BACKGROUND The transversus abdominis plane block is recently described peripheral block to providing analgesia to the anterior abdominal wall. The goal of this study is to evaluate the analgesic efficacy of the ultrasound-guided transversus abdominis plane block (US-TAP block) in patients undergoing gynecologic surgery via a transverse lower abdominal skin incision. METHODS Thirty-two patient...

BACKGROUND Patients with advanced gynecologic malignancy often require fecal diversion as a sole procedure in cases of obstruction or fistula formation. This unique patient population has a frequent history of advanced age, prior abdominal surgery, pelvic radiation, poor nutritional status and medical comorbidities. The use of laparoscopic colostomy for palliative fecal diversion in this contex...

introduction idiopathic thrombocytopenic purpura is a platelet autoimmune hemostatic disorder. in this study, an itp case with abdominal signs and hemorrhagic corpus luteum is presented. case presentation the patient is a 28-year-old nonpregnant woman admitted to ed for constant acute abdominal pain, accompanied by nausea and vomiting. itp was the prominent disease in her medical history which ...

OBJECTIVE To compare perioperative outcomes between robotic-assisted benign hysterectomies and abdominal, vaginal, and laparoscopic hysterectomies when performed by high-volume surgeons. METHODS A multicenter data analysis compared 30-day outcomes from consecutive robotic-assisted hysterectomies performed by high-volume surgeons (≥60 prior procedures) at nine centers with records retrieved fr...

Background: Rectal injuries are the most severe complications of gynecologic surgeries, especially total laparoscopic hysterectomy. In several cases, an ileostomy is performed as a lifesaving procedure. Recently, studies have suggested that primary repair should be attempted for all cases intraperitoneal rectal injuries. To best our knowledge, previous case reports not discussed specific injury...

Introduction. Isolated torsion of the Fallopian tube is an uncommon cause of acute lower abdominal pain and can occur in women of all age groups. Cholecystitis is a frequent cause of upper abdominal pain. We present an unusual case with the presence of these two distinct pathological entities occurring concurrently in the same patient, causing simultaneously occurring symptoms. To our knowledge...

Introduction. Most common metastasis sites of breast cancer are the lungs, bones, liver, and brain, whereas uterine involvement by metastatic breast disease is rare. Metastatic carcinoma of the uterus usually originates from other genital sites, most commonly being from the ovaries. Invasive lobular carcinoma spreads to gynecologic organs more frequently than invasive ductal carcinoma. Case Rep...

Many physicians, Certified Registered Nurse Anesthetists (CRNAs), and registered nurses have the clinical impression that either morphine sulfate or meperidine hydrochloride is a better drug to control postoperative pain. In this study, we evaluated pain relief and side effects for these two drugs to assess their potential differences. CRNAs conducted a structured interview of 500 female patien...

BACKGROUND The long-term cognitive effects of hysterectomy and oophorectomy remain controversial. OBJECTIVE To explore the association of hysterectomy and oophorectomy with the subsequent risk of cognitive impairment or dementia. METHODS We combined the results from two cohort studies graphically and conducted additional analyses. RESULTS Combined results from the Mayo Clinic Cohort Study...