Search Result

425

Results Found

Relevance

Filter

Newest

Filter

Most Viewed

Filter

Most Downloaded

Filter

Most Cited

Filter

Pages Count

43

Go To Page

Search Results/Filters    

Filters

Year

Banks



Expert Group






Full-Text


مرکز اطلاعات علمی SID1
مرکز اطلاعات علمی SID
مرکز اطلاعات علمی SID
مرکز اطلاعات علمی SID
مرکز اطلاعات علمی SID
مرکز اطلاعات علمی SID
مرکز اطلاعات علمی SID
Writer: 

BINA I.

Issue Info: 
  • Year: 

    2011
  • Volume: 

    9
  • Issue: 

    SUPPL 1
  • Start Page: 

    39
  • End Page: 

    40
Measures: 
  • Citations: 

    0
  • Views: 

    8775
  • Downloads: 

    4247
Keywords: 
Abstract: 

Introduction: Laparoscopic Hysterectomy (L.H) is a relatively new procedure and an alternative to abdominal Hysterectomy (TAH), and can be run in different techniques more over; adhesionolysis, removal of myoma and other pelvic masses can be performed by new techniques and instruments. Materials and Methods: Since Feb.2007 till Dec.2010 we scheduled 81 patients for LH, one of them refused for LH and she preferred TAH. 72 patients (42 to 53 years old) were operated. Eight patients had big myoma and one of them had a huge pare ovarian cyst. All of them suffered from A.U.B.Surgical techniques: By four puncture technique, uterine pedicles were coagulated and cut by bipolar and ligasure. After dissection of bladder and ureters, uterine vessels and vaginal vault were sutured intra corporeally or cut and coagulated with ligasure. In four cases we had to use morcelltor to decrease size of uterus so that it could be delivered vaginally.Results: There was one case of bladder perforation (0.013%), which repaired laparoscopically and cystoscopy carried out to check ureteral orifices and bladder integrity. Five cases (0.06%) had post op fever which subsided with medications. There was no blood transfusion or other complications. Mean blood loss was 300±200 ml. and mean duration of operation was 1.30±20 minutes.Pathologic findings:· Adenomyosis: 27 cases (33%)· Myoma 41 case (50%)· Myoma and Adenomyosis 13 cases (17%) Conclusion: Laparoscopic Hysterectomy is a safe and appropriate route of surgery with good outcomes, if there is no limitation or contraindication, and it encompasses variety of procedures that can be performed by an expert team and good and perfect instruments.

Yearly Impact:  

View 8775

Download 4247 Citation 0 Refrence 0
Issue Info: 
  • Year: 

    2004
  • Volume: 

    5
  • Issue: 

    4 (20)
  • Start Page: 

    315
  • End Page: 

    322
Measures: 
  • Citations: 

    0
  • Views: 

    910
  • Downloads: 

    221
Abstract: 

Introduction: Hysterectomy is one of the most common operations in the world. It is divided into two main abdominal and vaginal categories. Each type has usually specific indications but sometimes they have common indications. The main causes of abdominal Hysterectomy are uterine fibroma, AUB, resistant PID, endometriosis, gynecologic malignancies, adenomyosis with vaginal bleeding, pelvic pain and cervical CIN and the most important indication for vaginal Hysterectomy is uterine prolaps. Considering the importance and prevalence of Hysterectomy and its side effects, we decided to compare the complications of vaginal versus abdominal hysterictomy to try to define more solid criteria for selecting Hysterectomy method for the candidate patients.Materials and Methods: This is a case-control (retrospective) analytic study. Data was collected from March 2001 until March 2003 of patient who had hysterectomies in GYN Department of Yahyanejad hospital in Babol. Of the 339 women who had undergone Hysterectomy, 57 (16.8%) had received vaginal and 282 (83.2%) abdominal Hysterectomy. The Variables Considered included age, days of hospitalization, decrease in hemoglobin concentration and other early side effects of Hysterectomy. The data was analyzed by SPSS software Program using 2, t- test and fisher's exact test and multiple logistic model.Results: The mean age of the Patients who had undergone Hysterectomy was 58.5±12 years for Vaginal and 44.69±7.9 years for abdominal Hysterectomy. The overall Complication rates were 23.7% and 5.3% (p=0.01) for abdominal and Vaginal hysterectomies, respectively. Fever was the main complication after surgery with a frequency of 18.4% and 3.5% for abdominal and vaginal hysterectomies, respectively. The decrease in hematocrit was lower in abdominal (2.39±2.05%) than in vaginal (3.76±1.32%) Hysterectomy (p<0.001). Conclusion: The results indicate that the overall complications in vaginal Hysterectomy are less than abdominal which may suggest that vaginal Hysterectomy may be an appropriate alternative for abdominal Hysterectomy.

