5,671 results match your criteria Gynecologic Laparoscopy


Effects of ultrasound guided ganglion stellate blockade on intraoperative and postoperative hemodynamic responses in laparoscopic gynecologic surgery.

Wideochir Inne Tech Maloinwazyjne 2020 Jun 11;15(2):351-357. Epub 2019 Nov 11.

Endometriosis Research Center, Iran University of Medical Sciences, Tehran, Iran.

Introduction: Laparoscopic gynecologic surgery is one of the most well-known procedures. Pneumoperitoneum with carbon dioxide insufflation can cause unfavorable hemodynamic effects due to catecholamine and vasopressin release.

Aim: To examine the effects of stellate ganglion block on hemodynamic response and postoperative pain. Read More

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http://dx.doi.org/10.5114/wiitm.2019.89653DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233162PMC

Incidence and severity of Visually Induced motion Sickness during 3D laparoscopy In Operators who had No experience with it (VISION).

Wideochir Inne Tech Maloinwazyjne 2020 Jun 20;15(2):283-289. Epub 2020 Apr 20.

Department of Thoracic and Cardiovascular Surgery, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Korea (South).

Aim: The aim of the study was to evaluate the incidence and severity of visually induced motion sickness (VIMS) during 3D laparoscopy, in operators without prior experience.

Material And Methods: Design: A retrospective comparative study (Canadian Task Force classification II-2). Setting: A university hospital. Read More

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http://dx.doi.org/10.5114/wiitm.2020.94347DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7233166PMC

Practical recommendations for gynecologic surgery during the COVID-19 pandemic.

Int J Gynaecol Obstet 2020 May 29. Epub 2020 May 29.

Gynecologic Oncology Unit, Department of Experimental Clinical Oncology, IRCCS-Regina Elena National Cancer Institute, Rome, Italy.

Surgery in suspected/confirmed COVID-19 patients is a high-risk venture. In infected patients, COVID-19 is present in the body cavity. During surgery it could be nebulized in the spray generated by surgical instruments and could theoretically infect members of the surgical team. Read More

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http://dx.doi.org/10.1002/ijgo.13248DOI Listing

Implications of extraperitoneal paraaortic lymphadenectomy to the left renal vein in locally advanced cervical cancer. A Spanish multicenter study.

Gynecol Oncol 2020 May 26. Epub 2020 May 26.

Gynecological Oncology Department, Hospital Universitari Vall d'Hebron, Universitat Autònoma de Barcelona, Barcelona, Spain; Centro de Investigación Biomédica en Red de Cáncer, CIBERONC, Madrid, Spain. Electronic address:

Objective: Paraaortic lymph node involvement is an important prognostic factor in locally advanced cervical cancer (LACC), but the anatomic limit of aortic lymphadenectomy is controversial. We assessed the impact of extraperitoneal paraaortic lymphadenectomy up to the left renal vein in patients with LACC undergoing pretherapeutic staging.

Methods: A retrospective, multicenter study of patients with LACC stages FIGO 2009 IB2 and IIA2-IVA treated in 10 Spanish reference hospitals in gynecological oncology between 2000 and 2016. Read More

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http://dx.doi.org/10.1016/j.ygyno.2020.05.004DOI Listing

Severe perioperative morbidity after robot-assisted versus conventional laparoscopy in gynecologic oncology: Results of the randomized ROBOGYN-1004 trial.

Gynecol Oncol 2020 May 25. Epub 2020 May 25.

Institut Paoli Calmettes Cancer Center, Marseille, France.

Objective: In gynecologic oncology, minimally invasive surgery using conventional laparoscopy (CL) decreases the incidence of severe morbidity compared to open surgery. In 2005, robot-assisted laparoscopy (RL) was approved for use in gynecology in the US. This study aimed to assess whether RL is superior to CL in terms of morbidity incidence. Read More

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http://dx.doi.org/10.1016/j.ygyno.2020.05.010DOI Listing

Gynecologic oncology at the time of COVID-19 outbreak.

J Gynecol Oncol 2020 May 27. Epub 2020 May 27.

Fondazione IRCCS Istituto Nazionale dei Tumori di Milano, Milano, Italy.

The World Health Organization (WHO) classified the novel coronavirus (i.e., coronavirus disease 2019 [COVID-19]) as a global public health emergency. Read More

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http://dx.doi.org/10.3802/jgo.2020.31.e72DOI Listing

Postoperative complications of epidural analgesia at hysterectomy for gynecologic malignancies: an analysis of the National Surgical Quality Improvement Program.

Int J Gynecol Cancer 2020 May 25. Epub 2020 May 25.

Obstetrics, Gynecology, and Reproductive Sciences, Temple University Hospital, Philadelphia, Pennsylvania, USA.

Objective: The aim of this study was to identify the rate of 30-day postoperative complications after the use of epidural in women undergoing hysterectomy for gynecologic malignancy. Secondary outcome was the impact of epidural on hospital length of stay.

