47,552 results match your criteria Hysterectomy


A systematic review and meta-analysis of valued obstetric and gynecologic (OB/GYN) procedures in resource-poor areas.

Surg Open Sci 2020 Jul 12;2(3):127-135. Epub 2020 Apr 12.

Steward Medical Group, Scenic Mountain Medical Center, 1601 W 11th Pl, Big Spring, TX 79720.

Background: Obstetric and gynecologic procedures are valuable in rural settings. Data identifying common procedures may better prepare surgeons to meet patient needs in remote settings.

Materials And Methods: A literature review using key MeSH terms was performed according to methods described by the Cochrane Collaboration and PRISMA on studies that described obstetric and gynecologic surgery in rural high-income countries or any setting in middle- to low-income countries. Read More

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http://dx.doi.org/10.1016/j.sopen.2020.03.002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7391913PMC

Neuroendocrine Carcinoma of Uterine Cervix: Stereotactic Radiotherapy for Brain Metastasis and Stereotactic Body Radiotherapy for Renal and Pancreatic Metastases.

Cureus 2020 Jun 27;12(6):e8869. Epub 2020 Jun 27.

Surgical Pathology, Aichi Medical University, Nagakute, JPN.

A case of cervical neuroendocrine carcinoma (NEC) of the uterine cervix (NECUC) was presented. After total hysterectomy with bilateral salpingo-oophorectomy and adjuvant chemotherapy, a left renal tumor and a pancreatic lesion developed and were both diagnosed on pathological examination as metastases from NEC. In addition, a brainstem metastasis causing neurologic signs developed. Read More

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http://dx.doi.org/10.7759/cureus.8869DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7386082PMC

Recurrent vaginal intraepithelial neoplasia successfully treated with topical imiquimod: A case report.

Mol Clin Oncol 2020 Sep 13;13(3):19. Epub 2020 Jul 13.

Department of Pathology, Shizuoka General Hospital, Shizuoka 420-8527, Japan.

Vaginal intraepithelial neoplasia (VAIN) is a rare disease associated with human papillomavirus infection. High-grade VAIN is typically treated with either excisional or ablative therapy. However, recurrent VAIN lesions are common and these treatments cause vaginal scarring. Read More

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http://dx.doi.org/10.3892/mco.2020.2089DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7391826PMC
September 2020

Trends and survival outcomes of robotic, laparoscopic, and open surgery for stage II uterine cancer.

Int J Gynecol Cancer 2020 Aug 4. Epub 2020 Aug 4.

Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.

Introduction: A recent randomized clinical trial showed that minimally invasive surgery led to poorer survival compared with open surgery in early stage cervical cancer. We determined the trends in adoption of minimally invasive surgery and 5-year overall survival outcomes after open, laparoscopic-assisted, and robotic-assisted hysterectomy for stage II uterine cancer with cervical stromal involvement.

Methods: Data for patients with stage II uterine cancer were acquired from the National Cancer Database from 2010 to 2015. Read More

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http://dx.doi.org/10.1136/ijgc-2020-001646DOI Listing

Pre-operative surgical algorithm: sentinel lymph node biopsy as predictor of parametrial involvement in early-stage cervical cancer.

Int J Gynecol Cancer 2020 Aug 4. Epub 2020 Aug 4.

Gynecology Department, University Hospital of Lausanne Department of Gynaecology and Paediatrics, Lausanne, Vaud, Switzerland.

Introduction: Radical hysterectomy is the gold standard in the management of early-stage cervical cancer. Parametrectomy aims to remove occult disease but is associated with significant surgical morbidity. Avoiding unnecessary parametrectomy in a subset of patients at low risk of parametrial involvement may decrease the incidence of such morbidity. Read More

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http://dx.doi.org/10.1136/ijgc-2020-001586DOI Listing

Minimally Invasive Hysterectomy Rates in Québec: Trends Over the Last Decade and Predictors of Technicity.

J Obstet Gynaecol Can 2020 May 13. Epub 2020 May 13.

Department of Obstetrics and Gynecology, Centre hospitalier universitaire de Québec-Université Laval, Québec City, QC. Electronic address:

Objective: To assess trends and predictors of a high technicity index for hysterectomies performed in the province of Québec.

