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Gynecology laparoscopic

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https://www.readbyqxmd.com/read/28937515/laparoscopic-major-vascular-injury-simulation-using-a-synthetic-compared-with-porcine-model
#1
Magdy P Milad, Farah A Alvi, Michael T Breen, Cynthia Brincat, Peter J Frederick, Christina Lewicky-Gaupp, Mark Lewis, Bryan Rone, Kimberly Swan, Karin Wollschlaeger
BACKGROUND: Major vascular injury training may improve clinical skills and reduce patient morbidity during gynecologic laparoscopy; thus, reliable models for simulation should be identified. METHOD: Two laparoscopic major vascular injury simulations using synthetic or live porcine models were constructed. The primary surgeon was given the opportunity to complete both simulations. After obtaining peritoneal access, the surgeon quickly encountered a major vascular injury...
October 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28932131/spinal-anesthesia-and-spinal-anesthesia-with-subdiaphragmatic-lidocaine-in-shoulder-pain-reduction-for-gynecological-laparoscopic-surgery-a-randomized-clinical-trial
#2
Zahra Asgari, Mahroo Rezaeinejad, Reihaneh Hosseini, Masoumeh Nataj, Maryam Razavi, Mahdi Sepidarkish
OBJECTIVE: The aim of this study was to compare the effectiveness of spinal anesthesia with subdiaphragmatic lidocaine at the beginning of surgery versus spinal anesthesia in pain reduction for gynecological laparoscopic surgery. METHODS: This was a clinical trial conducted in Arash Hospital, Tehran, Iran. Eighty-four patients were randomized to either spinal anesthesia with subdiaphragmatic lidocaine, spinal anesthesia, or general anesthesia (GA). The primary outcome was patients' pain perception during surgery, 2, 4, 6, and 12 hours after surgery, and prior to discharge and was assessed by visual analogue scale (VAS)...
2017: Pain Research & Management: the Journal of the Canadian Pain Society
https://www.readbyqxmd.com/read/28925269/laparoscopic-and-robotic-sacropexy-retrospective-review-of-learning-curve-experiences-and-follow-up
#3
R Pilka, D Gágyor, M Študentová, D Neubert, P Dzvinčuk
OBJECTIVE: To compare conventional laparoscopic (LSC) and robotic (RSC) sacrocolpopexy in the treatment of apical pelvic prolapse during robotic surgery "learning curve". Operative characteristics, prolapse treatment outcomes, and postoperative results were assessed. DESIGN: Retrospective comparative study. SETTING: Department of Obstetrics and Gynecology, University Hospital and Palacky University, Olomouc. METHODS: We analyzed consecutive 51 patients treated with laparoscopic sacropexy and 13 women operated with robotic system...
2017: Ceská Gynekologie
https://www.readbyqxmd.com/read/28921506/neurologic-injury-and-patient-displacement-in-gynecologic-laparoscopic-surgery-using-a-beanbag-and-shoulder-supports
#4
Alejandro D Treszezamsky, Suzanne Fenske, Erin L Moshier, Charles J Ascher-Walsh
OBJECTIVE: To quantify the incidence of peripheral neuropathy in gynecologic laparoscopic surgery using a combination of beanbag, eggcrate foam, and shoulder supports; and to assess patient displacement during surgery in a steep Trendelenburg position and determine variables correlated with displacement. METHODS: A retrospective study included all gynecologic laparoscopic surgeries performed by one high-volume surgeon at a US center between September 15, 2007, and September 15, 2012...
September 16, 2017: International Journal of Gynaecology and Obstetrics
https://www.readbyqxmd.com/read/28919502/comparison-of-the-memory-foam-pad-versus-the-bean-bag-with-shoulder-braces-in-preventing-patient-displacement-during-gynecologic-laparoscopic-surgery
#5
Sara Farag, Leigh Rosen, Charles Ascher-Walsh
STUDY OBJECTIVE: The primary aim was to compare the amount of patient displacement when a memory foam pad is used versus a bean bag with shoulder braces. The secondary aim was to evaluate for post-operative extremity symptoms including pain, numbness, and weakness. DESIGN: Prospective randomized pilot study. DESIGN: Classification: Canadian Task Force Class I SETTING: Single academic institution PATIENTS: Women ≥ 18 years of age undergoing laparoscopic or robotic gynecologic surgery INTERVENTIONS: Patients were randomized to be positioned on the memory foam pad (Group A) or the bean bag with shoulder braces (Group B) pre-operatively...
