Objective: To assess the short and medium-term effects of milking maneuver (MM) compared with early cord clamping for infants born before 37 weeks of pregnancy. Material and Methods: 138 infants between 24⁺⁰ and 36⁺⁶ weeks of gestation were allocated to MM or early cord clamping. Primary outcomes were the requirement of red blood cell transfusions or phototherapy. Results: Initial hemoglobin was significantly higher in the MM group by 1.675 g/dL (p < 0.05) and initial hematocrit by 5.36% (p < 0.05), but no differences in the need of transfusion during the first 30 days after delivery were found (RR 0.8; 95% CI 0.22–2.85). Peak serum bilirubin was similar in both groups (11,097 ± 3.21 vs. 11,247 ± 3.56 mg/dL, p = 0.837). Phototherapy requirements were higher in the MM group (RR 1.62; 95% CI 1.1–2.38). No differences regarding the need of oral iron supplementation, platelet transfusion, respiratory distress syndrome, patent ductus arteriosus, intraventricular hemorrhage, necrotizing enterocolitis, periventricular leukomalacia, meconium aspiration syndrome, use of surfactant, days of oxygen supplementation, need of vasopressors, length of stay in the neonatal intensive care unit, or postpartum hemorrhage were found. Conclusion: MM does not reduce the need for red blood cell transfusions and increases phototherapy requirements in preterm infants.

No abstract

No abstract

ResumenObjetivo: Analizar y comparar los resultados perioperatorios y los costes económicos de la histerectomía total laparoscópica (HTL) y de la histerectomía vaginal (HV).Sujetos y métodos: Estudio retrospectivo realizado durante 2013 que incluye pacientes con similar perfil sometidas a HV (n = 20) o HTL (n = 29). La principal indicación quirúrgica fue útero miomatoso. Se recogen datos epidemiológicos, resultados perioperatorios y datos económicos.Resultados: Las características basales de las pacientes fueron similares. En resultados perioperatorios, el tiempo quirúrgico fue menor en HV (64,8 AE 14,5 min) que en HTL (102,8 AE 20,5 min) p < 0,01. No se encontraron diferencias significativas en peso uterino, caída de la hemoglobina y estancia hospitalaria. El coste medio de la HTL (2.036 AE 307 euros) fue significativamente mayor al de la HV (1.604 AE 346 euros).Conclusiones: En la elección de la vía quirúrgica, la HV parece ser un procedimiento más económico y con similares resultados perioperatorios que la HTL. No obstante, es importante individualizar según las características de la paciente. Son necesarios estudios con mayor tamaño muestral para confirmar los resultados. ß 2014 SEGO. Publicado por Elsevier España, S.L.U. Todos los derechos reservados. Total laparoscopic hysterectomy vs vaginal hysterectomy. Analysis of costs and surgical outcomes AbstractObjective: To evaluate and compare surgical outcomes and the overall costs of total laparoscopic hysterectomy (TLH) and vaginal hysterectomy (VH).Subjects and methods: A retrospective study was conducted that compared surgical outcomes and hospital costs obtained during 2013 in patients with similar profiles undergoing VH (n = 20) or