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Hysterectomy

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181. Clinical analysis of high risk factors for pelvic malignant tumors after hysterectomy for benign diseases. (PubMed)

Clinical analysis of high risk factors for pelvic malignant tumors after hysterectomy for benign diseases. To analyze the clinicopathological characteristics of pelvic masses after hysterectomy for benign diseases, and to analyze the related factors of benign and malignant pelvic masses.This study retrospectively analyzed the patients undergone reoperation for pelvic mass subsequently to hysterectomy for benign disease from January 2012 to December 2016 in Peking Union Medical College (...) Hospital.A total of 247 patients were enrolled in this study, of which 34.01% were diagnosed with malignant tumors, and 65.99% benign tumors. Comparing the clinicopathological data of patients with benign and malignant pelvic masses, significant differences were found between the 2 groups with regard to their ages of having hysterectomy and pelvic mass resection, and the time intervals between the onset of pelvic mass and hysterectomy. In addition, patients with malignant masses tended to complain

2019 Medicine

182. Outcome of adjuvant radiotherapy after total hysterectomy in patients with uterine leiomyosarcoma or carcinosarcoma: a SEER-based study. (PubMed)

Outcome of adjuvant radiotherapy after total hysterectomy in patients with uterine leiomyosarcoma or carcinosarcoma: a SEER-based study. The clinical impact of adjuvant radiotherapy on uterine sarcoma is unclear, and may depend on the histological type. Hence, the aim of this study was to evaluate clinical outcomes of adjuvant radiotherapy after total hysterectomy in patients with leiomyosarcoma or carcinosarcoma.Data were obtained from the Surveillance, Epidemiology, and End Results (SEER

2019 BMC Cancer

183. Learning curve analysis of transvaginal natural orifice transluminal endoscopic hysterectomy. (PubMed)

Learning curve analysis of transvaginal natural orifice transluminal endoscopic hysterectomy. No data are available to assess the learning curve for transvaginal natural orifice transluminal endoscopic hysterectomy for non-prolapsed uteri in benign gynecologic diseases. The lack of exposure to transvaginal natural orifice transluminal endoscopic hysterectomy during training, in addition to a poorly defined learning curve, further deters interested physicians from applying this technique (...) to daily practice. The aim of this study was to evaluate the learning curve and perioperative outcome of transvaginal natural orifice transluminal endoscopic hysterectomy by an experienced endoscopist.A total of 240 cases of transvaginal natural orifice transluminal endoscopic hysterectomies with or without adnexectomy for various benign gynecologic diseases were included. Demographic data and various perioperative parameters were reviewed from the prospectively collected database. Operative time

2019 BMC Surgery

185. McCall Culdoplasty during Total Laparoscopic Hysterectomy: A Pilot Randomized Controlled Trial. (PubMed)

McCall Culdoplasty during Total Laparoscopic Hysterectomy: A Pilot Randomized Controlled Trial. To assess the feasibility and safety of a McCall culdoplasty at the time of total laparoscopic hysterectomy and to evaluate the differences in the total vaginal length, vaginal apex during Valsalva, and sexual function 12 months after McCall culdoplasty compared with standard cuff closure.A pilot randomized controlled, single-masked trial (Canadian Task Force classification I).An academic tertiary (...) care hospital.Women undergoing total laparoscopic hysterectomy for benign indications from June 2013 to December 2013.Women were randomized (1:1) to McCall culdoplasty followed by standard cuff closure versus standard cuff closure. Patients underwent Pelvic Organ Prolapse Quantification examination and completed the Female Sexual Function Index immediately before surgery and at 6 months and 12 months postoperatively. The primary outcome was the operative time. Secondary outcomes included estimated

2019 Journal of minimally invasive gynecology Controlled trial quality: predicted high

186. Re: Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopy as a day-case procedure: a randomised controlled trial. (PubMed)

Re: Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopy as a day-case procedure: a randomised controlled trial. 31020749 2019 06 10 2019 06 13 1471-0528 126 8 2019 07 BJOG : an international journal of obstetrics and gynaecology BJOG Re: Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopy as a day-case procedure: a randomised controlled trial. 1078 10.1111/1471-0528.15746 Wright Emily E Bedford Hospital NHS (...) 04 24 England BJOG 100935741 1470-0328 AIM IM BJOG. 2019 Jan;126(1):105-113 30325565 BJOG. 2019 Jul;126(8):1078-1079 31020729 Female Humans Hysterectomy Laparoscopy Natural Orifice Endoscopic Surgery 2019 03 18 2019 4 26 6 0 2019 6 14 6 0 2019 4 26 6 0 ppublish 31020749 10.1111/1471-0528.15746

