Search Our Scientific Publications & Authors

JSLS 2020 Apr-Jun;24(2)

Camran Nezhat Institute, Palo Alto, CA, USA.

Background And Objectives: Operative laparoscopy is generally performed under general anesthesia. Local anesthesia and conscious sedation may be useful in select short procedures. In the present study, we evaluated safety and efficacy of operative laparoscopy under conscious sedation. Read More

Gynecol Surg 2020 16;17(1). Epub 2020 Jun 16.

The Center for Innovative GYN Care, 3206 Tower Oaks Blvd., Suite 200, Rockville, MD 20852 USA.

Background: Non-hysteroscopic myomectomy is infrequently performed in a freestanding ambulatory setting, in part due to risks of intraoperative hemorrhage. There are also concerns about increased surgical risks for morbidly obese patients in this setting. The purpose of this study is to report the surgical outcomes of a series of laparoscopic-assisted myomectomy (LAM) cases at a freestanding ambulatory surgery center (ASC), including a comparative analysis of outcomes in morbidly obese patients (BMI > 40 kg/m). Read More

Fertil Steril 2020 Jul 10;114(1):175-184. Epub 2020 Jun 10.

Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota; Division of Reproductive Endocrinology and Infertility, Mayo Clinic, Rochester, Minnesota; Division of Minimally Invasive Gynecologic Surgery, Mayo Clinic, Rochester, Minnesota.

Objective: To evaluate blood transfusion risks and the associated 30-day postoperative morbidity after myomectomy.

Design: Retrospective cohort study.

Setting: Not applicable. Read More

Indian J Surg Oncol 2020 Jun 2;11(2):201-203. Epub 2020 Jan 2.

Department of Obstetrics and Gynecology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

Common obstetrics and gynecology operations have different approaches and techniques and variations in the procedure. We aimed to discuss different approaches and variations in the techniques of the procedures as cystectomy, myomectomy, laparoscopy entry technique, sacrospinous ligament fixation, uretherocele, and rupture uterus. Read More

J Robot Surg 2020 Jun 6. Epub 2020 Jun 6.

Department of Obstetrics and Gynecology, Eulji University Hospital, Eulji University, 1306 Doonsan-dong, Daejeon, 302-799, Korea.

Although robotic single-site (RSS) surgery employing cross setup of semirigid instruments allows effective triangulation of instruments, it has some limitations in performing RSS transabdominal and transvaginal surgeries. We introduced the robotic glove port technique (RGPT) using parallel setup of endowristed rigid instruments in performing RSS transabdominal surgery and transvaginal surgery in July of 2017. Thirty-five patients underwent RSS surgery with RGPT. Read More

BMC Med Educ 2020 Jun 5;20(1):185. Epub 2020 Jun 5.

Department of Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences, Washington, D.C, USA.

Background: Very little is known regarding the readiness of senior U.S. Ob/Gyn residents to perform minimally invasive surgery. Read More

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

Department of Obstetrics and Gynecology, Division of Gynecologic Surgery and Pelvic Medicine (Drs. Nensi, Simpson, and Robertson).

Study Objective: The primary objective was to introduce an intraoperative blood conservation bundle (BCB) checklist into clinical practice and assess its impact on perioperative blood transfusion rates during myomectomy.

Design: Prospective cohort study with retrospective control group.

Setting: A Canadian tertiary-care teaching hospital. Read More

Surg J (N Y) 2020 May 11;6(Suppl 1):S44-S49. Epub 2019 Sep 11.

Department of Gynecologic Oncology, Kawasaki Medical School, Kurashiki, Okayama, Japan.

Laparoscopic myomectomy (LM) is a minimally invasive surgery. However, several complications may occur in cases of extremely large myomas. For example, it can be difficult to acquire a full visual field, and the operation is limited by both technical and physiological restrictions. Read More

J Gynecol Obstet Hum Reprod 2020 Apr 20:101776. Epub 2020 Apr 20.

