keyword
https://read.qxmd.com/read/38528094/surgical-impact-of-bilateral-transient-occlusion-of-uterine-and-utero-ovarian-arteries-during-laparoscopic-myomectomy
#1
JOURNAL ARTICLE
Enrique Moratalla-Bartolomé, Jesús Lázaro-de-la-Fuente, Irene López-Carrasco, Elena Cabezas-López, Jose Carugno, Javier Sancho-Sauco, Irene Pelayo-Delgado
The objective of this article is to compare the amount of intraoperative blood loss during laparoscopic myomectomy when performing bilateral transient clamping of the uterine and utero-ovarian arteries versus no intervention. It´s a randomized controlled prospective study carried out in the Department of Obstetrics and Gynecology Ramón y Cajal University Hospital and HM Montepríncipe-Sanchinarro University Hospital, Madrid, Spain, in women with fibroid uterus undergoing laparoscopic myomectomy...
March 25, 2024: Scientific Reports
https://read.qxmd.com/read/38521514/pyomyoma-after-caesarean-section-a-rare-entity
#2
JOURNAL ARTICLE
Sujata Siwatch, Rashmi Bagga, Tulika Singh, Gaurav Khastgir
Pyomyoma, a rare complication of a myoma undergoing infarction and subsequent infection, may be a diagnostic challenge in patients with unexplained puerperal fever. A woman in her 30s presented with fever and foul-smelling discharge per vaginum, 6 months after her first caesarean section (CS). She underwent an elective CS for symptomatic placenta praevia at 34 weeks of gestation. Intra-operatively, post-partum haemorrhage was managed with uterotonics and blood transfusions. However, 2 weeks later, she developed a high-grade fever that was non-responsive to parenteral antibiotics...
March 22, 2024: BMJ Case Reports
https://read.qxmd.com/read/38520272/impact-of-trainees-involvement-on-surgical-outcomes-of-abdominal-and-laparoscopic-myomectomy
#3
JOURNAL ARTICLE
Olga M Fajardo, Ekaterina Grebenyuk, Katherine F Chaves, Zhiguo Zhao, Tan Ding, Howard L Curlin, Lara F B Harvey
BACKGROUND: To determine the association of trainees involvement with surgical outcomes of abdominal and laparoscopic myomectomy including operative time, rate of transfusion, and complications. METHODS: A retrospective cohort study of 1145 patients who underwent an abdominal or laparoscopic myomectomy from 2008-2012 using the American College of Surgeons National Surgical Quality Improvement Program database (Canadian Task Force Classification II-2). RESULTS: Overall, 64% of myomectomies involved trainees...
December 2024: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://read.qxmd.com/read/38493828/laparoscopic-multibipolar-radiofrequency-myolysis-for-symptomatic-myomas-in-10-steps
#4
JOURNAL ARTICLE
Raphael Niddam, Antoine Netter, Blandine Courbière, Aubert Agostini, Laura Miquel
OBJECTIVE: To describe a minimal invasive 10-step technique of laparoscopic multibipolar radiofrequency myolysis for symptomatic myomas. DESIGN: A step-by-step video demonstration of the technique SETTING: A woman with symptomatic FIGO 5 myoma of 60 mm of diameter, confirmed by magnetic resonance imaging. The patient included in this video gave consent for publication of the video and posting of the video online including social media, the journal website, scientific literature websites (such as PubMed, ScienceDirect, Scopus, etc...
March 15, 2024: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/38489723/recurrence-complicated-with-peritoneal-dissemination-after-single-port-gasless-myomectomy-for-cellular-uterine-leiomyoma-a-case-report-and-literature-review
#5
JOURNAL ARTICLE
Yuanyuan Hu, Tongfu Feng
RATIONALE: Cellular uterine leiomyomas (CL) represent the prevailing subtype among uterine leiomyomas. In this study, we report a case of recurrent peritoneal disseminated uterine fibroids 2 years after single-port laparoscopic gasless myomectomy. This article endeavors to examine the potential limitations of the aforementioned surgical procedure and outline the distinguishing features of recurrent cases with primary postoperative pathology as CL. Additionally, it aims to provide a summary of previous retrospective studies on CL and propose the existence of immunohistochemical molecules that may serve as predictors for the postoperative recurrence of cellular uterine fibroids...
