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obstetrics,gynecology,minimally invasive surgery

James Dana Kondrup, Frances R Anderson, Melanie Rose Katz
Biosurgical materials (biosurgicals) have a wide array of uses for providing hemostasis, including decreasing the risk of postoperative bleeding and, intraoperatively, controling bleeding. These materials are especially useful in situations where electrocautery, sutures, or clips are not feasible. Biosurgicals have long been used in general surgery and surgical subspecialties to provide hemostasis; however, they still are not commonly used during obstetric and gynecologic procedures. Three commonly used classes of biosurgicals will be discussed in this article: oxidized regenerated cellulose, flowables, fibrin sealants, and fibrin sealant patches...
October 6, 2016: Surgical Technology International
Chyi-Long Lee, Soshi Kusunoki, Kuan-Gen Huang, Kai-Yun Wu, Chen-Yin Huang, Chih-Feng Yen
OBJECTIVE: To assess the long-term outcomes of laparoscopic staging surgery (LSS) in treating patients with endometrial carcinoma. MATERIALS AND METHODS: Patients with endometrial cancer who underwent LSS between June 1995 and June 2014 were prospectively registered. Perioperative data, complications, disease recurrence, and long-term survival were measured. RESULTS: The study included 287 consecutive patients [mean age (± standard deviation), 53±10...
August 2016: Taiwanese Journal of Obstetrics & Gynecology
Satoshi Tamauchi, Hiroaki Kajiyama, Jun Sakata, Ryuichiro Sekiya, Shiro Suzuki, Mika Mizuno, Fumi Utsumi, Kaoru Niimi, Tomomi Kotani, Kiyosumi Shibata, Fumitaka Kikkawa
AIM: Radical trachelectomy (RT) is a widely used fertility-sparing treatment for patients with early cervical cancer (CCA). RT, however, is an investigational treatment, and its gynecological and obstetric efficacy are being investigated. We retrospectively assessed the efficacy of abdominal RT (ART) as a fertility-sparing surgery. METHODS: From 2010 to 2014, patients with stage IA2-IB1 CCA (tumor ≤2 cm) who wished to preserve their fertility underwent ART. The major outcomes were mortality, recurrence, pregnancy complications, and obstetric outcome...
August 16, 2016: Journal of Obstetrics and Gynaecology Research
Burak Zeybek, Andrew M Childress, Gokhan S Kilic, John Y Phelps, Luis D Pacheco, Michele A Carter, Mostafa A Borahay
IMPORTANCE: Obstetricians and gynecologists frequently deal with hemorrhage so they should be familiar with management of patients who refuse blood transfusion. Although there are some reports in the literature about management of Jehovah's Witness patients in obstetrics and gynecology, most of them are case reports, and a comprehensive review about these patients including ethicolegal perspective is lacking. OBJECTIVE: This review outlines the medical, ethical, and legal implications of management of Jehovah's Witness patients in obstetrical and gynecological settings...
August 2016: Obstetrical & Gynecological Survey
Paolo Petruzzelli, Michela Chiadò Fiorio Tin, Stefano Cosma, Silvia Parisi, Anna Garofalo, Tullia Todros
OBJECTIVE: To evaluate the safety, efficacy, and feasibility of a minimally invasive vaginal approach for treating advanced utero-vaginal prolapse. METHODS: A prospective study enrolled consecutive patients attending the Gynecology and Obstetrics Department, Turin University for treatment of Pelvic Organ Prolapse Quantification (POP-Q) stage III of higher symptomatic utero-vaginal prolapse between February 1, 2013 and November 30, 2014. Participants underwent a combined sacrospinous hysteropexy and cystopexy procedure using a single anterior vaginal incision...
October 2016: International Journal of Gynaecology and Obstetrics
Maria E J Leermakers, Noortje Pleunis, Dorry Boll, Ralph H Hermans, Nicole P M Ezendam, Johanna M A Pijnenborg
OBJECTIVES: Vulvar carcinoma is mainly treated surgically and has an overall good prognosis. Despite the development of minimally invasive surgical procedures in recent years, morbidity remains significant. The aim of the study was to determine the incidence and risk factors of erysipelas after surgical treatment for vulvar carcinoma. METHODS: This retrospective observational study was performed within the Comprehensive Cancer Centre South. The study included patients (N = 116) who underwent surgery for primary vulvar carcinoma between 2005 and 2012...
