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In a press release in April 2014, the US Food and Drug Administration [1] discourages doctors from using laparoscop-ic power morcellators in removingfibroids or myomatotic uteri in order to reduce the risk of sarcomatous cell escape. The US-based company Johnson & Johnson, the largest manufacturer of the devices, halted global sales and distribution of power morcellators, while many hospitals i…
AbstractThe benefits of fast track regimes, i.e. reduction in hospital stay and minimization of postoperative complica-tions, have led to their widespread use. This study tested the feasibility of a fast track programme based on robot-assisted laparoscopic hysterectomy in which patients were discharged froma day care unit within 6 h after the operation.We enrolled 22 patients. Preoperatively, …
Abstract This was a prospective, longitudinal, multicenter, single-arm controlled trial, using independent core laboratory validation of MRI results, to establish the effectiveness and confirm the safety of the VizAblate® System in the treatment of symptomatic uterine fibroids. The VizAblate System is a transcervical device that ablates fibroids with radiofrequency energy, guided by a built-in…
Abstract The aim of this study is to verify that 10 % of N2O in CO2sufficiently reduces pain to permit laparoscopy under local anesthesia. In nine patients undergoing laparoscopy under local anesthesia for tubal sterilization, a mixture of 86 % of CO2, 10 % of N2O, and 4 % ofoxygen(theGas Mixture) was used for the pneumoperitoneum. For CO2, N2O, and for the Gas Mixture, the pain when blowing ov…
AbstractThis is a case of an ovarian actinomycosis diag-nosed as a complex ovarian cyst by ultrasound in asymptom-atic patient. The ovarian tumour markers were within normal. The tube and ovary were removed laparoscopically. She re-ceived 2 weeks of daily IV 1 g of ceftriaxone, followed by 6 months of oral amoxicillin. CT scan did not show evidence of actinomycosis elsewhere. She did not give …
Given that all human organs have vitamin D recep-tors, it is not surprising that vitamin D3 de ciency can also cause disease symptoms in the lungs. Known diseases include productive and obstructive bronchitis, asthma, chronic obstructive pulmonary disease (COPD), and frequent respiratory infections [1, 2]. To date, there is insu cient data to support whether vitamin D replacementimproves the…
AbstractUndergraduate medical education does not usually involve training in laparoscopic skills despite the fact that minimal access surgery has become the norm in the developed world. We designed a study to evaluate the attitude of sur-geons and medical students to formal teaching of these skills Two surveys were sent; one to fourth year medical students at the University of Bristol and anoth…
Only weeks after Mats Brännström gave his key-note lecture at the annual ESGE conference in Brussels, the Lancet pub-lishes a case observation of the first live born baby following uterine transplantation [1]. On his last slide, he forecasted livebirths within a year. Most must have thought this was a realistic forecast; the audience could not know that his confi-dence may have indicated that…
Acupuncture is a therapy method known for mil-lennia with apparently polygenetic roots. It is tradi-tionally practiced in East Asian countries. During the recent y years, it has found wide applications in Europe as well. Today acupuncture is one of the most important parts of modern complementary medicine. Questions concerning the mechanism of action and e cacy of acupuncture, among others…
Abstract The purposes of this study were to evaluate and compare the technical feasibility and the patients’pain during hysterosalpingo-foamsonography (HyFoSy) using two differ-ent 2-mm balloon catheters. Randomized trial in 46 consecu-tive women referred for tubal patency testing by HyFoSy at the Leuven University Hospital. Six women refused to partic-ipate. Forty women were randomized and b…