5,189 results match your criteria Gynecologic Laparoscopy


The Trend, Feasibility, and Safety of Salpingectomy as a form of Permanent Sterilization.

J Minim Invasive Gynecol 2019 Feb 13. Epub 2019 Feb 13.

Department of Obstetrics & Gynecology, McGovern Medical School at the University of Texas Health Science Center at Houston, Houston TX, USA.

Study Objectives: To assess the change in rate of laparoscopic salpingectomy for sterilization after the release of the November 2013 Society of Gynecologic Oncology (SGO) Clinical Practice Statement and the January 2015 American College of Obstetricians and Gynecologists (ACOG) Committee Opinion: Salpingectomy for Ovarian Cancer Prevention. We hypothesized there would be an increase in salpingectomy as a percentage of total laparoscopic sterilizations performed without an increase in complications when compared to conventional bilateral tubal ligation (BTL).

Design: A retrospective cohort study. Read More

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http://dx.doi.org/10.1016/j.jmig.2019.02.003DOI Listing
February 2019
1 Read

International radical trachelectomy assessment: IRTA study.

Int J Gynecol Cancer 2019 Feb 13. Epub 2019 Feb 13.

Oncological surgery, Clinica Astorga, Envigado, Colombia.

Background: Radical trachelectomy is considered a viable option for fertility preservation in patients with low-risk, early-stage cervical cancer. Standard approaches include laparotomy or minimally invasive surgery when performing radical trachelectomy.

Primary Objective: To compare disease-free survival between patients with FIGO (2009) stage IA2 or IB1 (≤2cm) cervical cancer who underwent open versus minimally invasive (laparoscopic or robotic) radical trachelectomy. Read More

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http://dx.doi.org/10.1136/ijgc-2019-000273DOI Listing
February 2019

Minimally invasive surgery improves short-term outcomes of nerve-sparing radical hysterectomy in patients with cervical cancer: a propensity-matched analysis with open abdominal surgery.

J Gynecol Oncol 2018 Nov 27. Epub 2018 Nov 27.

Department of Gynecologic Oncology, IRCCS National Cancer Institute, Milan, Italy.

Objectives: Nerve-sparing radical hysterectomy has been implemented in order to reduce pelvic floor dysfunctions in women undergoing radical surgery for cervical cancer. Here, we aimed to investigate if the adoption of laparoscopic surgery impacts on patients' outcomes.

Methods: Data of consecutive patients affected by cervical cancer who had laparoscopic nerve-sparing radical hysterectomy were matched 1:1 with an historical cohort of patients undergoing open procedure. Read More

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http://dx.doi.org/10.3802/jgo.2019.30.e27DOI Listing
November 2018
2 Reads

Interleukin-15 and Interleukin-7 are the Major Cytokines to Maintain Endometriosis.

Gynecol Obstet Invest 2019 Feb 1:1-10. Epub 2019 Feb 1.

Department of Obstetrics and Gynecology, University of São Paulo Medical School, São Paulo, Brazil.

Objective: The objective of this study was to evaluate cytokines related to natural killer and T-regulatory cells in endometriotic lesions, peritoneal fluid (PF) and the peripheral blood (PB) of patients with deep infiltrative endometriosis.

Study Design: A case-control study was conducted in a tertiary referral hospital. Sixty-four consecutive patients after laparoscopy were divided into 2 groups: with endometriosis (Group A - n = 32) and without endometriosis (Group B - n = 32). Read More

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http://dx.doi.org/10.1159/000496607DOI Listing
February 2019

Laparoscopic ovarian tissue harvesting and orthotopic ovarian cortex grafting for fertility preservation: less is more.

Fertil Steril 2019 Feb;111(2):408-410

Faculté de Médecine, Sorbonne Université, Paris, France; Adolescent and Young Adult Hematology Unit, AP-HP, Saint Louis University Hospital, Paris, France.

Objective: To describe our surgical techniques for laparoscopic ovarian tissue harvesting and orthotopic ovarian cortex grafting (LOOCG).

Design: This video article uses surgical cases to demonstrate the detailed surgical techniques. Institutional Review Board approval was not required for this video presentation. Read More

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http://dx.doi.org/10.1016/j.fertnstert.2018.11.022DOI Listing
February 2019
1 Read

Senhance robotic platform for gynecologic surgery: a review of literature.

Updates Surg 2019 Jan 18. Epub 2019 Jan 18.

Unità Operativa Ginecologia Oncologica, Dipartimento Scienze della Salute della Donna e del Bambino, Fondazione Policlinico Universitario A. Gemelli, IRCCS, L.go Agostino Gemelli 8, Rome, Italy.

The advantages of endoscopic procedures are well demonstrated in various surgical procedures. In this field, the technological improvement has been significant. One of the most relevant was made by the introduction of robotic surgery that, thanks to the instruments articulation and the precision of movement, made possible to perform even the most complex procedures. Read More

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http://link.springer.com/10.1007/s13304-018-00620-1
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http://dx.doi.org/10.1007/s13304-018-00620-1DOI Listing
January 2019
6 Reads

Evaluation of laparoscopic-guided rectus sheath block in gynecologic laparoscopy: A prospective, double-blind randomized trial.

Int J Surg 2019 Feb 14;62:47-53. Epub 2019 Jan 14.

