Obstetrics and gynecology
-
Obstetrics and gynecology · Feb 2009
Randomized Controlled TrialCervical vasopressin compared with no premedication and blood loss during vaginal hysterectomy: a randomized controlled trial.
To compare blood loss, operative time, postoperative pain medication requirements, and complication rates in patients undergoing vaginal hysterectomy who were randomly assigned to receive preoperative intracervical vasopressin or no intracervical injection. ⋯ I.
-
Obstetrics and gynecology · Feb 2009
Randomized Controlled Trial Comparative StudyOral compared with intravenous sedation for first-trimester surgical abortion: a randomized controlled trial.
To test the equivalency of oral sedation and intravenous sedation for pain control in first-trimester surgical abortion. ⋯ I.
-
Obstetrics and gynecology · Feb 2009
Case ReportsComplications due to transfusion-related acute lung injury.
Transfusion-related acute lung injury is an underdiagnosed and potentially lethal complication of blood transfusion. ⋯ Although transfusion-related acute lung injury is usually self-limiting and most patients will recover spontaneously, the estimated mortality rate of 5-25% warrants prompt identification and adequate action.
-
Obstetrics and gynecology · Feb 2009
Case ReportsGroup a Streptococcus causing necrotizing fasciitis and toxic shock syndrome after medical termination of pregnancy.
Group A Streptococcus is an aerobic gram-positive bacteria known to cause cutaneous infections. Invasive infections can lead to toxic shock syndrome with multiorgan failure and mortality rates of 25-48%. ⋯ This case demonstrates the need for prompt recognition and treatment of necrotizing fasciitis/toxic shock syndrome.
-
Obstetrics and gynecology · Feb 2009
Case ReportsPseudoaneurysm of the uterine artery after cesarean delivery: management with superselective arterial embolization.
Uterine artery pseudoaneurysm is a rare but serious complication of pelvic surgery. Cesarean delivery is the most common cause. ⋯ Color Doppler ultrasonography and computed tomography were useful for the early diagnosis of uterine artery pseudoaneurysm. Primary transcatheter arterial embolization controlled bleeding without compromising reproductive potential.