American journal of obstetrics and gynecology
-
Am. J. Obstet. Gynecol. · Dec 2003
Comparative StudyThe safety of incidental appendectomy at the time of abdominal hysterectomy.
The purpose of this study was to assess the complication rates of incidental appendectomies in women who undergo benign gynecologic procedures. ⋯ An incidental appendectomy at the time of benign gynecologic procedures does not increase postoperative complication rates or length of hospital stay. The inclusion of incidental appendectomies in all abdominal hysterectomies could potentially decrease the morbidity and mortality rates because of appendicitis in elderly women.
-
Am. J. Obstet. Gynecol. · Dec 2003
Comparative StudyAnatomy of ilioinguinal and iliohypogastric nerves in relation to trocar placement and low transverse incisions.
The purpose of this study was to map the course of the ilioinguinal and iliohypogastric nerves. ⋯ Abdominal wall surgical sites below the level of the anterior superior iliac spine have the potential for ilioinguinal or iliohypogastric injury.
-
Am. J. Obstet. Gynecol. · Dec 2003
Comparative StudyMorbidity and mortality rates of elective gynecologic surgery in the elderly woman.
The purpose of this study was to report perioperative morbidity and mortality rates in elderly women who undergo gynecologic surgery. ⋯ Postoperative complications occurred infrequently among elderly women who underwent gynecologic surgery. Although age alone is not a contraindication to elective surgery, there may be increased risks for geriatric women.
-
Am. J. Obstet. Gynecol. · Dec 2003
Randomized Controlled Trial Comparative Study Clinical TrialA randomized, controlled trial to compare ketorolac tromethamine versus placebo after cesarean section to reduce pain and narcotic usage.
The purpose of this study was to determine whether postcesarean section administration of ketorolac tromethamine reduces pain and narcotic usage. ⋯ Ketorolac tromethamine is efficacious in reducing postoperative pain and narcotics usage after cesarean section.
-
Am. J. Obstet. Gynecol. · Dec 2003
Randomized Controlled Trial Clinical TrialUtility of preemptive local analgesia in vaginal hysterectomy.
Our purpose was to determine whether preemptive administration of long-acting local anesthetics before vaginal hysterectomy will improve postoperative pain. ⋯ Paracervical block with a 0.5% bupivacaine with 1:200,000 epinephrine before vaginal hysterectomy is associated with lower pain scores and a reduction in morphine requirements after surgery.