Search Results
Results 351 - 400 of 1172
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Seffah J D - - 2008
OBJECTIVE: To study the role of abdominal ultrasound in the management of complications after emergency or elective hysterectomy. METHODOLOGY: The study compared 102 women who had complications after emergency peripartum hysterectomy (study group) with 102 women who had complications after elective hysterectomy for fibroids (control group). RESULTS: The study group ...
Araco Francesco - - 2008
This study evaluated the influence of age and smoking on the occurrence of vaginal erosions after transvaginal mesh repair of pelvic organ prolapses. We recruited all patients that underwent mesh correction of prolapses and excluded those with stress urinary incontinence, ongoing clinical infections, with a complete antibiotic course in the ...
Jeon Myung Jae - - 2008
The aim of this study was to evaluate whether hysterectomy or the use of graft is necessary for the reconstructive surgery for uterine prolapse. One hundred sixty-eight patients were categorized into the 3 groups: group I, abdominosacral colpopexy with mesh and hysterectomy (n=63); group II, abdominosacral uteropexy with mesh (n=35); ...
Odaba┼či A R - - 2007
CONTEXT: Investigating the adverse effects of oral hormone replacement therapy (HRT), the clinical effectiveness of alternative combinations and route of administrations. AIM: To compare the effects of intranasal and transdermal 17 beta-estradiol combined with vaginal progesterone on vasomotor symptoms and vaginal cytology. SETTINGS AND DESIGN: A 12-week, prospective, randomized comparative ...
Tukur J - - 2007
BACKGROUND: Eclampsia has now emerged as one of the commonest cause of maternal mortality in Nigeria. There is need for research on best modality for delivery of eclamptics. METHODOLOGY: The pilot study was conducted on 50 eclamptic patients at the Federal Medical Centre, Azare. The patients were randomized for delivery ...
Nabhan A F - - 2008
OBJECTIVE: To assess the rate of adhesions and other long-term outcomes of two cesarean delivery techniques. METHODS: A total of 600 women were randomly assigned to either a standard (Pfannenstiel-Kerr) or modified (Joel-Cohen-Stark) technique for first-time cesarean delivery. A total of 124 women were assessed at repeat cesarean delivery. The ...
Jo Hoenil - - 2007
AIM: The aim of the present study was to assess the safety and efficacy of anterior vaginal wall repair using polypropylene mesh for the correction of anterior vaginal wall prolapse. METHODS: From May 2001 to March 2005, 38 patients with cystoceles or uterine prolapse underwent transvaginal repair with implantation of ...
de Tayrac R - - 2008
OBJECTIVE: To compare infracoccygeal sacropexy (IS) and sacrospinous suspension (SS) for the treatment of uterine or vault prolapse. METHODS: A randomized trial of 49 women assigned to either the IS group using IVS tape (n=24) or SS group (n=25). Concomitant hysterectomy and repairs were performed as appropriate. Evaluations included prolapse ...
Rijken Y - - 2007
This study from Southern Malawi reports on 407 patients with 408 vaginal fistulas (1 patient had 2 successive fistulas). There were 29 patients (7.6%) with a combined urogenital and recto-vaginal fistula. Obstructed labor was the cause of 379 fistulas and the remaining 29 were not of obstetric origin. Although the ...
Goddard Jonathan C - - 2007
OBJECTIVE: To examine the early and late surgical outcomes of feminizing genitoplasty (FG) in adult transsexuals in a UK single surgeon practice over a 10-year period. PATIENTS AND METHODS: Computerized and manual databases were searched over the period 1994-2004 to identify patients who had undergone male to female FG. Case-notes ...
Lim M - - 2007
PURPOSE: Urogenital prolapse is relatively common compared with rectal prolapse and the combination of urogenital prolapse and rectal prolapse is still more infrequent. This study was designed to evaluate the functional outcome of a series of patients who have undergone open mesh sacrocolporectopexy surgery for combined vaginal and rectal prolapse. ...
Schwartz Marlan - - 2007
STUDY OBJECTIVE: To evaluate the use of laparoscopic uterosacral ligament repair for long-term patient symptom improvement in patients with uterine prolapse or posthysterectomy vaginal vault prolapse and to evaluate how laparoscopic instrumentation kits facilitate procedure performance for the surgeon. DESIGN: Nonrandomized, prospective, multicenter case series (Canadian Task Force classification II-2). ...
