Academic literature on the topic 'Obstetrics – Surgery'

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Journal articles on the topic "Obstetrics – Surgery"

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Habek, Dubravko, Goran Pavlović, and Anis Cerovac. "Pelvic packing in the treatment of severe postpartum posthysterectomiam hemorrhage." Česká gynekologie 87, no. 6 (December 23, 2022): 412–15. http://dx.doi.org/10.48095/cccg2022412.

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Introduction: Pelvic packing (PP) as a simple method of ”damage control surgery” in severe abdominopelvic hemorrhage in gynecological and obstetric surgery after emergency obstetrics or gynecological hysterectomy. Objective: To present the case of successful PP as a simple and effective method in refractory pelvic bleeding after emergent peripartum hysterectomy and severe obstetric shock with consumptive coagulopathy. Case report: Acording to laboratory findings and clinical condition in a 30-year-old (G2 P2) parturient, it was most likely an obstetric embolism with uterine rupture as the cause of severe postparum hemorrhage with disseminated intravascular coagulopathy and obstetrics hemorrhagic shock development in the described case. Pelvic packing after postpartum hysterectomy was the definitive minimally invasive and simple hemostatic procedure. Conclusion: The use of pelvic packing and obstetrics skills should be included in the protocol as a necessary, life-saving, and uncomplicated vital indication procedure. Key words: postpartum hemorrhage – obstetrics shock – emergency postpartum hysterectomy – pelvic packing
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Singh, Saddam, Ashish Pratap Singh, Anil Chouhan, and Ajay Patidar. "Prevalence of operative complications in obstetric and gynecological surgeries requiring interventions by a general surgeon and their associated risk factors: A retrospective study in a tertiary care hospital in Vindhya region." Asian Journal of Medical Sciences 13, no. 9 (September 1, 2022): 178–82. http://dx.doi.org/10.3126/ajms.v13i9.44060.

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Background: Surgical complications can occur in any surgery despite the best possible efforts, thereby affecting the prognosis. Gynecological and obstetric surgeries also result in some complications which require interventions by a general surgeon. These complications can be either causing hemodynamic instability, urinary tract injury, gastrointestinal tract injury, or infections. Aims and Objectives: The present study designed to identify and classify the various complication in obstetric and gynecological surgeries requiring interventions by a general surgeon and to correlate the various risk factors that predispose to these complications. Materials and Methods: The present retrospective study was conducted in the Department of Obstetrics and Gynecology and Department of Surgery, Shyam Shah Medical College and associated hospitals, Rewa, M.P., for 6 months from January 2021 to June 2021. Gynecological and obstetric surgeries resulting in complications requiring surgical intervention were identified and classified based on patients’ demographic characteristics, comorbidities, and type of complications. Results: A total of 1356 cases undergoing an obstetrical or gynecological procedure in the department of obstetrics and gynecology were studied. About 2.14% of the patients had some kind of intraoperative or post-operative complications, which required intervention by a general surgeon. The mean age of females having complications was 37.17±3.71 years. Overall the most common complication was surgical site infection with 48% of the total cases. Conclusion: In this present study, the incidence of surgical complications in obstetrical and gynecological surgeries, which is associated with higher morbidity postoperatively. These complications can be prevented by proper vigilance and surgical technique in high-risk patients.
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Naseeb, Shazia, Piranka Kumari, and Shaista Rashid. "Urological Injuries in Obstetrical and Gynaecological Surgery at Tertiary Care Hospital." Journal of Bahria University Medical and Dental College 12, no. 04 (October 1, 2022): 219–23. http://dx.doi.org/10.51985/jbumdc2022120.

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Objectives: To determine the frequency of urological injuries in obstetrical and gynaecological surgery. Study Design and Setting: The Cross Sectional Study was conducted at Department of Obstetrics & Gynaecology, Jinnah Postgraduate Medical Center, Karachi for duration of 6 months from 31st December 2020 to 30th June 2021. Methodology: A total of 142 patients selected between the ages of 25 to 55 years of age were included. In this study all patients were included who fulfilled the inclusion criteria undergoing obstetric(cesarean section) & gynecological surgeries (laparatomies & hysterectomies). They were enrolled after taking written and informed consent. Risk factors for urological injuries were assessed in terms of indication (risk for surgery), site of urologic injury, duration of surgery and time interval after surgery. Patients having urological injury from other than obstetric and gynecologic surgeries and those who did not give consent were excluded. Results: Age range in this study was from 25 to 55 years with mean age of 40.20 ± 6.92 years. Majority of the patients 77 (54.23%) were between 41 to 55 years of age. Mean duration of surgery was 62.16 ± 14.52 minutes. Mean time interval after surgery was 37.51± 13.89 hours. In this study, frequency of ureteral injury, urinary bladder injury and mixed injury in obstetrical and gynaecological surgery was found in 01 (0.70%), 19 (13.38%) and 01 (0.70%) patients respectively. Conclusion: This study concluded that knowledge of pelvic anatomy, careful dissection and patience in difficult cases are the key factors to anticipate and prevent injury.
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Friedland, M. "Obstetric palsy n. реrоnеі. Whitman (Surgery, Gynecology and Obstetrics, Chicago, 1922)." Kazan medical journal 19, no. 1 (August 22, 2021): 100–101. http://dx.doi.org/10.17816/kazmj78717.

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In discussing this rare phenomenon, the author considers it the result of compression of the intrapelvic segment of the sciatic nerve by a large fetal head in a narrow pelvis or traumatization with forceps.
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Hornnes, Peter. "The Danish Society of Obstetrics and Gynaecology (DSOG) and its history." Danish Journal of Obstetrics and Gynaecology 1, no. 1 (March 23, 2023): 54–64. http://dx.doi.org/10.56182/djog.v1i1.30.

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The founding of DSOG On a dark evening on October 5th, 1898, the ”Forening for Gynækologi og Obstetrik i København, Association for Gynaecology and Obstetrics in Copenhagen”, was founded at a meeting in the Fødselsstiftelsen [Institution for Delivery] in Amaliegade in Copenhagen. The association was the first association for a medical specialty in Denmark, preceding all other medical specialties. Birth assistance has evidently been practiced since the very beginning of mankind, although only much more recently as an obstetric discipline by doctors and midwives. The specialty of gynaecology was in 1898 relatively new, and the boundary between surgery and gynaecology was still being discussed. In 1960 the name of the association was changed to Danish Society of Obstetrics and Gynaecology (DSOG) and for the sake of consistency, this name will mostly be used in this narration. At the founding meeting in 1998 eighteen middle-aged or elderly men attended. New members needed to be invited - one could not just register as you do today. Two founding fathers will be emphasized. [abbreviated]
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Shamima, Mosammat Nargis, Rubayet Zereen, Nargis Zahan, Most Rowshan Ara Khatun, Nurjahan Akter, and Mohd Alamgir Hossain. "Management and Outcome of Postoperative Complications among the Patients Undergoing Common Obstetric and Gynaecological Surgery outside the RMCH." TAJ: Journal of Teachers Association 30, no. 2 (December 3, 2018): 7–12. http://dx.doi.org/10.3329/taj.v30i2.39131.

