Gynecologic Surgical Procedures

Publication Title: 
Archives of Gynecology and Obstetrics

PURPOSE: To identify factors associated with 'patient satisfaction' and 'willingness to return to the provider' in gynecology and to assess similarities as well as differences between the two concepts. METHODS: Study data were obtained from 968 randomly selected gynecology patients discharged from 22 hospitals who responded to a mailed survey. The validated instrument consisted of 37 items and assessed medical and service aspects of care, patient and visit characteristics.

Author(s): 
Schoenfelder, Tonio
Schaal, Tom
Klewer, Jˆrg
Kugler, Joachim
Publication Title: 
International Journal of Gynaecology and Obstetrics: The Official Organ of the International Federation of Gynaecology and Obstetrics

The clinically detailed report of a successful uterus transplantation and live birth in Sweden, in which a family friend donated her uterus, provides a basis for expanded practice. Family members and friends can serve as living donors without offending legal or ethical prohibitions of paid organ donation, even though family members and friends often engage in reciprocal gift exchanges. Donations from living unrelated sources are more problematic, and there is a need to monitor donors' genuine altruism and motivation. Donation by deceased women-i.e.

Author(s): 
Dickens, Bernard M.
Publication Title: 
Acta Anaesthesiologica Scandinavica

BACKGROUND: Bispectal index (BIS) monitoring may reduce drug usage and hasten recovery in propofol and inhalation anesthesia. The faster emergence profile of desflurane may reduce the effect of BIS monitoring on recovery from desflurane compared with propofol. This study compared hypnotic drug usage, recovery, patient satisfaction and incidence of inadequate sedation in BIS monitored and nonmonitored women anesthetized with desflurane or propofol.

Author(s): 
Luginbühl, M.
Wüthrich, S.
Petersen-Felix, S.
Zbinden, A. M.
Schnider, T. W.
Publication Title: 
Anesthesia and Analgesia

Bispectral index (BIS) analysis is a method of electroencephalograph (EEG) analysis based on the interfrequency phase relationships of the EEG, designed to quantify anesthetic hypnosis. The BIS was created after concurrent collection of EEG and clinical data from a large number of patients anesthetized with various drugs over a prolonged period and then performing a Fourier analysis followed by a bispectral calculation. The clinical stages of anesthetic depth are very well demonstrated in etherized patients.

Author(s): 
Bhargava, A. K.
Setlur, R.
Sreevastava, D.
Publication Title: 
British Journal of Anaesthesia

BACKGROUND: The Bispectral Index (BIS) and spectral entropy of the electroencephalogram can be used to assess the depth of hypnosis. Ketamine is known to increase BIS in anaesthetized patients and may confound that index as a guide to steer administration of hypnotics. We compared the effects of ketamine on BIS, response entropy (RE) and state entropy (SE) during surgery under sevoflurane anaesthesia. METHODS: Twenty-two women undergoing gynaecological surgery were enrolled in this double-blind, randomized study. Anaesthesia was induced i.v. and maintained with sevoflurane.

Author(s): 
Hans, P.
Dewandre, P.-Y.
Brichant, J. F.
Bonhomme, V.
Publication Title: 
Acta Anaesthesiologica Scandinavica

BACKGROUND: this study was to estimate the predicted effect-site concentration of propofol administered by a target-controlled infusion (TCI) for maintenance of anesthesia based on the bispectral (BIS) index as a measure of hypnosis in laparoscopic surgery. METHOD: one-hundred and sixty unpremedicated patients undergoing gynecologic laparoscopy were assigned randomly to receive one of the target effect-site concentrations of propofol 2.0, 2.5, 3.0, 3.5 and 4.0 microg/ml during TCI with propofol and sufentanil.

Author(s): 
Jung, S. M.
Yang, C. W.
Oh, J.-Y.
Cho, C. K.
Kang, P. S.
Lim, Y. S.
Jeong, S.-J.
Kwon, H. U.
Publication Title: 
Acta Anaesthesiologica Scandinavica

BACKGROUND: This study describes the design of a hypnosis closed-loop control system with propofol. The controller used a proportional-integral (PI) algorithm with the bispectral index (BIS) as the feedback signal. Our hypothesis was that a PI closed-loop control could be applied in clinical practice safely keeping the BIS within a pre-determined target range. METHODS: The adjustment of the PI parameters was based on simulation.

Author(s): 
Reboso, J. A.
Méndez, J. A.
Reboso, H. J.
León, A. M.
Publication Title: 
Midwifery

OBJECTIVE: to explore women's experiences of deinfibulation and its aftermath. DESIGN: a qualitative study using semi-structured interviews with data collection via audio-recording and field notes. The audio-recorded interviews were transcribed verbatim and analysed using Interpretive Phenomenological Analysis (IPA) method for qualitative data analysis. SETTING: recruitment for the study was carried out in an African Well Women Clinic in London, United Kingdom.

Author(s): 
Safari, Faezeh
Publication Title: 
Archives of Sexual Behavior

Many cultural and religious beliefs place virginity at a high level of social significance, in that women who lose their virginity before marriage may face humiliation, ostracism, divorce, and extreme violence. This led to an increase in the demand for virginity restoration through surgical hymen reconstruction among these cultures. However, data regarding the acceptance of hymenoplasty in societies that consider sexuality a taboo are scarce.

Author(s): 
Awwad, Johnny
Nassar, Anwar
Usta, Ihab
Shaya, Monique
Younes, Zeina
Ghazeeri, Ghina
Publication Title: 
British Journal of Anaesthesia

BACKGROUND: Activation of nicotinic receptors with nicotine has been shown to reduce post-surgical pain in clinical and preclinical studies. Choline is a selective agonist at α7-type nicotinic receptors that does not have addictive or sympathetic activating properties. It is anti-nociceptive in animal studies. We conducted a double-blind randomized trial of oral choline supplementation with lecithin to aid in the treatment of pain after gynaecological surgery.

Author(s): 
Sidhu, N.
Davies, S.
Nadarajah, A.
Rivera, J.
Whittington, R.
Mercier, R. J.
Virag, L.
Wang, S.
Flood, P.

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