Methods: We conducted a retrospective study using the ADAM database to determine the annual number hysterectomies performed for a suspected benign condition and the surgical approach used across 81 hospitals in the province of Québec from 2007 to 2017. We calculated the technicity index for each hospital and analyzed trends in surgical approach using the Cochran-Armitage test. Read More

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http://dx.doi.org/10.1016/j.jogc.2020.04.016DOI Listing

Lichen Planopilaris in Women: A Retrospective Review of 232 Women Seen at Mayo Clinic From 1992 to 2016.

Mayo Clin Proc 2020 Aug;95(8):1684-1695

Epiphany Dermatology, Dallas, TX. Electronic address:

Objective: To characterize the clinicopathologic findings, comorbidities, and treatment outcomes of women with lichen planopilaris (LPP).

Method: In this retrospective review of women with LPP at Mayo Clinic from 1992 to 2016, we searched for scarring alopecia in all female patients aged 1 to 100 years from January 1, 1992, through December 31, 2016. Men were excluded from this study to more accurately determine the association of hormonal factors in LPP pathogenesis. Read More

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http://dx.doi.org/10.1016/j.mayocp.2020.02.028DOI Listing

Disseminated peritoneal leiomyomatosis after uterine artery embolization, laparoscopic surgery, and high intensity focused ultrasound for uterine fibroids:a case report.

Int J Hyperthermia 2020 ;37(1):925-928

Department of Gynecology, Chongqing Angel Women's & Children's Hospital, Chongqing, P. R. China.

Background: Disseminated peritoneal leiomyomatosis (DPL) is a rare, generally benign disorder. With the advent of laparoscopic surgery for uterine fibroids, the reported number of cases of DPL has significantly increased since the introduction of unconfined power morcellation. Morcellation and other procedures may be associated with DPL. Read More

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http://dx.doi.org/10.1080/02656736.2020.1797909DOI Listing
January 2020

Vitamins and Uterine Fibroids: Current Data on Pathophysiology and Possible Clinical Relevance.

Int J Mol Sci 2020 Aug 1;21(15). Epub 2020 Aug 1.

Department of Surgery, University of Illinois at Chicago, Chicago, IL 60612, USA.

Uterine fibroid (UF) is the most common benign tumor pathology of the female reproductive organs. UFs constitute the main reason for a hysterectomy and hospitalization due to gynecological conditions. UFs consist of uterine smooth muscle immersed in a large amount of extracellular matrix (ECM). Read More

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http://dx.doi.org/10.3390/ijms21155528DOI Listing

Ovarian Gynandroblastoma with a Juvenile Granulosa Cell Tumor Component in a Postmenopausal Woman.

Diagnostics (Basel) 2020 Jul 30;10(8). Epub 2020 Jul 30.

Department of Pathology and Translational Genomics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.

Ovarian gynandroblastoma (GAB) is an extremely rare sex cord-stromal tumor showing morphological evidence of both female (granulosa cell tumor) and male (Sertoli-Leydig cell tumor (SLCT)) components. Almost all GAB cases have been reported in children, adolescents, or women of reproductive age, and most of them typically have adult granulosa cell tumors as the female component. In contrast, GAB with a juvenile granulosa cell tumor (JGCT) component is a very rare condition; to the best of our knowledge, only one case of GAB with JGCT in a postmenopausal woman has been reported. Read More

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http://dx.doi.org/10.3390/diagnostics10080537DOI Listing

Long-Term Safety with Sling Mesh Implants for Stress Incontinence.

J Urol 2020 Aug 4:101097JU0000000000001312. Epub 2020 Aug 4.

Department of Healthcare Policy and Research, Weill Cornell Medical College-New York Presbyterian, New York, New York.

Purpose: To examine long-term risks and predictors of mesh erosion and reoperation following midurethral sling (MUS) procedure for stress urinary incontinence (SUI).

Materials And Methods: Women aged 18 years or older who received a MUS procedure for SUI between 2008 and 2016 in outpatient surgical settings in New York State were included in our study. Those who underwent concomitant mesh pelvic organ prolapse repair were excluded. Read More

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http://dx.doi.org/10.1097/JU.0000000000001312DOI Listing

[A new way of performing hysterectomy: natural orifice transluminal endoscopic surgery].

