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https://www.readbyqxmd.com/read/27149834/positioning-of-the-anaesthetised-patient-during-robotically-assisted-laparoscopic-surgery-perioperative-staff-experiences
#1
M Mangham
Safe, patient centred care is a large part of our trust values at the Royal Wolverhampton NHS Trust. Robotic assisted laparoscopic surgery (RALS) is still in its infancy within our trust, and we decided to look at what we have learned so far regarding patient positioning during robotic surgery for gynae-oncology and uro-gynae procedures. We also considered what we believe needs to be achieved in order to deliver high standards of care in positioning patients during robotic surgery, not only now, but also for the future of robotic surgery...
March 2016: Journal of Perioperative Practice
https://www.readbyqxmd.com/read/26894378/predictive-factors-for-residual-disease-in-hysterectomy-specimens-after-conization-in-early-stage-cervical-cancer
#2
A S M Wong, W H Li, T H Cheung
OBJECTIVE: To identify predictive factors for residual disease in hysterectomy specimens after a loop electrical excision procedure (LEEP) or cold knife conization in early-stage cervical cancer. STUDY DESIGN: A retrospective review was undertaken of the clinical records and pathology reports of 108 consecutive patients who were diagnosed with early invasive cervical cancer stage IA1 to IB1 by cold knife conization or LEEP, and underwent subsequent hysterectomy or radical hysterectomy at the Gynae-oncology Unit, Queen Elizabeth Hospital between 2000 and 2012...
April 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/26559773/electronic-poster-presentations-gynae-oncology
#3
(no author information available yet)
No abstract text is available yet for this article.
October 2015: Journal of Obstetrics and Gynaecology Research
https://www.readbyqxmd.com/read/26525694/implementation-of-enhanced-recovery-after-surgery-eras-in-gynaecological-oncology
#4
Eva Myriokefalitaki, M Smith, A S Ahmed
OBJECTIVES: To evaluate the outcomes of enhanced recovery after surgery (ERAS) implementation in a gynaecological oncology centre. METHOD: Non-randomised control trial, evaluating morbidity outcomes, before and after implementation of ERAS programme. All consecutive major gynaecological oncology operations performed during two specified periods were included. Data were collected prospectively for a study group in the initial 7.5 months of ERAS implementation and compared with a consecutive historic control group from the exact same period, the year before...
July 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/25123422/cytological-follow-up-after-hysterectomy-is-vaginal-vault-cytology-sampling-a-clinical-governance-problem-the-university-hospital-of-north-staffordshire-approach
#5
W Parry-Smith, D Thorpe, L Ogboro-Okor, M Underwood, E Ismaili, M Kodampur, R Todd, G Douce, C W E Redman
OBJECTIVES: Vaginal vault cytology sampling following hysterectomy is recommended for specific indications in national guidelines. However, clinical governance issues surround compliance with guidance. Our first study objective was to quantify how many patients undergoing hysterectomy at the University Hospital of North Staffordshire (UHNS) had vault cytology advice in their histology report and, if indicated, whether it was arranged. The second was to devise a vault cytology protocol based on local experience and national guidance...
June 2015: Cytopathology: Official Journal of the British Society for Clinical Cytology
https://www.readbyqxmd.com/read/24587605/laparoscopic-gynae-oncological-procedures-lessons-learnt-after-a-single-institution-audit-of-complications-and-their-management-in-567-consecutive-patients
#6
Shailesh P Puntambekar, Geetanjali A Agrawal, Saurabh N Joshi, Neeraj V Rayate, D N B Saravana, Avanish V Deshmukh
STUDY OBJECTIVE: To retrospectively evaluate the complications of the laparoscopic pelvic surgeries and to formulate the guidelines to avoid them. DESIGN: Retrospective study (Canadian Classification). SETTING: Advanced Laparoscopic Institute. PATIENTS: Nine hundred and seven operated for gynecological malignancies. INTERVENTION: Laparoscopic surgeries. MEASUREMENTS AND MAIN RESULTS: 567 women suffering from different pelvic conditions were studied in a period of 60 months...
