Archives of gynecology and obstetrics
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Arch. Gynecol. Obstet. · Mar 2009
Randomized Controlled Trial Comparative StudyEndometrial effects of letrozole and clomiphene citrate in women with polycystic ovary syndrome using spiral artery Doppler.
To compare the effects of letrozole and clomiphene citrate (CC) on endometrial response in PCOS using subendometrial spiral artery Doppler. ⋯ The effect of letrozole showed a significantly better endometrial response compared to CC.
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Arch. Gynecol. Obstet. · Mar 2009
Randomized Controlled TrialCombined spinal-epidural analgesia for labor pain: best timing of epidural infusion following spinal dose.
The combined spinal-epidural analgesia (CSEA) technique for labor pain has attained wide spread popularity in obstetric anesthesia. The onset of analgesia is rapid and reliable, and maternal satisfaction is very high. However, the best timing of an epidural infusion following the spinal dose and its effect on the total local anesthetics consumption has not been well determined. ⋯ Our results suggest that the best timing of epidural infusion following spinal dose was within 30 min of spinal induction dose.
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Arch. Gynecol. Obstet. · Apr 2008
Randomized Controlled Trial Comparative StudyProspective comparison of tissue trauma after laparoscopic hysterectomy types with retroperitoneal lateral transsection of uterine vessels using ligasure and abdominal hysterectomy.
The aim of this study was to evaluate the level of tissue trauma after laparoscopic and total laparoscopic hysterectomy with retroperitoneal lateral transsection of uterine vessels using ligasure as compared with abdominal hysterectomy. ⋯ Laparoscopic surgery causes less tissue trauma than the conventional open surgery; however, we observed no difference between the laparoscopic hysterectomy groups concerning the postoperative inflammatory response. We may prefer laparoscopic hysterectomy instead of total laparoscopic hysterectomy under suitable conditions, since laparoscopic hysterectomy causes the same level of tissue trauma as total laparoscopic hysterectomy, but has the advantage of a significantly shorter operative time. Meanwhile, hysterectomy done by laparoscopy with retroperitoneal lateral transsection of uterine vessels using ligasure is an effective and safe procedure.
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Arch. Gynecol. Obstet. · Sep 2007
Randomized Controlled Trial Multicenter StudyFentanyl HCl iontophoretic transdermal system versus intravenous morphine pump after gynecologic surgery.
To compare the efficacy and safety of fentanyl iontophoretic transdermal system (ITS) with morphine intravenous patient-controlled analgesia (IV PCA) for pain management following gynecologic surgery. ⋯ The two modalities were therapeutically equivalent for pain management in these gynecologic surgery patients.
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Arch. Gynecol. Obstet. · Sep 2007
Randomized Controlled TrialAcupressure and vitamin B6 to relieve nausea and vomiting in pregnancy: a randomized study.
To compare the effectiveness of acupressure and vitamin B6 in the outpatient treatment of nausea and vomiting in early pregnancy. ⋯ Acupressure therapy is not more effective than vitamin B6 in reducing nausea and vomiting in symptomatic women in the first trimester of pregnancy.