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Objective: To review the management and outcome of postoperative complications after common obstetric and gynecologic surgeries performed in outside nonacademic private hospitals (clinics) and peripheral public hospitals (districts hospitals) and later admitted in Department of Obstetrics and Gynecology of Rajshahi Medical College Hospital (RMCH). RMCH is a tertiary referral hospital where all complicated patients were referred for better management from surrounding hospital.Methodology: This Quasi-experimental study was carried out in the Department of Obstetrics and Gynecology at Rajshahi Medical College Hospital, Rajshahi, Bangladesh between July 1, 2015 and June 30, 2017. All patients admitted with post operative complications following common obstetric and gynecologic surgeries during this period were included. Patients admitted with post operative complications, where primary surgery was done in this hospital were excluded. The common obstetric and gynaecological surgeries were caesarean sections (LUCS), total abdominal hysterectomy (TAH) and vaginal hysterectomy (VH) performed outside Rajshahi Medical College Hospital.Result: During this period a total of 39,929 patients were admitted through emergency way in obstetrics and gynecology department of Rajshahi Medical College Hospital. Among them 675 patients were admitted with the complaints of post operative complications following common obstetric and gynecologic surgeries with rate being 1.7%. In 560(83%) cases surgery was done in clinics and 115(17%) cases surgery was done in district hospitals. Among the patients 580(85.9%) cases primary operation was done by non-gynaecologic surgeon and 95(14.1%) cases by gynaecologic surgeon. Caesarean section was the primary obstetric surgery in 405(60%) cases .Gynecologic surgeries included TAH in 185(27.4%) cases and VH in 85(12.6%) cases. We found 25(3.7%) patients died from these complications. Repeat surgery was done in 90(13.33%) cases. Genitourinary fistula repair was done in 41 cases (45.55%). Rests were improved by conservative management.Conclusion: Any surgical procedure carries risk of complications. Careful selection of patients with suitable indications for operations, expertise of the surgeon, good surgical technique, proper knowledge of pelvic anatomy and careful postoperative follow up can minimize recognized complications.TAJ 2017; 30(2): 7-12
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Behera, Ritanjali, and Bibekananda Rath. "Emergency obstetric hysterectomy: a two-year observational study at tertiary care center in Berhampur, Odisha, India." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 8, no. 12 (November 26, 2019): 4695. http://dx.doi.org/10.18203/2320-1770.ijrcog20195202.

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Background: Emergency obstetric hysterectomy is an unequivocal marker of severe maternal morbidity and, in many respects, the treatment of last resort for rupture uterus, severe postpartum hemorrhage (PPH) and other such life-threatening conditions. In no other gynaecological or obstetrical surgery is the surgeon in as much a dilemma as when deciding to resort to an emergency hysterectomy. On one hand it is the last resort to save a mother’s life, and on the other hand, the mother’s reproductive capability is sacrificed. This study is conducted with an aim to determine the frequency, demographic characteristics, indications, and feto-maternal outcomes associated with emergency obstetric hysterectomy in a tertiary care centre.Methods: We conducted a prospective, observational, and analytical study over a period of two years, from September 2017 till September 2019. A total of 56 cases of emergency obstetric hysterectomy (EOH) were studied in the Department of Obstetrics and Gynecology, MKCG Medical College, Berhampur.Results: The incidence of EOH in our study was 12 following vaginal delivery and 44 following caesarean section. The overall incidence was 56 per 21,128 deliveries. Uterine rupture (37.5%) was the most common indication followed by atonic postpartum hemorrhage (25%) and placenta accrete spectrum (10.7%). The most frequent sequelae were febrile morbidity (25.7%) and disseminated intravascular coagulation (21.4%). Maternal mortality was 17.1% whereas perinatal mortality was 51.7%.Conclusions: A balanced approach to EOH can prove to be lifesaving at times when conservative surgical modalities fail and interventional radiology is not immediately available. Our study highlights the place of extirpative surgery in modern obstetrics in the face of rising rates of caesarean section and multiple pregnancies particularly in urban settings in developing countries.
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Narang, Ridhi, Gurpreet K. Nandmer, and Rekha Sapkal. "Factors affecting post-operative wound gaping and their outcome in obstetrical and gynecological abdominal surgeries." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 6, no. 4 (March 30, 2017): 1530. http://dx.doi.org/10.18203/2320-1770.ijrcog20171422.

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Background: Postoperative wound gaping is a very traumatic event both for patient and treating doctor as it adds economical and psychological burden to the patient and the family. This study was conducted with the aim to find out the various factors affecting postoperative wound gaping and their outcome in obstetrical and gynecological abdominal surgeries.Methods: This Retrospective observational study was carried out in the Department of Obstetrics and Gynecology at Peoples College of medical sciences and research Centre, Bhopal, India from 1st May 2014 to 31st October 2015.Results: A total of 1310 patients underwent major obstetrical and gynecological abdominal surgeries, out of which 29 cases developed postoperative wound gaping with the percentage being 2.2%. The rate was found to be higher among the emergency obstetric case (51.7%). Associated risk factors being anemia (72%), obesity (65%), hypoproteinemia (62%) and diabetes (52%) among gynecological surgeries and prolonged rupture of membranes (53%), emergency LSCS and previous LSCS (47%) among the obstetric cases. The common causative organism was found to be E. coli (28.5%) followed by acinetobacter and pseudomonas.Conclusions: Anemia, obesity, hypoproteinemia, diabetes, history of previous surgeries, emergency operations are the high risk factors for wound gaping in both obstetrics and gynecology surgeries. Correction of anemia, diabetes preoperatively, high protein diet and prevention of other risk factors like avoiding prolonged labor, use potent antibiotics in cases of rupture of membrane, timely intervention, provide well equipped wards with clean environment would be rewarding for better outcome of the surgery.
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Vinchon, Matthieu. "Ambroise Paré, surgery, and obstetrics." Child's Nervous System 25, no. 6 (December 5, 2008): 639–40. http://dx.doi.org/10.1007/s00381-008-0775-5.

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Harold, Ellis. "Sir James Young Simpson: pioneer of anaesthesia in childbirth." British Journal of Hospital Medicine 81, no. 4 (April 2, 2020): 1–2. http://dx.doi.org/10.12968/hmed.2020.0108.

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This year is the 150th anniversary of James Young Simpson's death in 1870. As well as being responsible for the introduction of general anaesthesia into obstetric practice, he made other important contributions to obstetrics and also to surgery as well as in the control of hospital infection.
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Dissertations / Theses on the topic "Obstetrics – Surgery"

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Gooding, Matthew Simon. "Laparoscopic surgery for rectovaginal endometriosis : a retrospective descriptive study from a single centre." Thesis, Stellenbosch : Stellenbosch University, 2014. http://hdl.handle.net/10019.1/95818.