Department of Obstetrics and Gynecology, Division of Urogynecology, Walter Reed National Military Medical Center, Bethesda, MD, United States. Electronic address:

Background: Uterine leiomyoma are implicated in certain adverse pregnancy related outcomes such as postpartum hemorrhage. Large submucosal leiomyoma defined as greater than 5 cm, may have higher complication rates; however, high quality data is limited.

Case: A 44-year-old gravida 4 with history of two full-term vaginal deliveries presented at 40 and 2/7 weeks of gestation with premature rupture of membranes and delivered vaginally a viable female infant complicated by a postpartum hemorrhage due to uterine atony. Read More

Curr Opin Obstet Gynecol 2020 Aug;32(4):285-291

Division of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology, Christiana Care Health System, Newark, Delaware, USA.

Purpose Of Review: To review current topical hemostatic agent use and how it pertains to gynecologic surgery.

Recent Findings: Recent literature suggests some benefit of topical hemostatic agents (THA). THAs confer reduced bleeding and shorter operating room time in women undergoing hysterectomy for cancer and in abdominal myomectomy. Read More

Radiol Case Rep 2020 May 26;15(5):633-636. Epub 2020 Mar 26.

The Russell H. Morgan Department of Radiology and Radiological Science, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Uterine artery pseudoaneurysm is an uncommon cause of vaginal bleeding that can occur after cesarean, hysterectomy, myomectomy, uncomplicated vaginal delivery, as well as gynecologic surgery. A 29-year-old woman (G4P1122) who underwent stat cesarean section and intrauterine device placement was found to have a 1.6-cm left uterine artery pseudoaneurysm on follow-up ultrasound. Read More

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

Surg Technol Int 2020 May;36:159-177

Center for Menstrual Disorders, Rochester, New York.

Office-based gynecologic surgery (OBGS) has become an integral part of modern practice. The technological achievements of the past few decades have dramatically improved our ability to diagnose and treat a variety of common issues that affect fertility and menstruation. Procedures that once required the complex milieu of a hospital or outpatient setting-diagnostic hysteroscopy, endometrial ablation, hysteroscopic polypectomy, and myomectomy-are now well within the reach of motivated and well-trained practitioners. Read More

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

Cureus 2020 Jan 27;12(1):e6783. Epub 2020 Jan 27.

Obstetrics and Gynecology, All India Institute of Medical Sciences, New Delhi, IND.

Uterine sarcomas are a rare malignancy, often retrospectively diagnosed after myomectomy or hysterectomy. Undifferentiated uterine sarcomas (UUS) are a particularly aggressive variant of this condition. Little evidence exists regarding the postoperative management of undifferentiated sarcomas diagnosed after hysterectomy performed for presumed benign conditions. Read More

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

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

Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas (Drs. Xiao, Fu, Duan, Sunkara, and Guan); Department of Gynecology, Guangdong Provincial Hospital of Chinese Medicine, Guangzhou, Guangdong, China (Drs. Xiao and Wang).. Electronic address:

Study Objective: The study objective was to assess the feasibility of laparoendoscopic single-site surgery (LESS) for the management of nonobstetric, gynecologic disease processes in pregnant patients.

Design: A retrospective case series of 13 pregnant women aged 21 to 42 years who underwent LESS for various gynecologic pathology. If able to be contacted, the patients were followed up until the delivery of the fetus. Read More

J Minim Invasive Gynecol 2020 Feb 25. Epub 2020 Feb 25.

Department of Minimally Invasive Gynecologic Surgery, Brigham and Women's Hospital, Boston Massachusetts. (Drs. Pepin, Dmello, Sandberg, Hill-Verrochi, Ajao, Cohen, Einarsson, and Ms. Maghsoudlou).

Study Objective: To review pregnancy outcomes after laparoscopic myomectomy with the use of barbed suture.

Design: Retrospective cohort study and follow-up survey.

