Obstetrics and gynecology
-
Obstetrics and gynecology · Sep 1995
Clinical Trial Controlled Clinical TrialIntraoperative autologous blood collection and autotransfusion in the surgical management of early cancers of the uterine cervix.
To evaluate intraoperative autologous blood collection with autotransfusion (Cell Saver) with respect to patient acceptance, risk of tumor cell co-transfusion, and risk of recurrence in patients undergoing radical hysterectomy for cervical cancer. ⋯ Cell Saver use is well accepted by patients, decreases the need for homologous transfusions, and does not appear to co-transfuse tumor cells.
-
Obstetrics and gynecology · Sep 1995
An objective definition of shoulder dystocia: prolonged head-to-body delivery intervals and/or the use of ancillary obstetric maneuvers.
To generate an objective definition of shoulder dystocia by timing the events of the second and third stages of labor, and to define the true incidence of shoulder dystocia. ⋯ The incidence of shoulder dystocia, as defined by the use of ancillary obstetric maneuvers, is higher than that reported previously, and the reporting of shoulder dystocia appears to be unreliable. The interval from head-to-body delivery is delayed significantly in patients with shoulder dystocia, despite the lack of recognition of shoulder dystocia. We propose defining shoulder dystocia as a prolonged head-to-body delivery time (eg, more than 60 seconds) or the need for ancillary obstetric maneuvers.
-
Obstetrics and gynecology · Sep 1995
Multicenter StudyCost-effectiveness of routine blood type and screen testing before elective laparoscopy.
To evaluate the usefulness and cost-effectiveness of the routine preoperative evaluation of blood type and screen testing before laparoscopy. ⋯ In the absence of preoperative indications, routine preoperative type and screen testing for elective and emergency laparoscopic procedures does not enhance patient care and should be eliminated.
-
Obstetrics and gynecology · Aug 1995
Randomized Controlled Trial Comparative Study Clinical TrialRandomized comparison of general and regional anesthesia for cesarean delivery in pregnancies complicated by severe preeclampsia.
To evaluate the maternal and fetal effects of three anesthetic methods used randomly in women with severe preeclampsia who required cesarean delivery. ⋯ General as well as regional anesthetic methods are equally acceptable for cesarean delivery in pregnancies complicated by severe preeclampsia if steps are taken to ensure a careful approach to either method.
-
Obstetrics and gynecology · Jul 1995
Review Comparative StudyCervical carcinoma: computed tomography and magnetic resonance imaging for preoperative staging.
To assess the accuracy of computed tomography (CT) and magnetic resonance imaging (MRI) in the evaluation of invasive cervical cancer. ⋯ Compared with CT, MRI offered significantly improved evaluation of tumor size, stromal invasion, and local and regional extent of disease in pre-treatment imaging for cervical cancer.