Methods: A retrospective cohort study was conducted using the American College of Surgeons' National Surgical Quality Improvement Program database. Read More

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http://dx.doi.org/10.1136/ijgc-2020-001339DOI Listing

Laparoscopic technique for discoid resection of rectal endometriotic nodules.

J Minim Invasive Gynecol 2020 May 23. Epub 2020 May 23.

Endoscopica Malzoni, Center for Advanced Endoscopic Gynecologic Surgery, Avellino, Italy. Electronic address:

Objective: To show the surgical steps used to perform rectal disc excision in a context of deep infiltrating endometriosis characterized by contiguity between intestinal lesion and retrocervical region.

Design: Step-by-step video demonstration of the technique.

Setting: Although surgical options for the management of rectosigmoid endometriosis have increasingly been investigated, there is no consensus regarding patient eligibility for shaving, discoid or segmental resection. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.05.016DOI Listing

USEFUL PELVIC RETROPERITONEAL NEURO-ANATOMY FOR BENIGN GYNECOLOGIC SURGERY - A CADAVERIC DISSECTION.

J Minim Invasive Gynecol 2020 May 22. Epub 2020 May 22.

Department of Gynecological Surgery, Vita Batel Hospital, Curitiba, Brazil.

Objective: Knowledge of retroperitoneal anatomy is particularly important in order to facilitate the surgical procedure and reduce the number of complications. The objective of this video is to demonstrate pelvic neuroanatomical structures and their relationships in the pelvic side wall and the presacral space in a laparoscopic cadaveric dissection.

Design: Case report (anatomical study). Read More

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http://dx.doi.org/10.1016/j.jmig.2020.05.013DOI Listing

Patterns of recurrence after laparoscopic versus open abdominal radical hysterectomy in patients with cervical cancer: a propensity-matched analysis.

Int J Gynecol Cancer 2020 May 23. Epub 2020 May 23.

Gynecologic Oncology, Isituto Tumori Milano, Milan, Italy.

Objective: Recent evidence has suggested that laparoscopic radical hysterectomy is associated with an increased risk of recurrence in comparison with open abdominal radical hysterectomy. The aim of our study was to identify patterns of recurrence after laparoscopic and open abdominal radical hysterectomy for cervical cancer.

Methods: This a retrospective multi-institutional study evaluating patients with recurrent cervical cancer after laparoscopic and open abdominal surgery performed between January 1990 and December 2018. Read More

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http://dx.doi.org/10.1136/ijgc-2020-001381DOI Listing

Establishment and evaluation of a training course in advanced laparoscopic surgery based on human body donors embalmed by ethanol-glycerol-lysoformin fixation.

Surg Endosc 2020 May 22. Epub 2020 May 22.

Department of Gynecology and Obstetrics, Kiel School of Gynaecological Endoscopy, University Hospitals Schleswig-Holstein, Campus Kiel, 24105, Kiel, Germany.

Background: Education of clinical anatomy and training of surgical skills are essential prerequisites for any surgical intervention in patients. Here, we evaluated a structured training program for advanced gynecologic laparoscopy based on human body donors and its impact on clinical practice.

Methods: The three-step training course included: (1) anatomical and surgical lectures, (2) demonstration and hands-on study of pre-dissected anatomical specimens, and (3) surgical training of a broad spectrum of gynecological laparoscopic procedures on human body donors embalmed by ethanol-glycerin-lysoformin. Read More

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http://dx.doi.org/10.1007/s00464-020-07523-6DOI Listing

ROBOTIC ASSISTED NERVE-SPARING RESECTION OF BILATERAL PARAMETRIAL DEEP INFILTRATING ENDOMETRIOSIS.

J Minim Invasive Gynecol 2020 May 19. Epub 2020 May 19.

Department of Human Pathology of the Adult and of the Childhood "Gaetano Barresi", Università di Messina, Messina, Italy.

Study Objective: To demonstrate the surgical steps used to perform a robotic radical parametrectomy in a woman with deep infiltrating endometriosis DESIGN: Description of the procedure using video.

Setting: A university hospital, referral center for endometriosis and minimally invasive surgery.

Intervention: A 47 years old woman, BMI 31, who underwent supracervical hysterectomy for fibromatosis 5 years before. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.05.009DOI Listing

Inflammation calls for more: Severe pelvic inflammatory disease with or without endometriosis. Outcomes on 311 laparoscopically treated women.

J Gynecol Obstet Hum Reprod 2020 May 17:101811. Epub 2020 May 17.

Department of Obstetrics & Gynecology, Gynecologic Oncology and Minimally Invasive Pelvic Surgery, IRCCS Sacro Cuore Don Calabria Hospital - Negrar (Verona), Italy, International School of Surgical Anatomy, Italy.

Objective: To study possible associations between endometriosis and pelvic inflammatory disease (PID).

Design: Retrospective cohort analysis over 14 consecutive years, based on medical records and insurance coding in a tertiary care endometriosis reference center.

Setting: Tertiary care reference center for endometriosis. Read More

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http://dx.doi.org/10.1016/j.jogoh.2020.101811DOI Listing

Avascular Spaces of the Female Pelvis-Clinical Applications in Obstetrics and Gynecology.

