J Reprod Med
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Case Reports
Extensive iliac vein thrombosis as a rare complication of a uterine leiomyoma: a case report.
Lower leg thombosis can occur in association with a large uterine leiomyoma. ⋯ In women with large uterine leiomyomas, the preoperative workup should include testing to rule out potential asymptomatic thrombi.
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To review the diagnosis and treatment of postoperative femoral motor neuropathy without neurologic consultation or testing. ⋯ This was the first study of diagnosis and treatment of postoperative femoral motor neuropathy following gynecologic surgery without neurologic consultation or testing. Because of the significant expense of neurologic consultation and testing, patients with postoperative femoral motor neuropathy can have the condition diagnosed by the gynecologist and be referred directly to physical therapy without adversely affecting outcome. This also was the first study to elicit a prior history offemoral neuropathy in 33% of patients. Thus, a prior history may be a risk factor for recurrence.
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Primary and repeat cesarean births are a frequent occurrence among morbidly obese women. Technical difficulties encountered in caring for these patients, coupled with physiologic differences, affect their operative management. ⋯ Careful planning along with appropriate specialty consultation is required for a safe and successful cesarean birth in the morbidly obese woman.
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Randomized Controlled Trial
Effect of test order on sensitivity in vulvodynia.
To assess the effect of order of sensitivity testing at the vulva and thumb on the sensitivity determined at the second site tested among women with and without vulvodynia. ⋯ The order of testing at vulvar and peripheral sites has little impact on the results of pressure-responsive sensitivity testing among women with and without vulvodynia.
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To determine the efficacy of gabapentin in the treatment of generalized vulvodynia, unprovoked, to determine the most common presenting symptoms in patients with this diagnosis, to evaluate the prevalence of comorbidities in these patients and to determine the possibility of comorbidities or specific presenting symptoms that decrease the efficacy of this drug. ⋯ Gabapentin appears to be very effective in the treatment of generalized vulvodynia, unprovoked. It has a very low side effect profile. Certain patients may be less likely to benefit from gabapentin, including those with the comorbidity of sleep disturbance. Patients with symptoms of longer-standing generalized vulvodynia, unprovoked, may also be less likely to benefit from this treatment.