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https://www.readbyqxmd.com/read/29764264/clermont-ferrand-versus-vectec-uterine-manipulator-for-total-laparoscopic-hysterectomy
#1
Selim Misirlioglu, Aysen Boza, Bulent Urman, Cagatay Taskiran
OBJECTIVE: To compare the operation time and performance of two uterine manipulators used for total laparoscopic hysterectomy (TLH). MATERIAL AND METHODS: Design: Retrospective cohort analysis. Design classification: Canadian Task Force Classification II-2. SETTING: Tertiary-care university-based teaching hospital and academic affiliated private hospital. PATIENTS: All consecutive patients who underwent for TLH between January 2014 and June 2017...
May 15, 2018: Minimally Invasive Therapy & Allied Technologies: MITAT
https://www.readbyqxmd.com/read/29723644/transversus-abdominis-plane-block-for-post-hysterectomy-pain-a-systematic-review-and-meta-analysis
#2
REVIEW
Vanessa Bacal, Urvi Rana, Daniel I McIsaac, Innie Chen
The objective of this study was to address the efficacy of transversus abdominis plane (TAP) blocks in pain management among women who undergo elective hysterectomy for benign pathology in both open and minimally invasive surgeries. We performed a systematic review by searching for bibliographic citations from Medline, Embase and Cochrane Library. MeSH headings for TAP blocks and hysterectomy were combined and restricted to the English language. We included RCTs comparing TAP blocks to placebo or no block in patients who underwent elective hysterectomy...
April 30, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29594376/loop-mediated-isothermal-amplification-for-visual-detection-of-vibrio-parahaemolyticus-using-gold-nanoparticles
#3
Cong Kong, Yuan Wang, Essy Kouadio Fodjo, Guang-Xin Yang, Feng Han, Xiao-Sheng Shen
Loop-mediated isothermal amplification (LAMP) eradicates the need of thermocycler in DNA amplification. Signals are usually obtained via fluorometry or turbidimetry, but such methods need improvement in order to become more effortless and reliable. The authors describe a set of six specific primers targeting the species-specific tlh gene of Vibrio parahaemolyticus which were used in accelerated LAMP reaction. Gold nanoparticles (AuNPs) were functionalized with streptavidin (Avidin-AuNPs), and engineered to signal the LAMP reaction...
December 7, 2017: Mikrochimica Acta
https://www.readbyqxmd.com/read/29577776/comparison-of-barbed-unidirectional-suture-with-figure-of-eight-standard-sutures-in-vaginal-cuff-closure-in-total-laparoscopic-hysterectomy
#4
Tolga Karacan, Eser Ozyurek, Taner Usta, Eylem Odacilar, Ulviye Hanli, Ebru Kovalak, Huseyin Dayan
The aim of the study was to compare postoperative vaginal cuff complications due to the use of barbed sutures (V-Loc™ 180 unidirectional suture; Covidien, Mansfield, MA) and standard braided sutures (Vicryl® ; Ethicon Inc., Somerville, MA) during vaginal cuff closure of patients undergoing a total laparoscopic hysterectomy (TLH) due to benign diseases. Eighty-nine patients were in the standard suture group and 208 patients were included in the barbed suture group. Vaginal cuff dehiscence was identified in only three (3...
March 24, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29568254/implementation-of-laparoscopic-hysterectomy-for-endometrial-cancer-over-the-past-decade
#5
Tim Wollinga, Nicole P M Ezendam, Florine A Eggink, Marieke Smink, Dennis van Hamont, Brenda Pijlman, Erik Boss, Elisabeth J Robbe, Huy Ngo, Dorry Boll, Constantijne H Mom, Maaike A van der Aa, Roy F L P Kruitwagen, Hans W Nijman, Johanna M A Pijnenborg
Background: Laparoscopic hysterectomy (LH) for the treatment of early-stage endometrial carcinoma/cancer (EC) has demonstrated to be safe in several randomized controlled trials. Yet, data on implementation of LH in clinical practice are limited. In the present study, implementation of LH for EC was evaluated in a large oncology network in the Netherlands. Results: Retrospectively, a total of 556 EC patients with FIGO stage I-II were registered in the selected years...