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Thesis (MMed)--Stellenbosch University, 2014.
ENGLISH ABSTRACT: Background Rectovaginal endometriosis accounts for 5-10% of cases of endometriosis and constitutes one of the forms of deep infiltrating endometriosis. . Deep infiltrating endometriosis involving the bowel is most frequently encountered in the rectovaginal septum and is considered to be the most severe form of the disease and the most difficult to treat surgically owing to its invasive nature. There are currently no studies on this topic pertaining to a South African context. Study Objective To document the outcomes in 112 patients undergoing laparoscopic surgery for rectovaginal endometriosis. Methods A retrospective audit of 112 women undergoing laparoscopic surgery for rectovaginal endometriosis at Vincent Pallotti's Aevitas Fertility Clinic was undertaken. Eligibility was established by identifying women from a surgical database based on medical aid coding as well as a review of individual case notes. Patients were telephonically contacted to gather any missing information and to assess further outcomes. Design Classification Study number S11/11/036. This study was approved by the Health Research Ethics Committee at Stellenbosch University and was conducted according to ethical guidelines and principles of The International Declaration of Helsinki, South African Guidelines for Good Clinical Practice and the Medical Research Council (MRC) Ethical Guidelines for Research. Setting Vincent Pallotti’s Aevitas Reproductive Medicine Clinic Patients 112 consecutive patients suffering from rectovaginal endometriosis Interventions: Laparoscopic surgery for treatment of deep infiltrating, namely rectovaginal endometriosis Measurements and Main Results Primary outcome: Complications of laparoscopic surgery for rectovaginal endometriosis included one patient requiring a blood transfusion (0,9%), three cases of rectovaginal fistula (2,7%), two bowel injuries (1,8%)-detected and managed intra-operatively , one ureteric injury (0,9%), one pelvic abscess (0,9%) and the need for three urgent re-operations (2,68%). Secondary outcome: Of the 71 patients desiring fertility 39 (54,9%) fell pregnant of which 27 (69,2%) were spontaneous. Conclusion To our knowledge this is the first study assessing surgical outcomes in the management of deep infiltrating endometriosis from South Africa. These outcomes are in keeping with complication rates quoted in the international literature. Most of the surgery was performed using the shaving technique, in keeping with international trends, whilst fourteen cases required the performance of a segmental resection owing to extensive disease. In trained hands laparoscopic surgery is a valid management option in the management of rectovaginal endometriosis.
AFRIKAANSE OPSOMMING: Agtergrond Vyf tot tien persent van alle endometriose gevalle kan toegeskryf word aan rektovaginale endometriose. Dit word beskou as een van die vorme van diep infiltrerende endometriose. Diep infiltrerende endometriose van die derm kom meestal in die rektovaginale septum voor en word as die ernstigste vorm van die siekte beskou. Dit is die moeilikste om chirurgies te behandel weens sy indringende aard. Daar is tans geen studies beskikbaar oor hierdie onderwerp in die Suid-Afrikaanse konteks nie. Doel van die studie Om die uitkomste te dokumenteer van 112 pasiënte wat laparoskopiese chirurgie vir rektovaginale endometriose ondergaan het. Metodes 'n Retrospektiewe oudit is by Vincent Pallotti se Aevitas Fertiliteitskliniek gedoen van 112 vroue wat laparoskopiese chirurgie vir rektovaginale endometriose ondergaan het. Geskikte pasiënte is geïdentifiseer vanaf 'n chirurgiese databasis gebaseer op mediese kodering, sowel as vanaf 'n oorsig van pasiënt notas. Pasiënte is telefonies genader om ontbrekende inligting in te samel en verdere uitkomste te evalueer. Klassifikasie Ontwerp Studie nommer S11/11/036. Hierdie studie is deur die Gesondheids Navorsing Etiese Komitee van die Universiteit van Stellenbosch goedgekeur en uitgevoer volgens die etiese riglyne en beginsels van die Internasionale Verklaring van Helsinki, Suid-Afrikaanse Riglyne vir Goeie Kliniese Praktyk en die Mediese Navorsingsraad (MNR) se Etiese Riglyne vir Navorsing. Instelling Vincent Pallotti se Aevitas Reproduktiewe Medisyne Kliniek Pasiënte 112 agtereenvolgende pasiënte met rektovaginale endometriose. Ingrepe: Laparoskopiese chirurgie vir die behandeling van diep infiltrende, rektovaginale endometriose. Resultate Primêre uitkoms: Komplikasies van laparoskopiese chirurgie vir rektovaginale endometriose het ingesluit: een pasiënt wat 'n bloedoortapping benodig het (0,9%), drie gevalle van rektovaginale fistels (2,7%), twee dermbeserings (1,8%) - intraoperatief gediagnoseer en herstel, een ureter besering (0,9%), een bekkenabses (0,9%) en drie dringende herhaal operasies (2,68%). Sekondêre uitkoms: Van die 71 pasiënte wat fertiliteit verlang het: 39 (54,9%) het swanger geraak, waarvan 27 (69,2%) spontaan was. Gevolgtrekking Sover ons kennis strek, is dit die eerste Suid-Afrikaanse studie waar daar na die chirurgiese uitkomste in die behandeling van diep infiltrerende endometriose gekyk is. Hierdie uitkomste stem ooreen met internasionale literatuur in terme van komplikasie syfers. Die meeste van die operasies is uitgevoer met behulp van die skeer-tegniek, in ooreenstemming met internasionale tendense, terwyl veertien gevalle segmentele reseksies vereis het weens uitgebreide siekte. In goed opgeleide hande is die laparoskopiese behandeling van rektovaginale endometriose ‘n geldige behandelings opsie.
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Janse, van Rensburg Karina. "Pre-operative urodynamic studies : is there value in predicting post-operative stress urinary incontinence in women undergoing prolapse surgery." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/85662.

