, Vittorio Villani, Mario Franchini, Giampietro Gubbini, Liliana Mereu, Fabrizia Santangelo, Attilio Di Spiezio Sardo
STUDY OBJECTIVE: To estimate the incidence of infection after diagnostic and operative hysteroscopic procedures performed in an in-office setting with different distension media (saline solution or carbon dioxide). DESIGN: Prospective, multicenter, observational study (Canadian Task Force classification II-2). SETTING: Tertiary women's health centers. PATIENTS: Forty-two thousand nine hundred and thirty-four women underwent hysteroscopy between 2015 and 2017...
August 20, 2018: Journal of Minimally Invasive Gynecology
Karon Hammond-Collins, Barbara Strauss, Kirsten Barnes, Walter Demczuk, Marc-Christian Domingo, Marie-Christine Lamontagne, Diane Lu, Irene Martin, Martin Tepper
Between December 2016 and April 2017, two cases of invasive Group A Streptococcus (GAS) infections were reported at a Canadian military training facility. An outbreak was declared and a field investigation was launched to characterize the outbreak and identify associated risk factors to limit transmission. Throat culture data from military personnel at the garrison were analyzed. Investigators tracked invasive GAS cases and non-invasive hospitalized GAS cases, and conducted site visits and case interviews. Sensitivity and specificity for a rapid antigen detection test were evaluated...
August 21, 2018: Military Medicine
Ahmed S Zakaria, Alice Dragomir, Fadi Brimo, Wassim Kassouf, Simon Tanguay, Armen Aprikian
BACKGROUND: The benefits of PSA-based screening for prostate cancer (PCa) are controversial. The Canadian and American Task Forces on Preventive Health Care (CTFPHC & USPSTF) have released recommendations against the use of routine PSA-based screening for any men. We thought to assess the impact of these recommendations on the outcomes and trends of prostate needle biopsies. METHODS: A complete chart review was conducted for all men who received prostate needle biopsies at McGill University Health Center between 2010 and 2016...
August 20, 2018: BMC Urology
Rakesh Sinha, Latika Chawla, Shweta Raje, Gayatri Rao
STUDY OBJECTIVE: To evaluate the outcomes of total laparoscopic hysterectomy using 3D vision in comparison with 2D vision in women with large uteri (≥500g). DESIGN: Retrospective analytical study Design Classification: Canadian Task Force II-1 Setting: Tertiary referral center for advanced gynecological surgery. PATIENTS: Five hundred forty six women who underwent total laparoscopic hysterectomy over a period of 13 years were studied: 301 under 2D vision and 245 under 3D vision...
August 14, 2018: Surgical Technology International
Hamilton A Hernández, Ajmal Khan, Linda Fay, Jean-Sébastien Roy, Elaine Biddiss
OBJECTIVE: To design and evaluate a low-cost gaming station that supports force resistance training in pediatric arm/hand grasp therapies through mainstream videogame play. METHODS: The gaming station was developed through an iterative participatory design process and includes a force feedback game controller (Novint Falcon), custom grips, arm/wrist supports, and software to interface with mainstream games and manage difficulty settings in the controller. The station was tested for usability and feasibility with six therapists and six children with cerebral palsy, 7-16 years of age, attending weekly therapy sessions over 12 weeks...
August 2018: Games for Health
Caroline Paquet, Mark H Yudin
BACKGROUND: One of the major consequences of pregnant women becoming infected by Toxoplasma gondii is vertical transmission to the fetus. Although rare, congenital toxoplasmosis can cause severe neurological or ocular disease (leading to blindness), as well as cardiac and cerebral anomalies. Prenatal care must include education about prevention of toxoplasmosis. The low prevalence of the disease in the Canadian population and limitations in diagnosis and therapy limit the effectiveness of screening strategies...
August 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Deborah Money, Victoria M Allen
OBJECTIVE: To review the evidence in the literature and to provide recommendations on the management of pregnant women in labour for the prevention of early-onset neonatal group B streptococcal disease. The key revisions in this updated guideline include changed recommendations for regimens for antibiotic prophylaxis, susceptibility testing, and management of women with pre-labour rupture of membranes. OUTCOMES: Maternal outcomes evaluated included exposure to antibiotics in pregnancy and labour and complications related to antibiotic use...
August 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
Alon Shrim, Gideon Koren, Mark H Yudin, Dan Farine
OBJECTIVE: To review the existing data regarding varicella zoster virus infection (chickenpox) in pregnancy, interventions to reduce maternal complications and fetal infection, and antepartum and peripartum management . METHODS: The maternal and fetal outcomes in varicella zoster infection were reviewed, as well as the benefit of the different treatment modalities in altering maternal and fetal sequelae. EVIDENCE: Medline was searched for articles and clinical guidelines published in English between January 1970 and November 2010...
August 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
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