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Laparoscopic hysterectomy

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https://www.readbyqxmd.com/read/29923873/robotic-surgery-is-less-physically-demanding-than-laparoscopic-surgery-paired-cross-sectional-study
#1
Torur Dalsgaard, Morten D Jensen, Dorthe Hartwell, Berit J Mosgaard, Annemette Jørgensen, Bente R Jensen
OBJECTIVE: To study musculoskeletal workload in experienced surgeons during laparoscopic surgery (LS) compared with robotic assisted laparoscopy (RALS). BACKGROUND: 70-90% of surgeons who regularly perform LS report musculoskeletal symptoms, mainly in neck and shoulders. Data regarding the potential ergonomic benefits of RALS in a clinical setting is very limited. METHODS: Twelve surgeons with advanced experience in both LS and RALS each performed 2 hysterectomies on the same day...
June 19, 2018: Annals of Surgery
https://www.readbyqxmd.com/read/29921438/no-238-supracervical-hysterectomy
#2
Sari Kives, Guylaine Lefebvre
OBJECTIVE: This guideline reviews the evidence relating to the potential benefits of the vaginal hysterectomy (VH) and supracervical hysterectomy (SCH) versus total abdominal hysterectomy (TAH) with respect to postoperative sexual function, urinary function, and peri- and postoperative complications. Laparoscopic options are not included in this guideline. OPTIONS: Women considering hysterectomy for benign disease can be given the option of retaining the cervix or proceeding with a total hysterectomy...
July 2018: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/29915802/laparoscopic-ovarian-transposition-prior-to-pelvic-radiation-for-gynecologic-cancer
#3
Brenna E Swift, Eric Leung, Danielle Vicus, Allan Covens
This study evaluates a novel technique of laparoscopic ovarian transposition performed by Gynecologic Oncologists prior to pelvic radiation for gynecologic cancer. A retrospective review was completed of all patients that underwent laparoscopic ovarian transposition from February 2007 to June 2017 at one tertiary care cancer. The technique involves salpingectomy, followed by retroperitoneal dissection to move the ovaries lateral to the hepatic and splenic flexures of the colon. Normal ovarian function was defined by the absence of vasomotor symptoms, FSH and menstrual history (if menstruating)...
May 2018: Gynecologic Oncology Reports
https://www.readbyqxmd.com/read/29913175/implementation-of-an-urogynecology-specific-enhanced-recovery-after-surgery-eras-pathway
#4
Charelle M Carter-Brooks, Angela L Du, Kristine M Ruppert, Anna L Romanova, Halina M Zyczynski
OBJECTIVES: ERAS protocols were developed for colorectal surgery to hasten post-op recovery. Variations of the protocol are being adopted for gynecologic procedures despite limited population and procedure-specific outcome data. Our objective was to evaluate if implementation of an ERAS pathway would facilitate reduced length of admission in an urogynecology population. MATERIALS AND METHODS: In this retrospective analysis of patients undergoing pelvic floor reconstructive surgery by 7 female pelvic medicine and reconstructive surgeons we compared same day discharge, length of admission and post-op complications before and after implementation of an ERAS pathway at a tertiary-care hospital...
June 15, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29908340/ureterolysis-for-laparoscopic-hysterectomy
#5
Haider Jan, Vishalli Ghai
STUDY OBJECTIVE: To demonstrate techniques of ureterolysis during complex laparoscopic hysterectomy. DESIGN: Technical video demonstrating different approaches to ureterolysis for complex benign pathology during laparoscopic hysterectomy. (Canadian Task force classification level III) SETTING: Benign gynaecology department at a University Hospital. INTERVENTION: We perform ureterolysis during laparoscopic hysterectomy for benign pathology...
June 13, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29908339/radical-hysterectomy-efficacy-and-safety-in-the-dawn-of-minimally-invasive-techniques
#6
Antonio Gil-Moreno, Melchor Carbonell-Socias, Sabina Salicrú, Cristina Centeno-Mediavilla, Silvia Franco-Camps, Eva Colas, Ana Oaknin, Assumpció Pérez-Benavente, Berta Díaz-Feijoo
STUDY OBJECTIVE: To analyze the effect that the introduction of minimally invasive procedures has had on surgical and oncological outcomes when compared with conventional open radical hysterectomy (ORH) in a national reference cancer after 17 years of experience in radical hysterectomy (RH). DESIGN: A prospective controlled study (Canadian Task Force II-2) SETTING: A university teaching hospital PATIENTS: All patients that underwent RH as primary treatment for cervical cancer in our institution between May 1999 and June 2016, with a total of 188 patients...
June 13, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29907929/manual-morcellation-compared-to-power-morcellation-during-robotic-myomectomy
#7
Derrick J Sanderson, Rohnn Sanderson, Dana Cleason, Catherine Seaman, Ali Ghomi
Clinical practice has drastically changed following the 2014 U.S. Food and Drug Administration (FDA) warning statement regarding power morcellation during laparoscopic hysterectomy and myomectomy. Despite investigation into alternative tissue extraction techniques, there remain a paucity of data associated with contained manual morcellation techniques. The goal of this study was to investigate the associated perioperative outcomes of contained manual morcellation compared to power morcellation in women undergoing robotic myomectomy...
