Complications and risk factors associated with the removal of Norplant implants.

Abstract:

OBJECTIVE:To describe the complications reported at the removal of Norplant implants, and to suggest potential risk factors for these complications. METHODS:Complications at the removal of Norplant implants from 3416 users from 11 countries who participated in preintroductory clinical trials of the method were tabulated. A logistic regression model was used to identify the significant risk factors associated with removal complications. RESULTS:Complications were reported in 4.5% of removals; most often, they were related to broken or deeply placed implants. The most important risk factors were complications at insertion and having an infection at the implant site (at or before removal). CONCLUSION:Proper insertion technique under aseptic conditions is very important in predicting whether Norplant implant removal will be difficult. Although relatively infrequent even now, more vigilant training and the evaluation of some of the newer removal techniques could further reduce the incidence of difficult removals.

journal_name

Obstet Gynecol

authors

Dunson TR,Amatya RN,Krueger SL

doi

10.1016/0029-7844(94)00458-P

subject

Has Abstract

pub_date

1995-04-01 00:00:00

pages

543-8

issue

4

eissn

0029-7844

issn

1873-233X

pii

0029-7844(94)00458-P

journal_volume

85

pub_type

杂志文章
  • Cochrane Update. Oral contraceptives for functional ovarian cysts.

    abstract:BACKGROUND:Functional ovarian cysts are a common gynecological problem among women of reproductive age worldwide. When large, persistent, or painful, these cysts may require operations, sometimes resulting in removal of the ovary. Since early oral contraceptives were associated with a reduced incidence of functional ov...

    journal_title:Obstetrics and gynecology

    pub_type: 评论,杂志文章

    doi:10.1097/AOG.0b013e3181b5a547

    authors:

    更新日期:2009-09-01 00:00:00

  • Mesonephroid carcinoma of the ovary. A clinicopathologic, histochemical, and electron microscopic study.

    abstract::Eighteen patients with mesonephroid ovarian carcinoma were investigated. Typical findings for the mesonephroid tumors were abundant extracellular an some intracellular neutral mucin mixed with sulfate and carboxyl groups, and large amounts of glycogen, especially in clear cells. The latter observation is considered to...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Klemi PJ,Grönroos M

    更新日期:1979-04-01 00:00:00

  • Pelvic exenteration, University of Michigan: 100 patients at 5 years.

    abstract::One hundred patients undergoing pelvic exenteration (total 69, anterior 13, posterior 18) at the University of Michigan Medical Center from 1964-1984 are reported. All patients were followed for at least 5 years or until time of death. The overall cumulative survival was 66% at 3 years and 61% at 5 years. The age of t...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Morley GW,Hopkins MP,Lindenauer SM,Roberts JA

    更新日期:1989-12-01 00:00:00

  • Intrauterine cytomegalovirus infection presenting as fetal meconium peritonitis.

    abstract::Recent reports have suggested that focal hyperechoic abdominal masses detected during the second trimester may represent a normal variation in fetal intestinal development that is transient in nature and not associated with pathologic conditions. The patient described here had second-trimester ultrasonic findings of f...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Pletcher BA,Williams MK,Mulivor RA,Barth D,Linder C,Rawlinson K

    更新日期:1991-11-01 00:00:00

  • Laparoscopy in the massively obese female.

    abstract::Fifteen women weighing more than 250 pounds (113.6 kg) underwent laparoscopy. The open technique was used in two patients electively because of repeated pelvic laparotomies through periumbilical incisions. Of the remainder, four had used the closed technique and in nine it was necessary to adopt an open technique. Use...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Holtz G

    更新日期:1987-03-01 00:00:00

  • Group B Streptococci Screening Before Repeat Cesarean Delivery: A Cost-Effectiveness Analysis.

    abstract:OBJECTIVE:To estimate the cost-effectiveness of universal group B streptococci (GBS) screening in women with a singleton pregnancy planning a repeat cesarean delivery. METHODS:We conducted a decision analysis from a health care perspective to compare the cost-effectiveness of GBS screening for women planning a repeat ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000001800

    authors: Albright CM,MacGregor C,Sutton D,Theva M,Hughes BL,Werner EF

    更新日期:2017-01-01 00:00:00

  • Obstetric and gynecologic operations in the United States, 1979 to 1984.

