American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Dec 2006
Obesity and retropubic surgery for stress incontinence: is there really an increased risk of intraoperative complications?
The objective of the study was to evaluate the impact of obesity on length of surgery, blood loss, and intra- and postoperative complications in women who underwent retropubic surgery for stress urinary incontinence. ⋯ Surgery takes longer for obese patients, but blood loss as recorded by change in hematocrit is lower. Major complications were rare and similar between weight groups, as were infectious complications.
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Am. J. Obstet. Gynecol. · Dec 2006
Role of lymphadenectomy in the management of grossly apparent advanced stage epithelial ovarian cancer.
The purpose of this study was to determine the factors that are related to the performance of lymph node assessment and its impact on prognosis in ovarian cancer. ⋯ Removal of obviously involved lymph nodes in patients with residual disease near 1 cm and lymphadenectomy for patients with complete or near complete resection of abdominal disease appears to be justified. A lack of standard recommendation in advanced ovarian cancer results in wide variations that are based on individual preference in addition to logical factors.
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Am. J. Obstet. Gynecol. · Dec 2006
Maternal-fetal conditions necessitating a medical intervention resulting in preterm birth.
The objective of the study was to evaluate the extent to which maternal and fetal conditions necessitate medically indicated preterm birth. ⋯ Preeclampsia, fetal distress, small-for-gestational-age, and placental abruption, conditions that are associated with ischemic placental disease, are implicated in well over half of all medically indicated preterm births. Although the etiology of preterm birth is heterogeneous, it is reasonable that ischemic placental disease may serve as an important pathway to preterm birth.
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Am. J. Obstet. Gynecol. · Dec 2006
Fetal lung-to-head ratio in the prediction of survival in severe left-sided diaphragmatic hernia treated by fetal endoscopic tracheal occlusion (FETO).
The objective of the study was to investigate the value of fetal lung area to head circumference ratio in the prediction of the postnatal outcome in left-sided congenital diaphragmatic hernia treated by fetoscopic endoluminal tracheal occlusion. ⋯ In congenital diaphragmatic hernia treated by fetoscopic endoluminal tracheal occlusion, postnatal survival can be predicted by the lung area to head circumference ratio measured prior to the procedure.