Articles: surgery.
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Comparative Study
Dilatation and evacuation procedures and second-trimester abortions. The role of physician skill and hospital setting.
Some clinicians have hesitated to perform dilatation and evacuation (D & E) procedures at 13 weeks' gestation or later because D & Es are more difficult to perform safely than suction-curettage procedures. Moreover, many clinicians still believe all second-trimester abortion procedures should be performed in a hospital. ⋯ In addition, D & E had lower rates for most other specific complications. We conclude that D & E, while requiring more operator skill than earlier suction-curettage procedures, can be learned by gynecologists familiar with suction-curettage, can be performed more safely than the alternative instillation procedures, and can be safely practiced in selected ambulatory settings.
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Am. J. Obstet. Gynecol. · Jun 1982
Randomized Controlled Trial Comparative Study Clinical TrialRandomized trial of one versus two days of laminaria treatment prior to late midtrimester abortion by uterine evacuation: a pilot study.
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Surgery for breast cancer continues to evolve. Less radical procedures and increasing concern about appearance and rehabilitation are now the trend. ⋯ Fifty immediate reconstructions of the breast after modified radical mastectomy were performed in 48 women with carcinoma of the breast. We believe this procedure greatly enhances rehabilitation and quality of life without diminishing the ability to diagnose or treat recurrent disease.