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At least 487 records · Page 27Linked to original sources
PubMed2003

[Painless hysterectomy: an innovative technique].

We describe a completely innovative approach to vaginal hysterectomy where the surgeon and anesthetist work in tandem to ensure that the patient receives optimal pain management: combined use of general and long-acting local-regional anesthesia and use of the "bi-clamp" procedure for bipolar electrosurgery which has proved to be a significant technical improvement. In this way, pain, until now the major drawback of this procedure, is really decreased allowing a better acceptance of the procedure and a greatly improved quality of life.

Anesthesia, Conduction↗
PubMed2006

[A new minimally invasive procedure for the conservative treatment of uterine prolapse--the posterior IVS].

BACKGROUND: The risk of women who undergo surgery for the treatment of pelvic organ prolapse (POP) by the age of 80 is reported to exceed 10%, and is expected to rise with the increase in life expectancy. Most women affected are in their 5th or 6th decade, and the majority will suffer other medical problems. The current medical literature asserts that the vaginal surgical approach for POP operations are followed by less complications and provide a shorter rehabilitation period than the abdominal route. Hysterectomy is widely accepted as part of POP reconstructive surgery whenever the uterus is significantly prolapsed, however, there is no clear evidence to support the role of hysterectomy in improving surgery outcome. We present our experience with a new minimally invasive procedure - the posterior intravaginal slingplasty (IVS) for utero-suspension in the presence of moderate and advanced uterine prolapse. AIM: To evaluate the feasibility, intra- and post-operative complications and short term results of the posterior IVS procedure and uterosuspension for uterine prolapse. METHODS: Reconstructive surgery using the posterior IVS was performed on 18 women with moderate to severe uterine prolapse who chose to preserve their uterus. Patients were then followed 1,6,12 months and 2 years post-operatively to assess any recurrence of pelvic organ prolapse. RESULTS: No major intra- or post-operative complications were reported. Follow-up of one to 13 months showed good results. CONCLUSIONS: Reconstructive POP surgery may not necessitate hysterectomy. The posterior IVS is a novel safe, minimally invasive, simple and effective surgical procedure for the treatment of POP, permitting uterine preservation. A larger number of patients and a longer follow-up period are required for proper evaluation of the actual safety and efficacy of this procedure.

Female↗
PubMed1979

[Celioscopic sterilizations with Yoon rings. 300 cases. Immediate complications, effectiveness and reversibility].

The authors report on a series of 370 sterilisations using Yoon's rings, of which 300 were carried out laparoscopically. They confirm the efficiency of the method and its safety because there was only minimal operative morbidity. On the other hand this technique offers the possibilities of reversal of sterilisation in such a way that it should be the preferred method to be used systematically when a young woman is being sterilised.

Adult↗