A review of accessibility of administrative healthcare databases in the Asia-Pacific region.

Objective: We describe and compare the availability and accessibility of administrative healthcare databases (AHDB) in several Asia-Pacific countries: Australia, Japan, South Korea, Taiwan, Singapore, China, Thailand, and Malaysia.

Methods: The study included hospital records, reimbursement databases, prescription databases, and data linkages. Databases were first identified through PubMed, Google Scholar, and the ISPOR database register.

Gynecologic surgery in the elderly population: an increasing trend over two decades.

Background/aim: The Office for Budget Responsibility in the UK has indicated that the ageing population and its increasing demand for health expenditure are likely to place added pressure on the national budget. In this study, we aimed to document the trend for surgery in patients aged ≥70 years over a two-decade period.

Methods: This retrospective study included female patients aged ≥70 years who underwent elective gynecologic surgery in Wexham Park and Heatherwood Hospitals over the period 2010-2012 (n = 565).

The pharmacokinetics and safety of an intraoperative bupivacaine-collagen implant (XaraColl(®)) for postoperative analgesia in women following total abdominal hysterectomy.

Background: XaraColl(®), a collagen-based intraoperative implant that delivers bupivacaine to the site of surgical trauma, is under development for postoperative analgesia. We examined the pharmacokinetics, safety and efficacy of XaraColl following implantation in women undergoing total abdominal hysterectomy.

Methods: Three XaraColl implants, each containing 50 mg bupivacaine hydrochloride, were implanted in 12 women undergoing total abdominal hysterectomy for a benign condition.

Epithelioid cotyledonoid dissecting leiomyoma: a case report and review of the literature.

A 63-year-old mother of two, presented with blood-stained vaginal discharge and right sided lower abdominal pain. A MRI examination confirmed a right parametrial mass, abutting the lateral margin of the uterus and the patient had a total abdominal hysterectomy and bilateral salpingo-oophorectomy. Histological examination diagnosed a cotyledonoid leiomyoma, but with a new epithelioid variant.