J Clin Med 2020 May 13;9(5). Epub 2020 May 13.

Department of Gynecologic Oncology, Medical University Pleven, 5800 Pleven, Bulgaria.

The term "spaces" refers to the areas delimited by at least two independent fasciae and filled with areolar connective tissue. However, there is discrepancy regarding the spaces and their limits between clinical anatomy and gynecologic surgery, as not every avascular space described in literature is delimited by at least two fasciae. Moreover, new spaces and surgical planes have been developed after the adoption of laparoscopy and nerve-sparing gynecological procedures. Read More

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http://dx.doi.org/10.3390/jcm9051460DOI Listing

Comparison of Laparoscopy and Laparotomy in Early-Stage Endometrial Cancer: Early Experiences from a Developing Country.

J Oncol 2020 30;2020:2157520. Epub 2020 Apr 30.

Department of Gynecologic Oncology, Eskisehir Osmangazi University School of Medicine, Eskisehir, Turkey.

After minimally invasive surgery gained popularity in gynecology, laparoscopic operations became widespread among oncologic operations. However, more studies evaluating experiences of oncologic surgeons during the learning period of laparoscopy are needed. To compare the surgical outcomes and perioperative complications of laparoscopic surgery and laparotomy in the treatment of early-stage endometrioid endometrial cancer patients, we retrospectively investigated patients who underwent surgery due to endometrial cancer at our institution between 2014 and 2018. Read More

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http://dx.doi.org/10.1155/2020/2157520DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7210537PMC

Robotic surgery for gynecologic cancers: indications, techniques and controversies.

J Obstet Gynaecol Res 2020 Jun 14;46(6):828-843. Epub 2020 May 14.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, University of California, Irvine, Orange, California, USA.

Minimally invasive surgery for gynecologic cancers is associated with fewer postoperative complications including less blood loss and quicker recovery time compared to traditional laparotomy. The robotic platform has allowed patients access to minimally invasive surgery due to its increased utilization by gynecologic oncologists. Many surgeons have embraced the robotic platform due to its technological advances over traditional laparoscopy including high-definition 3D optics, wristed instrumentation, camera stability and improved ergonomics. Read More

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http://dx.doi.org/10.1111/jog.14228DOI Listing

COVID-19 and laparoscopic surgery, a scoping review of current literature and local expertise.

JMIR Public Health Surveill 2020 May 13. Epub 2020 May 13.

Amsterdam UMC, Vrije Universiteit Amsterdam, department of Gynecology and Obstetrics, Research Institute Reproduction and development, Amsterdam, NL.

Background: The current COVID19 pandemic is holding the world in its grip. Epidemiologist has shown that the mortality risks are higher when the health care system falls under the COVID19 pressure. It is, therefore, of great importance to keep health care providers (HCP) healthy and prevent contamination. Read More

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http://dx.doi.org/10.2196/18928DOI Listing

Diagnosing endometriosis before laparoscopy: radiologic tools to evaluate the disease.

Curr Opin Obstet Gynecol 2020 May 7. Epub 2020 May 7.

Department of Obstetrics and Gynecology, Minimally Invasive Gynecologic Surgery, Massachusetts General Hospital, Boston, Massachusetts, USA.

Purpose Of Review: The current gold standard for diagnosing endometriosis is laparoscopy with tissue biopsy. This review presents new evidence regarding advanced imaging for more optimal clinical assessment and preoperative evaluation for endometriosis.

Recent Findings: A systematic approach to the imaging evaluation of endometriosis using transvaginal ultrasound and magnetic resonance imaging has been proposed by expert groups and societies. Read More

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http://dx.doi.org/10.1097/GCO.0000000000000638DOI Listing

Society of Robotic Surgery Review: Recommendations Regarding the Risk of COVID-19 Transmission During Minimally Invasive Surgery.

BJU Int 2020 May 8. Epub 2020 May 8.

Global Robotics Institute, Florida Hospital-Celebration Health Celebration, Orlando, FL.

The COVID-19 pandemic has created uncertainty regarding the safety and appropriate utilization of minimally invasive surgery (MIS) during this current outbreak. Surgical governing bodies such as Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the Royal Colleges of Surgery of Great Britain and Ireland have made statements regarding the possibility of COVID-19 release into CO2 insufflant during MIS. The basis for this concern is prior evidence in the literature of other viral pathogen release during laparoscopic surgery. Read More

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http://dx.doi.org/10.1111/bju.15105DOI Listing

Detecting the occluding contours of the uterus to automatise augmented laparoscopy: score, loss, dataset, evaluation and user study.

Int J Comput Assist Radiol Surg 2020 May 5. Epub 2020 May 5.

Université Clermont Auvergne, CHU Clermont-Ferrand, CNRS, SIGMA, Institut Pascal, Clermont-Ferrand, France.

