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https://www.readbyqxmd.com/read/28144809/comparison-of-cost-and-operative-outcomes-of-robotic-hysterectomy-compared-to-laparoscopic-hysterectomy-across-different-uterine-weights
#1
Gaby N Moawad, Elias D Abi Khalil, Paul Tyan, Michael K Shu, David Samuel, Richard Amdur, Stacey A Scheib, Cherie Q Marfori
Operative cost and outcomes between robotic and laparoscopic hysterectomy across different uterine weights. Retrospective cohort study including patients undergoing robotic and laparoscopic hysterectomy for benign disease at an Academic university hospital. One hundred and ninety six hysterectomies were identified (101 robotic versus 95 laparoscopic). Demographic and surgical characteristics were statistically equivalent. Robotic group had a higher body mass index (±SD) (32.9 ± 6.5 versus 30.4 ± 7.1, p 0...
January 31, 2017: Journal of Robotic Surgery
https://www.readbyqxmd.com/read/28134703/pneumothorax-after-laparoscopic-robotic-assisted-supracervical-hysterectomy-and-sacrocolpopexy
#2
Ashley Kim, Julia Geynisman-Tan, Christina Lewicky-Gaupp
We present a case of a patient in whom subcutaneous emphysema, pneumoperitoneum, and pneumothorax occurred on postoperative day 1 after robotic-assisted supracervical hysterectomy, bilateral salpingectomy, sacrocolpopexy, and retropubic midurethral sling placement for pelvic organ prolapse and stress urinary incontinence. This case demonstrates a rare complication of gynecologic laparoscopic procedures.
January 27, 2017: Female Pelvic Medicine & Reconstructive Surgery
https://www.readbyqxmd.com/read/28116193/a-third-surgically-managed-ectopic-pregnancy-after-two-salpingectomies-involving-the-opposite-tube
#3
Naoyuki Iwahashi, Yoko Deguchi, Yuko Horiuchi, Kazuhiko Ino, Kenichi Furukawa
Recurrent ectopic pregnancy in a remnant fallopian tube after ipsilateral salpingectomy is clinically rare. We report the extremely rare case of a third recurrent ectopic pregnancy after two previous salpingectomy procedures involving the opposite tube. A 26-year-old woman, gravida 3 para 0, experienced three ectopic pregnancies brought about by natural conception, all of which were treated surgically (right partial salpingectomy, right remnant tube resection, and left total salpingectomy). During the two salpingectomy procedures involving the right tube, the patency of the intact left tube was intraoperatively confirmed with indigo carmine...
2017: Case Reports in Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28106106/serous-tubal-intraepithelial-neoplasia-the-concept-and-its-application
#4
REVIEW
Emily E K Meserve, Jan Brouwer, Christopher P Crum
In recent years it has become clear that many extra-uterine (pelvic) high-grade serous carcinomas (serous carcinomas) are preceded by a precursor lesion in the distal fallopian tube. Precursors range from small self-limited 'p53 signatures' to expansile serous tubal intraepithelial neoplasms that include both serous tubal epithelial proliferations (or lesions) of uncertain significance and serous tubal intraepithelial carcinomas. These precursors can be considered from three perspectives. The first is biologic underpinnings, which are multifactorial, and include the intersection of DNA damage with Tp53 mutations and disturbances in transcriptional regulation that increase with age...
January 20, 2017: Modern Pathology: An Official Journal of the United States and Canadian Academy of Pathology, Inc
https://www.readbyqxmd.com/read/28104324/repeat-acute-abdomen-and-hemoperitoneum-during-the-same-pregnancy-due-to-a-ruptured-ectopic-treated-by-salpingostomy
#5
Caroline M Canelas, Richard D Shih, Lisa M Clayton, Laura J Giroski, Scott M Alter, Stacey Feinstein, Lee A Learman
A leading cause of maternal mortality in the first trimester is hemorrhage due to a ruptured ectopic pregnancy. With the advent of tube salvage surgery, ectopic pregnancies can be removed while ensuring hemostasis and preserving the integrity of the fallopian tube. A major drawback of tube salvage surgery is the significant risk of persistent trophoblastic tissue being left behind. We report a case of a 30year old female who presented to the ED with acute abdomen and hemoperitoneum due to a ruptured ectopic pregnancy...
