Publications by authors named "Nicholas F Rockefeller"
Midurethral Sling Removal or Revision in Women with Chronic Pain.
Female Pelvic Med Reconstr Surg
May 2022
Objectives: The objectives of this study are (1) to estimate the incidence of midurethral sling revision/removal in women with preexisting pain diagnoses versus those without these diagnoses and (2) to describe associations between numbers and type of pain diagnoses with revision/removal.
Methods: Women who underwent midurethral sling surgery between 2009 through 2014 were identified in the MarketScan database and tracked and December 31, 2014. Patients with preoperative chronic pain diagnoses (fibromyalgia, endometriosis, irritable bowel, dyspareunia, low back pain, temporomandibular joint syndrome, interstitial cystitis, pelvic/perineal pain) were compared with controls (those without these diagnoses) regarding mesh sling revision/removal.
Background: Although povidone-iodine (iodine) is the only Food and Drug Administration-approved vaginal antiseptic solution, there is a lack of comparative data evaluating alternatives. Chlorhexidine gluconate is readily accessible, recommended by multiple societies as an alternative for patients with iodine allergy, and preliminary data indicate that it may provide superior antisepsis.
Objective: This study aimed to compare the effectiveness of chlorhexidine and iodine as presurgical vaginal antiseptic solutions in preventing the most common surgery-associated infection after gynecologic surgery, urinary tract infections.
Preferences for Preoperative Education: A Qualitative Study of the Patient Perspective.
Female Pelvic Med Reconstr Surg
October 2021
Article Synopsis
- * Researchers conducted focus groups with English- and Spanish-speaking patients to gather their views on preoperative education and pain management, analyzing the discussions for common themes.
- * Five key themes emerged that patients wanted to know, including surgery preparation, pain control expectations, activity restrictions post-surgery, communication with the healthcare team, and overall care experiences.