Purpose: The registration of a preoperative 3D model, reconstructed, for example, from MRI, to intraoperative laparoscopy 2D images, is the main challenge to achieve augmented reality in laparoscopy. The current systems have a major limitation: they require that the surgeon manually marks the occluding contours during surgery. This requires the surgeon to fully comprehend the non-trivial concept of occluding contours and surgeon time, directly impacting acceptance and usability. Read More

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http://dx.doi.org/10.1007/s11548-020-02151-wDOI Listing

Evaluation of surgical resection in advanced ovarian, fallopian tube, and primary peritoneal cancer: laparoscopic assessment. A European Network of Gynaecological Oncology Trial (ENGOT) group survey.

Int J Gynecol Cancer 2020 Jun 30;30(6):819-824. Epub 2020 Apr 30.

Grupo Español de Investigación en Cáncer de Ovario (GEICO) and Department of Medical Oncology, Clínica Universidad de Navarra, Madrid, Spain.

Objective: Laparoscopy is one of the diagnostic tools available for the complex clinical decision-making process in advanced ovarian, fallopian tube, and peritoneal carcinoma. This article presents the results of a survey conducted within the European Network of Gynaecological Oncology Trial (ENGOT) group aimed at reviewing the current patterns of practice at gynecologic oncology centers with regard to the evaluation of resection in advanced ovarian, fallopian tube, and peritoneal carcinoma.

Methods: A 24-item questionnaire was sent to the chair of the 20 cooperative groups that are currently part of the ENGOT group, and forwarded to the members within each group. Read More

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http://dx.doi.org/10.1136/ijgc-2019-001172DOI Listing

Laparoscopic laterally extended endopelvic resection procedure for gynecological malignancies.

Int J Gynecol Cancer 2020 Jun 23;30(6):853-859. Epub 2020 Apr 23.

Department of Gynecologic Oncology, University of Palermo, Palermo, Sicilia, Italy.

Objectives: Pelvic side wall infiltration by gynecological malignancies has been considered for a long time an absolute contraindication to curative resection. The development of the laterally extended endopelvic resection (LEER) has challenged this surgical paradigm. Although the LEER has been standardized in open surgery, only small studies have been published about its endoscopic feasibility. Read More

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http://dx.doi.org/10.1136/ijgc-2019-001129DOI Listing

Choosing the most appropriate minimally invasive approach to treat gynecologic cancers in the context of an enhanced recovery program: Insights from a comprehensive cancer center.

PLoS One 2020 23;15(4):e0231793. Epub 2020 Apr 23.

Department of Surgical Oncology, Aix-Marseille Univ, CNRS, INSERM, Institut Paoli-Calmettes, CRCM, Marseille, France.

Objective: The aim of the study was to compare the characteristics of procedures for gynecologic cancers conducted with conventional laparoscopy (CL) or robotically assisted laparoscopy (RAL) in the context of an enhanced recovery program (ERP).

Methods: This is a secondary analysis of prospectively collected data from a cohort study conducted between 2016 (when the ERP was first implemented at the Institut Paoli-Calmettes, a comprehensive cancer center in France) and 2018. We included patients who had undergone minimally invasive surgery for gynecological cancers and followed our ERP. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0231793PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7179891PMC

Laparoscopic vs percutaneous hysterectomy in obese patients: a prospective evaluation.

Facts Views Vis Obgyn 2020 Mar 27;11(4):307-313. Epub 2020 Mar 27.

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

Background: Treatment of obese female patients represents a real challenge. Indeed, obesity among women has reached epidemic levels not only elevating the cardiovascular and endocrinological risks, but also increasing the incidence of various gynecological pathologies (e.g. Read More

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162661PMC

Laparoscopic gynecological surgery in an adult woman with Becker muscular dystrophy performed with sevoflurane with cisatracurium anesthesia: A case report.

Medicine (Baltimore) 2020 Apr;99(16):e19733

Department of Anesthesiology.

Rationale: Becker muscular dystrophy (BMD) and Duchenne muscular dystrophy (DMD) are progressive neuromuscular disorders caused by mutations in the dystrophin gene. The management of anesthesia in patients with BMD is complicated because they are highly sensitive to the conventional anesthetics such as volatile anesthetics and muscle relaxants. It is reported that anesthesia in patients with DMD is associated with several complications. Read More

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http://dx.doi.org/10.1097/MD.0000000000019733DOI Listing

Residency training in robotic surgery: The role of simulation.

J Visc Surg 2020 Apr 13. Epub 2020 Apr 13.

General and emergency surgery, CHU Nancy, 54511 Vandœuvre-les-Nancy, France.

Simulation has become increasingly important in surgical teaching in recent years and the French National Authority for Health (HAS) recently underlined the goal and ethical priority: "never the first time on the patient". Simulation programs have been tested and validated for laparotomy and for laparoscopy, but there is not yet a validated program specific for robotic surgery. Due to substantial advances in this new technology, we have developed a program in Nancy dedicated to outside-the-operating room (OR) teaching of robotic surgery using the Da Vinci robot. Read More

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http://dx.doi.org/10.1016/j.jviscsurg.2020.03.006DOI Listing

A novel laparoscopic technique for retro-aortic and retro-caval lymphadenectomy.