March 15, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38469790/gardnerella-vaginalis-bacteremia-in-a-pregnant-woman-with-vaginal-myomectomy
#6
Peng-Peng Tian, Wen Fan, Li-Sha Zhu, Hua-Wei Yi
BACKGROUND: This case involves a 28-year-old pregnant woman (39w+2) who was admitted to obstetrics due to abdominal tightness and bacteremia with Gardnerella vaginalis which developed after caesarean section and vaginal myomectomy. METHODS: A blood culture was performed, and the bacteria were identified through mass spectrometry. RESULTS: Mass spectrometry data indicated that the infection bacteria were Gardnerella vaginalis. The patient's temperature returned to normal after oral ampicillin in combination with clindamycin...
March 1, 2024: Clinical Laboratory
https://read.qxmd.com/read/38463091/a-case-report-intravenous-leiomyomatosis-extending-from-the-uterus-to-the-right-atrium
#7
Hicham Ziani, Nora El Idrissi Jallal, Yassir Lahbabi, Zakariae Slaihi, Sophia Lahbabi, Nezha Oudghiri, Rajae Tachinante
INTRODUCTION AND IMPORTANCE: Intra veinous leiomyomatosis (IVL) is one pathology of a known group of ectopic leiomyomatosis that gathers many entities all defined by the presence of benign tumours arising from uterine smooth muscle cells. The authors aim through this case report to address the underdiagnosis of IVL in pre-menopausal women and the potential confusion with other cardiac tumours. CASE PRESENTATION: A 48-year-old woman initially treated for a suspected intracardiac myxoma underwent two surgeries...
March 2024: Annals of Medicine and Surgery
https://read.qxmd.com/read/38458810/laparoscopic-continuous-seromuscular-circumsuture-for-myomectomy-a-real-world-retrospective-east-asian-cohort-study
#8
JOURNAL ARTICLE
Xueqin Shi, Han Wu, Jinmei Liu, Jianhua Zhu, Linyan Zhang
OBJECTIVE: This study aimed to introduce a novel laparoscopic haemostasis for myomectomy and investigate the independent risk factors for uterine fibroid recurrence. DESIGN: A retrospective cohort study. SETTING: Following strengthening the reporting of observational studies in epidemiology (STROBE) criteria, a retrospective study of prospectively collected available data of the consecutive patients who underwent the myomectomy in the department of obstetrics and gynaecology of the single centre between February 2018 and December 2020...
March 8, 2024: BMJ Open
https://read.qxmd.com/read/38458270/the-value-of-using-patient-specific-3d-printed-anatomical-models-in-surgical-planning-for-patients-with-complex-multifibroid-uteri
#9
JOURNAL ARTICLE
Teresa E Flaxman, Carly M Cooke, Olivier X Miguel, Adnan Sheikh, Matthew McInnes, Shauna Duigenan, Sukhbir Sony Singh
OBJECTIVE: To compare surgeon responses regarding their surgical plan before and after receiving a patient-specific 3D-printed model of a patient's multifibroid uterus created from their magnetic resonance imaging (MRI). METHODS: 3D printed models were derived from standard-of-care pelvic MRI of patients scheduled for surgical intervention for multifibroid uterus. Relevant anatomical structures were printed using a combination of transparent and opaque resin types...
March 6, 2024: Journal of Obstetrics and Gynaecology Canada: JOGC
https://read.qxmd.com/read/38458035/risk-factors-for-placenta-accreta-spectrum-in-pregnancies-conceived-after-frozen-thawed-embryo-transfer-in-a-hormone-replacement-cycle
#10
JOURNAL ARTICLE
Tomoyuki Fujita, Toshiyuki Yoshizato, Hiroshi Mitao, Takuya Shimomura, Takeshi Kuramoto, Hitoshi Obara, Hiroshi Ide, Fumitoshi Koga, Kayoko Kojima, Mari Nomiyama, Mayumi Fukagawa, Yumi Nagata, Atsushi Tanaka, Hiroyuki Yuki, Takafumi Utsunomiya, Hidehiko Matsubayashi, Chikahiro Oka, Kohji Yano, Masahide Shiotani, Masaru Fukuda, Hiromi Hirai, Tatsuyuki Kakuma, Kimio Ushijima
OBJECTIVE: Assisted reproductive technology (ART), especially frozen-thawed embryo transfer (FET) in a hormone replacement cycle (HRC), is a risk factor for placenta accreta spectrum (PAS). This study aimed to clarify the risk factors for PAS related to the maternal background and ART techniques in pregnancies achieved after FET in an HRC. STUDY DESIGN: We performed a case-control study in two tertiary perinatal centres in Japan. Among 14,028 patients who delivered at ≥24 weeks of gestation or were transferred after delivery to two tertiary perinatal centres between 2010 and 2021, 972 conceived with ART and 13,056 conceived without ART...
