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Hysterectomy

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121. Comparison between Epidural Ropivacaine versus Ropivacaine with Clonidine in Patients Undergoing Abdominal Hysterectomy: A Randomized Study. Full Text available with Trip Pro

Comparison between Epidural Ropivacaine versus Ropivacaine with Clonidine in Patients Undergoing Abdominal Hysterectomy: A Randomized Study. Regional anesthesia has emerged as one of the preferred and convenient modes for intra- and post-operative management owing to its advantage of not interfering with the metabolic functions, better tolerability, and decrease in reflex activity. In recent years, ropivacaine has increasingly replaced bupivacaine as a preferred local anesthetic because of its (...) patients (25 in each group) of American Society of Anesthesiologist Grade 1 and 2 scheduled for abdominal hysterectomy under epidural block. Group-1 (ropivacaine-clonidine [RC]): Epidural ropivacaine 20 ml (0.5%) with 0.75 μg/kg clonidine. Group-2 (ropivacaine [R]): Epidural ropivacaine 20 ml (0.5%) with normal saline. Onset, duration of sensory-motor block, heart rate, blood pressure, oxygen saturation, and respiratory rate were recorded.The statistical analysis was done using Statistical Package

2019 Anesthesia, essays and researches Controlled trial quality: uncertain

122. The Analgesic Efficacy of Dexamethasone Added to Ropivacaine in Transversus Abdominis Plane Block for Transabdominal Hysterectomy under Subarachnoid Block. Full Text available with Trip Pro

The Analgesic Efficacy of Dexamethasone Added to Ropivacaine in Transversus Abdominis Plane Block for Transabdominal Hysterectomy under Subarachnoid Block. Ultrasound-guided transversus abdominis plane (TAP) block has been proven as a safe and effective analgesic technique for several lower abdominal surgeries. Various adjuvants have been used to intensify the quality and prolong the local anesthetic effect. We evaluated the analgesic efficacy of dexamethasone addition to ropivacaine in TAP (...) block following open abdominal hysterectomy.After clearance from the Institutional Ethics Committee, a double-blind, prospective, randomized study was carried out on sixty patients aged 40-60 years posted for elective open abdominal hysterectomy comparing bilateral TAP block using 20 ml of 0.5% ropivacaine + 1 ml of 0.9% saline (control Group R) or 20 ml of 0.5% ropivacaine + 4 mg dexamethasone (Group RD). The aim of our study was to observe postoperative pain score (visual analog scale [VAS]), time

2019 Anesthesia, essays and researches Controlled trial quality: uncertain

123. Ultrasound-guided subcostal transversus abdominis plane block with liposomal bupivacaine compared to bupivacaine infiltration for patients undergoing robotic-assisted and laparoscopic hysterectomy: a prospective randomized study. Full Text available with Trip Pro

Ultrasound-guided subcostal transversus abdominis plane block with liposomal bupivacaine compared to bupivacaine infiltration for patients undergoing robotic-assisted and laparoscopic hysterectomy: a prospective randomized study. To determine if a transversus abdominis plane (TAP) block with liposomal bupivacaine reduces total postoperative opioid use in the first 72 hrs following laparoscopic or robotic hysterectomy compared to port-site infiltration with 0.25% bupivacaine.Patients received

2019 Journal of pain research Controlled trial quality: uncertain

124. Effects of preincisional analgesia with surgical site infiltration of ketamine or levobupivacaine in patients undergoing abdominal hysterectomy under general anesthesia; A randomized double blind study. Full Text available with Trip Pro

Effects of preincisional analgesia with surgical site infiltration of ketamine or levobupivacaine in patients undergoing abdominal hysterectomy under general anesthesia; A randomized double blind study. Postoperative pain management remains a cornerstone in patient's management to ensure a better quality of life. Preemptive analgesia is reported to inhibit the persistence of postoperative pain.The aim of this study is to assess the analgesic effectiveness of preincisional infiltration (...) of ketamine following elective abdominal hysterectomy as compared to levobupivacaine.This was a prospective, randomized, double-blind study.This study included 48 patients undergoing abdominal hysterectomy under general anesthesia. They were randomized into two equal groups; Group K received subcutaneous infiltration of 20 ml containing ketamine 2 mg/kg and Group L received subcutaneous infiltration of 20 ml of levobupivacaine 0.25% along the Pfannenstiel incision 5 min before incision. Postoperative pain