February 2014: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/24007948/adult-granulosa-cell-tumours-gct-clinicopathological-outcomes-including-foxl2-mutational-status-and-expression
#7
Roseanne Rosario, Michelle Wilson, Wei-Tzu Cheng, Kathryn Payne, Paul A Cohen, Peter Fong, Andrew N Shelling
OBJECTIVES: The aim of this research was to use nucleic acids isolated from formalin-fixed paraffin-embedded (FFPE) tissue to investigate the diagnostic potential and prognostic significance of FOXL2 in adult-type GCTs, particularly as a marker of identifying early stage patients that are likely to relapse. METHODS: We performed a retrospective review of GCT patients referred to the Auckland Gynae-Oncology Multidisciplinary Team from 1955 to 2012. Baseline characteristics, clinical course, histopathology and survival data was recorded...
November 2013: Gynecologic Oncology
https://www.readbyqxmd.com/read/21833960/optimal-primary-surgical-treatment-for-advanced-epithelial-ovarian-cancer
#8
REVIEW
Ahmed Elattar, Andrew Bryant, Brett A Winter-Roach, Mohamed Hatem, Raj Naik
BACKGROUND: Ovarian cancer is the sixth most common cancer among women. In addition to diagnosis and staging, primary surgery is performed to achieve optimal cytoreduction (surgical efforts aimed at removing the bulk of the tumour) as the amount of residual tumour is one of the most important prognostic factors for survival of women with epithelial ovarian cancer. An optimal outcome of cytoreductive surgery remains a subject of controversy to many practising gynae-oncologists. The Gynaecologic Oncology group (GOG) currently defines 'optimal' as having residual tumour nodules each measuring 1 cm or less in maximum diameter, with complete cytoreduction (microscopic disease) being the ideal surgical outcome...
2011: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/21299570/actions-speak-louder-than-words-the-embodiment-of-trust-by-healthcare-professionals-in-gynae-oncology
#9
Patrick R Brown, Andy Alaszewski, Trish Swift, Andy Nordin
Trust is vital for quality healthcare outcomes, yet existing research neglects the 'embodiedness' of the interactions on which trust is based. This article draws on qualitative data from semi-structured interviews with cervical cancer patients. The significance of body work in winning or, on occasions, undermining trust emerged as a key theme within the responses. Interpretations of professionals' verbal and non-verbal presentations-of-self were often mutually reinforcing and intrinsically linked--forming a more general locus of meaning from which assumptions of competence and care were drawn...
February 2011: Sociology of Health & Illness
https://www.readbyqxmd.com/read/19569081/robot-assisted-laparoscopic-surgery-in-gynaecological-oncology-initial-experience-at-oslo-radium-hospital-and-16-months-follow-up
#10
M Bilal Sert, Runar Eraker
BACKGROUND: This study aimed to report our initial experience using the Da Vinci, a three-armed Intuitive Surgical robotic unit, in relation to gynae-oncological operations. METHODS: A prospective database was used in this retrospective analysis of 53 consecutive women with gynae-oncological diseases who were operated by the same surgeon in a single institution. All the patients were informed of the risks inherent with each surgical procedure as well as the potential advantages...
December 2009: International Journal of Medical Robotics + Computer Assisted Surgery: MRCAS
https://www.readbyqxmd.com/read/19032302/use-of-a-leucocyte-filter-to-remove-tumour-cells-from-intra-operative-cell-salvage-blood
#11
S Catling, S Williams, O Freites, M Rees, C Davies, L Hopkins
The intra-operative blood loss of 50 consecutive gynae-oncology patients undergoing surgery for endometrial, cervical or ovarian cancer was cell salvaged and filtered. In each case blood samples were taken from the effluent tumour vein, a central venous line, the cell saver reservoir, the cell salvage re-transfusion bag after processing but before filtration and from the cell salvage re-transfusion bag after processing and filtration. Samples were examined using immunohistochemical monoclonal antibody markers for epithelial cell lines...