September 15, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28918894/effect-of-pneumoperitoneum-and-patient-positioning-on-intracranial-pressures-during-laparoscopy-a-prospective-comparative-study
#6
Nishant Sahay, Shalini Sharma, Umesh K Bhadani, Akhilesh Singh, Chandni Sinha, Anubha Sahay, Alok Ranjan, Mukta Agarwal
STUDY OBJECTIVE: To evaluate the effect of pneumoperitoneum and head position during laparoscopic surgery on intracranial pressures (ICPs) using sonographic measurements of optic nerve sheath diameter (ONSD). DESIGN: Prospective observational study (Canadian Task Force Classification of Study Design II-1). SETTING: A tertiary level hospital. PATIENTS: Sixty-one female patients ages 15 to 50 years with American Society of Anesthesiologists Grade 1 risk and body mass index ≤ 29 kg/m(2) were admitted to the hospital between November 2015 and October 2016 for elective laparoscopic surgery and included in this study...
September 12, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28915206/laparoscopic-colorectal-surgery-in-patients-with-previous-abdominal-surgery-a-single-center-experience-and-literature-review
#7
Erdinc Kamer, Turan Acar, Fevzi Cengiz, Evren Durak, Mehmet Haciyanli
To present the outcomes of laparoscopic colorectal surgery in colorectal cancer patients with a previous history of abdominal surgery. Data of a total of 121 patients with primary colorectal cancer who underwent laparoscopic surgery were retrospectively analyzed. The patients were divided into 2 groups as those with previous abdominal surgery (PAS, n=34) and those without (non-PAS, n=87). Gastric and colonic surgeries were the most common procedures in the major PAS group, whereas gynecologic and obstetric surgeries and appendectomy were the most common procedures in the minor PAS group...
September 14, 2017: Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
https://www.readbyqxmd.com/read/28913149/comparison-of-libido-female-sexual-function-index-and-arizona-scores-in-women-who-underwent-laparoscopic-or-conventional-abdominal-hysterectomy
#8
Semra Kayataş, Enis Özkaya, Murat Api, Seyhan Çıkman, Ayşen Gürbüz, Ahmet Eser
OBJECTIVE: The aim of the present study was to compare female sexual function between women who underwent conventional abdominal or laparoscopic hysterectomy. MATERIALS AND METHODS: Seventy-seven women who were scheduled to undergo hysterectomy without oophorectomy for benign gynecologic conditions were included in the study. The women were assigned to laparoscopic or open abdominal hysterectomy according to the surgeons preference. Women with endometriosis and symptomatic prolapsus were excluded...
June 2017: Turk J Obstet Gynecol
https://www.readbyqxmd.com/read/28913134/management-of-vesicovaginal-fistulas-after-gynecologic-surgery
#9
Burak Tatar, Taylan Oksay, Fatma Selcen Cebe, Sedat Soyupek, Evrim Erdemoğlu
OBJECTIVE: In developed nations, surgery, especially gynecologic procedures, is the major cause of vesicovaginal fistulas (VVFs). We retrospectively evaluated our treatment modalities for VVF repair caused by a gynecologic surgery, and discussed the reasons of selecting certain surgical techniques and their outcomes. MATERIALS AND METHODS: We compared the surgical procedure preferences of surgeons and their results with patient and surgeon characteristics for the management of VVFs after an inciting gynecologic surgery in Süleyman Demirel University Hospital, Isparta over a 10-year period...
March 2017: Turk J Obstet Gynecol
https://www.readbyqxmd.com/read/28910316/sources-of-pain-in-laparoendoscopic-gynecological-surgeons-an-analysis-of-ergonomic-factors-and-proposal-of-an-aid-to-improve-comfort
#10
Sa Ra Lee, Sunah Shim, Taeri Yu, Kyungah Jeong, Hye Won Chung
Minimally invasive surgery (MIS) offers cosmetic benefits to patients; however, surgeons often experience pain during MIS. We administered an ergonomic questionnaire to 176 Korean laparoscopic gynecological surgeons to determine potential sources of pain during surgery. Logistic regression analysis was used to identify factors that had a significant impact on gynecological surgeons' pain. Operating table height at the beginning of surgery and during the operation were significantly associated with neck and shoulder discomfort (P <0...
