Acknowledgement to referees 2015
(Source: Gynecological Surgery)
Source: Gynecological Surgery - April 3, 2016 Category: OBGYN Source Type: research
Electrosurgical vaginal hysterectomy in patients with a non-prolapsed enlarged uterus: a retrospective cohort study comparing postoperative outcomes
(Source: Gynecological Surgery)
Source: Gynecological Surgery - March 30, 2016 Category: OBGYN Source Type: research
Effect of salpingectomy, ovarian cystectomy and unilateral salpingo-oopherectomy on ovarian reserve
This study examines the markers of ovarian reserve after different procedures in order to help the provision of informed consent before surgery. Anti-Müllerian hormone (AMH), antral follicle count (AFC) and follicle-stimulating hormone (FSH) of women with a history of salpingectomy, ovarian cystectomy or unilateral salpingo-oophorectomy were compared to those without history of surgery using cross-sectional data adjusting for patient and clinical factors in multivariable regression model. There were 138 women who had had salpingectomy, 36 unilateral salpingo-oopherectomy, 41 cystectomy for ovarian cysts that are other tha...
Source: Gynecological Surgery - March 27, 2016 Category: OBGYN Source Type: research
Gynaecological laparoscopic injuries: a 10-year retrospective review at a District General Hospital NHS Trust
Abstract
Worldwide, increasingly complex surgery is being performed laparoscopically; thus, laparoscopic complication rates may be increasing. Reported risks from all complications of laparoscopic surgery are between 1 and 12.5/1000 cases and serious complications in 1/1000 cases. Accurate complication rates of surgery are difficult to obtain as most data are from retrospective studies and may be incomplete. This paper is a 10-year retrospective review of gynaecological laparoscopic complications from 1 January 2003 to 31 December 2012. Data sources are SEMAHELIX Hospital Database, Gynaecology Complicatio...
Source: Gynecological Surgery - March 21, 2016 Category: OBGYN Source Type: research
Peritoneal limited conditioning reduces postoperative pain: a randomized controlled trial in robot-assisted laparoscopic myomectomy
Abstract
Postoperative pain is related to the gas used for laparoscopy as demonstrated for 100 % nitrous oxide in 2002 by Tsereteli. In a previous trial, we demonstrated that the use of full conditioning adding 10 % nitrous oxide and 4 % oxygen to the CO2 pneumoperitoneum with humidification and altering the temperature of the insufflation gas, the use of Hyalobarrier gel, and the administration of 5 mg dexamethasone significantly reduced postoperative pain and decreased adhesions. As we believed that just altering the insufflation gas by adding 10 % of nitrous oxide and 4 % of oxygen would reduce p...
Source: Gynecological Surgery - March 18, 2016 Category: OBGYN Source Type: research
Expulsion of correctly placed Essure® device during endometrial sampling
(Source: Gynecological Surgery)
Source: Gynecological Surgery - March 12, 2016 Category: OBGYN Source Type: research
A pouch in the cervix: a strange diagnosis
(Source: Gynecological Surgery)
Source: Gynecological Surgery - March 10, 2016 Category: OBGYN Source Type: research
The impact of uterine artery embolization to reduce postpartum hysterectomy
Abstract
Uterine artery embolization (UAE) has been part of treatment options for postpartum hemorrhage (PPH) at Oslo University Hospital since 2007. We wanted to investigate if introduction of UAE influenced the incidence of postpartum hysterectomy and in addition to evaluate clinical success and fertility after UAE. This retrospective study includes patients treated for severe PPH undergoing UAE from 2007 to 2010 and patients undergoing hysterectomy in the period before (2003–2006) and after (2007–2010) the introduction of UAE. Hospital records were reviewed. Patients who were embolized were contact...