Department of Obstetrics and Gynecology, University of Occupational and Environmental Health, Kitakyushu, Japan.

Background: Ultrasound-guided nerve blocks are effective; however, their use in the abdominal wall is reportedly associated with a risk of abdominal organ injury. Laparoscopic-guided nerve blocks are thought to be safer than ultrasound-guided nerve blocks. We evaluated the safety and effectiveness of the laparoscopic-guided rectus sheath block (LGRSB) for umbilical incisions after gynecologic laparoscopy. Read More

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http://dx.doi.org/10.1016/j.ijsu.2019.01.004DOI Listing
February 2019
6 Reads

The INTERNATIONAL MISSION study: minimally invasive surgery in ovarian neoplasms after neoadjuvant chemotherapy.

Int J Gynecol Cancer 2019 Jan;29(1):5-9

Division of Gynecologic Oncology, Fondazione Policlinico Universitario A. Gemelli - IRCCS, Rome, Italy.

Objectives: The aim of this retrospective multicenter study was to investigate the extent, feasibility, and outcomes of minimally invasive surgery at the time of interval debulking surgery in different gynecological cancer centers.

Methods/materials: In December 2016, 20 gynecological cancer centers were contacted by e-mail, to participate in the INTERNATIONAL MISSION study. Seven centers confirmed and five were included, with a total of 127 patients diagnosed with advanced epithelial ovarian cancer after neoadjuvant chemotherapy and minimally invasive interval surgery. Read More

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http://ijgc.bmj.com/lookup/doi/10.1136/ijgc-2018-000012
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http://dx.doi.org/10.1136/ijgc-2018-000012DOI Listing
January 2019
4 Reads

Laparoscopic Removal of an Abdominal Pregnancy in the Pelvic Sidewall.

J Minim Invasive Gynecol 2019 Jan 9. Epub 2019 Jan 9.

Department of Obstetrics and Gynecology, Assuta Ashdod University Hospital, Ashdod, Israel (all authors), and the Faculty of Health Sciences, Ben-Gurion University, Beersheba, Israel (Dr. Barel).

Study Objective: To describe the presentation, diagnosis, and management of a patient with abdominal pregnancy and to illustrate the laparoscopic technique used to manage this patient.

Design: A descriptive study approved by our local Institutional Review Board. Consent was given from the patient. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.12.020DOI Listing
January 2019
2 Reads

Retained Intrauterine Device (IUD): Triple Case Report and Review of the Literature.

Case Rep Obstet Gynecol 2018 5;2018:9362962. Epub 2018 Dec 5.

Maternal and Fetal Medicine, Department of Obstetrics and Gynecology, Lincoln Medical and Mental Health Center, 234 East 149th Street, Bronx, New York 10451, USA.

Background: Throughout the world, intrauterine contraceptive devices (IUDs) are a frequently used, reversible, popular contraceptive method. They are usually placed without major complications. Uterine perforation is a rarely observed complication. Read More

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https://www.hindawi.com/journals/criog/2018/9362962/
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http://dx.doi.org/10.1155/2018/9362962DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304543PMC
December 2018
8 Reads

Characteristics Associated with Prolonged Length of Stay after Myomectomy for Uterine Myomas.

J Minim Invasive Gynecol 2019 Jan 4. Epub 2019 Jan 4.

Departments of Obstetrics and Gynecology (Drs. Smith and Hoffman); Division of Gynecologic Subspecialties (Dr. Hoffman), University of Kentucky, Lexington, Kentucky.

Study Objective: To identify factors contributing to prolonged hospitalization for women undergoing myomectomy for uterine myomas.

Patients: Women undergoing myomectomy for uterine myomas during 2014 to 2016 were identified by the Current Procedural Terminology code.

Design: Retrospective population-based analysis of the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.12.015DOI Listing
January 2019
2 Reads

Minimally Invasive Pelvic Exenteration for Gynecologic Malignancies: A Multi-Institutional Case Series and Review of the Literature.

J Minim Invasive Gynecol 2019 Jan 4. Epub 2019 Jan 4.

Department of Woman s and Child Health, Fondazione Policlinico Universitario "Agostino Gemelli", IRCCS, Università Cattolica del Sacro Cuore, Rome, Italy (Drs. Bizzarri, Fagotti, Cappuccio, Gallotta, Scambia, and Vizzielli). Electronic address:

Study Objective: To assess the feasibility and efficacy of minimally invasive pelvic exenteration (MIPE) in a multi-institutional Italian case series of women with gynecologic cancer and a review of the literature.

Design: Retrospective cohort study (Canadian Task Force classification II-2).

Setting: Three Italian university/teaching hospitals: "Agostino Gemelli" Foundation University Hospital in Rome, "ARNAS Civico Di Cristina Benfratelli" Hospital in Palermo, and "Maggiore della Carità" Hospital in Novara. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.12.019DOI Listing
January 2019
2 Reads

Individualized treatment for a case of recurrent ovarian ependymoma.

Onco Targets Ther 2019 20;12:113-117. Epub 2018 Dec 20.

Department of Obstetrics and Gynecology, LuHe hospital, Capital Medical University, Beijing, China.

