journal
https://read.qxmd.com/read/29046622/essure%C3%A2-present-controversies-and-5-years-learned-lessons-a-retrospective-study-with-short-and-long-term-follow-up
#21
JOURNAL ARTICLE
Sara Câmara, Filipa de Castro Coelho, Cláudia Freitas, Lilia Remesso
BACKGROUND: The risk-benefit of contraception with Essure® is being readdressed due to an increase of reports of adverse effects with this device. Our aim was to proceed to an internal quality evaluation and to identify opportunities for protocol improvement. We proceeded to a one-center, retrospective consecutive case series of women admitted for Essure® placement, from 1 January 2012 until 31 December 2016 (5 years). RESULTS: In a total of 274 women, technical difficulties were mainly unilateral, with no acute or short-term severe complications...
2017: Gynecological Surgery
https://read.qxmd.com/read/29046621/applying-a-statistical-method-in-transvaginal-ultrasound-training-lessons-from-the-learning-curve-cumulative-summation-test-lc-cusum-for-endometriosis-mapping
#22
JOURNAL ARTICLE
Vered H Eisenberg, Juan L Alcazar, Nissim Arbib, Eyal Schiff, Reuven Achiron, Motti Goldenberg, David Soriano
BACKGROUND: Methods available for assessing the learning curve, such as a predefined number of procedures or direct mentoring are lacking. Our aim was to describe the use of a statistical method to identify the minimal training length of an experienced sonographer, newly trained in deep infiltrating endometriosis (DIE) mapping by evaluating the learning curve of transvaginal ultrasound (TVUS) in the preoperative assessment of endometriosis. METHODS: A retrospective study in a tertiary referral center for endometriosis...
2017: Gynecological Surgery
https://read.qxmd.com/read/28959176/face-and-content-validity-of-the-virtual-reality-simulator-scantrainer%C3%A2
#23
JOURNAL ARTICLE
Amal Alsalamah, Rudi Campo, Vasilios Tanos, Gregoris Grimbizis, Yves Van Belle, Kerenza Hood, Neil Pugh, Nazar Amso
BACKGROUND: Ultrasonography is a first-line imaging in the investigation of women's irregular bleeding and other gynaecological pathologies, e.g. ovarian cysts and early pregnancy problems. However, teaching ultrasound, especially transvaginal scanning, remains a challenge for health professionals. New technology such as simulation may potentially facilitate and expedite the process of learning ultrasound. Simulation may prove to be realistic, very close to real patient scanning experience for the sonographer and objectively able to assist the development of basic skills such as image manipulation, hand-eye coordination and examination technique...
2017: Gynecological Surgery
https://read.qxmd.com/read/28890679/effects-of-salpingectomy-during-abdominal-hysterectomy-on-ovarian-reserve-a-randomized-controlled-trial
#24
JOURNAL ARTICLE
Afsaneh Tehranian, Roghayeh Hassani Zangbar, Faezeh Aghajani, Mahdi Sepidarkish, Saeedeh Rafiei, Tayebe Esfidani
BACKGROUND: The aim of this study was to investigate the effect of salpingectomy on ovarian function by measuring AMH. METHODS: This study was a balanced, single-center, double-blind, randomized, controlled trial in Ruin Tan Arash Hospital, Tehran, between May 2013 and November 2014. A total of 30 patients undergoing elective abdominal hysterectomy were randomized into two groups, 15 with salpingectomy and 15 without salpingectomy. The primary objective of this study was to compare mean difference of anti-Mullerian hormone (AMH) between two groups...
2017: Gynecological Surgery
https://read.qxmd.com/read/28890678/pregnancy-following-laparoscopic-hysteropexy-a-case-series
#25
JOURNAL ARTICLE
Helen Jefferis, Natalia Price, Simon Jackson
BACKGROUND: Uterine-preserving prolapse surgery offers the chance to retain fertility; however, limited data is available for the safety of pregnancy following surgery and the effect of pregnancy on surgical outcome. Our operative technique involves mesh encircling the cervix and uterine arteries, which raises concerns that compromise of uterine blood flow during pregnancy may lead to foetal growth restriction. We also think this necessitates delivery by caesarean section. We report on six pregnancy outcomes following laparoscopic hysteropexy...
2017: Gynecological Surgery
https://read.qxmd.com/read/28890677/the-role-of-the-multidisciplinary-team-in-the-management-of-deep-infiltrating-endometriosis
#26
REVIEW
Lilian Ugwumadu, Rima Chakrabarti, Elaine Williams-Brown, John Rendle, Ian Swift, Babbin John, Heather Allen-Coward, Emmanuel Ofuasia
The multidisciplinary team (MDT) is considered good practice in the management of chronic conditions and is now a well-established part of clinical care in the NHS. There has been a recent drive to have MDTs in the management of women with severe endometriosis requiring complex surgery as a result of recommendations from the European Society for Human Reproduction and Embryology (ESHRE) and British Society for Gynaecological Endoscopy (BSGE). The multidisciplinary approach to the management of patients with endometriosis leads to better results in patient outcomes; however, there are potentially a number of barriers to its implementation and maintenance...
