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Gynecologic Surgery Under Local Anesthesia


Gynecologic Surgery Under Local Anesthesia
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Gynecologic Surgery Under Local Anesthesia


Gynecologic Surgery Under Local Anesthesia
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Author : Amos Jefferson Penfield
language : en
Publisher: Urban & Schwarzenberg
Release Date : 1986

Gynecologic Surgery Under Local Anesthesia written by Amos Jefferson Penfield and has been published by Urban & Schwarzenberg this book supported file pdf, txt, epub, kindle and other format this book has been release on 1986 with Medical categories.




Protocols For Office Gynecologic Surgery


Protocols For Office Gynecologic Surgery
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Author : Philip D. Darney
language : en
Publisher: Wiley-Blackwell
Release Date : 1996-01-30

Protocols For Office Gynecologic Surgery written by Philip D. Darney and has been published by Wiley-Blackwell this book supported file pdf, txt, epub, kindle and other format this book has been release on 1996-01-30 with Medical categories.


As hospital costs escalate and gynaecologists become more skilled at non-invasive techniques, a growing number of diagnostic and therapeutic procedures can be carried out in the office under short-acting or local anesthesia. The second edition of this handbook for practicing gynaecologists reflects this change, and covers all diagnostic and therapeutic procedures possible in the office setting. This is greatly to the patient's advantage from a psychological as well as an economical and logistical standpoint. The important advances here in terms of new equipment and techniques include laparoscopy for sterilization and biopsy, the use of ultrasound in pregnancy termination, to name a few. Other diagnostic procedures (breast, vulvar and vaginal biopsies; urethrocystoscopy; and endometrial biospy) and other local therapeutic maneuvers (eg, conization) can also be performed in the office, as well as minor procedures performed in the first trimester of pregnancy (eg, amniocentesis).



Essential Clinical Anesthesia Review


Essential Clinical Anesthesia Review
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Author : Linda S. Aglio
language : en
Publisher: Cambridge University Press
Release Date : 2015-01-08

Essential Clinical Anesthesia Review written by Linda S. Aglio and has been published by Cambridge University Press this book supported file pdf, txt, epub, kindle and other format this book has been release on 2015-01-08 with Medical categories.


An evidence-based board review book, organized according to the ABA keyword list, with concise discussion and clinical review questions and answers.



Gynecologic Operations Under Local Anesthesia


Gynecologic Operations Under Local Anesthesia
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Author : Robert Emmett Farr
language : en
Publisher:
Release Date : 1922

Gynecologic Operations Under Local Anesthesia written by Robert Emmett Farr and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1922 with Anesthesia categories.




Outpatient Gynecologic Surgery


Outpatient Gynecologic Surgery
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Author : Amos Jefferson Penfield
language : en
Publisher:
Release Date : 1997

Outpatient Gynecologic Surgery written by Amos Jefferson Penfield and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1997 with Medical categories.




Office Based Gynecologic Surgical Procedures


Office Based Gynecologic Surgical Procedures
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Author : Jonathan D. Emery
language : en
Publisher: Springer
Release Date : 2014-10-07

Office Based Gynecologic Surgical Procedures written by Jonathan D. Emery and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 2014-10-07 with Medical categories.


Recent trends in medicine have pushed many gynecologic procedures to the outpatient setting, whether in-office, in small medical ambulatory surgery centers, or in procedure rooms. Office-Based Gynecologic Surgical Procedures covers both basic and advanced procedures, from biopsy and saline ultrasound to cystoscopy. It answers the "How?", "What?", and "When?" of setting up, preparing for, and confidently performing office procedures. While appropriate training and certification in these procedures such as cystoscopy and hysteroscopy is needed, this book is an excellent resource for advice and tips on how to safely transition from the technique used in the operating room. It also provides the necessary algorithms and in-depth instructions pertinent to performing these types of procedures effectively in the office setting. A chapter on patient safety in the office is also included. Office-Based Gynecologic Surgical Procedures is ideal for established OBGYNs in practice who want to expand their range of procedures offered in-office, fellows in Women's Health, advanced nurse practitioners, recent OBGYN residency graduates, and family medicine physicians eager to familiarize themselves with women's health procedures.