Gynecol Oncol 2020 Apr 11. Epub 2020 Apr 11.

Minimally Invasive Gynecology Surgery, Baylor College of Medicine, Houston, TX, United States of America.

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http://dx.doi.org/10.1016/j.ygyno.2020.03.023DOI Listing

Cornuostomy and Cornuectomy: Laparoscopic Management of Interstitial Ectopic Pregnancies.

J Minim Invasive Gynecol 2020 Apr 11. Epub 2020 Apr 11.

Department of Gynaecology, St. Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, United Kingdom (all authors).

Objective: To demonstrate and contrast 2 techniques of laparoscopic management of interstitial ectopic pregnancies.

Design: Stepwise demonstration of the technique with narrated video footage.

Setting: Tertiary referral center in Manchester, United Kingdom. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.04.008DOI Listing

Laparoscopic Ureteral Reimplantation for the Management of Long-segment Ureteral Defect in Gynecologic Surgeries.

J Minim Invasive Gynecol 2020 Apr 8. Epub 2020 Apr 8.

Department of Gynecologic Oncology, Cancer Institute Hospital, Koutouku, Tokyo, Japan (all authors).

Objective: To demonstrate techniques of laparoscopic ureteral reconstruction for long-segment ureteral defects in gynecologic surgeries.

Design: Step-by-step demonstration of a laparoscopic ureteral reimplantation using the Boari flap and ileal interposition.

Setting: Gynecologic diseases often involve the ureter; hence, knowledge of ureteral reconstruction techniques is imperative in gynecologic surgeries. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.03.012DOI Listing

Could fluorescence-guided surgery be an efficient and sustainable option? A SICE (Italian Society of Endoscopic Surgery) health technology assessment summary.

Surg Endosc 2020 Apr 9. Epub 2020 Apr 9.

Department of Medical-Surgical Sciences and Biotechnologies, Sapienza University of Rome-Polo Pontino, Rome, Italy.

Background: Indocyanine green fluorescence vision is an upcoming technology in surgery. It can be used in three ways: angiographic and biliary tree visualization and lymphatic spreading studies. The present paper shows the most outstanding results from an health technology assessment study design, conducted on fluorescence-guided compared with standard vision surgery. Read More

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http://dx.doi.org/10.1007/s00464-020-07542-3DOI Listing

Gynecologic cancer in pregnancy.

Gynecol Oncol 2020 Apr 5. Epub 2020 Apr 5.

Division of Gynecologic Oncology, University of California, Irvine Medical Center, Orange, CA, USA. Electronic address:

Cancer complicates 1 in 1000 pregnancies. Multidisciplinary consensus comprised of Gynecologic Oncology, Pathology, Neonatology, Radiology, Anesthesiology, Maternal Fetal Medicine, and Social Work should be convened. Pregnancy provides an opportunity for cervical cancer screening, with deliberate delays in treatment permissible for early stage carcinoma. Read More

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http://dx.doi.org/10.1016/j.ygyno.2020.03.015DOI Listing

Cost variance across obesity class for women undergoing laparoscopic hysterectomy by high-volume gynecologic surgeons.

J Robot Surg 2020 Apr 6. Epub 2020 Apr 6.

Department of Obstetrics and Gynecology, The George Washington University Hospital, 2150 Pennsylvania Ave NW, Washington, DC, 20037, USA.

Health-care costs are affected by obesity with both the direct and indirect costs of health care increasing as body mass index (BMI) increases. However, one important aspect of obesity that lacks rigorous study is what impact BMI has on direct surgical cost. We performed a retrospective cohort study of women undergoing a laparoscopic hysterectomy at our single academic university center between January 2012 and December 2017. Read More

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http://dx.doi.org/10.1007/s11701-020-01074-7DOI Listing

Understanding the "Scope" of the Problem: Why Laparoscopy Is Considered Safe during the COVID-19 Pandemic.

J Minim Invasive Gynecol 2020 May - Jun;27(4):789-791. Epub 2020 Apr 3.

Women's Surgery Center, National University of Córdoba, CEDEM, Cordoba, Argentina.

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http://dx.doi.org/10.1016/j.jmig.2020.04.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7129473PMC
April 2020
1.575 Impact Factor

Motivation to access laparoscopic skills training: Results of a Canadian survey of obstetrics and gynecology residents.

PLoS One 2020 2;15(4):e0230931. Epub 2020 Apr 2.

Division of Gynecologic-Oncology, Dalhousie University, Halifax, Nova Scotia, Canada.

Objective: Competency based medical education (CBME) requires novel approaches to surgical education. Significant investment has been made in laparoscopic simulation, which has been shown to foster skill development prior to patient encounters. However, research suggests variable voluntary use of these resources by residents, and little is known about the motivational factors that influence their utilization. Read More

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http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0230931PLOS
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7117757PMC

Intraoperative Tranexamic Acid to Decrease Blood Loss During Myomectomy: A Randomized Double-Blind Placebo Controlled Trial.

