Recurrence rate and factors associated with ovarian endometrioma recurrence following laparoscopic ovarian cystectomy

Yada Thongyou — Fri, 05 Jul 2024 00:00:00 +0700

Introduction: Recurrence of ovarian endometrioma following laparoscopic ovarian cystectomy can be caused by many factors. In patients with high risk factors for recurrent endometrioma, close monitoring and appropriate postoperative treatment may be required to prevent recurrence.

Objectives: To determine the recurrence rate, cumulative recurrence rate and factors associated with recurrent ovarian endometrioma after laparoscopic ovarian cystectomy.

Research methodology: A retrospective cohort study was conducted. Data were collected from the medical records of patients diagnosed with ovarian endometrioma who underwent laparoscopic ovarian cystectomy and had pathologically confirmed endometriosis at Nakornping Hospital from January 2013 to June 2023.

Results: Of the 75 patients, with a median follow-up duration of 7 months, 9 experienced recurrent ovarian endometrioma, while 66 did not. The recurrence rate was 12%. The cumulative recurrence rates at 6, 12, and 24 months were 6.37%, 19.7%, and 19.7%, respectively. Factors evaluated included age, BMI, nulliparity, size and laterality of the cyst, symptoms, associated diseases, revised American Society for Reproductive Medicine (rASRM) stage, pre-operative and post-operative hormonal treatment, and post-operative pregnancy. No associations were found with factors related to recurrent ovarian endometrioma. Pelvic endometriosis appeared to be a contributing factor associated with recurrent ovarian endometrioma (Adj. HR 11.96, 95% CI 0.97-146.51, p=0.052).

Conclusion: The patient factors studied were not associated with the recurrence of ovarian endometrioma following laparoscopic ovarian cystectomy. Therefore, extending the follow-up period and increasing the study population will help to further evaluate these factors.

Efficiency of enhancement program of trade creditors management accounting system for individual

Boonga Promcampa — Wed, 17 Jul 2024 00:00:00 +0700

Background: The problem with Lamphun Hospital's trade accounts payable management system is that it is not as efficient as it should be. The process of recognizing debt accounts is delayed, and accounts payable information is not current, which affects the hospital's financial information and prevents it from accurately reflecting the true financial status. Conducting studies to identify issues in work operations and establishing a good operating system will result in further increasing the efficiency of the accounts payable management system.

Objective: To evaluate the efficiency of the individual trade accounts payable management system

Method: A action research was conducted by setting operational guidelines to improve the efficiency of the individual trade accounts payable management system among the parcel work group, other work groups that act like the parcels accounting work group, the accounting work group, and the finance group. This study was carried out at Lamphun Hospital from October 1, 2020, to September 30, 2022. The study results before and after implementing these operations were compared.

Results: Establishing work guidelines for use between related work groups was well accepted. As a result, the overall percentage of delays in individual trade accounts payable management per month decreased on average by 1.71 percent before implementation (statistically significant) (P = 0.035). After implementation, in the 12th and 24th months, a trend showed a decrease of 1.83 percent (statistically significant) (P < 0.031). After the 24th month, the rate of delay decreased by 0.65 percent (statistically significant) (P < 0.012). This resulted in a reduction in delays of individual trade accounts payable management from 36.39 percent in October 2020 to 9.31 percent in the fiscal year 2022.

Conclusion: The study indicates that the operational guidelines can improve the efficiency of the individual trade accounts payable management system. As a result, debt account information will be recognized faster by trade creditors, and information on the financial status of Lamphun Hospital will be complete and accurate.

Journal of Nakornping Hospital

Recurrence rate and factors associated with ovarian endometrioma recurrence following laparoscopic ovarian cystectomy

Efficiency of enhancement program of trade creditors management accounting system for individual