2019 Saudi journal of anaesthesia Controlled trial quality: uncertain

125. Warm-Up Before Robotic Hysterectomy Does Not Improve Trainee Operative Performance: A Randomized Trial. (Abstract)

Warm-Up Before Robotic Hysterectomy Does Not Improve Trainee Operative Performance: A Randomized Trial. 27679212 2019 11 20 1553-4669 22 6S 2015 Nov-Dec Journal of minimally invasive gynecology J Minim Invasive Gynecol Warm-Up Before Robotic Hysterectomy Does Not Improve Trainee Operative Performance: A Randomized Trial. S34 S1553-4650(15)00701-3 10.1016/j.jmig.2015.08.093 Chen Ccg C Gynob, Johns Hopkins, Baltimore, Maryland. Tanner E E Gynob, Johns Hopkins, Baltimore, Maryland. Malpani

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

126. 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. (Abstract)

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

127. McCall Culdoplasty during Total Laparoscopic Hysterectomy: A Pilot Randomized Controlled Trial. (Abstract)

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

128. Authors' reply re: Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopy as a daycare procedure: a randomised controlled trial. Full Text available with Trip Pro

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

129. Quadratus Lumborum Block versus Transversus Abdominis Plane Block in Patients Undergoing Total Abdominal Hysterectomy: A Randomized Prospective Controlled Trial. Full Text available with Trip Pro

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

130. Quality of recovery and analgesia after total abdominal hysterectomy under general anesthesia: A randomized controlled trial of TAP block vs epidural analgesia vs parenteral medications. Full Text available with Trip Pro

Quality of recovery and analgesia after total abdominal hysterectomy under general anesthesia: A randomized controlled trial of TAP block vs epidural analgesia vs parenteral medications. Parenteral analgesics and epidural analgesia are two standard options to treat postoperative pain after total abdominal hysterectomy (TAH). Fascial plane blocks such as transversus abdominis plane (TAP) block have gained popularity recently. However, effect of these analgesic regimens on quality (...) % CI: 6.4, 9.1) mg (P < 0.001) when compared with epidural and parenteral groups, respectively.The QoR after abdominal hysterectomy is similar with either intravenous analgesics or epidural analgesia or TAP block when used with rescue analgesia to manage postoperative pain. TAP block provides superior analgesia and reduces 24-h morphine consumption when compared with parenteral and epidural analgesia.

2019 Journal of anaesthesiology, clinical pharmacology Controlled trial quality: predicted high

131. Evaluation of clonidine as an adjuvant to bupivacaine in wound infiltration for providing postoperative analgesia after abdominal hysterectomy. Full Text available with Trip Pro

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

132. [The effects of transversus abdominis plane block on analgesic and anesthetic consumption during total abdominal hysterectomy: a randomized controlled study]. Full Text available with Trip Pro

[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

133. Postoperative Analgesia with Epidural Dexmedetomidine Compared with Clonidine following Total Abdominal Hysterectomies: A Prospective Double-blind Randomized Trial. Full Text available with Trip Pro

Postoperative Analgesia with Epidural Dexmedetomidine Compared with Clonidine following Total Abdominal Hysterectomies: A Prospective Double-blind Randomized Trial. Anesthesia for total abdominal hysterectomies is not only concerned with relieving pain during intraoperative period but also during the postoperative period. We compared clonidine and dexmedetomidine as an adjuvant to levobupivacaine for epidural analgesia with respect to onset and duration of sensory block, duration of analgesia (...) , and adverse effects.A total of 80 individuals between the age of 45 and 65 years of American Society of Anesthesiologists (ASA) physical status Classes I and II who underwent total abdominal hysterectomies were randomly allocated into two groups, comprising 40 patients in each group. Group LC received 10 ml of 0.125% levobupivacaine and 2 μg/kg of clonidine while Group LD received 10 ml of 0.125% levobupivacaine and 1 μg/kg of dexmedetomidine through the epidural catheter. Onset of analgesia, time of peak

2019 Anesthesia, essays and researches Controlled trial quality: uncertain

134. Re: Hysterectomy by transvaginal natural orifice transluminal endoscopic surgery versus laparoscopy as a day-case procedure: a randomised controlled trial. Full Text available with Trip Pro

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

135. 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. Full Text available with Trip Pro

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

136. A prospective randomized assessment of quality of life between open and robotic hysterectomy in early endometrial cancer. Full Text available with Trip Pro

