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https://www.readbyqxmd.com/read/29787604/laparoscopic-uterine-surgery-as-a-risk-factor-for-uterine-rupture-during-pregnancy
#1
An-Shine Chao, Yao-Lung Chang, Lan-Yan Yang, Angel Chao, Wei-Yang Chang, Sheng-Yuan Su, Chin-Jung Wang
The incidence of uterine rupture through a previous cesarean scar (CS) is declining as a result of a lower parity and fewer options for vaginal birth after cesarean. However, uterine ruptures attributable to other causes that traumatize the myometrium are on the rise. To determine whether changes in the causes of uterine rupture had occurred in recent years, we retrospective retrieved the clinical records of all singletons with uterine rupture observed in the delivery room of a Taiwanese tertiary obstetric center over a 15-year period...
2018: PloS One
https://www.readbyqxmd.com/read/29780788/successfully-removed-uterine-angioleiomyoma-by-robot-assisted-laparoscopic-myomectomy
#2
Hyunkyung Kim, Jin-Ju Lee, Yonghee Choi, Minkyoung Lee, Hye-Jin Hwang, Youn-Jee Chung, Hyun-Hee Cho, Mee-Ran Kim
Angioleiomyoma is a rare type of leiomyoma variant and there are a few cases reported to date. Herein, we present a case of angioleiomyoma in a 36-year-old woman with lower abdominal pain, initially diagnosed by degenerated uterine leiomyoma. The transvaginal ultrasonogram showed an ovoid-shaped heterogeneously hyperechoic lesion in left cornual site of uterus and pelvic magnetic resonance image showed an about 5.1 cm sized heterogenous T2 intermediate high mass with poor enhancement. The patient underwent a robot-assisted laparoscopic myomectomy, and final histopathologic diagnosis revealed uterine angioleiomyoma...
May 2018: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29780783/doppler-sonography-of-perifibroid-and-intrafibroid-arteries-of-uterine-leiomyomas
#3
Bukunmi Michael Idowu, Bolanle Olubunmi Ibitoye
Objective: To sonographically evaluate the dominant fibroid nodule vascularity and flow velocity pattern of perifibroid and intrafibroid arteries. Methods: We recruited 140 women with uterine fibroids. Their uteri were scanned to determine the vascularity of fibroid nodules and the Doppler indices of the fibroid arteries. Results: The median volume of the dominant leiomyoma nodule was 133 cm3 (range=1.5-2,575 cm3 ). Eighty-three subjects (59...
May 2018: Obstetrics & Gynecology Science
https://www.readbyqxmd.com/read/29778690/vasopressin-during-laparoscopic-myomectomy-does-it-really-extend-its-limits-%C3%A2-%C3%A2-%C3%A2
#4
Athanasios Protopapas, George Giannoulis, Ioannis Chatzipapas, Stavros Athanasiou, Themistoklis Grigoriadis, Nikolaos Kathopoulis, Dimitrios Vlachos, Dimitrios Zaharakis, Dimitrios Loutradis
STUDY OBJECTIVE: Τo investigate whether the use of vasopressin played an important role in the safe expansion of the indications of laparoscopic myomectomy in our practice. DESIGN: A retrospective comparison of prospectively collected data (Canadian Task Force Classification II2) SETTING: A Gynecologic Endoscopy Unit in a Tertiary University Hospital PATIENTS: 150 cases undergoing laparoscopic myomectomy (-ies), of whom 50 treated without the use of any vasoconstrictive agent (group1), and 100 treated with intraoperative intramyometrial injection of dilute vasopressin (20 IU/100mL normal saline) (group 2)...
May 17, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29772408/hysteroscopic-myomectomy-of-a-large-submucosal-leiomyoma-with-novel-use-of-fluid-warming
#5
Tess Chase, Stephanie J Estes
Uterine fibroid size is often considered a limiting factor for considering the surgical approach to myomectomy. In this case, a 35-year-old woman presented with heavy menstrual bleeding and desire for fertility. An ultrasound three months prior could not assess the endometrium and suggested leiomyoma. Magnetic resonance imaging of the pelvis identified a fundal submucosal myoma measuring 6.8 × 7.1 × 3.5 cm. A planned staged hysteroscopic resection of the large submucosal fibroid with intramural component was achieved...