Agarwala Neena - - 2007
STUDY OBJECTIVE: To evaluate the safety and efficacy of Prolene (Ethicon, Inc., Johnson and Johnson, Somerville, NJ) graft for sacral colpopexy and ease of use laparoscopically. DESIGN: Retrospective analysis (Canadian Task Force classification II-1). SETTING: Academic university hospital. PATIENTS: Seventy-four patients with recurrent prolapse of the apex or severe uterine ...
Smart Neil J - - 2007
PURPOSE: Symptomatic rectocele results in obstructed defecation and constipation. Surgical repair may provide symptomatic relief. This study was designed to assess the safety and efficacy of transperineal rectocele repair with porcine dermal collagen (Permacol). METHODS: Ten females with symptomatic rectocele had a transperineal repair using Permacol. Median age was 51 ...
Muzii Ludovico - - 2007
STUDY OBJECTIVE: The aim of this study was to compare operative and early postoperative outcomes of laparoscopic-assisted vaginal hysterectomy (LAVH) and minilaparotomy in a randomized clinical trial including patients undergoing total hysterectomy for benign gynecologic disease and having 1 or more of the generally considered contraindications to vaginal route. DESIGN: ...
Kwame-Aryee Ra R Department of Obstetrics and Gynaecology, Korle Bu Teaching Hospital, P O Box 82, Korle Bu, Accra, - - 2007
The main objectives of this study were to determine the incidence, maternal characteristics, indications, the maternal and perinatal outcomes and the complications of emergency peripartum hysterectomies done at the Korle-Bu Teaching Hospital. This is a retrospective descriptive study covering the period January 1, 2000 to June 30, 2003. Maternity Unit ...
Yoon H J - - 2008
BACKGROUND: This study compared the changes in plasma oxytocin, intraoperative hemodynamics and postoperative uterine activity in patients who underwent elective Shirodkar cerclage for cervical incompetence with general or spinal anesthesia. METHODS: Thirty-seven singleton pregnant patients were enrolled in this prospective, randomized, controlled comparison of general (n=17) and spinal anesthesia (n=20) ...
Batukan Cem - - 2008
OBJECTIVE: To compare the effectiveness of oral and vaginal misoprostol for preoperative cervical ripening in premenopausal women before hysteroscopic surgery. DESIGN: Placebo-controlled, double blind, randomized trial. SETTING: University hospital. PATIENT(S): Eighty-six premenopausal women eligible for operative hysteroscopy were recruited. Nine women were excluded from the study. INTERVENTION(S): Patients were randomly ...
Hsiao Kenneth C - - 2007
BACKGROUND AND PURPOSE: Laparoscopic sacrocolpopexy (LSCP) offers a minimally invasive treatment for vaginal vault prolapse. We describe the surgical technique and offer insight into the learning curve. In addition, we performed a case series review comparing the laparoscopic procedure with its open surgical counterpart with respect to various demographic and ...
Sobande Adekunle - - 2007
OBJECTIVE: To compare the outcome of breech delivery at term in women before and after the term breech trial (TBT) recommendation. METHODS: A retrospective study carried out at Abha Maternity Hospital, Abha, Kingdom of Saudi Arabia comprising 796 women with breech presentation at term who delivered at our hospital between ...
Zucchi Alessandro - - 2008
INTRODUCTION: Colposacropexy (CSP), with or without hysterectomy, is a valid technique for the repair of severe urogenital prolapse. For many years, uterine prolapse has represented an indication for hysterectomy, apart from the presence or absence of uterine disease and the patient's desires. Nevertheless, sparing the uterus is essential to women ...
Sääv I - - 2007
BACKGROUND: The copper intrauterine device (IUD) is a highly effective and safe contraceptive method, also in nulliparous women. However, insertion of an IUD through a narrow cervix may be technically difficult. Misoprostol has been shown to be effective for cervical priming in non-pregnant women prior to hysteroscopy. METHODS: Eighty nulliparous ...
Anastasakis Eleftherios - - 2008
OBJECTIVE: To audit obstetric outcomes for primiparous laborers in order to provide accurate information to the population we serve. To establish a simple index by which a maternity unit's performance can be compared over time and to other units. This index is named, maternity unit performance index (MUPI). STUDY DESIGN: ...
Ali Akbar Taherian; Department ...
BACKGROUND: Preterm labor with intact membrane is responsible for approximately one-third of preterm births, which account for about 70-80% of all neonatal deaths among normally formed neonates. Premature delivery is the leading cause of perinatal morbidity and mortality. In this study we have compared the safety and efficacy of nifedipine ...
Gustilo-Ashby A Marcus - - 2007
OBJECTIVE: The purpose of this study was to analyze change in bowel function and its relationship to vaginal anatomy 1 year after rectocele repair and pelvic reconstruction in a randomized trial of 3 techniques of rectocele repair. STUDY DESIGN: The study is an ancillary analysis of data from a randomized ...
