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Gynecology laparoscopy

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https://www.readbyqxmd.com/read/27900662/randomized-controlled-trial-of-hyalobarrier-%C3%A2-versus-no-hyalobarrier-%C3%A2-on-the-ovulatory-status-of-women-with-periovarian-adhesions-a-pilot-study
#1
Ying Cheong, Sarah Bailey, Jane Forbes
INTRODUCTION: Periadnexal adhesions are known to contribute to subfertility. The restoration of the tubo-ovarian anatomy is one the key principles in reproductive surgery, and this involves adhesiolysis. However, adhesion formation/reformation is very common after periovarian adhesiolysis. It is not known if the application of Hyalobarrier(®), an anti-adhesion gel, around the adnexal region postsurgery influences ovulatory status. The study is a pilot randomized controlled trial (RCT) randomizing women into the application of Hyalobarrier(®) versus no Hyalobarrier(®) at the time of laparoscopy, where postsurgical ovulatory status and pregnancy rates were evaluated...
November 29, 2016: Advances in Therapy
https://www.readbyqxmd.com/read/27898669/postoperative-quality-of-life-and-sexual-function-in-premenopausal-women-undergoing-laparoscopic-myomectomy-for-symptomatic-fibroids-a-prospective-observational-cohort-study
#2
Julia Caroline Radosa, Christoph Georg Radosa, Russalina Mavrova, Stefan Wagenpfeil, Amr Hamza, Ralf Joukhadar, Sascha Baum, Maria Karsten, Ingolf Juhasz-Boess, Erich-Franz Solomayer, Marc Philipp Radosa
INTRODUCTION: Uterine leiomyomas are the most common benign gynecologic tumors. To date laparoscopy myomectomy is the gold standard for treatment of symptomatic fibroids in reproductive-aged women. Detailed counseling about the effects of this procedure on postoperative sexuality and quality of life is important in these patients. However, available data on these subjects are limited and contradictory. The aim of this study was to assess sexual function and quality of life in premenopausal women undergoing laparoscopic myomectomy for symptomatic uterine fibroids...
2016: PloS One
https://www.readbyqxmd.com/read/27889843/a-randomized-comparison-of-the-ambu-auragain-versus-the-lma-supreme-in-patients-undergoing-gynaecologic-laparoscopic-surgery
#3
Ana M Lopez, Merce Agusti, Pedro Gambus, Montserrat Pons, Teresa Anglada, Ricard Valero
Second generation supraglottic airway devices providing high seal airway pressures are suitable for patients undergoing gynecologic laparoscopy. We compared the seal pressure achieved by the new Ambu AuraGain™ versus LMA Supreme™ following pneumoperitoneum in the Trendelenburg position. Sixty female patients were randomly allocated to ventilation with either the AuraGain or the Supreme. A target-controlled system was used to administer total intravenous anesthesia. Intracuff pressure was maintained below 60 cm H2O...
November 26, 2016: Journal of Clinical Monitoring and Computing
https://www.readbyqxmd.com/read/27889667/the-impact-of-a-pulmonary-recruitment-maneuver-to-reduce-post-laparoscopic-shoulder-pain-a-randomized-controlled-trial
#4
Kyoungho Ryu, Wonjun Choi, Jaegeum Shim, Taejong Song
OBJECTIVE: A pulmonary recruitment maneuver (PRM) can effectively reduce post-laparoscopic shoulder pain (PLSP). However, a high-pressure PRM may cause pulmonary barotrauma. This study aimed to evaluate the efficacy and safety of a PRM using two different maximum inspiratory pressures (40 and 60cmH2O) for reducing PLSP. STUDY DESIGN: Patients undergoing gynecologic laparoscopy were randomly allocated to a control group (n=30), a 40 cmH2O PRM group (n=30), and a 60 cmH2O PRM group (n=30)...
November 16, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/27867048/feasibiility-and-learning-curve-of-robotic-laparo-endoscopic-single-site-surgery-in-gynecology
#5
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/27856388/bilateral-salpingectomy-utilizing-percutaneous-mini-laparoscopy
#6
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/27844212/a-first-in-human-randomized-controlled-subject-and-reviewer-blinded-multicenter-study-of-actamax%C3%A2-adhesion-barrier
#7
Geoffrey H Trew, George A Pistofidis, Sara Y Brucker, Bernhard Krämer, Nicole M Ziegler, Matthias Korell, Henning Ritter, Alex McConnachie, Ian Ford, Alison M Crowe, Trudy D Estridge, Michael P Diamond, Rudy L De Wilde
PURPOSE: Post-surgical adhesions remain a significant concern following abdominopelvic surgery. This study was to assess safety, manageability and explore preliminary efficacy of applying a degradable hydrogel adhesion barrier to areas of surgical trauma following gynecologic laparoscopic abdominopelvic surgery. METHODS: This first-in-human, prospective, randomized, multicenter, subject- and reviewer-blinded clinical study was conducted in 78 premenopausal women (18-46 years) wishing to maintain fertility and undergoing gynecologic laparoscopic abdominopelvic surgery with planned clinically indicated second-look laparoscopy (SLL) at 4-12 weeks...
