Umbilical metastasis from gynecologic malignancies: a primary carcinoma of the fallopian tube.
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Biomedical subjects
Publications and source records attributed to V W Jobson.
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In this study, a prospective, randomized, non-blinded report, single dose carbenicillin prophylaxis preoperatively is compared with T-tube suction drainage postoperatively in 50 patients undergoing vaginal hysterectomy. A higher incidence of febrile morbidity, fever index units, cellulitis of the vaginal cuff and prolonged hospitalization postoperatively was experienced by the group patients with T-tube suction drainage, P less than 0.05. Our satisfactory results with single dose carbenicillin prophylaxis preoperatively are similar to those of previous studies using more extended antibiotic prophylaxis perioperatively.
Proper technique and competent cytopathology are important in obtaining and evaluating the Pap smear. Colposcopy and directed biopsies, combined with endocervical curettage, will permit outpatient diagnosis in about 85 percent of patients with cervical intraepithelial neoplasia. Other patients will require knife conization for diagnosis. A wide range of treatment options exists. Selection of therapy is based on both the patient's reproductive plans and the severity of the disease. Regular follow-up with Pap smears is mandatory after any treatment.
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