Feasibility of the Maylard transverse incision for ovarian cancer cytoreductive surgery.
80 and over; Aged; Feasibility Studies; Female; Gynecologic Surgical Procedures/adverse effects/*methods; Humans; Middle Aged; Ovarian Neoplasms/*surgery; Reoperation; Tissue Adhesions/*etiology
The vast majority of abdominal incisions used in gynecologic surgery are either transverse or vertical midline. The advantages of a vertical midline incision are considered to be rapid abdominal entry and increased exposure to the abdomen and pelvis. The advantages of transverse incisions are purported to be cosmesis, decreased postoperative pain, decreased hernia rate, decreased abdominal adhesions, and fewer postoperative pulmonary complications. The Maylard incision is a transverse incision that combines the advantages of a transverse incision with improved pelvic and abdominal exposure. We wanted to evaluate the feasibility of the Maylard incision to provide adequate abdominal and pelvic exposure in women with advanced ovarian cancer undergoing cytoreductive surgery and to evaluate the extent of anterior abdominal wall adhesions at secondary cytoreductive surgery. In our experience, it appears that the Maylard incision provides adequate exposure to perform ovarian cytoreductive surgery. It appears that there are minimal anterior abdominal adhesions after cytoreductive surgery through a Maylard incision.
Fanning James; Pruett Allison; Flora Robert F
Journal of minimally invasive gynecology
2007
2007-06
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).
<a href="http://doi.org/10.1016/j.jmig.2006.11.009" target="_blank" rel="noreferrer noopener">10.1016/j.jmig.2006.11.009</a>
Findings from a 10-year follow-up of bone mineral density in competitive perimenopausal runners.
Adult; Female; Humans; Middle Aged; Surveys and Questionnaires; Follow-Up Studies; Prospective Studies; Case-Control Studies; Bone Density/*physiology; Running/*physiology; Hip Joint/diagnostic imaging/*physiology; Lumbar Vertebrae/diagnostic imaging/*physiology; Perimenopause; Osteoporosis; Human; Questionnaires; Clinical Trials; Middle Age; Case Control Studies; Absorptiometry; Photon; Postmenopausal/*diagnostic imaging; Menopause; Bone Density – Physiology; Hip Joint – Physiology; Hip Joint – Radiography; Lumbar Vertebrae – Physiology; Lumbar Vertebrae – Radiography; Osteoporosis – Radiography; Running – Physiology
OBJECTIVE: To evaluate bone mineral density (BMD) in perimenopausal competitive runners with long-term follow-up. STUDY DESIGN: Fifteen master female runners between 40 and 50 years old who ran at least 20 miles per week were evaluated. BMD was measured by dual-energy x-ray absorptiometry (DEXA) at baseline and at the 10-year follow-up. RESULTS: The median age was 46 and median miles run per week, 25. At baseline, after a median of 11 years of competitive running, hip BMD was above peak bone mass (T-score = 0.8) and that of age-matched controls (Z-score = 1.6), while lumbar spine BMD was below peak bone mass (T-score = -0.8) and equal to that of age-matched controls (Z-score = -0.1). At the 10-year follow-up, hip BMD fell below peak bone mass (T-score = -0.2, p = 0.0004) but was still above that of age-matched controls (Z-score = 0.5, p = 0.002), while there was little change in lumbar spine BMD. CONCLUSION: Competitive running prior to the perimenopausal period seems to be associated with improved hip BMD. However, continued competitive running during the perimenopausal period is not associated with prevention of a perimenopausal hip BMD decline. In contrast, competitive running had little effect on peri-menopausal lumbar spine BMD.
Fanning James; Larrick Lori; Weinstein Louis; Horrigan Terrence J; Marcotte Michael P; Flora Robert F
The Journal of reproductive medicine
2007
2007-10
Article information provided for research and reference use only. All rights are retained by the journal listed under publisher and/or the creator(s).