Ned Tijdschr Geneeskd 2020 May 28;164. Epub 2020 May 28.

Zuyderland Medisch Centrum, afd. Gynaecologie, Heerlen.

Natural orifice transluminal endoscopic surgery (NOTES) is a minimally invasive surgical technique that uses the natural orifices of the human body such as the vagina (vNOTES) in order to access the abdominal cavity. Currently, the vNOTES hysterectomy technique is carried out on benign indication such as dysfunctional blood loss, uterine myomatosis or adenomyosis. During surgery, the surgeon and the assistant are able to operate in a better ergonomic position than at a total laparoscopic or vaginal hysterectomy. Read More

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Financial viewpoint of minimally invasive radical hysterectomy for early cervical cancer: another disadvantage?

Int J Gynecol Cancer 2020 Aug 2. Epub 2020 Aug 2.

Obstetrics and Gynecology, University of Southern California, Los Angeles, California, USA.

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http://dx.doi.org/10.1136/ijgc-2020-001794DOI Listing

[Imaging features and clinical analysis of diffuse uterine leiomyomatosis cases].

Zhonghua Yi Xue Za Zhi 2020 Aug;100(29):2263-2267

Department of Obstetrics and Gynecology, Peking Union Medical College Hospital, Chinese Academy and Medical Sciences & Peking Union Medical College, Beijing 100730, China.

To discuss the imaging, clinical features and management of diffuse uterine leiomyomatosis (DUL). Six cases of DUL confirmed in Peking Union Medical College Hospital from August 2009 to September 2019 were reviewed on their image and clinical data. Retrospective analysis was conducted on their perioperative and postoperative follow-up data. Read More

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http://dx.doi.org/10.3760/cma.j.cn112137-20200307-00634DOI Listing

Successful treatment of ureteral stricture after total hysterectomy: An antegrade ureteroscopic approach facilitates the insertion of a guidewire for endoscopic dilation.

IJU Case Rep 2019 May 12;2(3):140-142. Epub 2019 Mar 12.

Departments of Urology and Renal Transplantation Yokohama City University Medical Center Yokohama Japan.

Introduction: Iatrogenic ureteral injury is sometimes seen in daily clinical practice, and gynecological surgery carries the highest risk of ureteral injury among iatrogenic surgical ureteral injury.

Case Presentation: A 61-year-old woman was referred to our department for right ureteral stricture and hydronephrosis after total hysterectomy. We initially attempted ureteral stenting, but hydronephrosis redeveloped 1 month after ureteral stent removal. Read More

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http://dx.doi.org/10.1002/iju5.12061DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292084PMC

Case of caval lobular capillary hemangioma mimicking tumor thrombus.

IJU Case Rep 2019 Mar 16;2(2):80-82. Epub 2019 Jan 16.

Department of Urology Nihon University School of Medicine Tokyo Japan.

Introduction: We presented a rare case of caval lobular capillary hemangioma.

Case Presentation: A 66-year-old female visited our department complaint with shadow defect in vena cava of right renal hilum appeared on computed tomography for periodically checking 3 years after radical hysterectomy with bilateral ovariectomy. Abdominal computed tomography identified a shadow defect of 35 mm in diameter in the inferior vena cava continuing posteriorly to a 35 mm mass of retroperitoneum. Read More

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http://dx.doi.org/10.1002/iju5.12043DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292108PMC

Risk factors associated with bladder injury at the time of cesarean hysterectomy for placenta accreta.

Minerva Ginecol 2020 Aug 3. Epub 2020 Aug 3.

Department of Neuroscience, Reproductive Sciences and Dentistry, School of Medicine, University of Naples Federico II, Naples, Italy.

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http://dx.doi.org/10.23736/S0026-4784.20.04611-0DOI Listing

Computed tomography detected pyelovenous backflow associated with complete ureteral obstruction.

IJU Case Rep 2019 Nov 1;2(6):321-323. Epub 2019 Sep 1.

Department of Urology Otsu City Hospital Otsu Japan.

Introduction: Pyelovenous backflow is a rare condition resulting from an increase in pressure in the renal pelvis due to urinary obstruction.