2019 BJOG : an international journal of obstetrics and gynaecology Controlled trial quality: predicted high

187. [The effects of transversus abdominis plane block on analgesic and anesthetic consumption during total abdominal hysterectomy: a randomized controlled study]. (PubMed)

[The effects of transversus abdominis plane block on analgesic and anesthetic consumption during total abdominal hysterectomy: a randomized controlled study]. A transversus abdominis plane block is a peripheral block method that has been used successfully for pain relief after total abdominal hysterectomy. However, the effects of the combination of the transversus abdominis plane block and general anesthesia on analgesic and anesthetic requirements remain unclear. This randomized placebo (...) -controlled study is aimed to evaluate the effects of transversus abdominis plane block on analgesic and anesthetic consumption during total abdominal hysterectomy under general anesthesia.Sixty-six women undergoing total abdominal hysterectomy were randomized into two groups to receive general anesthesia alone (control group) or with transversus abdominis plane block using 20mL of 0.25% bupivacaine (transversus abdominis plane group). Intraoperative remifentanil and sevoflurane consumption were recorded

2019 Revista brasileira de anestesiologia Controlled trial quality: uncertain

188. Authors' reply re: Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopy as a daycare procedure: a randomised controlled trial. (PubMed)

Authors' reply re: Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopy as a daycare procedure: a randomised controlled trial. 31020729 2019 06 10 2019 06 13 1471-0528 126 8 2019 07 BJOG : an international journal of obstetrics and gynaecology BJOG Authors' reply re: Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopy as a daycare procedure: a randomised controlled trial. 1078-1079 10.1111/1471-0528.15744 (...) . Universitaire Vrouwenkliniek, University Hospital Gent, Gent, Belgium. eng Letter Comment 2019 04 24 England BJOG 100935741 1470-0328 AIM IM BJOG. 2019 Jul;126(8):1078 31020749 Female Humans Hysterectomy Laparoscopy Natural Orifice Endoscopic Surgery 2019 03 29 2019 4 26 6 0 2019 6 14 6 0 2019 4 26 6 0 ppublish 31020729 10.1111/1471-0528.15744

2019 BJOG : an international journal of obstetrics and gynaecology Controlled trial quality: predicted high

189. Quadratus Lumborum Block versus Transversus Abdominis Plane Block in Patients Undergoing Total Abdominal Hysterectomy: A Randomized Prospective Controlled Trial. (PubMed)

Quadratus Lumborum Block versus Transversus Abdominis Plane Block in Patients Undergoing Total Abdominal Hysterectomy: A Randomized Prospective Controlled Trial. Abdominal hysterectomy is associated with sever postoperative pain. Quadratus lumborum (QL) block is a regional analgesic technique which has an evolving role in postoperative analgesia.we aimed to compare ultrasound guided bilateral transverse abdominis plane (TAP) block versus bilateral QL block in patients undergoing total abdominal (...) hysterectomy.This is a prospective randomized controlled double blinded study.Sixty adult female patients (ASA I-II), scheduled for total abdominal hysterectomy were randomized into two equal groups (TAP group and QL group). Each patient received general anesthesia plus bilateral TAP block or bilateral QL block. We recorded postoperative total dose of morphine used / 24 hours, Visual Analuge Scales (VAS) for pain (at 30 min, 2, 4, 6, 12, and 24 hours postoperative), duration of postoperative analgesia, total

2019 Anesthesia, essays and researches Controlled trial quality: uncertain

190. Vaginal hysterectomy with bilateral sacrospinous fixation plus an anterior mesh versus abdominal sacrocervicopexy for the treatment of primary apical prolapse in postmenopausal women: a randomized controlled study. (PubMed)

Vaginal hysterectomy with bilateral sacrospinous fixation plus an anterior mesh versus abdominal sacrocervicopexy for the treatment of primary apical prolapse in postmenopausal women: a randomized controlled study. We compared vaginal hysterectomy with bilateral sacrospinous fixation plus an anterior polyvinylidene fluoride mesh versus abdominal sacrocolpopexy for the treatment of primary apical prolapse in postmenopausal women.A prospective, randomized, single-blind, parallel study [Registro

2019 International urogynecology journal Controlled trial quality: uncertain

191. A comparative study of the effect of clonidine, fentanyl, and the combination of both as adjuvant to intrathecal bupivacaine for postoperative analgesia in total abdominal hysterectomy. (PubMed)

A comparative study of the effect of clonidine, fentanyl, and the combination of both as adjuvant to intrathecal bupivacaine for postoperative analgesia in total abdominal hysterectomy. The aim of this study was to evaluate the level of sensory block, onset and duration of motor block, postoperative analgesia, and adverse effects of combination of clonidine and fentanyl given intrathecally with hyperbaric bupivacaine (HB).Three hundred and twenty eight patients were randomized into four groups