Ovarian anaplastic ependymoma is a rare gynecologic malignancy. Owing to its rarity, treatment is challenging. Unilateral ovarian ependymoma was found during laparoscopy in a 19-year-old woman. Read More

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https://www.dovepress.com/individualized-treatment-for-a-cas
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http://dx.doi.org/10.2147/OTT.S180309DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6304260PMC
December 2018
10 Reads
1.342 Impact Factor

Age should not be a limiting factor in laparoscopic surgery: a prospective multicenter cohort study on quality of life after laparoscopic hysterectomy.

Clin Interv Aging 2018 13;13:2517-2526. Epub 2018 Dec 13.

Department of Epidemiology, University Medical Center Groningen, University of Groningen, Groningen, the Netherlands.

Purpose: A prospective, multicenter cohort study was performed on the implementation of laparoscopic hysterectomy (LH) in the Netherlands. The aim of this study was to evaluate the impact of LH on quality of life (QOL) with respect to age up to 6 months postoperatively.

Patients And Methods: Women with an indication for LH, either for benign conditions or early-stage low-risk endometrial cancer were included. Read More

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http://dx.doi.org/10.2147/CIA.S172965DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296188PMC
February 2019
3 Reads

Open Management of the Renal Vein Is a Safe Modification in Right-Sided Laparoscopic Living Donor Nephrectomy to Maximize Graft Vein Length.

Transplant Proc 2018 Dec 27;50(10):3199-3203. Epub 2018 Jun 27.

Department of Visceral, Transplant, and Thoracic Surgery, Medical University of Innsbruck, Innsbruck, Austria.

Background: The primary objective in living donor kidney transplantation is donor safety. In laparoscopic living donor nephrectomy, most centers prefer the left kidney for donation given the shorter renal vein, higher rate of thromboses, and more difficult surgical procedure for right kidney retrieval. The goal of this study was to demonstrate the feasibility of a hybrid technique using a Satinsky clamp in right-sided living donor nephrectomy to obtain maximal renal vein and to compare the outcome with standard left-sided laparoscopic donor nephrectomies. Read More

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http://dx.doi.org/10.1016/j.transproceed.2018.06.005DOI Listing
December 2018

Aiming for complete safety of first trocar insertion of laparoscopic surgery: usefulness of preoperative ultrasonography of umbilical region.

J Obstet Gynaecol Res 2018 Dec 21. Epub 2018 Dec 21.

Department of Obstetrics and Gynecology, University of Occupational and Environmental Health, Kitakyushu, Japan.

Aim: Vascular or intestinal injuries at the time of the first trocar insertion can cause serious complications during laparoscopic surgeries. In this study, we evaluate the usefulness of ultrasound scans of the umbilical region as well as intraumbilical conditions to help prevent serious complications.

Methods: The subjects included 430 cases who underwent laparoscopic gynecologic surgeries. Read More

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http://dx.doi.org/10.1111/jog.13880DOI Listing
December 2018
2 Reads

Surgical complexity score and role of laparoscopy in women with advanced ovarian cancer treated with neoadjuvant chemotherapy.

Gynecol Oncol 2018 Dec 14. Epub 2018 Dec 14.

Division of Gynecologic Oncology, Duke Cancer Institute, Durham, NC, United States of America.

Objectives: To evaluate surgical complexity scores (SCS) and minimally invasive surgery (MIS) at interval debulking surgery (IDS) in advanced epithelial ovarian cancer (EOC) patients receiving neoadjuvant chemotherapy (NACT).

Methods: A multi-institutional study of NACT with IDS for advanced EOC was conducted. Demographic data were abstracted and SCS assigned based on IDS findings. Read More

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http://dx.doi.org/10.1016/j.ygyno.2018.12.011DOI Listing
December 2018
1 Read
3.774 Impact Factor

Prepared for the Unexpected: Accessory Ovaries with Abernethy Malformation.

J Minim Invasive Gynecol 2018 Dec 13. Epub 2018 Dec 13.

Department of Surgery, Oregon Health & Science University, Portland, Oregon (Dr. Wood).

Supernumerary and accessory ovaries are collectively coined ectopic ovaries. These are rarely encountered by the benign gynecologist and are often discovered incidentally during evaluation for other gynecologic, gastrointestinal, or urologic pathologies. We report the presentation of a patient with multiple accessory ovaries in addition to a rare congenital anomaly of the splanchnic vasculature called an Abernethy malformation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15534650183140
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http://dx.doi.org/10.1016/j.jmig.2018.12.005DOI Listing
December 2018
4 Reads

Experimental Endometriosis: Review of the Literature Through a Century and the Iranian Experience.

Arch Iran Med 2018 Nov 1;21(11):536-543. Epub 2018 Nov 1.

Department of Nursing Science, Faculty of Health Sciences, University of Eastern Finland, Kuopio, Finland.

Although endometriosis is not a newly discovered disease, it has still remained enigmatic. Understanding the pathophysiology of this disease is still one of the challenges of gynecology and reproductive medicine. Therefore, the subject of endometriosis treatment faces many questions to be answered. Read More

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November 2018
1 Read

Impact of hospital care volume on clinical outcomes of laparoscopic radical hysterectomy for cervical cancer: A systematic review and meta-analysis.

Medicine (Baltimore) 2018 Dec;97(49):e13445

Division of Gynecologic Oncology, Obstetrics and Gynecology, Irvine Medical Center, University of California, Orange, CA.

