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Experience of Patients Who Underwent Scheduled Gynaecological Surgery at the Bogodogo University Hospital, Burkina Faso

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Open Journal of Obstetrics and Gynecology 2023年第9期13卷 1595-1603页

作者： Yobi Alexis Sawadogo Adama Ouattara Issa Ouédraogo Sibraogo Kiemtoré Emmanuel Ouedraogo Dantola Paul Kain Charlemagne Ouedraogo Ali Ouedraogo Department of Obstetrics and gynaecology Bogodogo University Hospital Ouagadougou Burkina Faso Health Science Training and Research Unit Joseph Ki-Zerbo University Burkina Faso Department of Obstetrics and gynaecology Ouahigouya Regional Hospital Burkina Faso Department of Obstetrics and gynaecology Yalgado Ouédraogo University Hospital Burkina Faso Department of Obstetrics and gynaecology Tengandogo University Hospital Ouagadougou Burkina Faso

Introduction: Surgery can cause anxiety and worry, such as waking up in pain, being physically harmed or dying. This study aimed to assess the experience of patients undergoing planned gynaecological surgery in the Obstetrics gynaecology and Reproductive Medicine department of the University Hospital Centre of Bogodogo. Patients and methods: This was a cross-sectional study with prospective data collection during the period from June 1 to August 31, 2018. The study population consisted of patients who received scheduled gynaecological surgery during the period. Results: Seventy-six (76) patients underwent scheduled surgery and 62 were included. During discussion with the gynaecologist, 58 patients (93.55%) were satisfied. When the surgery was announced, 41 patients (66.13%) were anxious. At the consultation with the anaesthetist 59 patients (95.16%) were satisfied with the discussions. Fifty-five patients (88.7%) were anxious on admission to the operating theatre. The quality of care was satisfactory for 61 patients (98.39%) and all patients were satisfied with the care team. Conclusion: Periodic evaluation of patients’ experiences should therefore be incorporated into care evaluation policies in health facilities in order to contribute to continuous improvement in the quality of medical and surgical care.

关键词： Experience Surgery gynaecology Bogodogo

Adolescence dysfunctional uterine bleeding:perspectives from the combination of traditional Chinese medicine and modern medicine

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TMR Integrative Medicine 2022年第17期6卷 1-5页

作者： Can Liu Jun-Ze Geng Shu-Ping Hu The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine Tianjin 300000China National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion Tianjin 300000China

Because their endocrine system is not yet developmentally mature,adolescent girls are prone to dysfunctional uterine bleeding caused by insufficiency of the hypothalamic-pituitary-gonadal axis.The view of modern medicine is mainly aimed at the secretory function of sex hormones,such as estrogen and progesterone.However,it causes distress to patients because of the susceptibility of their treatment to endocrine system disorders.Traditional Chinese medicine considers the damage to the function of the Conception Vessel and Thoroughfare Vessel as the key to the disease.In this way,we guide the use of traditional Chinese medicine and acupuncture and achieve good results.The pathogenesis and management of functional uterine bleeding in adolescence are discussed from two medical perspectives in this article.

关键词： adolescence dysfunctional uterine bleeding gynaecology views of traditional Chinese medicine and modern medicine

Early discharge after major gynaecological surgery: advantages of fast track surgery

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Open Journal of Obstetrics and Gynecology 2011年第1期1卷 1-5页

作者： Jonathan Carter Shannon Philp Vivek Arora 不详

Introduction: Fast Track Surgery (FTS) programs have been adopted by many specialties with documented improved patient outcomes and reduced length of stay (LOS). Methods: We initiated a FTS program in January 2008 and present our experience up to and including November 2010 on patients whose LOS was 2 days. Results: During the study period 242 patients had a laparotomy performed. Overall 54(22.3%) patients were discharged on day 2. In the first year of initiating our FTS program 10% were discharged on day 2, 25% in year 2 and 31% in year 3. Twenty-two patients (41%) had malignant pathology and of these, 16 (73%) had local or regional spread and 6 (27%) had distant spread. Forty patients (74%) had vertical midline incisions (VMI) performed. Surgery was classified as complex in 40 cases (74%) and 6 (11%) patients underwent staging lymph node dissection. Average patient BMI was 26.1 with 44% of patients considered overweight or obese. There were no intraoperative complications recorded. When compared to 188 patients whose LOS was greater than 2 days, the early discharge cohort were more likely to have benign pathology, more likely to be younger, to have a transverse incision, to have received COX II inhibitors, to have a lower net haemoglobin (Hb) change and to tolerate early oral feeding. Conclusions: Increased clinical experience with FTS enables over 31% patients undergoing laparotomy to be safely discharged on day 2 without an increase in the read-mission rate or morbidity.

