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Vaginal vault metastasis - the new enigma in port site recurrences in gynecological laparoscopic surgeries
Conclusion Apart from other port recurrences vaginal vault is a potential site of recurrence. But it is more significant as it results in greater morbidity and carries a worse prognosis than other port recurrences. (Source: Gynecology and Minimally Invasive Therapy)
Source: Gynecology and Minimally Invasive Therapy - June 26, 2015 Category: OBGYN Source Type: research

Reduced-Port Surgery in Gynecologic Fields
Publication date: Available online 24 June 2015 Source:Gynecology and Minimally Invasive Therapy Author(s): Iwaho Kikuchi , Jun Kumakiri , Yoichi Aoki , Uki Ujihira , Kaoru Tejima , Aiko Sakamoto , Juichiro Saito , Michio Nojima , Koyo Yoshida , Satoru Takeda Reduced-port surgery (RPS) is widely used for various abdominal surgeries. Herein, we review RPS as it applies specifically to the field of obstetrics and gynecology with a view toward its usefulness and future prospects. Because an advisory was issued by the US FDA in May 2014 and sales of the Johnson & Johnson Morcellex devices were subsequentl...
Source: Gynecology and Minimally Invasive Therapy - June 25, 2015 Category: OBGYN Source Type: research

Ovarian tumor cases preoperatively diagnosed as benign but postoperatively confirmed as borderline or malignant after laparoscopic surgery
This study retrospectively reviewed cases in our hospital that underwent surgery based on the preoperative diagnosis of benignancy but postoperatively proved to be borderline or malignant to evaluate clinical and histological factors as well as prognosis. Patients and methods The study group was comprised of 1322 women who underwent a laparoscopic procedure on the basis of a preoperative diagnosis of a benign ovarian tumor in our hospital between 1995 and 2011. The rate of borderline and malignant cases, histology, and postoperative treatment were investigated. Results Of the 1322 cases, 15 (1.1%) were postoperatively ...
Source: Gynecology and Minimally Invasive Therapy - June 23, 2015 Category: OBGYN Source Type: research

Preoperative dienogest to improve the surgical field of view in resectoscopic surgery
Conclusion We found that preoperative dienogest effectively minimized endometrial damage in resectoscopic surgery by thinning the endometrium and clearing the surgical field of vision. (Source: Gynecology and Minimally Invasive Therapy)
Source: Gynecology and Minimally Invasive Therapy - June 22, 2015 Category: OBGYN Source Type: research

Localized leiomyosarcoma of the uterine cervix with rapid lung metastases
We report the case of a 63-year-old woman who was admitted to our institution due to abnormal vaginal bleeding and abdominal pain. Physical examination revealed a large cervical mass that was biopsied. Pathological features were compatible with a leiomyosarcoma of the uterine cervix. The patient underwent total abdominal hysterectomy with bilateral salpingo-oophorectomy. All histological and Immunohistochemical findings confirmed the diagnosis of leiomyosarcoma of the cervix. Adjuvant chemotherapy was started but unfortunately the disease progressed and 1 year after completion of the chemotherapy the patient developed lung...
Source: Gynecology and Minimally Invasive Therapy - June 21, 2015 Category: OBGYN Source Type: research

Laparoscopic uterine artery occlusion for the treatment of symptomatic uterine fibroids
Publication date: Available online 21 May 2015 Source:Gynecology and Minimally Invasive Therapy Author(s): Weihong Yang , Ning Luo , Zhongping Cheng With the development of gynecologic laparoscopy technology in recent years, uterine artery occlusion by laparoscopy (UAOL) has become a primary treatment for symptomatic uterine fibroids. Uterine artery occlusion by laparoscopy to treat uterine fibroids has favorable clinical outcomes such as relieving menometrorrhagia, decreasing uterine volume, and reducing the recurrence rate of fibroids. However, the therapeutic mechanism of UAOL remains unclear. It may be that the ...
Source: Gynecology and Minimally Invasive Therapy - June 13, 2015 Category: OBGYN Source Type: research

A patient with Endometrial carcinoma association with horseshoe kidneys and malformation of right external iliac artery
Publication date: Available online 12 June 2015 Source:Gynecology and Minimally Invasive Therapy Author(s): Yang Weihong , Cheng Zhongping (Source: Gynecology and Minimally Invasive Therapy)
Source: Gynecology and Minimally Invasive Therapy - June 12, 2015 Category: OBGYN Source Type: research