2017: Gynecological Surgery
https://read.qxmd.com/read/28890676/the-effect-of-music-in-gynaecological-office-procedures-on-pain-anxiety-and-satisfaction-a-randomized-controlled-trial
#27
JOURNAL ARTICLE
N Mak, I M A Reinders, S A Slockers, E H M N Westen, J W M Maas, M Y Bongers
BACKGROUND: Pain can interfere with office procedures in gynaecology. The aim of this study is to measure the positive effect of music in gynaecological office procedures. METHODS: A randomized controlled trial was performed between October 2014 and January 2016. Women scheduled for an office hysteroscopy or colposcopy were eligible for randomization in the music group or control group. Stratification for hysteroscopy and colposcopy took place. The primary outcome is patients' level of pain during the procedure measured by the visual analogue scale (VAS)...
2017: Gynecological Surgery
https://read.qxmd.com/read/28890675/dominant-hand-non-dominant-hand-or-both-the-effect-of-pre-training-in-hand-eye-coordination-upon-the-learning-curve-of-laparoscopic-intra-corporeal-knot-tying
#28
JOURNAL ARTICLE
Carlos Roger Molinas, Maria Mercedes Binda, Rudi Campo
BACKGROUND: Training of basic laparoscopic psychomotor skills improves both acquisition and retention of more advanced laparoscopic tasks, such as laparoscopic intra-corporeal knot tying (LICK). This randomized controlled trial (RCT) was performed to evaluate the effect of different pre-training programs in hand-eye coordination (HEC) upon the learning curve of LICK. RESULTS: The study was performed in a private center in Asunción, Paraguay, by 60 residents/specialists in gynaecology with no experience in laparoscopic surgery...
2017: Gynecological Surgery
https://read.qxmd.com/read/28890674/treating-symptomatic-uterine-fibroids-with-myomectomy-current-practice-and-views-of-uk-consultants
#29
JOURNAL ARTICLE
R Fusun Sirkeci, Anna Maria Belli, Isaac T Manyonda
BACKGROUND: The demand for uterus-sparing treatments is increasing as more women postpone childbirth to their 30-40s, when fibroids are more symptomatic. With an increasing choice of treatment options and changing care-provider profiles, now is an opportune time to survey current practices and opinions. Using a 25-stem questionnaire, a web-based survey was used to capture the practices and opinions of UK consultant gynecologists on the treatment of symptomatic fibroids, including the types of procedure most frequently used, methods used to reduce blood loss, and awareness and acceptability of treatment options, and to assess the impact of gender and experience of the treating gynecologist...
2017: Gynecological Surgery
https://read.qxmd.com/read/28725172/an-original-and-effective-technique-to-improve-exposure-in-open-surgery
#30
JOURNAL ARTICLE
E Nohuz, G Chêne
BACKGROUND: Exposure, especially when the organs are enlarged, remains one of the most important issue in open surgery. Considering this constraint appears critical in the progress of the surgical procedure. We highlight our technique which affords optimal exposure and improves manipulation and extraction of enlarged organs. RESULTS: This original and effective technique is derived from an obstetrical device used to perform an assisted vaginal delivery. It improves exposure, reduces tissue manipulation, and enhances removal of the surgical specimen during hysterectomies and myomectomies...
2017: Gynecological Surgery
https://read.qxmd.com/read/28725171/spontaneous-twin-pregnancy-with-live-births-after-cryopreservation-and-re-implantation-of-ovarian-tissue
#31
JOURNAL ARTICLE
Milan Milenkovic, Mats Brännström, Cesar Diaz-Garcia, Kersti Lundin, Ulrika Selleskog, Brita Söderlund, Ali Khatibi, Berit Gull, Hans Bokström, Claudia Mateoiu, Levent M Akyürek, Ann Thurin-Kjellberg
No abstract text is available yet for this article.
2017: Gynecological Surgery
https://read.qxmd.com/read/28603476/spigelian-hernia-in-gynaecology
#32
JOURNAL ARTICLE
Anastasia Ussia, Fabio Imperato, Larissa Schindler, Arnaud Wattiez, Philippe R Koninckx
BACKGROUND: A Spigelian hernia is a rare hernia through the Spigelian fascia between the rectus muscle and the semilunar line. This hernia is well known in surgery. Symptoms vary from insidious to localised pain, an intermittent mass and/or a bowel obstruction. RESULTS: The Spigelian hernia is poorly known in gynaecology. Spigelian hernias may be causally related to secondary trocar insertion. This review is written to increase awareness in gynaecology and is illustrated by a case report in which the diagnosis was missed for 4 years even by laparoscopy...
2017: Gynecological Surgery
https://read.qxmd.com/read/28603475/oophoropexy-for-ovarian-torsion-a-new-easier-technique
#33
JOURNAL ARTICLE
Tamer A Hosny
BACKGROUND: Oophoropexy for ovarian torsion is easy to be done by many tools either suturing to the lateral pelvic wall, plication of the ovarian ligament or even fixation to the back of the uterus, but it is little bit difficult to do it for pregnant women with less manipulation. OBJECTIVE: We propose that using trocar site closure needle can be easier and faster technique to do this. To assess the feasibility of using the trocar site closure needle to do oophoropexy in ovarian torsion and its possible applicability...