2017: PloS One
https://www.readbyqxmd.com/read/28894577/effects-of-neoadjuvant-chemotherapy-on-patients-with-primary-vaginal-squamous-cell-carcinoma
#11
Yuchao Diao, Jinwen Jiao, Kejuan Song, Lei Wang, Teng Lv, Shuzhen Dai, Qin Yao
Vaginal cancer is a rare gynecological malignancy, mainly treated by radiotherapy and surgery. However, the effect of neoadjuvant chemotherapy on patients with vaginal cancer has not been extensively evaluated. The aim of the present study was to assess the feasibility and efficacy of irinotecan and cisplatin in the management of patients with vaginal squamous cell cancer (SCC). Two patients with International Federation of Obstetrics and Gynecology (FIGO) stage I and one patient with FIGO stage II vaginal SCC were treated with irinotecan (240 mg) and cisplatin (100 mg) every 3-4 weeks...
September 2017: Molecular and Clinical Oncology
https://www.readbyqxmd.com/read/28888707/the-value-of-laparoscopy-in-the-management-of-chronic-groin-pain
#12
Abdulzahra Hussain, Ihsan Al-Shoek, Ajay Arora, Jonathan Walczak, Shamsi El-Hasani
BACKGROUND: Chronic groin pain problem represents a diagnostic and management challenge. This study is reporting all patients who underwent laparoscopic exploration of the groin and pelvis for undiagnosed chronic groin pain. MATERIALS AND METHODS: A retrospective cohort study. Evaluators were not involved in the operations. Laparoscopic exploration and mesh insertion using Trans-Abdominal Pre-Preitoneal (TAPP) approach was performed for all patients. Follow up in the; clinic at 2 weeks and 6 months was arranged...
September 6, 2017: International Journal of Surgery
https://www.readbyqxmd.com/read/28888701/direct-mass-spectrometry-differentiation-of-ectopic-and-eutopic-endometrium-in-patients-with-endometriosis
#13
Leila Adamyan, Natalia Starodubtseva, Anna Borisova, Assia Stepanian, Vitaliy Chagovets, Dinara Salimova, Zhihao Wang, Alexey Kononikhin, Igor Popov, Anna Bugrova, Konstantin Chingin, Andrey Kozachenko, Huanwen Chen, Vladimir Frankevich
STUDY OBJECTIVE: To introduce a method for rapid assessment of endometriotic tissues using direct mass spectrometry (MS)-based lipidomics. DESIGN: Prospective observational cohort study. DESIGN CLASSIFICATION: II 2. SETTING: Department of Operative Gynecology of the Research Centre for Obstetrics, Gynecology and Perinatology. PATIENTS: Fifty patients with ovarian cysts and peritoneal endometriosis who underwent laparoscopic surgery between 2014 and 2016...
September 6, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28888700/surgical-repair-of-rectovaginal-fistula-using-the-modified-martius-procedure-a-step-by-step-guide
#14
Dan Wang, Juan Chen, Lan Zhu, Mingchen Sang, Fan Yu, Qing Zhou
STUDY OBJECTIVE: to demonstrate the surgical repair of rectovaginal fistula by the modified Martius procedure. DESIGN: step by step presentation of the procedure using video. SETTING: Rectovaginal fistula (RVF) is abnormal epithelialized connections between the vagina and rectum. Causes of rectovaginal fistula include obstetrical trauma, Crohn disease, pelvic irradiation and postsurgical complications. Many surgical interventions have been developed, from laparoscopic technique to muscle transposition and even rectal resection...
September 6, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28873443/application-of-carbon-nanoparticles-in-laparoscopic-sentinel-lymph-node-detection-in-patients-with-early-stage-cervical-cancer
#15
Yan Lu, Jin-Ying Wei, De-Sheng Yao, Zhong-Mian Pan, Yao Yao
OBJECTIVE: To investigate the value of carbon nanoparticles in identifying sentinel lymph nodes in early-stage cervical cancer. METHODS: From January 2014 to January 2016, 40 patients with cervical cancer stage IA2-IIA, based on the International Federation of Gynecology and Obstetrics (FIGO) 2009 criteria, were included in this study. The normal cervix around the tumor was injected with a total of 1 mL of carbon nanoparticles (CNP)at 3 and 9 o'clock. All patients then underwent laparoscopic pelvic lymph node dissection and radical hysterectomy...
