collection
https://read.qxmd.com/read/27343568/comparison-of-robotic-and-other-minimally-invasive-routes-of-hysterectomy-for-benign-indications
#21
COMPARATIVE STUDY
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
https://read.qxmd.com/read/27379972/adenomyosis-a-systematic-review-of-medical-treatment
#22
REVIEW
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
https://read.qxmd.com/read/27392649/the-impact-of-minimally-invasive-surgery-on-major-iatrogenic-ureteral-injury-and-subsequent-ureteral-repair-during-hysterectomy-a-national-analysis-of-risk-factors-and-outcomes
#23
JOURNAL ARTICLE
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
https://read.qxmd.com/read/27402052/a-dynamic-quality-assessment-tool-for-laparoscopic-hysterectomy-to-measure-surgical-outcomes
#24
JOURNAL ARTICLE
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
https://read.qxmd.com/read/27419141/total-laparoscopic-hysterectomy-in-patients-with-large-uteri-comparison-of-uterine-removal-by-transvaginal-and-uterine-morcellation-approaches
#25
COMPARATIVE STUDY
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
https://read.qxmd.com/read/27337414/prevention-of-intrauterine-post-surgical-adhesions-in-hysteroscopy-a-systematic-review
#26
REVIEW
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
https://read.qxmd.com/read/26919185/medical-therapies-for-uterine-fibroids-a-systematic-review-and-network-meta-analysis-of-randomised-controlled-trials
#27
REVIEW
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
https://read.qxmd.com/read/26922066/urological-complications-of-uterine-leiomyoma-a-review-of-literature
#28
REVIEW
Gautam Dagur, Yiji Suh, Kelly Warren, Navjot Singh, John Fitzgerald, Sardar A Khan
INTRODUCTION: Uterine leiomyomas are common gynecologic tumor in reproductive-aged women, by age 50, diagnosis shared by urologist, gynecologists and radiologists. OBJECTIVE: The goal of this article is to review the current literature, study the impact of leiomyoma on female lower urinary tract, examine the cause female sexual dysfunction and provide a comprehensive review of current diagnostic, imaging studies, and current treatment of leiomyoma. METHODS: Clinical leiomyoma studies published from 1956 through 2015 were identified using the PubMed search engines and the key words leiomyoma, fibroid in the current literature...
June 2016: International Urology and Nephrology
https://read.qxmd.com/read/26962735/n-of-1-policymaking-tragedy-trade-offs-and-the-demise-of-morcellation
#29
JOURNAL ARTICLE
Lisa Rosenbaum
No abstract text is available yet for this article.
March 10, 2016: New England Journal of Medicine
https://read.qxmd.com/read/26969399/uterine-fibroid-from-pathogenesis-to-clinical-management
#30
EDITORIAL
Felice Petraglia
No abstract text is available yet for this article.
July 2016: Best Practice & Research. Clinical Obstetrics & Gynaecology
https://read.qxmd.com/read/27186881/magnetic-resonance-imaging-guided-high-intensity-focused-ultrasound-ablation-of-uterine-fibroids-effect-of-bowel-interposition-on-procedure-feasibility-and-a-unique-bowel-displacement-technique
#31
JOURNAL ARTICLE
Young-Sun Kim, Hyo Keun Lim, Hyunchul Rhim
PURPOSE: To evaluate the effect of bowel interposition on assessing procedure feasibility, and the usefulness and limiting conditions of bowel displacement techniques in magnetic resonance imaging-guided high-intensity focused ultrasound (MR-HIFU) ablation of uterine fibroids. MATERIALS AND METHODS: Institutional review board approved this study. A total of 375 screening MR exams and 206 MR-HIFU ablations for symptomatic uterine fibroids performed between August 2010 and March 2015 were retrospectively analyzed...
2016: PloS One
https://read.qxmd.com/read/27334223/complications-of-robotic-gynecologic-surgery-in-the-severely-morbidly-obese
#32
JOURNAL ARTICLE
Jonathan A Cosin, Michelle A Brett Sutherland, Candace T Westgate, Hongbin Fang
BACKGROUND: Surgeons are increasingly faced with the challenge of caring for obese patients. Advanced laparoscopic procedures have been shown to be safe in women with high BMI, but conversion rates remain high. Because robotics holds many potential advantages over traditional laparoscopic surgery, we sought to evaluate the outcome of robotic-assisted gynecologic surgery in obese patients. METHODS: A retrospective chart review of obese female patients undergoing robotic gynecologic surgery between January 2008 and August 2010 was done...
November 2016: Annals of Surgical Oncology
https://read.qxmd.com/read/27336213/role-of-ethnicity-in-treating-uterine-fibroids-with-ulipristal-acetate
#33
COMPARATIVE STUDY
Ally Murji, Rebecca Crosier, Tiffany Chow, Xiang Y Ye, Lindsay Shirreff
OBJECTIVE: To study differences in treatment effect between black and white premenopausal women prescribed ulipristal acetate (UPA) for symptomatic uterine fibroids. DESIGN: Prospective observational cohort study. SETTING: Gynecology clinics. PATIENT(S): Premenopausal women aged 18-55 years, at least one symptomatic uterine fibroid, UPA-naïve, and no contraindications for UPA treatment. INTERVENTION(S): One 3-month course of UPA at 5 mg daily...