Yearly Impact:  

View 910

Download 221 Citation 0 Refrence 24
Issue Info: 
  • Year: 

    2010
  • Volume: 

    27
  • Issue: 

    103
  • Start Page: 

    852
  • End Page: 

    857
Measures: 
  • Citations: 

    0
  • Views: 

    228
  • Downloads: 

    88
Abstract: 

Background: Hysterectomy is the second most common major procedure following cesarean section in many countries while the abdominal Hysterectomy is by far the most common surgical procedure. The comparison of laparoscopic assisted vaginal Hysterectomy and abdominal Hysterectomy was the goal of our study. Methods: A randomized clinical trial was performed in 51 patients who were elective candidates for Hysterectomy for nonmalignant reasons in Omolbanin hospital affiliated to Mashad University of Medical Sciences from 2005 to mid 2007. By simple random sampling method, 25 patients were elected for laparoscopic assisted vaginal Hysterectomy (LAVH) and 26 patients were put in the abdominal Hysterectomy group. Demographic, preoperative and postoperative data were recorded in a questionnaire. After checking normality, the data were analyzed by student's t-test and chi-square when applicable. P < 0.05 considered as significance level.Findings: There was no difference in procedure time and total length of hospital stay between laparoscopic assisted vaginal Hysterectomy and abdominal Hysterectomy (P = 0.856, P = 0.537, respectively). The analgesics use was significantly lower in the laparoscopic assisted vaginal Hysterectomy group than the other (P = 0.001) while the amount of blood loss was significantly higher in laparoscopic assisted vaginal Hysterectomy group (P = 0.001). Return to normal daily activity was more reported to be good in the laparoscopic assisted vaginal Hysterectomy in the follow-up visit after lapse of 2 weeks after operation (P = 0.330).Conclusion: As a whole, our study showed laparoscopic assisted vaginal Hysterectomy to be a safe and recommended alternative to abdominal Hysterectomy.

Yearly Impact:  

View 228

Download 88 Citation 0 Refrence 0
Issue Info: 
  • Year: 

    2008
  • Volume: 

    22
  • Issue: 

    1
  • Start Page: 

    22
  • End Page: 

    28
Measures: 
  • Citations: 

    0
  • Views: 

    14188
  • Downloads: 

    11369
Keywords: 
Abstract: 

Background: Hysterectomy is the second most common major surgery procedure done after cesarean section by gynecologists in many countries and the most common procedure is total abdominal Hysterectomy (TAH). The incidence of laparoscopically assisted vaginal Hysterectomy (LAVH) performed for benign lesions has progressively increased in recent years. Our objective was to compare the relative advantages and disadvantages of LAVH and TAH procedures.Methods: A clinical trial was performed on patients who were candidates for Hysterectomy with benign reasons in Arash hospital from March 2006 to April 2007. By simple randomization, 90 patients (30 for LAVH and 60 for TAH) were selected. Demographic details and intra-operative and post-operative complications were recorded by the staff and were compared between the two groups.Results: On average, LAVH operations took significantly longer than TAH operations (100.17±39.35 minutes; 145.83±41.55 minutes; P<0.0001). The total length of hospital stay was significantly shorter after LAVH than after TAH (3.43±0.90 days; 3.94±1.02; P=0.025). Although the hemoglobin (gr/dl) drop in LAVH was significantly higher than TAH (1.22±0.94 and 0.58±0.82, P=0.0012), blood transfusions were more common in TAH (1 case versus 3 cases). The drug requirement to control pain during hospitalization after the two surgeries was not significantly different between the two groups. Fever was observed more often in the TAH group (P=0.051). Finally, Intra-operative and post-operative complications were lower in LAVH than TAH.Conclusion: Although operation length is significantly higher in LAVH, this procedure is safer and more comfortable for patients and health care providers.

