Among women who opted for a LARC method after abortion, immediate provision was less likely to occur in women aged under 30 years, less likely as their level of disadvantage increased and more likely after surgical abortion compared with medical abortion. Public health policy needs to facilitate access to LARC methods after abortion so that more women are able to avoid a further unintended pregnancy.
The Triangle of Marcille is a vital anatomical region for advanced pelvic surgery, particularly in the current era of pelvic exenteration, and especially for those that include the lateral pelvic compartment.
Purpose Fibres are regularly found within the delivery cartridge (DC) and in the anterior chamber (AC) during phacoemulsification cataract surgery (PCS) and postoperatively. The purpose of this study was to identify their frequency and possible significance. Setting Dedicated ophthalmic day surgery. Design Prospective, consecutive, singlesurgeon, cohort study. Methods In 639 eyes undergoing PCS, the presence of fibres was documented in or on both the DC and in the AC intraoperatively, and in the AC postoperatively. The intraoperative method of fibre removal was documented. Corrected distance visual acuity (CDVA) was recorded preoperatively, and at day 1, week 1, and week 4 postoperatively. The incidence of clinical cystoid macular oedema (CMO) and endophthalmitis in the retained fibre subcohort was compared with that of the non-fibre subcohort. Results A total of 5.2% of the operated eyes had a fibre or fibres in or on the DC, which in all cases was removed with forceps intraoperatively. A total of 14.6% of operated eyes had a fibre or fibres in the AC intraoperatively; these were removed by irrigation/aspiration. Postoperatively, five eyes (0.78%) had a fibre in the AC. There was no significant difference in postoperative CDVA between the fibre and non-fibre subcohorts (P ¼ 0.26), and no clinically significant CMO or endophthalmitis in either subcohort.
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