A prospective randomized assessment of quality of life between open and robotic hysterectomy in early endometrial cancer. There are limited prospective data on the evaluation of quality of life in patients undergoing robotic hysterectomy for endometrial cancer. Our objective was to determine whether post-operative recovery differs between robotic and abdominal hysterectomy.At a Swedish tertiary referral university hospital, 50 women with low-risk endometrial cancer scheduled for surgery between (...) , and then weekly until 6 weeks post-operatively. Data were analyzed by means of non-parametric tests and repeated measures ANOVA. To evaluate the time-dependent occurrence of complications, Kaplan-Meier survival and Cox proportional-hazard models were used.A total of 50 women were enrolled in the study (25 robotic and 25 abdominal hysterectomy). Median age (68 years vs 67 years), estimated blood loss (50 mL vs 50 mL), length of hospital stay de facto (53 hours vs 51 hours), and time to meet discharge criteria

2019 International journal of gynecological cancer : official journal of the International Gynecological Cancer Society Controlled trial quality: uncertain

137. A Preliminary Report of a Prospective Randomized Controlled Study: Effects of Water-Jet in Laparoscopic Nerve Sparing Radical Hysterectomy for Patients with Cervical Cancer. (Abstract)

A Preliminary Report of a Prospective Randomized Controlled Study: Effects of Water-Jet in Laparoscopic Nerve Sparing Radical Hysterectomy for Patients with Cervical Cancer. 27679338 2019 11 20 1553-4669 22 6S 2015 Nov-Dec Journal of minimally invasive gynecology J Minim Invasive Gynecol A Preliminary Report of a Prospective Randomized Controlled Study: Effects of Water-Jet in Laparoscopic Nerve Sparing Radical Hysterectomy for Patients with Cervical Cancer. S78-S79 S1553-4650(15)00818-3

2019 Journal of minimally invasive gynecology Controlled trial quality: uncertain

138. Hysteroscopic Endometrial Resection Versus Laparoscopic Supracervical Hysterectomy for Abnormal Uterine Bleeding: Long Term Follow-Up of a Prospective Randomized Trial. (Abstract)

Hysteroscopic Endometrial Resection Versus Laparoscopic Supracervical Hysterectomy for Abnormal Uterine Bleeding: Long Term Follow-Up of a Prospective Randomized Trial. 27679228 2019 11 20 1553-4669 22 6S 2015 Nov-Dec Journal of minimally invasive gynecology J Minim Invasive Gynecol Hysteroscopic Endometrial Resection Versus Laparoscopic Supracervical Hysterectomy for Abnormal Uterine Bleeding: Long Term Follow-Up of a Prospective Randomized Trial. S39 S1553-4650(15)00716-5 10.1016/j.jmig

2019 Journal of minimally invasive gynecology Controlled trial quality: uncertain

139. Outcomes following a clinical algorithm allowing for delayed hysterectomy in the management of severe placenta accreta spectrum. (Abstract)

Outcomes following a clinical algorithm allowing for delayed hysterectomy in the management of severe placenta accreta spectrum. The incidence of placenta accreta spectrum is rising. Management is most commonly with cesarean hysterectomy. These deliveries are often complicated by massive hemorrhage, urinary tract injury, and admission to the intensive care unit. Up to 60% of patients require transfusion of ≥ 4 units of packed red blood cells. There is also a significant risk of death of up to 7 (...) %.To assess the outcomes of patients with antenatal diagnosis of placenta percreta managed with delayed hysterectomy as compared to those who underwent immediate cesarean hysterectomy.We performed a retrospective study of all patients with an antepartum diagnosis of placenta percreta at our large academic institution from January 1, 2012 to May 30, 2018. Patients were managed according to standard clinical practice including scheduled cesarean delivery at 34 to 35 weeks gestational age and intra-operative

2019 American Journal of Obstetrics and Gynecology

140. Incidence of adverse events in minimally invasive versus open radical hysterectomy in early cervical cancer: Results of a randomized controlled trial. (Abstract)

Incidence of adverse events in minimally invasive versus open radical hysterectomy in early cervical cancer: Results of a randomized controlled trial. Standard treatment of early cervical cancer involves a radical hysterectomy and retroperitoneal lymph node dissection. The existing evidence on the incidence of adverse events following minimally invasive versus open radical hysterectomy for early cervical cancer is either non-randomized or retrospective.To compare the incidence of adverse events (...) following minimally invasive versus open radical hysterectomy for early cervical cancer.The Laparoscopic Approach to Carcinoma of the Cervix (LACC) trial was a multinational, randomized non-inferiority trial conducted between 2008 and 2017, in which surgeons from 33 tertiary gynecological cancer centers in 24 countries randomized 631 women International Federation of Gynecology and Obstetrics 2009 stage IA1 with lymph-vascular invasion to IB1 cervical cancer to either minimally invasive versus open

2019 American Journal of Obstetrics and Gynecology

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