Comparison of absorbable uterine staples and traditional hysterotomy during cesarean delivery.

Abstract:

OBJECTIVE:To evaluate the use of the Auto Suture Poly CS-57 disposable surgical stapler to determine if the device offers any advantages over suture closure of the uterus. METHODS:A matched case-control study design was used. Operative time, estimated blood loss, change in hematocrit, incidence of postoperative endometritis, length of stay, and total patient costs were compared. Patients were recruited from a university hospital setting and a private practice. RESULTS:There were 288 patients in the study, 144 in the staple group and 144 matched patients in the standard hysterotomy control group. Patients did not differ in age, parity, gestational age, number of primary or repeat operations, anesthesia, infant weights, or outcomes. Comparing the patients in the staple group and the control group, there was no significant difference in operative time (63.7 +/- 22.9 versus 62.0 +/- 22.3 minutes, staple group versus controls, respectively), estimated blood loss (822 +/- 338 versus 879 +/- 318 mL), change in hematocrit (-5.9 versus -6.5 volume percent), incidence of postoperative endometritis (15 versus 20%), length of stay (4.1 +/-1.3 versus 4.0 +/- 2.2 days), or total cost ($4490 +/- 1544 versus $3997 +/- 1117). Comparing patients operated upon by residents in the university to those operated upon by the private attending physicians, there were no significant differences noted in the above-mentioned variables between stapled and sutured patients. CONCLUSION:Compared with the usual suture technique for cesarean delivery, the uterine stapling device used in this study was not associated with a significant decrease in the incidence of postoperative anemia, infection, length of hospital stay, or cost. This device appears to offer no advantage over traditional hysterotomy and repair.

journal_name

Obstet Gynecol

authors

Gilson GJ,Kephart WH,Izquierdo LA,Joffe GM,Qualls CR,Curet LB

doi

10.1016/0029-7844(95)00438-6

subject

Has Abstract

pub_date

1996-03-01 00:00:00

pages

384-8

issue

3

eissn

0029-7844

issn

1873-233X

pii

0029784495004386

journal_volume

87

pub_type

杂志文章
  • Frequency, distribution, and theoretical mechanisms of hematologic and weight discordance in monochorionic twins.

    abstract:OBJECTIVE:The purpose of this study was to determine the frequency, distribution, and most likely etiology of hematologic and weight discordance in pathologically proven monochorionic twins, and to use this information to reevaluate the neonatally derived definition of the twin-twin transfusion syndrome. METHODS:We re...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Wenstrom KD,Tessen JA,Zlatnik FJ,Sipes SL

    更新日期:1992-08-01 00:00:00

  • Persistent placenta increta: a complication of conservative management of presumed placenta accreta.

    abstract:BACKGROUND:Recent reports have advocated conservative management rather than hysterectomy for placenta increta and its related conditions, placenta accreta and percreta. We report an unusual case of placenta increta in which initial conservative therapy for a presumed placenta accreta failed and hysterectomy was perfor...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(96)00121-4

    authors: Davis JD,Cruz A

    更新日期:1996-10-01 00:00:00

  • Thecomas and granulosa-theca cell tumors of the ovary: an analysis of 51 tumors,.

    abstract::A retrospective study of 51 thecomas and granulosa-theca cell tumors of the ovary seen at Confederate Memorial Medical Center in Shreveport, Louisiana, is presented. Endometrial tissue was available for study in 38 of the 51 patients. The relation of these tumors to endometrial morphology suggests an excessive estroge...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Stage AH,Grafton WD

    更新日期:1977-07-01 00:00:00

  • Cannabinoid hyperemesis syndrome: a cause of refractory nausea and vomiting in pregnancy.

    abstract:BACKGROUND:Cannabinoid hyperemesis syndrome is a condition present among chronic cannabis users resulting in abdominal pain, intractable nausea and vomiting, and compulsive bathing behaviors. Given the recent legalization of marijuana in certain areas of the United States, the incidence of this condition may increase a...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000000595

    authors: Alaniz VI,Liss J,Metz TD,Stickrath E

    更新日期:2015-06-01 00:00:00

  • Practice Bulletin No. 159 Summary: Management of Preterm Labor.