May 14, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29763581/intraoperative-ultrasound-assisted-enucleation-of-residual-fibroids-following-laparoscopic-myomectomy
#6
Yan Hao, Si-Jing Li, Ping Zheng, Xia Wu, Jie Sheng, Dong-Lan Yuan, Qi Zhou, Wei Wei, Ai-Hong Duan, Qing-Qing Wu, Dan Lu
AIM: To investigate if intraoperative ultrasounds by laparoscopic and transvaginal ultrasonography (LUS and TVS) could improve enucleating the residual fibroids following laparoscopic myomectomy (LM). METHODS: From March to December 2016, 78 women with uterine fibroids underwent LM, LUS and TVS were applied to detect residual fibroids and to guide surgeons to enucleate them after the visible fibroids were removed during LM operation. RESULTS: The total number of residual fibroids found by LUS was 140, and the total number found by TVS was 127 following LM (P = 0...
May 12, 2018: Clinica Chimica Acta; International Journal of Clinical Chemistry
https://www.readbyqxmd.com/read/29750955/the-comparing-options-for-management-patient-centered-results-for-uterine-fibroids-compare-uf-registry-rationale-and-design
#7
Elizabeth A Stewart, Barbara L Lytle, Laine Thomas, Ganesa R Wegienka, Vanessa Jacoby, Michael P Diamond, Wanda K Nicholson, Raymond M Anchan, Sateria Venable, Kedra Wallace, Erica E Marsh, George L Maxwell, Bijan J Borah, William H Catherino, Evan R Myers
OBJECTIVE: To design and establish a uterine fibroid (UF) registry based in the United States (US) to provide comparative effectiveness data regarding UF treatment. STUDY DESIGN: We report here the design and initial recruitment for the Comparing Options for Management: Patient-centered Results for Uterine Fibroids (COMPARE-UF) registry (Clinicaltrials.gov, NCT02260752), funded by the Agency for Healthcare Research and Quality (AHRQ) in collaboration with the-Patient-Centered Outcomes Research Institute (PCORI)...
May 8, 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29749137/the-effect-of-diagnosis-related-group-payment-system-on-quality-of-care-in-the-field-of-obstetrics-and-gynecology-among-korean-tertiary-hospitals
#8
Yong Wook Jung, Haeyong Pak, Inha Lee, Eui Hyeok Kim
PURPOSE: To examine changes in clinical practice patterns following the introduction of diagnosis-related groups (DRGs) under the fee-for-service payment system in July 2013 among Korean tertiary hospitals and to evaluate its effect on the quality of hospital care. MATERIALS AND METHODS: Using the 2012-2014 administrative database from National Health Insurance Service claim data, we reviewed medical information for 160400 patients who underwent cesarean sections (C-secs), hysterectomies, or adnexectomies at 43 tertiary hospitals...
June 2018: Yonsei Medical Journal
https://www.readbyqxmd.com/read/29742071/application-of-a-baseball-suture-technique-in-uterine-myomectomy-following-laparoscopic-enucleation-of-uterine-leiomyoma-fibroid
#9
Lingling Xie, Yunyun Liu, Dongyan Wang, Changhao Liu, Hui Zhou, Zhongqiu Lin, Huaiwu Lu
BACKGROUND The aim of this study was to evaluate the safety and efficacy of a 'baseball' suture technique for uterine myomectomy incision closure in laparoscopic surgical enucleation of uterine leiomyoma (fibroid). MATERIAL AND METHODS The study included 20 patients who underwent laparoscopic myomectomy with a 'baseball' suture technique, compared with 20 patients who underwent laparoscopic myomectomy with a standard suture method. Clinical characteristics, perioperative and follow-up data were compared between the two groups...
May 9, 2018: Medical Science Monitor: International Medical Journal of Experimental and Clinical Research
https://www.readbyqxmd.com/read/29740751/a-case-of-ventricular-septal-defect-detected-after-myomectomy-by-intra-operative-transesophageal-echocardiography-in-patient-with-situs-inversus-and-double-chambered-right-ventricle
#10
Ai Kawamura, Koichiro Imai, Teruyoshi Kume, Kazuo Tanemoto, Tomoko Tamada, Hiroshi Okamoto, Shiro Uemura
No abstract text is available yet for this article.
