Thanapan Choobun

Laparoscopic adnexectomy for benign tubo-ovarian disease using abdominal wall lift: a comparison to laparotomy.

Objectives: To evaluate the results of laparoscopic adnexectomy using an abdominal wall‐lifting device compared to laparotomy. Methods: From February 1997 to December 2001, laparoscopic adnexectomy was performed in 68 cases of benign diseases in a university hospital. Three cases (4.4%) were converted to laparotomy due to poor visualization. The control group was a similar cohort of 65 patients who underwent the same procedures using laparotomy. Results: There were 59 ovarian cysts and six tubal pregnancies in each group. Mean analgesic used, hospital stay, recovery period and blood loss were 11.5 mg, 2.0 days, 1.0 week and 49 ml, compared with 151.8 mg, 4.0 days, 3.0 weeks, and 122 ml in the laparotomy group (P<0.0005). Mean operating times and hospital charges were 81.7 min and

Interval of injections of intramuscular depot medroxyprogesterone acetate in the long-term treatment of endometriosis-associated pain: a randomized comparative trial.

293.9 (US), compared with 77.1 min (P=0.108) and

Gasless laparoscopic hysterectomy: A comparative study with total abdominal hysterectomy

272.7 (US) (P=0.033) in the laparotomy group. No serious complications were found in either group. Conclusions: Gasless laparoscopic adnexectomy is a safe and effective technique to provide laparoscopic benefit with minimal increase in hospital charges.

Prophylactic use of ergot alkaloids in the third stage of labour.

Aim: To determine the optimal interval of injections of intramuscular depot medroxyprogesterone acetate 150 mg in the long-term treatment of endometriosis-associated pain. Method: 112 patients with symptomatic endometriosis were randomized to receive either injections every month for 6 months, then every 3 months for a total of 15 months or injections every 3 months for 15 months. The primary outcome measure was patients’ satisfaction. Result: At months 3, 6, 9, 12 and 15 of the treatment phase, there was no statistically significant difference of percentages of patients with satisfaction between the two regimens (85.7 vs. 76.8%, 76.8 vs. 73.2%, 66.1 vs. 58.9%, 60.7 vs. 55.4%, 60.7 vs. 55.4%, respectively). Conclusion: The optimal interval of injections of depot medroxyprogesterone acetate 150 mg is every 3 months.

Sexuality and sexual activity in pregnancy.

Aim:  To evaluate the short‐term results of gasless laparoscopic hysterectomy (GLH) compared to total abdominal hysterectomy.