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Togas Tulandi - One of the best experts on this subject based on the ideXlab platform.
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vaginal vault dehiscence after hysterectomy
Obstetrical & Gynecological Survey, 2009Co-Authors: Mohammed Agdi, Wadha Alghafri, Rommel Antolin, Jeff Arrington, Kenneth Okelley, Angus J M Thomson, Togas TulandiAbstract:ABSTRACT Vaginal vault dehiscence, a surgical emergency, is a rare complication of hysterectomy that can occur a few weeks, several months, or years after the operation. Its incidence in several studies ranged from 0.03% to 0.3%. There is relatively little detailed information on predisposing factors for vault dehiscence and its manifestation after hysterectomy. This retrospective case series and literature review evaluated factors predisposing to vault dehiscence after hysterectomy and its manifestation. A total of 54 cases of vault dehiscence were identified: 16 were unpublished cases of vaginal vault dehiscence after total laparoscopic hysterectomy obtained from 5 physicians participating in the American Association of Gynecologic Laparoscopists Endo Exchange List (group A) and 38 cases were found in an English-language literature search (group B). Participating physicians completed a detailed questionnaire containing demographic data, indications and type of hysterectomy, operative procedure, predisposing factors, and potential triggering factors for dehiscence. The literature search was conducted in MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews using the keywords ‘‘vault dehiscence,” ‘‘vaginal vault dehiscence,” ‘‘vault prolapse,” and ‘‘hysterectomy.” The data for groups A and B were analyzed separately and combined. All but one of the vaginal vault dehiscence in group A occurred after laparoscopic hysterectomy. In group B from the literature, 44.7% occurred after abdominal hysterectomy, 34.2% after laparoscopic hysterectomy, and 21.1% after vaginal hysterectomy. In group A, vault dehiscence was diagnosed an average of 3 weeks (3–6.5) after hysterectomy; and, in group B, dehiscence occurred an average of 10.5 weeks (8–16) (P = 0.0007, confidence interval = −9.5 to −4). The majority of vaginal vault dehiscence occurred after sexual intercourse (58.8%), but defecation preceded dehiscence in 8.8% of patients, regular housework in 8.8%, and 14.7% was reported to be spontaneous. The time interval between hysterectomy and vaginal vault dehiscence was significantly shorter after laparoscopic hysterectomy (7 [3–11] weeks) compared with abdominal (13 [8–24] weeks) or vaginal (116 [108–156] weeks) (P = <0.0001, confidence interval = −153.5 to −88). The type of vaginal vault closure after hysterectomy or vault fraction was not significant. The most common symptoms among the 54 combined cases were bleeding (50% and bowel prolapse [48.1%]). These findings suggest that vaginal vault dehiscence occurs more frequently after the laparoscopic procedure than after other hysterectomy techniques. Other predisposing risk factors include early resumption of sexual intercourse and regular activities before healing is complete.
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vaginal vault dehiscence after hysterectomy
Journal of Minimally Invasive Gynecology, 2009Co-Authors: Mohammed Agdi, Wadha Alghafri, Rommel Antolin, Jeff Arrington, Kenneth Okelley, Angus J M Thomson, Togas TulandiAbstract:Abstract Study Objective The purpose of our study was to evaluate factors predisposing vault dehiscence after hysterectomy and its manifestation. Design Case series and review of the literature (Canadian Task Force classification II-3). Setting Multicenter study. Patients Retrospective analysis of 16 unpublished cases of vaginal vault dehiscence after total laparoscopic hysterectomy from physicians who participated in the Exchange on the topic of vaginal vault dehiscence at the American Association of Gynecologic Laparoscopists Endo Exchange List (group A) and review of 38 reported cases in the literature (group B). Interventions The participating physicians were asked to complete a detailed questionnaire related to vault dehiscence. In addition, we performed literature search using the keywords "vault dehiscence," "vaginal vault dehiscence," "vault prolapse," and "hysterectomy," and conducted the search in MEDLINE, EMBASE, and Cochrane Database of Systematic Reviews. Measurements and Main Results We estimated risk factors and characteristic features for vaginal vault dehiscence. The incidence of vault dehiscence was higher after laparoscopic hysterectomy (1.14%) than after abdominal hysterectomy (0.10%, p Conclusion Our data suggest that vaginal vault dehiscence is rare but may occur more often after laparoscopic hysterectomy than after other hysterectomy approaches. Whether it is related to the technique of laparoscopic suturing is unclear. Other risk factors such as early resumption of regular activities and sexual intercourse may play a role.
