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Endometriosis laparoscopy

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https://www.readbyqxmd.com/read/29046621/applying-a-statistical-method-in-transvaginal-ultrasound-training-lessons-from-the-learning-curve-cumulative-summation-test-lc-cusum-for-endometriosis-mapping
#1
Vered H Eisenberg, Juan L Alcazar, Nissim Arbib, Eyal Schiff, Reuven Achiron, Motti Goldenberg, David Soriano
BACKGROUND: Methods available for assessing the learning curve, such as a predefined number of procedures or direct mentoring are lacking. Our aim was to describe the use of a statistical method to identify the minimal training length of an experienced sonographer, newly trained in deep infiltrating endometriosis (DIE) mapping by evaluating the learning curve of transvaginal ultrasound (TVUS) in the preoperative assessment of endometriosis. METHODS: A retrospective study in a tertiary referral center for endometriosis...
2017: Gynecological Surgery
https://www.readbyqxmd.com/read/29039055/treatment-patterns-complications-and-health-care-utilization-among-endometriosis-patients-undergoing-a-laparoscopy-or-a-hysterectomy-a-retrospective-claims-analysis
#2
Eric S Surrey, Ahmed M Soliman, Hongbo Yang, Ella Xiaoyan Du, Bowdoin Su
INTRODUCTION: Hysterectomy and laparoscopy are common surgical procedures used for the treatment of endometriosis. This study compares outcomes for women who received either procedure within the first year post initial surgery. METHODS: The study used data from the Truven Health MarketScan claims databases from 2004 to 2013 to identify women aged 18-49 years who received an endometriosis-related laparoscopy or hysterectomy. Patients were excluded if they did not have continuous insurance coverage from 1 year before through 1 year after their endometriosis-related procedure, if they were diagnosed with uterine fibroids prior to or on the date of surgery (i...
October 16, 2017: Advances in Therapy
https://www.readbyqxmd.com/read/29032252/a-comparison-of-industry-leading-energy-devices-for-use-in-gynecologic-laparoscopy-articulating-enseal-versus-ligasure-energy-devices
#3
Linda-Dalal J Shiber, Daniel N Ginn, Ambareen Jan, Jeremy T Gaskins, Shan M Biscette, Resad Pasic
OBJECTIVE: To compare two laparoscopic bipolar electrosurgical devices used in total laparoscopic hysterectomy (TLH). An articulating advanced bipolar device (ENSEAL® G2, Ethicon) and an electrothermal bipolar vessel sealer (LigasureTM, Covidien) were analyzed for difference in surgeon perception of ease of instrument use and workload using the raw-Task Load Index (RTLX) scale. Secondarily, differences in operative time, estimated blood loss (EBL), and perioperative complication rates between the two devices were examined...
October 12, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29031678/ileum-endometriosis-a-cause-of-bowel-obstruction
#4
Rodrigo Nobrega Barbosa, Marina Paula Andres, Rosanne Marie Kho, Mauricio Simões Abrão
Bowel endometriosis can affect the ileum in 2-16% of women with endometriosis. Here we report a 37-year-old women with complaints of metrorrhagia, dysmenorrhea, noncyclic pelvic pain, and cyclic constipation for 10 years. Transvaginal ultrasound showed an ileum nodule compromising the muscular layer suggestive of endometriosis. At laparoscopy, it was observed two small lesions in ileum causing a severe horseshoe retraction of the small bowel submitted to surgery. Patient was submitted to enterectomy with complete resolution of symptoms...
October 11, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29028285/trends-in-the-incidence-rate-type-and-treatment-of-surgically-verified-endometriosis-a-nationwide-cohort-study
#5
Liisu Saavalainen, Tuulia Tikka, Anna But, Mika Gissler, Jari Haukka, Aila Tiitinen, Päivi Härkki, Oskari Heikinheimo
To study the trends in incidence rate, type and surgical treatment, and patient characteristics of surgically verified endometriosis during 1987-2012 MATERIAL AND METHODS: This is a register-based cohort study. We identified women receiving their first diagnosis of endometriosis in surgery from the Finnish Hospital Discharge Register (FHDR). Quality of the FHDR records was assessed bidirectionally. The age-standardized incidence rates of the first surgically verified endometriosis was assessed by calendar year RESULTS: The cohort comprises 49 956 women...
