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Hysterectomy

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81. Intraoperative local infiltration with ropivacaine 0.5% in women undergoing vaginal hysterectomy and pelvic floor repair: Randomized double-blind placebo-controlled trial. (Abstract)

Intraoperative local infiltration with ropivacaine 0.5% in women undergoing vaginal hysterectomy and pelvic floor repair: Randomized double-blind placebo-controlled trial. To evaluate the effectiveness of infiltration with ropivacaine 0.5% on controlling postoperative pain in women undergoing vaginal hysterectomy (VH) and pelvic floor repair for prolapse stage > II.This double-blind randomized 1:1 placebo-controlled trial included 59 women. Thirty millilitres of ropivacaine 0.5% or placebo

2019 European journal of obstetrics, gynecology, and reproductive biology Controlled trial quality: predicted high

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

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

83. Comparison of intradermal Dexmedmotidine and subcutaneous Ketamine for post-surgical pain management in patients with abdominal hysterectomy. Full Text available with Trip Pro

Comparison of intradermal Dexmedmotidine and subcutaneous Ketamine for post-surgical pain management in patients with abdominal hysterectomy. Hysterectomy after cesarean section is the second most commonly used surgery for women in the United States. One of the most common problem after hysterectomy is pain. We decided to compare the effects of dexmedmotidine or ketamine on pain in patients by a double blind randomized clinical trial on 126 female candidates for abdominal hysterectomy in three

2019 European journal of translational myology Controlled trial quality: uncertain

84. Comparison of Laparoscopically Assisted Transversus Abdominis Plane Block Using Liposomal Bupivacaine With Pre-Incisional Bupivacaine for Post-Operative Pain Control in Patients Undergoing Laparoscopic or Robotic-Assisted Laparoscopic Hysterectomy: A Rand (Abstract)

Comparison of Laparoscopically Assisted Transversus Abdominis Plane Block Using Liposomal Bupivacaine With Pre-Incisional Bupivacaine for Post-Operative Pain Control in Patients Undergoing Laparoscopic or Robotic-Assisted Laparoscopic Hysterectomy: A Rand 27679220 2019 11 20 1553-4669 22 6S 2015 Nov-Dec Journal of minimally invasive gynecology J Minim Invasive Gynecol Comparison of Laparoscopically Assisted Transversus Abdominis Plane Block Using Liposomal Bupivacaine With Pre-Incisional (...) Bupivacaine for Post-Operative Pain Control in Patients Undergoing Laparoscopic or Robotic-Assisted Laparoscopic Hysterectomy: A Randomized Controlled Trial. S36 S1553-4650(15)00707-4 10.1016/j.jmig.2015.08.099 Mohling S I SI Elkattah R R Furr R S RS Widelock T T Yilmaz A A Boren T T Depasquale S S eng Journal Article 2015 10 15 United States J Minim Invasive Gynecol 101235322 1553-4650 2016 9 29 6 0 2016 9 30 6 0 2016 9 30 6 0 ppublish 27679220 S1553-4650(15)00707-4 10.1016/j.jmig.2015.08.099

2019 Journal of minimally invasive gynecology Controlled trial quality: uncertain

85. Postoperative analgesia after total abdominal hysterectomy: Is the transversus abdominis plane block effective? (Abstract)

Postoperative analgesia after total abdominal hysterectomy: Is the transversus abdominis plane block effective? Analgesic protocol is needed following gynecologic surgery to ensure early mobilization, decrease the duration in the post-anesthetic care unit and hospitalization, and provide patient comfort. Transversus abdominis plane (TAP) blocks are used in the treatment of acute postoperative pain after lower abdominal surgery. TAP block may be a better choice of postoperative pain control (...) . In the present study, the efficacy of ultrasound-guided TAP block on pain control and postoperative opioid consumption was evaluated in patients undergoing a total abdominal hysterectomy.Fifty patients undergoing total abdominal hysterectomy were included in this study. Patients were divided into TAP block (n = 25) and control groups (n = 25). Both groups postoperative patient-controlled analgesia (PCA) was planned during 24 h postoperatively. Patients were assessed 1, 2, 4, 6, 12, 18, and 24 h

