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147 papers 25 to 100 followers A collection of recent articles associated with minimally invasive gynecologic surgery. Let me know if I missed any. -
Alicia Ballard, Candace Parker-Autry, Chee Paul Lin, Alayne D Markland, David R Ellington, Holly E Richter
INTRODUCTION AND HYPOTHESIS: The objective was to characterize postoperative bowel symptoms in women undergoing vaginal prolapse reconstructive surgery randomized to preoperative bowel preparation vs a regular diet. METHODS: Subjects (N = 121) completed two bowel diaries: a 7-day bowel diary immediately before surgery and a 14-day diary postoperatively. Self-reported bowel diary data and symptoms included the time to first bowel movement (BM), daily number of BMs, Bristol Stool Form Scale score, pain, and urgency associated with BM, episodes of fecal incontinence, and use of laxatives...
June 2015: International Urogynecology Journal
Karen N Zaghiyan, Harry C Sax, Emily Miraflor, David Cossman, Willis Wagner, James Mirocha, Bruce Gewertz, Phillip Fleshner
OBJECTIVE: To identify the optimal timing of perioperative chemical thromboprophylaxis (CTP) and incidence of occult preoperative deep vein thrombosis (OP-DVT) in patients undergoing major colorectal surgery. BACKGROUND: There is limited Level 1 data regarding the optimal timing of CTP in major colorectal surgery and the incidence of OP-DVT remains unclear. Both issues influence the occurrence of venous thromboembolism (VTE) and may impact Medicare reimbursement because of penalties for hospital-acquired conditions...
October 2016: Annals of Surgery
Steven E Weinberger, David B Hoyt, Hal C Lawrence, Saul Levin, Douglas E Henley, Errol R Alden, Dean Wilkerson, Georges C Benjamin, William C Hubbard
Deaths and injuries related to firearms constitute a major public health problem in the United States. In response to firearm violence and other firearm-related injuries and deaths, an interdisciplinary, interprofessional group of leaders of 8 national health professional organizations and the American Bar Association, representing the official policy positions of their organizations, advocate a series of measures aimed at reducing the health and public health consequences of firearms. The specific recommendations include universal background checks of gun purchasers, elimination of physician "gag laws," restricting the manufacture and sale of military-style assault weapons and large-capacity magazines for civilian use, and research to support strategies for reducing firearm-related injuries and deaths...
April 7, 2015: Annals of Internal Medicine
Lucia Costa-Paiva, Carlos E Godoy, Armando Antunes, Joyce D Caseiro, Michael Arthuso, Aarao M Pinto-Neto
OBJECTIVE: The aim of this study was to evaluate the prevalence of endometrial premalignant and malignant polyps in premenopausal and postmenopausal women, as well as the clinical, ultrasound, and hysteroscopic factors associated with malignancy. METHODS: All women undergoing hysteroscopic resection of endometrial polyps from January 1998 to December 2008 were selected using a computerized database from the operating theater of the Prof. Dr. José Aristodemo Pinotti Women's Hospital, Women's Health Care Center/University of Campinas...
December 2011: Menopause: the Journal of the North American Menopause Society
Annefleur M de Bruijn, Willem M Ankum, Jim A Reekers, Erwin Birnie, Sanne M van der Kooij, Nicole A Volkers, Wouter J K Hehenkamp
BACKGROUND: Since 1995 uterine artery embolization has been described as an alternative for hysterectomy in patients with symptomatic fibroids. Many studies including several randomized controlled trials established uterine artery embolization as a valuable treatment. These randomized controlled trials reported outcomes in terms of health-related quality of life, clinical outcomes, efficacy, and cost-effectiveness after 1, 2, and 5 years of follow-up. OBJECTIVE: The purpose of this study was to compare clinical outcome and health-related quality of life 10 years after uterine artery embolization or hysterectomy in the treatment of heavy menstrual bleeding caused by uterine fibroids in a randomized controlled trial...
December 2016: American Journal of Obstetrics and Gynecology
Ji Cheng, Jinbo Gao, Xiaoming Shuai, Guobin Wang, Kaixiong Tao
BACKGROUND: Laparoscopy is a revolutionary technique in modern surgery. However, the comparative efficacy between two-dimensional laparoscopy and three-dimensional laparoscopy remains in uncertainty. Therefore we performed this systematic review and meta-analysis in order to seek for answers. METHODS: Databases of PubMed, Web of Science, EMBASE and Cochrane Library were carefully screened. Clinical trials comparing two-dimensional versus three-dimensional laparoscopy were included for pooled analysis...