Setting: Single, large academic medical center. Read More

J Minim Invasive Gynecol 2020 May - Jun;27(4):826-831. Epub 2020 Feb 24.

Endometriosis Research Center (Drs. Vahdat and Mansouri); Iran University of Medical Sciences, Tehran, Iran , (Dr. Kashanian); Department of Radiology, School of Medicine (Dr. Mostafavi), Iran University of Medical Sciences, Tehran; Department of Gynecology (Dr. Mansouri); HIV/STI Surveillance Research Center and WHO Collaborating Center for HIV Surveillance, Institute for Future Studies in Health (Mr. Mirzaei and Dr. Shahesmaeili), Kerman University of Medical Sciences, Kerman, Iran.

Study Objective: To assess the efficacy of prostaglandin F2α (PGF) in hysteroscopic myomectomy of submucous myomas.

Design: Single-blind, randomized clinical trial study.

Setting: Teaching hospital, affiliate of Iran University of Medical Sciences, Tehran, Iran. Read More

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

J Vasc Surg 2020 Feb 5. Epub 2020 Feb 5.

Division of Vascular and Endovascular Surgery, Boston Medical Center, Boston University School of Medicine, Boston, Mass. Electronic address:

Objective: Gynecologic surgery has potential for adjunct vascular interventions, given the proximity of major intra-abdominal and pelvic blood vessels. Our goal was to determine contemporary incidence, associations, and outcomes of vascular repairs in gynecologic operations.

Methods: The American College of Surgeons National Surgical Quality Improvement Program database (2005-2017) was queried for patients undergoing elective gynecologic operations. Read More

J Obstet Gynaecol Res 2020 Mar 29;46(3):490-498. Epub 2020 Jan 29.

The Center for Innovative GYN Care, Rockville, Maryland, USA.

Aim: To compare the safety protocols and operative outcomes of women undergoing laparoscopic-assisted myomectomy (LAM) by the same surgeons at a freestanding ambulatory surgery center (ASC) versus a hospital outpatient setting.

Methods: Retrospective chart review of all women ≥18 years old with symptomatic leiomyoma, who underwent LAM with uterine artery occlusion or ligation for blood loss control, at a freestanding ASC between 2013 and 2017, and an outpatient hospital setting between 2011 and 2013, both serving the metropolitan Washington, DC area. The procedures were performed by two minimally invasive gynecologic surgical specialists from a single practice. Read More

J Minim Invasive Gynecol 2020 Jul - Aug;27(5):1203-1208. Epub 2019 Dec 24.

Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Linkou, Taoyuan (Drs. Weng, A-S. Chao, Y-T. Huang, Wu, Su, A. Chao, and Wang); College of Medicine, Chang Gung University, Taoyuan (Drs. A-S. Chao, Wu, A. Chao, and Wang); Department of Obstetrics and Gynecology, Chang Gung Memorial Hospital, Taipei (Dr. H-Y. Huang); Gynecologic Cancer Research Center, Chang Gung Memorial Hospital, Linkou, Taoyuan (Dr. A. Chao); Clinical Trial Center and Linkou Medical Center, Chang Gung Memorial Hospital, Linkou (Dr. Yang), Taiwan. Electronic address:

This report describes a simple technique using conventional instrumentation for the placement of Seprafilm, a sodium hyaluronate or carboxymethylcellulose absorbable barrier for adhesion prevention. A total of 378 women with uterine myomas undergoing laparoscopic myomectomies had 737 Seprafilm pieces placed. Seprafilm sheet was softened through exposure to room air for 5 minutes, cut into 4 pieces (length, 5-10 mm), rolled up alongside a plastic sheet cut from a camera drape cover, and gently placed at the right paracolic gutter. Read More

Curr Med Res Opin 2020 Mar 6;36(3):513-520. Epub 2020 Jan 6.

Department of Obstetrics and Gynecology, Mount Sinai Hospital, University of Toronto, Toronto, Canada.

