Read by QxMD icon Read

Gynecology minimal access surgery

R Rivas-López, R Durón-Padilla, S Romero-Hernández, J Audifred-Salomón, J A Hernández-Denis
BACKGROUND: Reproductive surgery preserves, enhances or restores fertility. The minimal access surgery offers many benefits in relation to open surgery. Robot-assisted laparoscopic surgery is a relatively new technique in the field of gynecological surgery. CLINICAL CASE: A 30-year-old female patient, with primary infertility of five years of evolution in who uterine myomatosis of large elements was diagnosed and robot-assisted laparoscopic surgery was indicated...
March 2016: Ginecología y Obstetricia de México
Antonio R Gargiulo, Souzana Choussein, Serene S Srouji, Laura E Cedo, Pedro F Escobar
We report our experience with coaxial robot-assisted laparoendoscopic single-site (RA-LESS) myomectomy, including a detailed description of the technique and outcomes from our first 21 cases. This was a retrospective cohort study carried out at the reproductive endocrinology and gynecologic oncology divisions at two academic medical centers. RA-LESS myomectomy was performed with the da Vinci Si Surgical System (Intuitive Surgical, Inc, Sunnyvale, CA, USA) employing standard rigid 8 or 5 mm instrumentation in a coaxial arrangement through a standard laparoendoscopic single-site (LESS) port (GelPOINT Advanced Access Platform, Applied Medical, Rancho Santa Margarita, CA, USA)...
May 10, 2016: Journal of Robotic Surgery
John R Lue, Adam Pyrzak, Jennifer Allen
Endometriosis continues to be a major primary gynecologic etiology of chronic pelvic pain. The symptom profile, which includes cyclic pelvic pain, dysmenorrhea, and dyspareunia or dyschezia, is nonspecific and does not correlate with the extent or severity of disease. Trans-vaginal or trans-rectal ultrasound, as well as magnetic resonance imaging, can help visualize endometriomas and deeply infiltrating endometriosis. Additionally, there have been no serum marker tests available so far. However, even intraoperatively, the diagnosis may be missed, leading to under diagnosis and delayed or noninitiation of treatment...
April 2016: Journal of Minimal Access Surgery
Sven Becker, Rudy Leon De Wilde
Complications are the limiting factors of all surgeries. More than performing the actual surgery, learning how to avoid complications before, during, and after surgery is the most important task of every surgeon. Severe complications can lead to patient death. Complications such as ureterovaginal fistulas, resulting from <2 s of inattentive preparation, can lead to years of hardship, suffering, accusation, and litigation. Excellent surgery is about performing the right surgery for the right patient without any complications...
August 2016: Best Practice & Research. Clinical Obstetrics & Gynaecology
Andrzej L Komorowski, Francisco Alba Mesa, Małgorzata M Bała, Jerzy W Mituś, Wojciech M Wysocki
Transvaginal access is the most popular natural orifice translumenal technique in the minimally invasive surgery. Reviews on non-gynecological transvaginal approach morbidities reveal that rates vary greatly. A systematic review of transvaginal approach in non-gynecological intraabdominal procedures was carried out to assess the risk of complications. A systematic search was conducted using MEDLINE, EMBASE, PubMed, and the Cochrane Library from the inception of these databases to March 2012. The following keywords were searched: "transvaginal", "NOTES", "single incision", and "single port"...
December 2015: Indian Journal of Surgery
Rudy Leon De Wilde
No abstract text is available yet for this article.
August 2016: Best Practice & Research. Clinical Obstetrics & Gynaecology
Leslie Po, Patricia E Lee
OBJECTIVE: To study patients' perspectives regarding the risks and benefits of the use of power morcellation. DESIGN: Cross-sectional survey (Canadian Task Force classification II-3). SETTING: Academic tertiary referral hospital. PATIENTS: Women waiting in gynecology waiting rooms. INTERVENTIONS: Not applicable. MEASUREMENTS AND MAIN RESULTS: Of the 321 women invited, 310 (97%) responded to the survey; 19% of the participants had myomas requiring treatment, and the other 81% did not...
May 2016: Journal of Minimally Invasive Gynecology
Tarek Toubia, Janelle K Moulder, Lauren D Schiff, Daniel Clarke-Pearson, Siobhan M O'Connor, Matthew T Siedhoff
