American journal of obstetrics and gynecology
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Am. J. Obstet. Gynecol. · Dec 2003
Randomized Controlled Trial Comparative Study Clinical TrialA randomized, controlled trial to compare ketorolac tromethamine versus placebo after cesarean section to reduce pain and narcotic usage.
The purpose of this study was to determine whether postcesarean section administration of ketorolac tromethamine reduces pain and narcotic usage. ⋯ Ketorolac tromethamine is efficacious in reducing postoperative pain and narcotics usage after cesarean section.
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Am. J. Obstet. Gynecol. · Dec 2003
Comparative StudyFecal and urinary incontinence after vaginal delivery with anal sphincter disruption in an obstetrics unit in the United States.
The purpose of this study was to estimate the incidence of urinary and bowel incontinence in relation to anal sphincter laceration in primiparous women and to identify factors that are associated with anal sphincter laceration in a unit that uses primarily midline episiotomy. ⋯ Women with third- and fourth-degree lacerations were more likely to have bowel incontinence than women without anal sphincter lacerations. Fourth-degree lacerations appear to affect anal continence greater than third-degree lacerations.
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Am. J. Obstet. Gynecol. · Dec 2003
Comparative StudyThe safety of incidental appendectomy at the time of abdominal hysterectomy.
The purpose of this study was to assess the complication rates of incidental appendectomies in women who undergo benign gynecologic procedures. ⋯ An incidental appendectomy at the time of benign gynecologic procedures does not increase postoperative complication rates or length of hospital stay. The inclusion of incidental appendectomies in all abdominal hysterectomies could potentially decrease the morbidity and mortality rates because of appendicitis in elderly women.
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Am. J. Obstet. Gynecol. · Dec 2003
Comparative StudyAnatomy of ilioinguinal and iliohypogastric nerves in relation to trocar placement and low transverse incisions.
The purpose of this study was to map the course of the ilioinguinal and iliohypogastric nerves. ⋯ Abdominal wall surgical sites below the level of the anterior superior iliac spine have the potential for ilioinguinal or iliohypogastric injury.
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Am. J. Obstet. Gynecol. · Dec 2003
Randomized Controlled Trial Clinical TrialUtility of preemptive local analgesia in vaginal hysterectomy.
Our purpose was to determine whether preemptive administration of long-acting local anesthetics before vaginal hysterectomy will improve postoperative pain. ⋯ Paracervical block with a 0.5% bupivacaine with 1:200,000 epinephrine before vaginal hysterectomy is associated with lower pain scores and a reduction in morphine requirements after surgery.