Biomedical subjects

G J Jarvis

Publications and source records attributed to G J Jarvis.

At least 19 recordsLinked to original sources

PubMed1995

Long-needle bladder neck suspension for genuine stress incontinence--does endoscopy influence results? A structured overview.

OBJECTIVE: To assess the hypothesis that the use of an endoscope to aid suture placement in long-needle suspension procedures is more likely to be lead to improved results. MATERIALS AND METHODS: A literature survey of 15 journals yielded 77 evaluable publications which provided data to compare the subjective and objective outcomes following a Pereyra procedure (2259 and 301 patients, respectively) or a Stamey procedure (2029 and 456 patients, respectively). RESULTS: There was no statistically significant difference in the mean percentage continence rates, based on subjective assessment of continence, following either the Pereyra or the Stamey procedure. Approximately 7% of patients subjectively claimed to be continent yet were not so upon some form of objective measurement. CONCLUSION: The analysis detected no improvement in the likelihood of continence after long-needle suspension procedures whether or not they were performed under endoscopic control to aid suture placement. This conclusion applied to primary procedures whether outcome was judged subjectively or objectively, and to subjective outcome after previously failed surgery. This study suggests that those surgeons who report their results are sufficiently skilled in judging suture placement as accurately as is needed without the benefit of a cystoscope.

Endoscopy↗

PubMed1992

Re: Erosion of buttress following bladder neck suspension.

Explore the source record for details and available documents.

Cystoscopy↗

PubMed1991

Adverse urinary symptoms after total abdominal hysterectomy--fact or fiction?

Urinary symptoms before and after total abdominal hysterectomy in a study group of 80 pre-menopausal women were compared with those in a control group of 78 pre-menopausal women who had dilatation and curettage alone. No urinary symptom was found more commonly after hysterectomy than after curettage, whilst stress incontinence was less common in the study group. Transient symptoms occurred more frequently after hysterectomy.

Adult↗

PubMed1990

Inconsistencies in clinical decisions in obstetrics.

Analysis of the increasing incidence of caesarean section in an English teaching hospital over a 15-year period revealed that emergency caesarean section for the diagnosis of fetal distress in labour made a major contribution to this increasing trend. A retrospective audit of a sample of these operations by the consultants of the hospital indicated that 30% of the operations were unnecessary. There were two other disturbing findings in our audit. First, there was significant disagreement between auditors in the decision whether to do a caesarean section or not. Second, and perhaps more importantly, when faced with identical information at a different time, the auditors were inconsistent in 25% of cases. The disturbing clinical situation highlighted by this study may have implications for medical jurisprudence.

Cesarean Section↗

PubMed1990

Using Lamicel to expose high cervical lesions during colposcopic examinations.

Women with abnormal cervical cytology and an unsatisfactory colposcopic examination were offered Lamicel in an attempt to expose the entire transformation zone. The sponge, which softens, dilates and effaces the cervix, was passed intracervically in 41 patients in whom the entire squamocolumnar junction could not be seen. After 3-4 h the sponge was removed and colposcopy repeated. In 29 of the 41 patients the lesion and the squamocolumnar junction were now fully visible. Twenty-five of these patients were spared a cone biopsy.

Adult↗

PubMed1988

Primary malignant melanoma of the uterine cervix.

A case of primary malignant melanoma of the uterine cervix is presented. It demonstrates the histological findings at both light and electron microscopy, the unusual flow cytofluorometric analysis, the clinical response to irradiation and the rapid dissemination of the tumour.

Female↗

PubMed1985

Clinical and urodynamic assessment of the porcine dermis bladder sling in the treatment of genuine stress incontinence.

Fifty women, aged between 37 and 76 years, underwent a bladder sling operation for urinary incontinence using porcine dermis. All patients had undergone previous unsuccessful vaginal surgery for genuine stress incontinence and had stable bladders. Thirty-nine patients (78%) were made continent of urine, both subjectively and on urodynamic testing.

Adult↗

PubMed1984