Eriksson L-G - - 2007
BACKGROUND: Transcatheter arterial embolization (TAE) is considered a safe, life-saving procedure in postpartum hemorrhage (PPH), but its long-term effect on menstruation and fertility is unclear. PURPOSE: To investigate technical aspects and the evaluation of complications, focused on menstrual cycle and fertility, using TAE in patients with PPH. MATERIAL AND METHODS: ...
Hefni M - - 2007
OBJECTIVE: This study was carried out to evaluate the safety and efficacy of posterior intravaginal slingplasty (IVS) for upper genital prolapse. SETTING: Gynaecology Department, Benenden Hospital, Kent, UK. MATERIALS AND METHODS: An observational study was conducted on 127 women, who underwent posterior IVS using the IVS Tunneller (Tyco HealthCare, USS, ...
Ghulmiyyah Labib M - - 2007
The objective of this study was to determine whether intraumbilical injection of oxytocin shortens the third stage of labor. A randomized, double-blind, placebo-controlled trial was used to assess the effectiveness of an intraumbilical injection of oxytocin on the duration of the third stage. Following randomization, each of 79 women received ...
Kominiarek Michelle A - - 2007
Postpartum hemorrhage (PPH) is a potentially life-threatening complication of both vaginal and cesarean deliveries. Although many variables increase the chance for bleeding, a PPH in a previous pregnancy is one of the greatest risk factors for recurrent PPH. A physiologic explanation for this association is not known, but recurrent risk ...
Morgan Daniel M - - 2007
OBJECTIVE: To explore why failure rates vary so much between published reports of sacrospinous ligament fixation to correct pelvic organ prolapse and what the potential sources of heterogeneity may be. DATA SOURCES: MEDLINE was queried for studies between 1966 and 2005 that included the term "sacrospinous." METHODS OF STUDY SELECTION: ...
Jacobson Gavin F - - 2007
OBJECTIVE: The purpose of this study was to investigate treatment of uterine leiomyoma by hysterectomy and uterine conserving procedures (UCPs). STUDY DESIGN: Data from Kaiser Permanente Northern California members undergoing hysterectomy, myomectomy, uterine artery embolization (UAE) and endometrial ablation (EA) for uterine leiomyoma from 1997-2003 were collected. Statistical analysis included ...
Chang W-C - - 2008
BACKGROUND: This study demonstrated a method to prevent bladder injury during laparoscopically assisted vaginal hysterectomy (LAVH) to patients with vesicocervical adhesion after previous cesarean deliveries. METHODS: Between July 2004 and July 2005, 50 women with vesicocervical adhesion who had given birth by cesarean delivery underwent LAVH. To minimize the chance ...
Graham Kathryn - - 2007
BACKGROUND AND AIMS: Vaginal intraepithelial neoplasia (VAIN) is an uncommon premalignant condition which can be difficult to eradicate. In view of the low incidence worldwide and lack of published work available there is no gold standard treatment. The aim of this study was to assess the outcome of VAIN 3 ...
Drago Lorenzo - - 2007
OBJECTIVES: Bacterial vaginosis is characterized by alteration of the normal vaginal microflora, in which a mixed anaerobic bacterial flora becomes prevalent over the population of lacobacilli. Because administration of probiotics might be of some utility in restoring a normal flora, the present study aimed to evaluate the effect of a ...
Tse Ka Yu - - 2007
OBJECTIVE: To review the outcomes of different methods in the treatment of severe bleeding or acute abdomen in gestational trophoblastic disease (GTD). STUDY DESIGN: In a tertiary referral center, the records of patients diagnosed with GTD and presenting with heavy vaginal bleeding or acute abdomen between January 1986 and December ...
Yau Jane L - - 2007
OBJECTIVE: The objective of the study was to determine the degree of posterior vaginal wall support after abdominal sacrocolpopexy (ASC) with and without a posterior colporrhaphy as a function of time. STUDY DESIGN: Retrospective review was performed on women who underwent ASC between 1997 and 2004. Pelvic organ prolapse quantification ...
Rauch Eden R - - 2007
OBJECTIVE: The objective of the study was to identify risk factors associated with spontaneous preterm delivery (SPD) within 2 weeks of admission in patients with a shortened cervix. STUDY DESIGN: We reviewed records of patients hospitalized in 2003-2004 with a cervix of 25 mm or less at less than 32 ...
