Abstract
Uterine rupture is an obstetric catastrophe that is associated with high maternal and perinatal mortality rates. Its incidence is high in developing countries. In Nigeria, the incidence of uterine rupture continues to increase due to poverty, illiteracy, ignorance, the lack of quality obstetric care...
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PMID: 20658112
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Abstract
During the study period, there were 15,267 blood transfusions in the UMTH out of which 5,711 were for Obstetric and Gynaecological patients given a transfusion rate of 47.7% in the unit. Out of the 5711 transfusion in the obstetrics and gynaecology, 1221 were by autologous means; a rate of 21.4%. Of...
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PMID: 20499744
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Abstract
Disorders of sexual differentiation have proven difficult to treat not only because of physicians' lack of understanding regarding the determinants of sexual orientation, but also because of the psychological impact associated with sexual dysfunction. Patients with complete androgen insensitivity sy...
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PMID: 20336898
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Abstract
Surgical site infection (SSI) is the most frequent nosocomial infection among surgical patients, accounting for 1/3 of all such infections. The objective of this study was to clarify the incidence and risk factors for developing surgical site infection (SSI) and part of the various m...
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PMID: 21434298
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Abstract
Where a pregnant woman experiences trauma or has acute surgical needs there are additional concerns for the well being of both the woman and her foetus. This article explores obstetric procedures for the pregnant woman and discusses the implications for perioperative staff and midwives.
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PMID: 19591323
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Abstract
OBJECTIVE: To describe a patient with uterine rupture in the subsequent pregnancy after hysteroscopic resection of a uterine septum. DESIGN: Case report. SETTING: University hospital. PATIENT(S): A 30-year-old nulliparous woman, with a history of a first trimester spontaneous abortion, hysteroscopic...
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PMID: 19062010
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Abstract
Advanced trainees lacked confidence in a range of surgical procedures; and possible weaker areas were identified in the teaching experience of trainers. These limitations must be addressed by medical educators and training program coordinators....
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PMID: 19281586
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Abstract
OBJECTIVES: To assess the efficacy, safety, and acceptability of early termination of pregnancy by vaginal administration of a single dose of misoprostol. SETTING: Healthy women seeking abortion in an institutional research environment in a tertiary-care hospital. DESIGN: Prospective randomized cont...
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PMID: 18295212
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Abstract
More primary and secondary data are critical to measure effective coverage and to estimate the resources required to improve access to surgical services in low- and middle-income countries....
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PMID: 18958518
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Abstract
This article aims to document cefazolin (CFZ) plasma binding and its covariates during pregnancy and compare these observations with previously reported observations in nonpregnant adults. Maternal CFZ plasma samples were collected during in utero surgery. The unbound CFZ fraction was reported by me...
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PMID: 19357795
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Abstract
Interrater reliability was 0.80 for task-specific OSATS and 0.59 for the global rating scale. Intrarater reliability was poor. Construct validity was demonstrated, with senior residents scoring higher than junior residents on task-specific OSATS (13.0 vs 10.5; P = .007) and the global rating scale (...
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PMID: 19084100
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Abstract
The recommendations for endocarditis prophylaxis from the American Heart Association have changed for three main reasons: 1) most cases of endocarditis are not attributable to an invasive procedure but rather are the result of randomly occurring bacteremia from routine daily activities; 2) prophylax...
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PMID: 18978128
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Abstract
A total of 202 patients were studied. Out of these, 152 (75.2%) patients had various forms of postoperative respiratory complaints. Overall, it was observed that caesarean section patients were more likely, than gynaecology patients, to report these respiratory complications in the postoperative per...
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PMID: 19140359
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Abstract
We suggest that a planned cesarean delivery, before the onset of labor in a subsequent pregnancy, may be safer for a patient with a scarred uterus from a prior cornuostomy for an interstitial pregnancy....
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PMID: 18840182
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Abstract
We have therefore tried to assess the extent and demographics of work-related injuries sustained during training by sending an eight-item questionnaire to 418 Registrar grade trainees in the London area. A low 23.2% response rate (97/418) was obtained, despite second questionnaires being sent to ini...
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PMID: 18850418
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Abstract
We review three cases of successful uterine conservation performed in our institution....