November 14, 2016: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/27824755/risk-factors-and-outcomes-for-conversion-to-laparotomy-of-laparoscopic-hysterectomy-in-benign-gynecology
#8
Courtney S Lim, Erika L Mowers, Nichole Mahnert, Bethany D Skinner, Neil Kamdar, Daniel M Morgan, Sawsan As-Sanie
OBJECTIVE: To estimate the incidence and factors for conversion to laparotomy in women scheduled for laparoscopic hysterectomy for benign gynecologic indications and to examine the effect of conversion on patient outcomes. METHODS: A retrospective cohort study of a Michigan multicenter prospective database was abstracted from January 1, 2013, through July 2, 2014. Participants were collected from an all-payer quality and safety database maintained by the Michigan Surgical Quality Collaborative...
December 2016: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27800018/endoscopic-removal-of-a-retained-surgical-sponge-in-a-young-syrian-refugee-after-caesarean-section-a-case-report-with-discussion-of-cultural-and-political-consequences
#9
Johannes Ackermann, Moritz Kanzow, Micaela Mathiak, Ulrich Pecks, Nicolai Maass, Ibrahim Alkatout
BACKGROUND: Inadvertently retained sponges and instruments still constitute a major but preventable complication in surgery. Given the high geographic mobility of patients, the fluctuation of physician-patient contact, and communication problems due to language barriers, the conscientious use of structured safety protocols in clinical routine is an essential aspect of quality in health care. CASE PRESENTATION: We report the case of a 24-year-old refugee from Syria who presented at our gynecological outpatient department with a tumor in the lower abdomen, suspected to be a lump in the ovary or the uterus...
2016: Patient Safety in Surgery
https://www.readbyqxmd.com/read/27793386/imelda-transvaginal-approach-to-ectopic-pregnancy-diagnosis-by-transvaginal-hydrolaparoscopy-and-treatment-by-transvaginal-natural-orifice-transluminal-endoscopic-surgery
#10
Jan Baekelandt, Jona Vercammen
OBJECTIVE: To demonstrate a new minimally invasive approach for the diagnosis and treatment of ectopic pregnancy. DESIGN: Stepwise explanation of the technique using original video footage. SETTING: Hospital. PATIENT(S): Since 2014, 15 patients were treated transvaginally for ectopic pregnancy and pregnancy of unknown location (PUL). INTERVENTION(S): In case of a diagnosis of ectopic pregnancy on ultrasound, a 2...
October 25, 2016: Fertility and Sterility
https://www.readbyqxmd.com/read/27751745/-urogynecology-pelvic-organ-prolapse-french-surgical-training-during-and-after-residency
#11
S Vigoureux, A Perreaud, G Legendre, D Salet-Lizée, R Villet
OBJECTIVES: For the treatment of prolapse, the vaginal route is less standardized than laparoscopy and seems abandoned by younger doctors. Our objectives were to evaluate the surgical experience of resident and youth gynecology and obstetrics assistants in pelviperineology and the level of confidence and mastery of the different surgical treatment of pelvic. METHODS: An anonymous questionnaire sent via an Internet platform interviewing residents and young assistants of gynecology and obstetrics (promotion 2005 to 2010) in France on their surgical training in pelviperineology...
October 14, 2016: Gynécologie, Obstétrique & Fertilité
https://www.readbyqxmd.com/read/27729562/bone-marrow-stem-cell-chemotactic-activity-is-induced-by-elevated-cxcl12-in-endometriosis
#12
Irene Moridi, Ramanaiah Mamillapalli, Emine Cosar, Gulcin Sahin Ersoy, Hugh S Taylor
Endometriosis is an inflammatory gynecological disorder caused by the growth of endometrial tissue outside the uterus. Endometriosis produces chemokines, including CXCL12, that attract bone marrow cells to the lesions. In this study, we describe the expression, localization, and chemotactic activity of CXCL12 in endometriotic lesions. Biopsies were collected both from women with endometriosis undergoing laparoscopy and control endometrium from women without endometriosis. Expression of CXCl12 and CXCR4 messenger RNA was increased approximately 4- and 6-fold, respectively, in endometriosis compared to eutopic endometrium...