March 2016: International Journal of Gynecological Cancer
Z Maškulíková, M Studničková, D Neubert, R Pilka
OBJECTIVE: To describe first two cases of robotic sacrocolpopexy in the Czech Republic. DESIGN: Two case reports with literature overview. SETTING: Department of Obstetrics and Gynaecology, Faculty of Medicine and Dentistry, Palacky University in Olomouc. CASE REPORT: Robotic sacrocolpopexy was performed in two patients of the age 36 and 59 at the department of obstetrics and gynecology in Olomouc in 2009. We describe vaginal prolapse treatment in one case, and supracervical hysterectomy with cervicosacropexy in the other...
October 2015: Ceská Gynekologie
Tae-Wook Kong, Suk-Joon Chang, Xianling Piao, Jiheum Paek, Yonghee Lee, Eun Ju Lee, Mison Chun, Hee-Sug Ryu
AIM: This study investigates the pattern of disease recurrence and identifies the clinicopathologic prognostic factors for patients with International Federation of Gynecology and Obstetrics (FIGO) stage IB and IIA cervical carcinoma treated with laparoscopic/robotic radical hysterectomy (LRH/RRH). METHODS: We conducted a retrospective analysis of 128 patients with FIGO stage IB and IIA cervical cancer. Preoperative examination did not uncover definitive evidence of parametrial invasion or lymph node metastasis in any of the patients; therefore, all patients underwent LRH/RRH with retroperitoneal lymphadenectomy between April 2006 and December 2013...
January 2016: Journal of Obstetrics and Gynaecology Research
Stefano Uccella, Matteo Bonzini, Stefano Palomba, Francesco Fanfani, Marcello Ceccaroni, Renato Seracchioli, Enrico Vizza, Annamaria Ferrero, Giovanni Roviglione, Paolo Casadio, Giacomo Corrado, Giovanni Scambia, Fabio Ghezzi
OBJECTIVE: To evaluate the impact of obesity on the outcomes of surgical treatment for endometrial cancer in general and also comparing laparoscopic and open abdominal approach. DESIGN: Retrospective case-control study (Canadian Task Force classification II-1). SETTING: Obstetrics and Gynecology Department, University of Insubria, Varese, Catholic University of the Sacred Heart, Rome, International School of Surgical Anatomy, Sacred Heart Hospital, Negrar, and Sant'Orsola-Malpighi Hospital, Bologna, Italy...
January 2016: Journal of Minimally Invasive Gynecology
Saketh R Guntupalli, David W Doo, Michael Guy, Jeanelle Sheeder, Kenan Omurtag, Laxmi Kondapalli, Fidel Valea, Lorie Harper, Tyler M Muffly
OBJECTIVE: To evaluate the perceptions of fellowship program directors of incoming clinical fellows for subspecialty training. METHODS: A validated survey by the American College of Surgeons was modified and distributed to all fellowship program directors in four subspecialties within obstetrics and gynecology: female pelvic medicine and reconstructive surgery, gynecologic oncology, maternal-fetal medicine, and reproductive endocrinology-infertility. The 59-item survey explored five domains concerning preparedness for fellowship: professionalism, independent practice, psychomotor ability, clinical evaluation, and academic scholarship...
September 2015: Obstetrics and Gynecology
Kari L Ring, Pedro T Ramirez, Lesley B Conrad, William Burke, R Wendel Naumann, Mark F Munsell, Michael Frumovitz
OBJECTIVES: To evaluate the role of minimally invasive surgery (MIS) in gynecologic oncology fellowship training and fellows' predictions of their use of MIS in their future practice. METHODS: All fellows-in-training in American Board of Obstetrics and Gynecology-approved training programs were surveyed in 2012 through an online or mailed-paper survey. Data were analyzed and compared to results of a similar 2007 survey. RESULTS: Of 172 fellows, 69 (40%) responded...
July 2015: International Journal of Gynecological Cancer
Susan S Khalil, Hacer Yesim Kural, Steven R Inglis, Khaled Zeitoun
INTRODUCTION: The goal of this study was to assess the effect of the addition of fellowship-trained faculty in minimally invasive gynecologic surgery to a community-based obstetrics and gynecology resident training program in an inner-city location. METHODS: A retrospective chart review was conducted from August 1, 2011, through August 25, 2014, to extract surgical cases covered by gynecology residents in an inner-city community teaching hospital. This includes total and supracervical hysterectomies performed through laparotomy and laparoscopy...
