Abstract:
OBJECTIVE:Describe the pre-, intra-, and postoperative experience of colpocleisis in a group of patients at the University Hospital of the Puerto Rico Medical Center. METHODS:A chart review was done on a subgroup of patients, 70 years or older, on which colpocleisis was performed between January 2001 and December 2007. The evaluation included demographics, comorbidities, and previous pelvic surgeries. The Pelvic Organ Prolapse Quantification (POP-Q) System was used to evaluate pelvic organ prolapse. Surgical procedures, outcomes, and related data were tabulated. RESULTS:Nineteen patients with a mean age of 77 years underwent the procedure, 57.8% presenting more than one comorbidity. Seventy-three percent of the patients had a BMI over 25. Sixty-three percent reported prior pelvic surgeries, 94.7% had stage IV pelvic prolapse, and 73.6% underwent concomitant procedures. Spinal anesthesia was most often used (68%), and the mean hospital stay was 2.1 days. Thirty-one percent of interviewed patients reported preoperative impairment in their daily activities that resolved completely after surgery. Incontinence symptoms resolved in 69% of patients. Ninety-two percent of the patients reported full satisfaction with the surgery. CONCLUSION:Colpocleisis is a safe pelvic reconstructive procedure for high-risk patients with multiple comorbidities. Regional anesthesia can be offered with minimal blood loss, short operative time, and early ambulation.
journal_name
P R Health Sci Jjournal_title
Puerto Rico health sciences journalauthors
Marrero C,Aponte A,Torres R,Santos F,Rivera Jsubject
Has Abstractpub_date
2010-12-01 00:00:00pages
394-6issue
4eissn
0738-0658issn
2373-6011journal_volume
29pub_type
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journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:1999-09-01 00:00:00
abstract::Hypokalemic periodic paralysis (hypoKPP) is a clinical entity characterized by recurrent skeletal muscle paralysis due to a decrease in serum potassium levels; hypoKPP can have either a primary (familial) or a secondary cause. One of the secondary causes of hypoKPP is distal renal tubular acidosis (dRTA). Distal renal...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2017-12-01 00:00:00
abstract:OBJECTIVE:This study aimed to assess the role of gender on HIV/AIDS stigma among 507 medical students in Puerto Rico. METHODS:A secondary data analysis was performed with baseline measurements of a controlled randomized study. RESULTS:Unadjusted analyses showed that the overall multivariate test for gender was signif...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2012-12-01 00:00:00
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journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2008-03-01 00:00:00
abstract::Patients hospitalized with unstable angina (UA) or with a non-ST segment elevation myocardial infarct (NSTEMI) are at increased risk of suffering refractory angina, recurrent myocardial infarct (MI), and death. These patients need to be evaluated more aggressively. According to the last published guidelines (2002) of ...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章,评审
doi:
更新日期:2005-12-01 00:00:00
abstract::The AIDS pandemic had a significant impact in Puerto Rico, especially among the heterosexual populations, in particular women. Women are one of the fastest growing risk groups with HIV/AIDS in the USA and constitute about half of the AIDS cases in the world. During the past 10 years Puerto Rico has ranked among the to...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2007-12-01 00:00:00
abstract::Cayo Santiago has provided the opportunity to study primate biology in a free-ranging neutral environment free of provocative human influences. Rarely, if ever, does such a situation occur in natural rhesus habitats in Asia. This Cayo Santiago advantage has permitted fine-scale analyses of the details of behavior, eco...
