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BACKGROUND Elevated levels of glycosylated hemoglobin (HbA1c) among spine surgery patients may have an impact on length of stay (LOS) and healthcare cost. MATERIALS AND METHODS We retrospectively reviewed the charts of 556 spine surgery patients who underwent 1 of 3 types of surgery: lumbar microdiscectomy (LMD), anterior cervical decompression and fusion… (More)
BACKGROUND Pain is a common problem in older age and strongly interacts with neuropsychiatric disorders. In this paper we studied the prevalence of pain and the connection between pain and neuropsychiatric comorbidities among older nursing home residents. OBJECTIVE To determine if data provided in 2004 National Nursing Home Survey supports connection… (More)
INTRODUCTION Laparoscopic myomectomy can be performed by most advanced laparoscopic gynecologic surgeons if they have appropriate mentoring. Despite this, it is still an underused procedure. In this article, we report our ten-year experience with laparoscopic myomectomy with focus on blood loss and hemostasis. MATERIALS AND METHODS From July 1999 to May… (More)
Uterine fibroids are remarkably common and may rarely grow to a large volume. The standard treatment in this situation is abdominal hysterectomy. We are presenting the case of a large multiple fibroid uterus that was successfully treated with total laparoscopic hysterectomy and the problems associated with such an operation.
INTRODUCTION Laparoscopic hysterectomy for large fibroid uteri is technically a difficult procedure. In this article, we report our experience with fibroid uteri >1 kg in weight. MATERIALS AND METHODS An intent-to-treat study. RESULTS From 2003 to 2009, 13 patients were successfully treated for large fibroid uteri with postoperative specimens weighing… (More)
Bowel bags are transparent sterile plastic bags that had no practical application in gynecology until now. We are presenting nine cases of laparoscopic hysterectomy with salpingooophorectomy in which bowel bags have been efficiently utilized.
Cornual (interstitial) ectopic pregnancy is an uncommon variant of ectopic pregnancy which often poses a diagnostic and therapeutic challenge with a significant risk of rupturing and bleeding. We present a ruptured right cornual pregnancy and explain how to deal with such a case laparoscopically.
OBJECTIVE We addressed the prevalence of opioid dependence (OD) in spine surgery patients and its correlation with length of stay (LOS) as the most important determinant of hospital cost. METHODS The study took place at Georgia Neurosurgical Institute and the Medical Center of Central Georgia between March 2006 and January 2007. A prospective convenience… (More)
Acute pain is reported as a presenting symptom in over 80% of physician visits. Chronic pain affects an estimated 76.2 million Americans--more than diabetes, heart disease, and cancer combined. It has been estimated to be undertreated in up to 80% of patients in some settings. Pain costs the American public more than $100 billion each year in health care,… (More)
GOAL To study the interaction of obesity and age in patients with multiple spine surgeries. METHODS Data on the body mass index (BMI) of 956 patients were collected and classified into four groups: non-obese (BMI <30 kg/m(2)), obese-class I (BMI ≥30 kg/m(2)), obese-class II (BMI ≥35 kg/m(2)) and obese-class III (BMI ≥40 kg/m(2)). Patients' age was… (More)