Removal of uterine polyps: clinical management and surgical approach.
Removal of uterine polyps: clinical management and surgical approach. Climacteric. 2020 Aug;23(4):388-396 Authors: Ludwin A, Lindheim SR, Booth R, Ludwin I Abstract Endometrial polyps have a reported prevalence from 7.8% up to 30% and are one of the most cost-consuming gynecological conditions for our specialty. There are strong practitioner beliefs that surgical removal of endometrial polyps is highly beneficial, particularly for those with abnormal uterine bleeding and infertility. Additionally, polypectomy is indicated to reduce the risk of malignancy. Transvaginal ultrasound is the first-line diagnostic option for detection of endometrial polyps, while sonohysterography has similar accuracy as hysteroscopy in the diagnostic confirmation. Blind dilatation and curettage is not recommended for polyp removal; rather, hysteroscopy in the operating room and office setting using small-diameter hysteroscopic equipment is the standard approach. This can be performed without anesthesia in most women. While hysteroscopy is an effective method for polypectomy with a low complication rate, it is unknown whether this is truly beneficial for reproductive-age women with infertility and prior assisted reproduction therapy. The risk of malignancy in women with postmenopausal bleeding justifies the necessity of polypectomy with histologic tissue examination. In asymptomatic women, the risk of malignancy is low, and there are no known benefits of polyp removal in the pr...
Authors: Nieto-González JC, Serrano Benavente B, Molina Collada J PMID: 32739098 [PubMed - as supplied by publisher]
Authors: Singh S, Lohakare AC Abstract Objective: Leptin levels are increased in obesity and have been found to be strongly associated with obesity, increased risk of cardiovascular diseases and morbidity. While, carotid intima-media thickness (CIMT) is measured to predict atherosclerosis in early phase. Thus, the objective of this study was to evaluate the leptin levels and CIMT in overweight and obese individuals. Methods: This cross-sectional study involving 95 subjects, was performed over a period of 1 year in the Department of Medicine, King George's Medical University, Lucknow. Anthropometric measurements...
Publication date: Available online 3 August 2020Source: LWTAuthor(s): Yue Chen, Yajie Wang, Leilei Xu, Yanan Jia, Zihan Xue, Min Zhang, Muenduen Phisalaphong, Haixia Chen
CONCLUSION: The supine midaxillary coronal approach to anterior QLB is an effective and feasible approach to QLB which can be performed in supine position. PMID: 32739200 [PubMed - as supplied by publisher]
CONCLUSION: In situations where nerves are injured during elbow fractures, selective articular cutaneous block at elbow can be used as it provides good perioperative analgesia, besides allowing evaluation of motor and sensory components in the postoperative period. PMID: 32739199 [PubMed - as supplied by publisher]
CONCLUSION: The video laryngoscope occupies a prominent position in cases in which access to the airway is difficult. In the present case it was useful. It can be used as first choice or as a rescue technique. The video laryngoscope is an appropriate alternative and should be available for facing the ever-challenging difficult airway patient. PMID: 32736863 [PubMed - as supplied by publisher]
Authors: Brignardello-Petersen R PMID: 32736797 [PubMed - as supplied by publisher]
Purpose of review Routine ureteroscopy (URS) for stone disease is performed under a general anaesthesia. However, controversy exists on the role of loco-regional anaesthesia and the outcomes associated with it. Here we review the challenges, outcomes and complications of loco-regional anaesthesia for URS. A Cochrane style review was performed in accordance with the preferred reporting items for systematic reviews and meta-analyses guidelines to evaluate the outcomes of loco-reginal anaesthesia for URS in stone disease, including all English language articles from January 1980 and December 2019. Recent findings Twenty-...
Many of us found ourselves with some extra time off this year coupled with the inability (or at least significantly limited ability) to do the things we enjoy. Anybody pick up any new hobbies? Discover any good new series/movies/books/etc?
Why do our MOCA questions not count as CME?