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Journal of Minimally Invasive Gynecology

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https://www.readbyqxmd.com/read/27932268/ten-principles-for-a-safe-surgical-treatment-of-ovarian-endometriosis
#1
M A López-de la Torre, H M Abrao, L F Fernandes, R M Kho, M S Abrao
OBJECTIVE: To demonstrate a step-by-step laparoscopic approach for excision of ovarian endometrioma following surgical principles for safety and maximal preservation of ovarian function. DESIGN: Video SETTING: Medical management of ovarian endometriomas is not recommended. Operative laparoscopic is the treatment of choice. Although considered a simple procedure, ovarian cystectomy requires precise and correct technique in order to preserve ovarian function. PATIENT: Asymptomatic, 27yo woman with ultrasound imaging suggesting a 6,2 x 5,4 cm left endometrioma...
December 5, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27919731/nerve-sparing-laparoscopic-colposacropexy-using-a-percutaneous-surgical-system-a-case-report
#2
Federico Romano, Francesco Legge, Giovanni Scambia, Maurizio Guido
STUDY OBJECTIVE: To evaluate the feasibility, efficacy and safeness of nerve-sparing laparoscopic colposacropexy performed with a minimally invasive approach by using 2,9 mm Percuvance(TM) Percutaneous Surgical System (PSS) (The Percuvance(TM) System, Teleflex Inc., USA). DESIGN: Step-by-step video demonstration of the surgical technique. The Internal Department Committee approved this study. The patient was adequately informed about the possible risks and benefits of this experimental technique and a written consent agreeing to undergo the described procedure was signed...
December 2, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27919730/minimally-invasive-adnexal-mass-extraction-considerations-and-techniques
#3
Teresa M Walsh, Miranda Gomez, Kimberly A Kho
Adnexal masses are a common indication for surgery in the United States. This article reviews the clinical features which may suggest an underlying malignancy including ultrasound and biomarkers. The decision regarding how to remove an adnexal mass involves consideration of several factors including body habitus, intraabdominal anatomy, concomitant procedures planned, characteristics of the adnexal mass, and concern for underlying malignancy. Minimally invasive techniques for removal of adnexal masses are discussed in detail, with a review of the risk of an unexpected underlying malignancy...
December 2, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27903466/preoperative-3-dimensional-magnetic-resonance-imaging-of-uterine-myoma-and-endometrium-prior-to-myomectomy
#4
Young Jae Kim, Kwang Gi Kim, Seung Hyun Lee, Byung Chul Kang, Sa Ra Lee
Uterine myomas are the most common gynecologic benign tumor affecting women of childbearing age, and myomectomy is the main surgical option to preserve the uterus and fertility. During myomectomy for women with multiple myomas, it is advisable to identify and remove as many as possible to decrease the risk of future myomectomies. With deficient preoperative imaging, gynecologists are challenged to identify the location and size of myomas and the endometrium, which in turn can lead to uterine rupture during future pregnancies...
November 26, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27867051/total-laparoscopic-hysterectomy-versus-vaginal-hysterectomy-a-systematic-review-and-meta-analysis
#5
REVIEW
E M Sandberg, A R H Twijnstra, S R C Driessen, F W Jansen
Hysterectomies performed laparoscopically have greatly increased within the last few decades and even exceed the number of vaginal hysterectomies (VH). This systematic review compares surgical outcomes of total laparoscopic hysterectomy (TLH) and VH to evaluate which approach offers the most benefits and was conducted according to the Meta-analysis of Observational Studies in Epidemiology guidelines. A literature search was performed in PubMed, Embase, Web of Science for all relevant publications from January 2000 through February 2016...
November 17, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27867050/video-article-laparoscopic-resection-of-caesarean-scar-ectopic-pregnancy
#6
Alex Ades, Sneha Parghi
No abstract text is available yet for this article.
November 17, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27867049/improving-rates-of-post-essure-hysterosalpingography-in-an-urban-population-using-electronic-tracking-reminders
#7
Yu-Han Virginia Hu, Kavita Shah Arora
STUDY OBJECTIVE: To demonstrate the efficacy of electronic reminders for follow up hysterosalpingography after Essure hysteroscopic sterilization in an urban, tertiary-care hospital obstetrics and gynecology practice DESIGN: Retrospective cohort SETTING: University-affiliated, urban, tertiary-care teaching hospital obstetrics and gynecology practice. PATIENTS: Two hundred and fifty patients underwent Essure hysteroscopic sterilization between June 2011 and July 2014...