Case Presentation: A 49-year-old woman developed high-grade fever and right-sided hydronephrosis after undergoing hysterectomy. Although the hydronephrosis was mild, retrograde pyelography revealed complete obstruction of the right ureter. Read More

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http://dx.doi.org/10.1002/iju5.12117DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7292095PMC
November 2019

Efficacy and long-term prognosis of nerve-sparing radical hysterectomy for cervical cancer.

J Nippon Med Sch 2020 Aug 1. Epub 2020 Aug 1.

Department of Obstetrics and Gynecology, Nippon Medical School.

BackgroundRadical hysterectomy (RH) is a type of radical surgery performed for cervical cancer. Urinary dysfunction due to RH exacerbates the postoperative quality of life of cervical cancer patients. The nerve-sparing RH (NSRH) technique has been used as an effective measure to conserve urinary function. Read More

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http://dx.doi.org/10.1272/jnms.JNMS.2021_88-503DOI Listing

Tumor budding in cervical cancer as a prognostic factor and its possible role as an additional intermediate-risk factor.

Gynecol Oncol 2020 Jul 30. Epub 2020 Jul 30.

Department of Obstetrics and Gynecology, School of Medicine, Kyungpook National University, Daegu, Republic of Korea; Department of Obstetrics and Gynecology, Kyungpook National University Chilgok Hospital, Daegu, Republic of Korea.

Objective: To evaluate the prognostic value and its possible role as an additional intermediate-risk factor of tumor budding (TB) in cervical cancer following radical hysterectomy.

Methods: In total, 136 patients with cervical cancer who underwent radical hysterectomy with pelvic and/or paraaortic lymphadenectomy were included. We assessed the status of TB in available hematoxylin and eosin-stained specimens. Read More

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http://dx.doi.org/10.1016/j.ygyno.2020.07.030DOI Listing

The role of ultrasound in prediction of intra-operative blood loss in cases of placenta accreta spectrum disorders.

Arch Gynecol Obstet 2020 Aug 1. Epub 2020 Aug 1.

Department of Obstetrics and Gynecology, Faculty of Medicine, Cairo University, Giza, Egypt.

Purpose: To assess the value of various grey-scale ultrasound, 2D color Doppler, and 3D power Doppler sonographic markers in predicting major intraoperative blood loss during planned cesarean hysterectomy for cases diagnosed with placenta accreta spectrum (PAS) disorders.

Methods: 50 women diagnosed with PAS were scanned the day before planned delivery and hysterectomy for various sonographic markers indicative of placental invasion. These women were then later divided according to blood loss in two groups: group A (minor hemorrhage, < 2500 ml), and group B (major hemorrhage, > 2500 ml), and the data were analyzed. Read More

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http://dx.doi.org/10.1007/s00404-020-05707-yDOI Listing

Asymptomatic Atypical Hyperplasia and Endometriosis Following Treatment with Tamoxifen: A Case Report and Review of the Literature.

J Obstet Gynaecol Can 2020 Jun 4. Epub 2020 Jun 4.

McMaster University, Hamilton, ON; St. Joseph's Healthcare, Hamilton, ON. Electronic address:

Background: Tamoxifen may cause proliferative effects in the endometrium. Patients on tamoxifen have an increased risk for endometriosis, but are not routinely screened for this.

Case: A 49-year-old postmenopausal patient presented for a total laparoscopic hysterectomy and bilateral salpingo-oophorectomy several years after initiating tamoxifen for breast cancer. Read More

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http://dx.doi.org/10.1016/j.jogc.2020.04.018DOI Listing

Robotic versus laparoscopic hysterectomy in morbidly obese women for endometrial cancer.

J Robot Surg 2020 Jul 31. Epub 2020 Jul 31.

Chris O'Brien Lifehouse, Sydney, Australia.

Surgery is the mainstay treatment for endometrial cancer and complex atypical endometrial hyperplasia. These conditions are more common in the obese women and as such these patients pose additional risks and challenges to surgery. Laparoscopic hysterectomy (LH) is preferred over open surgery in obese patients as it reduces surgical morbidity. Read More

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http://dx.doi.org/10.1007/s11701-020-01133-zDOI Listing

Ergonomic Robotic Console Configuration in Gynecologic Surgery: An Interventional Study.

J Minim Invasive Gynecol 2020 Jul 28. Epub 2020 Jul 28.

