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Mats Lofgren - One of the best experts on this subject based on the ideXlab platform.

  • smoking cessation prior to Gynecological Surgery a registry based randomized trial
    Acta Obstetricia et Gynecologica Scandinavica, 2020
    Co-Authors: Katja Stenstrom Bohlin, Mats Lofgren, Hakan Lindkvist, Ian Milsom
    Abstract:

    INTRODUCTION: Smoking cessation, both pre-and postoperatively is important to reduce complications associated with Surgery. Identifying feasible and effective means of alerting the patient before Surgery of the importance of perioperative smoking cessation is a challenge to health care systems. MATERIAL AND METHODS: A randomized registry-based trial using the web-version of the Swedish national quality register for Gynecological Surgery, GynOp was performed (ClinicalTrials.gov NCT03942146). Current smokers scheduled for Gynecological Surgery were randomly assigned before Surgery to: (Group 1, control group, no specific information, Group 2, web-based written information, Group 3, information to doctor that the woman was a smoker and should be recommended smoking cessation, or Group 4, a combination of group 2 and 3). Perioperative smoking habits were evaluated in a postoperative questionnaire 2 months after Surgery. The treatment effect was estimated to be a 15 % reduction of smokers at time of Surgery. Thus, 94 women in each group were required, in total 376 women, using a one-sided test with an alfa level of 0.001 and a statistical power of 80%." RESULTS: Participants (n = 1427) were recruited between November 5, 2015, and December 6, 2017. 1137 smokers responded to the follow-up questionnaire (80%) and 486 women declined participation leaving 651 women eligible for analysis. Women who received both web-based information prior to Surgery and information from a doctor reported smoking cessation more often from 1-3 weeks preoperatively (Odds ratio, 95% confidence interval 1.8 [1.0-3.3]) and 1-3 weeks after Surgery (1.9 [1.1-3.3]) compared to the control group who received no specific information. CONCLUSIONS: A combination of written information in the health declaration and a recommendation from a doctor regarding smoking cessation may be associated with higher odds of smoking cessation at 1-3 weeks pre- and post-operatively.

  • vaginal prolapse perceptions and healthcare seeking behavior among women prior to Gynecological Surgery
    Acta Obstetricia et Gynecologica Scandinavica, 2011
    Co-Authors: Mojgan Pakbaz, Ewa Rolfsman, Ingrid Mogren, Mats Lofgren
    Abstract:

    Objective. To investigate perceptions of vaginal prolapse and healthcare-seeking behavior in women prior to Gynecological Surgery. Design. Prospective, cross-sectional study using a web-based quest ...

  • hysterectomy and incontinence a study from the swedish national register for Gynecological Surgery
    Acta Obstetricia et Gynecologica Scandinavica, 2006
    Co-Authors: Marie Ellstrom Engh, Lena Otterlind, Janhenrik Stjerndahl, Mats Lofgren
    Abstract:

    Hysterectomy and incontinence : a study from the Swedish national register for Gynecological Surgery.

  • patient accept questionnaires integrated in clinical routine a study by the swedish national register for Gynecological Surgery
    Acta Obstetricia et Gynecologica Scandinavica, 2002
    Co-Authors: Mona B Ladfors, Mats Lofgren, Barbara Gabriel, Janhenrik Olsson
    Abstract:

    Background. In 1996, the Swedish National Register for Gynecological Surgery started to collect pre-and postoperative information on patients using questionnaires given out as part of routine medical care. The information is used in providing clinical care to the patient and for quality assessment.Aims. To evaluate patients’ acceptance of questionnaires as a means of collecting information, and to investigate whether the questionnaire is a suitable tool for follow-up of patients.Methods. In 1998, evaluations of the ordinary questionnaires were done by an evaluation questionnaire mailed to 80 patients who had been recently hysterectomized. The results were triangulated with results from the register’s database and data from interviews with physicians and secretaries.Results. The majority of the patients appreciated the questionnaires. Patients did not report any major problems in filling in the questionnaires. Most problems were due to administrative errors of the departments. Up to 36% of the patients miss...

Pierluigi Benedetti Panici - One of the best experts on this subject based on the ideXlab platform.

  • Late aortic lymphocele and residual ovary syndrome after Gynecological Surgery
    World Journal of Surgical Oncology, 2007
    Co-Authors: Maria Pastore, Natalina Manci, Claudia Marchetti, Francesca Esposito, Marialetizia Iuliano, Lucia Manganaro, Pierluigi Benedetti Panici
    Abstract:

    Background Gynecological Surgery, as radical hysterectomy or pelvic and aortic lymphadenectomy, accounts for more than 50% of iatrogenic injuries. In premenopausal women, an hysterectomy with ovarian sparing and concomitant lateral ovarian transposition is frequently performed. However, the fate of the retained ovary is complicated by the residual ovarian syndrome (ROS) and one of the most common postoperative complications of the lymphadenectomy procedure is the lymphocele, with an average incidence of 22–48.5%. The differential diagnosis of a postoperative fluid collection includes, in addition to a lymphocele, urinoma, hematoma, seroma or abscess and the computed tomography (CT) findings alone is not enough. Case presentation We describe a patient, affected by ROS concomitant with a asymptomatic lymphocele, initially confused with an aortic lymph nodes relapse, after abdominal radical hysterectomy. The patient was subjected to a surgical approach, included a diagnostic open laparoscopy and laparotomy with sovraombelico-pubic incision, wide opening of the pelvic peritoneum and retroperitoneum. Examination of the mass revealed, macroscopically, a ovary with multiloculated cystic masses filled with clear or yellow serous fluid and the layers were composed by flat or cuboidal mesothelial cells. Conclusion The tribute of this case illustrates the atypical appearance with uncertain aetiology after complex imaging. Gynecologist and radiologist should acquaint with the appearance of fluid collection (urinoma, lymphocele, seroma, hematoma, abscess) in gynecologic oncology follow-up to properly differentiated from tumor recurrence.