Am J Obstet Gynecol 2020 Mar 27. Epub 2020 Mar 27.

Background: Myomectomy is associated with a significant risk of hemorrhage. Tranexamic acid is a synthetic lysine derivative with antifibrinolytic activity used in other surgical disciplines to reduce blood loss during surgery. However, its utility in gynecologic surgery is not well understood. Read More

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http://dx.doi.org/10.1016/j.ajog.2020.02.019DOI Listing
March 2020
4.704 Impact Factor

Combination of a pulmonary recruitment maneuver and intraperitoneal bupivacaine for the reduction of postoperative shoulder pain in gynecologic laparoscopy: a randomized, controlled trial.

Obstet Gynecol Sci 2020 Mar 20;63(2):187-194. Epub 2020 Feb 20.

Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.

Objective: To compare the efficacy of a pulmonary recruitment maneuver using lower airway pressure (30 cm HO) and intraperitoneal bupivacaine, alone or in combination, for reducing shoulder pain after gynecologic laparoscopy.

Methods: A prospective controlled study was performed in a teaching hospital with patients who underwent elective gynecologic laparoscopic surgery. Two hundred eighty-seven patients were randomized into 1 of 4 groups: group A, placebo; group B, intraperitoneal instillation of bupivacaine; group C, CO removal by a pulmonary recruitment maneuver; group D, combination of intraperitoneal bupivacaine and pulmonary recruitment maneuver. Read More

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http://dx.doi.org/10.5468/ogs.2020.63.2.187DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7073353PMC

Minimally Invasive Surgery in Pregnancy.

Clin Obstet Gynecol 2020 Jun;63(2):379-391

Department of Obstetrics & Gynecology, Minimally Invasive Gynecologic Surgery Division, Baylor College of Medicine, Houston, Texas.

If it is medically necessary to perform nonobstetrical abdominal surgery in pregnancy, a minimally invasive approach should be considered. The benefits of laparoscopy are well known and current studies promote the safety of laparoscopy in pregnancy, when certain guidelines are followed. This article will review the safety of surgery in pregnancy, maternal physiology, fetal considerations, maternal obesity, laparoscopic cerclage, large adnexal mass, and complications. Read More

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http://dx.doi.org/10.1097/GRF.0000000000000527DOI Listing

Granulomatous Peritonitis secondary to A case report.

Gynecol Oncol Rep 2020 May 10;32:100558. Epub 2020 Mar 10.

Department of Pathology, Riverside Methodist Hospital, Columbus, OH 43214, United States.

Background: This case provides a rare case of presenting with ascites and granulomatous peritonitis.

Case: A 23-year old gravida 0 presented as a new patient to her gynecologist with complaints of irregular menses. A pelvic ultrasound showed ascites and the ovaries appeared heterogenous with irregular borders. Read More

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http://dx.doi.org/10.1016/j.gore.2020.100558DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7078493PMC

Perioperative gastroesophageal regurgitation in patients with elevated abdominal pressure with nasogastric tubes? A simulation model based on esophageal multichannel intraluminal impedance and pH monitoring.

J Formos Med Assoc 2020 Mar 14. Epub 2020 Mar 14.

Department of Anesthesiology, College of Medicine, National Taiwan University, Taipei, Taiwan; Department of Anesthesiology, National Taiwan University Cancer Center, Taipei, Taiwan. Electronic address:

Increased abdominal pressure is common in obese patients and predisposes them to gastroesophageal regurgitation (GER). To drain GER and prevent aspiration, nasogastric (NG) tubes are frequently inserted in obese patients undergoing general anesthesia. However, whether gastric drainage actually decreases the occurrence of GER remains to be elucidated. Read More

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http://dx.doi.org/10.1016/j.jfma.2020.02.013DOI Listing

Robotic Surgery in Gynecology.

Surg Clin North Am 2020 Apr 6;100(2):445-460. Epub 2020 Feb 6.

Department of Obstetrics, Gynecology and Reproductive Biology, Danbury Hospital, Nuvance Health, 24 Hospital Avenue, Danbury, CT 06810, USA.

The robotic-assisted laparoscopic surgical approach has improved complex gynecologic surgeries. It has the advantages of excellent visualization through the high-resolution 3-dimensional view, a wrist-like motion of the robotic arms and improved ergonomics. Similar to conventional laparoscopic surgeries, it is associated with a decrease in long-term surgical morbidity, early recovery and return to work, and improved esthetics. Read More

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http://dx.doi.org/10.1016/j.suc.2019.12.007DOI Listing

Accurate diagnosis of endometriosis using serum microRNAs.

Am J Obstet Gynecol 2020 Mar 9. Epub 2020 Mar 9.

Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale School of Medicine, New Haven, CT.

Background: Endometriosis, a chronic disease that afflicts millions of women worldwide, has traditionally been diagnosed by laparoscopic surgery. This diagnostic barrier delays identification and treatment by years, resulting in prolonged pain and disease progression. Development of a noninvasive diagnostic test could significantly improve timely disease detection. Read More

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http://dx.doi.org/10.1016/j.ajog.2020.02.050DOI Listing

Robotic single-port surgery using the da Vinci SP® surgical system for benign gynecologic disease: A preliminary report.