Background: In cervical cancer, the impact of hospital volume of laparoscopic radical hysterectomy (LRH) has not been investigated systematically as in ovarian cancer.The aim of this study was to investigate the impact of hospital care volume of LRH on treatment outcomes of patients with cervical cancer.

Methods: The PubMed, Embase, and Cochrane Library databases were searched with the terms "cervical cancer," "radical hysterectomy," and "laparoscopy. Read More

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http://dx.doi.org/10.1097/MD.0000000000013445DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6310549PMC
December 2018
3 Reads

A retrospective study of surgical treatment and outcome among women with adnexal torsion in eastern Taiwan from 2010 to 2015.

PeerJ 2018 4;6:e5995. Epub 2018 Dec 4.

Department of Obstetrics and Gynecology, Hualien Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Tzu Chi University, Hualien, Taiwan, Taiwan.

Background: Adnexal torsion is a gynecologic emergency that requires surgical treatment. In this study, we reviewed the surgical outcomes of women with adnexal torsion in eastern Taiwan (Hualien county, area 4,629 km, 330,000 residents).

Methods: This retrospective study included 42 women diagnosed with surgically-proven adnexal torsion from January 1, 2010, to September 31, 2015. Read More

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http://dx.doi.org/10.7717/peerj.5995DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6284449PMC
December 2018
2 Reads

Response to "surgical management of cervical cancer by laparoscopy or laparotomy".

Gynecol Oncol Rep 2019 Feb 20;27:6-7. Epub 2018 Nov 20.

Division of Gynecologic Oncology, Arizona Oncology (US Oncology Network), University of Arizona College of Medicine, Creighton University School of Medicine at St. Joseph's Hospital Phoenix, AZ, United States.

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https://linkinghub.elsevier.com/retrieve/pii/S23525789183010
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http://dx.doi.org/10.1016/j.gore.2018.11.005DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6259039PMC
February 2019
9 Reads

Undescended ovary and fallopian tube presenting as appendiceal mucocele.

Facts Views Vis Obgyn 2018 Mar;10(1):47-50

Sint-Jozef Kliniek, Department of gynecology and obstetrics, Kasteelstraat 23, 2880 Bornem, Belgium.

Undescended ovary is a rare congenital gynecologic condition, frequently associated with urogenital malformations including unicornuate uterus and ectopic kidneys or renal agenesis. Although ectopic ovaries are mostly found during an infertility work up, its role in infertility is still unknown. We report a 38-year-old patient presenting with pain in the right lower quadrant. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6260671PMC
March 2018
1 Read

Preoperatively predicting non-home discharge after surgery for gynecologic malignancy.

Gynecol Oncol 2019 02 27;152(2):293-297. Epub 2018 Nov 27.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of Michigan, 1500 E. Medical Center Dr., Ann Arbor, MI 48109, USA. Electronic address:

Objective: Returning home after surgery is a desirable patient-centered outcome associated with decreased costs compared to non-home discharge. Our objective was to develop a preoperative risk-scoring model predicting non-home discharge after surgery for gynecologic malignancy.

Methods: Women who underwent surgery involving hysterectomy for gynecologic malignancy from 2013 to 2015 were identified from the Michigan Surgical Quality Collaborative database. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00908258183144
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http://dx.doi.org/10.1016/j.ygyno.2018.11.029DOI Listing
February 2019
5 Reads

Robot-assisted transabdominal cerclage for the prevention of preterm birth: A multicenter experience.

Eur J Obstet Gynecol Reprod Biol 2019 Jan 12;232:70-74. Epub 2018 Nov 12.

George Washington University, Department of Obstetrics and Gynecology, Division of Minimally Invasive Gynecologic Surgery, Washington, DC, United States. Electronic address:

Objective: High-risk pregnancy stratification and the use of Progesterone and prophylactic cerclage based on prior obstetrical outcomes and cervical length screening have been successful in curbing the impact of preterm birth. However, a large number of women will still suffer from preterm delivery even with optimal management. Experts agree that a transabdominal cerclage is the next best option for women who fail a transvaginal cerclage in a prior pregnancy. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S03012115183108
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http://dx.doi.org/10.1016/j.ejogrb.2018.11.013DOI Listing
January 2019
10 Reads

Transvaginal Suture-Based Repair.

Urol Clin North Am 2019 Feb;46(1):97-102

Department of Urology, Stanford University, 300 Pasteur Drive, Grant Building, 2nd Floor, S287, Stanford, CA 94304, USA; Department of Obstetrics & Gynecology, 300 Pasteur Drive- HG332 Stanford, CA 94305, USA. Electronic address:

An estimated 300,000 women undergo pelvic organ prolapse (POP) surgery in the United States every year at a cost of more than 1 billion dollars per year. The prevalence of POP is approximately 2.9% to 8%, and increases with age. Read More

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http://dx.doi.org/10.1016/j.ucl.2018.08.004DOI Listing
February 2019
1 Read

Abdominal Approach to Vesicovaginal Fistula.

