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Biomedical subjects

M J Sammarco

Publications and source records attributed to M J Sammarco.

5 recordsLinked to original sources

A resident teaching program in operative endoscopy.

To provide a structured experience in operative endoscopy, a comprehensive teaching program has been incorporated into the obstetrics and gynecology residency program at our institution. This program consists of both a didactic and a hands-on portion. The hands-on session is conducted on a pelvic trainer. This approach to teaching residents operative endoscopy has been widely accepted by residents, faculty, and operating room personnel.

Female↗

Local anesthesia for cryosurgery on the cervix.

Forty-five patients were evaluated in a prospective, randomized study to determine the effectiveness of a local injection of lidocaine in reducing pain during cervical cryosurgery. Study patients received a submucosal cervical injection of 1% lidocaine with a 1:100,000 dilution of epinephrine. Control patients did not receive an injection. Both groups received a single dose of naproxen sodium or ketoprofen prior to the procedure. The patient and the observing nurse recorded the pain experienced with a visual analog scale (VAS). Nurse and patient response for the control and study groups showed a high correlation (r = .573 and P < .01, r = .673 and P < .001, respectively). The mean VAS score recorded for the 26 control patients was 4.27, significantly greater than the mean score for the 19 study patients, 1.16 (P < .001). These findings indicate that a submucosal local injection of lidocaine with epinephrine is effective in reducing pain during cervical cryosurgery.

Anesthesia, Local↗