Biomedical subjects

DMB Rosen

Publications and source records attributed to DMB Rosen.

3 recordsLinked to original sources

PubMed1996

Laparoscopic Bowel and Vascular Complications: Should the Veress Needle and Cannula Be Replaced?

We undertook a retrospective survey of bowel and vascular complications in gynecologic laparoscopic surgery reported to the three major medical defense organizations in this state between January 1988 and September 1993. Twenty-six bowel injuries and eight vascular complications were reported. The majority of these patients had undergone either diagnostic laparoscopy or laparoscopic tubal ligation. The majority of injuries were attributed to the Veress needle in creating primary pneumoperitoneum or inserting the primary cannula. Three of the 26 bowel injuries and 3 of 8 vascular injuries resulted in death. Laparoscopic bowel and vascular injuries can thus be related to the Veress needle or the primary cannula. The serious sequelae suggest a need to assess the current methods of establishing pneumoperitoneum for laparoscopy.

Journal Article↗

PubMed1996

Return to Work after Laparoscopic Hysterectomy

In Australia, return to work and full activity after abdominal hysterectomy is routinely delayed until the seventh postoperative week. We conducted a telephone survey of 100 women who had undergone laparoscopic-assisted hysterectomy inquiring, among other questions, when they had returned to full duties as well as when they felt they could have returned, if these were different. The mean time to return to full activity was markedly less than the standard 6 weeks. By changing the public perception and expectations regarding recovery after laparoscopic hysterectomy, we believe the procedure can be explained better by practitioners and will appear even more attractive to patients.

Journal Article↗

PubMed1996

Skin Closure at Laparoscopy

The choice of wound closure material after laparoscopy is often based more on the preference or familiarity of the surgeon than on scientific facts. This study attempted to discern the best method for wound closure after laparoscopy. Ninety women were randomized to receive interrupted 3-0 nylon sutures, subcuticular 3-0 polyglactin sutures, or Steri-Strips. At the umbilical port site, the rectus sheath was closed with one 0 polyglactin suture and then one of the three materials for skin closure. The lateral ports received a combination of two of the materials, allowing each patient to act as her own control. Each site was covered with a standard adhesive dressing that was removed before discharge. Women recorded pain at each site from days 1 to 5 on a linear analog scale, described wound appearance, and reported their ultimate satisfaction. The operating surgeons also assessed the wound outcome at the 4-week follow-up visit, although they did not know the material used for wound closure.

Journal Article↗