- Ovarian cancer diagnosis and treatment
- Maternal and fetal healthcare
- Endometrial and Cervical Cancer Treatments
- Uterine Myomas and Treatments
- Ectopic Pregnancy Diagnosis and Management
- Maternal and Perinatal Health Interventions
- Cancer, Hypoxia, and Metabolism
- Cholangiocarcinoma and Gallbladder Cancer Studies
- Venous Thromboembolism Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Caveolin-1 and cellular processes
- Pancreatic and Hepatic Oncology Research
- Endometriosis Research and Treatment
- Cancer Cells and Metastasis
- Acute Myocardial Infarction Research
- Pancreatitis Pathology and Treatment
- Pregnancy-related medical research
- Central Venous Catheters and Hemodialysis
- Gestational Trophoblastic Disease Studies
- Dermatological diseases and infestations
- Intraperitoneal and Appendiceal Malignancies
- Lymphoma Diagnosis and Treatment
- Cancer Risks and Factors
- Hematological disorders and diagnostics
- Cancer Research and Treatments
University of Alabama at Birmingham
2012-2014
Gosford Hospital
2012
Columbia University
2008-2011
Herbert Irving Comprehensive Cancer Center
2011
Health and Human Development (2HD) Research Network
2011
University of Utah
2010
In Brief OBJECTIVE: To perform a population-based analysis to examine the morbidity and mortality of peripartum hysterectomy in comparison with nonobstetric hysterectomy. METHODS: Data from Nationwide Inpatient Sample were used compare women younger than 50 years age. Intraoperative, perioperative, postoperative medical complications examined. The outcomes compared using chi square. Odds ratios calculated multivariable logistic regression models for each individual complication. RESULTS: A...
Abstract BACKGROUND: Surgical management of ovarian cancer consists hysterectomy with bilateral oophorectomy. In young women, this results in the loss reproductive function and estrogen deprivation. current study, authors examined safety fertility‐conserving surgery premenopausal women epithelial cancers. METHODS: Women aged ≤50 years stage IA or IC who were registered Surveillance, Epidemiology, End Results database examined. Patients underwent oophorectomy compared those conservation. A...
In Brief OBJECTIVE: To examine factors that influence the morbidity and mortality of peripartum hysterectomy analyze effect hospital volume on maternal mortality. METHODS: We examined women who underwent at time cesarean delivery in a quality resource utilization database. Procedure-associated intraoperative, perioperative, postoperative medical complications, length stay, intensive care unit use, were analyzed. Hospitals stratified into tertiles based procedure complications compared using...
In Brief Because peripartum hysterectomy is associated with significant morbidity, understanding the indications, techniques, and complications of this procedure essential.
We analyzed use of venous thromboembolism (VTE) prophylaxis in patients undergoing oncologic surgery and examined the influence surgeon hospital characteristics on prophylaxis.Cancer are at high-risk for VTE. Despite risk VTE, is variable. Little known about patient, surgeon, that prophylaxis.Patients from 2003 to 2007 recorded Perspective database were analyzed. Surgeons hospitals stratified into volume-based tertiles analysis. The effects volume any pharmacologic using generalized...
In Brief OBJECTIVE: To examine adherence to evidence-based recommendations for preoperative testing and health care costs associated with excessive testing. METHODS: An institutional review of women who underwent gynecologic surgery between 2005 2007 was performed. Data on the type surgery, age, comorbidities, perioperative extracted. We noted performance chest X-ray, electrocardiogram, metabolic panel, complete blood count, coagulation studies, liver function tests, urinalysis. Each test...
Endometrial cancer is the most common gynecologic and its incidence rising among premenopausal women. Hysterectomy bilateral salpingo-oophorectomy, traditional treatment for endometrial cancer, causes loss of fertility ovarian function, both which can significantly negatively impact a young woman's physical mental well-being. Recently, conservative management with progestational agents has been reported success from oncologic reproductive perspectives. However, there are no randomized trials...
In Brief OBJECTIVE: To estimate the use of venous thromboembolism prophylaxis in women undergoing gynecologic surgery and to patient, physician, hospital characteristics associated with guideline-based prophylaxis. METHODS: A commercial database was used examine who underwent major from 2000 2010. Venous classified as none, mechanical, pharmacologic, or a combination. Multivariable logistic regression models factors any pharmacologic combination were developed. RESULTS: We identified total...
Isolated tubal torsion is a rare event. The clinical presentation often nonspecific and the diagnosis difficult, especially in gravida abdomen. If left untreated, can result premature labour foetal loss, as well maternal morbidity. Here we present case of isolated primigravida occurring her third trimester subsequent successful laparoscopic salpingectomy, rather than laparotomy. We discuss some diagnostic difficulties faced approached to surgery brief review literature. In our women went on...
To evaluate the potential impact of a standardized preoperative algorithm on outcomes patients with suspected ovarian cancer.From January 1 to December 31, 2013, cancer were triaged primary debulking surgery or neoadjuvant chemotherapy/interval (NACT/IDS) based comprehensive review clinical data as part quality improvement project. Demographics, surgical, and postoperative collected.A total 110 newly diagnosed identified: 68 (62%) underwent PDS an 85% optimal rate. The 30-day readmission...
Histoplasmosis is an infection caused by the dimorphic fungus Histoplasma capsulatum and primarily presents with pulmonary symptoms. Immunocompromised individuals are at high risk for contracting disseminated histoplasmosis, which can be fatal if left untreated.We present a case involving 50-year-old woman acquired immunodeficiency syndrome ulcerated vulvar lesion concerning carcinoma. Extensive workup revealed histoplasmosis without manifestations. She was treated extended course of...