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https://www.readbyqxmd.com/read/29770629/predicting-factors-for-resumption-of-spontaneous-voiding-following-nerve-sparing-radical-hysterectomy
#1
Chalaithorn Nantasupha, Kittipat Charoenkwan
OBJECTIVE: To determine factors affecting voiding recovery on the day of Foley catheter removal (postoperative day 7, POD7) after nerve-sparing radical hysterectomy (NSRH) for early-stage cervical cancer. METHODS: Early-stage cervical cancer patients, who underwent type C1 radical hysterectomy between January 2006 and June 2016 were included. Clinical and pathological data were reviewed. Association between inability to attain adequate voiding function on POD7 and potential predicting factors were evaluated in univariate and multivariate analysis...
April 23, 2018: Journal of Gynecologic Oncology
https://www.readbyqxmd.com/read/29764416/safety-of-a-condom-uterine-balloon-tamponade-esm-ubt-device-for-uncontrolled-primary-postpartum-hemorrhage-among-facilities-in-kenya-and-sierra-leone
#2
Aparna Ramanathan, Melody J Eckardt, Brett D Nelson, Moytrayee Guha, Monica Oguttu, Zaid Altawil, Thomas Burke
BACKGROUND: Postpartum hemorrhage is the leading cause of maternal mortality in low- and middle-income countries. While evidence on uterine balloon tamponade efficacy for severe hemorrhage is encouraging, little is known about safety of this intervention. The objective of this study was to evaluate the safety of an ultra-low-cost uterine balloon tamponade package (named ESM-UBT) for facility-based management of uncontrolled postpartum hemorrhage (PPH) in Kenya and Sierra Leone. METHODS: Data were collected on complications/adverse events in all women who had an ESM-UBT device placed among 92 facilities in Sierra Leone and Kenya, between September 2012 and December 2015, as part of a multi-country study...
May 15, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29742666/decreased-surgical-site-infection-rate-in-hysterectomy-effect-of-a-gynecology-specific-bundle
#3
Sarah E Andiman, Xiao Xu, John M Boyce, Elizabeth M Ludwig, Heidi R W Rillstone, Vrunda B Desai, Linda L Fan
OBJECTIVE: We implemented a hysterectomy-specific surgical site infection prevention bundle after a higher-than-expected surgical site infection rate was identified at our institution. We evaluate how this bundle affected the surgical site infection rate, length of hospital stay, and 30-day postoperative readmission rate. METHODS: This is a quality improvement study featuring retrospective analysis of a prospectively implemented, multidisciplinary team-designed surgical site infection prevention bundle that consisted of chlorhexidine-impregnated preoperative wipes, standardized aseptic surgical preparation, standardized antibiotic dosing, perioperative normothermia, surgical dressing maintenance, and direct feedback to clinicians when the protocol was breached...
May 7, 2018: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29723643/transvaginal-natural-orifice-transluminal-endoscopic-surgery-for-female-to-male-transgender-men
#4
Yi-Le Lee, Teh-Fu Hsu, Ling-Yu Jiang, Hsiang-Tai Chao, Peng-Hui Wang, Yi-Jen Chen
STUDY OBJECTIVE: Previous studies suggest female-to-male transgender men tend to choose less invasive procedures, but the superior route of hysterectomy for them remains undetermined. DESIGN: Retrospective study (Canadian Task Force Classification II-3) SETTING: Academic tertiary hospital PATIENTS: Fifty-six female-to-male transsexuals received total vaginal hysterectomy (VH) with bilateral salpingo-oophorectomy (BSO) between April 2008 and August 2016 at Taipei Veterans General Hospital...
