The pregnant woman needs to be initiated on combination ART before the invasive procedure.
This guideline on invasive obstetric procedures in the HIV-infected pregnant woman is meant to be a guide for clinicians, to be used in counselling the woman/couple, and also in managing the woman who is eligible for an invasive procedure.
There is a particular need for information on the optimal duration of antiretroviral therapy and maternal viral load prior to the invasive procedure.
In a high HIV prevalence setting like South Africa, it is advisable that a repeat HIV test be offered immediately before the invasive procedure if a woman has initially tested HIV-negative early in pregnancy.
There are no published data on the number of invasive procedures done in South Africa, but unpublished data from national laboratories suggest that the services are under-utilised.
Several complications may occur with invasive procedures, and as part of pre-procedure counselling the woman/couple should be made aware of the risk of procedure-related complications.
Despite these issues, the future of minimally invasive procedures
The X STOP provides a new option for patients who have not received relief through therapeutic treatments and are unable or unwilling to have invasive procedures
such as fusion or laminectomy.
If there's the slightest possibility of risk from invasive procedures
, we change their duties if not remove them totally from patient contact.
As a result, many more patients than before will now be able to benefit from Gamma Knife surgery instead of more risky and invasive procedures
and we are proud to partner with The London Gamma Knife Centre in this quest", commented Olof Sanden, Vice President and head of Elekta's market region Europe.
With these products, ArthroCare targets a multi-billion dollar market opportunity across several medical specialties, significantly improving existing surgical procedures and enabling new, minimally invasive procedures
Surgeons and hospitals around the world are rapidly adopting the benefits of our 3-D technology to enhance their performance in complex minimally invasive procedures
," stated Stephen Heniges, Vice President, Corporate Accounts and International Business at Viking Systems.