American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Nov 2012
Randomized Controlled TrialRandomized trial of transversus abdominis plane block at total laparoscopic hysterectomy: effect of regional analgesia on quality of recovery.
The objective of the study was to determine whether transversus abdominis plane (TAP) block improves the early postoperative quality of recovery (QoR-40). The secondary objectives measured postoperative pain, length of stay, and narcotic use. ⋯ TAP block does not improve postoperative QoR-40 scores or VAS pain scores following laparoscopic hysterectomy, nor does it decrease narcotic pain medication use.
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Am. J. Obstet. Gynecol. · Nov 2012
Randomized Controlled TrialCervical lidocaine for IUD insertional pain: a randomized controlled trial.
Anticipated pain with intrauterine device (IUD) insertion may be a barrier to widespread use. Our objective was to evaluate the efficacy of intracervical 2% lidocaine gel for pain relief with IUD insertion. ⋯ Topical or intracervical 2% lidocaine gel prior to IUD insertion does not decrease pain scores.
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Am. J. Obstet. Gynecol. · Nov 2012
Randomized Controlled TrialPatient-controlled versus scheduled, nurse-administered analgesia following vaginal reconstructive surgery: a randomized trial.
To determine whether patient-controlled analgesia or scheduled intravenous analgesia provides superior pain relief and satisfaction with pain control after vaginal reconstructive surgery. ⋯ In patients undergoing vaginal surgery, patient-controlled analgesia offers superior pain relief on postoperative day 1 when compared with scheduled, nurse-administered hydromorphone.
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Am. J. Obstet. Gynecol. · Nov 2012
Interest in cosmetic vulvar surgery and perception of vulvar appearance.
The objective of the study was to determine whether reproductive-age women are more likely to perceive their vulva as abnormal compared with older-aged women. ⋯ A woman's age does not have an impact on her perception of a normal vulva. The majority of women perceived their vulva to be normal and were satisfied with its appearance. However, older women are more interested in cosmetic vulvar surgery.