S A Nassief | PubMed Health

PubMed1996

Clinical trial comparing artificial rupture of membranes plus oral PGE2 tablets versus artificial rupture of membranes plus intravenous oxytocin for induction of labour in primigravid patients at term.

We report the results of a pilot study conducted to compare the efficacy of oral prostaglandin E2 versus intravenous oxytocin in inducing labour after lower amniotomy in 20 primigravid patients at term. The results suggest no significant differences in the performance of each group for the induction to delivery interval, the mode of delivery, the Apgar score at five minutes or for third stage abnormalities. However, the use of oral PGE2 allows the patient unrestricted mobility and avoids the discomfort of i.v. infusions.

Administration, Oral↗

PubMed1996

Laparoscopic-assisted vaginal hysterectomy: initial experience.

We reviewed the charts of 36 women who had laparoscopic-assisted vaginal hysterectomies (LAVH) at Belfast City Hospital over a 3 year period. The average operating time was 105 minutes. However, patients had a shorter duration of hospitalization (< 4 days for 96% of patients) with rapid recuperation (3.4 weeks). Complications occurred in 7 patients. One patient developed a vesico-vaginal fistula which was diagnosed post operatively and successfully repaired 5 months later. Technical difficulty was reported in one patient because of significant adhesions and poor access due to obesity. She went on to develop a pelvic abscess which was drained. Patient satisfaction with the operation was high. LAVH is an effective operation in selected cases and in experienced hands the complication rate is low. In the future it may become a valid alternative to open abdominal hysterectomy.

Adult↗