2017: PloS One
https://www.readbyqxmd.com/read/28867887/unilateral-versus-bilateral-laparoscopic-ovarian-drilling-using-thermal-dose-adjusted-according-to-ovarian-volume-in-cc-resistant-pcos-a-randomized-study
#16
Mohamed Lotfy Mohamed El-Sayed, Mostafa Abdo Ahmed, Marwa Abdel Azim Mansour, Shymma Abdel Azim Mansour
OBJECTIVE: This study aimed to evaluate the efficacy of unilateral laparoscopic ovarian drilling versus bilateral laparoscopic ovarian drilling with thermal dose adjusted according to ovarian volume in clomiphene citrate (CC)-resistant PCOS patients in terms of endocrine changes, menstrual cycle resumption, ovulation and pregnancy rates. PATIENTS AND METHODS: This study was conducted in the Department of Obstetrics and Gynecology, Zagazig university hospitals. One hundred CC-resistant PCOS patients were divided into two groups...
October 2017: Journal of Obstetrics and Gynaecology of India
https://www.readbyqxmd.com/read/28865555/versatility-of-the-suprapubic-port%C3%A2-in%C3%A2-robotic-assisted-laparoscopic-myomectomy
#17
Ndeye-Aicha Gueye, Linnea R Goodman, Tommaso Falcone
OBJECTIVE: To demonstrate the multiple advantages of the suprapubic port in robotic assisted laparoscopic myomectomy. DESIGN: Video demonstration of a robotic assisted laparoscopic myomectomy technique using a suprapubic incisional retractor (GelPOINT). SETTING: Hospital. PATIENT(S): A 32-year-old primigravid women with heavy menstrual bleeding and pelvic pain with a 12-cm leiomyoma (International Federation of Gynecology and Obstetrics type 5)...
September 2017: Fertility and Sterility
https://www.readbyqxmd.com/read/28862884/opioid-prescribing-patterns-by-obstetrics-and-gynecology-residents-in-the-united-states
#18
Adam D Baruch, Daniel McBurney Morgan, Vanessa K Dalton, Carolyn Swenson
BACKGROUND: Despite the opioid epidemic in the U.S., little data exist to guide postoperative opioid prescribing in Obstetrics & Gynecology (Ob/Gyn). OBJECTIVE: To describe Ob/Gyn resident opioid prescription patterns in the U.S. and assess influential factors. METHODS: An anonymous survey was emailed to Ob/Gyn residents in the U.S. between January-February 2015. Respondents reported the typical number of discharge narcotic tablets prescribed following six common procedures...
September 1, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28842801/diffusion-of-robotic-assisted-laparoscopic-technology-across-specialties-a-national-study-from-2008-to-2013
#19
Yen-Yi Juo, Aditya Mantha, Ahmad Abiri, Anne Lin, Erik Dutson
INTRODUCTION: Robotic-assisted procedures were frequently found to have similar outcomes and indications to their laparoscopic counterparts, yet significant variation existed in the acceptance of robotic-assisted technology between surgical specialties and procedures. We performed a retrospective cohort study investigating factors associated with the adoption of robotic assistance across the United States from 2008 to 2013. METHODS: Using the Nationwide Inpatient Sample database, patient- and hospital-level variables were examined for differential distribution between robotic-assisted and conventional laparoscopic procedures...
August 25, 2017: Surgical Endoscopy
https://www.readbyqxmd.com/read/28833647/anatomical-complications-of-hysterectomy-a-review
#20
Rebecca C Ramdhan, Marios Loukas, R Shane Tubbs
INTRODUCTION: Hysterectomy is the most commonly performed gynecological procedure in the United States with three possible surgical approaches; vaginal, abdominal and laparoscopic. As with any surgical procedure, various anatomical complications can arise. These include injuries to anatomical structures such as the urinary bladder, ureter, intestines, rectum, anus and a multitude of nervous structures. Other complications include sexual dysfunction, vaginal cuff dehiscence and urinary incontinence...
August 17, 2017: Clinical Anatomy
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