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妇科手术床术中器械摆放架的设计与应用
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作者 楼晨燕 《中国乡村医药》 2024年第20期52-52,共1页
妇科手术患者一般取仰卧位或截石位,手术中所需器械和工具较多,而手术单表面光滑,易滑落,难以临时摆放器械,术中更换和使用不同器械时,仍需器械护士传递,当有锐利器械时,易造成血源性职业接触。器械传递时刺伤占14.5%左右[1],同时因器... 妇科手术患者一般取仰卧位或截石位,手术中所需器械和工具较多,而手术单表面光滑,易滑落,难以临时摆放器械,术中更换和使用不同器械时,仍需器械护士传递,当有锐利器械时,易造成血源性职业接触。器械传递时刺伤占14.5%左右[1],同时因器械传递所致的刺伤,除了生理疼痛外,职业暴露也带来一定心理负担,影响患者手术进程。为此,我院手术室设计了一种妇科手术床术中器械摆放架(国家实用新型专利号:ZL 202321053688.0),并于2023年3月投入临床应用,效果满意,现介绍如下。 展开更多
关键词 妇科手术床 器械摆放架 设计 应用
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Laparoscopic surgery in pregnancy 被引量:1
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作者 Philip E George Chaya Shwaartz +1 位作者 Celia M Divino Division of General Surgery 《World Journal of Obstetrics and Gynecology》 2016年第2期175-181,共7页
Each year, roughly 2% of pregnant women will undergo non-obstetrical abdominal surgery. Appendicitis, symptomatic cholelithiasis and adnexal masses are some of the common diagnoses encountered. Pregnancy poses challen... Each year, roughly 2% of pregnant women will undergo non-obstetrical abdominal surgery. Appendicitis, symptomatic cholelithiasis and adnexal masses are some of the common diagnoses encountered. Pregnancy poses challenges in the diagnosis and surgical management of these conditions for several reasons. Since the 1990's, laparoscopic surgery has gained popularity and in the past few years has become the standard of care for pregnant women with surgical pathologies. The advantages of laparoscopic surgery include shorter hospital stay, lower rates of wound infection, and decreased time to bowel function. This brief review discusses key points in laparoscopic surgery during pregnancy and highlights studies comparing laparoscopic and open approaches in common surgical conditions during pregnancy. 展开更多
关键词 PREGNANCY LAPAROSCOPY SURGERY
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SURGICAL TREATMENT OF GYNECOLOGIC MALIGNANCES IN PATIENTS 70 YEARS OF AGE AND OLDER
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作者 潘凌亚 黄惠芳 +3 位作者 连丽娟 吴鸣 沈铿 郎景和 《Chinese Medical Sciences Journal》 CAS CSCD 2003年第3期175-179,共5页
Objective.T o assess the viability of surgical procedures on gynecologic malignant patients o f70years age and older.Methods.Between September1,1983to June30,1 999,57gynecologic malignant patients aged70years and olde... Objective.T o assess the viability of surgical procedures on gynecologic malignant patients o f70years age and older.Methods.Between September1,1983to June30,1 999,57gynecologic malignant patients aged70years and older were treated by surgical procedures.A retrospective study was perf ormed.All patients were analyzed for preexisting medical conditions,length of hospital stay,morbidi-ty,and mortality.Results.Thirty-four patients had a n extensive surgical procedure,while a local surgical procedure was done in23 patients.Forty-one patientshad one or more preexisting medical i llnesses.Minor surgical morbidity occurred in24patientsand majo r surgical morbidity occurred in6patients.There were no differen ces in the types of surgical procedures,mean hospital stay,preexisting medical illness and postoperative complications between the two groups of patients70 to75year older and over age75.The major postoperative complications all occ urred in the extensive surgical procedure group that were higher as compared wit h local operation and postoperative mean stay was also significant-ly length in former group.Conclusions.The extensive surgical procedure can be performed fo r elderly patients with gynecologic malignances.Careful preoperative evaluatio n,monitoring,and meticulous postoperative care are vital to the success. 展开更多
关键词 elderly woman gynecologic malignance surgical procedure
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Centers of excellence in minimally invasive gynecology: Raising the bar for quality in women's health
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作者 Nash S Moawad Andrew Canning 《World Journal of Obstetrics and Gynecology》 2014年第1期1-6,共6页
The "Center of Excellence" concept has been employed in healthcare for several decades. This concept has been adopted in several disciplines; such as bariatric surgery, orthopedic surgery, diabetes and stroke. The m... The "Center of Excellence" concept has been employed in healthcare for several decades. This concept has been adopted in several disciplines; such as bariatric surgery, orthopedic surgery, diabetes and stroke. The most successful model in surgery thus far has been the bariatric program, with a very extensive network and a large prospective database. Recently, the American As-sociation of Gynecologic Laparoscopists has introduced this concept in gynecologic surgery. The "Center Of Excellence in Minimally Invasive Gynecology" (COEMIG) designation program has been introduced with the goals of increasing safety and efficiency, cutting cost and increasing patient awareness and access to mini-mally invasive surgical options for women. The program may harbor challenges as well, such as human and fnancial resources, and diffculties with implementation and maintenance of such designation. This commen-tary describes the COEMIG designation process, along with its potential benefits and possible challenges. Though no studies have been published to date on the value of this concept in the feld of gynecologic surgery, we envision this commentary to provoke such studies to examine the relative value of this new program. 展开更多
关键词 Excellence MINIMALLY-INVASIVE GYNECOLOGY Surgery American Association of Gynecologic Laparos-copists OUTCOMES
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A COMPARISON OF THE EFFECTS OF THE PROPOFOL VERSUS MIDAZOLAM DURING TOTAL INTRAVENOUS ANESTHESIA FOR GYNECOLOGICAL SURGERY PROCEDURES
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作者 叶铁虎 龚志毅 +3 位作者 金永芳 王玲 任洪智 罗爱伦 《Chinese Medical Sciences Journal》 CAS CSCD 1995年第3期181-184,共4页
The effects of propofol and midazolam as an intravenous anesthetic were compared in 40 ASA Ⅰ-Ⅱ patients undergoing gynecological surgery during total intravenous anesthesia (TIVA). They were divided into propofol gr... The effects of propofol and midazolam as an intravenous anesthetic were compared in 40 ASA Ⅰ-Ⅱ patients undergoing gynecological surgery during total intravenous anesthesia (TIVA). They were divided into propofol group (Pn= 20) and midazolam group (Mn= 20) randomly. The anesthesia was designed for each group respectively. Here, we discuss the experimental method and the results, which indicate that propofol is not only an effective anesthetic but also has more rapid and head-clear recovery properties than midazolam. 展开更多
关键词 PROPOFOL MIDAZOLAM intravenous anesthesia
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