44: Oxycodone use during the post-operative period after hysterectomy for benign indications

To evaluate whether oxycodone use for postoperative pain control after hysterectomy for benign disease differs based on hysterectomy route.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Non-Oral Poster Source Type: research

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April the first is not a joke in my household, instead it heralds the start of this year’s Hysteria Writing Competition. And this year our Writer in Residence is Eithne Cullen. Eithne has been given the challenge of coming up with a blog post each month that challenge you to get your thinking hats on and try something new out. Sometimes ideas come crashing into our heads and sometimes it’s hard to think of things to write about. When I’m stuck I turn to prompts. Each April NaPoRhiMoNet (http://www.napowrimo.net) sends out daily prompts and starters. I tried the first one today. I must admit, I found it ha...
Source: The Hysterectomy Association - Category: OBGYN Authors: Tags: Hysteria Writing hysteria 2020 writer in residence Source Type: news
AbstractIn this narrated video we present a case of pelvic organ prolapse (POP) recurrence 12  years after sacrocervicopexy, outline our management and suggest an optimal laparoscopic surgical technique that may reduce the risk of future recurrence. A 71-year-old patient, who had undergone an open sub-total hysterectomy with sacrocervicopexy 12 years previously, complained of a bulging sen sation in her vagina, of 12 months’ duration. On physical examination, a Pelvic Organ Prolapse Quantification (POP-Q) stage III prolapse was diagnosed, with marked apical, anterior and posterior compartment prolapse....
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
Abstract OBJECTIVE: This distorted anatomical state of pouch of Douglas (POD) obliteration can be predicted with a high degree of certainty and reproducibility using the dynamic transvaginal ultrasound (TVS) sliding sign technique. Studies on POD obliteration prediction have always focused on populations in tertiary care centers with high endometriosis prevalence. In addition to patients with symptomatic endometriosis, POD obliteration may exist in individuals with asymptomatic endometriosis or other etiologies such as pelvic inflammatory disease (PID), pelvic tuberculosis, or surgical scarring. For most abdominal...
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
Discussion –— Cesarean scar ectopic pregnancy (CSEP) or Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy resulting from implantation of a blastocyst within myometrial scar tissue (old uterine scars) in the anterior lower uterine segment (LUS) at the site of prior Cesarean section.— It is considered amongst the rarest type of ectopic pregnancy, although some do not include it in the category of ectopic pregnancy as implantation occurs within the uterus itself.— Incidence is on rise due to increasing numbers of elective Cesarean sections as well as improved detection with tr...
Source: Sumer's Radiology Site - Category: Radiology Authors: Source Type: blogs
ABSTRACTIntroductionThe aims were to evaluate quality of life, cosmetic results and surgical outcomes of robotic single ‐site and robotic multiport total laparoscopic hysterectomy with sentinel lymph node mapping in women treated for low‐ risk endometrial cancer.Material and methodsThe study is a prospective, multicenter, case ‐control study conducted at Ospedale Santa Chiara in Trento and Novara and Pavia University Hospitals. 76 consecutive patients with a biopsy‐confirmed diagnosis of low‐risk endometrial cancer or atypical endometrial hyperplasia who had undergone robotic total laparoscopic hysterectomy and s...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
Conclusion: Our new abdominal-wall retraction system for gasless TLH allowed for easy setup and a proper operation field in the performance of laparoscopic hysterectomy. PMID: 32161436 [PubMed - in process]
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Tags: JSLS Source Type: research
Conclusions Complications were strongly associated with lower patient satisfaction. Preoperative expectations of surgery, indication, mode of surgery and life-style factors had impact on the satisfaction. Patient-centered information to ensure realistic expectations and prevention of complications seem to be essential to gain optimal patient satisfaction with surgery. PMID: 32139918 [PubMed]
Source: Geburtshilfe und Frauenheilkunde - Category: OBGYN Tags: Geburtshilfe Frauenheilkd Source Type: research
ConclusionsLong ‐term use of prescription opioids after hysterectomy is common and is, among other risk factors, strongly associated with preoperative use of opioids, as well as psychoactive drugs and adenomyosis. To avoid opioid misuse disorders among women at risk for long‐term opioid drug prescriptions after hysterectomy, further studies and strategies are needed.
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
Condition:   Ultrasonography Intervention:   Device: PCA (patient controlled analgesia) Sponsor:   Bursa Yüksek İhtisas Education and Research Hospital Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
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