关键词： Fast Track Surgery gynaecology Oncology

Application of Acupuncture in Obstetrics and gynaecology in Germany

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Application of Acupuncture in Obstetrics and Gynaecology in ...

Diffusion weighted imaging in gynecological malignancies-present and future

2017中国中西医结合麻醉学会[CSIA]年会暨第四届...

作者： Maoyuan Yang Lehrkrankenhaus der Universitaet Wuerzburg

Background:In comparison to the USA Acupuncture/TCM had been introduced later in Europe and its establishment in Germany was only approximately 20 years ago.Today Acupuncture/TCM is being used by about 4000 German doctors,whereas just 200Chinese doctors follow Western medicine health careers in Germany.Over the past years Acupuncture is getting more and more accepted by German patients and is being used in many specialities,especially in gynaecology and Obstetrics.Although Acupuncture has undergone several testing and research and its effectiveness has been supported by many research studies,Acupuncture has not received much support from official German health care insurance so far.Goals:In this study several cases concerning the successful use of Acupuncture in gynaecology,Obstetrics and Anaesthetics in Aschaffenburg hospital,a University teaching hospital in North Bavaria,are being presented to demonstrate advantages of Acupuncture in the treatment of several diseases.Methods:-Analysis of the use of Acupuncture in gynaecology,Obstetrics and Anaesthetics in Aschaffenburg hospital from 2012 to 2016 by implementing a questionnaire to assess the satisfaction of patients with the Acupuncture treatment and the subjective effectiveness of the treatment.-After their Acupuncture treatment the patients included in this study were being asked to complete an evaluation questionnaire with the following parameters and rating scales:○Effectiveness of treatment:1=no improvement,2=little improvement,3=moderate improvement,4=strong improvement,5=excellent improvement○Satisfaction with the treatment:1=very unsatisfied,2=unsatisfied,3=adequate,4=satisfied,5=very satisfied-This study included the following disease syndromes and systemic diseases:○Dysmenorrhea,hormone related migraine,discomfort during climacteric period○Hyperemesis gravidarum,backache during pregnancy○Postdural puncture headache,postoperative gastrointestinal atonyDiscussion:In gynaecology Acupuncture successfully contributes to the treatment of patients with a var

关键词： Acupuncture gynaecology Obstetrics Germany

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World Journal of Radiology 2016年第3期8卷 288-297页

作者： Dinesh Manoharan Chandan J Das Ankita Aggarwal Arun K Gupta Department of Radiology Diagnosis All India Institute of Medical Science

The management of gynaecological malignancies has undergone a significant change in recent years with our improved understanding of cancer biogenetics, development of new treatment regimens and enhanced screening. Due to the rapid blooming of newer methods and techniques in gynaecology, surgery and oncology the scope and the role of imaging has also widened. Functional imaging in the form of diffusion weighted imaging(DWI) has been recently found to be very useful in assessing various tumours. Its ability to identify changes in the molecular level has dramatically changed the diagnostic approach of radiologists which was solely based on morphological criteria. It can improve the diagnostic accuracy of conventional magnetic resonance imaging, lend a hand in assessing tumour response to treatment regimens and detect tumour recurrence with better spatial resolution, negative radiation and diagnostic accuracy compared to positron emission tomography scan. The ability to quantify the diffusion has also lead to potential prediction of tumour aggressiveness and grade which directly correlate with the patient prognosis and management. Hence, it has become imperative for a radiologist to understand the concepts of DWI and its present and evolving role. In this article we present a brief description of the basics of DWI followed by its role in evaluation of female gynaecological malignancies.

关键词： Diffusion weighted imaging Female pelvis Magnetic resonance imaging gynaecology Malignancy