October 2016: Fertility and Sterility
https://read.qxmd.com/read/27320902/colorectal-surgical-site-infection-reduction-strategies
#34
JOURNAL ARTICLE
David DeHaas, Steven Aufderheide, Jan Gano, Julie Weigandt, Jan Ries, Bobbi Faust
OBJECTIVE: PeaceHealth Sacred Heart Medical Center at RiverBend is a 379 bed hospital; 15,060 surgical procedures were performed in 2014 with 254 being colorectal surgical cases. Using the ACS NSQIP program the hospital was identified as a high outlier for surgical site infection (SSI) in all cases and in colorectal procedures in our July 2012 semiannual report (SAR). METHODS: A best practice bundle to reduce SSI's and a colorectal enhanced recovery pathway were concurrently initiated RESULTS: After implementation of these best practice elements, our ACS NSQIP results showed a reduction in our colorectal SSI rate from 17...
July 2016: American Journal of Surgery
https://read.qxmd.com/read/27353417/grade-evidence-to-decision-etd-frameworks-a-systematic-and-transparent-approach-to-making-well-informed-healthcare-choices-1-introduction
#35
JOURNAL ARTICLE
Pablo Alonso-Coello, Holger J Schünemann, Jenny Moberg, Romina Brignardello-Petersen, Elie A Akl, Marina Davoli, Shaun Treweek, Reem A Mustafa, Gabriel Rada, Sarah Rosenbaum, Angela Morelli, Gordon H Guyatt, Andrew D Oxman
No abstract text is available yet for this article.
June 28, 2016: BMJ: British Medical Journal
https://read.qxmd.com/read/27318636/-bowel-injuries-after-port-insertion-in-laparoscopy-gynerisq-s-database-analysis
#36
JOURNAL ARTICLE
E Cesario, P Crochet, F-X Boyer de Latour, G Eglin, B De Rochambeau, A Agostini
INTRODUCTION: Port insertion is a high-risk period during laparoscopy. The French Gynecologist and Obstetricians College (CNGOF) published recommendations in 2010 to minimize those risks. The aim of our analysis was to establish the accidents' circumstances and consequences and to determine if those incidents could have been depending on whether recommendations had been respected or not. MATERIAL AND METHODS: Gynerisq is an approved organism by the Haute Autorité de santé (HAS)...
November 2016: Journal de Gynécologie, Obstétrique et Biologie de la Reproduction
https://read.qxmd.com/read/27324334/musculoskeletal-pain-among-surgeons-performing-minimally-invasive-surgery-a-systematic-review
#37
REVIEW
Tina Dalager, Karen Søgaard, Katrine Tholstrup Bech, Ole Mogensen, Pernille Tine Jensen
BACKGROUND: Musculoskeletal pain is the most common occupational disease in Europe. Surgeons with awkward and static working postures are no exception. Robotic-assisted laparoscopy has been postulated to be superior to conventional laparoscopy regarding the ergonomic strain for surgeons. In this review, we aimed to systematically evaluate the existing literature comparing the two surgical modalities. METHODS: A systematic literature search was employed in PubMed, Embase and Cochrane Library in spring 2015...
February 2017: Surgical Endoscopy
https://read.qxmd.com/read/27327882/prevention-and-management-of-urologic-injury-during-gynecologic-laparoscopy
#38
REVIEW
Austin D Findley, M Jonathon Solnik
PURPOSE OF REVIEW: This article provides an update on the best practices for the prevention, recognition, and management of urinary tract injuries that may occur during gynecologic laparoscopic surgery. RECENT FINDINGS: Higher surgical volume is directly associated with improved surgical outcomes, denoted by consistently lower rates of complications for commonplace procedures such as hysterectomy. As a result, expert opinion on prevention of iatrogenic urologic injury suggests a real need for improved education and training of gynecologic surgeons...
August 2016: Current Opinion in Obstetrics & Gynecology
https://read.qxmd.com/read/27328505/robot-assisted-versus-conventional-laparoscopic-surgery-in-the-treatment-of-advanced-stage-endometriosis-a-meta-analysis
#39
REVIEW
Shao-Hui Chen, Zhao-Ai Li, Xiu-Ping Du
OBJECTIVE: To evaluate the safety and efficacy of robot-assisted laparoscopy (RAL) versus conventional laparoscopy (CL) in the treatment of advanced stage endometriosis. MATERIALS AND METHODS: Utilizing electronic databases (PubMed, Embase, and Elsevier), a systematic literature review was performed between 2008 and 2015 to compare the RAL surgery with CL surgery (CLS) in the treatment of advanced stage endometriosis. According to meta-analysis criteria, two comparative clinical trials were selected...
2016: Clinical and Experimental Obstetrics & Gynecology
https://read.qxmd.com/read/27334336/sexual-and-physical-abuse-and-gynecologic-disorders
#40
JOURNAL ARTICLE
K C Schliep, Sunni L Mumford, Erica B Johnstone, C Matthew Peterson, Howard T Sharp, Joseph B Stanford, Zhen Chen, Uba Backonja, Maeve E Wallace, Germaine M Buck Louis
STUDY QUESTION: Is sexual and/or physical abuse history associated with incident endometriosis diagnosis or other gynecologic disorders among premenopausal women undergoing diagnostic and/or therapeutic laparoscopy or laparotomy regardless of clinical indication? SUMMARY ANSWER: No association was observed between either a history of sexual or physical abuse and risk of endometriosis, ovarian cysts or fibroids; however, a history of physical abuse was associated with a higher likelihood of adhesions after taking into account important confounding and mediating factors...
August 2016: Human Reproduction
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