Randomized trial comparing bleeding after loop excision of transformation zone in either follicular or luteal phase

This randomized controlled study was carried out to compare the outcomes of perioperative bleeding between patients treated by loop electrosurgical excision procedure of transformation zone of cervix during either the follicular [35 women] or luteal phase [37 women] of the menstrual cycle. The two groups did not differ in terms of, grade of cervical intraepithelial neoplasia, depth of excision, parity, and duration of menses. Those women treated during the luteal phase of the menstrual cycle experienced more postoperative bleeding [p < 0. 05]. They also experienced significantly more postoperative bleeding as assessed by the fall in hematocrit level. Those women also experienced significantly higher levels of anxiety postoperatively, which resulted in more consultations with the medical staff: It was concluded that doing the procedure during the follicular phase of menstrual cycle resulted in less bleeding and less anxiety of the patient

Laparoscopic cholecystectomy during pregnancy; is it safe?

Laparoscopic management of Biliopancreatic gallstone disease [BPD] during pregnancy remains controversial. Although perioperative problems and fetal loss have been reported, recent publications have advocated an early surgical approach. Twenty-eight patients, who required surgical treatment for BPD during pregnancy because of persistent symptoms, were randomly allocated into either laparoscopic or open surgery. Their mean age was 28 years, range 19-40 years. Thirteen patients underwent a laparoscopic cholecystectomy [LC], and 15 open cholecystectomy [OC], including one conversion from laparoscopic. There was no maternal mortality or morbidity. A single case of fetal loss occurred for a patient with acute cholecystitis who underwent OC during her 17[th] week of gestation. There was no statistically significant difference in preterm delivery rate between the LC and OC groups. Neither birth weights nor Apgar scores were significantly different across the groups. Early involvement of the obstetric team, with preoperative and postoperative fetal monitoring, and adequate management of anesthetic and tocolytic agents make laparoscopic cholecystectomy a safe procedure