journal_title:Puerto Rico health sciences journal
pub_type: 历史文章,杂志文章
doi:
更新日期:1989-04-01 00:00:00
abstract::A retrospective review was performed from November 2011 through June 2012 in 49 stable patients receiving ambulatory hemodialysis at the dialysis unit of the University Hospital in San Juan. Measurements of serum phosphate, serum calcium (corrected to albumin levels), intact parathyroid hormone (PTH), and pulse pressu...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2015-06-01 00:00:00
abstract::We tested a dietary supplement formulated with a synergistic combination of vitamins, minerals, herbals in a group of 15 patients with uncontrolled diabetes type II. The supplement was given for 30 days. Fasting blood glucose was measured prior to the supplementation and at the end of the 30 days treatment period. Blo...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2004-06-01 00:00:00
abstract::Prenatal sonographic evaluation is of utmost importance in the detection of congenital anomalies. At the Ultrasound Section of our Radiology service, we incidentally detected fetal intracranial neoplasms in two different patients using non-invasive imaging. Our presumptive diagnosis in both cases was a teratoma, the m...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2002-03-01 00:00:00
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journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:1999-03-01 00:00:00
abstract:OBJECTIVE:To determine the prevalence of hypothyroidism in an adult female population in Puerto Rico and to determine the relationship between hypothyroidism, bone mineral density and vertebral and non-vertebral fractures in this population. METHODS:Data from the 400 subjects' database of the Latin American Vertebral ...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2013-06-01 00:00:00
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journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:1999-12-01 00:00:00
abstract:OBJECTIVE:This study was conducted to determine the experience of tooth loss, as well as its associated variables, in a sample of adult Mexicans, aged 60 years and older. MATERIALS AND METHODS:This cross-sectional study was part of a larger project to measure diverse oral health indicators in a convenience sample: it ...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2016-06-01 00:00:00
abstract::Extracts from higher plants were evaluated for inhibitory activity against avian myeloblastosis virus reverse transcriptase. The assay may serve as a useful prescreen for potential anti-HIV bioactives. ...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:1994-03-01 00:00:00
abstract:BACKGROUND:Most studies about abuse, mistreatment and neglect of the aged have relied upon definitions provided by professionals and not the aged themselves whereas studies point out that definitions given by the aged do not correspond with those of professionals. Limited attention has been given to this topic in Puert...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2008-06-01 00:00:00
abstract::Osteoporosis in men was not recognized as a major health problem until recently, and increased research in this area resulted in the approval of alendronate for the treatment of osteoporosis in men at the beginning of this decade. Low bone mineral density (BMD) has been demonstrated to be a strong predictor of fractur...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2005-06-01 00:00:00
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journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2004-03-01 00:00:00
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journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章,评审
doi:
更新日期:2017-09-01 00:00:00
abstract::This is the case of an 11-year-old girl who presented with a right adnexal mass and vague abdominal symptoms since seven months prior to her hospital admission for surgery. CT-scan and sonographic images were those of a benign lesion, probably ovarian torsion or infarction. Serum tumoral markers were normal. A right s...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2003-09-01 00:00:00
abstract::The world has encountered a new and serious epidemic which has disproportionately affected fetuses and infants. What makes the Zika virus (ZIKV) epidemic such a threat in our times, is that a whole generation can be affected by birth defects caused by a seemingly innocuous maternal infection, which in most cases go un...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章,评审
doi:
更新日期:2018-12-01 00:00:00
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journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2019-06-01 00:00:00
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journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2019-09-01 00:00:00
abstract::Genital human papillomavirus (HPV) infection is one of the most commonly diagnosed sexually transmitted infections world-wide. Over the last two decades, research has established a strong causal link between specific types of HPV infection and cancer, particularly cervical, anal, vulvar/vaginal, penile, and oropharyng...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章,评审
doi:
更新日期:2010-09-01 00:00:00
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journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2009-12-01 00:00:00
abstract:OBJECTIVE:Colorectal cancer (CRC) is among the most common cancers in Puerto Rico. Few studies have correlated clinical and pathological variables with the overall survival of CRC patients in Puerto Rico. We report the clinical and pathological characteristics of patients who underwent surgical resection at a community...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2014-06-01 00:00:00
abstract:OBJECTIVE:Left ventricular (LV) function parameters have major diagnostic and prognostic importance in heart disease. Measurement of ventricular function with tomographic (SPECT) radionuclide ventriculography (MUGA) decreases camera time, improves contrast resolution, accuracy of interpretation and the overall reliabil...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2015-09-01 00:00:00
abstract:OBJECTIVE:The prevalence of inflammatory bowel disease [IBD, Crohn's disease (CD) and ulcerative colitis (UC)] in Puerto Rico has increased significantly in recent years. Experience with these diseases outside of a referral center is limited. A registry for IBD, created by the University of Puerto Rico (UPR) Center for...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2011-03-01 00:00:00
abstract:OBJECTIVE:Thyroid cancer has become one of the fastest growing malignancies in several countries worldwide. Few studies have examined thyroid cancer trends in Puerto Rico, and those studies have been conducted over relatively short time frames. This study aimed to describe both overall thyroid cancer incidence trends b...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2011-09-01 00:00:00
abstract:OBJECTIVE:To describe the general knowledge and choices of postpartum contraception among pregnant teens who, at the time of the study, ranged in age from 13 to 19 years old and were receiving prenatal care at a hospital-based prenatal clinic. METHODS:Questionnaires to obtain information regarding demographic characte...
journal_title:Puerto Rico health sciences journal
pub_type: 杂志文章
doi:
更新日期:2014-09-01 00:00:00