Urol Clin North Am 2019 Feb;46(1):135-146

Department of Urology, Montefiore Medical Center, 1250 Waters Place, Tower 2, Suite 706, Bronx, NY 10461, USA. Electronic address:

Principles of abdominal vesicovaginal fistula (VVF) repair include good exposure of the fistulous tract, double-layer bladder closure, retrograde fill of the bladder to ensure a water-tight seal, tension-free closure and continuous postoperative bladder drainage. Minimally invasive approaches, particularly robot-assisted laparoscopy, have demonstrated shorter operative times, decreased blood loss, improved visibility, and similar cure rates without increased adverse events. These techniques are therefore rising in popularity among surgeons. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00940143183007
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http://dx.doi.org/10.1016/j.ucl.2018.08.011DOI Listing
February 2019
8 Reads

Vaginal Approach to Vesicovaginal Fistula.

Urol Clin North Am 2019 Feb;46(1):123-133

Department of Urology, UT Southwestern Medical Center at Dallas, 5323 Harry Hines Boulevard, JA5- 130 C, Dallas, TX 75390-9110, USA. Electronic address:

Vesicovaginal fistula is the most commonly encountered sequela of genitourinary trauma. Although the etiology differs between developed and developing countries, the principles of fistula repair must be strictly adhered to for success. Timing and route of repair remain contentious, because of a lack of randomized data. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00940143183007
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http://dx.doi.org/10.1016/j.ucl.2018.08.010DOI Listing
February 2019
8 Reads

Surgery for Apical Vaginal Prolapse After Hysterectomy: Abdominal Sacrocolpopexy.

Urol Clin North Am 2019 Feb;46(1):113-121

Virginia Mason Medical Center, 1100 Ninth Avenue, Seattle, WA 98111, USA.

The number of surgeries for pelvic organ prolapse in the United States is increasing. Abdominal sacrocolpopexy has become the gold standard for women desiring a restorative repair of their apical pelvic organ prolapse. Despite the associated morbidity of abdominal sacrocolpopexy, advances in minimally invasive approaches have safely increased the number of these surgeries performed, especially among urologists. Read More

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http://dx.doi.org/10.1016/j.ucl.2018.08.006DOI Listing
February 2019
1 Read

Litigations Involving Ureteral Injury Related to Minimally Invasive Gynecologic Surgery: Lessons Learned from a Legal Literature Review.

J Minim Invasive Gynecol 2018 Nov 17. Epub 2018 Nov 17.

Department of Gynecology and Obstetrics, Johns Hopkins University School of Medicine, Baltimore, Maryland (all authors).

Ureteral injury is a known complication of minimally invasive gynecologic surgery. Despite being discussed preoperatively and included in consent forms, litigations that involve such injury continue to be prevalent. Our aim was to review all major litigations involving ureteral injuries related to minimally invasive gynecologic surgery to determine the most common allegations from plaintiffs and highlight factors that aided defendants. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.11.003DOI Listing
November 2018
2 Reads

Impact of Laparoscopy to Assess Resectability in Stage IIIC Epithelial Ovarian, Tubal and Peritoneal Cancer Patients.

Gynecol Obstet Invest 2018 Nov 14:1-9. Epub 2018 Nov 14.

Unit of Gynecologic Oncology, Department of Obstetrics and Gynecology, Hospital Universitari Vall d'Hebron, Barcelona, Spain.

Aims: To evaluate overall survival (OS) and progression-free survival (PFS) in patients with stage IIIC epithelial ovarian, tubal and peritoneal cancer (EOC) who underwent a laparoscopy to assess surgical resectability prior to Primary Debulking Surgery (PDS) or Interval Debulking Surgery (IDS).

Methods: Retrospective cohort study that included all women with stage IIIC EOC treated at our center between 2000 and 2010. Patients were classified in groups: PDS, neoadjuvant chemotherapy (NACT) with IDS, NACT without IDS; and then sub-classified based on residual tumor (RT). Read More

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https://www.karger.com/Article/FullText/493794
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http://dx.doi.org/10.1159/000493794DOI Listing
November 2018
9 Reads

Barbed Suture versus Conventional Suture for Vaginal Cuff Closure in Total Laparoscopic Hysterectomy: Randomized Controlled Clinical Trial.

J Minim Invasive Gynecol 2018 Nov 9. Epub 2018 Nov 9.

Clinica del Prado (Drs. López, De Los Ríos, Arango, Cifuentes, Vásquez, Castañeda, Almanza, and Jiménez), Medellín, Colombia, and the School of Medicine (Drs. González, Vásquez-Trespalacios, and Serna), CES University, Medellín, Colombia.

Study Objective: To determine the surgical time, suture time, presence of postoperative dyspareunia, and complications that occur after closing the vaginal cuff with a barbed suture compared with conventional suture.

Design: A randomized, controlled clinical trial (Canadian Task Force classification I).

Setting: Private gynecologic clinic in Medellin, Colombia. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.08.030DOI Listing
November 2018
3 Reads

Low-Grade Appendiceal Mucinous Neoplasm Diagnosed during Exploratory Laparoscopy for a Presumed Pelvic Mass.

J Minim Invasive Gynecol 2018 Nov 8. Epub 2018 Nov 8.

Department of Obstetrics, Gynecology, and Reproductive Sciences, Division of Gynecologic Oncology, Yale New Haven Hospital, New Haven, Connecticut.

Study Objective: To demonstrate a surgical video of laparoscopic management of an appendiceal mass preoperatively misdiagnosed as a pelvic mass. This study was deemed to be exempt from the Yale New Haven Hospital Institutional Review Board.

