Double Opposing Zplasty with VY Advancement of the perineum: Long-term results of a new technique as an alternative to Fenton's operation for narrowing and splitting of the skin at the posterior vaginal fourchette.

Objective: To assess the long-term results of our experience with this technique which we have developed as an alternative to Fenton's procedure.

Study Design: A retrospective questionnaire study of all patients undergoing the procedure in our department from Jan. 2006 to Dec.

Perimortem caesarean section.

This review describes a simple approach to perimortem caesarean section (PMCS) that can be used by a doctor in the resuscitation room or prehospital environment when faced with a mother of more than 20 weeks gestation in cardiac arrest. It explores the indications for and contraindications to the procedure, the physiological rationale behind it, equipment needed, technical aspects of the procedure and reviews recent literature on maternal and fetal outcomes. Like other uncommon procedures such as emergency department thoracotomy, rehearsal and preparation for a PMCS is essential to give both mother and baby the best chance of survival.

Danish Hernia Database recommendations for the management of inguinal and femoral hernia in adults.

The nationwide Danish Hernia Database, recording more than 10,000 inguinal and 400 femoral hernia repairs annually, provides a unique opportunity to present valid recommendations in the management of Danish patients with groin hernia. The cumulated data have been discussed at biannual meetings and guidelines have been approved by the Danish Surgical Society. Diagnosis of groin hernia is based on clinical examination.

The effect of wound instillation of a novel purified capsaicin formulation on postherniotomy pain: a double-blind, randomized, placebo-controlled study.

Background: Acute postoperative pain is common after most surgical procedures. Despite the availability of many analgesic options, postoperative pain management is often unsatisfactory. Purified capsaicin (ALGRX 4975 98% pure) has demonstrated prolong inhibition of C-fiber function in in vitro, preclinical, and clinical studies, and may be an effective adjunct to postoperative pain management.

Does histological incomplete excision of cervical intraepithelial neoplasia following large loop excision of transformation zone increase recurrence rates? A six year cytological follow up.

Objective: To determine the risk of recurrent cervical intraepithelial neoplasia (CIN) in women with complete or incomplete excision of cervical intraepithelial neoplasia treated by large loop excision of transformation zone (LLETZ).

Design: A retrospective study

Setting: One consultant-led colposcopy clinic at Leicester Royal Infirmary

Population: Three hundred and ninety-four women referred consecutively to the colposcopy clinic between 1991 and 1992.

Main Outcome Measures: The histological recurrence rate of CIN, length of cytological follow up following treatment related to degree of completeness of excision at initial treatment.

Descriptive terms for women attending antenatal clinics: mother knows best?

Objective: To determine the noun for 'women who attend antenatal clinics' that is most accepted by the women themselves.

Design: Cross sectional study.

Setting: Consultant-led antenatal clinics in Cornwall.

A follow-up study on recurrence after inguinal hernia repair.

A follow-up study of 178 adult patients with primary inguinal hernia repair revealed significantly fewer recurrences after the McVay operation for a pure direct hernia than for a pure indirect hernia. The recurrence rate for pure indirect hernias was 19.3 +/- 4.

Aplasia cutis congenita. A follow-up evaluation after 25 years.

Aplasia cutis congenita is a rare disease with less than 300 cases reported in the literature. A patient with extensive involvement of the skin was observed for 25 years. During adolescence, a reactive depression related to the residual cicatricial alopecia on the left side of the scalp developed.