Most Read Articles
01 Dec 2017
At a symposium during the 25th Congress of the Obstetrical and Gynaecological Society of Malaysia in Kuala Lumpur, Professor Susan Davis discussed the unique implications of women living decades beyond menopause, and how healthcare professionals can best manage menopausal symptoms in the short and long term.
Dr Joslyn Ngu, 04 Dec 2017

Making genetic testing mainstream, allows more patients to be tested, identifies more carriers and enables appropriate stratification of treatment and outcomes, says an expert.

Menelik MH Lee, MBBS, MRCOG, FHKCOG, FHKAM; Charles J Carter, MBChB, FRCS(urol); Tyrone T Carpenter, MBBS, BSc, MRCOG, MD, 01 Jun 2014

Laparoscopic partial cystectomy is established as the optimal treatment of full thickness bladder endometriosis. Complete excision of the lesion is essential however over excision risks unnecessary reduction in bladder volume and may risk ureteric obstruction. The following case demonstrates a new technique of cystoscopic mapping and laparoscopic resection of bladder endometriosis, allowing complete removal of the endometriotic nodule while sparing maximum bladder capacity and minimising risk of injury to the ureteric orifices.

20 Aug 2016
An elevated level of urinary nephrin (nephrinuria) may be associated with an increased risk of preeclampsia (PE), according to a study, suggesting that a certain cut-off can facilitate identification of women with greater PE risk.

Fewer complications with LARVH than ARH for early-stage cervical cancer

08 Oct 2017

Laparoscopically assisted radical vaginal hysterectomy (LARVH) has similar survival outcomes with abdominal radical hysterectomy (ARH) for early-stage cervical cancer, but confers significantly less blood loss and shorter hospital stay, a new retrospective study has found.

The study included 77 patients, of whom 42 received ARH (median age 46.6 years) while 35 received LARVH (median age 45 years). Both groups were comparable in histological diagnosis, cancer stage, age and body mass index.

In terms of intraoperative factors, the ARG group registered significantly higher mean blood loss (861.91±349.36 vs 502.86±236.69 mL; p<0.05) and transfusion rate (54.8 vs 8.6 percent; p<0.05), with significantly more lymph nodes retrieved (36.19±12.28 vs 23.71±9.45; p<0.05), than the LARVH group.

Operative time (169.33±43.80 vs 182.74±33.98 minutes) and vaginal length (2.1±0.847 vs 2.17±0.72) were similar between the ARH and LARVH groups.

The ARH group also showed a longer mean catheterized period (10.57±4.59 vs 7.83±2.56 days; p<0.05) and hospital stay (21.41±14.94 vs 14.37±11.78 days; p<0.05) than the LARVH group.

In terms of survival outcomes, tumour recurrence was reported in 10 patients in the ARH group as opposed to three in the LARVH group, with the difference reaching statistical significance (p<0.05).

No significant difference was calculated in the other survival outcomes such as length of follow-up, disease-free survival, overall survival and mortality rate.

The current findings indicate that, despite largely similar survival outcomes, LARVH is a suitable alternative to ARH for early-stage cervical cancer because it confers fewer complications and is less invasive.

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Most Read Articles
01 Dec 2017
At a symposium during the 25th Congress of the Obstetrical and Gynaecological Society of Malaysia in Kuala Lumpur, Professor Susan Davis discussed the unique implications of women living decades beyond menopause, and how healthcare professionals can best manage menopausal symptoms in the short and long term.
Dr Joslyn Ngu, 04 Dec 2017

Making genetic testing mainstream, allows more patients to be tested, identifies more carriers and enables appropriate stratification of treatment and outcomes, says an expert.

Menelik MH Lee, MBBS, MRCOG, FHKCOG, FHKAM; Charles J Carter, MBChB, FRCS(urol); Tyrone T Carpenter, MBBS, BSc, MRCOG, MD, 01 Jun 2014

Laparoscopic partial cystectomy is established as the optimal treatment of full thickness bladder endometriosis. Complete excision of the lesion is essential however over excision risks unnecessary reduction in bladder volume and may risk ureteric obstruction. The following case demonstrates a new technique of cystoscopic mapping and laparoscopic resection of bladder endometriosis, allowing complete removal of the endometriotic nodule while sparing maximum bladder capacity and minimising risk of injury to the ureteric orifices.

20 Aug 2016
An elevated level of urinary nephrin (nephrinuria) may be associated with an increased risk of preeclampsia (PE), according to a study, suggesting that a certain cut-off can facilitate identification of women with greater PE risk.