To review the mechanism of action, pharmacology, dosing, and complications of tranexamic acid (TXA) and consolidate current evidence for TXA in gynecologic surgery. A literature search of PubMed, Ovid (MEDLINE), Google Scholar, and Elsevier was performed, in addition to a targeted search of cited references involving TXA and gynecologic surgery. Preference was given to systematic reviews and randomized control trials (RCTs). Read More

J Obstet Gynaecol Can 2020 Apr 18;42(4):430-438.e2. Epub 2019 Dec 18.

Department of Obstetrics and Gynecology, Schulich Medicine and Dentistry, Western University, London, ON.

Objective: The impact of resident involvement in the operating room for common procedures in obstetrics and gynaecology can shed light on the resource demands of teaching. The objective of this study was to quantify the increased surgical time associated with teaching obstetrics and gynaecology resident trainees across a range of procedures known to require surgical assistance.

Methods: This population-based retrospective cohort study compared surgical duration between academic (teaching) hospitals and community (non-teaching) hospitals. Read More

Clin Obstet Gynecol 2020 Jun;63(2):305-319

Department of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania.

Fibroid tissue extraction during hysterectomy and myomectomy has become increasingly controversial. A wave of research has tried to clarify difficult questions around the prevalence of occult malignancies, the effect of morcellation on cancer outcomes, proper informed consent, and surgical options for tissue extraction. This review examines the history of these controversies and discusses tissue extraction techniques and continued areas of debate in the field. Read More

Ceska Gynekol 2019 ;84(5):324-330

Objective: The aim of this study was to analyse the clinical outcome of patients with diagnosis of leiomyoma with bizarre nuclei (LBN) undergoing uterus saving surgery due to fertility preservation.

Design: Retrospective clinical study.

Setting: Department of Obstetrics and Gynaecology, First Faculty of Medicine, Charles University, General University Hospital, Prague. Read More

Arch Gynecol Obstet 2020 01 28;301(1):235-242. Epub 2019 Nov 28.

Department of Gynecology and Obstetrics, West China Second University Hospital, Sichuan University, Chengdu, 610041, People's Republic of China.

Purpose: To determine whether or not the risk of recurrence of uterine leiomyoma (UL) was different between laparoscopic myomectomy (LM) and open myomectomy (OM).

Methods: This study combined a multicenter cohort study with a meta-analysis. The cohort study included women aged 18-44 years with 1-3 leiomyomas who underwent LM or OM for UL at one of three teaching hospitals. Read More

Oman Med J 2019 Nov;34(6):556-559

Department of Obstetrics and Gynecology and Reproductive Science, Sultan Qaboos University Hospital, Muscat, Oman.

Leiomyoma of the uterus, also called fibroids, are common in women. In this case report, we describe the case of a nulliparous woman with a large, prolapsed submucous uterine leiomyoma of 10 × 11 cm was vaginally impacted. The aim is to highlight the challenges in managing such uncommon clinical scenario focusing on the factors predicting the success of vaginal myomectomy including the size of the myoma but also the role of vaginal laxity to allow the steps of devascularization, detachment, and removal of the myoma. Read More

J Minim Invasive Gynecol 2019 Nov 15. Epub 2019 Nov 15.

Department of Gynecology and Obstetrics, North Zealand University Hospital, Hilleroed (Drs. Settnes, Topsoee, and Norrbom); Department of Gynecology and Obstetrics, Aarhus University Hospital, Aarhus (Drs. Moeller and Dueholm); The Danish Clinical Registries (RKKP), Frederiksberg Hospital, Frederiksberg (Drs. Kopp and Froeslev); Department of Gynecology, Rigshospitalet, Copenhagen University Hospital, Copenhagen (Drs. Rasmussen and Dreisler); Department of Gynecology and Obstetrics, Aalborg University Hospital, Aalborg (Dr. Joergensen); Department of Gynecology and Obstetrics, Zealand University Hospital, Roskilde (Dr. Gimbel), Denmark.

