A Laparoscopic Bipolar Cutting Forceps Can Assist In A Case Of Difficult Vaginal Hysterectomy
difficult; hysterectomy; limited; obese; Obstetrics & Gynecology; vagina
Fenton B W; Hutchings T; Flora R F; Fanning J
Journal of Minimally Invasive Gynecology
2006
2006-07
Journal Article or Conference Abstract Publication
<a href="http://doi.org/10.1016/j.jmig.2006.04.01" target="_blank" rel="noreferrer noopener">10.1016/j.jmig.2006.04.01</a>
Phase I/II prospective trial of autologous platelet tissue graft in gynecologic surgery.
80 and over; Adult; Aged; Autologous/*adverse effects/methods; Case-Control Studies; Female; Gynecologic Surgical Procedures/adverse effects/*methods; Humans; Middle Aged; Pain; Pain Measurement; Platelet-Rich Plasma/*physiology; Postoperative/*therapy; Transplantation
STUDY OBJECTIVE: To perform the original phase I/II trial of autologous platelet tissue graft in gynecologic surgery to evaluate toxicity and efficacy on decreasing pain. DESIGN: Prospective nonrandomized trial (Canadian Task Force classification II-A). SETTING: Teaching hospital. PATIENTS: Fifty-five consecutive patients undergoing major gynecologic surgery were entered into this prospective phase I/II trial and were matched with 55 patients from the previous 6 months. INTERVENTION: After anesthesia was induced, peripheral venous blood (55 mL) was obtained from the patient producing, autologous platelet tissue graft (20 mL). At completion of surgery, autologous platelet tissue graft was directly applied to the surgical site. MEASUREMENTS AND MAIN RESULTS: Median pain on the day of surgery was 2.7 (mild) in the autologous platelet tissue graft group vs 6.7 (severe) in the control group, p \textless.001. Likewise, pain on postoperative day 1 was 2.1 (mild) in the autologous platelet tissue graft group vs 5.5 (moderate) in the control group, p \textless or =.001. Median of morphine per hospital stay for the autologous platelet tissue graft group was 17 mg (range 1-98 mg) vs 26 mg (range
Fanning James; Murrain Luis; Flora Robert; Hutchings Timothy; Johnson Jil M; Fenton Bradford W
Journal of minimally invasive gynecology
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).
<a href="http://doi.org/10.1016/j.jmig.2007.05.014" target="_blank" rel="noreferrer noopener">10.1016/j.jmig.2007.05.014</a>
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>