Design: A step-by-step explanation of the diagnosis and laparoscopic management of an appendiceal mass using an instructive video (Canadian Task Force classification III). Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15534650183134
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http://dx.doi.org/10.1016/j.jmig.2018.11.001DOI Listing
November 2018
13 Reads

Laparoscopic combined with hysteroscopic repair or operative hysteroscopy in the treatment of symptomatic cesarean-induced diverticulum.

Med Sci (Paris) 2018 Oct 7;34 Focus issue F1:47-51. Epub 2018 Nov 7.

Department of Gynecology and Obstetrics, Fujian Province Maternity and Children's Hospital, affiliated hospital of Fujian Medical University, No.18 Anshan Road, Gulou District Fuzhou City, Fujian Province 350001, PR China.

Objective: The postmenstrual bleeding with cesarean-induced diverticulum is a bothersome symptom and can be confused with other abnormal-uterine bleeding disease. The aim of the present study was to evaluate the efficacy and safety of laparoscopic combined with hysteroscopic repair vs operative hysteroscopy in treatment of symptomatic cesarean-induced diverticulum.

Methods: Eighty-two women with cesarean-induced diverticulum who underwent either laparoscopic combined with hysteroscopic repair or operative hysteroscopy between January 2012 and September 2015 were retrospectively included in the study. Read More

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http://dx.doi.org/10.1051/medsci/201834f109DOI Listing
October 2018
2 Reads
0.520 Impact Factor

Perioperative Outcomes of Myomectomy for Extreme Myoma Burden: Comparison of Surgical Approaches.

J Minim Invasive Gynecol 2018 Nov 2. Epub 2018 Nov 2.

Division of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston, Massachusetts (all authors). Electronic address:

Study Objective: To describe the perioperative outcomes of various modes of myomectomy (abdominal [AM], laparoscopic [LM], or robotic [RM]) in cases of extreme myoma burden.

Design: Retrospective cohort study (Canadian Task Force classification II-2).

Setting: A tertiary academic center in Boston, Massachusetts. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.10.022DOI Listing
November 2018
5 Reads

Minimally Invasive versus Abdominal Radical Hysterectomy for Cervical Cancer.

N Engl J Med 2018 11 31;379(20):1895-1904. Epub 2018 Oct 31.

From the Department of Gynecologic Oncology and Reproductive Medicine, University of Texas M.D. Anderson Cancer Center, Houston (P.T.R., M.F., R.L.C.); the Department of Gynecologic Oncology, Instituto Nacional de Cancerología, Bogota, and Clínica de Oncología Astorga, Medellin - both in Colombia (R.P.); the Department of Gynecologic Surgery, Instituto Nacional de Enfermedades Neoplásicas, Lima, Peru (A.L.); the Department of Gynecologic Oncology, Barretos Cancer Hospital, Barretos (M.V.), the Department of Surgical Oncology, Erasto Gaertner Hospital, Curitiba (R.R.), and the Department of Gynecologic Oncology, Albert Einstein Hospital, São Paulo (M.T.) - all in Brazil; the Unit of Gynecologic Oncology Surgery, Department of Obstetrics and Gynecology, San Gerardo Hospital, Monza, Italy (A.B.); the Department of Gynecology, First Affiliated Hospital of Wenzhou Medical University, Wenzhou (X.Y.), the Department of Obstetrics and Gynecology, First Affiliated Hospital of Sun Yat-sen University, Guangzhou (Y.S.), and the Department of Gynecologic Oncology, Zhejiang Cancer Hospital, Hangzhou (T.Z.) - all in China; the Department of Gynecologic Oncology, Mater Health Services Brisbane, South Brisbane (N.C.), the National Health and Medical Research Council Clinical Trials Centre, University of Sydney, Sydney (K.P.R., V.G., R.A.), and the Queensland Centre for Gynaecological Cancer Research and the Faculty of Medicine, University of Queensland (V.B., A.O.), and the Department of Gynaecologic Oncology, Royal Brisbane and Women's Hospital (J.L.N.), Herston - all in Australia; and the Department of Gynecologic Oncology, Instituto Nacional de Cancerología, Mexico City (D.I.).

Background: There are limited data from retrospective studies regarding whether survival outcomes after laparoscopic or robot-assisted radical hysterectomy (minimally invasive surgery) are equivalent to those after open abdominal radical hysterectomy (open surgery) among women with early-stage cervical cancer.

Methods: In this trial involving patients with stage IA1 (lymphovascular invasion), IA2, or IB1 cervical cancer and a histologic subtype of squamous-cell carcinoma, adenocarcinoma, or adenosquamous carcinoma, we randomly assigned patients to undergo minimally invasive surgery or open surgery. The primary outcome was the rate of disease-free survival at 4. Read More

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http://dx.doi.org/10.1056/NEJMoa1806395DOI Listing
November 2018
6 Reads

Concordance of a laparoscopic scoring algorithm with primary surgery findings in advanced stage ovarian cancer.

Gynecol Oncol 2018 12 23;151(3):428-432. Epub 2018 Oct 23.