2018: Gynecological Surgery
https://www.readbyqxmd.com/read/29568253/feasibility-and-safety-of-total-laparoscopic-hysterectomy-for-huge-uteri-without-the-use-of-uterine-manipulator-description-of-emblematic-cases
#6
Antonio Macciò, Clelia Madeddu, Paraskevas Kotsonis, Giacomo Chiappe, Fabrizio Lavra, Ivan Collu, Roberto Demontis
Background: Uterine manipulator is a very useful tool in performing total laparoscopic hysterectomy (TLH) for large uteri; however, in some cases, it cannot be used due to unfavorable anatomical conditions. The feasibility and safety of TLH for very large uteri without the use of uterine manipulator has not yet been established. Results: We describe two emblematic cases of TLH for huge fibromatous uteri: the first one for a uterus weighing 5700 g, which is the largest uterus laparoscopically removed to date reported in literature, and the second one for a uterus of 3670 g associated with a severe lymph node neoplastic disease...
2018: Gynecological Surgery
https://www.readbyqxmd.com/read/29565184/a-new-method-used-in-laparoscopic-hysterectomy-for-uterine-manipulation-uterine-rein-technique
#7
Abdullah Boztosun, Remzi Atılgan, Şehmus Pala, Şafak Olgan
The aim of this study is to define a new method of manipulating the uterus during laparoscopic hysterectomy. A total laparoscopic hysterectomy (TLH) with the newly defined technique was performed in 29 patients between July 2016 and July 2017. In this new technique, the uterus was bound from uterine corpus and fundus like a bridle with polyester tape, to allow abdominal manipulation. The technique was successfully performed at the first attempt in 93.1% of cases. It was repeated in two cases (6.9%) since the polyester tape departed away from the uterus at the first attempt...
March 22, 2018: Journal of Obstetrics and Gynaecology: the Journal of the Institute of Obstetrics and Gynaecology
https://www.readbyqxmd.com/read/29556217/molecular-and-conventional-analysis-of-acute-diarrheal-isolates-identifies-epidemiological-trends-antibiotic-resistance-and-virulence-profiles-of-common-enteropathogens-in-shanghai
#8
Feng Yang, Yonggen Jiang, Lihua Yang, Juanxiu Qin, Mingquan Guo, Yuxia Lu, Hongyou Chen, Yuan Zhuang, Jinghao Zhang, Hong Zhang, Zhaoyun Dai, Min Li, Changqing Yang, Min Chen, Yanmei Zhang, Hu Zhao
Objective: To investigate prevalence of acute diarrhea in Shanghai and analyze virulence associated-genes and antibiotic resistance of major enteropathogens using combination of conventional and molecular epidemiology methods. Method: The 412 stool specimens were obtained by systematic sampling from diarrhea patients throughout entire year 2016. Bacterial and viral pathogens were identified and bacterial isolates were cultured and screened for antibiotic resistance profiles. Two most prevalent bacteria, Vibrio parahaemolyticus and Salmonella were further typed by multi-locus sequence typing (MLST) and analyzed for presence of virulence-associated genes...
2018: Frontiers in Microbiology
https://www.readbyqxmd.com/read/29551880/complication-rate-of-laparoscopic-hysterectomies-in-denmark-2011-2016
#9
Olav Istre, Dorthe Snejbjerg
Background and Objectives: After the U. S. Food and Drug Administration's recommendation against the use of power morcellation for tissue extraction in minimally invasive hysterectomy, the number of procedures completed laparoscopically declined in favor of open surgery laparotomy. We conducted a retrospective cohort study comparing perioperative and long-term outcomes, including complications associated with laparoscopic hysterectomy before and after the FDA recommendation. Methods: We included procedures performed in Danish government hospitals (GHs) and a hospital specializing in minimally invasive gynecological surgery (MIGS)...
January 2018: JSLS: Journal of the Society of Laparoendoscopic Surgeons
https://www.readbyqxmd.com/read/29540624/surgical-outcomes-of-total-laparoscopic-hysterectomy-with-2-dimensional-versus-3-dimensional-laparoscopic-surgical-systems
#10
Hiroyuki Yazawa, Kaoru Takiguchi, Karin Imaizumi, Marina Wada, Fumihiro Ito
Three-dimensional (3D) laparoscopic surgical systems have been developed to account for the lack of depth perception, a known disadvantage of conventional 2-dimensional (2D) laparoscopy. In this study, we retrospectively compared the outcomes of total laparoscopic hysterectomy (TLH) with 3D versus conventional 2D laparoscopy. From November 2014, when we began using a 3D laparoscopic system at our hospital, to December 2015, 47 TLH procedures were performed using a 3D laparoscopic system (3D-TLH). The outcomes of 3D-TLH were compared with the outcomes of TLH using the conventional 2D laparoscopic system (2D-TLH) performed just before the introduction of the 3D system...