Jaturasrivilai Prasong - - 2007
OBJECTIVE: To compare efficiency of laparoscopically assisted vaginal hysterectomy (LAVH) and total abdominal hysterectomy (TAH) MATERIAL AND METHOD: Medical records of 50 cases of LA VH and 50 cases of TAH were reviewed from January 2004 to December 2004 RESULTS: There was no significant difference between the two groups in ...
Biller Daniel H - - 2008
The objective of this study was to evaluate the clinical utility of an anal purse-string suture to prevent contamination of the operative field during vaginal surgery. Patients undergoing vaginal surgery involving the posterior compartment were enrolled to receive a purse-string suture closing the anus (group 1) or to not receive ...
Kukura Vlastimir - - 2007
The results of the analysis of the treatment of 72 patients with carcinoma of the uterine cervix are presented. Seventy-two patients with Stage IB1 carcinoma of the cervix underwent a radical hysterectomy and pelvic lymphadenectomy. The low-risk group includes the patients without unfavourable prognostic factors that were treated by surgery ...
Imparato Emilio - - 2007
We performed a historical cohort study of 62 consecutive patients who underwent abdomino-perineal vaginal re-construction with a segment of the sigmoid colon during a 25-year period. A dedicated database was reviewed for the aetiology of vaginal malformation, surgical complications and post-operative follow-up. Follow-up visits were scheduled 2, 6 and 12 ...
Morgan D J - - 2007
OBJECTIVE: To compare a new surgical approach, laparoscopically assisted radical vaginal hysterectomy (LARVH) with open radical hysterectomy in women with cervical cancer. Can selected women benefit from the minimally invasive approach without compromising safety (recurrence rate) and morbidity (complications)? DESIGN: Retrospective case control study. SETTING: A tertiary referral unit for ...
Ghezzi F - - 2007
Of the several uterine compression sutures described in more recent years to treat postpartum haemorrhage (PPH), the Hayman suture offers the potential advantages that can be applied faster and easier, avoiding the performance of a lower segment hysterotomy when PPH follows a vaginal delivery. Data on efficacy and safety are ...
Lundgren Lena M - - 2007
The objective of this study was to examine, for a population of 8,258 adult injection drug users (IDUs) who all had entered a Massachusetts licensed methadone maintenance treatment program (MMT) between 1996 and 2002, client factors associated with remaining in MMT for a minimum of 1 year after program entry. ...
Obiechina, N J; PO ...
A retrospective analysis of Ventouse deliveries over a 10 year period at St. Charles Borromeo Hospital, Onitsha, Nigeria is presented. Between January 1991 and December 2000, 15802 deliveries were conducted, 572 were Ventouse deliveries, giving a Ventouse rate of 3.6%. The age range of the patients was 17-44 years, with ...
Lee Chyi-Long - - 2007
OBJECTIVE: To compare the efficacy, results and complications of using the pulsed bipolar system (PlasmaKinetic; Gyrus Medical, Maple Grove, MN) and conventional bipolar electrosurgery (Kleppinger bipolar forceps; Richard Wolf Instruments, Vernon Hills, IL) in laparoscopic radical hysterectomy and pelvic lymphadenectomy in the management of early invasive cervical carcinoma. METHODS: This ...
Nafisi S - - 2007
BACKGROUND: This study was done to compare post-cesarean delivery pain associated with routine exteriorization of the uterus versus in situ uterine repair in the puerperium. METHODS: This prospective study included 206 women who underwent cesarean delivery under general anesthesia and who were randomly assigned to two groups based on the ...
Wheeler Thomas L TL - - 2007
The aim of this study was to describe an approach for performing a high uterosacral vaginal vault suspension and to report anatomical and subjective results. Anatomic measures and validated symptom-specific questionnaires were performed pre- and postoperatively. Patient satisfaction was also ascertained. Thirty-five women, who underwent a two-suture high uterosacral suspension, ...
Gauruder-Burmester A - - 2007
To retrospectively analyze the outcome of surgery in women followed up for 1 year after vaginal repair with the Apogee (support of posterior vaginal wall) or Perigee (support of anterior vaginal wall) system. A total of 120 patients with recurrent cystocele and/or rectocele or with combined vaginal vault prolapse were ...
Novi Joseph M - - 2007
The objective of the study was to compare preoperative and postoperative sexual function between women undergoing rectocele repair with porcine dermis graft and women undergoing site-specific repair of rectovaginal fascia. A standardized, validated questionnaire (Pelvic Organ Prolapse/Urinary Incontinence Sexual Function Questionnaire [PISQ]) was used to collect preoperative sexual function data ...
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