Study Objective: To monitor and report nationwide changes in the rates of and complications after different methods for benign hysterectomy, operative hysteroscopy, myomectomy, and embolization in Denmark. To report the national mortality after benign hysterectomy DESIGN: National prospective, observational cohort study.

Setting: The Danish Hysterectomy and Hysteroscopy Database. Read More

J Pak Med Assoc 2019 Oct;69(10):1521-1525

Shifa College of Medicine. Islamabad.

Objective: To determine the perceptions of patients regarding operation theatre conversation and environment during an awake procedure.

Methods: The descriptive, cross-sectional study was conducted from February to August 2017 in postoperative wards of Military Hospital, Rawalpindi, Pakistan, and comprised women undergoing gynaecological or obstetric procedures under regional anaesthesia. Closedended questionnaires were distributed via nonprobability convenient sampling. Read More

Fukushima J Med Sci 2020 Jan 11;65(3):128-132. Epub 2019 Oct 11.

Obstetrics and Gynecology, Ohta Nishinouchi Hospital.

Objective: Preoperative diagnosis and successful management of acute torsion of a subserosal fibroid by using appropriate imaging modalities and single-port laparoscopic surgery.

Case Report: A 44-year-old nulliparous woman presented with lower abdominal pain. Computed tomography and magnetic resonance imaging with contrast enhancement revealed a tumor in the pouch of Douglas with a low contrast at the center and thin-rim enhancement. Read More

Histopathology 2020 Feb 13;76(3):354-365. Epub 2020 Jan 13.

Department of Pathology, The Johns Hopkins Medical Institutions, Baltimore, MD, USA.

Aims: Hereditary leiomyomatosis and renal cell cancer (HLRCC) syndrome is caused by germline mutations in the Fumarate hydratase (FH) gene. In young women, the syndrome often presents with symptomatic uterine leiomyomas, leading to myomectomy or hysterectomy. In this study, we aimed to investigate the incidence and mutational profiles of FH-negative leiomyomas from young patients, thus allowing for early identification and triage of syndromic patients for surveillance. Read More

Medicina (Kaunas) 2019 Sep 23;55(10). Epub 2019 Sep 23.

Department of General and Clinical pathology, Forensic Medicine and Deontology, Medical University Varna, 9002 Varna, Bulgaria.

: Chylous ascites is a rare form of ascites characterized by milk-like peritoneal fluid, rich in triglycerides. Clinical signs and symptoms include abdominal distention, pain, nausea, and vomiting. In gynecology, the most common cause for its occurrence is lymph dissection leading to impairment of major lymphatic vessels. Read More

Clin Obstet Gynecol 2019 12;62(4):733-748

Kelly Gynecologic Oncology Service, Department of Gynecology and Obstetrics, Johns Hopkins School of Medicine, Baltimore, Maryland.

minimally invasive surgery (MIS) is the standard approach to performance of several gynecologic procedures, including hysterectomy, gynecologic cancer staging procedures, myomectomy, pelvic organ prolapse repair, and select adnexal procedures. Robotic-assisted surgery, a computer-based MIS approach, has been adopted widely in the United States and several other countries. Robotics may offer technological and ergonomic benefits that overcome limitations associated with conventional laparoscopy; however, it is not clear that reported claims of superiority translate into improved gynecologic patient outcomes compared with other MIS approaches. Read More

Gynecol Oncol Rep 2019 Aug 19;29:126-129. Epub 2019 Aug 19.

Mid Atlantic Gynecologic Oncology and Pelvic Surgery Associates, 8081 Innovation Park Drive, Suite 775, Fairfax, Virginia 22031, USA.

Uterine leiomyosarcoma in a prior myomectomy site is a rare phenomenon. We report an unusual case of a leiomyosarcoma arising six months post myomectomy in a 16-year old female. Read More

Clin Obstet Gynecol 2019 12;62(4):727-732

Wisconsin Fertility Institute, Middleton, Wisconsin.

