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Uses of Misoprostol in Obstetrics and Gynecology

Uses of Misoprostol in Obstetrics and Gynecology

Misoprostol is a synthetic prostaglandin E 1 analogue that is used off-label for a variety of indications in the practice of obstetrics and gynecology, including medication abortion, medical management of miscarriage, induction of labor, cervical ripening before surgical procedures, and the treatment of postpartum hemorrhage. Due to its wide-ranging applications in reproductive health .

Cervical Ripening Before First Trimester Surgical

Cervical Ripening Before First Trimester Surgical

Background: Medications or mechanical dilators are often used to soften and dilate the cervix prior to surgical evacuation of the uterus for non-viable pregnancy, or miscarriage. The majority of miscarriages occur in the first trimester. The aim of cervical ripening is to reduce the possibility of injury to the uterus and cervix and improve the surgical ease of the procedure.

Cervical ripening before first trimester surgical

Cervical ripening before first trimester surgical

 · The medications or devices used did reduce the need for manual dilation of the cervix, but were associated with some side effects. These include abdominal pain, nausea, vomiting, fever, headache and diarrhoea. The particular agents that we compared were misoprostol, isosorbide mononitrate, isosorbide dinitrate and Dilapan-S hygroscopic dilators.

The Use of Hysteroscopy for the Diagnosis and Treatment of

The Use of Hysteroscopy for the Diagnosis and Treatment of

More high-quality data are needed to support the use of preoperative GnRH agonists to reduce operative time, distending fluid absorption, and the need for repeat surgery. Proper patient counseling regarding surgical outcomes and the ability to perform a single versus staged procedure is based upon leiomyoma characteristics.

Dilation and Curettage (D&C) Surgery: Everything You Need

Dilation and Curettage (D&C) Surgery: Everything You Need

 · As with any surgery, taking some medications can increase the chances of complications. You may need to adjust your dosage or temporarily stop taking: Anticoagulants (blood thinners) like Coumadin (warfarin), heparin, Pradaxa (dabigatran), Plavix (clopidogrel), and others

Uses of Misoprostol in Obstetrics and Gynecology

Uses of Misoprostol in Obstetrics and Gynecology

Misoprostol is a synthetic prostaglandin E 1 analogue that is used off-label for a variety of indications in the practice of obstetrics and gynecology, including medication abortion, medical management of miscarriage, induction of labor, cervical ripening before surgical procedures, and the treatment of postpartum hemorrhage. Due to its wide-ranging applications in reproductive health .

Cervical Ripening Before First Trimester Surgical

Cervical Ripening Before First Trimester Surgical

Background: Medications or mechanical dilators are often used to soften and dilate the cervix prior to surgical evacuation of the uterus for non-viable pregnancy, or miscarriage. The majority of miscarriages occur in the first trimester. The aim of cervical ripening is to reduce the possibility of injury to the uterus and cervix and improve the surgical ease of the procedure.

Management of intrathoracic and cervical anastomotic

Management of intrathoracic and cervical anastomotic

 · Characteristics of anastomotic leakage. The mean time from surgery to diagnosis of the anastomotic leakage was reported in 9 studies and was 9 days (range 2–30) [16, 19,20,21,22, 27,28,29, 33].Only 2 studies reported the time from diagnosing the leakage and the treatment of it (mean 8 days (range 0–20)) [16, 26].The mean duration of the leakage treatment was reported in 11 studies and …

The Use of Hysteroscopy for the Diagnosis and Treatment of

The Use of Hysteroscopy for the Diagnosis and Treatment of

More high-quality data are needed to support the use of preoperative GnRH agonists to reduce operative time, distending fluid absorption, and the need for repeat surgery. Proper patient counseling regarding surgical outcomes and the ability to perform a single versus staged procedure is based upon leiomyoma characteristics.

Hysteroscopy Treatment & Management: Preoperative

Hysteroscopy Treatment & Management: Preoperative

 · Most cervical traumas and uterine perforations occur during dilation of the cervix. Cervical lacerations can occur from tearing of the single-toothed tenaculum from the cervix. Some authors suggest using a relatively atraumatic instrument, such as a double-toothed tenaculum or a ringed forceps, to prevent this complication.

Give vasopressin to reduce bleeding in gynecologic surgery

Give vasopressin to reduce bleeding in gynecologic surgery

What is an optimal dose and dilution? Sparse high-quality data guide the selection of an optimal dosage and dilution of vasopressin. But, as with most pharmacotherapeutic agents that produce adverse effects at a high dosage, it is often wise to use the lowest that is efficacious. 11 The clinical literature suggests several guidelines that may help reduce the likelihood and severity of adverse .

Revision surgery for incomplete resection or recurrence of

Revision surgery for incomplete resection or recurrence of

 · It is logical to assume that en bloc resection provides a superior outcome; however, high-quality evidence is missing. Larger case series of non-en bloc gross total resection for cervical spine chordoma show an improved five- and ten-year overall survival as well as an improved quality of life after surgery …

Postmenopausal Bleeding in a Woman with a Stenotic Cervix

Postmenopausal Bleeding in a Woman with a Stenotic Cervix

 · Postmenopausal bleeding (PMB), defined as any bleeding which occurs greater than 12 months after the final menstrual period, requires evaluation because of the 1-14% risk of endometrial cancer. More than 90% of women with endometrial cancer initially present with PMB. The evaluation becomes more challenging in women with cervical stenosis.

Surgical Instruments, Surgical Services - BD

Surgical Instruments, Surgical Services - BD

Surgical instruments. Choose high-quality options instrumental in surgery. Our V. Mueller ™ surgical instrumentation comes from a 120-year history in developing and manufacturing high-quality surgical instruments alongside surgeons. With Snowden-Pencer ™ instruments, and OR and sterile processing solutions, our surgical products and services help improve outcomes.

Can Cervical Stenosis Cause Infertility?

Can Cervical Stenosis Cause Infertility?

 · Sometimes, cervical stenosis is the primary cause of infertility, in which case, you may be able to conceive on your own after treatment. Your doctor will suggest a timeframe for trying to conceive on your own, most likely 6 months. If you don’t get pregnant, further fertility treatment options can be considered.

Efficacy of Vaginal Misoprostol Before Hysteroscopy for

Efficacy of Vaginal Misoprostol Before Hysteroscopy for

However treatment side effects were more common in the misoprostol arm.Compared to osmotic dilatation (laminaria), misoprostol was associated with less effective cervical dilatation, with more .

Complications of pelvic radiation in patients treated for

Complications of pelvic radiation in patients treated for

 · Patients who receive radiation to the pelvis for locally advanced cervical cancer will have their ovaries irradiated and, thus, will undergo menopause, typically within the first 6 months after treatment. 53 Temporally, VS is most likely to occur within the first year of treatment but has been observed in as short a time as 26 days and as far .

2 The Safety and Quality of Current Abortion Methods | The

2 The Safety and Quality of Current Abortion Methods | The

2 The Safety and Quality of Current Abortion Methods. In the more than 40 years since national legalization of abortion, investigators have conducted randomized controlled trials (RCTs), large retrospective cohort studies, patient and provider surveys, systematic reviews, and other types of research on abortion care and its health effects on women, resulting in an extensive literature.

Management of pregnancy after fertility‐sparing surgery

Management of pregnancy after fertility‐sparing surgery

 · Romero et al 61 conducted a meta-analysis of five high-quality randomized controlled trials comparing vaginal progesterone supplementation with placebo or no treatment on perinatal outcome in women with pre-randomization cervical length ≤25 mm. The authors conclude that vaginal progesterone decreases the risk of preterm birth and improves .

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