    abstract::Preterm birth is the leading cause of neonatal mortality and the most common reason for antenatal hospitalization (1-4). In the United States, approximately 12% of all live births occur before term, and preterm labor preceded approximately 50% of these preterm births (5, 6). Although the causes of preterm labor are no...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001260

    authors:

    更新日期:2016-01-01 00:00:00

  • The effect of maternal blood contamination on amniotic fluid glucose and white blood cell count from preterm gestations.

    abstract:OBJECTIVE:To determine the influence of maternal blood contamination on amniotic fluid (AF) glucose and white blood cell count (WBC). METHODS:Amniotic fluid from 23 preterm, nondiabetic pregnant women was studied. Maternal blood was added to the AF at increasing concentrations, and glucose and WBCs were assessed. RES...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(95)00354-1

    authors: Carlan SJ,Gearity DE,O'Brien WF,Roth L

    更新日期:1996-02-01 00:00:00

  • Pregnancy associated with renal glucosuria.

    abstract::On reviewing 17,647 pregnancies over a 6-year period, 291 of 17,229 singleton pregnancies were noted to be associated with renal glucosuria. On analyzing these 291 pregnancies in 277 women, renal glucosuria was more frequently observed in those women with blood group types A and B and less in those with blood group ty...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Chen WW,Sese L,Tantakasen P,Tricomi V

    更新日期:1976-01-01 00:00:00

  • Symptomatic patients with an early viable intrauterine pregnancy: HCG curves redefined.

    abstract:OBJECTIVE:To analyze the change in serial human chorionic gonadotropin (hCG) levels in women symptomatic with pain or bleeding who presented with nondiagnostic ultrasonography but were ultimately confirmed to have a viable intrauterine pregnancy. METHODS:The rise in serial hCG measures were modeled over time, with the...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000128174.48843.12

    authors: Barnhart KT,Sammel MD,Rinaudo PF,Zhou L,Hummel AC,Guo W

    更新日期:2004-07-01 00:00:00

  • Surgical treatment of endometriosis: a 7-year follow-up on the requirement for further surgery.

    abstract:OBJECTIVE:To investigate the need for further surgery after laparoscopic excision of endometriosis or hysterectomy. METHODS:In this retrospective study, women who had surgery for endometriosis-associated pain at the Cleveland Clinic were assessed for requirement for subsequent surgery. One hundred twenty patients who ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181758ec6

    authors: Shakiba K,Bena JF,McGill KM,Minger J,Falcone T

    更新日期:2008-06-01 00:00:00

  • Committee opinion no 611: method for estimating due date.

    abstract::: Accurate dating of pregnancy is important to improve outcomes and is a research and public health imperative. As soon as data from the last menstrual period, the first accurate ultrasound examination, or both are obtained, the gestational age and the estimated due date should be determined, discussed with the patien...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/01.AOG.0000454932.15177.be

    authors:

    更新日期:2014-10-01 00:00:00

  • Prenatal diagnosis of minute 5p- deletion: a cytogenetic problem in detection.

    abstract::An unbalanced translocation, 46,XX,der(5)t(5;11) (p15;q25)mat was ascertained by prenatal diagnosis. The mother previously had a liveborn child with cri du chat syndrome. The subtlety of the chromosome rearrangement in this case illustrates the need for the most detailed cytogenetic investigations in cri du chat cases...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Benn PA,Hsu LY,Verma RS,Alonso ML,Reich E,Wishnick M

    更新日期:1987-09-01 00:00:00

  • Vaginal misoprostol for induction of labor: a randomized controlled trial.

    abstract:OBJECTIVE:To evaluate the effectiveness and safety of the vaginal application of misoprostol for induction of labor at term, with the interval duration from labor induction to vaginal birth as the primary outcome measure. METHODS:Two hundred twenty-two women with indications for induction of labor at term were randomi...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/0029-7844(96)00220-7

    authors: Mundle WR,Young DC

    更新日期:1996-10-01 00:00:00

  • Ovulation prediction by monitoring salivary electrical resistance with the Cue Fertility Monitor.

    abstract::The purpose of this study was to investigate the potential relationship between the salivary electrical resistance, as measured by the Cue Fertility Monitor, and the time of ovulation. Twenty-seven cycles in 18 volunteers were analyzed. A slight correlation could be demonstrated between the day of salivary electrical ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Roumen FJ,Dieben TO

    更新日期:1988-01-01 00:00:00

  • Mixed urinary incontinence symptoms: urodynamic findings, incontinence severity, and treatment response.

    abstract:OBJECTIVE:To investigate the relationship between the symptom of mixed urinary incontinence and incontinence severity, urodynamic findings, and treatment response. METHODS:This is a secondary analysis of data from 553 women randomized into a double-blind, placebo-controlled study evaluating duloxetine (serotonin-norep...

    journal_title:Obstetrics and gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/s0029-7844(03)00376-4

    authors: Bump RC,Norton PA,Zinner NR,Yalcin I,Duloxetine Urinary Incontinence Study Group.