Mohammed Agdi - One of the best experts on this subject based on the ideXlab platform.
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vaginal vault dehiscence after hysterectomy
Obstetrical & Gynecological Survey, 2009Co-Authors: Mohammed Agdi, Wadha Alghafri, Rommel Antolin, Jeff Arrington, Kenneth Okelley, Angus J M Thomson, Togas TulandiAbstract:ABSTRACT Vaginal vault dehiscence, a surgical emergency, is a rare complication of hysterectomy that can occur a few weeks, several months, or years after the operation. Its incidence in several studies ranged from 0.03% to 0.3%. There is relatively little detailed information on predisposing factors for vault dehiscence and its manifestation after hysterectomy. This retrospective case series and literature review evaluated factors predisposing to vault dehiscence after hysterectomy and its manifestation. A total of 54 cases of vault dehiscence were identified: 16 were unpublished cases of vaginal vault dehiscence after total laparoscopic hysterectomy obtained from 5 physicians participating in the American Association of Gynecologic Laparoscopists Endo Exchange List (group A) and 38 cases were found in an English-language literature search (group B). Participating physicians completed a detailed questionnaire containing demographic data, indications and type of hysterectomy, operative procedure, predisposing factors, and potential triggering factors for dehiscence. The literature search was conducted in MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews using the keywords ‘‘vault dehiscence,” ‘‘vaginal vault dehiscence,” ‘‘vault prolapse,” and ‘‘hysterectomy.” The data for groups A and B were analyzed separately and combined. All but one of the vaginal vault dehiscence in group A occurred after laparoscopic hysterectomy. In group B from the literature, 44.7% occurred after abdominal hysterectomy, 34.2% after laparoscopic hysterectomy, and 21.1% after vaginal hysterectomy. In group A, vault dehiscence was diagnosed an average of 3 weeks (3–6.5) after hysterectomy; and, in group B, dehiscence occurred an average of 10.5 weeks (8–16) (P = 0.0007, confidence interval = −9.5 to −4). The majority of vaginal vault dehiscence occurred after sexual intercourse (58.8%), but defecation preceded dehiscence in 8.8% of patients, regular housework in 8.8%, and 14.7% was reported to be spontaneous. The time interval between hysterectomy and vaginal vault dehiscence was significantly shorter after laparoscopic hysterectomy (7 [3–11] weeks) compared with abdominal (13 [8–24] weeks) or vaginal (116 [108–156] weeks) (P = <0.0001, confidence interval = −153.5 to −88). The type of vaginal vault closure after hysterectomy or vault fraction was not significant. The most common symptoms among the 54 combined cases were bleeding (50% and bowel prolapse [48.1%]). These findings suggest that vaginal vault dehiscence occurs more frequently after the laparoscopic procedure than after other hysterectomy techniques. Other predisposing risk factors include early resumption of sexual intercourse and regular activities before healing is complete.
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vaginal vault dehiscence after hysterectomy
Journal of Minimally Invasive Gynecology, 2009Co-Authors: Mohammed Agdi, Wadha Alghafri, Rommel Antolin, Jeff Arrington, Kenneth Okelley, Angus J M Thomson, Togas TulandiAbstract:Abstract Study Objective The purpose of our study was to evaluate factors predisposing vault dehiscence after hysterectomy and its manifestation. Design Case series and review of the literature (Canadian Task Force classification II-3). Setting Multicenter study. Patients Retrospective analysis of 16 unpublished cases of vaginal vault dehiscence after total laparoscopic hysterectomy from physicians who participated in the Exchange on the topic of vaginal vault dehiscence at the American Association of Gynecologic Laparoscopists Endo Exchange List (group A) and review of 38 reported cases in the literature (group B). Interventions The participating physicians were asked to complete a detailed questionnaire related to vault dehiscence. In addition, we performed literature search using the keywords "vault dehiscence," "vaginal vault dehiscence," "vault prolapse," and "hysterectomy," and conducted the search in MEDLINE, EMBASE, and Cochrane Database of Systematic Reviews. Measurements and Main Results We estimated risk factors and characteristic features for vaginal vault dehiscence. The incidence of vault dehiscence was higher after laparoscopic hysterectomy (1.14%) than after abdominal hysterectomy (0.10%, p Conclusion Our data suggest that vaginal vault dehiscence is rare but may occur more often after laparoscopic hysterectomy than after other hysterectomy approaches. Whether it is related to the technique of laparoscopic suturing is unclear. Other risk factors such as early resumption of regular activities and sexual intercourse may play a role.