    abstract::An in-depth analysis of numbers of obstetric and gynecologic operations from 1979 to 1984 was performed using data from the National Center for Health Statistics. During the study period, there was a decrease in total numbers of obstetric and gynecologic procedures of 1%. During the same five-year period the numbers o...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/00006250-198606000-00001

    authors: Rutkow IM

    更新日期:1986-06-01 00:00:00

  • Practice bulletin no. 146: Management of late-term and postterm pregnancies.

    abstract::Postterm pregnancy refers to a pregnancy that has reached or extended beyond 42 0/7 weeks of gestation from the last menstrual period (LMP), whereas a late-term pregnancy is defined as one that has reached between 41 0/7 weeks and 41 6/7 weeks of gestation (). In 2011, the overall incidence of postterm pregnancy in th...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,实务指引

    doi:10.1097/01.AOG.0000452744.06088.48

    authors:

    更新日期:2014-08-01 00:00:00

  • Fetal cerebral Doppler studies as a predictor of perinatal outcome and subsequent neurologic handicap.

    abstract:OBJECTIVE:To study the use of middle cerebral arterial Doppler findings in a group of high-risk fetuses as a predictor of adverse perinatal outcome, including subsequent neurologic handicap. METHODS:A group of very high-risk fetuses was recruited over a 2-year period for study. Weekly fetal biometries and Doppler stud...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(96)00062-2

    authors: Chan FY,Pun TC,Lam P,Lam C,Lee CP,Lam YH

    更新日期:1996-06-01 00:00:00

  • Hormonal therapy in the patient with surgical menopause.

    abstract::Removal of both ovaries in the premenopausal patient is performed infrequently, but when it is, attention must be paid to hormone replacement. The benefits of hormone replacement include protection from osteoporosis, elimination of vasomotor symptoms, improvement in general well-being, and some decrease in the risk of...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:

    authors: Weinstein L

    更新日期:1990-04-01 00:00:00

  • Concurrent postpartum uterine and abdominal wall dehiscence and Streptococcus anginosus infection.

    abstract:BACKGROUND:Postpartum uterine scar dehiscence is a rare but potentially lethal complication of cesarean deliveries. CASE:Concurrent abdominal and uterine dehiscences after cesarean delivery for arrest of descent with chorioamnionitis occurred in a 16-year-old patient after her first delivery. The uterine and fascia in...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e31821619e9

    authors: Treszezamsky AD,Feldman D,Sarabanchong VO

    更新日期:2011-08-01 00:00:00

  • Prospective Validation of a Standardized Ultrasonography-Based Ovarian Cancer Risk Assessment System.

    abstract:OBJECTIVE:To evaluate the performance of a system that standardizes ovarian cancer risk assessment and reporting on ultrasonography. METHODS:We conducted a prospective community-based cohort study of average-risk women undergoing ultrasonography in 2016 using a reporting system that requires adnexal masses to be categ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000002939

    authors: Suh-Burgmann E,Flanagan T,Osinski T,Alavi M,Herrinton L

    更新日期:2018-11-01 00:00:00

  • Transcervical Foley catheter with and without extraamniotic saline infusion for labor induction: a randomized controlled trial.

    abstract:OBJECTIVE:To compare the efficacy of transcervical Foley catheter alone (Foley) to transcervical Foley catheter with extraamniotic saline infusion for labor induction and cervical ripening in women with an unfavorable cervix. METHODS:This was a multicenter, randomized, controlled trial of women presenting for labor in...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1097/01.AOG.0000278077.30890.87

    authors: Lin MG,Reid KJ,Treaster MR,Nuthalapaty FS,Ramsey PS,Lu GC

    更新日期:2007-09-01 00:00:00

  • Maternal and neonatal death due to pneumococcal infection.

    abstract::A 27-year-old woman died from pneumococcal meningitis associated with pneumococcal endometritis two days after being delivered of a .1.75-kg infant. The infant also had pneumococcal septicemia and died six days after birth. The pneumococcus isolated from the mother and the baby was type 8. The membranes had ruptured 2...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Hutchison CP,Kenney A,Eykyn S

    更新日期:1984-01-01 00:00:00

  • Effect of mifepristone for symptomatic leiomyomata on quality of life and uterine size: a randomized controlled trial.