May 8, 2018: Journal of Echocardiography
https://www.readbyqxmd.com/read/29728141/spontaneous-uterine-rupture-and-surgical-repair-at-21-weeks-gestation-with-progression-to-live-birth-a-case-report
#11
Lesley Hawkins, Deborah Robertson, Helena Frecker, Howard Berger, Abheha Satkunaratnam
BACKGROUND: Uterine rupture in the non-laboring uterus is a rare occurrence, which can lead to significant morbidity and mortality for the mother and fetus. Management of this presentation is complex at pre-viable gestations. CASE PRESENTATION: A 35 year old primigravid woman with multiple previous myomectomies presented with spontaneous complete thickness uterine rupture at 21 weeks gestation. A 10 cm myometrial defect and iatrogenic amniotomy were surgically corrected with fetal preservation...
May 4, 2018: BMC Pregnancy and Childbirth
https://www.readbyqxmd.com/read/29725286/leiomyoma-cellulare-in-the-broad-ligament-of-the-uterus
#12
Dobrosława L Sikora-Szczęśniak
There are only two reports on leiomyoma cellulare (LC) in the parametrium that have been published so far. Aim of the study was analysis of two cases of LC in the parametrium diagnosed postoperatively, and review of literature on the subject. Case 1: A 50-year-old patient was operated on for LC located in the right parametrium and concomitant malignant tumour in the right ovary. Leiomyoma cellulare was resected, hysterectomy and bilateral appendectomy performed, and bilateral iliac and obturator lymph nodes excised...
March 2018: Przeglad Menopauzalny, Menopause Review
https://www.readbyqxmd.com/read/29724419/acr-appropriateness-criteria-%C3%A2-radiologic-management-of-uterine-leiomyomas
#13
M-Grace Knuttinen, Gregory Stark, Eric J Hohenwalter, Linda D Bradley, Aaron R Braun, Matthew G Gipson, Charles Y Kim, Jason W Pinchot, Matthew J Scheidt, David M Sella, Clifford R Weiss, Jonathan M Lorenz
Uterine fibroids, also known as leiomyomas, are the most common benign tumor in women of reproductive age. When symptomatic, these patients can present with bleeding and/or bulk-related symptoms. Treatment options for symptomatic uterine leiomyomas include medical management, minimally invasive treatment such as uterine artery embolization, and surgical options, such as myomectomy. It is important to understand the role of these treatment options in various clinical scenarios so that appropriate consultation is performed...
May 2018: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/29693017/prevention-and-management-of-complications-in-laparoscopic-myomectomy
#14
REVIEW
V Tanos, K E Berry, M Frist, R Campo, R L DeWilde
Myomectomy aims to preserve fertility, treat abnormal uterine bleeding, and alleviate pain. It should cause minimal damage to the endometrium, while being tolerable and durable, and reduce the incidence of myoma recurrence and complications including bleeding, hematoma, adhesions, and gravid uterus perforation. Training and experience are crucial to reduce complications. The surgical strategy depends on imaging information on the myomas. The position of the optical and secondary ports will determine the degree of ergonomic surgery performance, time and difficulty of myoma enucleation, and the suturing quality...
2018: BioMed Research International
https://www.readbyqxmd.com/read/29688898/vaginal-myomectomy-to-resolve-bladder-outlet-obstruction-50-years-after-hysterectomy
#15
Shorty Johansson, Rustin Walters, Kaitlyn Mayer, Stuart Shippey
BACKGROUND: Leiomyomas can develop after hysterectomy and, when located in the bladder, can result in voiding dysfunction and incontinence. CASE: Fifty years after a hysterectomy, a 77-year-old woman presented with a 1-year history of urinary retention requiring self-catheterization and bothersome urinary incontinence. Multiple imaging modalities demonstrated a well-circumscribed 2-cm mass abutting the bladder beneath the trigone. After ureteral stent placement, we excised the nonpalpable mass using ultrasound guidance...
