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.

Gynaecological surgery in the older population: a comparative study between two 3-year samples over a decade.

This study aimed to assess the increase, if any, of the number of operations being performed in older women and try to determine the reasons behind any such increase.

Diagnosis, treatment and follow up of women undergoing conscious pain mapping for chronic pelvic pain: a prospective cohort study.

Objective: To assess the efficacy of conscious pain mapping in diagnosing and treating chronic pelvic pain (CPP).

Design: Prospective cohort study. Setting Gynaecology Department, UK District General Hospital.

Postmenopausal bleeding on hormone replacement therapy: review of the current referral guidelines.

The object of this study was to reassess the current NHS guidelines regarding the type of referrals for patients on hormone replacement therapy (HRT) presenting with postmenopausal bleeding (PMB). The guidelines are published on the following website: < http://www.doh.

A free-standing low-risk maternity unit in the United Kingdom: does it have a role?

This study aimed to evaluate the safety of this birth setting for low-risk deliveries based on our hospital protocol. The study was carried out at Heatherwood Hospital, Ascot (a low-risk unit) and Wexham Park Hospital, Slough, Berkshire (a consultant-led unit). This was a retrospective analysis of the computerised records and statistics of low-risk women delivered at Heatherwood Hospital, Ascot, UK following the unit protocol between July 1995 and December 2001.

Persistent unilocular ovarian cysts in a general population of postmenopausal women: is there a place for expectant management?

Objective: At present it is not well known whether some persistent unilocular ovarian cysts can develop into malignancy. The aim of this observational study was to define the management of postmenopausal women with persistent unilocular ovarian cysts less than 50 mm in diameter and with normal serum CA 125 levels.

Methods: Retrospective data were obtained from 226 postmenopausal women (mean age 56.

Ureteric obstruction caused by pelvic actinomycosis.

Ureteric obstruction is a well-known complication of actinomycosis, however its management in previous case reports has been very variable and sometimes mutilating. We report a rare case presenting with ischiorectal abscess that was successfully treated by JJ stenting and penicillin.

Is endometrial infection with Candida albicans a cause of recurrent vaginal thrush?

Objective: It was hypothesised that the endometrium might act as a reservoir for candida, thus infecting the vagina as the endometrium is shed during menstruation.

Design: A prospective study of women with recurrent vulvo-vaginal candidiasis. The endometrium was sampled and cultured for candida species.

Bilateral oophorectomy and hysterectomy in the treatment of intractable pelvic pain associated with pelvic congestion.

Objective: To determine whether bilateral oophorectomy combined with hysterectomy is an effective treatment for chronic pelvic pain due to congestion.

Design: Prospective non-randomized single centre study.

Setting: Tertiary referral centre to a specialist pelvic pain clinic in a teaching hospital.