March 15, 2018: Fukushima Journal of Medical Science
https://www.readbyqxmd.com/read/29503255/impact-of-energy-devices-on-the-post-operative-systemic-immune-response-in-women-undergoing-total-laparoscopic-hysterectomy-for-benign-disease-of-the-uterus
#11
Kallol Kumar Roy, Netra Gc, Seema Singhal, Juhi Bharti, Sunesh Kumar, Dipendra K Mitra, Ruma Ray, Jyoti Meena, Perumal Vanamail
OBJECTIVE: Laparoscopic surgery is associated with reduced surgical stress response, lesser post- operative immune function, and consequent early recovery compared with conventional open surgery. There is a lack of evidence regarding the inflammatory stress response with the use of different energy devices. The present study was conducted to evaluate and compare the inflammatory response in total laparoscopic hysterectomy (TLH) using three different energy devices. MATERIAL AND METHODS: A prospective randomized controlled study was conducted in 60 women with abnormal uterine bleeding undergoing TLH...
March 1, 2018: Journal of the Turkish German Gynecological Association
https://www.readbyqxmd.com/read/29491073/combined-oocyte-retrieval-and-robot-assisted-hysterectomy-in-a-super-morbidly-obese-patient-with-endometrial-carcinoma
#12
Esther H Chung, Paula C Brady, Kimberly Keefe Smith, Michelle R Davis, Michael G Muto, Rachel K Ashby, Elizabeth S Ginsburg
AIM: To report on the unique, innovative management of a super morbidly obese patient presenting for fertility preservation in the setting of Grade 2 endometrioid endometrial adenocarcinoma. CASE REPORT: A back-to-back oocyte retrieval and robot-assisted total laparoscopic hysterectomy (RA-TLH) with bilateral salpingo-oophorectomy (BSO) was performed in a 37-year-old nulligravid woman with super morbid obesity (BMI 63 kg/m2 ) with endometrial cancer. MAIN OUTCOME MEASURE: the successful retrieval of oocytes for fertility preservation and oncologic intervention via RA-TLH with BSO in the same operative and anesthetic episode...
March 2018: Anticancer Research
https://www.readbyqxmd.com/read/29432903/use-of-the-limbs-and-things-hysterectomy-model-to-describe-the-process-for-establishing-validity
#13
Christopher C DeStephano, Anita H Chen, Michael G Heckman, Nicolette T Chimato, Paulami Guha, Mariana Espinal, Tri A Dinh
STUDY OBJECTIVE: To demonstrate the process for establishing or refuting validity for the Limbs and Things hysterectomy model. DESIGN: Prospective study using Kane's framework for establishing validity (Canadian Task Force classification: II-2). SETTING: Total laparoscopic hysterectomy (TLH) assessments completed in the operating room (OR) and simulation at 3 academic medical centers. PARTICIPANTS: Obstetrics and gynecology residents (n = 26 postgraduate years 3-4), a gynecologic oncology fellow (postgraduate year 5), and a gynecology oncology attending...
February 9, 2018: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29410107/laparoscopic-vs-transvaginal-cuff-closure-after-total-laparoscopic-hysterectomy-a-randomized-trial-by-the-italian-society-of-gynecologic-endoscopy
#14
Stefano Uccella, Mario Malzoni, Antonella Cromi, Renato Seracchioli, Giuseppe Ciravolo, Francesco Fanfani, Fevzi Shakir, Salvatore Gueli Alletti, Francesco Legge, Roberto Berretta, Giacomo Corrado, Lucia Casarella, Paolo Donarini, Margherita Zanello, Emanuele Perrone, Baldo Gisone, Enrico Vizza, Giovanni Scambia, Fabio Ghezzi
BACKGROUND: Vaginal cuff dehiscence following hysterectomy is considered an infrequent but potentially devastating complication. Different possible techniques for cuff closure have been proposed to reduce this threatening adverse event. OBJECTIVE: The aim of the present randomized study was to compare laparoscopic and transvaginal suture of the vaginal vault at the end of a total laparoscopic hysterectomy, in terms of incidence of vaginal dehiscence and vaginal cuff complications...
May 2018: American Journal of Obstetrics and Gynecology
https://www.readbyqxmd.com/read/29391640/development-of-a-rapid-pcr-protocol-to-detect-vibrio-parahaemolyticus-in-clams
#15
Sara Federici, Diana I Serrazanetti, M Elisabetta Guerzoni, Raffaella Campana, Eleonora Ciandrini, Wally Baffone, Andrea Gianotti
Vibrio parahaemolyticus is part of the natural microflora of estuarine and coastal marine waters and can be also present in seafood, especially shellfish and bivalve molluscs. In this study we compared the reference cultural method ISO 6887-3 with two molecular methods, multiplex PCR and real-time PCR, for the detection of two distinct genetic markers ( tlh species-specific gene and tdh virulence gene) of V. parahaemolyticus in bivalve mollusc. The analyses were performed on clams inoculated with V. parahaemolyticus ATCC 43996 at T0 and after a 3 and 6 h of pre-enrichment in alkaline saline peptone water...