    abstract:OBJECTIVE:To assess the effect of low-dose mifepristone on quality of life, pain, bleeding, and uterine size among women with symptomatic leiomyomata. METHODS:Forty-two women with symptomatic uterine leiomyomata and uterine volume of 160 mL or more were randomized to mifepristone, 5 mg daily, or placebo for 26 weeks. ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/01.AOG.0000243776.23391.7b

    authors: Fiscella K,Eisinger SH,Meldrum S,Feng C,Fisher SG,Guzick DS

    更新日期:2006-12-01 00:00:00

  • Effect of Fasting on Total Bile Acid Levels in Pregnancy.

    abstract:OBJECTIVE:To evaluate differences between fasting and nonfasting bile acid levels in asymptomatic and symptomatic pregnant women. METHODS:This is a report of two prospective cohort studies describing bile acid levels in the fasting and nonfasting state in pregnancy. The first cohort included asymptomatic women with si...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0000000000004160

    authors: Smith DD,Kiefer MK,Lee AJ,Davis SB,Summerfield TL,Landon MB,Rood KM

    更新日期:2020-12-01 00:00:00

  • Diagnosis of a supernumerary ovary with human chorionic gonadotropin.

    abstract::The preoperative diagnosis of ectopic ovarian tissue has been reported only once in the literature. In the present case, differential ovarian and adrenal testing was used to diagnose and aberrant ovarian source of persistently elevated plasma estrogen in a patient who had undergone bilateral oophorectomy and adrenalec...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Kosasa TS,Griffiths CT,Shane JM,Leventhal JM,Naftolin F

    更新日期:1976-02-01 00:00:00

  • Pelvic and para-aortic lymphadenectomy for surgical staging of endometrial cancer: morbidity and mortality.

    abstract::This analysis compared retrospectively the morbidity and mortality of patients with endometrial cancer who had total abdominal hysterectomy with bilateral salpingo-oophorectomy (TAH/BSO) alone or with pelvic and para-aortic lymphadenectomy performed by the same surgeon at one private institution. Between August 1987 a...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Larson DM,Johnson K,Olson KA

    更新日期:1992-06-01 00:00:00

  • Occult Gynecologic Cancer in Women Undergoing Hysterectomy or Myomectomy for Benign Indications.

    abstract:OBJECTIVE:To estimate the prevalence of corpus uteri, cervix uteri, and ovarian malignancy in women undergoing hysterectomy or myomectomy for presumed benign indications. METHODS:We conducted a secondary analysis of data from the 2014-2015 American College of Surgeons National Surgical Quality Improvement Program. Adu...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1097/AOG.0000000000002521

    authors: Desai VB,Wright JD,Schwartz PE,Jorgensen EM,Fan L,Litkouhi B,Lin H,Gross CP,Xu X

    更新日期:2018-04-01 00:00:00

  • 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 endome...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/0029-7844(95)00438-6

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

    更新日期:1996-03-01 00:00:00

  • Use of the progestogen challenge test to reduce the risk of endometrial cancer.

    abstract::In contrast to several retrospective studies reporting an increased risk of endometrial cancer during the mid-1970s, especially in estrogens.gen-treated postmenopausal women, the number of cancers at Wilford Hall USAF Medical Center has steadily declined despite continued estrogen use. In a 4-year study from 1975 to 1...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Gambrell RD Jr,Massey FM,Castaneda TA,Ugenas AJ,Ricci CA,Wright JM

    更新日期:1980-06-01 00:00:00

  • Tattoo pigment lymphadenopathy mimicking metastasis in vulvar cancer.

    abstract:BACKGROUND:Approximately 24% of American adults have tattoos. Studies of humans and mice demonstrate that tattoo pigment migrates to lymph nodes and can cause lymphadenopathy. CASE:A 32-year-old woman presented with a 6-cm vulvar mass and extensive bilateral inguinofemoral lymphadenopathy. Bilateral small tattoos were...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1097/AOG.0b013e3182583be2

    authors: Beavis A,Amneus M,Aoyama C,Holschneider CH

    更新日期:2012-08-01 00:00:00

  • Comparing Force of Stream With a Standard Fill Voiding Trial After Surgical Repair of Apical Prolapse: A Randomized Controlled Trial.