Morcellation is necessary for many women with fibroids who choose to undergo laparoscopic myomectomy or hysterectomy. After open and laparoscopic myomectomy, myometrial cells can be detected in the abdomen and pelvis. After morcellation, careful inspection for and removal of tissue fragments and copious irrigation and suctioning of fluid can remove residual tissue with or without the use of containment bags. Read More

Menopause 2019 09;26(9):947-957

The North American Menopause Society (NAMS) held the 2018 Utian Translational Science Symposium on October 2, 2018, in San Diego, California, to discuss new therapeutic approaches to uterine leiomyomas when surgery is not the optimal choice.Uterine leiomyomas arise from a single clonal cell and are the most common gynecologic disorder affecting reproductive and perimenopausal women worldwide. The prevalence of this disorder is approximately 40% to 70% in white women and 60% to 80% in black women. Read More

Asian J Surg 2020 Jan 20;43(1):44-51. Epub 2019 Aug 20.

Department of Obstetrics and Gynecology, Obstetrics and Gynecology Hospital of Fudan University, Shanghai, China. Electronic address:

Natural orifice transluminal endoscopic surgery (NOTES) is a significant innovation in the field of minimally invasive surgery. Transvaginal NOTES has gained the most popularity than other transluminal natural orifices such as mouth, rectum, urinary tract or vagina. Since vNOTES is introduced, many surgeons have developed the technique in various gynecologic surgeries. Read More

Curr Opin Obstet Gynecol 2019 10;31(5):349-355

UT Southwestern Medical Center, Dallas, Texas, USA.

Purpose Of Review: Uterine leiomyomas are the most common benign uterine smooth muscle tumors. On the basis of imaging, these masses are often presumed to be benign conventional leiomyomas and surgical excision is a common treatment choice. After myomectomy or hysterectomy for presumed leiomyomas, the surgical pathology report may reveal an unexpected diagnosis of another type of mesenchymal tumor. Read More

J Minim Invasive Gynecol 2020 Mar - Apr;27(3):633-638. Epub 2019 Aug 13.

Department of Obstetrics and Gynecology, DIMEC, Sant'Orsola Hospital, University of Bologna (Drs. Frascá, Arena, Degli Esposti, Raimondo, Del Forno, Moro, Zanello, Mabrouk, and Seracchioli), Italy.

Study Objective: To compare enucleation time, total operative time, and perioperative complications during laparoscopic myomectomy in patients pretreated with ulipristal acetate (UPA) compared with untreated patients.

Design: Prospective, observational pilot study.

Setting: Tertiary referral center of minimally invasive gynecologic surgery, Sant'Orsola Academic Hospital, Bologna, Italy. Read More

J Minim Invasive Gynecol 2020 Jul - Aug;27(5):1070-1075. Epub 2019 Aug 8.

Department of Obstetrics and Gynecology, Division of Minimally Invasive Gynecologic Surgery, Northwestern University Feinberg School of Medicine, Chicago, IL (all authors).

Study Objective: The Fellowship in Minimally Invasive Gynecologic Surgery (FMIGS) has been the most competitive fellowship in Obstetrics and Gynecology since 2015. Since its inception, it has served to provide advanced endoscopic training and addresses the need for additional proficiency beyond residency. We sought to identify factors that influence applicants in choosing to pursue minimally invasive gynecologic surgery training. Read More

Gynecol Endocrinol 2020 Feb 8;36(2):171-174. Epub 2019 Aug 8.

Department of Surgical Sciences, Division of Gynecology and Obstetrics, University of Cagliari, Cagliari, Italy.

Surgery is the most frequent treatment in women with symptomatic uterine fibroids. A new medical approach with ulipristal acetate (UPA) has been suggested. The aim of this study was to provide data on effectiveness and safety of UPA in premenopausal women with symptomatic uterine fibroids. Read More

Obstet Gynecol Sci 2019 Jul 25;62(4):258-263. Epub 2019 Jun 25.