  • late aortic lymphocele and residual ovary syndrome after Gynecological Surgery
    World Journal of Surgical Oncology, 2007
    Co-Authors: Maria Pastore, Natalina Manci, Claudia Marchetti, Francesca Esposito, Marialetizia Iuliano, Lucia Manganaro, Pierluigi Benedetti Panici
    Abstract:

    Background Gynecological Surgery, as radical hysterectomy or pelvic and aortic lymphadenectomy, accounts for more than 50% of iatrogenic injuries. In premenopausal women, an hysterectomy with ovarian sparing and concomitant lateral ovarian transposition is frequently performed. However, the fate of the retained ovary is complicated by the residual ovarian syndrome (ROS) and one of the most common postoperative complications of the lymphadenectomy procedure is the lymphocele, with an average incidence of 22–48.5%. The differential diagnosis of a postoperative fluid collection includes, in addition to a lymphocele, urinoma, hematoma, seroma or abscess and the computed tomography (CT) findings alone is not enough.

  • bowel preparation for Gynecological Surgery
    Critical Reviews in Oncology Hematology, 2003
    Co-Authors: Ludovico Muzii, Roberto Angioli, Marzio Angelo Zullo, M Calcagno, Pierluigi Benedetti Panici
    Abstract:

    Abstract Bowel preparation is an established practice before abdominal Surgery. Most surgeons would use both antibiotic prophylaxis and mechanical bowel preparation (MBP) before bowel Surgery. In the literature, however, there is no evidence to support the use of MBP before elective colorectal Surgery. Some randomized studies and a metanalysis report a significantly higher incidence of wound infection in patients receiving MBP versus no bowel preparation. As to Gynecological Surgery, data are scanty, and there is a single randomized study reporting no advantage of MBP over no bowel preparation. Based on these evidences, the routine use of MBP should be reconsidered both in general and Gynecological Surgery.

Matthew E Falagas - One of the best experts on this subject based on the ideXlab platform.

  • urinary tract infections after pelvic floor Gynecological Surgery prevalence and effect of antimicrobial prophylaxis a systematic review
    International Urogynecology Journal, 2008
    Co-Authors: Matthew E Falagas, Stavros Athanasiou, Christos Iavazzo, Theodoros Tokas, Aris Antsaklis
    Abstract:

    We evaluated the prevalence of urinary tract infection (UTI) after pelvic floor operations for non-malignant etiology and the effectiveness of antibiotic prophylaxis. This was made possible by a review of the evidence from relevant randomized controlled trials (RCTs). Nineteen out of 879 initially identified studies met the criteria for inclusion in our review. Four RCTs compared an antibiotic prophylactic regimen with placebo, 11 two different prophylactic antibiotic regimens, and four had three different treatment arms. Among placebo recipients undergoing pelvic floor Surgery, 10–64% developed UTI. In contrast, UTI after pelvic floor Gynecological Surgery occurred in 0–15% of the patients who received cephalosporins as antibiotic prophylaxis; the likelihood for postoperative UTI was higher for patients receiving cotrimoxazole (28%), ampicillin/sulbactam (13.6%), metronidazole plus ampicillin (20%), metronidazole (10–22.7%), or ciprofloxacin (27.2%). The use of a cephalosporin as perioperative antimicrobial prophylaxis is the optimal regimen in preventing UTIs after pelvic floor Surgery.

Tom Tanbo - One of the best experts on this subject based on the ideXlab platform.

  • postoperative voiding bacteriuria and urinary tract infection with foley catheterization after Gynecological Surgery
    Acta Obstetricia et Gynecologica Scandinavica, 2006
    Co-Authors: Hjalmar A Schiotz, Tom Tanbo
    Abstract:

    Background. The use of bladder drainage to avoid urinary retention after Gynecological Surgery is more or less custom based, and duration of drainage varies considerably. In this paper the use of 1-day drainage by transurethral Foley catheter was investigated with regard to impaired voiding, asymptomatic bacteriuria, and urinary tract infection. Furthermore, the use of methenamine hippurate was studied with regard to postoperative asymptomatic bacteriuria and urinary tract infection. Methods. This summary is based on six published papers totaling 917 patients. In three case series, 1-day catheterization was used in women undergoing Gynecological laparotomy, colposuspension, or vaginal plastic Surgery. To compare 1- and 3-day Foley catheterization, two open, randomized trials were performed on women undergoing vaginal plastic Surgery or colposuspension. The last study was a double-blind trial between methenamine hippurate and placebo as prophylaxis against urinary tract infection and asymptomatic bacteriuria using 1-day catheterization. Results. Postoperative voiding problems and urinary tract infection occurred infrequently with 1-day catheterization, and no more frequently than with catheterization for three days. Methenamine hippurate decreased the incidence of urinary tract infection and asymptomatic bacteriuria by 80 and 40%, respectively. Conclusions. One-day bladder drainage by transurethral Foley catheter may be used routinely in common Gynecological Surgery with a low rate of voiding problems, asymptomatic bacteriuria, and urinary tract infection. Methenamine hippurate prophylaxis effectively reduces postoperative urinary tract infection.

Hidenori Toyooka - One of the best experts on this subject based on the ideXlab platform.