Obstetrics and gynecology
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Obstetrics and gynecology · Mar 2013
Randomized Controlled Trial Multicenter StudyEffect of validated skills simulation on operating room performance in obstetrics and gynecology residents: a randomized controlled trial.
To estimate whether training on previously validated laparoscopic skill stations translates into improved technical performance in the operating room. ⋯ We found that proficiency-based simulation offers additional benefit to traditional education for all levels of residents. The use of easily accessible, low-fidelity tasks should be incorporated into formal laparoscopic training.
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Obstetrics and gynecology · Mar 2013
Randomized Controlled TrialPrevention of postlaparoscopic shoulder and upper abdominal pain: a randomized controlled trial.
To estimate the effectiveness of combined intervention with the pulmonary recruitment maneuver and intraperitoneal normal saline infusion to reduce postlaparoscopic shoulder and upper abdominal pain. ⋯ Combined intervention with the pulmonary recruitment maneuver and intraperitoneal normal saline infusion is easy to implement in daily clinical practice to significantly reduce postlaparoscopic shoulder and upper abdominal pain.
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Obstetrics and gynecology · Mar 2013
Randomized Controlled TrialAntiemetics added to phenylephrine infusion during cesarean delivery: a randomized controlled trial.
To estimate whether the addition of metoclopramide or its combination with ondansetron to a prophylactic phenylephrine infusion provides improved intraoperative nausea and vomiting prophylaxis compared with phenylephrine infusion alone. ⋯ Metoclopramide with ondansetron reduced intraoperative nausea and vomiting and early postoperative nausea and vomiting compared with placebo. Metoclopramide alone also decreased intraoperative but not postoperative nausea and vomiting. Surgical factors contributed to a significant difference in intraoperative nausea and vomiting between the two centers.
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Obstetrics and gynecology · Mar 2013
Comparative StudyPostoperative pain and recovery after conventional laparoscopy compared with robotically assisted laparoscopy.
To compare postoperative pain after conventional laparoscopic and robotically assisted laparoscopic surgery in gynecology. ⋯ Robotically assisted laparoscopy is equivalent to conventional laparoscopy in terms of subjective and objective measures of postoperative pain.
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Obstetrics and gynecology · Mar 2013
Comparative StudySafety of the pandemic H1N1 influenza vaccine among pregnant U.S. military women and their newborns.
To assess adverse pregnancy outcomes among active-duty U.S. military women who received pandemic H1N1 vaccine during pregnancy as well as adverse health outcomes among the newborns resulting from these pregnancies. ⋯ No adverse pregnancy or newborn health outcomes associated with pandemic H1N1 vaccination during pregnancy were noted among our cohort. These findings should be used to encourage increased vaccine coverage among pregnant women.