Division of Gynecologic Oncology and Gynecologic Minimally Invasive Surgery, Department of Obstetrics and Gynecology, Hanyang University College of Medicine, Seoul, Korea.

Objective: We evaluated the clinical characteristics of patients who underwent surgery after high intensity focused ultrasound (HIFU) to treat uterine leiomyoma.

Methods: From June 2016 to September 2017, patients at our hospital who underwent HIFU to treat uterine leiomyoma prior to surgery were enrolled. All patients underwent pelvic magnetic resonance imaging (MRI) before and after HIFU. Read More

J Invest Surg 2019 Jul 19:1-8. Epub 2019 Jul 19.

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

Uterine fibroids (UFs) are the most common benign solid tumors of the female genital tract manageable by surgical of pharmacological approach. When the medical management is ineffective or surgery is primarily requested, several surgical approaches can be used. Among these, minimally invasive surgery might be preferred. Read More

BMC Cancer 2019 Jul 18;19(1):709. Epub 2019 Jul 18.

Key Laboratory of Obstetrics and Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, West China Second Hospital, Sichuan University, Chengdu, 610041, Sichuan, People's Republic of China.

Background: The clinical behaviors and cytogenetics of solitary uterine leiomyomas (SUL) and multiple uterine leiomyomas (MUL) vary, which greatly affects the choice of treatments for reproductive-aged patients with leiomyomas. Our previous study demonstrated that a series of microRNAs, including miR-146b-5p, are dysregulated and play important roles in the development of SUL and MUL. Long non-coding RNAs (lncRNAs) can participate in the pathogenesis of several diseases by regulating the expression of microRNAs; however, their roles in regulating miR-146b-5b and in the pathology of leiomyomas are unclear. Read More

Am J Obstet Gynecol 2019 12 13;221(6):629.e1-629.e18. Epub 2019 Jul 13.

Institute of Health Policy, Management, and Evaluation, Toronto, Ontario, Canada; ICES Toronto, Toronto, Ontario, Canada; Department of Medicine, Women's College Hospital, Toronto, Ontario, Canada.

Background: Hysterectomy is one of the most common surgeries performed worldwide. Identification of modifiable risk factors for complications or readmissions could lead to targeted interventions to improve patient care and reduce health care costs. Preoperative anemia has been identified as a risk factor for adverse postoperative outcomes following noncardiac surgery. Read More

Obstet Gynecol 2019 08;134(2):250-260

Columbia University College of Physicians and Surgeons, the Joseph L. Mailman School of Public Health, Columbia University, the Herbert Irving Comprehensive Cancer Center, and New York Presbyterian Hospital, New York, New York; Massachusetts General Hospital, Boston, Massachusetts; and Rutgers Robert Wood Johnson Medical School and the Environmental and Occupational Health Sciences Institute (EOHSI), Piscataway, New Jersey.

Objective: To examine the rate of opioid use for gynecologic surgical procedures and to investigate persistent opioid use among those women who received an initial opioid prescription.

Methods: A retrospective cohort study using the MarketScan database was performed. MarketScan is a claims-based data source that captures claims from more than 50 million privately insured patients and 6 million Medicaid enrollees from 12 states. Read More

J Minim Invasive Gynecol 2020 01 10;27(1):148-154. Epub 2019 Jul 10.

Health Metrics Research Centre, Institute for Health Sciences Research, Academic Center for Education, Culture and Research, Tehran, Iran (Dr Montazeri).

Study Objective: To evaluate uterine scar features after laparoscopic myomectomy (LM) compared with myomectomy performed by laparoscopy initially and then completed with minilaparotomy (LAM).

Design: Prospective cohort study.

Setting: An academic center for advanced endoscopic gynecologic surgery. Read More