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Journal of Minimally Invasive Gynecology

Ryoko Asano, Yukio Suzuki, Shin Saito, Natsuko Kamiya, Mihoko Aoki, Etsuko Miyagi
No abstract text is available yet for this article.
September 12, 2018: Journal of Minimally Invasive Gynecology
Shu-Han You, Po-Cheng Chen, Ho-Yen Chueh, Kuan-Gen Huang, Hsin-Shih Wang, Chih-Feng Yen
No abstract text is available yet for this article.
September 12, 2018: Journal of Minimally Invasive Gynecology
David Rich Ellington, Phillip Corey Shum, Eva Adiki Dennis, Heather Lynn Willis, Jeff Michael Szychowski, Holly Elizabeth Richter
STUDY OBJECTIVES: To estimate the effect of a virtual reality (VR) anatomical model (VisCubeSX™) on OBGYN residents' knowledge of female pelvic floor anatomy compared to a traditional curriculum. DESIGN: Canadian Task Force Classification I SETTING: Academic Obstetrics and Gynecology resident training program PATIENTS: Not Applicable INTERVENTIONS: Traditional independent study curriculum versus traditional curriculum and VisCubeSXTM VR curriculum MEASUREMENTS: Residents were randomized, stratified by year of training, in 1:1 fashion to traditional independent study curriculum for pelvic anatomy versus traditional curriculum and the VisCubeSX™ VR anatomical model...
September 12, 2018: Journal of Minimally Invasive Gynecology
Mobolaji O Ajao, Luiz G Oliveira Brito, Karen C Wang, Mary K B Cox, Elsemieke Meurs, Emily R Goggins, Xiangmei Gu, Allison F Vitonis, Jon I Einarsson, Sarah L Cohen
OBJECTIVE: To compare symptom persistence in women with adenomyosis based on retention or removal of cervix at time of hysterectomy. DESIGN: Retrospective cohort study and follow-up survey. SETTING: Tertiary care academic hospital, Boston MA USA. PATIENTS: 1,580 women who underwent laparoscopic hysterectomy for benign indications from 2008-2012 at Brigham & Women's Faulkner Hospital and Brigham & Women's Hospital...
September 8, 2018: Journal of Minimally Invasive Gynecology
Lixing Chen, Songshu Xiao, Xiaogang Zhu, Sili He, Min Xue
STUDY OBJECTIVE: To investigate risk factors for infertility and recurrent cesarean scar pregnancy (CSP) after previous CSP. DESIGN: A retrospective cohort study (II-1). SETTING: University hospital. PATIENTS: From January 2007 to April 2016, A total of 650 patients were included, all diagnosed as CSP and treated by high-intensity focused ultrasound (HIFU) and uterine artery embolization (UAE) followed by suction curettage under hysteroscopic guidance...
September 8, 2018: Journal of Minimally Invasive Gynecology
Virginie Collin, Marie Schaub, Emilie Faller, Christopher Burel, Guy Temporal, Catherine Roy, Caterina Exacoustos, Cherif Akladios, Arnaud Wattiez
STUDY OBJECTIVE: To describe a laparoscopic technique for the resection of deep endometriosis, treating the three compartments. DESIGN: Educational video SETTING: Tertiary referral center in Strasbourg, France PATIENTS: This is the case of a 37-year-old primiparous woman. Her main symptoms included dysmenorrhea and dyspareunia associated with pollakiuria and macroscopic menstrual hematuria (with emission of endometriotic tissue on analysis). She also complained of dyschezia...
September 5, 2018: Journal of Minimally Invasive Gynecology
Sabrina Piedimonte, Nicholas Czuzoj-Shulman, Walter Gotlieb, Haim Arie Abenhaim
STUDY OBJECTIVE: To determine incidence of robotic radical hysterectomy (RRH) in the United States in comparison to abdominal radical hysterectomy (ARH), with secondary outcomes of peri-operative complications, length of stay, immediate post-operative mortality, cost and a sub-analysis compared to laparoscopic radical hysterectomy (LRH). DESIGN: Retrospective cohort study (Design Classification II-2) SETTING: Data from the National Inpatient Sample (NIS), a government funded database of hospitalization in the United States PATIENTS AND INTERVENTIONS: All women with cervical cancer undergoing radical hysterectomy in the United States between 2008 and 2015 and included in the NIS database...
