Gynaecological Endoscopy最新文献_第6页

Normal saline field bipolar electrosurgery in hysteroscopy: report of the first 163 cases 生理盐水场双极电切术在宫腔镜中的应用:附163例报告

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00468.x

Michel P. H. Vleugels

引用次数: 7

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.10_4fe.x

引用次数: 0

A partially randomized patient preference trial of microwave endometrial ablation using local anaesthesia and intravenous sedation or general anaesthesia: a pilot study 微波子宫内膜消融术局部麻醉和静脉镇静或全身麻醉的部分随机患者偏好试验:一项初步研究

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00457.x

Christine Bain, Kevin G. Cooper, David E. Parkin

{"title":"A partially randomized patient preference trial of microwave endometrial ablation using local anaesthesia and intravenous sedation or general anaesthesia: a pilot study","authors":"Christine Bain, Kevin G. Cooper, David E. Parkin","doi":"10.1046/j.1365-2508.2001.00457.x","DOIUrl":"10.1046/j.1365-2508.2001.00457.x","url":null,"abstract":"To ascertain whether microwave endometrial ablation under local anaesthesia is feasible in unselected women.A partially randomized patient preference pilot study.A large teaching hospital in North-east Scotland.98 women who were referred and suitable for endometrial ablation and who agreed to participate after informed consent had been given.Women were randomly allocated to receive general or local anaesthesia for microwave endometrial ablation, or if they had a strong preference they were allocated to their chosen anaesthesia. All procedures were performed in the theatre setting and on a day case basis.Acceptability and satisfaction were primarily assessed in each group using validated tools. Operating times, failure under local anaesthesia, postoperative analgesia and postoperative discharge times were also recorded.Microwave endometrial ablation under local anaesthesia was feasible in 75% of unselected women. Acceptability was higher in those who chose local anaesthesia.Local anaesthesia should be offered to women undergoing microwave endometrial ablation and a randomized controlled trial is a feasible option for assessing prognostic factors and satisfaction.","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"10 4","pages":"223-228"},"PeriodicalIF":0.0,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.2001.00457.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80372631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14

Laparoscopic-assisted vaginal hysterectomy for benign uterine pathologies: could this be the first-line treatment? 腹腔镜辅助阴道子宫切除术治疗良性子宫病变:这可能是一线治疗方法吗?

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00470.x

Tayup Şimşek, Cemil Karakuş, Şeyda Karaveli, Bilal Trak

{"title":"Laparoscopic-assisted vaginal hysterectomy for benign uterine pathologies: could this be the first-line treatment?","authors":"Tayup Şimşek, Cemil Karakuş, Şeyda Karaveli, Bilal Trak","doi":"10.1046/j.1365-2508.2001.00470.x","DOIUrl":"10.1046/j.1365-2508.2001.00470.x","url":null,"abstract":" Hysterectomy is traditionally performed by the abdominal route, and is frequently done for benign uterine pathologies. Laparoscopic procedures have been used widely because of advances in technological development and increased laparoscopic experience. We therefore wished to evaluate the role of laparoscopic hysterectomy in comparison with traditional abdominal hysterectomy. A prospective study.Department of Obstetrics and Gynaecology, Akdeniz University School of Medicine, Turkey.We recorded details from all patients between 1998 and 2000 with indications for hysterectomy on account of benign uterine pathologies. Both types of hysterectomy were performed throughout this period. The operating times, complications and analgesia dosage were compared.In all 84 patients underwent hysterectomy. Of these patients, 38 (45.2%) had laparoscopic-assisted vaginal hysterectomy, 34 (40.4%) had total abdominal and 12 (14.2%) had vaginal hysterectomy. Laparoscopic hysterectomy showed the advantages of shorter hospital stay, less analgesic medication and earlier postoperative recovery. Laparoscopic hysterectomy, with the advantages of laparoscopic surgery, was the preferable approach to hysterectomy for benign uterine pathology in this series. It can replace traditional hysterectomy in patients who are suitable for laparoscopic surgery.","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"10 5-6","pages":"361-364"},"PeriodicalIF":0.0,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.2001.00470.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80327486","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Recurrent laryngeal nerve paralysis after laparoscopic surgery 腹腔镜手术后喉返神经麻痹

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00409.x

Takashi Yamada, Yukiko Okamoto, Hajime Kasamatsu, Hiroshi Umegaki, Hiroshi Mori

引用次数: 1

Endoscopic treatment of advanced endometriosis with large endometriomata. Surgical technique 晚期子宫内膜异位症合并大子宫内膜异位瘤的内镜治疗。手术技术

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00467.x

Spyros Milingos, George Kallipolitis, Dimitris Loutradis, Anthi Liapi, Peter Drakakis, Konstantinos Mavrommatis, Aris Antsaklis, George Creatsas, Stylianos Michalas

