Their structures were elucidated on the basis of spectroscopic an

Their structures were elucidated on the basis of spectroscopic analyses

and chemical reactions.”
“OBJECTIVE: To estimate the occurrence of postoperative urinary retention after traditional laparoscopic and robotic hysterectomy.

METHODS: We performed a chart review of all patients who underwent total or supracervical hysterectomy using a laparoscopic (n = 253) or robotic approach (n = 281) from March 2001 until June 2010 for benign indications at the division for minimally invasive surgery. Urinary retention was defined as the inability to spontaneously void or as incomplete voiding requiring either self-catheterization or Foley catheter Tariquidar in vivo replacement in the first postoperative


RESULTS: Urinary retention occurred in 7.3% (95% confidence interval [CI] 5.2-9.8%) of women and was more than twice as common among women who underwent robotic hysterectomy compared with laparoscopic hysterectomy (10.3%, 95% CI 7.0-14.5% compared with 4.0%, 95% CI 1.9-7.1%, P = .005). No statistically significant differences in those with and without urinary retention were seen in age, body mass index, smoking status, number of prior cesarean deliveries, operative time, presence of severe adhesions, or findings of endometriosis. In a multivariable logistic regression analysis, only the robotic approach relative to traditional laparoscopic approach was found to be significantly associated with urinary retention (odds ratio 2.6, 95% CI 1.2-5.6). Postoperative urinary retention was associated with a higher incidence of lower urinary tract infection,

occurring in 15.4% (95% CI 5.9-30.5%) of cases compared with 4.0% (95% CI 2.5-6.2%) of those without urinary retention (P = .008).

CONCLUSION: Transient JAK 抑制剂 urinary retention is relatively more common after robotic hysterectomy when compared with laparoscopic hysterectomy. We postulate that more aggressive bladder dissection performed with robot assistance may be associated with an increased risk of urinary retention. (Obstet Gynecol 2012; 120: 581-6) DOI: http://10.1097/AOG.0b013e3182638c3a

“The volatile constituents of the essential oil of Valeriana alliariifolia Adams growing wild in Kurdistan, Iran were investigated by the GC and GC/MS techniques. Among the 26 compounds represented, 20 (96.3%) of them were identified as oil.

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