Obstetrics and gynecology
-
Obstetrics and gynecology · Jan 2009
Randomized Controlled TrialElevation of uterine basal tone and fetal heart rate abnormalities after labor analgesia: a randomized controlled trial.
To estimate the effects of combined spinal-epidural and traditional epidural analgesia on uterine basal tone and its association with the occurrence of fetal heart rate (FHR) abnormalities. ⋯ I.
-
The objective of this article is to review the recent adoption, experience, and applications of robot-assisted laparoscopy in gynecologic surgery. The use of robotics in gynecologic surgery is increasing in the United States. Robotic-assisted laparoscopic surgeries in gynecology include benign hysterectomy, myomectomy, tubal reanastomoses, radical hysterectomy, lymph node dissections, and sacrocolpopexies. ⋯ Although individual studies vary, robot-assisted gynecologic surgery is often associated with longer operating room time but generally similar clinical outcomes, decreased blood loss, and shorter hospital stay. Robot-assisted gynecologic surgery will likely continue to develop as more gynecologic surgeons are trained and more patients seek minimally invasive surgical options. Well-designed, prospective studies with well-defined clinical, long-term outcomes, including complications, cost, pain, return to normal activity, and quality of life, are needed to fully assess the value of this new technology.
-
Obstetrics and gynecology · Dec 2008
Comparative StudyShort-term outcomes of robotic sacrocolpopexy compared with abdominal sacrocolpopexy.
To compare short-term outcomes of robotic sacrocolpopexy with abdominal sacrocolpopexy for vaginal vault prolapse. ⋯ II.
-
Obstetrics and gynecology · Nov 2008
Randomized Controlled TrialAcupuncture to induce labor: a randomized controlled trial.
To estimate the clinical effectiveness of acupuncture to induce labor. ⋯ I.