February 2018: Journal of Food Science and Technology
https://www.readbyqxmd.com/read/29334386/organic-inorganic-hybrids-having-a-talc-like-structure-as-suitable-hosts-to-guest-a-wide-range-of-species
#16
J Brendlé
The sol-gel process involving hydrolysis and condensation reactions is an attractive way to form siloxane based hybrid materials since it is a one-step method performed under mild conditions. Organic-inorganic hybrids having a talc-like structure (TLH) can be obtained using this procedure starting from organotrialkoxysilanes having the formula R-Si(OR')3 (where R stands for an organic moiety and R' for a methyl or ethyl group) with different functionalities, an aqueous or ethanolic solution of a magnesium salt, and in some cases, an aqueous solution of sodium hydroxide...
February 27, 2018: Dalton Transactions: An International Journal of Inorganic Chemistry
https://www.readbyqxmd.com/read/29324541/intrauterine-manipulator-use-during-minimally-invasive-hysterectomy-and-risk-of-lymphovascular-space-invasion-in-endometrial-cancer
#17
Hiroko Machida, Marianne S Hom, Crystal L Adams, Sarah E Eckhardt, Jocelyn Garcia-Sayre, Mikio Mikami, Koji Matsuo
OBJECTIVE: This study aimed to examine an association between intrauterine manipulator (IUM) use and frequency of lymphovascular space invasion (LVSI) in women with endometrial cancer undergoing minimally invasive hysterectomy. METHODS: A retrospective case-control study was conducted among stage I-IV endometrial cancer patients who underwent hysterectomy between 2008 and 2015. Medical records were reviewed for patient demographics, surgical details, and tumor characteristics...
February 2018: International Journal of Gynecological Cancer
https://www.readbyqxmd.com/read/29246636/total-laparoscopic-hysterectomy-with-pelvic-aortic-lymph-node-dissection-for-endometrial-cancer-using-passive-instrument-positioners-a-retrospective-case-control-series
#18
Scott M Eisenkop
STUDY OBJECTIVE: To investigate the influence of the use of passive instrument positioners (PIPs) on laparoscopic operative outcomes for endometrial cancer relative to other independent variables. DESIGN: Retrospective case-controlled study (Canadian Task Force classification II-2). SETTING: Laparoscopies performed by the author in multiple community hospitals. PATIENTS: A total of 297 consecutive patients between December 2009 and October 2016 with clinically isolated endometrial cancer or retroperitoneal lymphadenopathy on imaging studies...
December 12, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/29222641/bipolar-vessel-sealing-devices-in-laparoscopic-hysterectomies-a-multicenter-randomized-controlled-clinical-trial
#19
M Hasanov, D Denschlag, E Seemann, G Gitsch, J Woll, Maximilian Klar
OBJECTIVE: To compare operating time and blood loss in patients undergoing total laparoscopic hysterectomies (TLH) for benign conditions with either the Marseal™ IQ 5 mm (MS) or the Ligasure™ 5 mm (LS) vessel-sealing device. DESIGN AND SETTING: A randomized controlled clinical trial (RCT) in two German gynecology departments. PATIENTS: 74 patients scheduled to undergo TLH for a symptomatic fibroid uterus, adenomyosis or severe meno-metrorrhagia...
February 2018: Archives of Gynecology and Obstetrics
https://www.readbyqxmd.com/read/29178955/cost-evaluation-quality-of-life-and-pelvic-organ-function-of-three-approaches-to-hysterectomy-for-benign-uterine-conditions-study-protocol-for-a-randomized-controlled-trial
#20
Chanil Ekanayake, Arunasalam Pathmeswaran, Sanjeewa Kularatna, Rasika Herath, Prasantha Wijesinghe
BACKGROUND: Hysterectomy is the commonest major gynaecological surgery. Although there are many approaches to hysterectomy, which depend on clinical criteria, certain patients may be eligible to be operated in any of the several available approaches. However, most comparative studies on hysterectomy are between two approaches. There is also a relative absence of data on long-term outcomes on quality of life and pelvic organ function. There is no single study which has considered quality of life, pelvic organ function and cost-effectiveness for the three main types of hysterectomy...
November 25, 2017: Trials
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