April 23, 2018: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/29673678/uterine-rupture-at-33rd-week-of-gestation-after-laparoscopic-myomectomy-with-signs-of-fetal-distress-a-case-report-and-review-of-literature
#16
Hiroyuki Yazawa, Kaoru Takiguchi, Fumihiro Ito, Keiya Fujimori
OBJECTIVE: We describe a case of uterine rupture (UR) during pregnancy after laparoscopic myomectomy (LM) and discuss the risk factors of UR. CASE REPORT: A 37-year-old woman with multiple myomas underwent laparoscopic myomectomy. Subserosal and intramural myomas were enucleated, and the myometrial wounds were repaired with single-layer suturing. Sixteen months after the operation, the patient conceived. At 33 weeks of gestation, emergency cesarean section was performed for the indication of fetal distress...
April 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29673671/a-case-control-study-to-compare-the-outcome-of-women-treated-by-two-minimally-invasive-procedures-ultraminilaparotomy-myomectomy-and-laparoscopic-myomectomy
#17
Kuo-Chang Wen, Pi-Lin Sung, Wen-Hsun Chang, Huann-Cheng Horng, Yi-Jen Chen, Wen-Ling Lee, Peng-Hui Wang
OBJECTIVE: Ultraminilaparotomy myomectomy (UMLT-M with less 4 cm transverse skin incision) and conventional 3-port wound laparoscopic myomectomy (LM) approaches were proposed as alternative minimally invasive procedures in the management of women with symptomatic uterine myomas but few studies have compared the outcomes of both procedures. MATERIALS AND METHODS: Between January 2002 and December 2003, 71 patients undergoing UMLT-M were compared with those 71 women undergoing LM...
April 2018: Taiwanese Journal of Obstetrics & Gynecology
https://www.readbyqxmd.com/read/29670382/clinical-outcomes-and-health-care-utilization-pre-and-post-laparoscopic-radiofrequency-ablation-of-symptomatic-fibroids-and-laparoscopic-myomectomy-a-randomized-trial-of-uterine-sparing-techniques-trust-in-canada
#18
Darrien D Rattray, Laura Weins, Lexy C Regush, James M Bowen, Daria O'Reilly, John A Thiel
Objective: The objective of this study was to compare laparoscopic ultrasound-guided radiofrequency ablation of fibroids (Lap-RFA) and laparoscopic myomectomy in terms of 1) health care utilization and 2) serious complication rates. The secondary objectives were comparison of subject responses to validated symptom and quality-of-life questionnaires. We hypothesized that Lap-RFA health care utilization and clinical outcomes would not be worse than those of laparoscopic myomectomy in the aggregate...
2018: ClinicoEconomics and Outcomes Research: CEOR
https://www.readbyqxmd.com/read/29662607/endom%C3%A3-triome-ombilical-%C3%A3-propos-d%C3%A2-un-cas-et-revue-de-la-litt%C3%A3-rature-umbilical-endometrioma-a-case-report-and-literature-review
#19
Omar Sow, William Valentin, Diouf Cheikh, Barboza Denis, Faye Samba Thiapato, Diallo Ibrahima, Gueye Serigne Modou Kane
Endometriosis is defined as the implantation of endometrial tissue outside of the uterine cavity. It affects approximately 10% of women of childbearing age. Umbilical endometriosis is rare and its pathophysiology is poorly known. We report the case of a 42-year old nulliparous female patient with a 5-year history of myomectomy, presenting with cyclic pain associated with umbilical mass. The diagnosis of umbilical endometrioma was made and confirmed by the histological examination of the surgical specimen. Treatment was based on wide excision of the mass associated with pelvis exploration and umbilical plasty...
2018: Pan African Medical Journal
https://www.readbyqxmd.com/read/29649814/what-is-the-role-of-barbed-suture-in-laparoscopic-myomectomy-a-meta-analysis-and-pregnancy-outcome-evaluation
#20
Barbara Gardella, Mattia Dominoni, Anna Daniela Iacobone, Annalisa De Silvestri, Carmine Tinelli, Stefano Bogliolo, Arsenio Spinillo
BACKGROUND: This work analyzes the feasibility and effectiveness of barbed suture during laparoscopic myomectomy. METHODS: Eight works have been carefully examined for the meta-analysis from all papers published online until November 2017. RESULTS: Barbed suture proved to be superior to traditional suture technique in blood loss in laparoscopic myomectomy (Standardized Mean Difference [SMD] -0.650, 95% CI -1.420 to -0.119, p = 0.098, test for heterogenity p < 0...
April 12, 2018: Gynecologic and Obstetric Investigation
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