Hiba Bawadi - One of the best experts on this subject based on the ideXlab platform.
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developing a food Exchange List for middle eastern appetisers and desserts commonly consumed in jordan
Nutrition & Dietetics, 2009Co-Authors: Hiba Bawadi, Naseem M Alshwaiyat, Reema F Tayyem, Rania A Mekary, Georgianna TuuriAbstract:Aim: The present study was conducted to develop a meal-planning Exchange List for Middle Eastern foods commonly included in the Jordanian cuisine. Methods: Forty types of appetisers and another 40 types of desserts were selected, with five different recipes for each item. Recipes were collected from different housewives and Arabic cookbooks. Ingredients’ weight and dish net weight were recorded based on an average recipe, and dishes were prepared accordingly. Dishes were proximately analysed following the Association of Official Analytical Chemists procedures. Proximate analysis was compared with the World Health Organisation Food Composition Tables for the Use in the Middle East, and with food analysis software (ESHA). Results: Significant correlations (P < 0.001) were found between macronutrient content obtained from proximate analysis and those obtained from ESHA. The correlation coefficients (r) were 0.92 for carbohydrate, 0.86 for protein and 0.86 for fat. Strong correlations were also detected between proximate analysis World Health Organisation food composition tables for carbohydrate (r = 0.91, P < 0.001) and protein (r = 0.81; P < 0.001) contents. However, this significant correlation was not found as strong, yet significant for fat (r = 0. 62, P < 0.001). Conclusion: A valid Exchange system for traditional desserts and appetisers is now available and ready to be used by dietitians and health-care providers in Jordan and Arab World.
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developing a meal planning Exchange List for traditional dishes in jordan
Journal of The American Dietetic Association, 2008Co-Authors: Hiba Bawadi, Safaa Adel AlsahawnehAbstract:This study was conducted to develop a meal-planning Exchange List for traditional combination dishes in Jordan. A total of 80 traditional dishes were selected from local cookbooks and through interviews with housewives. To minimize individual variations in preparation methods, five different recipes for each dish were collected and averaged. Dishes were cooked according to the averaged recipe. The weight of each ingredient and dish's net weight were documented in both kitchen and standard measures to be later used in dishes fitting into the Exchange List. Samples from each prepared dish were analyzed for their macronutrient content following the Association of Official Analytical Chemists procedures. Correlation analysis was performed between macronutrient content of prepared dishes and that published in food composition tables for the use in the Middle East or analyzed using food analysis software. Exchange Lists were then developed using an approximation method suggested in the literature. Significant correlation was found between carbohydrate, protein, and fat amounts obtained in this study and that previously published or obtained by food analysis software. Meal-planning Exchange List for combination dishes is now available and ready to be used by food and nutrition professionals and health care providers in Jordan.
Angus J M Thomson - One of the best experts on this subject based on the ideXlab platform.
