Articles: surgery.
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The best quality long-lasting results require attention to the diagnosis of the precise anatomic problems followed by the architectural planning--the art of making beautiful highlights, shadows, and curves where indicated to produce a result that is aesthetically pleasing. Attention to the details of the surgical planning, execution of surgery, and postoperative care are essential to minimize untoward results and problems and produce a happy patient and pleased surgeon.
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Review Comparative Study Clinical Trial
Naproxen sodium for OB/GYN use, with special reference to pain states: a review.
The effectiveness of naproxen sodium and its parent compound, naproxen, has been assessed in the treatment of a variety of obstetric and gynecologic problems, particularly pain states. This article summarizes the literature on the efficacy of the naproxen compounds in treatment of the following conditions: primary and secondary dysmenorrhea, insertion of a contraceptive intrauterine device, suction curettage, postpartum pain, pelvic inflammatory disease, gynecologic surgery, menorrhagia, premature labor and menopause. The data from the studies compiled demonstrate the usefulness of naproxen sodium or naproxen as an effective analgesic in treating pain and inflammation associated with these conditions.
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Recent developments that influence patterns of antibiotic prescription for obstetric-gynecologic patients include a better understanding of the multibacterial dimensions of pelvic infections, the introduction of new antibiotics, and the pressures for cost-containment in medical care. Prophylaxis has become established as effective for prevention of infection following vaginal hysterectomy and cesarean section, but its success in abdominal hysterectomy has been less uniform. For patients with pelvic infections, the poorest clinical response occurs in those whose infection is well established before initiation of therapy. ⋯ Both metronidazole and clindamycin meet these criteria. Controlled studies of infections seen early in the clinical course are few. The initial selection of agents effective against gram-negative anaerobes seems important in the treatment of endomyometritis following cesarean section, whereas curettage seems the most significant therapy for infections following abortion.
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The treatment of varicose veins includes injection/compression sclerotherapy and surgical stripping or ligation or both. Surgery appears to be favoured when the saphenous system is involved or when the patient is 35 to 64 years old or presents with ankle edema or flare. On the other hand, sclerotherapy has been found to be more effective in patients with dilated superficial veins or incompetent perforating veins in the lower legs and to be more acceptable and less expensive than surgical treatment.
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The anesthetic management of pediatric patients for plastic surgical procedures requires close cooperation and understanding between the surgeon and anesthesiologist. Success depends upon avoidance of psychological trauma, establishment and maintenance of a secure airway, and adequate access to the vascular system.