Yearly Impact:  

View 14188

Download 11369 Citation 0 Refrence 0
Issue Info: 
  • Year: 

    2011
  • Volume: 

    58
  • Issue: 

    4
  • Start Page: 

    9
  • End Page: 

    14
Measures: 
  • Citations: 

    212
  • Views: 

    4100
  • Downloads: 

    3992
Keywords: 
Abstract: 

Yearly Impact:  

View 4100

Download 3992 Citation 212 Refrence 0
Issue Info: 
  • Year: 

    2018
  • Volume: 

    6
  • Issue: 

    1
  • Start Page: 

    27
  • End Page: 

    35
Measures: 
  • Citations: 

    0
  • Views: 

    12880
  • Downloads: 

    10483
Keywords: 
Abstract: 

Objectives: This study was done to explore the sexual experience of women after Hysterectomy. Materials and Methods: This is a qualitative study done by the use of content analysis method. The research community includes women with the experience of Hysterectomy who were admitted to the treatment centers or private clinics in the west of Mazandaran province, Iran in 2016. Purposeful sampling was applied and the single face-to-face interview with 20 participants was the method for data gathering. Interview guide was used as the research tool; then the interviews were analyzed according to the Granheim and Lundman method. Results: The data has been classified into 4 main categories of “ Hysterectomy as a decaying or renewing process in sexual relationship” , “ sexual ability with no womb” , “ limitations of seeking help” and “ perceiving the need for comprehensive supports” . Conclusion: Psychological interviews for exploring the fear of sexual behavior and consulting with peer groups or psychological consultation for couples before Hysterectomy can help in clarifying the surgery side-effects and decreasing the fear. Mental and economical support from family members, following the treatment up and advanced supports like exploring sexual needs, screening the problems, educating couples on sexual affairs and rebuilding the self-image can be helpful in creating a stress-free sexual life for this group; besides, presenting treatment solutions like vaginoplasty or on time appropriate treatment of sexual problems is also recommended.

Yearly Impact:  

View 12880

Download 10483 Citation 0 Refrence 0
Writer: 

COOPER P.J.

Journal: 

LANCET

Issue Info: 
  • Year: 

    1989
  • Volume: 

    1
  • Issue: 

    -
  • Start Page: 

    59
  • End Page: 

    59
Measures: 
  • Citations: 

    157
  • Views: 

    2202
  • Downloads: 

    912
Keywords: 
Abstract: 

Yearly Impact:  

View 2202

Download 912 Citation 157 Refrence 0
Writer: 

DAVIES A. | HART R. | MAGOS A.

Issue Info: 
  • Year: 

    2002
  • Volume: 

    104
  • Issue: 

    -
  • Start Page: 

    148
  • End Page: 

    151
Measures: 
  • Citations: 

    157
  • Views: 

    2445
  • Downloads: 

    912
Keywords: 
Abstract: 

Yearly Impact:  

View 2445

Download 912 Citation 157 Refrence 0
Issue Info: 
  • Year: 

    2012
  • Volume: 

    1
  • Issue: 

    2
  • Start Page: 

    74
  • End Page: 

    76
Measures: 
  • Citations: 

    0
  • Views: 

    18376
  • Downloads: 

    11840
Keywords: 
Abstract: 

Appendicitis after age 40 is unusual, and appendicitis two days after laparoscopic Hysterectomy is very rare and has not been reported to date. We describe a 44-year-old woman who had abdominal pain two days after laparoscopic Hysterectomy. The pathology report indicated early appendicitis and the pain disappeared after appendectomy. In our opinion, the cause of appendicitis may have been related to the use of monopolar and bipolar coagulation during laparoscopic Hysterectomy, although the coincidence of appendicitis and laparoscopic surgery may be accidental.

Yearly Impact:  

View 18376

Download 11840 Citation 0 Refrence 0
Issue Info: 
  • Year: 

    1993
  • Volume: 

    -
  • Issue: 

    -
  • Start Page: 

    591
  • End Page: 

    594
Measures: 
  • Citations: 

    212
  • Views: 

    4848
  • Downloads: 

    3992
Keywords: 
Abstract: 

Yearly Impact:  

View 4848

Download 3992 Citation 212 Refrence 0

Advertising

مرکز اطلاعات علمی SID
مرکز اطلاعات علمی SID
مرکز اطلاعات علمی SID
مرکز اطلاعات علمی SID
مرکز اطلاعات علمی SID
مرکز اطلاعات علمی SID
مرکز اطلاعات علمی SID
مرکز اطلاعات علمی SID
litScript