September 5, 2018: Journal of Minimally Invasive Gynecology
Christina Halder, Tanja Hauzenberger, Anton Scharl, Robert Bauer, Thomas Papathemelis
No abstract text is available yet for this article.
September 4, 2018: Journal of Minimally Invasive Gynecology
Mohamed S Sweed, Ahmed K Makled, Medhat A El-Sayed, Mohamed E Shawky, Hamdy A Abd-Elhady, Ahmed M Mansour, Radwa M Mohamed, Hossam Hemeda, Eman A Nasr-Eldin, Neveen S Attia, Ebtihal Eltaieb, Heba Allam, Ahmed Hussein
STUDY OBJECTIVE: Because laparoscopic ovarian cystectomy of endometriomas is known to adversely impact patient ovarian reserve, the search for other techniques of surgical management is ongoing, and the objective of the current study was to evaluate laparoscopic cyst deroofing as a feasible alternative. STUDY DESIGN: Prospective, randomized clinical trial (Canadian Task Force classification I). SETTING: A university maternity hospital. PATIENTS: Women diagnosed with unilateral or bilateral ovarian endometriomas...
September 4, 2018: Journal of Minimally Invasive Gynecology
Elisa M Jorgensen, Hye-Chun Hur
Venous thromboembolism (VTE) is the leading cause of preventable healthcare-related death following surgery. While there is a large body of research on VTE in the general population, as well as risk-assessment tools, evidence specific to the current practices in gynecologic surgery is more sparse. This review article seeks to discuss current literature on VTE in gynecologic surgery, with a focus on minimally invasive surgery. Evidence on risk factors for VTE in gynecologic surgery is evaluated, as well as current recommendations use of thromboprophylaxis for prevention of VTE...
September 4, 2018: Journal of Minimally Invasive Gynecology
Christina M Johnson, Gretchen E H Makai
BACKGROUND: Excessive opioid use and misuse is a pervasive and growing societal problem, and decreasing the surgical contribution to this epidemic represents an opportunity to improve outcomes. OBJECTIVE: To describe patterns of opioid prescription, consumption, and persistent use among women undergoing minimally invasive hysterectomy for benign indications. METHODS: We performed a systematic review of English full-text articles addressing opioids and gynecologic surgery using MEDLINE and Cochrane Central Register of Controlled Trials according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines [1]...
September 1, 2018: Journal of Minimally Invasive Gynecology
Rune Svenningsen, Anne Cathrine Staff, Anton Langebrekke, Erik Qvigstad
STUDY OBJECTIVE: To evaluate future pregnancy rates beyond gestational week 24 following cornual resections for interstitial pregnancies, subsequent modes of delivery and the rate of later uterine ruptures. DESIGN: Single-center historical cohort with follow-up registry data (Canadian Task Force classification II-2). SETTING: Department of Gynecology, Oslo University Hospital, Norway. PATIENTS: 40 consecutive women with interstitial ectopic pregnancies were treated in the study period from 2005 to 2016, of which 33 were treated with laparoscopic cornual resection (3 converted to laparotomy)...
August 31, 2018: Journal of Minimally Invasive Gynecology
Deepanjana Das, Katie Propst, Mary Ellen Wechter, Rosanne M Kho
The objective of this review was to assess techniques, devices, and equipment for patient positioning and their effect on patient outcomes, such as cephalad slide and neuropathy, in laparoscopic and robotic-assisted gynecologic surgery. We conducted a systematic review by searching MEDLINE, EMBASE, and Cochrane over 15 years. Study selection, data extraction, and quality assessment were performed by two reviewers independently. Seven articles were included for analysis: three randomized controlled trials, four case series...
August 31, 2018: Journal of Minimally Invasive Gynecology
Zhenkun Guan, Juan Liu, Kelly Blazek, Xiaoming Guan
OBJECTIVE: To investigate the advantages of utilizing robotic assistance in tubal reanastomosis surgery. DESIGN: A narrated instructional video guide detailing the procedure (Institutional Review Board approved) SETTING: University Hospital, Baylor College of Medicine, Houston, Texas PATIENT: A 33-year-old G2P2003 who regretted her prior tubal ligation; she continued to request for a tubal reversal with a desire to conceive in the near future. A single-site approach was decided upon when she expressed concern for the cosmetic aftermath of multi-port surgery...