Division of Urogynecology, Mayo Clinic, Rochester, MN. Electronic address:

Study Objective: The objectives of this study were to 1) pilot a robotic console configuration methodology to optimize ergonomic posture, 2) determine the effect of this intervention on surgeon posture and musculoskeletal discomfort.

Design: This was an IRB-approved, prospective cohort study conducted from February 2017 to October 2017.

Setting: A single, tertiary care, midwestern academic medical center PATIENTS: Six fellowship-trained gynecologic surgeons, proficient in robotic hysterectomy, were recruited: 3 male and 3 female. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.07.017DOI Listing

Hazard Ratio Analysis of Laparoscopic Radical Hysterectomy for IA1 With LVSI-IIA2 Cervical Cancer: Identifying the Possible Contraindications of Laparoscopic Surgery for Cervical Cancer.

Front Oncol 2020 8;10:1002. Epub 2020 Jul 8.

Department of Obstetrics and Gynecology, Nanfang Hospital, Southern Medical University, Guangzhou, China.

This study aimed to compare the 5-year disease-free survival (DFS) and overall survival (OS) of laparoscopic radical hysterectomy (LRH) and abdominal radical hysterectomy (ARH) for IA1 with lymphovascular space invasion (LVSI)-IIA2 cervical cancer and to analyze the Cox proportional hazard ratio (HR) of LRH among the total study population and different subgroups. This was a multicenter retrospective cohort study. The oncological outcomes of LRH ( = 4,236) and ARH ( = 9,177) were compared. Read More

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http://dx.doi.org/10.3389/fonc.2020.01002DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7360842PMC

Vaginal Hysterectomy: Historical Footnote or Viable Route?

Obstet Gynecol 2020 Aug;136(2):426

Allina Health, St. Paul, and the Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota Allina Health, St. Paul, and Female Pelvic Medicine and Reconstructive Surgery and the Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota Allina Health, St. Paul, and the Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, Minnesota Allina Health, St. Paul, and the Department of Obstetrics and Gynecology, Mayo Clinic, Rochester, Minnesota Division of Health Care Policy and Research, Mayo Clinic, Rochester, Minnesota.

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http://dx.doi.org/10.1097/AOG.0000000000004030DOI Listing

Vaginal Hysterectomy: Historical Footnote or Viable Route?

Obstet Gynecol 2020 Aug;136(2):424

Department of Obstetrics, Gynecology, and Reproductive Sciences, Yale University, New Haven, Connecticut.

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http://dx.doi.org/10.1097/AOG.0000000000004019DOI Listing

Vaginal Hysterectomy: Historical Footnote or Viable Route?

Obstet Gynecol 2020 Aug;136(2):423-424

Department of Obstetrics, Gynecology, & Reproductive Sciences, UC San Diego, La Jolla, California Department of Obstetrics and Gynecology, George Washington University School of Medicine and Health Sciences, Washington, DC.

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http://dx.doi.org/10.1097/AOG.0000000000004018DOI Listing

Prospective Implementation and Evaluation of a Decision-Tree Algorithm for Route of Hysterectomy.

Obstet Gynecol 2020 Aug;136(2):422-423

Unit of Gynecology, IRCCS, Humanitas Clinical and Research Center, Rozzano, Milan, Italy.

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http://dx.doi.org/10.1097/AOG.0000000000004017DOI Listing

Prospective Implementation and Evaluation of a Decision-Tree Algorithm for Route of Hysterectomy.

Authors:
Carl W Zimmerman

Obstet Gynecol 2020 Aug;136(2):422

Frances and John C. Burch Professor of Obstetrics and Gynecology, Vanderbilt University Medical Center, Nashville, Tennessee.

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http://dx.doi.org/10.1097/AOG.0000000000004016DOI Listing

Robot-assisted nerve plane-sparing eradication of deep endometriosis with double-bipolar method.

J Minim Invasive Gynecol 2020 Jul 27. Epub 2020 Jul 27.

Department of Obstetrics and Gynecology, Kurashiki Medical Center, Okayama, Japan.

Objective: To demonstrate anatomical and technical highlights of a robot-assisted nerve plane-sparing eradication of deep endometriosis (DE).

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

Setting: An urban general hospital. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.07.018DOI Listing

Outcomes of minimally invasive versus open radical hysterectomy for early-stage cervical cancer incorporating 2018 FIGO staging.