November 17, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27867048/feasibiility-and-learning-curve-of-robotic-laparo-endoscopic-single-site-surgery-in-gynecology
#8
Alexandre Buckley de Meritens, Julia Kim, Helen Dinkelspiel, Eloise Chapman-Davis, Thomas Caputo, Kevin Holcomb
Single-site laparoscopy has proven to be a desirable option for patients undergoing gynecologic surgery with some studies indicating improved cosmesis and less perioperative pain compared to standard approaches. This study describes the safety and feasibility of a novel robotic laparo-endoscopic single-site surgery (R-LESS) platform as it is incorporated into a surgeon's practice with extensive multiport robotic surgical experience but limited laparo-endoscopic single-site experience. We reviewed 83 women undergoing R-LESS by a single surgeon from September 2013 through August 2015...
November 17, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27856389/mini-laparoscopy-of-removal-partial-adnexae-at-the-time-of-hysterectomy
#9
António Gutierrez Setúbal, João Sequeira Alves, Olga Lavado, Joana Faria
STUDY OBJECTIVE: To describe our technique of mini laparoscopic adnexectomy or salpingectomy at the time of total laparoscopic hysterectomy DESIGN: Step-by-step video explanation of our technique SETTING: The advantages of laparoscopic surgery have been widely recognised in the past two decades: improved vision, exposure, reduction in operative trauma because of smaller incisions and more gentle tissue´s handling, that result in a faster postoperative recovery. The technology development has allowed the use of smaller caliber instruments while maintaining the high standard surgical performance...
November 14, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27856388/bilateral-salpingectomy-utilizing-percutaneous-mini-laparoscopy
#10
Cynthia Arvizo, M Jean Uy-Kroh
STUDY OBJECTIVE: To demonstrate a new for bilateral salpingectomy utilizing percutaneous mini-laparoscopy. DESIGN: Step-by-step video demonstration and narration of the surgical procedure SETTING: Mini-laparoscopy was first described in the late 1980s and early 1990s. Since then, mini-laparoscopic instruments have been successfully applied to several general surgery and gynecologic procedures, including hysterectomy. Potential benefits of mini-laparoscopy compared to conventional laparoscopy include decreased tissue trauma, pain, and improved cosmesis...
November 14, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27856387/robotic-versus-laparoscopic-staging-for-early-ovarian-cancer-a-case-matched-control-study
#11
V Gallotta, C Cicero, C Conte, G Vizzielli, M Petrillo, A Fagotti, V Chiantera, B Costantini, G Scambia, G Ferrandina
STUDY OBJECTIVE: This study aims to evaluate the feasibility, surgical outcome and oncological results observed after robotic staging compared to conventional laparoscopic staging for patients with early-stage ovarian cancer (EOC) patients. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: Catholic University of the Sacred Hearth, Rome, Italy. PATIENTS: 96 patients underwent minimally invasive staging for presumed stage I ovarian cancer: 32 underwent robotic approach (Cases), and 64 underwent laparoscopic approach (Controls)...
November 14, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27856386/reproductive-outcome-in-patients-with-intrauterine-adhesions-following-hysteroscopic-adhesiolysis-experience-from-the-largest-women-s-hospital-in-china
#12
Limei Chen, Hongwei Zhang, Qing Wang, Feng Xie, Shujun Gao, Yu Song, Jing Dong, Hua Feng, Kangyun Xie, Long Sui
STUDY OBJECTIVE: To analyze the reproductive outcome of hysteroscopic adhesiolysis and assess the diagnostic accuracy of transvaginal ultrasonography (TVS) in infertile women resulting from intrauterine adhesions (IUAs) DESIGN: Retrospective , cross-sectional study (Canadian Task Force classification II-2). SETTING: University tertiary referral center PATIENTS: Three hundred and fifty seven patients with mild, moderate, and severe IUAs underwent hysteroscopic adhesiolysis between January 2012 and December 2015 INTERVENTIONS: Hysteroscopic adhesiolysis in the outpatient analgesic setting for infertility and IUAs...
November 14, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27856385/wound-infiltration-with-extended-release-versus-short-acting-bupivacaine-before-laparoscopic-hysterectomy-a-randomized-controlled-trial
#13
Kenneth I Barron, Georgine M Lamvu, R Cole Schmidt, Matthew Fisk, Emily Blanton, Insiyyah Patanwala
STUDY OBJECTIVE: To evaluate if pre-incision infiltration with extended-release liposomal bupivacaine provides improved overall pain relief compared to 0.25% bupivacaine after laparoscopic or robotic-assisted hysterectomy. DESIGN: Single center double-masked randomized controlled trial (Canadian Task Force Classification I). SETTING: Tertiary-care community hospital PATIENTS: Patients recruited from July 2015 through January 2016. Sixty-four patients were randomized and 59 were analyzed for the primary outcome...