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Thesis (MMed)-- Stellenbosch University, 2013.
ENGLISH ABSTRACT: Aims of the study Urodynamic studies (UDS) have been suggested to be performed as part of the pre-operative work-up of patients undergoing prolapse surgery. Some women with POP have occult stress urinary incontinence (OSUI) and even if subjectively continent, have a higher incidence of developing de novo stress urinary incontinence (SUI). The aim of this study was to describe the outcome of a group of patients who had pre-operative UDS and manual prolapse reduction. Methods This was a retrospective descriptive study including all women who had prolapse surgery during the period January 2006 to December 2011. Patients received routine pre-operative UDS and manual reduction of prolapse, performed at maximum bladder capacity determined by UDS. Patients demonstrating urodynamic SUI or OSUI were offered a concomitant anti-incontinence procedure. Post-operative follow-up data included symptoms of SUI and clinical evidence of SUI. Results The final group consisted of 131 women. The mean age of the patients was 57 years (range 33 to 79) and parity 3.6 (range 0 to 7). The mean body mass index was 32 (range 19 to 53). Twenty-four (18.3%) women had demonstrable SUI on clinical examination at initial presentation in the clinic. At the time of urodynamic studies, forty patients (30.5%) had evidence of SUI determined by either UDS and/ or cough test in the standing position at maximum bladder capacity. Ninety-one women (69.5%) had no evidence of UI on UDS, of which 20(15.3%) demonstrated OSUI (SUI on manual reduction of prolapse at maximal bladder capacity determined by UDS). Of the 40 women with UI on UDS, 36 had 1-step surgery (combination of anti-incontinence procedure and prolapse repair) and 4 had prolapse surgery alone. Of the 20 women with OSUI on UDS, 16 had 1-step (combined) surgery and 4 prolapse surgeries only. Of the 4 who had prolapse surgery alone, 3 complained of post-operative SUI. In the group with no SUI on UDS and manual reduction of POP, 69 of the 71 women had follow-up data. Only 1 had demonstrable SUI on examination. The manual reduction test had a sensitivity of 42.9% and a specificity of 98.5% (95% CI, 92.0-99.9%). The positive predictive value was 75.0% (95% CI, 19.4-99.3%), with a high negative predictive value of 94.4% (95% CI, 86.2-98.8%). Conclusion The numbers in our study are too small to determine sensitivity and positive predictive value of UDS and manual prolapse reduction for the detection of OSUI. However, our data shows promise in identifying POP patients without OSUI, which is a complement of the hypothesis. We recommend that UDS can be performed pre-operatively in women undergoing prolapse surgery, to identify patients with urodynamic stress incontinence. Manual reduction of the prolapse at maximum bladder capacity can then be done to identify a subgroup of patients without OSUI. Future research is needed on the true predictive value of reduction stress testing with larger numbers.
AFRIKAANSE OPSOMMING: Doel van die studie Urodinamiese studies (UDS) word voorgestel as deel van die pre-operatiewe ondersoeke voor prolaps chirurgie gedoen word. Sommige vroue met genitale prolaps het verborge druklek, en selfs as hulle subjektief kontinent is, het hulle ‘n groter insidensie van de novo druklek. Die doel van die studie was om die uitkoms van ‘n groep pasiënte wat pre-operatiewe UDS en manuele prolaps reduksie gehad het, te beskryf. Metodes Die studie was ‘n retrospektiewe beskrywende studie. Al die pasiënte wat prolapse chirurgie in die tydperk Januarie 2006 tot Desember 2011 gehad het, is ingesluit. UDS en manuele prolaps reduksie tydens maksimale blaaskapasiteit, bepaal deur UDS, was deel van die roetine pre-operatiewe ondersoeke. In die gevalle waar urodinamiese druklek of verborge druklek demonstreer is, is die opsie van ‘n meegaande prosedure vir kontinensie tydens prolaps chirurgie aangebied. Post-operatiewe opvolg inligting het simptome van druklek en kliniese bewys van druklek ingesluit. Resultate Die finale groep was 131 vroue reikwydte. Die gemiddelde ouderdom van die pasiënte was 57 jaar (reikwydte 33 - 79) en pariteit 3.6 (reikwydte 0 - 7). Die gemiddelde liggaamsmassa indeks was 32 (reikwydte 19 - 53). Vier-en-twintig (18.3%) vroue het aantoonbare druklek gehad met kliniese ondersoek tydens die eerste kliniek afspraak. Tydens UDS het 40(30.5%) pasiënte druklek getoon tydens UDS en/ of hoestoets in die staande posisie teen maksimale blaaskapasiteit. Een-en-negentig (69.5%) het geen tekens van urinêre inkontinensie tydens UDS demonstreer nie, waarvan 20(15.3%) verborge druklek demonstreer het (druklek met reduksie van prolapse tydens maksimale blaaskapasiteit, bepaal deur UDS). Veertig pasiënte het urodinamiese druklek gehad, waarvan 36 een-stap chirurgie (‘n kombinasie van prolaps herstel en meegaande kontinensie prosedure) en 4 prolaps chirurgie alleenlik gehad het. Uit die 20 vroue met verborge druklek tydens UDS, het 16 een-stap (kombinasie) chirurgie en 4 prolaps chirurgie alleen gehad. Uit die 4 wat prolaps chirurgie alleen gehad het, het 3 post-operatiewe klagtes van druklek gehad. In die groep wat geen inkontinensie tydens UDS en manuele prolaps reduksie gehad het nie, het 69 van die 71 vroue opvolg data gehad. Druklek kon net by een pasiënt met ondersoek demonstreer word. Die manuele reduksie toets het ‘n sensitiwiteit van 42.9% en ‘n spesifisiteit van 98.5% (95% CI, 92.0-99.9%) gehad. Die positiewe voorspellingswaarde was 75.0% (95% CI, 19.4-99.3%), en die negatiewe voorspellingswaarde was 94.4% (95% CI, 86.2-98.8%). Gevolgtrekking Die getalle in ons studie was te min om te bepaal wat die sensitiwiteit en positiewe voorspellingswaarde van UDS and manuele prolaps reduksie is om verborge druklek te demonstreer. Die belowende data om pasiënte te identifiseer met genitale prolaps sonder verborge druklek (‘n kompliment van die hipotese). UDS kan pre-operatief gedoen word in pasiënte wat prolapse herstel chirurgie benodig, om pasiënte met urodinamiese druklek te identifiseer. Manuele reduksie van die prolaps tydens maksimum blaas kapasiteit kan dan volg, om ‘n subgroep van pasiente sonder verborge druklek, uit te ken. Verdere navorsing, met groter getalle word benodig om die werklike voorspellende waarde van die reduksie toets te ondersoek.
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Nüssler, Emil Karl. "Surgical quality control of minimally invasive procedures, fast-track surgery and implant technology in gynaecological surgery in Sweden." Licentiate thesis, Umeå universitet, Obstetrik och gynekologi, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-157812.

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Internationally as well as in Sweden, efforts for improvement in gynaecological surgery in recent decades have mainly focused on three new treatment concepts: (1) Use of minimally invasive procedures: since there is an interdependency between the extent of surgical trauma and the risk for adverse outcome, increased use of supposedly atraumatic endoscopic procedures has revolutionized several aspects of surgical care (2) A multimodal approach to eliminate harmful procedures in the peri-operative process based on evidence-based principles (3) Introduction of implants to support damaged tissue with synthetic mesh in incontinence and pelvic organ prolapse patients. Research question 1: Is introduction of a minimally invasive operation enough per se or is the measured improvement mediated by elimination of harmful procedures in the perioperative process? Findings: Our study (Paper I) indicates that by applying a multimodal intervention programme for the pre- and postoperative care of patients undergoing supravaginal hysterectomy, the surgical procedure per se is of less importance than generally considered. Patient-related parameters such as length of postoperative hospital stay, number of days at home with need of painkillers, number of days before return to normal activities, and patient satisfaction did not differ between patients undergoing the laparoscopic procedure and patients undergoing abdominal supravaginal hysterectomy. When evaluating a new and presumably improved operative procedure against an established standard procedure, it is mandatory and of fundamental importance that the two methods are aligned in terms of perioperative care provided. Research question 2: Under which circumstances can it be assumed that a new surgical procedure showing promising efficacy in one setting can be reproduced with similar results in a different clinical setting (Paper I)? Findings: The operating surgeons concluded that, in their hands and under local conditions, laparoscopic technique for supravaginal hysterectomy was not superior to traditional open hysterectomy and stopped using laparoscopic technique. It seems necessary, prior to routine use, to monitor, using scientific tools, whether the advantages described in the literature are achievable under local conditions. Research question 3: Do expected advantages of implants outweigh the unwanted effects and complications caused by implants in operations for recurrent cystocele (Paper II)? Findings: Mesh has better durability but more (minor) complications. It is not possible to determine whether mesh is "generally better" than native tissue operation. Some may focus on the improved durability, others on the increased risks. The surgeon must make a risk assessment for each individual case. The patient must be sufficiently informed to understand the risks and make a personal, informed decision whether she wants an augmentation by implant. Essential for this process is a clear, comprehensible picture of both desired and unwanted effects of the planned surgery. In this context, studies like ours might be of use.
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Berry, Margaret 1951. "Effect of high incubator humidity on hydration associated morbidity for very premature infants." Thesis, McGill University, 1997. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=20803.