August 31, 2018: Journal of Minimally Invasive Gynecology
Mohamed Mabrouk, Diego Raimondo, Alessandro Arena, Raffaella Iodice, Michele Altieri, Neveta Sutherland, Paolo Salucci, Elisa Moro, Renato Seracchioli
OBJECTIVE: Despite the enormous impact of lateral parametrial endometriosis (LPE), only a few studies have evaluated its diagnosis, prevalence and clinical features. Our aim is to estimate the intraoperative prevalence of LPE in patients affected by deep infiltrating endometriosis (DIE) and to analyse clinical and surgical data associated with LPE. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: Endometriosis tertiary level referral center, Sant'Orsola Academic Hospital, Bologna, Italy...
August 31, 2018: Journal of Minimally Invasive Gynecology
Chelsea Fortin, Christine Hur, Tommaso Falcone
There is an ongoing debate regarding the benefits and drawbacks of the various routes of hysterectomy. A number of studies have examined overall quality of life outcomes as well as specific patient-reported outcomes including physical, psychosocial, and sexual functioning following hysterectomy. Existing studies have used varied methodologies with widely heterogeneous results, but patient satisfaction appears to be very high following laparoscopic hysterectomy, with many studies favoring the laparoscopic approach over other routes of hysterectomy...
August 31, 2018: Journal of Minimally Invasive Gynecology
Wancheng Zhao, Qing Yang, Ningning Zhang, Yu Wang, Guangwei Wang, Dandan Wang
STUDY OBJECTIVE: To introduce an effective assisted method using hysteroscopy transmittance test and a Foley catheter to repair previous cesarean scar defect (PCSD) by laparoscopy. DESIGN: A step-by-step explanation of the surgery using video. SETTING: A university hospital PATIENTS: A young woman with abnormal uterine bleeding. INTERVENTIONS: Firstly, we inspected the pelvic cavity and detached the adhesion, opened the uterovesical peritoneal reflection, and pushed down the bladder...
August 31, 2018: Journal of Minimally Invasive Gynecology
Abigail A Armstrong, Lindsay Kroener, Meredith Brower, Zain A Al-Safi
STUDY OBJECTIVE: To analyze and investigate reports associated with uterine artery embolization used for treatment of myomas using this database. DESIGN: A retrospective review of the Manufacturer and User Facility Device Experience (MAUDE) database for events related to uterine artery embolization (Canadian Task Force Classification III). SETTING: The MAUDE database was accessed online. PATIENTS: Patients with myomas undergoing uterine artery embolization...
August 29, 2018: Journal of Minimally Invasive Gynecology
Paul MacKoul, Rupen Baxi, Natalya Danilyants, Louise Q van der Does, Leah R Haworth, Nilofar Kazi
STUDY OBJECTIVE: Laparoscopic and robotic-assisted myomectomy are limited in the number and size of myoma that can be removed, while abdominal myomectomy is associated with increased complications and morbidity. The objective of our study was to evaluate surgical outcomes of myomectomy approaches, including laparoscopic-assisted myomectomy, a hybrid approach that combines laparoscopy and minilaparotomy, with bilateral uterine artery occlusion or ligation to control blood loss. DESIGN: Retrospective chart review (Canadian Task Force classification II-1)...
August 28, 2018: Journal of Minimally Invasive Gynecology
Marco Aurelio Pinho Oliveira, Thiers Soares Raymundo, Thiago Rodrigues Dantas Pereira, Felipe Vaz de Lima, Diogo Eugenio Abreu da Silva
Gynecological surgeries are associated with various perioperative complications, especially urinary tract injuries. Intraoperative cystoscopy plays an important role in allowing the bladder to be assessed to ensure there are no injuries. The verification of the urinary jet from the ureters is a fundamental step but is not always easy to accomplish. Dyes are frequently used but they are not always available and are associated with adverse effects. Our study aims to demonstrate the use of CO2 as the medium of distension during cystoscopy...
August 27, 2018: Journal of Minimally Invasive Gynecology
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