October 13, 2017: Acta Obstetricia et Gynecologica Scandinavica
https://www.readbyqxmd.com/read/29024840/a-case-report-of-endometriosis-presenting-as-an-acute-small-bowel-obstruction
#6
Daniel L Chan, Dorothy Chua, Praveen Ravindran, Marisol Perez Cerdeira, Isabella Mor
INTRODUCTION: Endometriosis is a common and benign condition that causes significant morbidity to women of childbearing age. It uncommonly affects the gastrointestinal tract and rarely manifests as an acute small bowel obstruction. PRESENTATION OF CASE: A 46-year old female presented to the emergency department with signs and symptoms consistent with an acute small bowel obstruction. She had a paucity of background surgical history, having only had a laparoscopic cholecystectomy...
October 5, 2017: International Journal of Surgery Case Reports
https://www.readbyqxmd.com/read/28990723/mri-findings-in-deep-infiltrating-endometriosis-a-pictorial-essay
#7
Anitha L Thalluri, Steven Knox, Thi Nguyen
Endometriosis is an important gynaecological disorder which can impact significantly on an individual's quality of life and has major implications on fertility. Deep infiltrating endometriosis is a severe form of endometriosis which can cause obliteration of anatomic compartments. Laparoscopy remains the gold standard for diagnosis of endometriosis, although is an invasive procedure that has the potential to be hindered by obliterative disease. Ultrasound is often employed as the first-line imaging modality when endometriosis is suspected, however, MRI is more accurate in assessment of complex disease...
October 9, 2017: Journal of Medical Imaging and Radiation Oncology
https://www.readbyqxmd.com/read/28980317/systematic-review-and-meta-analysis-of-the-effect-of-bipolar-electrocoagulation-during-laparoscopic-ovarian-endometrioma-stripping-on-ovarian-reserve
#8
REVIEW
Paula Deckers, Sérgio Conti Ribeiro, Ricardo Dos Santos Simões, Camila Barião da Fonseca Miyahara, Edmund Chada Baracat
BACKGROUND: Laparoscopic stripping is the gold-standard treatment for ovarian endometriosis. The choice of hemostasis method might affect ovarian reserve. OBJECTIVES: To determine whether bipolar electrocoagulation is more detrimental to ovarian reserve than non-thermal hemostasis methods. SEARCH STRATEGY: Entry terms associated with the MeSH terms "endometrioma," "laparoscopy," and "ovarian reserve" were used to search databases for articles published up to April 3, 2017, in English, Spanish, Portuguese, French, and Italian...
October 5, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28979769/single-incision-laparoscopic-surgery-in-gynecologic-surgery-a-single-institutional-experience-from-saudi-arabia
#9
Kareemah Salamah, Mohammed Abuzaid, Ahmed Abu-Zaid
Background: Laparoscopy is rapidly replacing laparotomy in the field of gynecologic surgery. Generally, there are limited data concerning the utility of single-incision laparoscopic surgery (SILS) in gynecologic surgery. Specifically, in Saudi Arabia, a third-world country, data are further limited; only one related study has been conducted so far. The purpose of this study is to retrospectively report our single-institutional experience of SILS in terms of feasibility, safety and perioperative outcomes in the management of various gynecologic conditions...
2017: F1000Research
https://www.readbyqxmd.com/read/28964962/combined-laparoscopic-and-cystoscopic-approach-in-large-deep-infiltrating-endometriosis-of-the-bladder
#10
J-C Millochau, E Stochino-Loi, G Defortescu, B Darwish, H Roman
Resection of endometriosis nodules infiltrating the bladder is routinely performed by laparoscopy. However, laparoscopic resection may lead to inadvertent loss of healthy bladder tissue. Conversely, when bladder nodules are treated by cystoscopy alone, resection may be incomplete. A combined laparoscopic-cystoscopic approach allows safe and controlled resection. The video reports the procedure performed in a 33 year-old primipara who presented with a 40mm bladder nodule. The laparoscopic step is carried out by the gynecologist, who separates the bladder from the uterus and opens the vesico-vaginal space...