January 14, 2017: American Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28096636/opportunistic-salpingectomy-remove-the-tubes-and-save-the-ovaries
#6
EDITORIAL
Neelam Aggarwal, Sudhaa Sharma
No abstract text is available yet for this article.
October 2016: Journal of Mid-life Health
https://www.readbyqxmd.com/read/28087480/the-role-of-opportunistic-bilateral-salpingectomy-versus-tubal-occlusion-or-ligation-for-ovarian-cancer-prophylaxis
#7
REVIEW
Lisa Ely, Mireille Truong
Bilateral tubal ligation for sterilization has been known to decrease the risk of ovarian cancer. Recent studies have suggested that bilateral salpingectomy (BS) may be an alternative to bilateral tubal ligation (BTL) or tubal occlusion for women desiring permanent sterilization, due to possible greater protective effect against ovarian cancer. A review of the literature in PubMed (MEDLINE) was performed for publications between 2010 and 2016 addressing the role of bilateral salpingectomy at the time of sterilization and to compare its efficacy in regards to ovarian cancer prevention, operative outcomes and ovarian function with BTL...
January 10, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28081480/does-the-addition-of-salpingectomy-or-fimbriectomy-to-hysterectomy-in-premenopausal-patients-compromise-ovarian-reserve-a-prospective-study
#8
Y Naaman, Y Hazan, M Gillor, G Marciano, R Bardenstein, Z Shoham, A Ben-Arie
OBJECTIVE: To evaluate changes in ovarian reserve in patients following hysterectomy, with or without bilateral salpingectomy or fimbriectomy. STUDY DESIGN: Open-label, prospective cohort trial of patients undergoing hysterectomy for benign uterine indications. Levels of follicle-stimulating hormone (FSH), anti-Müllerian hormone (AMH), and ultrasonic measures of peak systolic flow velocity/diastolic velocity (S/D) ratio and resistance index (RI) in the ovarian artery were taken from patients before and 6 weeks after hysterectomy, hysterectomy+salpingectomy or hysterectomy+fimbriectomy...
December 27, 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28076513/serum-concentration-of-vascular-endothelial-growth-factor-and-depth-of-trophoblastic-invasion-in-ampullary-ectopic-pregnancy
#9
Fábio Roberto Cabar, Décio Roberto Kamio Teshima, Pedro Paulo Pereira, Leila Antonangelo, Regina Schultz, Rossana Pulcineli Francisco
OBJECTIVE: To evaluate the association between the depth of trophoblastic infiltration and serum vascular endothelial growth factorconcentration in patients with an ampullary pregnancy. METHODS: This prospective cross-sectionalstudy involved 34 patients with an ampullary ectopic pregnancy who underwent salpingectomy between 2012 and 2013. Maternal serum vascular endothelial growth factor concentrations were measured using Luminex technology. Trophoblastic invasion was classified histologically as follows: stage I, limited to the tubal mucosa; stage II, reaching the muscle layer; and stage III,involving the full thickness...
December 1, 2016: Clinics
https://www.readbyqxmd.com/read/28069482/ovarian-response-and-in-vitro-fertilization-outcomes-after-salpingectomy-does-salpingectomy-indication-matter
#10
Nigel Pereira, Katherine P Pryor, Anna Voskuilen-Gonzalez, Jovana P Lekovich, Rony T Elias, Steven D Spandorfer, Zev Rosenwaks
STUDY OBJECTIVE: To investigate whether the ovarian response and pregnancy outcomes of patients undergoing in vitro fertilization (IVF) after salpingectomy is affected by the underlying indication for salpingectomy. DESIGN: Retrospective cohort study. DESIGN: Classification: II-3. SETTING: University-affiliated fertility center. PATIENTS: All patients <37 years of age undergoing IVF within 12 months of laparoscopic salpingectomy...