2017: Gynecological Surgery
https://read.qxmd.com/read/28603474/aagl-practice-report-practice-guidelines-on-intrauterine-adhesions-developed-in-collaboration-with-the-european-society-of-gynaecological-endoscopy-esge
#34
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
2017: Gynecological Surgery
https://read.qxmd.com/read/28603473/perioperative-surgical-outcome-of-conventional-and-robot-assisted-total-laparoscopic-hysterectomy
#35
JOURNAL ARTICLE
W J van Weelden, B B M Gordon, E A Roovers, A A Kraayenbrink, C I M Aalders, F Hartog, F P H L J Dijkhuizen
BACKGROUND: To evaluate surgical outcome in a consecutive series of patients with conventional and robot assisted total laparoscopic hysterectomy. METHODS: A retrospective cohort study was performed among patients with benign and malignant indications for a laparoscopic hysterectomy. Main surgical outcomes were operation room time and skin to skin operating time, complications, conversions, rehospitalisation and reoperation, estimated blood loss and length of hospital stay...
2017: Gynecological Surgery
https://read.qxmd.com/read/28603472/endometrial-cancer-in-a-woman-undergoing-hysteroscopy-for-recurrent-ivf-failure
#36
JOURNAL ARTICLE
Pietro Gambadauro, Johannes Gudmundsson
BACKGROUND: Hysteroscopy, despite being the undisputed gold standard for the examination of the uterine cavity, is controversial as a routine procedure in infertile women. However, benign intrauterine conditions are common in women suffering repeated in vitro fertilization (IVF) failure, and growing evidence suggests a unique diagnostic and therapeutic role for hysteroscopy. Endometrial malignancy, on the contrary, is unreported by large published series of women with repeated IVF failures undergoing hysteroscopy, and its impact on fertility, for obvious reasons, has not been studied...
2017: Gynecological Surgery
https://read.qxmd.com/read/28479877/laparoscopic-uterovaginal-prolapse-surgery-in-the-elderly-feasibility-and-outcomes
#37
JOURNAL ARTICLE
Samuel W King, Helen Jefferis, Simon Jackson, Alexander G Marfin, Natalia Price
BACKGROUND: Uterovaginal prolapse in very elderly women is a growing problem due to increased life expectancy. Surgeons and anaesthetists may be wary of performing quality of life surgery on this higher risk group. Where surgery is undertaken, it is commonly performed vaginally; there is a perception that this is better tolerated than abdominal surgery. Little data is published about laparoscopic prolapse surgery tolerability in this population, and laparoscopic surgery is perceived within the urogynaecological community as complex and lengthy and hence inherently unsuitable for the very elderly...
2017: Gynecological Surgery
https://read.qxmd.com/read/28458627/vaginal-mccall-culdoplasty-versus-laparoscopic-uterosacral-plication-to-prophylactically-address-vaginal-vault-prolapse
#38
JOURNAL ARTICLE
Kathy Niblock, Emily Bailie, Geoff McCracken, Keith Johnston
BACKGROUND: Studies have shown that vaginal vault prolapse can affect up to 43% of women following hysterectomy for pelvic organ prolapse. Many techniques have been described to prevent and treat vaginal vault prolapse. The primary objective of our study was to compare McCall's culdoplasty (when performed along side vaginal hysterectomy) with laparoscopic uterosacral plication (when performed along side total laparoscopic hysterectomy) for prevention of vaginal vault prolapse. Secondary outcomes included inpatient stay and perioperative complications...
2017: Gynecological Surgery
https://read.qxmd.com/read/28458626/laparoscopic-management-of-spontaneous-vaginal-vault-dehiscence-and-bowel-evisceration-17%C3%A2-years-following-total-abdominal-hysterectomy
#39
JOURNAL ARTICLE
Georgina Baines, Simon R Jackson, Natalia Price
No abstract text is available yet for this article.
2017: Gynecological Surgery
https://read.qxmd.com/read/28003801/deep-infiltrating-endometriosis-affecting-the-urinary-tract-surgical-treatment-and-fertility-outcomes-in-2004-2013
#40
JOURNAL ARTICLE
Liisu Saavalainen, Oskari Heikinheimo, Aila Tiitinen, Päivi Härkki
Urinary tract endometriosis (UTE) is a rare form of deep infiltrating endometriosis. We studied the operative treatment of UTE and evaluated postoperative recurrences and fertility outcomes. This is a retrospective cohort study of 53 women who underwent operative treatment for UTE in 2004-2013 at Helsinki University Hospital, and were followed-up until the end of 2014. The data were gathered from the hospital's electronic database. The main outcome measures were complications, reoperations, postoperative pregnancies, and deliveries...
2016: Gynecological Surgery
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