December 2008: Anaesthesia
https://www.readbyqxmd.com/read/18715408/effect-of-margin-status-on-cervical-intraepithelial-neoplasia-recurrence-following-lletz-in-women-over-50-years
#12
R Manchanda, P Baldwin, R Crawford, S L Vowler, R Moseley, J Latimer, K Welton, M Shafi
OBJECTIVE: To establish the effect of margin status on recurrence following large loop excision of the transformation zone (LLETZ) in women over 50 years. STUDY DESIGN: Prospectively collected data of women over 50 years, who underwent LLETZ for suspected cervical intraepithelial neoplasia between 1998 and 2003, were analysed. Women were followed up for up to over 6 years. SETTING: District colposcopy service based at a gynae-oncology cancer centre...
September 2008: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/18155897/evaluation-of-an-inflammation-based-prognostic-score-in-patients-with-advanced-ovarian-cancer
#13
Rohini Sharma, Jane Hook, Munish Kumar, Hani Gabra
BACKGROUND: There is increasing evidence that the presence of an ongoing systemic inflammatory response is associated with poor outcome in patients with advanced cancer. The aim of this study was to validate whether an inflammation-based prognostic score (Glasgow Prognostic Score, GPS) is associated with survival in patients with advanced stage (stage III/IV) ovarian cancer. PATIENTS AND METHODS: An audit was conducted of patients with a new diagnosis of stage III or IV ovarian cancer presenting to the West London Gynae-Oncology Centre between October 2003 and June 2006 (n=154)...
January 2008: European Journal of Cancer
https://www.readbyqxmd.com/read/14982311/the-impact-of-the-introduction-of-a-fast-track-clinic-on-ovarian-cancer-referral-patterns
#14
O M McNally, V Wareham, D J Flemming, M E Cruickshank, D E Parkin
The aim of this study is to review the referral patterns for ovarian cancer in the Grampian region of Scotland and assess the impact of a 'fast track' clinic on the patient journey. Population-based retrospective analysis of a gynaecological cancer database and patient case notes were used. After its inception, 13.5% of patients were referred through the fast track clinic and 83% were seen within 2 weeks. Thirty-six per cent of patients were admitted as emergencies, mainly surgical or medical. The median general practitioner-to-specialist time was 3 days (range 0-188 days)...
December 2003: European Journal of Cancer Care
https://www.readbyqxmd.com/read/11489001/the-integration-of-anthracyclines-in-the-treatment-of-advanced-ovarian-cancer
#15
H J Lück, A Du Bois, B Weber, J Pfisterer, A Goupil, W Kuhn, J C Barats, J Blohmer, M Mousseau, W Schröder, W Meier, V Möbus, B Richter et al.
Since the publication of the Gynecologic Oncology Group (GOG) protocol 111 in 1996, and the results of the Arbeitgemeinschaft Gyna kologische Onkologie (AGO) trial Ovar-3 and the GOG protocol 158, the combination of platinum and paclitaxel has been adopted as the standard therapy in advanced ovarian cancer. One option for achieving further progress in the first-line treatment of advanced ovarian cancer might be the addition of noncross-resistant drugs to the two-drug regimen. Meta-analysis showed a survival benefit for platinum-anthracycline based combinations as compared to platinum-based combinations without anthracyclines...
2001: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/10843463/the-problems-of-surgical-training-in-gynaecologic-oncology
#16
REVIEW
C W Burger, C de Oliveira, S T Kehoe
During the late 60s and early 70s it was recognised that the surgical training for residents in Obstetrics and Gynaecology was inadequate to comprehensively acquire the surgical skills necessary in managing women with gynaecologic cancers. Gynaecologic Oncology (Gynae-Oncology) has three important goals: 1) to maintain the highest standards for patients with gynaecologic cancer, 2) to provide the trainee with clinical skills and structural clinical research after his/her surgical completion, and 3) to acknowledge clinical training centers for the trainees in Gynae-Oncology...
2000: European Journal of Gynaecological Oncology
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