June 15, 2018: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/29893313/comparing-surgical-outcome-and-ovarian-reserve-after-laparoscopic-hysterectomy-between-two-methods-of-with-and-without-prophylactic-bilateral-salpingectomy-a-randomized-controlled-trial
#8
Zahra Asgari, Afsaneh Tehranian, Safoura Rouholamin, Reihaneh Hosseini, Mahdi Sepidarkish, Mahroo Rezainejad
Background: This study aimed to compare the surgical outcome and ovarian reserve in premenopausal women undergoing laparoscopic hysterectomy (without oophorectomy) for benign cause between two methods of with and without prophylactic bilateral salpingectomy. Materials and Methods: In a prospective randomized clinical trial, 62 premenopausal women with benign indication underwent a laparoscopic hysterectomy. Patients were then randomized to undergo hysterectomy with bilateral salpingectomy (Group 1; n = 15) or without bilateral salpingectomy (Group 2; n = 15)...
April 2018: Journal of Cancer Research and Therapeutics
https://www.readbyqxmd.com/read/29887724/technique-of-laparoscopic-hysterectomy-and-pelvic-lymphadenectomy-for-endometrial-cancer
#9
Ansar Pullampara Pookunju, S Ayyappan
No abstract text is available yet for this article.
June 2018: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29887691/recurrent-bilateral-mucinous-cystadenoma-laparoscopic-ovarian-cystectomy-with-review-of-literature
#10
Ahmed Samy El-Agwany
The second most common epithelial tumor of the ovary is the mucinous tumors, and it constitutes about 8-10% of all ovarian tumors. The recurrence of mucinous cystadenoma is very rare after complete excision. Few cases have been reported. The case presented had initial surgery for adenxal mass diagnosed as mucinous tumor, performed by laparotomy and was followed up. After recurrence, the patient underwent laparoscopic evaluation and bilateral ovarian cystectomy was performed as a fertility preservation for the patient young age...
June 2018: Indian Journal of Surgical Oncology
https://www.readbyqxmd.com/read/29885331/early-repair-of-post-hysterectomy-vesicovaginal-fistulae-through-a-laparoscopic-transperitoneal-extravesical-approach-experience-of-a-single-center
#11
G Giusti, M Lucci Chiarissi, D Abate, G De Vita, S Angioni, A De Lisa
OBJECTIVES: To verify the feasibility and effectiveness of the correction of Vesicovaginal fistulae (VVF) through a laparoscopic transperitoneal extravesical approach and TachoSil application as interposition tissue. VVF are the most common fistulae of the urinary tract and even today there is no agreement over the preferred approach to treat this kind of pathologic condition. METHODS: We retrospectively analysed the data of women who, from July 2010 to July 2017, underwent early laparoscopic transperitoneal extravesical VVF repair...
June 6, 2018: Urology
https://www.readbyqxmd.com/read/29884072/urinary-catheterisation-management-after-laparoscopic-hysterectomy-a-national-overview-and-a-nurse-preference-survey
#12
Evelien M Sandberg, Fleur S Leinweber, Petra J Herbschleb, Dorien M A Berends-van der Meer, Frank Willem Jansen
The aim of this study was to evaluate the catheterisation regimes after a laparoscopic hysterectomy (LH) in Dutch hospitals and to assess the nurses' opinion on this topic. This was particularly relevant as no consensus exists on the best moment to remove a urinary catheter after an LH. All 89 Dutch hospitals were successfully contacted and provided information on their catheterisation regime after LH: 69 (77.5%) hospitals reported removing the catheter the next morning after the LH, while nine hospitals (10...
June 8, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29880189/vaginal-incision-during-total-laparoscopic-hysterectomy-may-cause-severe-bradycardia-and-cardiac-arrest
#13
Kenro Chikazawa, Chikako Yoshida, Tomoyuki Kuwata, Ryo Konno
No abstract text is available yet for this article.
June 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29880164/natural-orifice-transluminal-endoscopic-surgery-notes-subtotal-hysterectomy-a-feasibility-study
#14
Hsuan Su, Lulu Huang, Chien-Min Han, Yu-Jen Lin, Chih-Feng Yen, Chyi-Long Lee, Chin-Jung Wang
OBJECTIVE: Hysterectomy via transvaginal natural orifice transluminal endoscopic surgery (NOTES) has been carried out for benign uterine diseases and nonprolapsed uteri in recent years. Subtotal hysterectomy was performed to remove the uterus with preservation of the cervix by abdominal, laparoscopic, or vaginal routes. The aim of this retrospective study is to gain insight into the feasibility and safety of subtotal hysterectomy through transvaginal NOTES. MATERIALS AND METHODS: This is the first case series study to describe the technique and to evaluate the feasibility of this innovative surgical procedure...