2019 Journal of anaesthesiology, clinical pharmacology Controlled trial quality: uncertain

192. Comparison of Intrathecal Nalbuphine Hydrochloride and Clonidine Hydrochloride as an Adjuvant to Hyperbaric Bupivacaine in Abdominal Hysterectomy. (PubMed)

Comparison of Intrathecal Nalbuphine Hydrochloride and Clonidine Hydrochloride as an Adjuvant to Hyperbaric Bupivacaine in Abdominal Hysterectomy. Various adjuvants for prolongation of intraoperative and postoperative analgesia have been clinically studied in the literature.This study was done to evaluate and compare the effects of nalbuphine and clonidine as an adjuvant to bupivacaine in spinal anesthesia.In this prospective, randomized, placebo control, double-blind, and comparative study (...) , a total of ninety patients of American Society of Anesthesiologists physical status Classes I and II undergoing abdominal hysterectomy under subarachnoid block were randomly divided into three groups. In addition to 15 mg of 0.5% hyperbaric bupivacaine administered, patients of groups BS, BN, and BC received 0.9% normal saline, 1.6 mg nalbuphine, and 30 μg clonidine, respectively. The total volume of drugs administered intrathecally was made up to 3.5 ml by addition of sterile isotonic normal saline

2019 Anesthesia, essays and researches Controlled trial quality: uncertain

193. Three-Dimensional Versus Two-Dimensional Radical Laparoscopic Hysterectomy for Endometrial and Cervical Cancer: A Prospective Randomized Trial. (PubMed)

Three-Dimensional Versus Two-Dimensional Radical Laparoscopic Hysterectomy for Endometrial and Cervical Cancer: A Prospective Randomized Trial. 27679225 2019 11 20 1553-4669 22 6S 2015 Nov-Dec Journal of minimally invasive gynecology J Minim Invasive Gynecol Three-Dimensional Versus Two-Dimensional Radical Laparoscopic Hysterectomy for Endometrial and Cervical Cancer: A Prospective Randomized Trial. S38 S1553-4650(15)00713-X 10.1016/j.jmig.2015.08.105 Fanfani F F Division of Gynecologic

2019 Journal of minimally invasive gynecology Controlled trial quality: uncertain

194. Standard Versus Robot-Assisted Laparoscopic Hysterectomy: A Prospective Randomized Trial. (PubMed)

Standard Versus Robot-Assisted Laparoscopic Hysterectomy: A Prospective Randomized Trial. 27679314 2019 11 20 1553-4669 22 6S 2015 Nov-Dec Journal of minimally invasive gynecology J Minim Invasive Gynecol Standard Versus Robot-Assisted Laparoscopic Hysterectomy: A Prospective Randomized Trial. S7-S8 S1553-4650(15)00637-8 10.1016/j.jmig.2015.08.029 Deimling T A TA Obstetrics and Gynecology, The Penn State Milton S. Hershey Medical Center, Hershey, Pennsylvania. Eldridge J L JL Obstetrics

2019 Journal of minimally invasive gynecology Controlled trial quality: predicted high

195. Evaluation of clonidine as an adjuvant to bupivacaine in wound infiltration for providing postoperative analgesia after abdominal hysterectomy. (PubMed)

Evaluation of clonidine as an adjuvant to bupivacaine in wound infiltration for providing postoperative analgesia after abdominal hysterectomy. Clonidine is an effective adjuvant to local anesthetics in peripheral nerve blocks. We studied the effect of clonidine as an adjuvant in wound infiltration for postoperative analgesia.To evaluate the role of clonidine as an adjuvant to bupivacaine in wound infiltration in terms of quality and duration of postoperative analgesia in patients undergoing (...) total abdominal hysterectomy.Prospective, randomized, double-blinded study.One hundred patients of American Society of Anesthesiologists I-II posted for abdominal hysterectomy were randomly allotted to two groups. Group A received wound infiltration with 45 ml of 0.25% bupivacaine with 3 μg/kg clonidine while Group B received wound infiltration with 45 ml of 0.25% bupivacaine. A standard general anesthesia technique was used in all the patients. Postoperative analgesia was provided with injection

2019 Anesthesia, essays and researches Controlled trial quality: uncertain

196. Comparison of IV granisetron and IV palonosetron on hemodynamics and sensory and motor block after spinal anesthesia with hyperbaric bupivacaine in patients undergoing abdominal hysterectomy. (PubMed)