Department of Gynecologic Oncology and Reproductive Sciences, The University of Texas MD Anderson Cancer Center, Houston, TX 77030, United States of America. Electronic address:

Objectives: To determine the concordance between the laparoscopic scoring assessment and extent of disease identified at primary tumor reductive surgery (TRS) in patients with advanced ovarian cancer.

Methods: From April 2013 to June 2017, we prospectively triaged patients with stage IIA to IVB ovarian cancer to laparoscopic scoring assessment. A validated predictive index value (PIV) score (range: 0-14) was assigned. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S00908258183129
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http://dx.doi.org/10.1016/j.ygyno.2018.10.017DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6281799PMC
December 2018
11 Reads

Circumferential Vault Excision and Reconstruction: Technical Description of Management of Intractable Secondary Vault Hemorrhage after Hysterectomy in Resource-Limited Settings.

J Minim Invasive Gynecol 2018 Oct 23. Epub 2018 Oct 23.

Department of Gynecological Endoscopy, Eva Women's Hospital, Ahmedabad, India (all authors).

Hemorrhage after gynecologic surgery is an infrequent complication. It can be divided based on time of onset into primary and secondary. Secondary hemorrhage is a life-threatening complication with a reported incidence of . Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15534650183132
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http://dx.doi.org/10.1016/j.jmig.2018.10.015DOI Listing
October 2018
9 Reads

Robotic Single-Site Sacrocolpopexy with Retroperitoneal Tunneling.

JSLS 2018 Jul-Sep;22(3)

Section of Minimally Invasive Gynecologic Surgery.

Introduction: This series of cases was an investigation of the safety and feasibility of robotic laparoendoscopic single-site surgery (R-LESS) as a method of performing sacrocolpopexy.

Case Presentation: This is a retrospective series of 15 cases of R-LESS sacrocolpopexy with the V-Loc (Medtronic, Minneapolis, Minnesota, USA) suture and a retroperitoneal tunneling technique performed by a single surgeon, combined with a literature review. Patient demographic information and perioperative data were analyzed. Read More

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https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6169819/
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http://dx.doi.org/10.4293/JSLS.2018.00009DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6169819PMC
December 2018
10 Reads

Clinical significance of isolated tumor cells and micrometastasis in low-grade, stage I endometrial cancer.

J Surg Oncol 2018 Dec 24;118(7):1194-1198. Epub 2018 Oct 24.

Department of Obstetrics and Gynecology, McGill University Health Center, Montreal, Canada.

Introduction: Ultrastaging in endometrial cancer (EC) led to increased detection of isolated tumor cells (ITC, ≤0.2 mm) and micrometastases (MM, 0.2-2 mm), with unclear effect on prognosis. Read More

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http://doi.wiley.com/10.1002/jso.25259
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http://dx.doi.org/10.1002/jso.25259DOI Listing
December 2018
17 Reads

Feasibility of Oophorectomy at the Time of Vaginal Hysterectomy in Patients with Pelvic Organ Prolapse.

J Minim Invasive Gynecol 2018 Oct 18. Epub 2018 Oct 18.

Department of Gynecologic Surgery, Mayo Clinic, Phoenix, Arizona (Dr. Wasson).

Study Objective: To determine the feasibility of oophorectomy at the time of vaginal hysterectomy in patients with pelvic organ prolapse and to define prognostic factors and perioperative morbidity associated with the procedure.

Design: A retrospective cohort study (Canadian Task Force classification II-2).

Setting: An academic medical center. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15534650183131
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http://dx.doi.org/10.1016/j.jmig.2018.10.010DOI Listing
October 2018
4 Reads

Role of robotic surgery on pelvic floor reconstruction.

Minerva Ginecol 2018 Oct 11. Epub 2018 Oct 11.

Department of Experimental and Clinical Medicine, Division of Obstetrics and Gynecology, University of Pisa, Pisa, Italy -

Over the past two decades, minimally invasive surgery (MIS) abdominal surgery has increasingly been used to treat pelvic organ prolapse. Besides the several advantages associated with minimal invasiveness, this approach bridged the gap between the benefits of vaginal surgery with the surgical success rates of open abdominal procedures. The most commonly performed procedure for suspension of the vaginal apex for postoperative vaginal prolapse by robotic-assisted laparoscopy is the sacrocolpopexy. Read More

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https://www.minervamedica.it/index2.php?show=R09Y9999N00A181
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http://dx.doi.org/10.23736/S0026-4784.18.04331-9DOI Listing
October 2018
9 Reads

Technique for Tissue Containment and Extraction in the Complex Minimally Invasive Myomectomy Setting.

J Minim Invasive Gynecol 2018 Oct 10. Epub 2018 Oct 10.

Department of Obstetrics and Gynecology, Inova Fairfax Hospital, Falls Church, VA (Dr. Awad).

Study Objective: To achieve tissue containment and extraction for numerous and large myomas in the complex minimally invasive difficult myomectomy setting via a surgical tutorial including technical pointers and suggestions DESIGN: A step-by-step explanation of the .surgery using video (instructive video) (Canadian Task Force classification III). Institutional review board approval was not required for this study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15534650183129
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http://dx.doi.org/10.1016/j.jmig.2018.10.007DOI Listing
October 2018
3 Reads

Surgical pelvic anatomy in gynecologic oncology.