3 Conscious Sedation Combined With Local Anaesthesia For Vaginal Hysterectomy A Pilot Study


3 Conscious Sedation Combined With Local Anaesthesia For Vaginal Hysterectomy A Pilot Study
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Author : Gregoriadis Themistoklis
language : en
Publisher:
Release Date : 2017

3 Conscious Sedation Combined With Local Anaesthesia For Vaginal Hysterectomy A Pilot Study written by Gregoriadis Themistoklis and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 2017 with categories.


Background and Aims: Several studies have suggested numerous advantages of local anaesthesia over both regional and general anaesthesia techniques. The aim of this study was to evaluate and describe the safety and feasibility of performing vaginal prolapse surgery under local anaesthesia and conscious sedation using dexmetomidine.Methods: We studied 19 patients ASA II-III, aged 55- 80 years old undergoing surgical repair for vaginal prolapse under conscious sedation and local infiltration with pudendal nerve block. All patients were premedicated with midazolam 0.02 mg/kg and a bolus dose of 1u03bcg/kg dexmedetomidine for 10 minutes followed by an infusion of 0.7- 1 u03bcg/kg/h. The anaesthetic solution consisted of 20 ml lidocaine 2% and 40 ml ropivacaine 0.5% in 1:200000 adrenaline. Hemodynamic variables, pain (Visual Analogue Scale 0-10) and sedation (Ramsay Scale) were recorded during surgery. Postoperative pain, analgesia requirements, nausea, vomiting, sedation (10-cm VAS) and patient satisfaction were also assessed.Results One patient was converted to general anaesthesia. Pain intensity at rest and the level of sedation at 2, 8, 12 and 24 hours postoperatively were 0, 0.3u00b10.8, 0.8u00b11.9, 0.5u00b11.1 and 4.3u00b11.3, 2.8u00b11.8, 2u00b11.2, 1.2u00b10.7 respectively. All patients were fully mobilised within 3 hours and very satisfied with the type of anaesthesia. No adverse events such as bradycardia or hypotension were noted.Conclusions: Surgical correction of vaginal prolapse can be performed safely and effectively using local anaesthesia and pudendal nerve block under conscious sedation with dexmedetomidine as it seems to provide efficient hemodynamic stability, high Ramsey scores and high satisfaction scores in these patients.



Surgery Gynecology Obstetrics


Surgery Gynecology Obstetrics
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Author : Franklin Henry Martin
language : en
Publisher:
Release Date : 1927

Surgery Gynecology Obstetrics written by Franklin Henry Martin and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1927 with Gynecology categories.




Transactions


Transactions
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Author : American Medical Association. Section on Obstetrics, Gynecology and Abdominal Surgery
language : en
Publisher:
Release Date : 1921

Transactions written by American Medical Association. Section on Obstetrics, Gynecology and Abdominal Surgery and has been published by this book supported file pdf, txt, epub, kindle and other format this book has been release on 1921 with Gynecology categories.




Strategies In Gynecologic Surgery


Strategies In Gynecologic Surgery
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Author : Herbert J. Buchsbaum
language : en
Publisher: Springer
Release Date : 1986-06-02

Strategies In Gynecologic Surgery written by Herbert J. Buchsbaum and has been published by Springer this book supported file pdf, txt, epub, kindle and other format this book has been release on 1986-06-02 with Medical categories.


This volume is directed toward physicians who perform gynecologic sur gery. The problems addressed are those encountered specifically in the performance of surgical procedures on the female genitalia. This book is not intended to be an atlas of surgery, but rather to supplement the many atlases available to the interested reader. There is an increasing body of physiologic and clinical data that is di rectly related to gynecologic surgery. The editors have selected subjects for this volume that directly impact on the outcome of the operative proce dure. Authors were chosen who have documented interest and expertise. Many decisions made before the performance of the gynecologic opera tion can influence the outcome of the procedure, such as choice of abdomi nal incision, preparation of the operative field, and use of prophylactic anticoagulants and antibiotics. During the operation, additional choices that are open to the surgeon can affect the outcome: choice of suture material, technique of bladder drainage, and the use of drains. Attention to details of surgery, avoidance of genitourinary or gastrointestinal injury, and attention to potential problems in specific age groups can result in better outcome for the patient. The reader will also find chapters devoted to the legal implications of operative consent, the control of surgical bleed ing, and intra- and postoperative monitoring. It is our hope that the material in this book will help the gynecologic surgeon in his practice to improve the care of the female patient undergo ing operative procedures on the genitalia.