A case of abdominal pregnancy following in vitro fertilization and embryo transfer treated with laparoscopic surgery
Publication date: Available online 21 May 2015 Source:Gynecology and Minimally Invasive Therapy Author(s): Shinsuke Koyama , Ai Yoshino , Koichiro Okuno , Hirokazu Naoi , Masahiro Watanabe , Kimiaki Ozaki , Yasuhiko Shiki It is well known that the incidence of ectopic pregnancy has increased significantly with the prevalence of assisted reproductive technologies such as in vitro fertilization and embryo transfer (IVF-ET). Almost all ectopic pregnancies following IVF-ET are actually tubal pregnancies just like ectopic pregnancy following natural conception. Abdominal pregnancy is a rare form of ectopic pregnancy...
Source: Gynecology and Minimally Invasive Therapy - June 11, 2015 Category: OBGYN Source Type: research

The choice of reoperation after primary surgeries for uterine prolapse: A nationwide study
Conclusion Our study offers a population-based nationwide observation that hysteropexy correlates with a higher reoperation rate, as compared with hysterectomy; but it is still as high as 30% in the surgical choice of the failed hysteropexy group. (Source: Gynecology and Minimally Invasive Therapy)
Source: Gynecology and Minimally Invasive Therapy - June 9, 2015 Category: OBGYN Source Type: research

Effect of tumor morcellation during surgery in patients with early uterine leiomyosarcoma
Conclusion In patients with stage 1 LMS, survival is associated with tumor size. Morcellation does not seem to be associated with a worse prognosis in early stage LMS. (Source: Gynecology and Minimally Invasive Therapy)
Source: Gynecology and Minimally Invasive Therapy - June 8, 2015 Category: OBGYN Source Type: research

Epithelial-to-mesenchymal transition in the development of adenomyosis
Publication date: Available online 8 May 2015 Source:Gynecology and Minimally Invasive Therapy Author(s): Ben-Shian Huang , Hsiao-Wen Tsai , Peng-Hui Wang , Nae-Fang Twu , Ming-Shyen Yen , Yi-Jen Chen Adenomyosis is a hormone-related disease that affects 10–66% of women, and women with this disorder suffer from menorrhagia, dysmenorrhea, pelvic pain, abnormal uterine bleeding, and/or infertility. Regarding the etiology of the disease, the current trend of thought is that adenomyosis or adenomyoma results as a down-growth and invagination of the endometrial basalis into the adjacent myometrium after disruption o...
Source: Gynecology and Minimally Invasive Therapy - June 4, 2015 Category: OBGYN Source Type: research

Sacrospinous ligament fixation of transvaginal mesh: An innovative concept's 10 years of influence
Publication date: May 2015 Source:Gynecology and Minimally Invasive Therapy, Volume 4, Issue 2 Author(s): Tsia-Shu Lo (Source: Gynecology and Minimally Invasive Therapy)
Source: Gynecology and Minimally Invasive Therapy - May 28, 2015 Category: OBGYN Source Type: research

The association between obesity and gynecological cancer
Publication date: Available online 27 May 2015 Source:Gynecology and Minimally Invasive Therapy Author(s): Yin-Hsun Feng Obesity is a growing problem nowadays and has significant implications for a variety of diseases, including human cancers. A positive association between obesity and incidence of many gynecological cancers, including endometrial cancer, ovarian cancer and breast cancer has been observed. The mechanism proposed to connect obesity and these cancers was sex hormone, insulin resistance and certain adipokines. Obesity adversely affects survival in most studies. For endometrial cancer, the obesity was ass...
Source: Gynecology and Minimally Invasive Therapy - May 28, 2015 Category: OBGYN Source Type: research

Parasitic leiomyoma after laparoscopic myomectomy
Publication date: Available online 27 May 2015 Source:Gynecology and Minimally Invasive Therapy Author(s): Srithean Lertvikool , Kuan-Gen Huang , Aizura-Syafinaz Adlan MOG(Mal) , Angelica Anne A. Chua , Chyi-Long Lee A 31–year old nulligravid underwent laparoscopic myomectomy and the masses were removed by an electric morcellator. Five years later, this patient suffered from with acute pelvic pain and received operation. During laparoscopic surgery, an 8-cm right-sided multiloculated ovarian cyst with chocolate-like content was seen. After adhesiolysis, two parasitic myomas (each approximately 2 cm in diameter) ...
Source: Gynecology and Minimally Invasive Therapy - May 28, 2015 Category: OBGYN Source Type: research

Does tumor size limit application of laparoscopic surgery to ovarian tumors?
Conclusion Operation time and estimated blood loss were shown to increase with the size of an ovarian tumor. However, we found no relation between tumor size and the perioperative complication rate or the rate of conversion to open surgery. Thus, we conclude that tumor size is not a factor limiting application of laparoscopic surgery to ovarian tumors. (Source: Gynecology and Minimally Invasive Therapy)
Source: Gynecology and Minimally Invasive Therapy - May 28, 2015 Category: OBGYN Source Type: research