October 25, 2016: Oncotarget
Ercan Bastu, Cenk Yasa, Ozlem Dural, Bahar Yuksel Ozgor, Gamze Yilmaz, Funda Gungor Ugurlucan, Faruk Buyru, Saikat Banerjee
STUDY OBJECTIVE: To compare the effects of the laparoscopic approach versus the vaginal route for the management of vaginal cuff closure during total laparoscopic hysterectomy on female sexual function in premenopausal patients with benign gynecologic conditions. DESIGN: A prospective study with a randomized, double-blind design (Canadian Task Force Classification I). SETTING: A university hospital. PATIENTS: Patients who were scheduled to have total laparoscopic hysterectomy because of benign conditions...
September 2016: Journal of Minimally Invasive Gynecology
D A Park, D H Lee, S W Kim, S H Lee
AIM: This study aimed to evaluate the surgical safety and clinical effectiveness of RH compared to OH and LH for endometrial cancer. METHODS: We searched Ovid-Medline, Ovid-EMBASE, and the Cochrane library for studies published through May 2015. The outcomes of interest included safety (overall; peri-operative and post-operative complications; death within 30-days; and specific morbidities), effectiveness (survival, recurrence, length of stay [LOS], estimated blood loss [EBL], and operative time [OT]), and patient-reported outcomes (pain score, pain medication use, length of pain medication use, and time to return to work)...
September 2016: European Journal of Surgical Oncology
Kristen A Ban, Mark E Cohen, Clifford Y Ko, Mark W Friedberg, Jonah J Stulberg, Lynn Zhou, Bruce L Hall, David B Hoyt, Karl Y Bilimoria
OBJECTIVES: The ProPublica Surgeon Scorecard is the first nationwide, multispecialty public reporting of individual surgeon outcomes. However, ProPublica's use of a previously undescribed outcome measure (composite of in-hospital mortality or 30-day related readmission) and inclusion of only inpatients have been questioned. Our objectives were to (1) determine the proportion of cases excluded by ProPublica's specifications, (2) assess the proportion of inpatient complications excluded from ProPublica's measure, and (3) examine the validity of ProPublica's outcome measure by comparing performance on the measure to well-established postoperative outcome measures...
October 2016: Annals of Surgery
Kassam Mahomed, Jim McLean, Muhtashim Ahmed, Boris Zolotarev, Natalie Shaddock
BACKGROUND: Pain after hysteroscopy is usually minimal but some women need additional analgesia while in the recovery ward and some require overnight hospital admission to control pain. Intrauterine installation of an anaesthetic after hysteroscopy may reduce pain. AIMS: To see if intrauterine levobupivacaine reduces post-procedure pain, need for analgesia and allow earlier return to normal activity. MATERIALS AND METHODS: This was a double-blind randomised controlled trial...
October 2016: Australian & New Zealand Journal of Obstetrics & Gynaecology
Angelo Hooker, Donachienne Fraenk, Hans Brölmann, Judith Huirne
OBJECTIVES: Termination of pregnancy (TOP) is one of the most performed interventions in women worldwide: approximately one in three women will have at least one TOP in their reproductive life. Intrauterine adhesions (IUAs) have been reported as a possible complication after TOP, but their prevalence has not been established, as women are not routinely evaluated. IUAs are associated with menstrual disturbances, infertility and obstetric complications. METHODS: We searched Ovid MEDLINE, Ovid EMBASE and CENTRAL from inception until November 2015 for studies evaluating women following TOP...
August 2016: European Journal of Contraception & Reproductive Health Care
Catherine R Sheils, Allison R Dahlke, Lindsey Kreutzer, Karl Y Bilimoria, Anthony D Yang
BACKGROUND: The American College of Surgeons National Surgical Quality Improvement Program is well recognized in surgical quality measurement and is used widely in research. Recent calls to make it a platform for national public reporting and pay-for-performance initiatives highlight the importance of understanding which types of hospitals elect to participate in the program. Our objective was to compare characteristics of hospitals participating in the American College of Surgeons National Surgical Quality Improvement Program to characteristics of nonparticipating US hospitals...
November 2016: Surgery
Marisa Pulcrano, Stephen R T Evans, Michael Sosin
Importance: Establishing strategies to minimize the burden of burnout and poor quality of life (QOL) on surgeons relies on a thorough understanding of QOL and burnout among the various surgical specialties. Objectives: To systematically review the literature across multiple surgical specialties and provide a comprehensive understanding of QOL and burnout among all surgeons, to delineate variation in rates of burnout and poor QOL, and to elucidate factors that are commonly implicated in these outcomes...
