Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Nov 2012
Influence of body mass index on clinicopathologic features, surgical morbidity and outcome in patients with endometrial cancer.
To examine the influence of obesity on the patient characteristics and clinicopathologic features of endometrial cancer, and to find how treatment and prognosis were affected by obesity in women with endometrial cancer. ⋯ Positive peritoneal cytology, deep myometrial invasion and stage II-IV endometrial cancer were significantly more common in patients with a BMI of <25. There were no significant differences in tumor grade, surgical technique, surgical morbidity or adjuvant radiotherapy between the BMI groups. Recurrence and cancer-related mortality rates were not affected by the BMI.
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Arch. Gynecol. Obstet. · Nov 2012
The role of gynecological, urological, and psychiatric factors in chronic pelvic pain.
In this study, the effectiveness of diagnostic laparoscopy, one of the methods used in the diagnosis and treatment of chronic pelvic pain, was investigated by the etiological examination of patients with chronic pelvic pain, who were treated and followed up on our clinic, allowing for gynecological, urological, and psychological factors. ⋯ Chronic pelvic pain is a syndrome in which biological and psychosocial factors play a role. Laparoscopy for chronic pelvic pain is an operation based on the "see and fight" principle.
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Arch. Gynecol. Obstet. · Nov 2012
Comparative StudyThe Misgav-Ladach method of cesarean section: a step forward in operative technique in obstetrics.
The objective of this study is to compare the intraoperative and short-term outcomes of two cesarean techniques: the modified Misgav-Ladach and the Pfannenstiel-Kerr. ⋯ The modified Misgav-Ladach technique is associated with a shorter operative time than Pfannenstiel-Kerr and might lead to better postoperative outcomes.
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Arch. Gynecol. Obstet. · Oct 2012
Randomized Controlled Trial Comparative StudyPain management after cesarean: a randomized controlled trial of oxycodone versus intravenous piritramide.
Primary objective was to assess whether oral analgesia with oxycodone offers superior pain relief after cesareans than patient controlled analgesia (PCA). Secondary outcomes were additional pain medication, time to first mobilization, therapeutic side effects, postoperative restrictions, overall satisfaction and costs. ⋯ General satisfaction with both treatment regimes was high. The results support the potential use of oral pain regimes and emphasis the importance of a multimodal approach to treat post-cesarean pain. Oral oxycodone is a not expensive, convenient and comparable analgesic to PCA devices with opioids after cesarean. Trial registration at clinicaltrials.gov identifier: NCT 01115101.
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Arch. Gynecol. Obstet. · Oct 2012
Randomized Controlled Trial Comparative StudyType of axial analgesia does not influence time to vaginal delivery in a Proportional Hazards Model.
To create a Proportional Hazards Model of prospective factors associated with time-to-vaginal-delivery (TTVD). ⋯ Parity, labor augmentation, induction of labor and fetal weight determine TTVD; axial analgesia-related factors do not contribute to the model.