2019 Nigerian journal of clinical practice Controlled trial quality: uncertain

86. Pressure-Controlled Ventilation with Volume Guarantee Compared to Volume-Controlled Ventilation with Equal Ratio in Obese Patients Undergoing Laparoscopic Hysterectomy. Full Text available with Trip Pro

Pressure-Controlled Ventilation with Volume Guarantee Compared to Volume-Controlled Ventilation with Equal Ratio in Obese Patients Undergoing Laparoscopic Hysterectomy. Laparoscopic hysterectomy operations especially for obese patients necessitate Trendelenburg position and pneumoperitoneum with carbon dioxide, which could affect cardiac and pulmonary functions. The present study aimed to compare the impact of pressure-controlled ventilation with volume-guaranteed (PCV-VG) and volume-controlled (...) ventilation (VCV) with equal ratio ventilation (ERV), i.e., I: E ratio of 1:1 on hemodynamics, respiratory mechanics, and oxygenation.Eighty females with body mass index (BMI) >30 kg/m2 and with physical status American Society of Anesthesiologists Classes I and II undergoing laparoscopic hysterectomy were allocated randomly to either PCV-VG (Group P) or VCV with ERV (Group V). The ventilation parameters, hemodynamics, and arterial blood gases (ABGs) analysis were recorded at four times: (T1): after

2019 Anesthesia, essays and researches Controlled trial quality: uncertain

87. Comparison of Intrathecal Nalbuphine Hydrochloride and Clonidine Hydrochloride as an Adjuvant to Hyperbaric Bupivacaine in Abdominal Hysterectomy. Full Text available with Trip Pro

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

88. Nasogastric Tube Insertion in Anesthetized Intubated Patients Undergoing Laparoscopic Hysterectomies: A Comparative Study of Three Techniques. Full Text available with Trip Pro

Nasogastric Tube Insertion in Anesthetized Intubated Patients Undergoing Laparoscopic Hysterectomies: A Comparative Study of Three Techniques. Insertion of a nasogastric tube (NGT) in an anesthetized, comatose intubated patient is not always as easy as in a conscious, cooperative patient. Various techniques have been tried with varying success. The aim of this randomized study was to compare and evaluate the two techniques of NGT insertion with the conventional technique of insertion (...) with respect to success rate, time taken for insertion and adverse effects.Patients admitted for laparoscopic hysterectomy were chosen and then were divided into three equal groups of forty each, by randomized technique. Group C included patients in whom conventional method was used to insert NGT. Group R where reverse Sellick's technique was used. Group F where neck flexion with lateral pressure was used.Both the techniques were better than the conventional method. Among both the techniques, reverse

2019 Anesthesia, essays and researches Controlled trial quality: uncertain

89. 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. Full Text available with Trip Pro

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

90. Sexual Function following Laparoscopic versus Transvaginal Closure of the Vaginal Vault after Laparoscopic Hysterectomy: Secondary Analysis of a Randomized Trial by the Italian Society of Gynecological Endoscopy Using a Validated Questionnaire. (Abstract)

Sexual Function following Laparoscopic versus Transvaginal Closure of the Vaginal Vault after Laparoscopic Hysterectomy: Secondary Analysis of a Randomized Trial by the Italian Society of Gynecological Endoscopy Using a Validated Questionnaire. The effect of the different types of vaginal cuff closures on posthysterectomy sexual function has not been investigated in depth. We evaluated if there is a difference between transvaginal versus a laparoscopic closure after total laparoscopic (...) hysterectomy (TLH) on female sexual function, using a validated questionnaire.Secondary analysis of a prospective randomized controlled trial.Three academic research centers.Women consenting to telephone interviews on their sexual life before and after undergoing TLH were included.Patients were randomly assigned to a laparoscopic or transvaginal approach for vaginal cuff closure at the end of TLH for benign indications.A validated questionnaire (the Female Sexual Function Index [FSFI]) was used to explore

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

91. Standard Versus Robot-Assisted Laparoscopic Hysterectomy: A Prospective Randomized Trial. (Abstract)

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

92. Parecoxib Shortens the Duration of Acute Postoperative Pain After Laparoscopic-Assisted Vaginal Hysterectomy. Full Text available with Trip Pro

