BACKGROUND The aim of this study was to investigate effect of single- and multiple-dose of parecoxib on shoulder pain after gynecologic laparoscopy. METHODS 126 patients requiring elective gynecologic laparoscopy were randomly allocated to three groups. Group M (multiple-dose): receiving parecoxib 40mg at 30min before the end of surgery, at 8 and 20hr after surgery, respectively; Group S (sin...

OBJECTIVE To determine the rate of prophylactic antibiotics usage in uncomplicated gynecologic abdominal surgery in Siriraj Hospital, before and after guideline implementation. MATERIAL AND METHOD Two hundred and fifty-eight women who underwent elective gynecologic surgery for a benign condition were enrolled. The patients were divided into two groups, before and after guideline implementatio...

evaluation of causes and results of laparoscopy in kosar hospital     nanbakhsh f [1] , mohaddesi h [2] *, yegansangi m [3] , mazloomi p [4]    received: 24 may, 2011 accepted: 6 july, 2011   abstract  background & aims: in the last 30 years, gynecologic laparoscopy has become a major surgical tool used to treat a multitude of gynecologic indications such as acute or chronic abdominal or pelvic...

Background: Postoperative pain is an important surgical problem. Recent studies in pain pathophysiology have led to the hypothesis that with perioperative administration of analgesics (pre-emptive analgesia) it may be possible to prevent or reduce postoperative pain. This study was planned to investigate the efficacy of pre-emptive analgesia on postoperative pain after major gynecologic abdomin...

Minimally invasive surgery is now the cornerstone of gynecologic surgeries. Minilaparoscopic surgery is a new promising technique that involves the use of instruments with an external diameter of around 3 mm in contrast to standard sizes of 5-10 mm used in conventional procedures. In minilaparoscopic process, minimal invasive surgery is being more advanced, ports and surgical equipment’s are ge...

Background: Laparoscopy is rapidly replacing laparotomy in the field of gynecologic surgery. Generally, there are limited data concerning the utility of single-incision laparoscopic surgery (SILS) in gynecologic surgery. Specifically, in Saudi Arabia, a third-world country, data are further limited; only one related study has been conducted so far. The purpose of this study is to retrospectivel...

Ovarian Cancer (OC) is the most lethal gynecologic tumor, notorious for being diagnosed in late stages. Approximately 15000 women in the USA and over 160000 women worldwide die every year of OC. In the USA about 22000 new cases were diagnosed in 2012. Morbidity and mortality due to OC have changed very little over the past 5 decades, despite extensive research efforts, identification of risk fa...

Objective. The purpose of this study was to investigate the clinical risk factors associated with adverse outcomes in cases of metastatic ovary tumors during a recent 20-year periods. Patients and methods. One hundred sixty-four patients with metastatic ovary tumors who was confirmed on pathologic diagnosis after surgery in three centers between January 1996 and December 2015. Clinical variable...

BACKGROUND Nefopam is a non-opioid non-steroidal centrally acting analgesic. This study was conducted to assess the analgesic efficacy of intravenous patient-controlled analgesia (IV-PCA) using nefopam alone, compared with a combination of morphine and ketorolac, after laparoscopic gynecologic surgery. METHODS Sixty patients undergoing laparoscopic gynecologic surgery received IV-PCA. Group A...