Epidemiology of subtle, typical, cystic, and deep endometriosis: a systematic review
In conclusion, there are no solid epidemiologic data of each type of endometriosis separately. With all restrictions imposed by the referral bias and by a clinical impression, the consistency of the observati on of deep endometriosis surgeons should be a reason for concern. The investigation of the epidemiology of deep endometriosis is suggested since it is relevant because it is clinically severe pathologic and feasible since it can be done from hospital-based records. Indeed, most women will ultimately have surgery with solid information on severity and an unbiased diagnosis if defined as “adenomyosis externa.” (Sour...
Source: Gynecological Surgery - August 12, 2016 Category: OBGYN Source Type: research
Laparoscopic treatment of ovarian tumors in children: an experience of seven cases in Mansoura University Hospital
This study included seven patients with age range of 7 to 11 years presented with ovarian tumors. The following items were fulfilled for all studied cases: age at diagnosis, presenting complaints, blood samples for detection of tumor markers, abdominal ultrasonography, abdominal magnetic resonance imaging (MRI), treatment by laparoscopy, histopathological e xamination, and the outcome of the patients. All ovarian tumors were benign. Three cases were found to be cystic teratomas, two cases were benign serous cystadenoma, only one case was cystadeno-fibroma and one case was solid tumor, and its histology did not give a cle...
Source: Gynecological Surgery - August 8, 2016 Category: OBGYN Source Type: research
Intrauterine balloon therapy: a novel ultrasound guided treatment for intrauterine adhesions
AbstractThe diagnosis of intrauterine adhesions is becoming more frequent owing to widely available and accurate diagnostic modalities. However, despite numerous publications on this topic, little has been reported in terms of novel treatment techniques in the past couple of decades. In the present article, two carefully documented cases are presented, in which a novel technique for the treatment of intrauterine adhesions has been applied. The first case concerns a woman with severe intrauterine adhesions managed as an inpatient under general anaesthesia. The second case concerns a woman with a single intrauterine adhesion...
Source: Gynecological Surgery - August 5, 2016 Category: OBGYN Source Type: research
Sentinel lymph node biopsy in endometrial and cervical cancers using freehand SPECT —first experiences
AbstractThe sentinel lymph node (SLN) biopsy (SLNB) is currently being developed for uterine cancers. The uterus is not easily accessible for tracer application; furthermore, the lymphatic drainage of the uterus is complex, which makes laparoscopic localization of the SLN challenging. The freehand single photon emission computed tomography (SPECT) is a 3D laparoscopic imaging modality which has been developed to overcome these problems. The aim of the study was to evaluate the freehand SPECT to detect the SLN in patients with uterine cancers. Twenty-nine patients with endometrial or cervical cancers were included into the ...
Source: Gynecological Surgery - August 1, 2016 Category: OBGYN Source Type: research
Expulsion of correctly placed Essure ® device during endometrial sampling
(Source: Gynecological Surgery)
Source: Gynecological Surgery - July 22, 2016 Category: OBGYN Source Type: research
Retention of laparoscopic psychomotor skills after a structured training program depends on the quality of the training and on the complexity of the task
Abstract
This follow-up RCT was conducted to evaluate laparoscopic psychomotor skills retention after finishing a structured training program. In a first study, 80 gynecologists were randomly allocated to four groups to follow different training programs for hand-eye coordination (task 1) with the dominant hand (task 1-a) and the non-dominant hand (task 1-b) and laparoscopic intra-corporeal knot tying (task 2) in the Laparoscopic Skills Testing and Training (LASTT) model. First, baseline skills were tested (T1). Then, participants trained task 1 (G1: 1-a and 1-b, G2: 1-a only, G3 and G4: none) and then ta...
Source: Gynecological Surgery - July 15, 2016 Category: OBGYN Source Type: research
Total laparoscopic hysterectomy for benign, malignant and pre-malignant gynaecological pathology: relation between surgical outcome and body mass index
Abstract
Obesity is having an increasingly significant impact on health care services across the developed world. Although initially laparoscopic surgery was thought to be contraindicated in cases of obesity, surgeons, including gynaecologists, are now routinely performing laparoscopic surgery on obese patients. Limited research has been conducted into the effect of obesity on outcomes of major laparoscopic pelvic surgery. Some authors report worsening outcomes in obese women having laparoscopic hysterectomies; others suggest that complication rates do not increase, but operating times are longer. Here, w...