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vaginal vault dehiscence after hysterectomy
Obstetrical & Gynecological Survey, 2009Co-Authors: Mohammed Agdi, Wadha Alghafri, Rommel Antolin, Jeff Arrington, Kenneth Okelley, Angus J M Thomson, Togas TulandiAbstract:ABSTRACT Vaginal vault dehiscence, a surgical emergency, is a rare complication of hysterectomy that can occur a few weeks, several months, or years after the operation. Its incidence in several studies ranged from 0.03% to 0.3%. There is relatively little detailed information on predisposing factors for vault dehiscence and its manifestation after hysterectomy. This retrospective case series and literature review evaluated factors predisposing to vault dehiscence after hysterectomy and its manifestation. A total of 54 cases of vault dehiscence were identified: 16 were unpublished cases of vaginal vault dehiscence after total laparoscopic hysterectomy obtained from 5 physicians participating in the American Association of Gynecologic Laparoscopists Endo Exchange List (group A) and 38 cases were found in an English-language literature search (group B). Participating physicians completed a detailed questionnaire containing demographic data, indications and type of hysterectomy, operative procedure, predisposing factors, and potential triggering factors for dehiscence. The literature search was conducted in MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews using the keywords ‘‘vault dehiscence,” ‘‘vaginal vault dehiscence,” ‘‘vault prolapse,” and ‘‘hysterectomy.” The data for groups A and B were analyzed separately and combined. All but one of the vaginal vault dehiscence in group A occurred after laparoscopic hysterectomy. In group B from the literature, 44.7% occurred after abdominal hysterectomy, 34.2% after laparoscopic hysterectomy, and 21.1% after vaginal hysterectomy. In group A, vault dehiscence was diagnosed an average of 3 weeks (3–6.5) after hysterectomy; and, in group B, dehiscence occurred an average of 10.5 weeks (8–16) (P = 0.0007, confidence interval = −9.5 to −4). The majority of vaginal vault dehiscence occurred after sexual intercourse (58.8%), but defecation preceded dehiscence in 8.8% of patients, regular housework in 8.8%, and 14.7% was reported to be spontaneous. The time interval between hysterectomy and vaginal vault dehiscence was significantly shorter after laparoscopic hysterectomy (7 [3–11] weeks) compared with abdominal (13 [8–24] weeks) or vaginal (116 [108–156] weeks) (P = <0.0001, confidence interval = −153.5 to −88). The type of vaginal vault closure after hysterectomy or vault fraction was not significant. The most common symptoms among the 54 combined cases were bleeding (50% and bowel prolapse [48.1%]). These findings suggest that vaginal vault dehiscence occurs more frequently after the laparoscopic procedure than after other hysterectomy techniques. Other predisposing risk factors include early resumption of sexual intercourse and regular activities before healing is complete.
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vaginal vault dehiscence after hysterectomy
Journal of Minimally Invasive Gynecology, 2009Co-Authors: Mohammed Agdi, Wadha Alghafri, Rommel Antolin, Jeff Arrington, Kenneth Okelley, Angus J M Thomson, Togas TulandiAbstract:Abstract Study Objective The purpose of our study was to evaluate factors predisposing vault dehiscence after hysterectomy and its manifestation. Design Case series and review of the literature (Canadian Task Force classification II-3). Setting Multicenter study. Patients Retrospective analysis of 16 unpublished cases of vaginal vault dehiscence after total laparoscopic hysterectomy from physicians who participated in the Exchange on the topic of vaginal vault dehiscence at the American Association of Gynecologic Laparoscopists Endo Exchange List (group A) and review of 38 reported cases in the literature (group B). Interventions The participating physicians were asked to complete a detailed questionnaire related to vault dehiscence. In addition, we performed literature search using the keywords "vault dehiscence," "vaginal vault dehiscence," "vault prolapse," and "hysterectomy," and conducted the search in MEDLINE, EMBASE, and Cochrane Database of Systematic Reviews. Measurements and Main Results We estimated risk factors and characteristic features for vaginal vault dehiscence. The incidence of vault dehiscence was higher after laparoscopic hysterectomy (1.14%) than after abdominal hysterectomy (0.10%, p Conclusion Our data suggest that vaginal vault dehiscence is rare but may occur more often after laparoscopic hysterectomy than after other hysterectomy approaches. Whether it is related to the technique of laparoscopic suturing is unclear. Other risk factors such as early resumption of regular activities and sexual intercourse may play a role.
Kenneth Okelley - One of the best experts on this subject based on the ideXlab platform.
