Journal of minimally invasive gynecology
-
J Minim Invasive Gynecol · May 2007
Randomized Controlled TrialIntrauterine lidocaine infusion for pain relief during saline solution infusion sonohysterography: a randomized, controlled trial.
To evaluate the efficacy of intrauterine lidocaine instillation in reducing patient discomfort during saline solution infusion sonohysterography (SIS). ⋯ Intrauterine lidocaine seems to be effective in decreasing pain in parous women undergoing SIS.
-
Within the context of the new medical methodology of evidence-based medicine, the ethical issues of making the randomized, placebo-controlled, clinical trial part of the matrix of surgical procedure evaluation are discussed. Surgical trials with alternative research design less rigorous than the double-blind, placebo-controlled, randomized trial leave the alternative: implementing surgical procedures based on anecdotal evidence and weaker scientific research. ⋯ The placebo effect with surgery is so strong that "sham surgery" within the clinical trial context is essential and an appropriate component of the ethics of clinical research. A discussion of these issues is presented.
-
J Minim Invasive Gynecol · Mar 2007
Randomized Controlled TrialOxytocin infusion in laparoscopic myomectomy may decrease operative blood loss.
-
J Minim Invasive Gynecol · Mar 2007
Comparative StudyParotid area sign: a clinical test for the diagnosis of fluid overload in hysteroscopic surgery.
To describe the clinical test parotid area sign, which is used to assess fluid absorption during resectoscopic surgery and to compare the test with volumetric fluid balance method with respect to its ability to detect fluid overload. ⋯ The parotid area sign is a simple, effective, and easy-to-perform test (in real time continuously) that requires minimal equipment or training. It supplements the volumetric fluid balance method in the detection of fluid overload (1.5% glycine) during resectoscopic surgery. It may also enable us to detect fluid overload when volumetric fluid balance method fails to detect extraneous losses caused by spillage.
-
J Minim Invasive Gynecol · Jan 2007
Retrospective cost analysis comparing Essure hysteroscopic sterilization and laparoscopic bilateral tubal coagulation.
To compare the institutional cost of permanent female sterilization by Essure hysteroscopic sterilization and laparoscopic bilateral coagulation. ⋯ In our setting, the Essure hysteroscopic sterilization had significant cost savings compared with laparoscopic tubal sterilization (p = .038). We believe that our data represent the minimum of potential savings using this approach, and future developments will only increase the cost difference found in our study.