Publications by authors named "Gregory J Raff"

Placenta percreta is a problem encountered with increasing frequency due to the rising rate of cesarean delivery. Conservative management of this condition is associated with decreased perioperative morbidity. When hysterectomy is necessary, a laparoscopic approach can provide additional benefits.

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Objectives: To compare the incidence of perioperative complications and postoperative healthcare utilization and costs in laparoscopic supracervical hysterectomy (LSH) versus laparoscopic-assisted vaginal hysterectomy (LAVH) patients.

Methods: Women 18 years with LSH or LAVH were extracted using a large national commercial claims database from 1/1/2007 through 9/30/2008. Outcome was perioperative complications and gynecologic-related postoperative resource use and costs.

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Article Synopsis
  • Paraneoplastic syndromes involve various health issues linked to cancers, such as adnexal masses, leading to complications like limbic encephalitis.
  • A case is presented where a female patient experienced severe symptoms like confusion and aggression due to paraneoplastic limbic encephalitis, which improved after surgical removal of a mature teratoma.
  • It's crucial for women showing limbic encephalitis symptoms to be screened for tumors, as timely intervention can significantly improve outcomes.
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Pregnancy in a rudimentary horn is an extremely rare but serious obstetric condition. It is associated with uterine rupture and increased maternal mortality. The standard treatment is excision of the pregnancy and rudimentary horn.

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With improvement in immunosuppression and surgical techniques, more women are undergoing renal transplantation for management of end-stage renal disease. Location of the transplanted pelvic kidney and transplanted ureter must be taken into consideration when performing pelvic surgery. Two cases in which laparoscopic hysterectomy was successfully performed in patients who had previously undergone renal transplantation are reported.

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