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.
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Am. J. Obstet. Gynecol. · Oct 2012
Randomized Controlled TrialGas embolism during hysteroscopic surgery using bipolar or monopolar diathermia: a randomized controlled trial.
The objective of the study was to determine the incidence and amount of gas embolism during hysteroscopic surgery using either monopolar or bipolar diathermia and to investigate the relationship between the severity of gas embolism and the amount of intravasation of distension fluid. ⋯ During hysteroscopic surgery, gas embolism was equally observed irrespective of the type of diathermia. However, more extensive embolism was observed when intravasation of distension fluid exceeded 1 L. These results question the acceptance of up to 2500 mL intravasation of distension fluid if bipolar diathermia is used.