February 28, 2024: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://read.qxmd.com/read/38457586/silent-uterine-rupture-in-the-term-pregnancy-three-case-reports
#11
JOURNAL ARTICLE
Lei Chen, Hao Li, Jing Peng, Min Li, Ying Wang, Kai Zhao, Lijun Yang, Yun Zhao
RATIONALE: Uterine rupture is extremely hazardous to both mothers and infants. Diagnosing silent uterine rupture in pregnant women without uterine contractions is challenging due to the presence of nonspecific symptoms, signs, and laboratory indicators. Therefore, it is crucial to identify the elevated risks associated with silent uterine rupture. PATIENT CONCERNS: on admission, case 1 was at 37 gestational weeks, having undergo laparoscopic transabdominal cerclage 8 months prior to the in vitro fertilization embryo transfer procedure, case 2 was at 38 4/7 gestational weeks with a history of 5 previous artificial abortion and 2 previous vaginal deliveries, case 3 was at 37 6/7 gestational weeks with a history of laparoscopic myomectomy...
March 8, 2024: Medicine (Baltimore)
https://read.qxmd.com/read/38453041/uterine-fibroid-related-infertility-mechanisms-and-management
#12
REVIEW
Jacques Donnez, Hugh S Taylor, Louis Marcellin, Marie-Madeleine Dolmans
Fibroids are a common pathology and increasingly observed in women seeking medical treatment for infertility. The longer reproductive horizon thanks to improvements in medical care and current trend for women to postpone childbearing are making fibroid-related infertility increasingly common. The aim of this review is to critically analyze: 1) The link between uterine fibroids and infertility 2) Mechanisms by which uterine fibroids may impair fertility 3) Management of myoma-related infertility. The association of fibroids with infertility is a source of controversy...
March 5, 2024: Fertility and Sterility
https://read.qxmd.com/read/38446503/robot-assisted-laparoscopic-surgery-in-gynaecology-an-evolving-assistive-technology
#13
REVIEW
Siwen Xie, Thomas Charles Wood, Prokar Dasgupta, Abdullatif Aydin
Laparoscopic surgery is extensively utilized to treat a range of gynaecological conditions and pathologies. The advantages of laparoscopic surgery include the minimalization of blood loss and scarring, improved recovery times, and shorter hospital admissions. However, robotic technologies have had an increasing presence within gynaecological laparoscopic surgery in recent decades. This literature review therefore aims to discuss laparoscopy from 3 perspectives. First, the evolution of laparoscopy is reviewed with a focus on its origins, its transition from a diagnostic to an operative tool, and its role in present-day gynaecology...
March 6, 2024: Surgical Innovation
https://read.qxmd.com/read/38445464/laparoscopic-myomectomy-videos-on-websurg-and-youtube-does-peer-review-process-make-a-difference
#14
JOURNAL ARTICLE
Sultan Can, Fatih Aktoz
OBJECTIVE: This study aimed to evaluate the quality of laparoscopic myomectomy videos on YouTube and WebSurg. MATERIAL AND METHODS: We searched using the keyword "laparoscopic myomectomy" on WebSurg and selected surgical interventions in the gynecology section. Eleven videos on WebSurg were enrolled. We selected the 22 most-relevant videos on YouTube to create a comparison group, with a ratio of 1:2. Sound in videos, number of subscribers, views, likes, and comments, number of days since videos were uploaded and durations of videos were recorded...
March 6, 2024: Journal of the Turkish German Gynecological Association
https://read.qxmd.com/read/38441600/periostin-s-role-in-uterine-leiomyoma-development-a-mini-review-on-the-potential-periostin-poses-as-a-pharmacological-intervention-for-uterine-leiomyoma
#15
REVIEW
Zahra G Kiesler, Mark I Hunter, Ahmed Z Balboula, Amanda L Patterson
Uterine leiomyomas, also known as fibroids or myomas, occur in an estimated 70-80% of reproductive aged women. Many experience debilitating symptoms including pelvic pain, abnormal uterine bleeding (AUB), dyspareunia, dysmenorrhea, and infertility. Current treatment options are limited in preserving fertility, with many opting for sterilizing hysterectomy as a form of treatment. Currently, surgical interventions include hysterectomy, myomectomy, and uterine artery embolization in addition to endometrial ablation to control AUB...
