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At least 199 records · Page 11Linked to original sources
PubMed1992

[Treatment of ureter injuries after obstetric-gynecologic surgery].

The article presents an analysis of 21 patients with ureter injuries originated during obstetric-gynaecological operations treated in Urology Clinic in Medical Academy Poznań. Attention was particularly focused on prevention and fast diagnosis of injuries based on intra-operation examination usg, urography, and ascending pyelography. This fast diagnosis is of crucial importance for the cure.

Adnexal Diseases↗
PubMed1999

Design and implementation of a training programme for general practitioners in emergency surgery and obstetrics in precarious situations in Ethiopia.

Médecins Sans Frontières (MSF) has been implementing medical assistance programs in Ethiopia since 1994, including the rehabilitation of health structures and the supply of drugs and medical equipment. In 1995, the serious shortage of surgeons in Ethiopia prompted MSF to add a programme to train general practitioners to perform surgery in the Woldya region. The results of the relevant feasibility study were encouraging. The programme's design is based on recent educational data and MSF's experience with introducing transcultural training in countries where unstable conditions prevail. The training programme is currently being studied by the Ethiopian Health Ministry for use as a model for training general practitioners in surgery throughout the country.

Developing Countries↗
PubMedDate not supplied

[Epidemiological surveillance and obstetrical dystocias surgery in Senegal].

Maternal morbidity and mortality remain major problems of public health in developing countries. Having long been neglected, maternal health is now being included among the priorities of a large number of countries. The rate of maternal mortality in Senegal is 850 per 100,000 live births, among the highest in the world. The main causes of maternal mortality in Africa are obstructed labour and uterine rupture, hypertensive disorders of pregnancy, puerperal infection and haemorrhage. An epidemiological survey of obstetric disorders was initiated in 1992 in Senegal to characterise the requirements for surgical coverage during pregnancy and delivery. In 1992, the national rate of caesarean section was low (0.66% of estimated births). However, rates differed greatly between regions, and between rural and urban areas. The indications for caesarean section were classified into three groups, each corresponding to a different public health issue. The rate of maternal mortality associated with surgery was high: 4.7%, of which 29% during surgery and 71% post op. Perinatal prognosis was also poor, with a mortality rate of approximately 30%. There are only 18 reference obstetrics units functioning, and they give a very uneven coverage of the country. These finding have led to new guidelines to improve the quality and cover of maternal care over the coming years.

Adolescent↗
PubMed2006

The safety of anaesthetics in pregnant women.

Each year, a significant number of pregnant women undergo surgery and anaesthesia for indications unrelated to pregnancy. Estimates of the incidence of non-obstetric surgery in pregnancy, which may be required at any gestational age, and for a number of indications, range from 1.0 to 2%. The diagnosis of any medical condition requiring surgery in pregnancy often raises questions about the safety of anaesthesia in these patients. This controversy is primarily attributed to the lay press speculations that surgery and anaesthesia in pregnancy may pose hazards to the mother and fetus. Despite these concerns, the safety of non-obstetric surgery and anaesthesia in pregnancy is well-documented for nearly every operative procedure. The timing and indications for surgery seem critical to the maternal and fetal outcome. Laparoscopy is the most common surgical procedure performed in the first trimester of pregnancy, whereas appendectomy is the most common procedure performed during the remainder of pregnancy.

Adult↗
PubMed1985

Type and screen system for elective surgery in obstetrics and gynecology.

In June, 1983, a preoperative blood ordering policy of "type and screen" was introduced in our department for elective surgery. Using this system, sera are preoperatively tested for unexpected antibodies and ABO/Rh typing is done. If the antibody screen result is negative, crossmatching is not done preoperatively. This paper reports our experience with the type and screen system in obstetrical and gynecological practice, and documents its safety, usefulness and efficiency. By adopting this system, the overall ratio of crossmatch to transfusion (C/T)-declined from 8.96 to 1.84. There were 3 patients in this series of 80 (3.75%) with a positive antibody screen result. No untoward reactions were observed following transfusion. Based on these results, the type and screen system for preoperative blood ordering is recommended for most of routine obstetrical and gynecological procedures.

Blood Group Antigens↗