    更新日期:2003-07-01 00:00:00

  • Endodermal sinus tumor arising in the endometrium.

    abstract::A case of primary endodermal sinus tumor (EST) of the endometrium in a 28-year-old woman is described. EST has been reported to arise in several extragonadal sites, but to the authors' knowledge this is the first documented instance of origin in the endometrium. The histologic study is verified by the detection of alp...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Pileri S,Martinelli G,Serra L,Bazzocchi F

    更新日期:1980-09-01 00:00:00

  • Acquired immunodeficiency syndrome and Pneumocystis carinii infection in a pregnant woman.

    abstract::Human immunodeficiency virus (HIV) infections are being seen with greater regularity by the obstetrician-gynecologist. Acquired immunodeficiency syndrome (AIDS), the extreme of the spectrum of HIV infections, is associated with Pneumocystis carinii infection in more than half of newly diagnosed cases. Four cases of AI...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Hicks ML,Nolan GH,Maxwell SL,Mickle C

    更新日期:1990-09-01 00:00:00

  • Combined deficiency of factors II, VII, IX, and X (Borgschulte-Grigsby deficiency) in pregnancy.

    abstract:BACKGROUND:Combined deficiency of vitamin K-dependent coagulation factors (II, VII, IX, X) is an uncommon challenge for the expectant gravida. CASE:A 34-year-old primigravida had congenital combined deficiency of factors II, VII, IX, and X that were incompletely sensitive to vitamin K. She had an altered form of vitam...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(00)01214-x

    authors: McMahon MJ,James AH

    更新日期:2001-05-01 00:00:00

  • False alarms and pseudo-epidemics: the limitations of observational epidemiology.

    abstract::Most reported associations in observational clinical research are false, and the minority of associations that are true are often exaggerated. This credibility problem has many causes, including the failure of authors, reviewers, and editors to recognize the inherent limitations of these studies. This issue is especia...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31826af61a

    authors: Grimes DA,Schulz KF

    更新日期:2012-10-01 00:00:00

  • Relationship of maternal body mass index and height to twinning.

    abstract:OBJECTIVE:Increasing use of fertility drugs is considered the primary cause for the recent increase in dizygotic twinning in developed countries. However, dizygotic twinning has also been related to obesity in foreign populations. We sought to confirm this relationship in U.S. pregnancies, which predated widespread use...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000153491.09525.dd

    authors: Reddy UM,Branum AM,Klebanoff MA

    更新日期:2005-03-01 00:00:00

  • Anterior vaginotomy: abdominal delivery without a uterine incision.

    abstract::To determine whether planned anterior vaginotomy is a logical and safe means of avoiding a uterine scar with term abdominal delivery. I recorded the complications of the technique and whether vaginal birth after anterior vaginotomy occurred. Thirteen anterior vaginotomies were done when the vagina had advanced during ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(96)00209-8

    authors: Goodlin RC

    更新日期:1996-09-01 00:00:00

  • Active and passive cigarette smoking and the risk of cervical neoplasia.

    abstract:OBJECTIVE:Evidence links active cigarette smoking to cervical neoplasia, but much less is known about the role of passive smoking. Using a prospective cohort design, we examined personal cigarette smoking and household passive smoke exposure in relation to the risk of cervical neoplasia. METHODS:Cohorts were establish...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000148268.43584.03

    authors: Trimble CL,Genkinger JM,Burke AE,Hoffman SC,Helzlsouer KJ,Diener-West M,Comstock GW,Alberg AJ

    更新日期:2005-01-01 00:00:00

  • Ureteral injury after laparoscopic tubal sterilization by bipolar electrocoagulation.

