Survey among ESGE members on leiomyosarcoma morcellation incidence
ConclusionThe survey demonstrated that myomectomy by hysteroscopy or laparoscopy has similar risks of sarcoma with an estimated incidence of 0.07%, much lower than that by laparoscopic hysterectomy and subtotal hysterectomy. Hence, for young patients with myoma infertility problem and low risk for LMS, myomectomy by MIS can be the first option of treatment. The fact that only 12.5% (216/1728) of uterine sarcoma cases are operated laparoscopically demonstrates the surgeons ’ awareness and alertness about LMS and the potential of spreading sarcomatous cells after myoma/uterus power morcellation. (Source: Gynecological Surgery)
Source: Gynecological Surgery - December 4, 2017 Category: OBGYN Source Type: research
A laparoscopic training model for surgical trainees
(Source: Gynecological Surgery)
Source: Gynecological Surgery - December 2, 2017 Category: OBGYN Source Type: research
Role of blue dye for sentinel lymph node detection in early endometrial cancer
ConclusionsBlue dye cervical injection is a “low-cost”, safe, and satisfactory procedure to point out Sentinel Lymph Node of uterus drainage. Other tracers, such as indocyanine green, are widely used in gynecological oncology, but with a higher cost of the product and the needing of a dedicated optical filter to be shown on human view. (Source: Gynecological Surgery)
Source: Gynecological Surgery - November 29, 2017 Category: OBGYN Source Type: research
Pushing the boundaries of laparoscopic myomectomy: a comparative analysis of peri-operative outcomes in 323 women undergoing laparoscopic myomectomy in a tertiary referral centre
ConclusionsLaparoscopic myomectomy is a safe and efficacious procedure that should be considered the gold standard surgical treatment option for fibroids. With experience, the procedure can be undertaken with minimal complications, a low risk of conversion to laparotomy and early discharge from hospital, even in cases of large and multiple fibroids that historically would have required the open approach. This allows even the most complex of cases to now benefit for the advantages of the minimal access approach. (Source: Gynecological Surgery)
Source: Gynecological Surgery - November 13, 2017 Category: OBGYN Source Type: research
N 2 O strongly prevents adhesion formation and postoperative pain in open surgery through a drug-like effect
ConclusionsThe drug-like and strong beneficial effect of low concentrations of N2O is confirmed in OS. (Source: Gynecological Surgery)
Source: Gynecological Surgery - November 7, 2017 Category: OBGYN Source Type: research
Essure ® present controversies and 5 years’ learned lessons: a retrospective study with short- and long-term follow-up
ConclusionsWe identified high patient satisfaction and low failure rates, both at short and long term. Investigation about whether some women still have patent tubes at the 3-month follow-up could lead to protocol improvement. It is important that clinicians look for second causes for adverse effects related to Essure ® and avoid the erroneous indication for implant removal. Long follow-up allowed for both internal quality evaluation and clarification of misconception; it could possibly also have contributed to patient satisfaction. (Source: Gynecological Surgery)
Source: Gynecological Surgery - October 3, 2017 Category: OBGYN Source Type: research
Applying a statistical method in transvaginal ultrasound training: lessons from the learning curve cumulative summation test (LC-CUSUM) for endometriosis mapping
ConclusionsLC-CUSUM allows monitoring of individual performance during the learning process of new methodologies. This study shows that a sonographer trained in general gynecologic ultrasonography, who devotes time to learn TVUS for DIE mapping, can achieve proficiency for diagnosing the major types of endometriotic lesions after examining less than 50 patients who subsequently undergo surgery in a training setting. (Source: Gynecological Surgery)
Source: Gynecological Surgery - October 3, 2017 Category: OBGYN Source Type: research
Face and content validity of the virtual reality simulator ‘ScanTrainer®’
ConclusionsThe findings confirm that the simulator has the feel and look of real-time scanning with high face validity. Similarly, its tutorial structures and learning steps confirm the content validity. (Source: Gynecological Surgery)
Source: Gynecological Surgery - September 12, 2017 Category: OBGYN Source Type: research
Pregnancy following laparoscopic hysteropexy —a case series
ConclusionsWe think our technique of hysteropexy is safe for those wishing to conceive. Larger numbers are needed to allow robust evidence-based guidance for patients and clinicians. (Source: Gynecological Surgery)
Source: Gynecological Surgery - August 17, 2017 Category: OBGYN Source Type: research
Effects of salpingectomy during abdominal hysterectomy on ovarian reserve: a randomized controlled trial
ConclusionsSalpingectomy with abdominal hysterectomy is a safe treatment that does not have a deleterious effect on ovarian reserve.Trial registrationIranian Registry of Clinical Trials,IRCT2014123118866N4 (www.IRCT.ir) (Source: Gynecological Surgery)
Source: Gynecological Surgery - August 17, 2017 Category: OBGYN Source Type: research
The role of the multidisciplinary team in the management of deep infiltrating endometriosis
AbstractThe multidisciplinary team (MDT) is considered good practice in the management of chronic conditions and is now a well-established part of clinical care in the NHS. There has been a recent drive to have MDTs in the management of women with severe endometriosis requiring complex surgery as a result of recommendations from the European Society for Human Reproduction and Embryology (ESHRE) and British Society for Gynaecological Endoscopy (BSGE). The multidisciplinary approach to the management of patients with endometriosis leads to better results in patient outcomes; however, there are potentially a number of barrier...
Source: Gynecological Surgery - August 15, 2017 Category: OBGYN Source Type: research
The effect of music in gynaecological office procedures on pain, anxiety and satisfaction: a randomized controlled trial
ConclusionsThis study showed no positive effect of music on patients ’ level of pain, anxiety or satisfaction of patient or doctor for office hysteroscopy and colposcopy. We believe a multimodal approach has to be used to decrease patient distress in terms of pain and anxiety, with or without music.Trial registrationDutch Trial Register,NTR4924 (Source: Gynecological Surgery)
Source: Gynecological Surgery - August 9, 2017 Category: OBGYN Source Type: research
Your contribution to Gynecological Surgery now freely available to the global scientific community
(Source: Gynecological Surgery)
Source: Gynecological Surgery - August 2, 2017 Category: OBGYN Source Type: research
Dominant hand, non-dominant hand, or both? The effect of pre-training in hand-eye coordination upon the learning curve of laparoscopic intra-corporeal knot tying
ConclusionsThis study demonstrates that pre-training in HEC with both the DH and the NDH shortens the LICK learning curve. (Source: Gynecological Surgery)
Source: Gynecological Surgery - July 7, 2017 Category: OBGYN Source Type: research