October 1, 2016: JAMA Surgery
Carolyn W Swenson, Neil S Kamdar, John A Harris, Shitanshu Uppal, Darrell A Campbell, Daniel M Morgan
BACKGROUND: Despite a lack of evidence showing improved clinical outcomes with robotic-assisted hysterectomy over other minimally invasive routes for benign indications, this route has increased in popularity over the last decade. OBJECTIVE: We sought to compare clinical outcomes and estimated cost of robotic-assisted vs other routes of minimally invasive hysterectomy for benign indications. STUDY DESIGN: A statewide database was used to analyze utilization and outcomes of minimally invasive hysterectomy performed for benign indications from Jan...
November 2016: American Journal of Obstetrics and Gynecology
A Pontis, M N D'Alterio, S Pirarba, C de Angelis, R Tinelli, S Angioni
Adenomyosis is a heterogeneous gynaecologic condition with a range of clinical presentations, the most common being heavy menstrual bleeding and dysmenorrhoea; however, patients can also be asymptomatic. Several studies support the theory that adenomyosis results from invasion of the endometrium into the myometrium, causing alterations in the junctional zone. These changes are commonly seen on imaging studies, such as transvaginal ultrasound and magnetic resonance imaging. The aim of this review is to discuss the medical approach to the management of adenomyosis symptoms, including pain and abnormal uterine bleeding...
September 2016: Gynecological Endocrinology
Vignesh T Packiam, Andrew J Cohen, Joseph J Pariser, Charles U Nottingham, Sarah F Faris, Gregory T Bales
OBJECTIVE: To identify risk factors for ureteral injury during hysterectomy and to assess outcomes of concurrent minimally invasive vs converted to open repairs. METHODS: We queried the American College of Surgeons-National Surgical Quality Improvement Program database between 2005 and 2013 to identify abdominal hysterectomy (AH), minimally invasive hysterectomy (MIH), or vaginal hysterectomy. Ureteral injury was identified based on intraoperative or delayed management...
December 2016: Urology
Sara R C Driessen, Erik W Van Zwet, Pascal Haazebroek, Evelien M Sandberg, Mathijs D Blikkendaal, Andries R H Twijnstra, Frank Willem Jansen
BACKGROUND: The current health care system has an urgent need for tools to measure quality. A wide range of quality indicators have been developed in an attempt to differentiate between high-quality and low-quality health care processes. However, one of the main issues of currently used indicators is the lack of case-mix correction and improvement possibilities. Case-mix is defined as specific (patient) characteristics that are known to potentially affect (surgical) outcome. If these characteristics are not taken into consideration, comparisons of outcome among health care providers may not be valid...
December 2016: American Journal of Obstetrics and Gynecology
Haibo Wang, Ping Li, Xiujuan Li, Licai Gao, Caihong Lu, Jinrong Zhao, Ai-Ling Zhou
The aim of this study was to compare the clinical results of total laparoscopic hysterectomy (TLH) for large uterus with uterus size of 12 gestational weeks (g.w.) or greater through transvaginal or uterine morcellation approaches. We retrospectively collected the clinical data of those undergoing total laparoscopic hysterectomies between January 2004 and June 2012. Intraoperative and postoperative outcomes were compared between patients whose large uterus was removed through transvaginal or morcellation approaches...
2016: BioMed Research International
Attilio Di Spiezio Sardo, Gloria Calagna, Marianna Scognamiglio, Peter O'Donovan, Rudi Campo, Rudy L De Wilde
OBJECTIVE: The purpose of the present review is to provide a survey of the various measures of preventing adhesions used in hysteroscopic surgery. STUDY DESIGN: A systematic computerized literature search was conducted to provide a survey of the various measures used in hysteroscopic surgery to prevent adhesions. Finally, 29 studies were included in the analysis, showing a wide variety of methods and agents advocated in international literature. They are explained in various sections, based on the IUA prevention approach adopted (surgical technique, early second-look hysteroscopy, barrier method, pharmacological therapy)...
August 2016: European Journal of Obstetrics, Gynecology, and Reproductive Biology
Kurinchi S Gurusamy, Jessica Vaughan, Ian S Fraser, Lawrence M J Best, Toby Richards
BACKGROUND: Uterine fibroids are common, often symptomatic and a third of women need repeated time off work. Consequently 25% to 50% of women with fibroids receive surgical treatment, namely myomectomy or hysterectomy. Hysterectomy is the definitive treatment as fibroids are hormone dependent and frequently recurrent. Medical treatment aims to control symptoms in order to replace or delay surgery. This may improve the outcome of surgery and prevent recurrence. PURPOSE: To determine whether any medical treatment can be recommended in the treatment of women with fibroids about to undergo surgery and in those for whom surgery is not planned based on currently available evidence...
2016: PloS One
2016-07-08 12:20:47
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