STUDY OBJECTIVE: To evaluate if peritoneal washings of the abdominopelvic cavity during laparoscopic myomectomy can detect leiomyoma cells after power morcellation. DESIGN: Prospective cohort pilot study. SETTING: University of North Carolina Hospitals, an academic, tertiary referral center (Canadian Task Force classification II-2). PATIENTS: Patients undergoing laparoscopic or robotic myomectomy for suspected benign leiomyoma by members of the Minimally Invasive Gynecologic Surgery division between September 2014 and January 2015...
May 2016: Journal of Minimally Invasive Gynecology
Jason D Wright, Greta B Raglan, Jay Schulkin, Michael F Fialkow
While use of robotic-assisted surgery has increased rapidly, little is known about the attitudes and beliefs of practicing gynecologists regarding the utility of the technology. We surveyed a large sample of gynecologists to examine their attitudes and beliefs about the benefits, utility, and factors driving use of robotic-assisted gynecologic surgery. A 51-item survey was mailed to 600 fellows or junior fellows of the American College of Obstetricians and Gynecologists. The survey included questions on use of robotic surgery, decision-making, and beliefs regarding the technology...
November 12, 2015: Journal for Healthcare Quality: Official Publication of the National Association for Healthcare Quality
Prakash K Sasmal, Tushar S Mishra, Satyajit Rath, Susanta Meher, Dipti Mohapatra
Laparoscopic surgery (LS), also termed minimal access surgery, has brought a paradigm shift in the approach to modern surgical care. Early postoperative recovery, less pain, improved aesthesis and early return to work have led to its popularity both amongst surgeons and patients. Its application has progressed from cholecystectomies and appendectomies to various other fields including gastrointestinal surgery, urology, gynecology and oncosurgery. However, LS has its own package of complications. Port site infection (PSI), although infrequent, is one of the bothersome complications which undermine the benefits of minimal invasive surgery...
October 16, 2015: World Journal of Clinical Cases
Fevzi Shakir, Andrew Kent
STUDY OBJECTIVE: To show the steps involved in a bilateral tubal adhesiolysis and cuff salpingostomy. DESIGN: Technical video showing tubal adhesiolysis and cuff salpingostomy in a step-by-step approach. SETTING: Minimal Access Therapy Training Unit, Royal Surrey County Hospital, Guildford, UK, a tertiary referral unit for complex gynecologic endoscopic surgery. INTERVENTIONS: A 38-year-old woman presented with left-sided pelvic pain and primary infertility for 13 years...
February 1, 2016: Journal of Minimally Invasive Gynecology
A O Akintobi, O Bello, O A Asaolu, G Ikena, A A Adebayo
Advanced gynecological laparoscopic surgery is an evolving subspecialty that requires specialized skills, expertise and equipment. This is more challenging and daunting, especially in sub Saharan Africa. Laparoscopic supracervical hysterectomy (LSCH) is an advanced gynecological procedure that has hitherto been seen as difficult because of the big size uteri seen in Nigerian women. We present thefirst LSCH and uterine morcellation done in Nigeria in a 45-year-old multipara on account of symptomatic uterine fibroid of 16 weeks size, at the Asokoro District Hospital, Abuja...
November 2015: Nigerian Journal of Clinical Practice
Christl Reisenauer
PURPOSE: Etiology, diagnosis and management of vesicovaginal fistulas in women referred to the German pelvic floor center Tuebingen over a 9-year period of time were analyzed. METHODS: Records of 41 consecutive women suffering from vesicovaginal fistulas between February 2006 and February 2015 were reviewed retrospectively. RESULTS: In the German case series presented, the most common etiology of vesicovaginal fistulas was total abdominal hysterectomy...
August 2015: Archives of Gynecology and Obstetrics
Nicel Taşdemir, Remzi Abalı, Cem Çelik, Erson Aksu, Didem Akkuş
OBJECTIVE: Laparoscopic surgery is the principal minimally invasive technique that is used for the treatment of gynecologic pathologies. The single-incision laparoscopic surgery (SILS) is another innovation in minimally invasive medicine. The cost of the procedure correlates with the fundamental materials used to access the abdominal cavity and utilize trocars. MATERIAL AND METHODS: We applied the single-incision tubal ligation procedure to three patients. A 15-20-mm vertical incision was made in the umbilicus...
2015: Journal of the Turkish German Gynecological Association
Natalia Povolotskaya, Robert Woolas, Dirk Brinkmann
