Objective: To evaluate feasibility and safety of abdominal myomectomy with uterine myomas equal to or greater than 16 weeks in size. Design: Retrospective chart review. Setting: Private hospital. Patient(s): Women wit...Objective: To evaluate feasibility and safety of abdominal myomectomy with uterine myomas equal to or greater than 16 weeks in size. Design: Retrospective chart review. Setting: Private hospital. Patient(s): Women with uterine fibroids equal to or larger than 16 weeks in size. Intervention(s): Abdominal myomectomy performed by one surgeon between March 1, 1998-February 28, 2003. Main Outcome Measure(s): Operating time, estimated blood loss, transfusion, cell-saver use, number and weight of fibroids removed, complications, pathology, and hospital stay were evaluated. Result(s): Ninety-one abdominal myomectomies met criteria. Mean operating time was 236 minutes (range, 120-390 minutes). Mean estimated blood loss was 794 mL (range, 50-3,000 mL). Seven (8%) women required homologous transfusion. Complications included one bowel injury, one bladder injury, one wound infection, and one reoperation for incarcerated small bowel. No woman had a uterine sarcoma or adenocarcinoma, and none required conversion to hysterectomy. Conclusion(s): Large uterine size does not preclude abdominal myomectomy and the results compare favorably with prior studies of hysterectomy for similar size uteri.展开更多
Aims: To calculate the gender distribution of trichiasis cases in trachoma com munities in Vietnam and Tanzania, and the gender distribution of surgical cases, to determine if women are using surgical services proport...Aims: To calculate the gender distribution of trichiasis cases in trachoma com munities in Vietnam and Tanzania, and the gender distribution of surgical cases, to determine if women are using surgical services proportional to their needs. Methods: Population based data from surveys done in Tanzania and Vietnam as part of the national trachoma control programmes were used to determine the rate of trichiasis by gender in the population. Surgical records provided data on the ge nder ratio of surgical cases. Results: The rates of trichiasis in both countries are from 1.4 fold to sixfold higher in females compared to males. In both coun tries, the female to male rate of surgery was the same or even higher than the f emale to male rate of trichiasis in the population. Conclusions: These data prov ide assurance of gender equity in the provision and use of trichiasis surgery se rvices in the national programmes of these two countries. Such simple analyses s hould be used by other programmes to assure gender equity in provision and use o f trichiasis surgery services.展开更多
文摘Objective: To evaluate feasibility and safety of abdominal myomectomy with uterine myomas equal to or greater than 16 weeks in size. Design: Retrospective chart review. Setting: Private hospital. Patient(s): Women with uterine fibroids equal to or larger than 16 weeks in size. Intervention(s): Abdominal myomectomy performed by one surgeon between March 1, 1998-February 28, 2003. Main Outcome Measure(s): Operating time, estimated blood loss, transfusion, cell-saver use, number and weight of fibroids removed, complications, pathology, and hospital stay were evaluated. Result(s): Ninety-one abdominal myomectomies met criteria. Mean operating time was 236 minutes (range, 120-390 minutes). Mean estimated blood loss was 794 mL (range, 50-3,000 mL). Seven (8%) women required homologous transfusion. Complications included one bowel injury, one bladder injury, one wound infection, and one reoperation for incarcerated small bowel. No woman had a uterine sarcoma or adenocarcinoma, and none required conversion to hysterectomy. Conclusion(s): Large uterine size does not preclude abdominal myomectomy and the results compare favorably with prior studies of hysterectomy for similar size uteri.
文摘Aims: To calculate the gender distribution of trichiasis cases in trachoma com munities in Vietnam and Tanzania, and the gender distribution of surgical cases, to determine if women are using surgical services proportional to their needs. Methods: Population based data from surveys done in Tanzania and Vietnam as part of the national trachoma control programmes were used to determine the rate of trichiasis by gender in the population. Surgical records provided data on the ge nder ratio of surgical cases. Results: The rates of trichiasis in both countries are from 1.4 fold to sixfold higher in females compared to males. In both coun tries, the female to male rate of surgery was the same or even higher than the f emale to male rate of trichiasis in the population. Conclusions: These data prov ide assurance of gender equity in the provision and use of trichiasis surgery se rvices in the national programmes of these two countries. Such simple analyses s hould be used by other programmes to assure gender equity in provision and use o f trichiasis surgery services.