Parecoxib Shortens the Duration of Acute Postoperative Pain After Laparoscopic-Assisted Vaginal Hysterectomy. The effect of parecoxib sodium on the duration and severity of acute postoperative pain after laparoscopic-assisted vaginal hysterectomy has been inadequately studied. This randomized, controlled trial compared the effects of parecoxib, methylprednisolone, and placebo on the duration of acute postoperative pain after elective laparoscopic-assisted vaginal hysterectomy. Ninety-four (...) the groups. Thus, parecoxib sodium reduces the duration and intensity of acute postoperative pain after laparoscopic-assisted vaginal hysterectomy.

2019 Frontiers in pharmacology Controlled trial quality: uncertain

93. Is hysterectomy beneficial in radical cystectomy for female patient with urothelial carcinoma of bladder? A retrospective analysis of consecutive 112 cases from a single institution. Full Text available with Trip Pro

Is hysterectomy beneficial in radical cystectomy for female patient with urothelial carcinoma of bladder? A retrospective analysis of consecutive 112 cases from a single institution. There is no criterion for determining whether female patients operated with cystectomy would benefit from hysterectomy. This study compares the oncological outcomes between female patients receiving uterus preserving cystectomy (UPC) and uterus excision cystectomy (UEC).Retrospective review of 121 female patients (...) ) and PFS probability (p = 0.565) were similar in two groups. In multivariable Cox regression analysis, hysterectomy was not found to be a predictor of OS (hazard ratio 0.908, 95%CI 0.428-1.924, p = 0.801) and PFS (hazard ratio 1.109, 95%CI 0.439-2.805, p = 0.826) after adjusting for age, preoperative clinical stage, pathological stage, pathological nodal stage, neoadjuvant/adjuvant chemotherapy, location of the tumor, and surgical margin. No significant difference of overall survival probability

2019 BMC Urology

94. Short-term recurrence and distant metastasis following robotic-assisted radical hysterectomy with pelvic lymphadenectomy and chemoradiotherapy for a stage IB1 cervical adenocarcinoma: A case report and literature review. Full Text available with Trip Pro

Short-term recurrence and distant metastasis following robotic-assisted radical hysterectomy with pelvic lymphadenectomy and chemoradiotherapy for a stage IB1 cervical adenocarcinoma: A case report and literature review. Postoperative concurrent chemoradiotherapy (CCRT) is considered the standard treatment for patients with early stage cervical cancer with positive pelvic nodes, yet many patients with high-risk factors treated with CCRT still suffered from distant metastasis.A 48-year-old woman (...) presented with abnormal vaginal bleeding for 5 months. Thin prep liquid-based cytology test revealed low-grade squamous intraepithelial lesion and the human papillomavirus test (type 58) was positive. Magnetic resonance imaging showed a mass measuring 17 × 15 mm, located predominantly in the posterior lip of uterine cervix. Colposcopy biopsy reported adenocarcinoma of the cervix.Cervical adenocarcinoma stage IB1.A robotic-assisted radical hysterectomy with pelvic lymphadenectomy was performed followed

2019 Medicine

95. Uterus at a price: Disability insurance and hysterectomy. Full Text available with Trip Pro

Uterus at a price: Disability insurance and hysterectomy. Taiwanese Labor, Government Employee, and Farmer Insurance programs provide 5 to 6 months of salary to enrollees who undergo hysterectomies or oophorectomies before their 45th birthday. These programs create incentives for more and earlier treatments, referred to as inducement and timing effects. Using National Health Insurance data between 1997 and 2011, we estimate these effects on surgery hazards by difference-in-difference (...) and bunching-smoothing polynomial methods. For Government Employee and Labor Insurance, inducement is 11-12% of all hysterectomies, and timing 20% of inducement. For oophorectomies, both effects are insignificant. Enrollees' behaviors are consistent with rational choices. Each surgery qualifies an enrollee for the same benefit, but oophorectomy has more adverse health consequences than hysterectomy. Induced hysterectomies increase benefit payments and surgical costs, at about the cost of a mammogram and 5