BACKGROUND: Robotic surgery in gynaecological oncology is a rapidly developing field as it offers several technical advantages over conventional laparoscopy. An audit was performed on the outcome of robotic surgery during our learning curve and compared with recent well-established laparoscopic procedure data. METHOD: Following acquisition of the da Vinci Surgical System (Intuitive Surgical, Inc., Sunnyvale, California, USA), we prospectively analysed all cases performed over the first six months by one experienced gynaecologist who had been appropriately trained and mentored...
2015: International Journal of Surgical Oncology
K Afors, G Centini, R Murtada, J Castellano, C Meza, A Wattiez
Since the 1980s, minimally invasive techniques have been applied to an increasing number and variety of surgical procedures with a gradual increase in the complexity of procedures being successfully performed laparoscopically. In the past, obesity was considered a contraindication to laparoscopy due to the higher risk of co-morbid conditions such as diabetes, hypertension, coronary artery disease and venous thromboembolism. Performing laparoscopic gynaecological procedures in morbidly obese patients is no longer a rare phenomenon; however, it does necessitate changes in clinical practice patterns...
May 2015: Best Practice & Research. Clinical Obstetrics & Gynaecology
Michael Stark, Stefano Pomati, Andrea D'Ambrosio, Franco Giraudi, Stefano Gidaro
A new European telesurgical system, the Telelap Alf-x, is introduced. Its main features are individual arms, which enable free access to the patient throughout surgery, a large range of reusable surgical instruments, an open console with eye-tracking system, where the camera follows the eye and head movements of the surgeon, and the existing force feedback enables for the first time to feel the consistency of the tissues and avoid tearing of the stitches while suturing. The system combines the benefits of open surgery and endoscopy...
February 2015: Minimally Invasive Therapy & Allied Technologies: MITAT
Nobuhisa Matsuhashi, Takao Takahashi, Kengo Ichikawa, Kazunori Yawata, Toshiyuki Tanahashi, Hisashi Imai, Yoshiyuki Sasaki, Yoshihiro Tanaka, Naoki Okumura, Kazuya Yamaguchi, Shinji Osada, Kazuhiro Yoshida
Laparoscopic appendectomy is now widely practiced for the treatment of acute appendicitis. As result of increased demand for minimally invasive surgery, single-incision access was introduced and is being performed in various abdominal surgeries. Conventional laparoscopic appendectomy (LA) is gradually being performed in pregnant women. A 33-year-old woman was referred to our department at 39 weeks and 1 day of gestation due to abdominal pain. She was aware of her gastroepiploic pain even after the delivery...
January 2015: International Surgery
Sam Atallah, Beatriz Martin-Perez, Matthew Albert, Henry Schoonyoung, Francisco Quinteros, Lawna Hunter, Sergio Larach
Vaginal hysterectomy is the original natural orifice operation. Although one of the most common gynecologic operations performed, the surgical approach has not changed significantly during the past century. This article describes a new approach to hysterectomy using vaginal access minimally invasive surgery (VAMIS). VAMIS hysterectomy is successfully performed on a cadaveric model. The step-by-step description of the surgical technique is depicted with video supplement.
August 2015: Surgical Innovation
Ahmad Sayasneh, Christine Ekechi, Laura Ferrara, Jeroen Kaijser, Catriona Stalder, Shyamaly Sur, Dirk Timmerman, Tom Bourne
Characterizing ovarian masses enables patients with malignancy to be appropriately triaged for treatment by subspecialist gynecological oncologists, which has been shown to optimize care and improve survival. Furthermore, correctly classifying benign masses facilitates the selection of patients with ovarian pathology that may either not require intervention, or be suitable for minimal access surgery if intervention is required. However, predicting whether a mass is benign or malignant is not the only clinically relevant information that we need to know before deciding on appropriate treatment...
February 2015: International Journal of Oncology
Fetch more papers »
Fetching more papers... Fetching...
Read by QxMD. Sign in or create an account to discover new knowledge that matter to you.
Remove bar
Read by QxMD icon Read

Search Tips

Use Boolean operators: AND/OR

diabetic AND foot
diabetes OR diabetic

Exclude a word using the 'minus' sign

Virchow -triad

Use Parentheses

water AND (cup OR glass)

Add an asterisk (*) at end of a word to include word stems

Neuro* will search for Neurology, Neuroscientist, Neurological, and so on

Use quotes to search for an exact phrase

"primary prevention of cancer"
(heart or cardiac or cardio*) AND arrest -"American Heart Association"