Taiwan J Obstet Gynecol 2020 Mar;59(2):243-247

The Department of Obstetrics and Gynecology, Ewha Womans University Seoul Hospital, College of Medicine, Ewha Womans University, Seoul, Republic of Korea. Electronic address:

Objective: We aimed to present our initial experience with robotic single-port surgery performed using the da Vinci® SP surgical system for benign gynecologic diseases.

Materials And Methods: This retrospective cohort study was performed at an academic tertiary care hospital From December 2018 to January 2019. Thirty-one women with benign gynecologic diseases underwent robotic single-port surgery performed using the da Vinci® SP surgical system. Read More

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http://dx.doi.org/10.1016/j.tjog.2020.01.012DOI Listing

Transvaginal Ultrasound Can Accurately Predict the American Society of Reproductive Medicine Stage of Endometriosis Assigned at Laparoscopy.

J Minim Invasive Gynecol 2020 Feb 29. Epub 2020 Feb 29.

Department of Acute Gynaecology, Early Pregnancy and Advanced Endosurgery Unit, Nepean Hospital, Kingswood; Sydney Medical School Nepean, The University of Sydney, Sydney, Australia (Drs. Leonardi, Espada, and Condous); The Sydney Women's Endosurgery Centre (Drs. Choi and Chou), Sydney; Laparoscopic Surgery for General Gynaecologists (Drs. Chang and Condous), Sydney; Department of Obstetrics and Gynaecology, Sydney Adventist Hospital, Wahroonga (Drs. Choi and Condous); Department of Obstetrics and Gynaecology, St George Private & Public Hospital, Kogarah (Drs. Choi and Chou); Department of Obstetrics and Gynaecology, Campbelltown Private Hospital, Campbelltown (Dr. Chang); Department of Obstetrics and Gynaecology, The Mater Hospital, Crows Nest; Department of Obstetrics and Gynaecology, North Shore Private Hospital; Department of Obstetrics and Gynaecology, Royal North Shore Hospital, (Dr. Smith); OMNI Ultrasound & Gynaecological Care (Dr. Condous), St Leonards; Department of Obstetrics and Gynaecology, Prince of Wales Private Hospital, Randwick; Department of Obstetrics and Gynaecology, St Luke's Private Hospital, Elizabeth Bay; Department of Obstetrics and Gynaecology, Sydney Day Surgery, Darlinghurst (Dr. Rowan), Australia.

Study Objective: To evaluate the diagnostic accuracy of transvaginal ultrasound in predicting a laparoscopic, surgically assigned, revised American Society of Reproductive Medicine (ASRM) endometriosis stage.

Design: A multicenter, retrospective, diagnostic accuracy study.

Setting: The patients visited 1 of 2 academic gynecologic ultrasound units and underwent laparoscopy led by 1 of 6 surgeons in metropolitan Sydney, Australia, between 2016 and 2018. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.02.014DOI Listing
February 2020

Laparoscopic treatment of ovarian granulosa cells tumor developed in the pelvic anterior preperitoneal space 20 years after laparotomic salpingo-oophorectomy: case report and review of literature.

Gynecol Endocrinol 2020 Mar 3:1-3. Epub 2020 Mar 3.

Department of Obstetrics and Gynecology, Presidio Policlinico di Monserrato, University of Cagliari, Monserrato, Italy.

Granulosa cells (GC) tumors are rare tumors which account for approximately 2-3% of all ovarian malignancies with a favorable prognosis. We report a case of a 54-year-old postmenopausal woman who developed an ovarian GC tumor in the pelvic anterior preperitoneal space 20 years after laparotomic salpingo-oophorectomy due to small part of the cyst could drop or remain entrapped into the abdominal wound during the closure of laparotomy 20 years before. Then, the patient underwent a second laparoscopic procedure with peritoneal washing, a type A radical hysterectomy, omentectomy, appendectomy, and pelvic and para-aortic lymphadenectomy. Read More

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http://dx.doi.org/10.1080/09513590.2020.1716329DOI Listing
March 2020
1.136 Impact Factor

Comparison of enhanced recovery protocol with conventional care in patients undergoing minor gynecologic surgery.

Wideochir Inne Tech Maloinwazyjne 2020 Mar 31;15(1):220-226. Epub 2019 May 31.

Department of Anesthesiology and Reanimation, Faculty of Medicine, University of Health Sciences, Kanuni Sultan Suleyman Hospital, Istanbul, Turkey.

Introduction: Data regarding the role of the ERAS) protocol in improving postoperative outcomes and postoperative compliance in patients undergoing gynecological surgery, in particular, minor laparoscopic and hysteroscopic gynecological procedures, are limited.

Aim: To investigate the impact of the ERAS protocol on time to ambulation, length of stay (LOS), readmissions and postoperative complications in patients undergoing minor gynecological surgical procedures.

