British journal of hospital medicine
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Severe pain after thoracotomy is the most important factor responsible for ineffective ventilation, ineffective cough, and impaired ability to sigh and to breathe deeply. Effective analgesia minimizes and may even reverse the expected decline in pulmonary function and also prevents postoperative pulmonary complications.
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Until recently the management of uterine fibroids has been exclusively surgical in the form of either hysterectomy or myomectomy. The development of minimally invasive techniques and the introduction of LHRH agonists has allowed more conservative management to maintain or restore fertility.