Source: Gynecological Surgery - March 7, 2016 Category: OBGYN Source Type: research
Results of a nationwide survey on practice patterns of Canadian obstetricians and gynaecologists regarding the mode of delivery after pelvic floor surgery
Abstract
It is not uncommon to be challenged with the dilemma of deciding the best mode of delivery in a patient with a history of previous pelvic floor surgery. We hypothesized that the trend would be a predilection towards cesarean section delivery in the context of a previous pelvic floor surgery, especially amongst Urogynaecologists. A nation-wide survey was sent through the Society of Obstetrics and Gynaecology of Canada to all physician members to assess the practice patterns regarding the preferred mode of delivery after pelvic floor surgery. A hundred and three members replied. Forty-seven percent...
Source: Gynecological Surgery - February 15, 2016 Category: OBGYN Source Type: research
Ex abundanti cautela : From the tragedy of inadvertent sarcoma morcellation to inappropriate myoma screening
(Source: Gynecological Surgery)
Source: Gynecological Surgery - February 6, 2016 Category: OBGYN Source Type: research
Office Hysteroscopy. An operative gold standard technique and an important contribution to Patient Safety
Abstract
According to World Health Organization (WHO), about 1 out of 10 hospitalized patients suffers an adverse event, in developed countries, being an adverse event an injury related to medical management, in contrast to complications of disease. These events cause both unnecessary suffering and huge cost to health systems. This issue is so important that WHO has defined it as a global health problem and in 2004 launched the World Alliance for Patient Safety, with the aim to coordinate, disseminate and accelerate improvements in Patient Safety. Office Hysteroscopy (OH), as an independent technique of t...
Source: Gynecological Surgery - February 4, 2016 Category: OBGYN Source Type: research
Is an endometrial thickness of ≥4 mm on transvaginal ultrasound scan an appropriate threshold for investigation of postmenopausal bleeding?
Abstract
Uterine cancer is the fourth most common cancer in the UK. Transvaginal ultrasound (TVS) provides a reliable means of determining endometrial thickness. There is little consensus as to the optimum endometrial thickness threshold for investigation of endometrial cancer. The aim of our study was to ascertain an appropriate endometrial thickness (ET) while limiting unnecessary investigation. A prospective study of women with postmenopausal bleeding (PMB) referred to the rapid access clinic over a 2-year period was undertaken. The primary investigation was TVS and if the ET was ≥4 mm, an endometri...
Source: Gynecological Surgery - February 1, 2016 Category: OBGYN Source Type: research
Laparoscopic versus robotic-assisted sacrocolpopexy for pelvic organ prolapse: a systematic review
Abstract
The use of robot-assisted surgery (RAS) has gained popularity in the field of gynaecology, including pelvic floor surgery. To assess the benefits of RAS, we conducted a systematic review of randomized controlled trials comparing laparoscopic and robotic-assisted sacrocolpopexy. The Cochrane Library (1970–January 2015), MEDLINE (1966 to January 2015), and EMBASE (1974 to January 2015) were searched, as well as ClinicalTrials.gov and the International Clinical Trials Registry Platform. We identified two randomized trials (n = 78) comparing laparoscopic with robotic sacrocolpopexy. The Paraiso...
Source: Gynecological Surgery - January 26, 2016 Category: OBGYN Source Type: research
Bilateral intrinsic ureteral fibrosis after pregnancy: role of laparoscopy in diagnosis and surgical management
(Source: Gynecological Surgery)
Source: Gynecological Surgery - January 14, 2016 Category: OBGYN Source Type: research
A new approach to simplify surgical colpotomy in laparoscopic hysterectomy
This study evaluates the surgical colpotomy step in laparoscopic hysterectomy with respect to difficulty and duration. Furthermore, it proposes an alternative route that may simplify this step in laparoscopic hysterectomy. A structured interview, a prospective cohort study, and a problem analysis were performed regarding experienced difficulty and duration of surgical colpotomy in laparoscopic hysterectomy. Sixteen experts in minimally invasive gynecologic surgery from 12 hospitals participated in the structured interview using a 5-point Likert scale. The colpotomy in LH received the highest scores for complexity (2.8 ±...
Source: Gynecological Surgery - January 12, 2016 Category: OBGYN Source Type: research