2019 Journal of Health Economics

96. How to train practising gynaecologists in total laparoscopic hysterectomy: protocol for the stepped-wedge IMAGINE trial. Full Text available with Trip Pro

How to train practising gynaecologists in total laparoscopic hysterectomy: protocol for the stepped-wedge IMAGINE trial. Hysterectomy is the most common major gynaecological procedure in women and minimally invasive approaches should be used wherever possible; total laparoscopic hysterectomy (TLH) is one such surgical approach which allows removal of the uterus entirely laparoscopically. However, lack of surgical training opportunities is impeding its increased adoption. This study (...) will formally test a surgical outreach training model to equip surgeons with the skills to provide TLH as an alternative to total abdominal hysterectomy (TAH).Stepped wedge implementation trial of a surgical training programme for practising obstetrician gynaecologist specialists in four hospitals.Change in the proportion of hysterectomies performed by TAH, measured between preintervention and postintervention; we aim to reduce TAH by at least 30% in 75% of the trainees.(1) Number of hospitals screened

2019 BMJ open

97. Correction to: Comparing benign laparoscopic and abdominal hysterectomy outcomes by time. Full Text available with Trip Pro

Correction to: Comparing benign laparoscopic and abdominal hysterectomy outcomes by time. The original article was updated to correct the author listing: the last five author names were reversed.

2019 Surgical endoscopy

98. Treatment of urinary incontinence after total hysterectomy with acupuncture: A case report. Full Text available with Trip Pro

Treatment of urinary incontinence after total hysterectomy with acupuncture: A case report. Acupuncture is a significant feature of traditional Chinese medicine, which can dredge the channels, harmonize qi and blood, replenish deficiency and relieve excess, strengthen the body and remove pathogens to treat urinary incontinence after hysterectomy, and improve the quality of life, which is simple, convenient, inexpensive, and practical.After a total hysterectomy, the catheter was retained every (...) were normal.acupuncture is safe and effective mode for the treatment of urinary incontinence issues after total hysterectomy. It greatly improves the quality of life and daily wellbeing.

2019 Medicine

99. Comparing benign laparoscopic and abdominal hysterectomy outcomes by time. (Abstract)

Comparing benign laparoscopic and abdominal hysterectomy outcomes by time. While laparoscopic hysterectomy has benefits compared to abdominal hysterectomy, the operative times are longer. Longer operative times have been associated with negative outcomes. This study's purpose was to elucidate if there is an operative time at which 30-day outcomes for laparoscopic hysterectomy become inferior to a more expeditiously completed abdominal hysterectomy.This was a retrospective cohort study (Canadian (...) Task Force classification II-2) using the American College of Surgeons National Surgical Quality Improvement Program database to identify women undergoing hysterectomy for benign indications from 2010 to 2016 by current procedural terminology code. Hysterectomy cases were stratified by approach and 60-min intervals. 30-day post-operative outcomes were analyzed by operative time and approach.109,821 hysterectomies were included in our analysis, of which 66,560 (61%) were laparoscopic, and 43,261 (39

2019 Surgical endoscopy

100. Hysterectomy-Corrected Uterine Corpus Cancer Incidence Trends and Differences in Relative Survival Reveal Racial Disparities and Rising Rates of Nonendometrioid Cancers. Full Text available with Trip Pro

Hysterectomy-Corrected Uterine Corpus Cancer Incidence Trends and Differences in Relative Survival Reveal Racial Disparities and Rising Rates of Nonendometrioid Cancers. Uterine corpus cancer incidence rates have been projected to increase, a prediction often attributed to the obesity epidemic. However, correct estimation of these rates requires accounting for hysterectomy prevalence, which varies by race, ethnicity, and region. Here, we evaluated recent trends in hysterectomy-corrected rates (...) by race and ethnicity and histologic subtype and estimated differences in relative survival by race and ethnicity, subtype, and stage.We estimated hysterectomy prevalence from the Behavioral Risk Factor Surveillance System. Hysterectomy-corrected age-standardized uterine corpus cancer incidence rates from 2000 to 2015 were calculated from the SEER 18 registries. Incidence rates and trends were estimated separately by race and ethnicity, region, and histologic subtype. Five-year relative survival rates

2019 Journal of Clinical Oncology

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