April 30, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29703003/a-network-meta-analysis-of-comparison-of-operative-time-and-complications-of-laparoscopy-laparotomy-and-laparoscopic-assisted-vaginal-hysterectomy-for-endometrial-carcinoma
#5
Ya-Ru Wang, Hui-Fang Lu, Hui-Can Huo, Chang-Ping Qu, Gui-Xia Sun, Shi-Qing Shao
BACKGROUND: The endometrial carcinoma (EC) is the most frequently occurring female genital cancer. The authors performed this network meta-analysis to compare operative time and the incidence of bowel injury and wound infection of 3 operative approaches (laparoscopy, laparotomy, and laparoscopic-assisted vaginal hysterectomy [LAVH]) in the treatment of EC. METHODS: The Cochrane Library, PubMed, and Embase databases were searched. Randomized controlled trials (RCTs) for EC from the day of databases establishment to February 2017 were included...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29626286/multidetector-ct-of-expected-findings-and-complications-after-hysterectomy
#6
REVIEW
Massimo Tonolini
Indicated to manage a variety of disorders affecting the female genital tract, hysterectomy represents the second most common gynaecological operation after caesarean section. Performed via an open, laparoscopic or vaginal approach, hysterectomy is associated with non-negligible morbidity and occasional mortality. Iatrogenic complications represent a growing concern for gynaecologists and may result in prolonged hospitalisation, need for interventional procedures or repeated surgery, renal impairment and malpractice claims...
April 6, 2018: Insights Into Imaging
https://www.readbyqxmd.com/read/29621617/genetic-characterization-and-pathogenicity-of-japanese-porcine-deltacoronavirus
#7
Tohru Suzuki, Tomoyuki Shibahara, Naoto Imai, Takehisa Yamamoto, Seiichi Ohashi
Porcine deltacoronavirus (PDCoV) have recently emerged in several swine producing countries. Our survey found that in addition to porcine epidemic diarrhoea virus (PEDV), PDCoV has also been a causative enteric pathogen of diarrhoeic outbreaks occurring at swine farms around Japan since late 2013. Phylogenetic analysis using the complete genomes of PDCoVs detected in Japan in 2014 demonstrated that the PDCoVs from Japan may be closely related to the PDCoVs from the U.S. and Korea during 2013 to 2014 but not the PDCoVs from China and Hong Kong during 2004 to 2016 and from Thailand, Vietnam and Laos during 2015 to 2016...
April 2, 2018: Infection, Genetics and Evolution
https://www.readbyqxmd.com/read/29577780/random-placenta-margin-incision-for-control-hemorrhage-during-cesarean-delivery-complicated-by-complete-placenta-previa-a-prospective-cohort-study
#8
Dazhi Fan, Shuzhen Wu, Shaoxin Ye, Wen Wang, Lijuan Wang, Yao Fu, Meng Zeng, Yan Liu, Xiaoling Guo, Zhengping Liu
INTRODUCTION: Complete placenta previa (CPP) is one of the most problematic types of abnormal placenta, which is further complicated by placenta accreta or percreta that can unexpectedly lead to catastrophic blood loss, infection, multiple complications, emergency hysterectomy, and even death. The present study aimed to assess the efficacy of random placenta margin incision in controlling intraoperative and total blood loss during cesarean section for CPP women. METHODS: A prospective cohort study, including a total of 100 consecutive pregnant women with CPP, was performed at a tertiary university-affiliated medical center between March 2016 and July 2017...
April 3, 2018: Journal of Maternal-fetal & Neonatal Medicine
https://www.readbyqxmd.com/read/29577776/comparison-of-barbed-unidirectional-suture-with-figure-of-eight-standard-sutures-in-vaginal-cuff-closure-in-total-laparoscopic-hysterectomy
#9
Tolga Karacan, Eser Ozyurek, Taner Usta, Eylem Odacilar, Ulviye Hanli, Ebru Kovalak, Huseyin Dayan
The aim of the study was to compare postoperative vaginal cuff complications due to the use of barbed sutures (V-Loc™ 180 unidirectional suture; Covidien, Mansfield, MA) and standard braided sutures (Vicryl® ; Ethicon Inc., Somerville, MA) during vaginal cuff closure of patients undergoing a total laparoscopic hysterectomy (TLH) due to benign diseases. Eighty-nine patients were in the standard suture group and 208 patients were included in the barbed suture group. Vaginal cuff dehiscence was identified in only three (3...
