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Current trends for venous thromboembolic prophylaxis for hip arthroscopy: a modified Delphi and nominal group technique consensus study.
J Hip Preserv Surg
July 2024
American Hip Institute Research Foundation, 999 E Touhy Ave, Chicago, IL 60018, USA.
Article Synopsis
- * A study surveyed 35 experienced hip surgeons, revealing that 91.4% use chemoprophylaxis, primarily aspirin, with varying durations suggested, mostly between 2 to 4 weeks post-surgery.
- * While most experts agree on the importance of VTE prophylaxis, there is no consensus on the best duration for treatment or recommendations regarding stopping oral contraceptives and smoking before the surgery.
A Case Report of Intrauterine Device Migration: Uterine Penetration and Bladder Involvement with Secondary Stones 3 Years Post-Insertion.
Int J Womens Health
November 2024
Department of Urology, Wujin People's Hospital, Changzhou Medical Center, Nanjing Medical University, Changzhou, Jiangsu, 213100, People's Republic of China.
Background: Intrauterine devices (IUDs) are among the most popular contraceptive methods globally due to their convenience and cost-effectiveness. However, improper placement can lead to complications such as device migration and uterine perforation, with increased risk observed when IUDs are implanted within four to six weeks postpartum. Typically, patients are asymptomatic or experience mild lower abdominal discomfort or minor abnormal vaginal bleeding following IUD displacement.
View Article and Find Full Text PDFOptimizing the Modified No-Scalpel Vasectomy Technique.
J Vis Exp
October 2024
Andrology Department, West China Second University Hospital, Sichuan University; Key Laboratory of Birth Defects and Related Disease of Women and Children, (Sichuan University), Ministry of Education, West China Second University Hospital, Sichuan University;
No-scalpel vasectomy (NSV) is a commonly used contraceptive method for males. In previous applications of this surgical method, issues such as knot detachment and postoperative recanalization resulted in a reduced contraceptive success rate after vasectomy. This new technique innovatively modifies the ligation procedure during NSV to address knot detachment and postoperative recanalization.
View Article and Find Full Text PDFThe suture fixation of the levonorgestrel-releasing intrauterine device with hysteroscope for the treatment of adenomyosis in patients at high risk of device expulsion-a prospective observational study.
BMC Womens Health
October 2024
West China Second University Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children Sichuan University, Ministry of Education, Chengdu, Sichuan Province, China.
Background: This study aimed to investigate the safety and efficacy of suture fixation of the levonorgestrel-releasing intrauterine device (LNG-IUD) by hysteroscope for the treatment of adenomyosis in patients at high risk of device expulsion, to provide a viable treatment option for these patients.
Methods: Twenty-one patients with large symptomatic adenomyosis were sewed and fixed with the LNG-IUD in the uterus by hysteroscopy to prevent the device expulsion.
Results: In this prospective case series, all 21 patients were successfully sewed and fixed with the LNG-IUD in the uterus by hysteroscopy.
Novel Hystero-laparoscopic Technique for LNG-IUD Fixation in Women with High Risk of Expulsion and Desiring to Save the Uterus.
J Obstet Gynaecol India
October 2023
Altius Hospitals, #6/63, 59th Cross, 4th Block, Rajajinagar Entrance, Opp. MEI Polytechnic, Bangalore, Karnataka 560010 India.
Introduction: LNG-IUD although used extensively for its non-contraceptive indications like abnormal uterine bleeding (AUB), dysmenorrhoea and fibroid uterus, one of the major drawbacks is the high expulsion rates, especially among adenomyotic and fibroid uterus.
Material And Methods: Altius Hospitals, Bangalore have developed a new technique of LNG-IUD fixation, which employs hystero-laparoscopy and usage of a long port closure needle with delayed absorbable sutures.
Conclusion: It ensures proper placement and fixation of the LNG-IUD to the uterine cavity, reduces the expulsion rates and has the advantages of being a day care procedure.
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