November 14, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27836798/evaluation-of-pulmonary-complications-in-robotic-assisted-gynecologic-surgery
#14
Channing Burks, Lia Nelson, Daveshni Kumar, Louis Fogg, Chiiranjeev Saha, Alfred Guirguis, Jacob Rotmensch, Summer Dewdney
STUDY OBJECTIVE: To conduct a study to assess the incidence of pulmonary complications associated with robotic assisted surgeries in women with various gynecologic conditions. DESIGN/DESIGN: Classification:A retrospective study was conducted to analyze patients who underwent a robotic assisted surgery for a gynecologic indication. Data was collected from October 2008 to June 2012. SETTING: Conducted at Rush University Medical Center, a tertiary care center in Chicago, Illinois...
November 8, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27826116/safety-and-efficacy-of-advanced-bipolar-vessel-sealing-in-vaginal-hysterectomy-1000-cases
#15
Henri Clavé, Arnaud Clavé
STUDY OBJECTIVE: To determine the safety and efficacy of advanced electrothermal bipolar vessel sealing (EBVS) during vaginal hysterectomy by evaluating urinary complications, overall complications, and reoperation rate. DESIGN: A retrospective cohort (Canadian Task Force classification III) SETTING: High volume gynecologic surgeon practice, private hospital. PATIENTS: One thousand consecutive patients who have undergone vaginal hysterectomy for benign conditions carried out with EBVS between January 2002 and December 2012...
November 5, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27818265/regarding-traumatic-neuroma-after-hysterectomy-a-rare-cause-of-posthysterectomy-pelvic-pain
#16
LETTER
Arman Taheri, Mahbod Lajevardi, Abolfazl Firouzian, Saghar Arab, Hassan Sharifi
No abstract text is available yet for this article.
November 3, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27816617/uterine-suspension-with-adjustable-sutures-for-difficult-laparoscopic-myomectomy
#17
Kuo-Hu Chen, Kok-Min Seow, Li-Ru Chen
STUDY OBJECTIVE: To assess whether transabdominal uterine suspension with adjustable sutures (USAS) is beneficial when performed concomitantly with laparoscopic myomectomy in patients with unfavorably localized leiomyomas in whom uterine manipulators are not an option. DESIGN: A retrospective cohort study (Canadian Task Force classification II-2). SETTING: A university teaching hospital. PATIENTS: Patients (N = 158) with posterior deep intramural, intraligamental, or cervical leiomyomas; 81 patients underwent USAS (suspension group), and 77 patients did not (control group) concomitantly with laparoscopic myomectomy...
November 2, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27816616/response-to-radiofrequency-neurotomy-a-minimally-invasive-procedure-to-reduce-the-chronic-post-hysterectomy-pain
#18
LETTER
Vivek Nama, Amit Patel, Joya Pawade, John Murdoch
No abstract text is available yet for this article.
November 2, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27815041/feasibility-of-robotic-assisted-laparoendoscopic-single-site-surgery-in-the-gynecologic-oncology-setting
#19
Lea A Moukarzel, Amanda N Fader, Edward J Tanner
STUDY OBJECTIVE: To assess the feasibility of incorporating robotic laparoendoscopic single-site (R-LESS) surgery into gynecologic oncology care. DESIGN: Retrospective study (Canadian Task Force classification II-3). SETTING: Academic university hospital. PATIENTS: Patients undergoing R-LESS hysterectomy for gynecologic malignancies, preinvasive disease, or risk reduction performed by a single gynecologic oncologist between 2014 and 2016...
November 1, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27810437/impact-of-obesity-on-robotic-assisted-sacrocolpopexy
#20
Lindsay M Kissane, Rose Calixte, Bogdan Grigorescu, Peter Finamore, Anthony Vintzileos
STUDY OBJECTIVE: To compare operative time in women stratified by BMI, undergoing robotic assisted sacrocolpopexy. Secondary objectives included characterizing peri-operative characteristics and reoperation rates. DESIGN: Retrospective cohort study. DESIGN: Classification: II-2 SETTING: University affiliated teaching hospital. PATIENTS: 179 consecutive patients who underwent robotic assisted sacrocolpopexy by a single surgeon from 2009 through 2013...
October 31, 2016: Journal of Minimally Invasive Gynecology
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