September 28, 2017: Journal of gynecology obstetrics and human reproduction
https://www.readbyqxmd.com/read/28952173/impact-of-endometriosis-on-risk-of-further-gynaecological-surgery-and-cancer-a-national-cohort-study
#11
L Saraswat, D Ayansina, K G Cooper, S Bhattacharya, A W Horne, S Bhattacharya
OBJECTIVE: To evaluate the long-term risk of further gynaecological surgery and cancer in women with endometriosis. DESIGN: Cohort study. SETTING: Scotland. PARTICIPANTS: 281 937 women with nearly 5 million person years (4 923 628) of follow up from 1981 to 2010. METHODS: In this national population-based study we compared 17 834 women with a new surgical diagnosis of endometriosis with 83 303 women with no evidence of endometriosis at laparoscopy, 162 966 women who underwent laparoscopic sterilisation, and 17 834 age-matched women from the general population...
September 27, 2017: BJOG: An International Journal of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/28925754/plasma-urocortin-1-as-a-preoperative-marker-of-endometriosis-in-symptomatic-women
#12
Laura M Maia, Ana L Rocha, Helen L Del Puerto, Felice Petraglia, Fernando M Reis
Accurate noninvasive diagnostic tests for endometriosis are still missing. This study evaluated the predictive value of the neuropeptide urocortin 1 (Ucn1) to detect pelvic endometriosis in symptomatic women. We enrolled prospectively 97 consecutive women submitted to gynecologic laparoscopy for chronic or acute pelvic pain, infertility or adnexal mass. Preoperative blood samples were assayed for Ucn1 using enzyme immunoassay. Patients with endometriosis had higher plasma Ucn1 levels compared to patients with no lesions (median 59 vs...
September 19, 2017: Gynecological Endocrinology
https://www.readbyqxmd.com/read/28890178/prevalence-of-endometriosis-and-its-symptoms-among-young-jordanian-women-with-chronic-pelvic-pain-refractory-to-conventional-therapy
#13
Moamar Al-Jefout, Nedal Alnawaiseh, Samer Yaghi, Ameen Alqaisi
OBJECTIVE: This study sought to explore the prevalence and clinical manifestations of endometriosis in young women with chronic pelvic pain (CPP) refractory to conventional medical therapy. METHODS: This prospective clinical interventional study was conducted in two general and private hospitals in the city of Al-Karak in Jordan. A total of 28 female patients aged ≤21 who had CPP refractory to conventional medical therapy were recruited during the years 2010-2014...
September 7, 2017: Journal of Obstetrics and Gynaecology Canada: JOGC, Journal D'obstétrique et Gynécologie du Canada: JOGC
https://www.readbyqxmd.com/read/28882922/rectal-water-contrast-transvaginal-ultrasound-versus-double-contrast-barium-enema-in-the-diagnosis-of-bowel-endometriosis
#14
Jipeng Jiang, Ying Liu, Kun Wang, Xixiang Wu, Ying Tang
OBJECTIVES: The aim of study was to compare the accuracy between rectal water contrast transvaginal ultrasound (RWC-TVS) and double-contrast barium enema (DCBE) in evaluating the bowel endometriosis presence as well as its extent. DESIGN AND SETTING: 198 patients at reproductive age with suspicious bowel endometriosis were included. Physicians in two groups specialised at endometriosis performed RWC-TVS as well as DCBE before laparoscopy and both groups were blinded to other groups' results...
September 7, 2017: BMJ Open
https://www.readbyqxmd.com/read/28873380/the-endometriosis-fertility-index-is-useful-for-predicting-the-ability-to-conceive-without-assisted-reproductive-technology-treatment-after-laparoscopic-surgery-regardless-of-endometriosis
#15
Rutsuko Hobo, Koji Nakagawa, Chie Usui, Rie Sugiyama, Nao Ino, Hiroshi Motoyama, Yasushi Kuribayashi, Masato Inoue, Rikikazu Sugiyama
OBJECTIVE: The endometriosis fertility index (EFI) is a novel index for predicting pregnancy after surgery. We investigated the utility of the EFI for predicting the ability to conceive without assisted reproductive technology (ART) treatment after laparoscopic surgery. METHODS: From July 2011 through December 2012, we recruited 133 infertile patients who underwent laparoscopy, and the EFI was calculated. After surgery, 55 of 133 achieved pregnancy without ART treatment...