March 24, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29575254/a-phase-ii-study-of-adjuvant-chemotherapy-with-paclitaxel-and-nedaplatin-for-uterine-cervical-cancer-with-lymph-node-metastasis
#10
Munetaka Takekuma, Mototsugu Shimokawa, Shin Nishio, Hideo Omi, Tsutomu Tabata, Yuji Takei, Kaei Nasu, Yoshiyuki Takahashi, Shinji Toyota, Yoshikazu Ichikawa, Atsushi Arakawa, Fuminori Ito, Hiroshi Tsubamoto, Taisuke Mori, Yasuyuki Hirashima, Kimihiko Ito
The purpose of this phase II trial was to assess the efficacy and toxicity of paclitaxel and nedaplatin (TN) as the initial postoperative adjuvant chemotherapy for uterine cervical cancer with lymph node metastases (LNM). Patients with FIGO stage IB1-IIA2 squamous cell carcinoma of the uterine cervix were enrolled. Histological confirmation of LNM was mandatory. Intravenous paclitaxel at 175 mg/m2 and nedaplatin at 80 mg/m2 were administered every 28-day cycle, of which there were five cycles after radical hysterectomy...
March 25, 2018: Cancer Science
https://www.readbyqxmd.com/read/29575202/sonographic-evaluation-of-intra-abdominal-adhesions-during-the-third-trimester-of-pregnancy-a-novel-technique-in-women-undergoing-repeated-cesarean-section
#11
Joel Baron, Dan Tirosh, Salvatore Andrea Mastrolia, Yigal Ben-Haroush, Shoshana Schwartz, Yoav Kerner, Reli Hershkovitz
OBJECTIVES: Intra-abdominal adhesions may result in an increased risk of major complications in case of a repeated cesarean section, such as bladder and bowel injury, hemorrhage, infection, and hysterectomy. In an attempt to predict intra-abdominal adhesions before a repeated cesarean delivery, we suggest the use of a novel technique employing a simple and feasible ultrasound imaging technique. METHODS: The study included pregnant women who underwent one or more cesarean deliveries in their obstetric history and were evaluated during the third trimester of the ongoing pregnancy...
March 25, 2018: Ultrasound in Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29574567/two-port-robotic-hysterectomy-a-novel-approach
#12
Gaby N Moawad, Paul Tyan, Elias D Abi Khalil
The objective of the study was to demonstrate a novel technique for two-port robotic hysterectomy with a particular focus on the challenging portions of the procedure. The study is designed as a technical video, showing step-by-step a two-port robotic hysterectomy approach (Canadian Task Force classification level III). IRB approval was not required for this study. The benefits of minimally invasive surgery for gynecological pathology have been clearly documented in multiple studies. Patients had fewer medical and surgical complications postoperatively, better cosmesis and quality of life...
March 24, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29570150/cost-effectiveness-research-in-anesthesiology
#13
Bijan J Teja, Tori N Sutherland, Sheila R Barnett, Daniel S Talmor
Perioperative interventions aimed at decreasing costs and improving outcomes have become increasingly popular in recent years. Anesthesiologists are often faced with a choice among different treatment strategies with little data available on the comparative cost-effectiveness. We performed a systematic review of the English language literature between 1980 and 2014 to identify cost-effectiveness analyses of anesthesiology and perioperative medicine interventions. We excluded interventions related to critical care or pediatric anesthesiology, and articles on interventions not normally ordered or performed by anesthesiologists...
March 21, 2018: Anesthesia and Analgesia
https://www.readbyqxmd.com/read/29566155/ranking-hospitals-based-on-colon-surgery-and-abdominal-hysterectomy-surgical-site-infection-outcomes-impact-of-limiting-surveillance-to-the-operative-hospital
#14
Deborah S Yokoe, Taliser R Avery, Richard Platt, Ken Kleinman, Susan S Huang
Background: Hospital-specific surgical site infection (SSI) performance following colon surgery and abdominal hysterectomies can impact hospitals' relative rankings around quality metrics used to determine financial penalties. Current SSI surveillance largely focuses on SSI detected at the operative hospital. Methods: Retrospective cohort study to assess the impact on hospitals' relative SSI performance rankings when SSI detected at non-operative hospitals are included...
March 16, 2018: Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America
https://www.readbyqxmd.com/read/29503260/hysterectomy-by-vaginal-assisted-natural-orifice-transluminal-endoscopic-surgery-initial-experience-with-twelve-cases
#15
Cihan Kaya, İsmail Alay, Murat Ekin, Levent Yaşar
OBJECTIVE: To declare our initial experience on hysterectomy cases performed using vaginally-assisted natural orifice transluminal endoscopic surgery. MATERIAL AND METHODS: The study was conducted with data from 12 patients in our department who were recommended for hysterectomies for various indications between January 2017 and May 2017. The following data were collected retrospectively: age, body mass index (BMI), parity, previous abdominal or pelvic surgery, total operating time, preoperative hemoglobin (Hb), postoperative Hb, peri-operative complications and Visual Analogue Scale scores for evaluating postoperative pain...