January 6, 2017: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28041548/-heterotopic-pregnancy-following-in-vitro-fertilization-with-excision-of-ruptured-cornual-pregnancy-and-eventually-caesarean-section-close-to-term
#11
Jimmi Elers, Helle Zingenberg, Mette H Bing, Lene Paulsen
We describe a rare case of heterotopic pregnancy following in vitro fertilization with transferring of two embryos in a 39-year-old woman with previous bilateral salpingectomy. An ultrasound examination was performed on the day before admission showing a vital intrauterine pregnancy and no ectopic pregnancy. The woman was admitted with a ruptured cornual pregnancy at ten weeks of gestation. Laparotomy was performed on vital indication with excision of the ruptured haemorrhagic cornual pregnancy. The intrauterine pregnancy continued uneventfully with obstetric and fetal medicine specialist monitoring...
December 26, 2016: Ugeskrift for Laeger
https://www.readbyqxmd.com/read/28029807/physicians-perspectives-and-practice-patterns-toward-opportunistic-salpingectomy-in-high-and-low-risk-women
#12
Nathaniel L Jones, Jay Schulkin, Renata R Urban, Jason D Wright, William M Burke, June Y Hou, Cora A McElwain, Ana I Tergas
BACKGROUND: Opportunistic bilateral salpingectomy (OBS) has been proposed as an ovarian cancer risk-reducing strategy. METHODS: A survey was emailed to 300 members of the American College of Obstetricians and Gynecologists. RESULTS: 125 (42%) surveys were returned: 60% female, 88% generalists, 67% private practice. Only 36% correctly identified the lifetime risk of ovarian cancer, only 23% understood the risk-reducing benefit of bilateral salpingo-oophorectomy...
January 2, 2017: Cancer Investigation
https://www.readbyqxmd.com/read/28017976/acute-abdomen-in-the-17th-week-of-twin-pregnancy-due-to-ovarian-torsion-a-late-complication-of-ivf
#13
D Habek, R Bauman, L Rukavina Kralj, T Hafner, T Turudic, S Vujisic
Background: A 32-year-old woman with tubal factor infertility due to bilateral laparoscopic salpingectomy conceived twins with in vitro fertilization (IVF). She developed moderate ovarian hyperstimulation syndrome which was treated with anticoagulant therapy. The subsequent course of the twin pregnancy was normal until the 17th week of gestation when she presented to hospital because of a sharp pain in the right lower abdomen which ceased after admission. Case: Except for a single incident of vomiting, patient had no other subjective symptoms...
December 2016: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/28017973/incidental-prophylactic-salpingectomy-at-benign-gynecologic-surgery-and-cesarean-section-a-survey-of-practice-in-austria
#14
F L Potz, G Tomasch, S Polterauer, R Laky, C Marth, K Tamussino
Introduction: Most serous ovarian cancers are now thought to originate in the fallopian tubes. This has raised the issue of performing incidental salpingectomy (also called elective, opportunistic, prophylactic or risk-reducing salpingectomy) at the time of benign gynecologic surgery or cesarean section. We conducted an online survey to ascertain the policies regarding incidental salpingectomy in Austria in late 2014. Material and Methods: All 75 departments of obstetrics and gynecology in public hospitals in Austria were surveyed for their policies regarding incidental salpingectomy at benign gynecologic surgery or cesarean section...