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Humidifying infant incubators facilitates heat retention, but entails an infection risk from microbial humidifier contamination. The Royal Victoria Hospital nursery was recently reequipped with steam humidity source incubators and converted to incubator humidification. An observational (before-after) study investigated the association between incubator humidification and hypernatremia and (secondarily) other hydration associated outcomes in very premature infants.
Thirty-one incubator humidification and 60 non-humidification period infants were compared. Mean gestational age was 25.83 weeks for both groups. Mean highest serum sodium values were 143.5 (SD 9.4) and 152.9 (SD 4.9) mEq/l respectively (p < 0.001). Differences persisted after adjustment for confounding by age of placement in incubators, and in spite of fluid reduction in the D humidification period. Of infants with umbilical lines 2/16 and 33155 respectively attained serum potassium measurements over 6.9 mEq/l (p = .04). Overhydration outcomes did not differ, but power was limited and confounding was problematic for these analyses.
In summary, incubator humidification is associated with decreased hypernatremia and hyperkalemia in very premature infants.
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McAllister, Stacy L. "Peripheral neural sprouting contributes to endo-induced vaginal hyperalgesia in a rat model of endometriosis." Thesis, The Florida State University, 2015. http://pqdtopen.proquest.com/#viewpdf?dispub=3681750.

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Endometriosis, defined by ectopic growths of uterine tissue, is considered an enigma because it is unknown how or even if these abnormal growths contribute to the painful conditions including dysmenorrhea, dyspareunia, and chronic pelvic pain that often accompany the disease. Many clinicians and biomedical scientists assume that the amount of ectopic growth (cysts) predicts the presence or severity of pain symptoms, even though considerable evidence suggests that this assumption is unwarranted. Studies from our laboratory using a rat model of surgically-induced endometriosis (ENDO) demonstrated for the first time that the cysts develop a sensory and sympathetic nerve supply. This discovery gave rise to the hypothesis that this newly-sprouted innervation of the cysts is a significant contributor to the development (i.e., generation) and maintenance of painful symptoms. One of these common symptoms, studied here, is vaginal hyperalgesia (often called dyspareunia in women). The purpose of this dissertation was to use a combination of immunohistochemical, physiological, and behavioral methods to test various aspects of this hypothesis.

In the first study, the developmental time course of cyst innervation (sensory and sympathetic) and ENDO-induced vaginal hyperalgesia was examined over a 10 week period post-ENDO. It was found that rudimentary innervation appears within the cysts at 2 weeks post-ENDO, and becomes active at 3 weeks post-ENDO. Between 4 and 5 weeks post-ENDO, vaginal hyperalgesia becomes significant, but is highly variable as the innervation increases and approaches maturity. By 8 to 10 weeks post-ENDO the cyst innervation and hyperalgesia have both matured completely, plateaued and stabilized. Based on these findings, the developmental timeline was divided into three phases: INITIAL (1-2 weeks post-ENDO), TRANSITIONAL (4-6 weeks post-ENDO), and ESTABLISHED (8-10 weeks post-ENDO). In each phase, characteristics of the cyst innervation and vaginal hyperalgesia were found to be as follows: INITIAL, no innervation and no vaginal hyperalgesia; TRANSITIONAL, immature but active innervation and significant but highly variable hyperalgesia; ESTABLISHED, mature innervation and stabilized hyperalgesia both of which varied with the estrous cycle.

Then, in each of the three phases, the contribution of the cysts (and their innervation) to ENDO-induced vaginal hyperalgesia was tested, by removing the cysts and assessing the effect on the development and maintenance of the vaginal hyperalgesia. In the TRANSITIONAL phase, the relationship between the severity of ENDO-induced vaginal hyperalgesia and the innervation of the cysts, eutopic uterus, and vaginal canal was also assessed.

The effect of cyst removal on ENDO-induced vaginal hyperalgesia in the INITIAL phase prevented the development of vaginal hyperalgesia. In the TRANSITIONAL phase, cyst removal did not significantly alleviate the vaginal hyperalgesia developed prior to cyst-removal, but, prevented its future development. In the ESTABLISHED phase, cyst removal completely alleviated the vaginal hyperalgesia. Further, in the TRANSITIONAL phase, innervation of the cysts (sensory and sympathetic) and innervation of the vaginal canal (sympathetic only) significantly correlated with severity of ENDO-induced vaginal hyperalgesia.

Overall, results from these studies strongly support the general hypothesis that the innervation of the cysts contributes to ENDO-induced vaginal hyperalgesia. Specifically, the cyst innervation likely contributes to the development , severity, and maintenance of ENDO-vaginal hyperalgesia. Importantly however, the varying effects of cyst removal suggest that mechanisms by which the innervation operates to contribute to the vaginal hyperalgesia change during its progression through the three phases from peripheral sensitization to peripherally-independent then peripherally-dependent, hormonally-modulated central sensitization. Thus changes, which emerge most clearly in the TRANSITIONAL phase, could help explain the poorly-understood, clinically-challenging issue on how pain transitions from an acute to a chronic problem, not only in endometriosis but also in other chronic pain conditions.

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Kalim, Mahnaz. "A randomised study to evaluate two different skin closure techniques : subcuticular sutures vs. staples : an investigation into patient satisfaction." Thesis, Stellenbosch : Stellenbosch University, 2012. http://hdl.handle.net/10019.1/71777.

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Thesis (MMed)--Stellenbosch University, 2012.
ENGLISH ABSTRACT: OBJECTIVE The purpose of the study is to establish the best method of wound closure with regards to patient satisfaction that includes wound cosmesis and pain. STUDY DESIGN One hundred patients were randomised to two groups for the closure of abdominal wounds; one group had subcuticular sutures and the other staples. They were followed up at 6 weeks. The primary outcome was patient satisfaction that includes wound cosmesis and pain. The secondary outcome was wound complications. RESULTS In women undergoing abdominal operations there was no difference as regards the patient satisfaction in both the groups, subcuticular sutures n= 51 vs. staples n=49 (P = 0.76). CONCLUSION Our study suggest that there is no statistically significant difference in the methods of wound closure, subcuticular sutures vs. staples as regards the patient satisfaction and the appearance of the scar leaving the decision in the hands of the surgeon to choose any method according to their own personnel preference and availability.
AFRIKAANSE OPSOMMING: NAVORSINGSDOEL Die fokus van hierdie projek is om vas te stel wat die beste metode van vel sluiting is ten opsigte van pasiënt bevrediging ten opsigte van wond voorkoms en pyn. METODES Een honderd pasiënte is ewekansig verdeel tot velsluiting van abdominale wonde met subkutane oplosbare steke of velhakies. Evaluasie is gedoen tydens ‘n opvolg besoek 6 weke na chirurgie. Die hoof uitkoms was pasiënt tevredenheid. Evaluasie van wond komplikasies is as sekondêre uitkoms beskryf. RESULTATE Vroulike pasiënte wat ‘n Pfannenstiel velinsnyding ondergaan toon geen verskil in pasiënt tevredenheid wanneer subkutane steke (n = 51) met velhakies (n = 49) vergelyk word nie (P = 0.76). SAMEVATTING Ons projek het geen statisties beduidende verskil getoon ten opsigte van pasiënt tevredenheid of wond voorkoms met 6 weke opvolg nie. Dit laat dus die besluit by die chirurg om metode van velsluiting te kies afhangend van voorkeur en toerusting beskikbaarheid.
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Johnson, Kenneth Clark. "First trimester anticonvulsant therapy and the risk of congenital malformation in the offspring of women with epilepsy." Thesis, McGill University, 1992. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=39555.