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PMID: 18581009
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Abstract
Postpartum haemorrhage is the most common cause of major obstetric haemorrhage and is usually due to uterine atony. Pharmacological treatment has not altered much in recent years with oxytocin and ergometrine remaining first-line options. Although controversy surrounds its advantages over other uter...
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PMID: 18458542
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Abstract
A total of 90.5% of the students completed the questionnaire. Statistically more procedures were performed in the middle and late time periods than early in the year. This included the number of cervical examinations (P < or = .001), speculum examinations (P < or = .05), delivery of placentas (P < o...
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PMID: 18177827
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Abstract
Conscious sedation, used with or without peripheral or central blocks, is an elective anesthetic technique used for many outpatient procedures. The aim of this study was to evaluate the effects of a single pre-anesthetic dose of betamethasone (4 mg) on intraoperative and postoperative pain in 380 wo...
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PMID: 18443343
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Abstract
Although surgical care has not been seen as a priority in the international public health community, surgical disease constitutes a significant portion of the global burden of disease and must urgently be addressed. The experience of the nongovernmental organizations Partners In Health (PIH) and Zan...
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PMID: 18320267
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Abstract
There are great opportunities to enhance patient safety in office practice, but the pattern of medical errors and techniques to reduce their frequency appears to differ from the hospital environment. A focus on decreasing the risks of prescribing errors and tracking errors may be particularly fruitf...
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PMID: 18319126
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Abstract
Of 180 women who enrolled in the study, 170 underwent surgery and 168 returned for follow-up, with a mean follow-up of 18.2+/-6 months. Mean operating time, length of stay, and postoperative pain scores were similar between the two groups. Bladder perforations occurred more frequently in the TVT gro...
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PMID: 18310363
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Abstract
Trainees and trainers perceive OSATS to be a valuable and valid tool for the objective assessment of surgical skills in the work place. More research is required to assess their criterion-related, content, construct and predictive validity as well as their reliability in the workplace....
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PMID: 18464149
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Abstract
Acknowledgement of the importance of patient autonomy and increased patient access to information has prompted more patient - generated requests for surgical interventions not necessarily recommended by their physicians. Decision making in obstetrics and gynecology should be guided by the ethical pr...
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PMID: 18165420
PDF is available here.
Abstract
In the treatment of cervical intraepithelial neoplasia, cold knife conisation and probably both laser conisation and radical diathermy are associated with an increased risk of subsequent perinatal mortality and other serious pregnancy outcomes, unlike laser ablation and cryotherapy. Large loop excis...
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PMID: 18801868
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Abstract
Major obstetric surgery is conducted by nonphysicians in 57% of the 12,178 operations scrutinised. In district hospitals, they conducted 92% of 3246 operations. Retention of TCs and medical doctors at district hospital level differed markedly: after 7 years, 88% of the TCs remained in post compared...
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PMID: 17877775
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Abstract
The paper presents two case studies to illustrate the complexity of repairing obstetric fistula (OF) with neourethral construction when complete circumferential destruction occurred. Using fictitious names, the author describes the personal story and contexts leading to OF development and depression...
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PMID: 17765900
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Abstract
Recent studies have identified types of pelvic fractures associated with a higher risk of urethral injury. Recognition of these fractures coupled with timely radiographic imaging has facilitated the earlier diagnosis of urethral injury and ensured that serious long-term sequelae are minimized. In hi...
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PMID: 17921771
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Abstract
The 30-year cost per major obstetric surgery was $38.9 for técnicos de cirurgia and $144.1 for surgeons and obstetrician/gynaecologists. Doubling the salaries of técnicos de cirurgia resulted in a smaller but still substantial difference in cost per surgery between the groups ($60.3 versus $144.1...
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PMID: 17877677
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Abstract
We carried out a literature search regarding advice given on driving after gynaecological surgical procedures, and found no study or research on this area. We then carried out a questionnaire survey of 99 gynaecologists in Northern Ireland. We have identified wide variation in clinical practice, and...
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PMID: 17853639
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Abstract
OBJECTIVE: To review the currently available literature regarding the current management alternatives available to women with uterine myomas. DESIGN: Literature review of 198 articles pertaining to uterine myomas. RESULT(S): Many advances have been made in the management of uterine myomas. Watchful...
