Taiwanese journal of obstetrics & gynecology
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Taiwan J Obstet Gynecol · Jun 2012
An overview of a 30-year experience with amniocentesis in a single tertiary medical center in Taiwan.
Amniocentesis is a popular and effective prenatal diagnostic tool for chromosomal disorders. It is well-established that the risk of chromosomal abnormalities increases with maternal age; however, other related indications are seldom reported. Herein, we report our 30-year experience with amniocentesis from a single medical center, focusing on the indications and rates of abnormality. ⋯ Both parents with abnormal karyotype and abnormal ultrasound findings are indications for which consideration of further amniocentesis is highly recommended.
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Taiwan J Obstet Gynecol · Mar 2012
Controlled Clinical TrialA prospective study of nerve-sparing radical hysterectomy for uterine cervical carcinoma in Taiwan.
Surgical therapy for cervical carcinoma carries a significant risk of functional impairment to the bladder. This study evaluates the feasibility and complications of nerve-sparing radical hysterectomy (NRH) in Taiwan. ⋯ We concluded that the new technique of NRH can reduce postoperative bladder dysfunctions.
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Taiwan J Obstet Gynecol · Mar 2012
Robotic surgery in complicated gynecologic diseases: experience of Tri-Service General Hospital in Taiwan.
Minimally invasive surgery has been the trend in various specialties and continues to evolve as new technology develops. The development of robotic surgery in gynecology remains in its infancy. The present study reports the first descriptive series of robotic surgery in complicated gynecologic diseases in Taiwan. ⋯ The present analyses include various complicated gynecologic conditions, which make the estimation of the effectiveness of robotic surgery in each situation individually not appropriate. However, our experiences do show that robotic surgery is feasible and safe for patients with complicated gynecologic diseases.
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Taiwan J Obstet Gynecol · Dec 2011
Comparative StudySurgical intervention for maternal ovarian torsion in pregnancy.
Maternal ovarian torsion in pregnancy is a rare complication. This study was conducted to review the clinical manifestations, and to compare the outcome between laparoscopy and laparotomy in women undergoing surgery for ovarian torsion (OT) during pregnancy. ⋯ The diagnosis of OT during pregnancy is often missed due to nonspecific clinical features and uncommon objective findings. Detorsion only or detorsion plus ancillary procedures via laparoscopy is recommended to treat pregnant women suffering from OT, owing to the advantages of a shorter hospital stay and favorable surgical and pregnancy outcomes.
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Taiwan J Obstet Gynecol · Dec 2011
Randomized Controlled Trial Comparative StudyPatient -controlled epidural ropivacaine as a post-Cesarean analgesia: a comparison with epidural morphine.
Conventional, intermittent, epidural morphine is widely applied as a post-Cesarean delivery analgesia. We compared the analgesic efficacy, motor weakness, and side effects of administering a patient-controlled epidural analgesia (PCEA) of pure ropivacaine versus the intermittent administration of epidural morphine after Cesarean delivery. ⋯ The analgesic efficacy after cesarean delivery was almost equivalent between two groups. PCEA with pure ropivacaine induced significant motor blockade during the first 12 hours, but without delaying the time to first ambulation. Patients in the ropivacaine group reported higher patient satisfaction scores due to the significant reduction of annoying side effects, such as pruritus, nausea, vomiting, and urinary retention.