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The purpose of this thesis is two-fold: (1) to refine understanding of the relationship between anticonvulsant therapy during the first trimester of pregnancy in women with epilepsy and the risk of congenital malformation among their offspring; and (2) to assess the utility of the Saskatchewan Prescription Drug and Hospital Services databases for studies of maternal drug use and certain reproductive outcomes.
In the first meta-analysis the malformation risks associated with the use of anticonvulsants in general by women with epilepsy were quantified and clarified. Comparison of the congenital malformation risk among offspring of mothers with epilepsy with first trimester anticonvulsant exposure ("exposed") relative to offspring of non-epileptic parents yielded a summary estimate of relative risk (RR) of 2.6 (95% confidence interval (CI) 2.1-3.2). (All RR's in this abstract are study-stratified Mantel-Haenszel summary estimates.) Congenital malformation risk among the offspring of exposed women with epilepsy compared to unexposed women with epilepsy yielded a summary RR of 2.9 (CI = 2.0-4.2). No evidence of increased risk to unexposed women with epilepsy compared to non-epileptic women was evident (RR = 0.9, CI = 0.5-1.6).
In the second meta-analysis the risks associated with specific types of anticonvulsant therapy were qualitatively synthesized. The analysis demonstrated the inadequacies of many study reports--vague descriptions of methods often restricted assessment of study quality and incomplete reporting of results as largely responsible for restricting the analysis to 31 studies. Women with epilepsy treated with anticonvulsant monotherapy experienced increased risk of congenitally malformed children relative to both unexposed women with epilepsy (RR = 1.8, CI = 0.8-4.8), and unexposed non-epileptic women (RR = 2.5, CI = 1.8-4.0). Insufficient data were available to demonstrate statistically significant differences in malformation risk among specific commonly-used anticonvulsant monotherapies, although phenobarbital and carbamazepine appeared to have the lowest risks. Two-drug therapy was associated with a 20% increase in risk relative to monotherapy, but three-drug therapy was associated with more than twice the risk of one-drug therapy (RR = 2.2, CI = 1.3-3.7). Although the potential role of confounding by type and severity of epilepsy could not be evaluated, the analysis suggests that avoiding therapy with three or more anticonvulsants during the first trimester would be prudent.
The second component of the thesis was a large record linkage study utilizing information from the databases of Saskatchewan Health. An essentially population-based database of maternal drug use and reproductive outcomes was created which included 104,534 livebirths and 13,685 non-livebirth outcomes occurring between April 1977 and March 1984 linked to 299,152 prescriptions dispensed to the mothers in the year preceding the pregnancy outcome. A study of anticonvulsant use during pregnancy and birth outcome was completed using the created database. The study yielded results with respect to congenital malformation risk generally consistent with the conclusions or the meta-analyses.
Evaluation of the database of maternal drug use and reproductive outcomes raised questions about the utility of Saskatchewan Health's databases for pharmacoepidemiologic research into congenital malformations. (Abstract shortened by UMI.)
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Wiley, Lisa Maureen. "An Exploration of Power Within the Student-Preceptor Relationship of Direct-Entry Midwifery Students in the United States." Thesis, Bastyr University, 2014. http://pqdtopen.proquest.com/#viewpdf?dispub=1551912.

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It is widely acknowledged that the preceptorship model is the primary mode of transmission of clinical knowledge within the profession of midwifery. It is natural that a power imbalance resides between preceptor and student; however, research has revealed that this inequality bears not only the potential for facilitating the conveyance of wisdom, but as well for mishandling. The concept of power within the student-preceptor relationship of Direct-Entry Midwives (DEMs) within the U.S. has not been explored through existing literature, despite the fact that increased understanding of this educational relationship may impact the institution of DEM education. Qualitative inquiry was conducted in collaboration with individuals who recently concluded a course of DEM education, and phenomenological analysis of the findings was performed. A summary of themes was compiled, eliciting insight into the nature of power within this relationship and as well the implications of this dynamic upon the profession.

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Pereira, Caetano. "Task-shifting of major surgery to midlevel providers of health care in Mozambique and Tanzania a solution to the crisis in human resources to enhance maternal and neonatal survival /." Stockholm, 2010. http://diss.kib.ki.se/2010/978-91-7409-826-6/.

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Molloy, Doreen. "Saying ‘No’: A biographical analysis of the experiences of women with a genetic predisposition to developing breast/ovarian cancer who reject risk reducing surgery." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2015. https://ro.ecu.edu.au/theses/1713.

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Background: Genetic technologies have identified some of the genes implicated in cancer susceptibility. Women with mutations in breast/ovarian cancer-susceptibility genes (BRCA1 and 2) have a lifetime combined risk of breast/ovarian cancer of more than 80%. Risk reducing surgery (RRS) reduces cancer risk by as much as 90% in high risk populations. Despite this, some BRCA1/2 mutation-positive women say no to RRS. Purpose: To illuminate an understanding of why women at high risk of developing breast/ovarian cancer say no to risk reducing surgery (RRS). Design: Denzin’s (1989) interpretive biography was combined with Dolby-Stahl’s (1985) literary folkloristic methodology to provide a contextualised narrative of the life experiences of six high risk women who said no to RRS. The participants’ stories were captured through semi-structured interviews then read and interpreted through the lenses of three literary theories namely Marxist, Foucauldian and Feminist. Findings: Different understandings of risk were central to the decision to say no to RRS. RRS was understood as a risk to body and self which superseded the genetic risk of cancer. However despite having the strength to keep their still-healthy bodies intact, the participants benchmarked their decisions to say no against the dominant discourse on cancer risk, leaving them in an unending state of flux as to whether they had made the right decision. The participants shared a genetic pessimism but there also existed an emergent private folklore which illuminated how they attempted to make sense of their experiences and negotiate the conflicts and contradictions thrown up by competing discourses. Conclusions: The relationship between genetic testing and cancer prevention strategies is not straightforward and genetic information has the potential to harm as well as help high risk women. It is important health care providers approach this area from the viewpoints of those directly involved since without understanding; strategies to support these women may be ineffective.
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Books on the topic "Obstetrics – Surgery"

1

J, Apuzzio Joseph, Vintzileos Anthony M, and Iffy Leslie 1925-, eds. Operative obstetrics. 3rd ed. London: Taylor & Francis, 2006.