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PMID: 17658523
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Abstract
The dramatic increase in MOI suggests that the cost-sharing scheme decreased financial and geographical barriers to emergency obstetric care. Other positive effects on quality of care were documented but the sustainability of such a system remains uncertain in the dynamic context of Burkina Faso (de...
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PMID: 17697092
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Abstract
This paper reviews the benefits and effectiveness of hypnosis in obstetrics and labor and delivery, demonstrating significant reductions in the use of analgesics and anesthesia and in shorter Stages 1 and 2 labors. It presents empirical and theoretical rationales for use of hypnosis in preterm labor...
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PMID: 17558723
PDF is available here.
Abstract
Our technique has been applied to 4 women with postpartum hemorrhage secondary to uterine atony. Bleeding was stopped immediately by compressive sutures. The four patients had normal menstruation cycles after delivery and had new pregnancies. No woman had postoperative complications. Uterus compress...
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PMID: 17576409
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Abstract
We report the successful resuscitation of a 38-year-old woman in cardiac arrest following heterosexual intercourse 7 days after spontaneous abortion and an instrumental uterine evacuation. The collapse was thought to be due to venous air embolism (VAE). Her survival neurologically intact was attribu...
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PMID: 17291667
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Abstract
We tested 1000 sets of gloves: 675 double-glove sets and 325 single-glove sets. The highest rate of perforation (19%) occurred during major gynecologic procedures. Surgical nurses were the most likely member of the surgical team to sustain a glove injury. There was no significant difference in the t...
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PMID: 17466674
PDF is available here.
Abstract
BACKGROUND: The Obstetrics and Gynecology (OB/GYN) flight at Keesler Medical Center sheltered 36 pregnant women and their families during Hurricane Katrina to ensure that appropriate medical care would be available. Ironically, the hospital's emergency generators were destroyed during the 30-foot st...
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PMID: 17357777
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Abstract
The OSATS demonstrated construct validity as scores on the examination increased on both the OSATS-G and the OSATS-C from PGY-1 through PGY-4 (P=.001 and P=.041, respectively). Reliability indices for the OSATS were high. Eighty-one percent of the residents failed the OSATS before intervention becau...
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PMID: 17267826
PDF is available here.
Abstract
All three disposable devices were clinically suitable with respect to insertion times, success rates, oxygenation, airway and leak pressures, as well as to subjective handling and postoperative airway morbidity....
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PMID: 16895620
PDF is available here.
Abstract
We studied the trend in the number of forensic-medical examinations in trials against obstetricians and gynecologists conducted in Primorsky Region in 1997-2005. Most typical defects in obstetric-gynecological care are characterized. These cases are analysed in terms of forensic-medical practice. De...
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PMID: 17718085
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Abstract
We present a historical framework for the initiation and development of obstetrical-gynecological (OB-Gyn) surgery during the 19th century in Mexico. The importance of a new vision is underlined, and the founders of medical science, the Romanticist surgeons who initiated the teaching of modern medic...
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PMID: 17511911
PDF is available here.
Abstract
Massive postpartum haemorrhage is a major cause of maternal and fetal morbidity and mortality. Management mainstays include transfusion therapy, uterotonic agents and surgery. The "off label" use of recombinant activated factor VII appears to have an evolving role in the management of massive postpa...
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PMID: 17125989
PDF is available here.
Abstract
Fetal intrapartum operations on placental support (OOPS), also known as ex-utero intrapartum treatment (EXIT) procedures, are very rare (and often challenging) surgical techniques designed to allow partial delivery (cesarean section) of a fetus with a potentially difficult airway, with subsequent ma...
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PMID: 17458654
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Abstract
Protocols covering 1,260 complicated deliveries were analysed. The percentage of major obstetric interventions carried out in response to an absolute maternal indication was only 71%; most major obstetric interventions (97%) were caesarean sections. The most frequent indication was cephalo-pelvic-di...
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PMID: 17683590
PDF is available here.
Abstract
Out of the 8,684 OBG procedures carried out during this period there were 20 occasions of IBI directly related, with an overall incidence of 0.23%. The majority of injuries were seen during obstetric procedures (85%) and 15% during gynecological procedures. Notably 90% of them were recognized intrao...
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PMID: 17206294
PDF is available here.