Adhesion-related readmissions after surgery for deep endometriosis with the use of icodextrin—long-term results
Abstract
Icodextrin (Adept®) has been shown to prevent postoperative adhesions in experimental and laparoscopic adhesiolysis surgery. However, the role of icodextrin in the prevention of adhesions in extensive gynecological surgery is unclear. The present study evaluated the effect of icodextrin on adhesion-related readmissions after extensive gynecological surgery. The hospital readmissions of 140 endometriosis patients operated on at Päijät-Häme Central Hospital in 2004–2008 with the use of icodextrin were retrospectively reviewed. The evaluation of readmissions focused on adhesion-related disorde...
Source: Gynecological Surgery - January 4, 2016 Category: OBGYN Source Type: research
Suggested spontaneous resolution of possible paediatric hydrosalpinx: a case report with discussion
Abstract
Hydrosalpinx is a rare cause of abdominal pain in paediatric patients, though cases are documented in the literature. Its aetiology differs considerably from traditional hydrosalpinx due to ascending sexually transmitted infection. Hydrosalpinx can resent mimicking an acute abdomen or can be asymptomatic. Management of paediatric hydrosalpinx varies but often involves surgical removal of the affected tube. A 12-year-old girl presented with left-sided acute abdominal pain setting within 24 h. Initial ultrasound scan suggested presence of hydrosalpinx. Post-discharge follow-up appointment with a c...
Source: Gynecological Surgery - December 9, 2015 Category: OBGYN Source Type: research
Reliability of fluid monitoring during operative hysteroscopy
Abstract
The purpose of this study is to evaluate the reliability of volume-based fluid balance monitoring in operative hysteroscopy. The actual volume of twenty 3-litre Glycine 1.5 % bags was measured by weighing the contents of each bag and by converting the weight into volume knowing the specific gravity of Glycine 1.5 %. The volume of the SerresOY suction canisters that represents the output volume was measured using a calibrated 1000-ml beaker. The volume in the 3-litre Glycine 1.5 % bags ranged from a minimum 3105 ml to a maximum of 3124 ml with a mean volume of 3115.3 ml. The actual volume of...
Source: Gynecological Surgery - December 4, 2015 Category: OBGYN Source Type: research
Incarceration of sessile uterine fibroids in an incisional hernia in a postmenopausal woman: a case report
We present an uncommon case of a 57-year-old primipara with a previous history of caesarean section and a laparotomy on account of adhesive intestinal obstruction. She presented with lower abdominal swelling and abdominal pain since 7 years. She had surgical removal of the mass and total abdominal hysterectomy with mesh repair of the incisional hernia. Histology of the resected hernia content revealed leiomyoma. Abdominal wall fibroid is a good differential diagnosis to be considered in any woman with an anterior abdominal mass and previous uterine surgery, including caesarean section. (Source: Gynecological Surgery)
Source: Gynecological Surgery - December 4, 2015 Category: OBGYN Source Type: research
Robotic vaginally assisted NOTES hysterectomy: the first case series demonstrating a new surgical technique
The objective of this case report is to demonstrate a new hysterectomy technique via transvaginal natural orifice transluminal endoscopic surgery (NOTES) using robotic surgery. Previous experience with the Da Vinci Xi (Intuitive Surgery) for gynaecological oncology, and with NOTES for adnexal surgery and hysterectomy, led to the decision to combine the advantages of these techniques, namely to reduce the invasiveness of robotic surgery and improve the ergonomics of NOTES. A robotic vaginally assisted NOTES hysterectomy (VANH) was performed in five patients with a myomatous uterus. The circumcision of the cervix, the openin...
Source: Gynecological Surgery - November 19, 2015 Category: OBGYN Source Type: research
Prognostic factors that predict success in office endometrial ablation: a retrospective study
In conclusion, dysmenorrhoea before treatment or a uterine cavity length >9 cm was associated with the need for further surgical interventions after office endometrial ablation. These findings should help inform clinician and patient upon decision-making when considering treatment options for heavy menstrual bleeding. (Source: Gynecological Surgery)
Source: Gynecological Surgery - November 14, 2015 Category: OBGYN Source Type: research
The Thessaloniki ESHRE/ESGE consensus on diagnosis of female genital anomalies
Abstract
What is the recommended diagnostic work-up of female genital anomalies according to the European Society of Human Reproduction and Embryology (ESHRE)/European Society for Gynaecological Endoscopy (ESGE) system? The ESHRE/ESGE consensus for the diagnosis of female genital anomalies is presented. Accurate diagnosis of congenital anomalies still remains a clinical challenge due to the drawbacks of the previous classification systems and the non-systematic use of diagnostic methods with varying accuracy, with some of them quite inaccurate. Currently, a wide range of non-invasive diagnostic procedures...
Source: Gynecological Surgery - November 4, 2015 Category: OBGYN Source Type: research
Does hysteroscopic metroplasty for septate uterus represent a risk factor for adverse outcome during pregnancy and labor?
Abstract
The aim of the study was to evaluate whether hysteroscopic metroplasty for septate uterus represents a risk factor of adverse outcome in pregnancy, during labor, and after delivery. This is a retrospective comparative study of obstetric complications of 99 patients who underwent hysteroscopic metroplasty in a 5-year period (study group) and 4155 women, who gave birth in the same hospital in the same period (control group). No difference in obstetric outcome (preterm labor, hemorrhage before and after delivery, mean weeks of gestation at delivery, mean birth weight, breech presentation, and cesare...