    abstract:OBJECTIVE:To estimate whether the urinary force of stream method is noninferior to a standard fill voiding trial for rate of catheterization within 6 weeks after apical prolapse surgery in those discharged without a catheter. METHODS:A noninferiority randomized controlled trial was conducted in postoperative women com...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1097/AOG.0000000000003159

    authors: Pilkinton ML,Williams KS,Sison CP,Shalom DF,Winkler HA

    更新日期:2019-04-01 00:00:00

  • Ultrasonic surgical aspiration in the treatment of vulvar disease.

    abstract::Ultrasonic surgical aspiration is a useful technique for safe and accurate tissue removal. This study was conducted to evaluate its role in noninvasive vulvar disease. From December 1988 to March 1990, 27 patients underwent ultrasonic surgery; nine patients had vulvar intraepithelial neoplasia (VIN) and 18 had condylo...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Rader JS,Leake JF,Dillon MB,Rosenshein NB

    更新日期:1991-04-01 00:00:00

  • Risk of Cervical Intraepithelial Neoplasia 2 or Worse by Cytology, Human Papillomavirus 16/18, and Colposcopy Impression: A Systematic Review and Meta-analysis.

    abstract:OBJECTIVE:To calculate pooled risk estimates for combinations of cytology result, human papillomavirus (HPV) 16/18 genotype and colposcopy impression to provide a basis for risk-stratified colposcopy and biopsy practice. DATA SOURCE:A PubMed search was conducted on June 1, 2016, and a ClinicalTrials.gov search was con...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,meta分析

    doi:10.1097/AOG.0000000000002812

    authors: Silver MI,Andrews J,Cooper CK,Gage JC,Gold MA,Khan MJ,Massad LS,Parvu V,Perkins RB,Schiffman M,Smith KM,Wentzensen N

    更新日期:2018-09-01 00:00:00

  • Committee Opinion No. 639: The Importance of Vital Records and Statistics for the Obstetrician-Gynecologist.

    abstract::Information from vital records is critical to identify and quantify health-related issues and to measure progress toward quality improvement and public health goals. In particular, maternal and infant mortality serve as important indicators of the nation's health, thereby influencing policy development, funding of pro...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章,评审

    doi:10.1097/AOG.0000000000001050

    authors:

    更新日期:2015-09-01 00:00:00

  • Etiology of acute salpingitis: influence of episode number and duration of symptoms.

    abstract::The role of Neisseria gonorrhoeae in the etiology and pathogenesis of acute salpingitis and its relationship to nongonococcal salpingitis were investigated. To accomplish this goal, isolated microorganisms obtained from the fallopian tubes and cul-de-sac via laparoscopy were evaluated in relation to the number of epis...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Sweet RL,Draper DL,Hadley WK

    更新日期:1981-07-01 00:00:00

  • Oncogene expression: long-term compared with short-term survival in patients with advanced epithelial ovarian cancer.

    abstract:OBJECTIVE:To determine if oncogene overexpression in patients with advanced epithelial ovarian cancer correlates with survival. METHODS:Twenty-two women with stage III ovarian cancer, observed for a median of 66 (range 48-204) months were compared with 30 with a median survival of 18 (range 2-28) months. Using immunoc...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:10.1016/s0029-7844(98)00121-5

    authors: Goff BA,Muntz HG,Greer BE,Tamimi HK,Gown AM

    更新日期:1998-07-01 00:00:00

  • Maternal and fetal outcome of Lamaze-prepared patients.

    abstract::To determine whether Lamaze childbirth preparation is harmless, harmful, or beneficial, 500 consecutive Lamaze-prepared patients were compared to 500 hand-picked controls, matched for age, race, parity, and educational level. Lamaze preparation was found to have a significant beneficial effect in almost every obstetri...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Hughey MJ,McElin TW,Young T

    更新日期:1978-06-01 00:00:00

  • Nonfluorescent erythrasma of the vulva.

    abstract:BACKGROUND:Erythrasma is an uncommon vulvar infection, best diagnosed by its fluorescence under the Wood lamp. This report shows that despite a negative Wood lamp examination, the diagnosis can be made histologically. CASE:A 42-year-old woman was referred to our clinic with a persistent candidal infection. Evaluation ...

    journal_title:Obstetrics and gynecology

    pub_type: 杂志文章

    doi:

    authors: Mattox TF,Rutgers J,Yoshimori RN,Bhatia NN

    更新日期:1993-05-01 00:00:00