Total abdominal hysterectomy at abdominal sacrovaginopexy: a comparative study.

Objective: This study was designed to address whether women undergoing total abdominal hysterectomy at the time of abdominal sacrovaginopexy have a higher incidence of early postoperative febrile morbidity defined as an oral temperature > 35 degrees C (101 degrees F) on at least two occasions in the first 5 postoperative days when compared with women undergoing abdominal sacrovaginopexy alone.

Study Design: A prospective cohort study was performed in a tertiary care gynecologic urology clinic. Two hundred thirty-five patients were included in this study.

Prospective randomized study to compare a closed vault technique using absorbable staples at the time of abdominal hysterectomy versus open vault technique.

The current prospective randomized study in 102 women having a hysterectomy compared closed vault technique using absorbable staples with open vault technique. Fifty-six patients had the cuff stapled while 46 patients had the vault sutured open. The groups were equivalent with respect to indications for operation as well as other surgical procedures performed in conjunction with the hysterectomy, although more patients were randomized to open vault.

Management of urinary retention after surgical repair of hip fracture.

Objective: To compare the use of indwelling catheters and intermittent catheterization in the management of urinary retention after surgical repair of hip fractures.

Design: Randomized open trial.

Setting: Orthopedic unit in a general hospital.

The role of substance P in the human urinary bladder.

Detrusor muscle from human bladder contracted to field stimulation after atropine. It also responded to exogenous substance P by an atropine-insensitive mechanism. We tested whether substance P might mediate noncholinergic excitation.

Appendicitis masking as recurrent squamous cell carcinoma of the cervix.

The diagnosis of pelvic recurrent squamous cell carcinoma of the cervix is made on the basis of clinical assessment and radiologic confirmation. Occasionally the diagnosis is confused with sequelae of radiation therapy. The authors describe the symptoms and signs of appendicitis mimicking recurrent squamous cell carcinoma in a 43-year-old female.