September 6, 2017: Gynecologic and Obstetric Investigation
https://www.readbyqxmd.com/read/28807809/paraureteral-endometriosis-with-bilateral-gross-hydroureters-and-left-renal-compromise
#16
Arnaud Wattiez, Razan Nasir
Deep endometriosis is usually defined as endometriosis infiltrating the peritoneum by >5 mm. It sometimes involves the ureter causing hydronephrosis in 5% of cases. The latter is associated with 18% ureteral lesions. Ureteral endometriosis is one of the rare causes of silent Kidney failure. The ureter obstruction can lead to urinary tract obstruction, hydronephrosis and hydroureters. The ureters are usually compressed externally by the endometriotic lesions surrounding it causing extrinsic ureteral endometriosis, and sometimes by pressure from the bulky adenomyotic uterus with paraureteral fibrosis...
August 11, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28807807/in-vitro-fertilization-ivf-success-rates-after-surgically-treated-endometriosis-and-effect-of-time-interval-between-surgery-and-ivf
#17
Basheer AlKudmani, Itai Gat, Danielle Buell, Joveriyah Salman, Khaled Zohni, Clifford Librach, Prati Sharma
STUDY OBJECTIVE: To evaluate the impact of endometriosis staging and endometriomas on IVF outcome and to assess the optimal time interval between laparoscopy and IVF. DESIGN: Retrospective clinical study. DESIGN CLASSIFICATION: II1 SETTING: University affiliated private infertility clinic PATIENTS: 216 infertile patients with endometriosis and 209 infertile patients without endometriosis. INTERVENTIONS: Laparoscopy, In Vitro Fertilization (IVF)...
August 11, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28802956/magnetic-resonance-imaging-compared-with-rectal-endoscopic-sonography-for-the-prediction-of-infiltration-depth-in-colorectal-endometriosis
#18
Arane Kim, Pedro Fernandez, Brigitte Martin, Laurent Palazzo, Lara Ribeiro-Parenti, Francine Walker, Margot Bucau, Dominique Luton, Carmen Chis, Martin Koskas
STUDY OBJECTIVE: To compare the accuracies of magnetic resonance imaging (MRI) and rectal endoscopic sonography (RES) in the prediction of the infiltration depth of colorectal endometriosis. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: University teaching hospital. PATIENTS: Forty patients with symptomatic deep infiltrating endometriosis (DIE) of the rectum who underwent colorectal resection were included...
August 9, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28761446/characteristics-of-human-endometrium-derived-mesenchymal-stem-cells-and-their-tropism-to-endometriosis
#19
Yan Cheng, Liru Li, Dejun Wang, Qiuyan Guo, Yanan He, Tian Liang, Liyuan Sun, Xiaojun Wang, Yulei Cheng, Guangmei Zhang
Human endometrial tissue has become an attractive source of mesenchymal stem cells (MSCs) for cell-based therapies because these MSCs can be easily harvested and have tumour tropism as well as reduced immunogenic and inflammatory properties. Our study aimed to obtain and characterise human endometrial mesenchymal stem cells (EMSCs) and assess their endometriosis tropism. EMSCs were successfully isolated from the endometrium of women undergoing laparoscopy for idiopathic infertility. The EMSCs presented a fibroblast-like morphology during culture...
2017: Stem Cells International
https://www.readbyqxmd.com/read/28745706/-the-combination-of-endoscopic-techniques-in-the-diagnosis-and-treatment-of-various-forms-of-infertility-in-women
#20
N N Akhundova
AIM: To improve the methods of simultaneous laparoscopy and hysteroscopy for the diagnosis and treatment of various forms of secondary infertility. MATERIAL AND METHODS: 420 women with various forms of infertility were examined and treated at the Caspian Hospital (Institute of Obstetrics and Gynecology). Patients were divided into three groups: tubal-peritoneal infertility - 212 women, different forms of endometriosis - 113 patients, polycystic ovarian disease - 95 women...
2017: Khirurgiia
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