Int J Gynaecol Obstet 2018 Oct;143 Suppl 2:86-92

Barts Cancer Institute, Queen Mary University of London, London, UK.

Laparoscopy, with its many advantages, has revolutionized the field of pelvic surgery and enabled surgeons to gain a far greater understanding of pelvic anatomy. As technology evolves, our understanding is continuously improving. This article is a tribute to the anatomy of the pelvis, which itself has resisted evolutionary changes and remained the same, whereas our understanding of how to view and approach various organ structures has evolved. Read More

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http://doi.wiley.com/10.1002/ijgo.12616
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http://dx.doi.org/10.1002/ijgo.12616DOI Listing
October 2018
3 Reads

Incidence of Venous Thromboembolism After Different Modes of Gynecologic Surgery.

Obstet Gynecol 2018 Nov;132(5):1275-1284

Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts; Packard Children's Health Alliance, Stanford Medicine, Stanford, California; and the University of Massachusetts Memorial Medical Center, Worcester, Massachusetts.

Objective: To evaluate the incidence of postoperative venous thromboembolism after gynecologic surgery by mode of incision.

Methods: We conducted a retrospective cohort study of all patients who underwent gynecologic surgery from May 2006 to June 2015 at two tertiary care academic hospitals in Massachusetts. Billing and diagnosis codes were used to identify surgeries and cases of venous thromboembolism. Read More

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http://dx.doi.org/10.1097/AOG.0000000000002918DOI Listing
November 2018
2 Reads

Ergonomics in gynecologic surgery.

Curr Opin Obstet Gynecol 2018 Dec;30(6):432-440

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of OB/GYN, Kaiser Permanente, San Diego, USA.

Purpose Of Review: Work-related musculoskeletal disorders (WMSDs) are prevalent among surgeons and result in significant disability. We aimed to review the English-language literature regarding ergonomic risk, prevalence of WMSDs, and unique ergonomic considerations of gynecologic surgery.

Recent Findings: Surgeon WMSDs are prevalent, with rates ranging from 66 to 94% for open surgery, 73-100% for conventional laparoscopy, 54-87% for vaginal surgery, and 23-80% for robotic-assisted surgery. Read More

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http://Insights.ovid.com/crossref?an=00001703-900000000-9929
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http://dx.doi.org/10.1097/GCO.0000000000000502DOI Listing
December 2018
13 Reads

Laparoendoscopic Single-site Surgery for Comprehensive Staging of Early Ovarian Cancer.

J Minim Invasive Gynecol 2018 Sep 29. Epub 2018 Sep 29.

Department of Gynecologic Oncology, West China Second Hospital, Sichuan University (all authors); Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education (all authors), Chengdu, Sichuan, China.. Electronic address:

Study Objective: To demonstrate the procedure and suspension skills of laparoendoscopic single-site (LESS) staging surgery with infrarenal para-aortic lymphadenectomy for early-stage ovarian cancer.

Design: A presentation of the surgery through this technical video.

Setting: A hospital. Read More

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http://dx.doi.org/10.1016/j.jmig.2018.09.781DOI Listing
September 2018
9 Reads

[Laparoscopic Surgery for isolated lymph nodes recurrence in gynecology. Experience in Argentina.]

Rev Fac Cien Med Univ Nac Cordoba 2018 06 10;75(2):72-81. Epub 2018 Jun 10.

Hospital Italiano de Buenos Aires, Argentina.

Objectives: to describe the perioperative and oncological outcomes of a serie of cases treated with laparoscopic surgery for isolated nodal metastasis of gynecologic malignancies at the Gynecology Service of Hospital Italiano de Buenos Aires and conduct a literature review on the surgical treatment provided to patients with this condition.

Methods: A search was conducted in the surgery records of the Gynecology Service of Hospital Italiano of patients who underwent laparoscopic cytoreductive surgery for isolated nodal recurrence of a gynecologic primary tumor in the period 2009-2015. The medical records were reviewed and data on the patients’ characteristics, the tumor, the surgery and its complications were collected and analyzed. Read More

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http://dx.doi.org/10.31053/1853.0605.v75.n2.17097DOI Listing
June 2018
3 Reads

A Syngeneic Mouse Model of Epithelial Ovarian Cancer Port Site Metastases.

Transl Oncol 2019 Jan 27;12(1):62-68. Epub 2018 Sep 27.

Geisel School of Medicine at Dartmouth, One Medical Center Drive, Lebanon, NH 03756, USA.

Epithelial ovarian cancer (EOC) is a deadly gynecologic malignancy, but animal models for the study of EOC pathophysiology and drug efficacy are limited. Based on the finding that women with EOC are at risk for metastasis at a trocar site after laparoscopy, we developed a syngeneic murine model of port-site metastasis of EOC. We leveraged the ID8 murine EOC cell line to induce intra-peritoneal tumors in mice. Read More

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http://dx.doi.org/10.1016/j.tranon.2018.08.020DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6170253PMC
January 2019
9 Reads

Strategies to Reduce Pain After Laparoscopic Gynecologic Surgery.

Surg Laparosc Endosc Percutan Tech 2018 12;28(6):e117

Research Development Center, Arash Women's Hospital, Tehran University of Medical Sciences, Tehran, Iran.

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http://dx.doi.org/10.1097/SLE.0000000000000576DOI Listing
December 2018
3 Reads