Objective: We retrospectively investigated the feasibility of using pre-operative magnetic resonance imaging (MRI) findings to diagnose broad ligament myoma. Design: We examined the presence of elongated uterine arteries, evidenced by MRI, in nine cases of broad ligament myoma among the 257 cases of hysterectomy or myomectomy for uterine myoma performed at our institution from April 2015 to November 2017. Results: In five of seven cases (excluding two cases of myoma of 2.5-cm diameter, growing vertically) an elongation of the uterine artery around the myoma was detected using MRI. Conclusion: Findings of elongation of the uterine artery surrounding the myoma via MRI was effective in diagnosing broad ligament myomas and may help to reduce the risk of operative complications.
Objective: Laparoscopic gynecological surgery is associated with a high incidence of PONV. In this study, we comparatively investigated the efficacy of combination therapy with dexamethasone plus droperidol versus no therapy in the prevention of PONV following laparoscopic gynecological surgery. Design: In total, 122 patients who underwent laparoscopic gynecological surgery under general anesthesia at our institution from November 2017 to February 2018 were included in the study and assigned to two groups: the dexamethasone plus droperidol group (n=44) and the control group (n=78). Dexamethasone 6.6 mg was administered after the induction of anesthesia, and droperidol 1.25 mg was administered at the end of the surgery. The incidence of PONV and doses of administered rescue antiemetics were recorded on the first postoperative day. Results: Combination therapy significantly reduced PONV compared with no therapy and required less rescue antiemetic treatment (P<0.05). No clinically important adverse effects were observed in either group. Conclusion: Pretreatment with dexamethasone plus droperidol is more effective than no therapy in preventing PONV following laparoscopic gynecological surgery.
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