May 2015: Obstetrics and Gynecology
Nancy Zhining Tang, Michele Haughton, Nagaraj Gabbur
INTRODUCTION: Proper patient positioning is paramount to both patient safety and surgical efficacy. In laparoscopic surgery, the patient is subjected to steep Trendelenburg positioning and prolonged surgical times. These are significant risk factors in positioning-related nerve injuries. We developed a workshop integrating a classic didactic curriculum with a simulation component for residents to experience first hand the importance of proper laparoscopic positioning. METHODS: A 10-question preintervention assessment on "Laparoscopic positioning and nerve injury" based on a comprehensive review in the Journal of Minimally Invasive Gynecology was administered to 20 obstetrics and gynecology residents...
May 2015: Obstetrics and Gynecology
Cheruba Prabakar
OBJECTIVE: To investigate patient knowledge and attitudes about surgical approaches in gynecology. METHODS: At an outpatient obstetrics and gynecology triage and clinic of an academic medical center in New York, a questionnaire was administered to 154 patients who were in triage or clinic to receive routine obstetrics and gynecology care. Each participant anonymously completed the institutional review board-approved questionnaire. MEASUREMENTS AND MAIN RESULTS: Ninety percent of respondents were younger than 39 years of age...
May 2015: Obstetrics and Gynecology
A Martan, J Mašata, K Švabík, R El-Haddad, P Hubka, J Krhut
OBJECTIVE: The objective of this study was to evaluate the cure effect of a transurethral injection of Bulkamid® for recurrent female stress and mixed urinary incontinence in women who had undergone failed tape surgery. Our hypothesis was that cure effect of Bulkamid® is positive in patients when previous tape anti-incontinence surgery has been unsuccessful. DESIGN: Retrospective clinical study. SETTINGS: Department of Obstetrics and Gynecology, 1st Medical Faculty, Charles University and General Faculty Hospital in Prague...
January 2015: Ceská Gynekologie
Charles Garabedian, Benjamin Merlot, Lucie Bresson, Emmanuelle Tresch, Fabrice Narducci, Eric Leblanc
OBJECTIVES: The objective of this study was to evaluate the morbidity and the oncologic outcomes of laparoscopic radical hysterectomy in treating early-stage cervical cancer. METHODS: We included all patients with early-stage cervical cancer (IA, IB1, IIA1, and IIB), as assessed by the Federation International of Gynecology and Obstetrics staging criteria, undergoing laparoscopic radical hysterectomy from January 1999 to December 2013 in our center. Morbidity was classified according to the Clavien and Dindo classification...
May 2015: International Journal of Gynecological Cancer
Anna Fagotti, Barbara Costantini, Valerio Gallotta, Stefano Cianci, Carlo Ronsini, Marco Petrillo, Mara Pacciani, Giovanni Scambia, Francesco Fanfani
STUDY OBJECTIVE: To compare the perioperative outcomes of minimally invasive secondary cytoreduction surgery (SCS) plus hyperthermic intraoperative intraperitoneal chemotherapy (HIPEC) versus open surgery plus HIPEC in a group of platinum-sensitive patients with advanced epithelial ovarian cancer (AEOC) with isolated relapse. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, Catholic University of the Sacred Heart, Rome, Italy...
March 2015: Journal of Minimally Invasive Gynecology
Seddigheh Abdollahi Fard, Parvin Mostafa Gharabaghi, Farnaz Montazeri, Omid Mashrabi
BACKGROUND: Hysteroscopy is a safe and high efficient procedure so it is changing to a widespread procedure in dealing with many gynecologic and obstetrical conditions. OBJECTIVE: This study aimed to evaluate the diagnostic and therapeutical efficiency of hysteroscopy in managing the common conditions including abnormal uterine bleeding, abortion and infertility. MATERIALS AND METHODS: This was a descriptive cross-sectional study to compare hysteroscopy as a minimally invasive approach with conventional laparatomy and hysterectomy or repair of mulerian anomalies and watch the uterine cavity for intrauterine pathology in cases of infertility...
July 2012: Iranian Journal of Reproductive Medicine
Charles K Anderson, Erin Medlin, Amber Fontenot Ferriss, Jeanelle Sheeder, Susan Davidson, Ronald Gibbs, Kian Behbakht, Saketh R Guntupalli
OBJECTIVE: To assess the association between the use of gelatin-thrombin matrix and the development of pelvic abscess during hysterectomy as well as factors associated with surgeons' use of this product. METHODS: Data for patients undergoing hysterectomy for obstetric-gynecologic pathology were abstracted from databases at a tertiary hospital between 2009 and 2012. Open and minimally invasive hysterectomies were included and vaginal hysterectomies were excluded...
September 2014: Obstetrics and Gynecology
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