June 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29850919/cesarean-scar-ectopic-pregnancy-current-management-strategies
#15
Tanya L Glenn, James Bembry, Austin D Findley, Jerome L Yaklic, Bala Bhagavath, Pascal Gagneux, Steven R Lindheim
Importance: Cesarean scar ectopic pregnancy (CSEP) has a high rate of morbidity with nonspecific signs and symptoms making identification difficult. The criterion-standard treatment of CSEP has been subject to debate. Objective: This review defines CSEP, discusses pathogenesis and diagnosis, and compares treatment options and outcomes. Evidence Acquisition: A literature review was performed utilizing the term cesarean scar ectopic pregnancy and subsequently selecting only meta-analyses and systematic reviews...
May 2018: Obstetrical & Gynecological Survey
https://www.readbyqxmd.com/read/29848416/outcome-of-total-laparoscopic-hysterectomy
#16
Samina Saleem Dojki, Alia Bano
OBJECTIVE: To determine the surgical outcomes of total laparoscopic hysterectomy performed. STUDY DESIGN: Case series. PLACE AND DURATION OF STUDY: Obstetrics and Gynecologic Endoscopic Unit of Patel Hospital, Karachi, from February 2013 till February 2016. METHODOLOGY: The study included all patients on whom total laparoscopic hysterectomy was performed during the study period. Patients with malignancy were excluded from the study, except those with suspected stage 1 and 2 endometrial carcinoma...
June 2018: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29844942/cesarean-scar-pregnancy-a-new-challenge-for-obstetricians
#17
REVIEW
Piotr Pędraszewski, Edyta Wlaźlak, Wojciech Panek, Grzegorz Surkont
Diagnosis and treatment of ectopic cesarean scar pregnancy has become a challenge for contemporary obstetrics. With an increase in the number of pregnancies concluded with a cesarean section and with the development of transvaginal ultrasonography, the frequency of cesarean scar pregnancy diagnoses has increased as well. The aim of the study is to evaluate various diagnostic methods (ultrasonography in particular) and analyze effective treatment methods for cesarean scar pregnancy. An ultrasound scan, Doppler examination and magnetic resonance imaging are all useful in early detection of asymptomatic cesarean scar pregnancy, thus enabling effective treatment and preservation of fertility...
March 2018: Journal of Ultrasonography
https://www.readbyqxmd.com/read/29842838/laparoscopic-salpingectomy-and-removal-of-essure-hysteroscopic-sterilisation-device-a-case-series
#18
T Johal, N Kuruba, M Sule, S Mukhopadhyay, G Raje
OBJECTIVES: Tubal sterilisation using Essure is a minimally invasive technique for permanent contraception, with high rates of patient satisfaction. However, some women subsequently choose removal of the inserts, due to side effects such as pelvic pain, abnormal bleeding, dyspareunia or allergic dermatitis. This case series presents the management of eight women who underwent laparoscopic removal of Essure inserts in conjunction with salpingectomy. We describe our surgical technique, its underlying principles and immediate surgical outcomes...
May 29, 2018: European Journal of Contraception & Reproductive Health Care
https://www.readbyqxmd.com/read/29791712/surgical-management-after-hysteroscopic-sterilization-minimally-invasive-approach-incorporating-intraoperative-fluoroscopy-for-symptomatic-patients-with-2-essure%C3%A2-devices
#19
E Scott Sills, Natalie S Rickers, Xiang Li
OBJECTIVE: To describe a non-hysterectomy surgical technique for symptomatic patients with >2 Essure® (Bayer Healthcare, Whippany, New Jersey) devices. DESIGN: Patients (n=4) presented with sharp pelvic pain, irregular vaginal bleeding, dyspareunia, weight gain, hair loss, fatigue, and/or diffuse skin rash, all of which were absent before undergoing hysteroscopic sterilization (HS). Hysterosalpingogram obtained before surgical excision of contraceptive tubal implants confirmed more than two Essure® devices in all patients...
June 1, 2018: Surgical Technology International
https://www.readbyqxmd.com/read/29791697/total-laparoscopic-hysterectomy-in-the-setting-of-prior-bilateral-renal-transplant-a-case-report-and-review-of-the-literature
#20
Nupur Tamhane, Entidhar Al Sawah, Emad Mikhail
In recent years, more women are undergoing renal transplantation as a treatment for end-stage renal disease. Women with kidney transplants are prone to certain gynecologic issues which might necessitate hysterectomy. Laparoscopic hysterectomy can safely be performed in patients with prior unilateral or bilateral renal transplantation. Laparoscopy offers magnification of anatomy, decreased wound-related problems, and continuation of immunosuppression therapy. We present a case report and review of the literature for total laparoscopic hysterectomy and bilateral salpingectomy for a patient with prior bilateral renal transplant...
June 1, 2018: Surgical Technology International
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