Search

Your search keyword '"Kammerer-Doak, Dorothy N."' showing total 13 results
Start Over Author "Kammerer-Doak, Dorothy N."
13 results on '"Kammerer-Doak, Dorothy N."'

5. A prospective cohort study of women after primary repair of obstetric anal sphincter laceration

Author

Kammerer-Doak, Dorothy N., Wesol, Adrianne, Rogers, Rebecca G., Dominguez, Celia E., and Dorin, Maxine H.

Subjects
Anus -- Injuries, Childbirth -- Complications, Wounds and injuries, Health
Abstract

It may be difficult to surgically repair a laceration of the anal sphincter that occurs during childbirth. In a study of 15 such women, 40% continued to have fecal incontinence despite surgery.

Published
1999

9. CHAPTER 9: POSTOPERATIVE SURVEILLANCE AND PERIOPERATIVE PROPHYLAXIS.

Author

Smith, Harriet O., Genesen, Mark C., and Kammerer-Doak, Dorothy N.

Abstract

Reports on postoperative surveillance and perioperative prophylaxis. Physiological responses to surgery; Changes in fluid and electrolytes; Plasma osmolality; Pulmonary effects; Effects of protein catabolism and immune response; Gastrointestinal changes; Medical history, physical examination and informed consent; Laboratory testing; Perioperative cardiac assessment.

Published
2000

13. Clinical predictors of urinary retention after pelvic reconstructive and stress urinary incontinence surgery.

Author

Komesu YM, Rogers RG, Kammerer-Doak DN, Olsen AL, Thompson PK, and Walters MD

Subjects
Adult, Aged, Female, Humans, Middle Aged, Pelvic Floor surgery, Postoperative Complications etiology, Prospective Studies, Prostheses and Implants, Vagina surgery, Gynecologic Surgical Procedures adverse effects, Gynecologic Surgical Procedures methods, Urinary Catheterization adverse effects, Urinary Incontinence, Stress surgery, Urinary Retention etiology, Urologic Surgical Procedures adverse effects, Urologic Surgical Procedures methods
Abstract

Objective: To evaluate the impact of perioperative variables on length of postoperative catheterization., Study Design: A multicenter, prospective, cohort study of women undergoing pelvic reconstructive and/or incontinence surgery was performed. Perioperative variables associated with length of catheterization and prolonged catheterization (catheterization >30 days) were analyzed. Univariate logistic regression was used identify variables associated with urinary retention. Multivariate logistic regression analysis was performed on variables identified by univariate analysis to construct the best model predicting prolonged postoperative catheterization., Results: Catheterization data were available for 408 patients. Mean catheterization length was 11 +11 days. Thirty-four patients required prolonged catheterization. Logistic regression analysis selected 3 variables as predictors of prolonged catheterization: performance of pubovaginal sling (OR 5.44), performance of vaginal apex suspension (OR 2.32) and preoperative presence of grade 3/4 vaginal apex descent (OR 2.75) (all p < or =0.05). The probability of prolonged catheterization occurring in the absence of any of the predictors was 2% and increased to 5-11% if 1 predictor was present. When all 3 were present, the probability of prolonged catheter use increased to 45%., Conclusion: The performance of a pubovaginal sling and of a vaginal apex suspension or the preoperative presence of grade 3/4 vaginal apex descent are associated with prolonged postoperative catheterization.

Published
2007

Catalog

Books, media, physical & digital resources
See catalog results