scholarly journals External endometriosis, effectiveness of laparoscopic surgery

2021 ◽  
Vol 51 (3) ◽  
pp. 32-34
Author(s):  
G. M. Savelieva ◽  
S. V. Shtyrov ◽  
Y. А. Golova ◽  
R. S. Karapetyan ◽  
О. Y. Pivovarova
Keyword(s):  
Laparoscopic Surgery ◽  
Female Patients ◽  
Second Look ◽  
Internal Genitalia

In this article, the analysis of laparoscopic curing 64 patients with external endometriosis is presented. For the assessment of internal genitalia state in the late after-operational period in 41 female patients one performed second-look laparoscopy when that disease recidivating has been revealed in 36% observations. It was marked that the anti-recidive therapy in the after-operational period allows decrease the recidivating quantity from 46.8% (intervention only) upto 25% (combined cure). The authors elaborated and formulated indications for performing second- look laparoscopy in female patients with endometriosis.

scholarly journals Genotypic Analysis of SCN9A for Prediction of Postoperative Pain in Female Patients Undergoing Gynecological Laparoscopic Surgery

2016 ◽  
Vol 1;19 (1;1) ◽  
pp. E151-E162
Author(s):  
Xianwei Zhang
Keyword(s):  
Laparoscopic Surgery ◽  
Postoperative Pain ◽  
Single Nucleotide Polymorphisms ◽  
Pain Intensity ◽  
Rating Scale ◽  
Nucleotide Polymorphisms ◽  
Single Nucleotide ◽  
Female Patients ◽  
Genotypic Analysis ◽  
Severe Postoperative Pain

Background: The SCN9A gene product is a critical component in human pain perception. Recent studies found that single-nucleotide polymorphisms (SNPs) in this gene contributed to the risk and severity of common pain phenotypes. Objectives: In this study, we aimed to assess the use of SCN9A SNP screening for predicting postoperative pain. Study Design: A retrospective assessment of patients who underwent gynecological laparoscopic surgery. Setting: Department of anesthesiology, a teaching hospital, in a medical college, major metropolitan city, China. Methods: Twenty-nine candidate and tag SCN9A SNPs were analyzed in this study. Four hundred twenty-one patients who underwent gynecological laparoscopic surgery and refused postoperative patient controlled analgesia (PCA) were recruited and completed the study protocol. An additional 578 patients who voluntarily received PCA treatment were included for verification. Postoperative pain intensity was evaluated in all patients using numerical rating scale (NRS), and for patients receiving PCA analgesic requirements were also recorded. Outcomes Assessment: The outcome was assessment of postoperative pain NRS and PCA analgesic requirements. Results: Ten different SCN9A SNPs exhibited significant associations with postoperative pain intensity, the incidence of severe postoperative pain, and postoperative PCA requirement. Of the candidate SCN9A SNPs, there was a statistically significant correlation between SNP rs6746030 and higher maximum NRS scores during the postoperative follow-up of non-PCA patients (P < 0.05). Furthermore, there was a significant association between the tag SNP rs4286289 and both increased postoperative maximum NRS scores (P < 0.05) and higher incidences of severe postoperative pain (P < 0.05) in non-PCA patients. Meanwhile, in PCA patients, rs4286289 exhibited the strongest association (P = 0.001) with increased requirements for postoperative analgesics, which indirectly strengthened the significant association between this SNP and higher postoperative pain. Limitations: The limitations of this study include that it is an assessment of only Chinese women scheduled for gynecological laparoscopic surgery. Conclusion: The current study provides evidence that postoperative pain was affected by SCN9A variability in gynecological patients. Notably, our results provide the first indication that SCN9A SNP rs4286289 can be used as a predictor for hypersensitivity to postoperative pain. Key words: SCN9A, single-nucleotide polymorphisms, genotypic analysis, postoperative pain, female patients, gynecological laparoscopic surgery, genetic markers for pain, predictors of postoperative pain

Comparison of Inguinal Hernia in both Sexes and Laparoscopic Surgery for Female Patients

2012 ◽  
Vol 15 (1) ◽  
pp. 11
Author(s):  
Choon Sik Chung ◽  
Jeong Eun Lee ◽  
Sang Hwa Yu ◽  
Dong Keun Lee
Keyword(s):  
Inguinal Hernia ◽  
Laparoscopic Surgery ◽  
Female Patients

Operative Reconstruction of the External and Internal Genitalia in Female Patients with Bladder Exstrophy or Incontinent Epispadias

1995 ◽  
Vol 154 (3) ◽  
pp. 1002-1007 ◽  
Author(s):  
Raimund Stein ◽  
Margit Fisch ◽  
Horst Bauer ◽  
Volker Friedberg ◽  
Rudolf Hohenfellner
Keyword(s):  
Bladder Exstrophy ◽  
Female Patients ◽  
Operative Reconstruction ◽  
Internal Genitalia

Poor outcome and quality of life in female patients undergoing secondary surgery for recurrent peptic ulcer disease

2001 ◽  
Vol 120 (5) ◽  
pp. A491-A491
Author(s):  
G GONZALEZSTAWINSKI ◽  
J ROVAK ◽  
H SEIGLER ◽  
J GRANT ◽  
T PAPPAS
Keyword(s):  
Quality Of Life ◽  
Peptic Ulcer ◽  
Peptic Ulcer Disease ◽  
Secondary Surgery ◽  
Ulcer Disease ◽  
Female Patients ◽  
Poor Outcome
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