March 5, 2024: Archives of Gynecology and Obstetrics
https://read.qxmd.com/read/38438176/gynecological-sarcomas-surgical-management-primary-metastatic-and-recurrent-disease
#16
REVIEW
Gwenael Ferron, Guillaume Bataillon, Alejandra Martinez, Frederic Chibon, Thibaud Valentin
Adult-type gynecological soft tissue and visceral sarcomas are rare tumors, with an estimated incidence of 13% of all sarcomas and 4% of all gynecological malignancies. They most often develop in the uterus (83%), followed by the ovaries (8%), vulva and vagina (5%), and other gynecological organs (2%). The objective of this review is to provide an overview of the current management of gynecological sarcomas, according to international guidelines. The management of gynecological sarcomas should follow the recommendations for the management of soft tissue and visceral sarcomas...
March 4, 2024: International Journal of Gynecological Cancer
https://read.qxmd.com/read/38437978/determination-of-whole-blood-loss-from-minimally-invasive-myomectomy-using-a-standardized-formula-a-pilot-study
#17
JOURNAL ARTICLE
Marisa Gigg, Kathryn Goldrath, Alexandra Havard, Anissa V Nguyen, Lorna Kwan, Ram Parvataneni, Sukrant Mehta, Alexander Chiang, Valentina Rodriguez, Jacqueline Fahey
STUDY OBJECTIVE: To determine the median perioperative blood loss (PBL) during minimally invasive surgical (MIS) myomectomy. DESIGN: Prospective pilot study. SETTING: Large academic teaching hospital. PATIENTS: 31 patients underwent laparoscopic or robotic myomectomy and completed a postoperative complete blood count (CBC) from November 2020 to August 2022. Patients had to have at least one fibroid greater than or equal to 3 cm on preoperative imaging...
March 2, 2024: Journal of Minimally Invasive Gynecology
https://read.qxmd.com/read/38434133/robotic-surgery-in-gynaecology-a-retrospective-evaluation-of-an-experience-at-a-single-centre
#18
JOURNAL ARTICLE
Mayadevi Kurup, Suguna Bidarahalli, Surya Jayaram
OBJECTIVE: The aim of this research was to assess the role of robotics and its outcome in gynaecology both in benign and malignant cases in a single centre and provide a critical evaluation of possible advantages of robot assisted surgeries from surgeons' point of view. DESIGN: A single centre, retrospective observational study. POPULATION: All women who underwent robotic gynaecological surgeries between 2015 and 2022. METHODS: The Da Vinci Si™ robotic system was used for these surgeries performed by all surgeons at our quaternary care centre, and data were acquired retrospectively through electronic medical records...
February 2024: Journal of Obstetrics and Gynaecology of India
https://read.qxmd.com/read/38431184/functional-evidence-for-two-distinct-mechanisms-of-action-of-progesterone-and-selective-progesterone-receptor-modulator-on-uterine-leiomyomas
#19
JOURNAL ARTICLE
Gabriela Milewska, Donata Ponikwicka-Tyszko, Piotr Bernaczyk, Oana Lupu, Michal Szamatowicz, Maria Sztachelska, Agata Pilaszewicz-Puza, Mariusz Koda, Tomasz Bielawski, Monika Zbucka-Kretowska, Adam Pawelczyk, Jakub Tomaszewski, Xiangdong Li, Ilpo Huhtaniemi, Slawomir Wolczynski, Nafis A Rahman
OBJECTIVE: To study the specific mechanisms through which progesterone and selective progesterone receptor modulators impact the growth and synthesis/accumulation of the extracellular matrix in uterine leiomyomas. DESIGN: Laboratory study. SETTING: Academic Research Institutions. PATIENTS (S): This study involved reproductive-age women diagnosed with infertility-associated uterine leiomyomas, who underwent myomectomy either after selective progesterone receptor modulator ulipristal acetate treatment or without any pharmacological pre-treatment...
February 29, 2024: Fertility and Sterility
https://read.qxmd.com/read/38422502/pregnancy-outcomes-after-laparoscopic-radiofrequency-ablation-of-uterine-leiomyomas-compared-with-myomectomy
#20
JOURNAL ARTICLE
Antoinette Allen, Michael Schembri, Ram Parvataneni, L Elaine Waetjen, Shira Varon, Naghmeh Salamat-Saberi, Shawn Tassone, Nicole Williams, Kimberly A Kho, Vanessa L Jacoby
OBJECTIVE: To compare pregnancy outcomes after laparoscopic radiofrequency ablation and myomectomy. METHODS: The ULTRA (Uterine Leiomyoma Treatment With Radiofrequency Ablation) study is an ongoing multicenter prospective cohort study with longitudinal follow-up up to 5 years comparing outcomes of radiofrequency ablation with myomectomy in premenopausal women older than age 21 years with symptomatic uterine leiomyomas. Participants were queried every 6 months after surgery to assess the incidence of pregnancy and pregnancy outcomes...
March 1, 2024: Obstetrics and Gynecology
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