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B, Stromme William, Zuspan Frederick P. 1922-, and Quilligan Edward J. 1925-, eds. Operative obstetrics. 5th ed. Norwalk, Conn: Appleton & Lange, 1988.

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O'Grady, John Patrick, and Martin L. Gimovsky. Operative obstetrics. 2nd ed. Cambridge: Cambridge University Press, 2008.

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1945-, O'Grady John Patrick, and Gimovsky Martin L, eds. Operative obstetrics. 2nd ed. Cambridge: Cambridge University Press, 2008.

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V, Hankins Gary D., ed. Operative obstetrics. East Norwalk, Conn: Appleton & Lange, 1995.

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C, Morrison John, and O'Sullivan Mary Jo, eds. Surgical obstetrics. Philadelphia: Saunders, 1992.

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Malhotra, Narendra. Operative obstetrics and gynecology. 2nd ed. New Delhi: Jaypee Brothers Medical Publishers (P) Ltd, 2014.

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Baskett, Thomas F. Munro Kerr's operative obstetrics. Edinburgh: Saunders/Elsevier, 2007.

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1925-, Iffy Leslie, Apuzzio Joseph J, and Vintzileos Anthony M, eds. Operative obstetrics. 2nd ed. New York: McGraw-Hill, Health Professions Division, 1992.

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Fund, United Nations Population, ed. Task-shifting on integrated emergency surgery & obstetrics: Ethiopia's experience. Ethiopia: UNFPA, 2015.

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Book chapters on the topic "Obstetrics – Surgery"

1

Mandigo, Morgan, and Reinou S. Groen. "Gynecology and Obstetrics." In Global Surgery, 357–95. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-49482-1_17.

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Weatherill, Colin. "Rural Obstetrics and Gynaecology." In Rural Surgery, 425–31. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-540-78680-1_54.

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Lindley, Kathryn. "Cardiac Surgery in Pregnancy." In Cardio-Obstetrics, 168–72. First edition. | Boca Raton : CRC Press, 2020.: CRC Press, 2020. http://dx.doi.org/10.1201/9780429454912-19.

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Arnold, Kate C., and Caroline J. Flint. "Bariatric Surgery and Pregnancy." In Obstetrics Essentials, 95–99. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-57675-6_15.

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Pereira, Bruno M., and Gustavo P. Fraga. "Obstetrics-Gynecology Emergencies." In Acute Care Surgery Handbook, 229–55. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-15341-4_13.

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Kato, Kazuyoshi, and Nobuhiro Takeshima. "Intestinal Surgery." In Comprehensive Gynecology and Obstetrics, 379–92. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-13-1519-0_25.

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Mapara, Rahee R., and Ruth M. Cochrane. "Obstetrics and Gynaecology." In Introduction to Surgery for Students, 297–309. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-43210-6_23.

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Campbell, E. M. "Gynaecological surgery." In AIDS and Obstetrics and Gynaecology, 293–96. London: Springer London, 1988. http://dx.doi.org/10.1007/978-1-4471-3150-2_42.

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Onda, Takashi. "Interval Debulking Surgery." In Comprehensive Gynecology and Obstetrics, 393–405. Singapore: Springer Singapore, 2019. http://dx.doi.org/10.1007/978-981-13-1519-0_26.

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Abate, V., G. Spallone, A. Stinchi, and V. Abate. "The Importance of Endoscopic Surgery." In Gynecology and Obstetrics, 623–25. Berlin, Heidelberg: Springer Berlin Heidelberg, 1986. http://dx.doi.org/10.1007/978-3-642-70559-5_215.

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Conference papers on the topic "Obstetrics – Surgery"

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Ding, Ai-Hua. "Application of laser in obstetrics and gynecology." In 1997 Shanghai International Conference on Laser Medicine and Surgery, edited by Jing Zhu. SPIE, 1998. http://dx.doi.org/10.1117/12.330133.

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Kirillova, Tatyana Sergeevna, Lyubov Sergeevna Kostrykina, and Ekaterina Anatolievna Gaydenger. "QUELQUES ASPECTS DE L'HISTOIRE DE LA CHIRURGIE." In Themed collection of papers from Foreign International Scientific Conference «Science and innovation in the framework of the strategic partnership between Algeria and Russia» by HNRI «National development» in cooperation with the University of Science and Technology Houari Boumediene. April 2024. Crossref, 2024. http://dx.doi.org/10.37539/240425.2024.19.54.006.

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A. Pare, talanted person in many aspects of the human activity, made a great contribution to the development of medicine as a science, especially in such its important branches as surgery and obstetrics. He is considered to be the founder of modern surgery and obstetrics. A. Pare, personne talentueuse dans de nombreux aspects de l'activité humaine, a grandement contribué au développement de la médecine en tant que science, en particulier dans ses branches importantes telles que la chirurgie et l'obstétrique. Il est considéré comme le fondateur de la chirurgie et de l'obstétrique modernes.
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Laudato, Renee Leen Magcale, and Renee Vina G. Sicam. "Minimally invasive surgery practice: a survey among trainees of obstetrics and gynecology in a tertiary hospital in Manila." In ASGO 2023. Korea: Korean Society of Gynecologic Oncology, 2024. http://dx.doi.org/10.3802/jgo.2024.35.s1.0134.

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Pandher, Dilpreet K. "To find the prevalence of female genital tract malignancies in a tertiary care hospital." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685376.

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Genital tract and breast are two most common sites of malignancy in females. Out of the genital tract malignancies, carcinoma cervix is so far found to be the commonest followed by ovary and endometrium. In developed countries, carcinoma cervix incidence is comparatively quite low due to good regular screening of females. One year review of patients was done, who underwent definitive/debulking surgery for a diagnosed malignant pathology of the genital tract, in obstetrics and gynaecology department of Govt medical College and Hospital, Chandigarh. Total 62 patients were operated, most common indication was carcinoma ovary, followed by endometrial cancer, cancer cervix and gestational trophoblastic neoplasia. 166 patients underwent biopsies for suspicious symptoms or the abnormal findings on examination and the patients with final malignancy report were either operated as described above and the inoperable cases were referred to oncotherapy department for further management.
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Pandher, Dilpreet K. "To find the prevalence of female genital tract malignancies in a tertiary care hospital." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685349.