October 11, 2016: Reproductive Sciences
https://www.readbyqxmd.com/read/27695359/parecoxib-increases-muscle-pain-threshold-and-relieves-shoulder-pain-after-gynecologic-laparoscopy-a-randomized-controlled-trial
#13
Hufei Zhang, Xinhe Liu, Hongye Jiang, Zimeng Liu, Xu-Yu Zhang, Hong-Zhe Xie
OBJECTIVES: Postlaparoscopic shoulder pain (PLSP) remains a common problem after laparoscopies. The aim of this study was to investigate the correlation between pressure pain threshold (PPT) of different muscles and PLSP after gynecologic laparoscopy, and to explore the effect of parecoxib, a cyclooxygenase-2 inhibitor, on the changes of PPT. MATERIALS AND METHODS: The patients were randomly allocated into two groups; group P and group C. In group P, parecoxib 40 mg was intravenously infused at 30 minutes before surgery and 8 and 20 hours after surgery...
2016: Journal of Pain Research
https://www.readbyqxmd.com/read/27679393/successful-adoption-of-single-port-laparoscopy-for-gynecologic-indications-outcomes-from-a-large-single-institution-s-experience
#14
L B Huffman, R J Spencer, E E Medlin, S Uppal, L W Rice, A N Al-Niaimi
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27679223/postoperative-incisional-bupivacaine-in-gynecologic-laparoscopy-a-randomized-controlled-trial
#15
J M Blaber, J A Chappelle, J N Droesch, T R Griffin
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27679150/comparison-of-perioperative-complications-between-of-robotics-and-laparoscopy-approaches-in-the-management-of-gynecologic-malignances
#16
C-H Chen, H-H Chen, W-M Liu
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27678739/percutaneous-laparoscopy-in-gynecology
#17
K J Stepp
No abstract text is available yet for this article.
November 2015: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27668101/a-ruptured-ectopic-pregnancy-presenting-with-a-negative-urine-pregnancy-test
#18
Johnathan Michael Sheele, Rachel Bernstein, Francis L Counselman
A negative urine pregnancy test in the emergency department traditionally excludes the diagnosis of pregnancy. We report a rare case of ruptured ectopic pregnancy in a patient with a negative urine pregnancy test but with a serum beta-human chorionic gonadotropin (β-hCG) of 10 mIU/mL. The patient developed hemoperitoneum and required laparoscopy by Obstetrics and Gynecology (OB/Gyn). This case highlights the fallibility of the urine pregnancy test in diagnosing early pregnancy.
2016: Case Reports in Emergency Medicine
https://www.readbyqxmd.com/read/27667852/-unknown-title
#19
K J Neis, W Zubke, T Römer, K Schwerdtfeger, T Schollmeyer, S Rimbach, B Holthaus, E Solomayer, B Bojahr, F Neis, C Reisenauer, B Gabriel, H Dieterich, I B Runnenbaum, W Kleine, A Strauss, M Menton, I Mylonas, M David, L-C Horn, D Schmidt, P Gaß, A T Teichmann, P Brandner, W Stummvoll, A Kuhn, M Müller, M Fehr, K Tamussino
Background: Official guideline "indications and methods of hysterectomy" to assign indications for the different methods published and coordinated by the German Society of Gynecology and Obstetrics (DGGG), the Austrian Society of Gynecology and Obstetrics (OEGGG) and the Swiss Society of Gynecology and Obstetrics (SGGG). Besides vaginal and abdominal hysterectomy, three additional techniques have been implemented due to the introduction of laparoscopy. Organ-sparing alternatives were also integrated. Methods: The guideline group consisted of 26 experts from Germany, Austria and Switzerland...
April 2016: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/27667447/the-clinical-experience-of-robot-assisted-surgery-in-gynecologic-cancer
#20
Xue-Lian Li, Dan-Feng Du, Hua Jiang
The comparison of robotic and conventional laparoscopic hysterectomy and pelvic lymphadenectomy in gynecologic cancer still needs to be studied. In all, 98 consecutive cases of patients with gynecologic cancer undergoing robot-assisted hysterectomy and pelvic lymphadenectomy, and another 98 consecutive cases of conventional laparoscopic hysterectomy and pelvic lymphadenectomy during the same period in the Obstetrics and Gynecology Hospital of Fudan University were included. The duration of the operation, blood loss, drainage during the first 24 h after the operation, total hospital stay, hospital stay after the operation, lymph nodes collected, perioperative complications, and the cost of each operation for both procedures were recorded...
September 26, 2016: Minimally Invasive Therapy & Allied Technologies: MITAT
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