Source: Gynecological Surgery - October 31, 2015 Category: OBGYN Source Type: research
Comparative study among cine-magnetic resonance imaging, ultrasound, and periumbilical ultrasound-guided saline infusion in high-risk patients for subumbilical adhesions before laparoscopic entry
This study was carried out on 90 high-risk patients for subumbilical adhesions. All patients were subjected to medical history, physical examination, laboratory investigations, and three techniques for subumbilical adhesions detection before laparoscopic entry including cine-MRI, TAU, and PUGSI. PUGSI for detection of subumbilical adhesions showed that the sensitivity of 94.7 % and a specificity of 90.1 %. With preoperative TAU, a sensitivity of 89.5 % and a specificity of 88.7 % were obtained. With cine-MRI, a sensitivity of 78.9 % and a specificity of 84.5 % were obtained. PUGSI is a more sensitive and rapid method...
Source: Gynecological Surgery - October 16, 2015 Category: OBGYN Source Type: research
A twelve year analysis of non-tubal ectopic pregnancies: Do the clinical manifestations and risk factor for these rare pregnancies differ from those of tubal pregnancies?
Abstract
The aim of this study was to analyze the characteristics and peculiarity of non-tubal ectopic (NTE) pregnancy presenting to a major district hospital in London, UK. Data were collected between January 2003 and July 2014. There were 850 cases of ectopic pregnancies (798 tubal pregnancies and 53 NTE pregnancies). Forty-seven of the NTE were included in the study. Data were analyzed using IBM SPSS Statistics 20. Pearson’s chi-squared analysis was used to compare statistical significance of the data collected; the level of statistical significance at which the null hypothesis was rejected was chose...
Source: Gynecological Surgery - October 9, 2015 Category: OBGYN Source Type: research
The FAST-EU trial: 12-month clinical outcomes of women after intrauterine sonography-guided transcervical radiofrequency ablation of uterine fibroids
Abstract
The FAST-EU Trial was designed to establish the effectiveness and confirm the safety of transcervical intrauterine sonography-guided radiofrequency ablation with the VizAblate™ System in the treatment of symptomatic uterine fibroids. This was a multicenter, prospective, single-arm trial involving academic and community hospitals in the United Kingdom, the Netherlands, and Mexico. Women with qualifying uterine fibroids and heavy menstrual bleeding underwent intrauterine sonography-guided transcervical radiofrequency ablation (RFA) with the VizAblate System; anesthesia was individualized. Patient...
Source: Gynecological Surgery - September 28, 2015 Category: OBGYN Source Type: research
Abstracts of the 24 th Annual Congress of the European Society for Gynaecological Endoscopy (ESGE), 7 th -10 th October 2015, Syma – Budapest – Hungary
(Source: Gynecological Surgery)
Source: Gynecological Surgery - September 23, 2015 Category: OBGYN Source Type: research
Perioperative outcomes in laparoscopic hysterectomy: identifying surgical risk factors
This study aimed to evaluate the effect of surgical risk factors, including type of surgery, body mass index, uterine size and presence of adhesions, on perioperative outcomes and complication rates in laparoscopic hysterectomy (LH). This was a retrospective cohort study of 264 LH cases performed between 2005 and 2013 at a London University Hospital. One hundred sixty six (62.9 %) underwent laparoscopic subtotal hysterectomy (LASH) and 98 (37.1 %) total laparoscopic hysterectomy (TLH). Mean operation duration was 77 (±35) min and mean estimated blood loss (EBL) was 196 (±128) ml. Mean specimen weight was 323 g...
Source: Gynecological Surgery - September 15, 2015 Category: OBGYN Source Type: research
Intravesical mini-laparoscopic repair of vesicovaginal fistulas
Abstract
Vesicovaginal fistulas (VVF) constitute the most common type of genitourinary fistulas. In developed countries, VVF are almost always iatrogenic and frequently a secondary result of gynecological surgery. Some minimally invasive techniques have been introduced to decrease the morbidity related to standard open procedures for the treatment of VVF. One such procedure is the intravesical mini-laparoscopic approach. The aim of this study was to present our initial clinical experience using this technique for transvesical VVF repair. In 2013 and 2014, we carried out mini-laparoscopic repair of VVF in ...
Source: Gynecological Surgery - September 11, 2015 Category: OBGYN Source Type: research
Intraoperative transvaginal sonography: a novel approach for localization of deeper myomas during laparoscopic myomectomy
This study was conducted in private Advanced Endoscopy and Infertility Treatment Centre, Kerala, India. The study comprised of 84 patients who underwent laparoscopic myomectomy from January 2011 to December 2013 in whom intraoperative TVS was used as an intervention. The number of additional deeper myomas removed was calculated, and recurrence at 1 year was calculated. The total number of myomas enucleated was 390, and the additional myomas enucleated after intraoperative TVS were 94. The recurrence of myomas at 1-year follow-up was 7.1 %. Intraoperative TVS was helpful to the surgeon for identifying deeper myomas making...
Source: Gynecological Surgery - September 11, 2015 Category: OBGYN Source Type: research
