The journal of obstetrics and gynaecology research
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J. Obstet. Gynaecol. Res. · May 2018
Review Meta AnalysisEffect of chewing gum on gastrointestinal function after gynecological surgery: A systematic literature review and meta-analysis.
Recently, several randomized controlled trials (RCT) reported the effect of chewing gum on gastrointestinal function after gynecological surgery; however, these results are inconsistent. The aim of this study was to systematically analyze the effect of chewing gum on postoperative gastrointestinal function and complications in women undergoing gynecological surgery. ⋯ Chewing gum is an effective measure to ameliorate gastrointestinal function and decrease complications after gynecological surgery.
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J. Obstet. Gynaecol. Res. · May 2018
Fetoscopic laser photocoagulation for twin-twin transfusion syndrome.
The aim of this study was to review fetoscopic laser photocoagulation (FLP), which ablates placental vascular anastomoses to treat twin-twin transfusion syndrome (TTTS). A review of studies reporting on the procedures, outcomes, complications and nonconventional applications of FLP for TTTS was conducted. FLP has been established as the primary treatment for monochorionic twin pregnancy associated with TTTS at 16-26 weeks. ⋯ FLP appears to be applicable in triplets, TTTS after 26 weeks and cases of selective intrauterine growth restriction with abnormal Doppler findings and oligohydramnios. FLP is the most common and successful fetal intervention. Improvement in the neurodevelopmental outcomes after FLP is a future focus.