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Genital tract and breast are two most common sites of malignancy in females. Out of the genital tract malignancies, carcinoma cervix is so far found to be the commonest followed by ovary and endometrium. In developed countries, carcinoma cervix incidence is comparatively quite low due to good regular screening of females. One year review of patients was done, who underwent definitive/debulking surgery for a diagnosed malignant pathology of the genital tract, in obstetrics and gynaecology department of Govt. medical College and Hospital, Chandigarh. Total 62 patients were operated, most common indication was carcinoma ovary, followed by endometrial cancer, cancer cervix and gestational trophoblastic neoplasia. 166 patients underwent biopsies for suspicious symptoms or the abnormal findings on examination and the patients with final malignancy report were either operated as described above and the inoperable cases were referred to oncotherapy department for further management.
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Fantin, Gian P., Alessandra Grasso, Raffaella Tasinazzo, and Giorgio Bortolozzi. "Laser conization for the treatment of cervical intraepithelial neoplasia: the experience of the Colposcopy and Laser Surgery Unit, Department of Obstetrics and Gynecology, Conegliano Hospital." In BiOS Europe '97, edited by Gaetano Bandieramonte, Stephen G. Bown, Fausto Chiesa, Jacques Donnez, Herbert J. Geschwind, Gian F. Lombard, Gerhard J. Mueller, and Hans-Dieter Reidenbach. SPIE, 1998. http://dx.doi.org/10.1117/12.300818.

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Singh, Nisha. "Cohort study of vulvar cancer cases over a period of 10 years." In 16th Annual International Conference RGCON. Thieme Medical and Scientific Publishers Private Ltd., 2016. http://dx.doi.org/10.1055/s-0039-1685356.

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Objective: To study the risk factors, management protocols and outcome of vulvar cancer cases over a period of 10 years in a tertiary care hospital. Methods: It is a retrospective cohort study of vulvar cancer from January 2004 to January 2014 at King George Medical University, Lucknow. Hospital records of 41 patients with histologically proven diagnosis of vulvar cancer were studied from Department of Obstetrics and Gynecology and Department of Radiotherapy. The presence of risk factors, stage of disease, treatment modalities used and disease outcome in terms survival were studied. The data collected was analyzed and compared with the published literature. Results: The mean age for diagnosis of vulvar cancer was 52 years and peak incidence was seen in age group of 50-70 years. Incidence was significantly more in multiparous (p = 0.001) and postmenopausal women (p = 0.007). An average of 4.1 cases were seen per year. 97.56% cases were squamous cell carcinomas including one case of verrucous carcinoma. Only one non-squamous case of Bowen’s disease was seen. 20 cases belonged to early stage (1 and 2) while 21cases had advanced disease (3 and 4). 48.78% cases were primarily treated with surgery, 26.83% with radiotherapy, 7.3% with chemotherapy and 17.07% with combined chemoradiation. 78% of surgically treated cases had mean survival of 5 years. Mean survival of 1 year was recorded in advanced disease cases. Limitation of the study was poor follow up after treatment. Conclusion: Incidence of vulvar cancer is significantly high in multiparous and postmenopausal women. Surgical treatment is the best option in early stage of disease (stage I and II) and gives high survival rates while advanced disease treated with chemoradiation has poor survival.
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8

Roberts, H. R. "PREVENTION OF DEEP VENOUS THROMBOSIS: CONCLUSIONS OF A CONSENSUS DEVELOPMENT CONFERENCE." In XIth International Congress on Thrombosis and Haemostasis. Schattauer GmbH, 1987. http://dx.doi.org/10.1055/s-0038-1642966.

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Deep venous thrombosis (DVT) and pulmonary embolism (PE) are major health problems that lead to significant morbidity and mortality. In the United States, it is estimated that these two problems result in over 300,000 hospitalizations annually and available data indicate that 50,000 to 100,000 patients per year die of pulmonary embolism.The advent of several diagnostic tests has permitted the identification of groups of patients at high risk for development of deep venous thrombosis and subsequent pulmonary embolism. Identification of these patient groups has led to therapeutic measures designed to prevent both deep venous thrombosis and subsequent embolic episodes. However, the efficacy of these preventive measures have not been widely adopted and reservations have been expressed regarding use of low dose anticoagulant drugs for prevention of DVT and PE, especially in surgical patients. Because of the apparent reluctance to adopt putative preventive measures for DVT and PE, the National Heart, Lung and Blood Institute convened a Consensus Development Conference on the issue of prevention in 1986. Experts from North America, Europe, and South Africa presented data, both pro and con, on prevention of DVT and PE, using one or more therapeutic regimens. An impartial Panel was then asked to arrive at a consensus statement on the following questions: 1) the level of risk of DVT and PE in different patient groups; 2) the efficacy and safety of prophylactic measures in these groups; 3) the recommended prophylactic regimens for different patient groups, and 4) remaining questions related to prevention of DVT and PE. Recommendations for prevention were based on the assumption that reduction in DVT would also result in reduction of pulmonary embolism. Furthermore, the consensus was based, at least in part, upon data combined from multiple clinical trials. Thus, combined data on 12,000 individuals in randomized clinical trials indicated that in appropriate patient groups, treated with low dose heparin, there was a 68 percent reduction in DVT, as measured by the 125I-fibrinogen uptake test and venography, and that there was a reduction of 49% in pulmonary embolism and a significant decrease in overall mortality resulting from pulmonary embolism.Prophylactic measures for the following different patient groups were assessed: 1) general surgery; 2) orthopedic surgery; 3) urology; 4) gynecology-obstetrics; 4) neurosurgery and neurology; 5) trauma; and 6) medical conditions.Basically, the following prophylactic regimens were considered: 1) low dose heparin; 2) low dose dihydroergotamine heparin; 3) dextran; 4) low dose warfarin; and 5) external pneumatic compression. In general terms, low dose heparin appears to be one of the more effective prophylactic regimens in certain groups of high risk patients. This regimen is not useful in orthopedic or certain neurosurgical procedures where heparin has been shown to be of little value or hazardous. In these cases, dextran, warfarin, or external pnuematic compression may be more beneficial. In some groups of high risk patients, combination of mechanical measures with anticoagulant agents appear to be of value in prevention of DVT and PE.The recommendations of the Consensus Panel for Prevention of DVT and PE for each patient group will be assessed.
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Price, LC, D. Montani, X. Jais, JR Dick, O. Sitbon, FJ Mercier, G. Simonneau, and M. Humbert. "Anesthesia for Patients with Pulmonary Arterial Hypertension Undergoing Non-Cardiac, Non-Obstetric Surgery." In American Thoracic Society 2009 International Conference, May 15-20, 2009 • San Diego, California. American Thoracic Society, 2009. http://dx.doi.org/10.1164/ajrccm-conference.2009.179.1_meetingabstracts.a3343.

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Panciroli, C., SE Campbell Davies, MM Dragonetti, A. Luoni, G. Muserra, T. Patrizia, A. Bignamini, and P. Minghetti. "4CPS-074 Impact of antibiotic prophylaxis guidelines in obstetric and gynaecology surgery: a retrospective multi-centre study." In Abstract Book, 23rd EAHP Congress, 21st–23rd March 2018, Gothenburg, Sweden. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/ejhpharm-2018-eahpconf.165.

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Reports on the topic "Obstetrics – Surgery"

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Peterson, Janet L. A Study to Determine Methods of Providing Certain Specialty Health Care (Obstetrics and Gynecology, Otolaryngology, General Surgery, and Orthopedics) for Naval Hospital, Corpus Christi, Health Care Beneficiaries in 1990 When Homeport is in Operation. Fort Belvoir, VA: Defense Technical Information Center, July 1987. http://dx.doi.org/10.21236/ada212134.

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