Comparison of IV granisetron and IV palonosetron on hemodynamics and sensory and motor block after spinal anesthesia with hyperbaric bupivacaine in patients undergoing abdominal hysterectomy. The present study evaluated the effects of two 5-HT3 serotonin receptor antagonists; granisetron and palonosetron on hemodynamics, sensory, and motor blockade induced by intrathecal bupivacaine in patients undergoing abdominal hysterectomy.In total, 126 female patients (ASA I and II physical status (...) ) undergoing abdominal hysterectomy under spinal anesthesia with intrathecal bupivacaine were randomly divided into three groups out of which 40 patients in each group were evaluated for final outcome. Group G received intravenous 1 mg granisetron, group P received intravenous palonosetron 0.075 mg, and group C received intravenous normal saline. Study drug was given 5 min before the spinal anesthesia. Systolic, diastolic and mean arterial blood pressure, heart rate, sensory and motor blockade were

2019 Journal of anaesthesiology, clinical pharmacology Controlled trial quality: uncertain

197. Regarding "Paracervical Block as a Strategy to Reduce Postoperative Pain After Laparoscopic Hysterectomy: A Randomized Controlled Trial". (PubMed)

Regarding "Paracervical Block as a Strategy to Reduce Postoperative Pain After Laparoscopic Hysterectomy: A Randomized Controlled Trial". 30872183 2019 09 01 1553-4669 26 6 2019 Sep - Oct Journal of minimally invasive gynecology J Minim Invasive Gynecol Regarding "Paracervical Block as a Strategy to Reduce Postoperative Pain After Laparoscopic Hysterectomy: A Randomized Controlled Trial". 1203 S1553-4650(19)30120-7 10.1016/j.jmig.2019.02.018 Lovett-Carter Danielle D Providence, RI. eng Letter

2019 Journal of minimally invasive gynecology Controlled trial quality: predicted high

198. Comparison of Fentanyl and Dexmedetomidine as Intrathecal Adjuvants to Spinal Anaesthesia for Abdominal Hysterectomy. (PubMed)

Comparison of Fentanyl and Dexmedetomidine as Intrathecal Adjuvants to Spinal Anaesthesia for Abdominal Hysterectomy. Spinal anaesthesia, although advantageous for conducting abdominal hysterectomy, is not the first choice amongst surgeons for fear of intra-operative visceral pain. Intrathecal adjuvants may improve quality of spinal anaesthesia. This study aims to compare efficacy of intrathecal Fentanyl and Dexmedetomidine to reduce visceral pain during abdominal hysterectomy performed under (...) spinal anaesthesia.Sixty women undergoing abdominal hysterectomy for benign indications were randomly assigned to two equal groups in a double-blind fashion. Fentanyl 25 micrograms in group A or Dexmedetomidine 10 micrograms in group B was co-administered with hyperbaric Bupivacaine 15 milligrams for spinal anesthesia. Surgery through Pfannenstiel incision proceeded once sensory block reached eighth thoracic dermatome. The intra-operative visceral pain was assessed using a five-point scale: none

2019 JNMA; journal of the Nepal Medical Association Controlled trial quality: uncertain

199. Comparison of Topical and Subcutaneous Bupivacaine Infiltration with Subcutaneous Ketamine on Postoperative Pain in Total Abdominal Hysterectomy. (PubMed)

Comparison of Topical and Subcutaneous Bupivacaine Infiltration with Subcutaneous Ketamine on Postoperative Pain in Total Abdominal Hysterectomy. Hysterectomy is one of the most common surgical procedures. Problems such as severe pelvic pain, irregular or heavy bleeding and uterine cancer from those that may be used to treat them no choice but to remove the uterus by surgery. Abdominal pain after abdominal hysterectomy, the most common complaints of patients undergoing this type of surgery (...) is considered.This study aimed to compare the effects of bupivacaine into the subcutaneous tissue and skin ketamine for pain control after surgery in patients undergoing abdominal hysterectomy was performed under general anesthesia.This study is a randomized, double-blind clinical trial involving 99 women scheduled for TAH referred to tertiary centers was performed. Group A: 5 mL of 0.25% bupivacaine into the subcutaneous tissue and, Group II: 100 mg ketamine skin and subcutaneous tissue with cc5 volume

2019 Medical archives (Sarajevo, Bosnia and Herzegovina) Controlled trial quality: uncertain

200. Retraction notice to "Treatment of postoperative emetic symptoms with granisetron in women undergoing abdominal hysterectomy: A randomized, double-blind, placebo-controlled, dose-ranging study": [CTR 65/4 (2004) 321-329]. (PubMed)

Retraction notice to "Treatment of postoperative emetic symptoms with granisetron in women undergoing abdominal hysterectomy: A randomized, double-blind, placebo-controlled, dose-ranging study": [CTR 65/4 (2004) 321-329]. [This retracts the article DOI: 10.1016/j.curtheres.2004.06.002.].

2019 Current therapeutic research, clinical and experimental Controlled trial quality: uncertain

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