Material And Methods: A total of 104 patients undergoing minor laparoscopic and hysteroscopic gynecological procedures were randomized to the ERAS protocol or conventional care. Read More

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http://dx.doi.org/10.5114/wiitm.2019.85464DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7020716PMC

Ovarian size as a risk factor for recurrent adnexal torsion: Smaller is not better.

J Obstet Gynaecol Res 2020 May 19;46(5):745-751. Epub 2020 Feb 19.

Department of Obstetrics and Gynecology, Meir Medical Center, Kfar Saba, Israel, Affiliated to Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

Aim: To investigate characteristics and risk factors for recurrent adnexal torsion (AT).

Methods: Retrospective cohort study in a university-affiliated medical center included 320 Women with AT verified by laparoscopy, from January 2005 through January 2017. Demographic data, clinical symptoms, surgical findings and treatment were retrospectively reviewed from patient records. Read More

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http://dx.doi.org/10.1111/jog.14220DOI Listing

Outcome of Gynecologic Laparoendoscopic Single-Site Surgery with a Homemade Device and Conventional Laparoscopic Instruments in a Chinese Teaching Hospital.

Biomed Res Int 2020 20;2020:5373927. Epub 2020 Jan 20.

Department of Minimal Invasive Gynecology, Guangzhou Women and Children's Hospital, Guangzhou Medical University, Guangzhou, China.

Objective: To demonstrate various benign gynecologic diseases that can be performed by laparoendoscopic single-site surgery (LESS) with conventional laparoscopic instruments.

Method: Patients with benign gynecologic diseases that need ovarian cystectomy, fallopian tube resection, or myomectomy were divided into experimental group and control group, and perioperative outcomes of these patients were analyzed.

Results: From November 2017 to May 2018, 65 LESS gynecological surgeries were performed, among which there were 25 ovarian cystectomies, 28 unilateral fallopian tube resections, and 12 myomectomies. Read More

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http://dx.doi.org/10.1155/2020/5373927DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6996709PMC
January 2020

Postoperative analgesic efficacy of continuous wound infusion with local anesthetics after laparoscopy (PAIN): a randomized, double-blind, placebo-controlled trial.

Surg Endosc 2020 Feb 13. Epub 2020 Feb 13.

Department of Obstetrics and Gynecology, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, 29 Saemunan-ro, Jongno-gu, Seoul, 03181, Republic of Korea.

Background: To investigate the efficacy of continuous wound infusion (CWI) with local anesthetics for reducing postoperative pain compared with placebo in patients undergoing benign gynecologic laparoscopy.

Methods: In this double-blind trial, 66 patients were randomly assigned to receive either ropivacaine or normal saline though a multi-orifice catheter placed into the umbilical surgical wound for 50 h postoperatively. The primary outcome measure was the severity of postoperative pain 1, 6, 12, 24, and 48 h after surgery. Read More

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http://dx.doi.org/10.1007/s00464-020-07416-8DOI Listing
February 2020

Preoperative serum levels of HE4 and CA125 predict primary optimal cytoreduction in advanced epithelial ovarian cancer: a preliminary model study.

J Ovarian Res 2020 Feb 12;13(1):17. Epub 2020 Feb 12.

Department of Gynecologic oncology, Guangxi Medical University Cancer Hospital, 71 Hedi Road, Nanning, Guangxi, 530021, People's Republic of China.

Objective: The aim of this study is to establish a noninvasive preoperative model for predicting primary optimal cytoreduction in advanced epithelial ovarian cancer by HE4 and CA125 combined with clinicopathological parameters.

Methods: Clinical data including preoperative serum HE4 and CA125 level of 83 patients with advanced epithelial ovarian cancer were collected. The sensitivity, specificity, positive predictive value, negative predictive value and overall accuracy of each clinical parameter were calculated. Read More

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http://dx.doi.org/10.1186/s13048-020-0614-1DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7014747PMC
February 2020
2.428 Impact Factor

Superficial Peritoneal Endometriosis: Clinical Characteristics of 203 Confirmed Cases and 1292 Endometriosis-Free Controls.

Reprod Sci 2020 01 1;27(1):309-315. Epub 2020 Jan 1.

Department of Gynecology Obstetrics II and Reproductive Medicine (Professor Chapron), Faculté de Médecine, Université Paris Descartes, Sorbonne Paris Cité; and Assistance Publique-Hôpitaux de Paris (AP-HP), Hôpital Universitaire Paris Centre (HUPC), Centre Hospitalier Universitaire (CHU) Cochin, Paris, France.

The aim of this study was to characterize a large sample of women with superficial peritoneal endometriosis (SUP) and no other types of endometriosis in order to test the association of SUP with gynecologic symptoms. We included 203 cases of histologically proven SUP and 1292 endometriosis-free controls diagnosed between January 2004 and July 2017. The participants were non-pregnant patients aged 18 to 42 years submitted to a laparoscopy or laparotomy for a benign gynecologic condition. Read More

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http://dx.doi.org/10.1007/s43032-019-00028-1DOI Listing
January 2020