December 2016: Geburtshilfe und Frauenheilkunde
https://www.readbyqxmd.com/read/28007588/the-role-of-fallopian-tubes-in-the-development-of-ovarian-cancer
#15
REVIEW
Camila Corzo, Maria D Iniesta, Maria Guadalupe Patrono, Karen H Lu, Pedro T Ramirez
Ovarian cancer is the leading cause of death from gynecologic malignancy and the fifth cause of cancer death in women in the United States. The most common and lethal histologic subtype of epithelial ovarian cancer is high-grade serous carcinoma (HGSC), and it generally presents at advanced stage and it may be associated with BRCA1 and BRCA2 mutations. Historically, HGSC was thought to originate from the ovarian epithelial cells. However, more recently, there is growing evidence to support that the vast majority of ovarian cancers originate in the fallopian tube epithelium in both high-risk women and in the general population...
December 19, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/28004013/aberrant-expression-of-interleukin-6-and-its-receptor-in-fallopian-tubes-bearing-an-ectopic-pregnancy-with-and-without-tubal-cytomegalovirus-infection
#16
Ahmed Mohamed Ashshi
Cytomegalovirus (CMV) has recently been suggested as a potential risk factor for the development of ectopic pregnancy (EP) following upper genital tract infection in women. However, little is known about its associated underlying pathogenic mechanisms. This was a prospective case-control study that measured the prevalence of CMV infection in Fallopian tubes (FT) bearing an EP and its effects on the tubal expression of interleukin (IL)-6 and its signaling molecules, which are known to play significant roles in the immune response against CMV infection as well as embryo implantation...
December 2016: Virusdisease
https://www.readbyqxmd.com/read/28002311/committee-opinion-no-685-care-for-transgender-adolescents
#17
(no author information available yet)
Gender nonconforming youth are an underserved population who obstetrician-gynecologists are seeing increasingly in their practices. Currently, there are large gaps in training, knowledge, and comfort with transgender patients among obstetrician-gynecologists. The purpose of this document is to review current recommendations that apply to an obstetrician-gynecologist. It is important for obstetrician-gynecologists to be aware of the social and mental health risks for the transgender population. Consensus guidelines support initiating medical therapy after an adolescent has an established diagnosis of transgender identity and has reached Tanner stage II development...
January 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/28002306/committee-opinion-no-685-summary-care-for-transgender-adolescents
#18
(no author information available yet)
Gender nonconforming youth are an underserved population who obstetrician-gynecologists are seeing increasingly in their practices. Currently, there are large gaps in training, knowledge, and comfort with transgender patients among obstetrician-gynecologists. The purpose of this document is to review current recommendations that apply to an obstetrician-gynecologist. It is important for obstetrician-gynecologists to be aware of the social and mental health risks for the transgender population. Consensus guidelines support initiating medical therapy after an adolescent has an established diagnosis of transgender identity and has reached Tanner stage II development...
January 2017: Obstetrics and Gynecology
https://www.readbyqxmd.com/read/27988392/operative-outcomes-of-opportunistic-bilateral-salpingectomy-at-the-time-of-benign-hysterectomy-in-low-risk-premenopausal-women-a-systematic-review
#19
REVIEW
Rosanne M Kho, Mary Ellen Wechter
Opportunistic salpingectomy (OBS) is gaining momentum as a potential strategy for preventing epithelial ovarian cancer (EOC). OBS has been associated with a 40-65% decrease in the incidence of EOC when performed at the time of benign hysterectomy in patients at population-level risk for EOC. Current data suggests minimal disadvantage or "cost" to the patient and system from this practice in terms of estimated blood loss (EBL), operative time, length of hospital stay, ovarian reserve depletion, and complications attributable to OBS...
December 14, 2016: Journal of Minimally Invasive Gynecology
https://www.readbyqxmd.com/read/27958638/a-rare-case-of-asymptomatic-rupture-of-the-uterine-horn-in-the-full-term-pregnancy-as-a-consequence-of-laparoscopic-salpingectomy
#20
Seweryn Trojanowski, Anna Słomka, Paweł Stanirowski, Krzysztof Cendrowski, Włodzimierz Sawicki
No abstract text is available yet for this article.
2016: Ginekologia Polska
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