Source: Gynecological Surgery - July 7, 2016 Category: OBGYN Source Type: research
Effectiveness of treatment for infertility using clinical investigation of laparoscopy cytoreductive surgery combined with gestrinone in adenomyosis
Abstract
Adenomyosis is generally treated by medicine and surgery; this study aims to explore the effectiveness of laparoscopic cytoreductive surgery combined with gestrinone on the treatment of adenomyosis. This is a retrospective analysis (Jan. 2008 to Apr. 2011), on 82 patients who were diagnosed with adenomyosis and accepted treatment, and who were divided into three groups. Group A is composed by 27 patients who underwent laparoscopic cytoreductive surgery and postoperative treatment of gestrinone; group B, 25 patients who only underwent laparoscopic cytoreductive surgery; and group C, 30 patients wh...
Source: Gynecological Surgery - July 7, 2016 Category: OBGYN Source Type: research
Feasibility of laparoscopic radical hysterectomy after chemoradiation therapy in persistent locally advanced cervical cancer
Abstract
To evaluate the feasibility, the surgical outcome and oncologic results of laparoscopic radical hysterectomy (RH) in patients with suspicion of central persistent locally advanced cervical cancer (LACC) after chemoradiation therapy (CRT). Observational retrospective study including data concerning five patients between November 2005 and June 2015, with LACC and suspicion of central persistent tumour less than 2 cm. After completing treatment with CRT and brachytherapy, these patients were submitted to laparoscopic RH. Median patient age was 58.2 (45–71) years. FIGO stage at initial diagnosis w...
Source: Gynecological Surgery - July 6, 2016 Category: OBGYN Source Type: research
Abstracts of Video, Oral, Video Poster and Poster Presentations BSGE Annual Scientific Meeting Training in Endoscopic Surgery: ‘From Shifting Sands to Firm Foundations’ Bedruthan Hotel, Cornwall 17- 18 May 2016
(Source: Gynecological Surgery)
Source: Gynecological Surgery - June 29, 2016 Category: OBGYN Source Type: research
Should we use visual entry techniques in patients with previous laparotomies?
Abstract
Laparoscopic surgery has become the method of choice for treating an ever increasing number of gynaecological disorders that require surgery. However, primary port insertion is a potentially dangerous step especially in patients with previous laparotomies. The aim of this study is to identify whether visual entry technique has any advantage over the closed one in patients with previous laparotomies. This is a retrospective observational case control study of 2541 patients with previous laparotomies who underwent laparoscopic surgery from January 1992 to September 2003 at Vijaya Hospital, Kochi an...
Source: Gynecological Surgery - June 20, 2016 Category: OBGYN Source Type: research
Gynaecological endoscopic surgical education and assessment. A diploma programme in gynaecological endoscopic surgery
Abstract
In recent years, training and education in endoscopic surgery has been critically reviewed. Clinicians, both surgeons as gynaecologist who perform endoscopic surgery without proper training of the specific psychomotor skills, are at higher risk to increased patient morbidity and mortality. Although the apprentice-tutor model has long been a successful approach for training of surgeons, recently, clinicians have recognised that endoscopic surgery requires an important training phase outside the operating theatre. The Gynaecological Endoscopic Surgical Education and Assessment programme (GESEA) rec...
Source: Gynecological Surgery - June 20, 2016 Category: OBGYN Source Type: research
Ovarian suspension for adhesion prevention during laparoscopic excision of severe pelvic endometriosis and endometrioma excision: a systematic review
Abstract
Ovarian adhesions are fibrous connections, which develop between the ovaries and the surrounding organs as a result of a prior traumatic surgery in this area. Several studies suggest ovarian suspension as a way to prevent them; however, to date, there is no consensus regarding its effectiveness in the field. To investigate whether the application of ovarian suspension would be beneficial in the prevention of postoperative ovarian adhesions. We used Medline (1966–2015), Scopus (2004–2015), ClinicalTrials.gov (2008–2015), Cochrane Central Register of Controlled Trials (CENTRAL; 1999–2015), ...
Source: Gynecological Surgery - June 16, 2016 Category: OBGYN Source Type: research
Ultrasonography in the prediction of complications during and after uterine myomectomy
This study aims to evaluate the value of transvaginal sonography in the prediction of complications during and after myomectomy. Retrospective analysis of hysteroscopic, laparoscopic, and laparotomic myomectomies are called groups 1, 2, and 3, respectively, between January 2009 and August 2011. For each case, four ultrasonographic characteristics were collected: volume, vascularization, location, and presence of calcification(s). Outcome parameters were surgical time, intraoperative blood loss, embolisms, duration of hospital stay, pre- and postoperative hemoglobin, visceral damage (bladder, bowel, or uterus), fever, secon...
Source: Gynecological Surgery - June 10, 2016 Category: OBGYN Source Type: research
The emerging role of endovascular management of post-partum hemorrhage
(Source: Gynecological Surgery)
Source: Gynecological Surgery - June 7, 2016 Category: OBGYN Source Type: research