March 1, 2018: Journal of the Turkish German Gynecological Association
https://www.readbyqxmd.com/read/29496583/effect-of-surgical-trainee-presence-on-vaginal-hysterectomy-outcomes
#16
Chandrew Rajakumar, Ranjeeta Mallick, Glenn Posner, David Schramm, Sukhbir S Singh, Karine Lortie, Dante Pascali, Innie Chen
STUDY OBJECTIVE: Because of the rapid decline in vaginal hysterectomy (VH) cases in recent years, there is concern regarding gynecologic surgical training and proficiency for VH. The objective of this study is to determine the effect of surgical trainee involvement on surgical outcomes in VH cases performed for benign indications. DESIGN: Retrospective, multicenter, cohort study (Canadian Task Force classification II-2). SETTING: Participating hospitals in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) at various international sites...
March 2, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29486944/-greater-omentum-flap-treatment-of-chronic-wounds-and-seroma-about-a-case
#17
D Boccara, K Serror, M Mimoun, M Chaouat
INTRODUCTION: Cicatricial complications after abdominal or pelvic surgery are more frequent in obese patients. In this case, infection, seroma and delays in scarring can be extremely difficult to treat. The objective of this technical note is to present an original case of an obese patient operated nine years ago of a hysterectomy by laparotomy and chronically presenting a non-resolving septic seroma despite multiple surgical procedures whose healing could be obtained by a flap of greater omentum...
February 24, 2018: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29484784/retrospective-analysis-conservative-treatment-of-placenta-increta-with-methotrexate
#18
Chunhua Zhang, Hongyan Li, Changting Zuo, Xietong Wang
AIM: To evaluate the efficacy of conservative treatment with methotrexate against placenta increta by two different routes of administration through retrospective analysis. METHODS: A total of 54 women diagnosed with placenta increta after vaginal delivery were enrolled in this retrospective study. The participants accepted conservative management with methotrexate through either intravenous injection or local multi-point injection under ultrasound guidance. The treatment was considered effective if no hysterectomy was mandatory during the follow-up period...
May 2018: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/29455474/aging-impacts-cd103-cd8-t-cell-presence-and-induction-by-dendritic-cells-in-the-genital-tract
#19
Marta Rodriguez-Garcia, Jared M Fortier, Fiona D Barr, Charles R Wira
As women age, susceptibility to systemic and genital infections increases. Tissue-resident memory T cells (TRMs) are CD103+ CD8+ long-lived lymphocytes that provide critical mucosal immune protection. Mucosal dendritic cells (DCs) are known to induce CD103 expression on CD8+ T cells. While CD103+ CD8+ T cells are found throughout the female reproductive tract (FRT), the extent to which aging impacts their presence and induction by DCs remains unknown. Using hysterectomy tissues, we found that endometrial CD103+ CD8+ T cells were increased in postmenopausal compared to premenopausal women...
February 18, 2018: Aging Cell
https://www.readbyqxmd.com/read/29410107/laparoscopic-vs-transvaginal-cuff-closure-after-total-laparoscopic-hysterectomy-a-randomized-trial-by-the-italian-society-of-gynecologic-endoscopy
#20
Stefano Uccella, Mario Malzoni, Antonella Cromi, Renato Seracchioli, Giuseppe Ciravolo, Francesco Fanfani, Fevzi Shakir, Salvatore Gueli Alletti, Francesco Legge, Roberto Berretta, Giacomo Corrado, Lucia Casarella, Paolo Donarini, Margherita Zanello, Emanuele Perrone, Baldo Gisone, Enrico Vizza, Giovanni Scambia, Fabio Ghezzi
BACKGROUND: Vaginal cuff dehiscence following hysterectomy is considered an infrequent but potentially devastating complication. Different possible techniques for cuff closure have been proposed to reduce this threatening adverse event. OBJECTIVE: The aim of the present randomized study was to compare laparoscopic and transvaginal suture of the vaginal vault at the end of a total laparoscopic hysterectomy, in terms of incidence of vaginal dehiscence and vaginal cuff complications...
May 2018: American Journal of Obstetrics and Gynecology
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