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vaginal vault dehiscence after hysterectomy
Obstetrical & Gynecological Survey, 2009Co-Authors: Mohammed Agdi, Wadha Alghafri, Rommel Antolin, Jeff Arrington, Kenneth Okelley, Angus J M Thomson, Togas TulandiAbstract:ABSTRACT Vaginal vault dehiscence, a surgical emergency, is a rare complication of hysterectomy that can occur a few weeks, several months, or years after the operation. Its incidence in several studies ranged from 0.03% to 0.3%. There is relatively little detailed information on predisposing factors for vault dehiscence and its manifestation after hysterectomy. This retrospective case series and literature review evaluated factors predisposing to vault dehiscence after hysterectomy and its manifestation. A total of 54 cases of vault dehiscence were identified: 16 were unpublished cases of vaginal vault dehiscence after total laparoscopic hysterectomy obtained from 5 physicians participating in the American Association of Gynecologic Laparoscopists Endo Exchange List (group A) and 38 cases were found in an English-language literature search (group B). Participating physicians completed a detailed questionnaire containing demographic data, indications and type of hysterectomy, operative procedure, predisposing factors, and potential triggering factors for dehiscence. The literature search was conducted in MEDLINE, EMBASE, and the Cochrane Database of Systematic Reviews using the keywords ‘‘vault dehiscence,” ‘‘vaginal vault dehiscence,” ‘‘vault prolapse,” and ‘‘hysterectomy.” The data for groups A and B were analyzed separately and combined. All but one of the vaginal vault dehiscence in group A occurred after laparoscopic hysterectomy. In group B from the literature, 44.7% occurred after abdominal hysterectomy, 34.2% after laparoscopic hysterectomy, and 21.1% after vaginal hysterectomy. In group A, vault dehiscence was diagnosed an average of 3 weeks (3–6.5) after hysterectomy; and, in group B, dehiscence occurred an average of 10.5 weeks (8–16) (P = 0.0007, confidence interval = −9.5 to −4). The majority of vaginal vault dehiscence occurred after sexual intercourse (58.8%), but defecation preceded dehiscence in 8.8% of patients, regular housework in 8.8%, and 14.7% was reported to be spontaneous. The time interval between hysterectomy and vaginal vault dehiscence was significantly shorter after laparoscopic hysterectomy (7 [3–11] weeks) compared with abdominal (13 [8–24] weeks) or vaginal (116 [108–156] weeks) (P = <0.0001, confidence interval = −153.5 to −88). The type of vaginal vault closure after hysterectomy or vault fraction was not significant. The most common symptoms among the 54 combined cases were bleeding (50% and bowel prolapse [48.1%]). These findings suggest that vaginal vault dehiscence occurs more frequently after the laparoscopic procedure than after other hysterectomy techniques. Other predisposing risk factors include early resumption of sexual intercourse and regular activities before healing is complete.
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vaginal vault dehiscence after hysterectomy
Journal of Minimally Invasive Gynecology, 2009Co-Authors: Mohammed Agdi, Wadha Alghafri, Rommel Antolin, Jeff Arrington, Kenneth Okelley, Angus J M Thomson, Togas TulandiAbstract:Abstract Study Objective The purpose of our study was to evaluate factors predisposing vault dehiscence after hysterectomy and its manifestation. Design Case series and review of the literature (Canadian Task Force classification II-3). Setting Multicenter study. Patients Retrospective analysis of 16 unpublished cases of vaginal vault dehiscence after total laparoscopic hysterectomy from physicians who participated in the Exchange on the topic of vaginal vault dehiscence at the American Association of Gynecologic Laparoscopists Endo Exchange List (group A) and review of 38 reported cases in the literature (group B). Interventions The participating physicians were asked to complete a detailed questionnaire related to vault dehiscence. In addition, we performed literature search using the keywords "vault dehiscence," "vaginal vault dehiscence," "vault prolapse," and "hysterectomy," and conducted the search in MEDLINE, EMBASE, and Cochrane Database of Systematic Reviews. Measurements and Main Results We estimated risk factors and characteristic features for vaginal vault dehiscence. The incidence of vault dehiscence was higher after laparoscopic hysterectomy (1.14%) than after abdominal hysterectomy (0.10%, p Conclusion Our data suggest that vaginal vault dehiscence is rare but may occur more often after laparoscopic hysterectomy than after other hysterectomy approaches. Whether it is related to the technique of laparoscopic suturing is unclear. Other risk factors such as early resumption of regular activities and sexual intercourse may play a role.