{"title":"Endoscopic treatment of advanced endometriosis with large endometriomata. Surgical technique","authors":"Spyros Milingos, George Kallipolitis, Dimitris Loutradis, Anthi Liapi, Peter Drakakis, Konstantinos Mavrommatis, Aris Antsaklis, George Creatsas, Stylianos Michalas","doi":"10.1046/j.1365-2508.2001.00467.x","DOIUrl":"10.1046/j.1365-2508.2001.00467.x","url":null,"abstract":"Advanced endometriosis is a common cause of infertility. It has traditionally been treated surgically by laparotomy. The surgeon had to cope mainly with adhesions, endometriotic implants and, quite often, endometriotic cysts of various diameters. In this study, we report our laparoscopic technique for treating advanced endometriosis with large endometriomata, using conventional instrumentation, and we discuss our main problems and our results.The study population consisted of 68 subfertile patients with large endometriomata who underwent laparoscopic removal of the cysts.The Infertility Clinic at the Alexandra Maternity Hospital, Athens, Greece, between January 1990 and October 1997.Laparoscopic excision of endometriotic cysts in subfertile women.Success of treatment modality; postoperative complications; postoperative cumulative pregnancy rates.The technique is described. Postoperative complications were minimal. Of the patients, 32 (47%) became pregnant during the 2-year postoperative follow-up period. The estimated cumulative pregnancy rates at 6, 12, 18 and 24 months were 22%, 35%, 45% and 47%, respectively.Our experience favours the use of traditional laparoscopic tools over laser treatment for the management of extensive endometriosis with endometriomata, since the results are similar to those observed after laser treatment, and the training of a larger number of physicians and availability of equipment are more readily achieved for the former method. Postoperative pregnancy rates are high.","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"10 5-6","pages":"327-333"},"PeriodicalIF":0.0,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.2001.00467.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87997305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Tensile strengths of extracorporeal slip knots tied with poliglecaprone and polydioxanone 聚苯甲酮和聚二氧环酮系结的体外滑动结的拉伸强度

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00445.x

Thomas Ind, Danny Chou, Alan Lam, Mark Carlton

{"title":"Tensile strengths of extracorporeal slip knots tied with poliglecaprone and polydioxanone","authors":"Thomas Ind, Danny Chou, Alan Lam, Mark Carlton","doi":"10.1046/j.1365-2508.2001.00445.x","DOIUrl":"10.1046/j.1365-2508.2001.00445.x","url":null,"abstract":"To compare the tensile strengths of commonly used extracorporeal slipknots when tied with poliglecaprone and polydioxanone.The tensile strength of seven extracorporeal slip knots and the flat square knot were tested using a tensiometer. Knots were tied in random order with 2/0 poliglecaprone and polydioxanone. The study was designed to demonstrate a 5-newton difference in knot strength with 95% confidence at 80% power. Five knots were studied in each arm of the experiment.A laboratory experiment.Force required to break or cause slippage of knots.Knots tied with polydioxanone had a marginal yet significantly stronger tensile strength of 2.3 N (95% CI 0.1–0.75 N, P = 0.0332). The Tayside, Blood, Hutchon and Western knots had lower tensile strengths than the flat square knot in both poliglecaprone and polydioxanone. The modified Roeder knot was also stronger than the other ligatures when tied in poliglecaprone and more secure than the Western and Tayside knots when tied in polydioxanone.Slip knots tied in poliglecaprone are marginally less strong than those tied in polydioxanone. No extracorporeally tied slip knot is stronger than the modified Roeder knot.","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"10 4","pages":"243-247"},"PeriodicalIF":0.0,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.2001.00445.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84648590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

Auditing complications of laparoscopy in a major tertiary hospital in Australia 澳大利亚一家大型三级医院腹腔镜手术并发症的审计

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00450.x

Mark M. S. Erian, Judith T. W. Goh, Margaret Coglan

{"title":"Auditing complications of laparoscopy in a major tertiary hospital in Australia","authors":"Mark M. S. Erian, Judith T. W. Goh, Margaret Coglan","doi":"10.1046/j.1365-2508.2001.00450.x","DOIUrl":"10.1046/j.1365-2508.2001.00450.x","url":null,"abstract":"To review complications in both diagnostic and operative laparoscopic procedures at a university-affiliated major teaching hospital and to assess possible risk factors for complications.A retrospective review of all laparoscopic procedures at the Royal Women's Hospital Brisbane, Australia, from 1990 to 1997 inclusive. A non-medical or nursing independent assessor reviewed charts. Data were collected on a standard form. Incomplete charts were excluded from analysis.There was a total of 1505 procedures. Analysis was based on 1435 complete data records. The overall complication rate was 2.86% with infection (1.3%) being the most common. The rate of gastrointestinal injury was 0.14%. Compared with women who had diagnostic laparoscopies, a higher rate of complication was found in women who had undergone operative laparoscopic procedures. However, this difference did not reach statistical significance. The complication rate was unrelated to seniority of the surgeon.Complications can occur in any laparoscopic procedure. Regular reviews, especially in teaching hospitals, will provide feedback to clinicians to improve quality of care.","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"10 5-6","pages":"303-308"},"PeriodicalIF":0.0,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.2001.00450.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89584731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 2

A death following hysteroscopic myomectomy 宫腔镜子宫肌瘤切除术后死亡

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00454.x

Yeshayahu Katz, Roland Moscovici, George Prego, Yosef Merzel, Daniel Kniznik, Amiram Lev

引用次数: 3

Reply to Anwar & Chin (Comment on: Twin pregnancy in a rudimentary uterine horn diagnosed by ultrasound and managed laparoscopically before rupture)† 回复Anwar和Chin(评论:在子宫角破裂前通过超声诊断和腹腔镜处理双胞胎妊娠)†

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1111/j.1365-2508.2001.439-2.pp.x

David Morgans

引用次数: 0