    abstract::In bipolar electrocoagulation of the fallopian tubes, the electric current is between the tips of the forceps, which are visualized. Therefore, unnoticed burn injuries are uncommon. We describe a case of ureteral stenosis due to inadvertent burn injury, which was successfully managed conservatively. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Baumann H,Jaeger P,Huch A

    更新日期:1988-03-01 00:00:00

  • Antepartum external cephalic version under tocolysis.

    abstract::Reported are 172 patients considered for external cephalic version at gestational age greater than 37 weeks. Their outcome was compared with 40 similar patients in whom external version was not attempted. One hundred fifty-eight patients had attempted version, and success was achieved in 122 (77%). Intrapartum vertex ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Dyson DC,Ferguson JE 2nd,Hensleigh P

    更新日期:1986-01-01 00:00:00

  • Patient Experiences With Miscarriage Management in the Emergency and Ambulatory Settings.

    abstract:OBJECTIVE:To quantitatively and qualitatively describe the patient experience for clinically stable patients presenting with miscarriage to the emergency department (ED) or ambulatory clinics. METHODS:We present a subanalysis of a mixed-methods study from 2016 on factors that influence miscarriage treatment decision-m...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000003571

    authors: Miller CA,Roe AH,McAllister A,Meisel ZF,Koelper N,Schreiber CA

    更新日期:2019-12-01 00:00:00

  • Cord blood acid-base status in neonates delivered by Silastic vacuum cup extraction: comparison with forceps and spontaneous deliveries.

    abstract::Umbilical cord blood gases were measured as objective parameters of neonatal outcome in patients delivered by Silastic vacuum extractor and were compared with those values from patients delivered spontaneously, by forceps, or by sequential use of vacuum and forceps. The results demonstrated no clinically significant d...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Gray DL,Nelson DM

    更新日期:1988-01-01 00:00:00

  • Sterilization failure, sterilization reversal, and pregnancy after sterilization reversal in Quebec.

    abstract:OBJECTIVE:1). To determine the likelihood of sterilization reversal and of subsequent sterilization after sterilization reversal among men and women and 2). to examine the likelihood of pregnancy after sterilization (contraceptive failure) and of pregnancy after sterilization reversal. METHODS:Payment data from the Qu...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(02)03156-3

    authors: Trussell J,Guilbert E,Hedley A

    更新日期:2003-04-01 00:00:00

  • Patterns and progress in ovarian cancer over 14 years.

    abstract:OBJECTIVE:To estimate the change in survival rates of women with ovarian cancer during the past 14 years. METHODS:Women diagnosed with epithelial, germ cell, sarcomas, and sex-cord stromal ovarian tumors were identified from the Surveillance Epidemiology and End Results Database. Demographic and clinicopathologic fact...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/01.AOG.0000231680.58221.a7

    authors: Chan JK,Cheung MK,Husain A,Teng NN,West D,Whittemore AS,Berek JS,Osann K

    更新日期:2006-09-01 00:00:00

  • Uterine arteriovenous fistula as a long-term complication of hysterectomy: presentation and management.

    abstract:BACKGROUND:A rare complication of hysterectomy is the formation of a high-flow fistula between the uterine artery and uterine vein. Historically, these lesions were treated surgically. CASE:Two women with histories including hysterectomy presented with symptoms and physical examination signs suggestive of uterine arte...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3181834660

    authors: Sharma A,Vogelzang RL

    更新日期:2009-02-01 00:00:00

  • Bilateral tubal pregnancy with vaginal delivery.

    abstract::A 26-year-old woman was admitted with a diagnosis of septic incomplete abortion. Subsequently she was discovered to have bilateral tubal ectopic pregnancies. The right tube was not badly damaged. Its contents were removed by linear salpingotomy and the tube was repaired. Fifteen months later the patient delivered a li...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Foster HM,Lakshin AS,Taylor WF

    更新日期:1982-11-01 00:00:00

  • Perinatal infection with Torulopsis glabrata: a case associated with maternal sickle cell anemia.

    abstract::Torulopsis glabrata is a yeast of low virulence and commensal within the female genitourinary tract. The first case of congenital infection with Torulopsis glabrata was reported in 1980. An additional example of perinatal Torulopsis infection which is associated with maternal sickle cell anemia is reported. The most c...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Sander CH,Martin JN,Rogers AL,Barr M Jr,Heidelberger KP

    更新日期:1983-03-01 00:00:00