J Minim Invasive Gynecol 2020 Jul 27. Epub 2020 Jul 27.

Levine Cancer Institute, Atrium Health, Department of Gynecologic Oncology. 1021 Morehead Medical Dr., Charlotte NC 28204.

Study Objective: To compare outcomes after minimally invasive (MIS) versus open radical hysterectomy for early-stage cervical cancer incorporating 2018 FIGO staging.

Design: A retrospective analysis.

Setting: A single teaching hospital. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.07.021DOI Listing

Evaluation of Strategies to Prevent Urinary Tract Injury in Minimally-Invasive Gynecologic Surgery: A Systematic Review.

J Minim Invasive Gynecol 2020 Jul 27. Epub 2020 Jul 27.

Urogynecology & Pelvic Floor Disorders, OB/Gyn & Women's Health Institute, Cleveland Clinic, Cleveland, OH.

Objective: To systematically review tools for prevention of urinary tract injury in adult women undergoing minimally-invasive gynecologic surgery DATA SOURCES: A medical librarian (M.P.H. Read More

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http://dx.doi.org/10.1016/j.jmig.2020.07.020DOI Listing

Cervical cancer screening for individuals at average risk: 2020 guideline update from the American Cancer Society.

CA Cancer J Clin 2020 Jul 30. Epub 2020 Jul 30.

Prevention and Early Detection Department, American Cancer Society, Atlanta, Georgia.

The American Cancer Society (ACS) recommends that individuals with a cervix initiate cervical cancer screening at age 25 years and undergo primary human papillomavirus (HPV) testing every 5 years through age 65 years (preferred); if primary HPV testing is not available, then individuals aged 25 to 65 years should be screened with cotesting (HPV testing in combination with cytology) every 5 years or cytology alone every 3 years (acceptable) (strong recommendation). The ACS recommends that individuals aged >65 years who have no history of cervical intraepithelial neoplasia grade 2 or more severe disease within the past 25 years, and who have documented adequate negative prior screening in the prior 10 years, discontinue all cervical cancer screening (qualified recommendation). These new screening recommendations differ in 4 important respects compared with the 2012 recommendations: 1) The preferred screening strategy is primary HPV testing every 5 years, with cotesting and cytology alone acceptable where access to US Food and Drug Administration-approved primary HPV testing is not yet available; 2) the recommended age to start screening is 25 years rather than 21 years; 3) primary HPV testing, as well as cotesting or cytology alone when primary testing is not available, is recommended starting at age 25 years rather than age 30 years; and 4) the guideline is transitional, ie, options for screening with cotesting or cytology alone are provided but should be phased out once full access to primary HPV testing for cervical cancer screening is available without barriers. Read More

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http://dx.doi.org/10.3322/caac.21628DOI Listing

Comparison of surgical outcomes using Gyrus PKS™ vs LigaSure™ in total laparoscopic hysterectomy: A randomised controlled trial.

Aust N Z J Obstet Gynaecol 2020 Jul 29. Epub 2020 Jul 29.

Sydney West Advanced Pelvic Surgery Unit, Sydney, New South Wales, Australia.

Background: Advanced vessel sealing devices are widely used in laparoscopic surgery. However, there remains a lack of adequately powered trials comparing laparoscopic advanced vessel sealing devices in the clinical setting, especially in gynaecology.

Aims: This single-blinded randomised controlled trial aims to compare the surgical outcomes of total laparoscopic hysterectomy (TLH) using either the Gyrus PKS™ LYONS dissecting forceps or the LigaSure™ Maryland jaw vessel sealer/divider. Read More

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http://dx.doi.org/10.1111/ajo.13217DOI Listing

Obstetric outcomes in major vs minor placenta praevia: A retrospective cohort study.

Aust N Z J Obstet Gynaecol 2020 Jul 29. Epub 2020 Jul 29.

Department of Obstetrics and Gynaecology, Royal Brisbane & Women's Hospital, Brisbane, Queensland, Australia.

Background: Placenta praevia (PP) is a rare obstetric condition associated with significant maternal and perinatal morbidity. Traditionally, the degree of PP has been classified into minor and major; however, there are very few robust studies that compare the maternal outcomes of these types of PP.

Aims: To identify any significant differences in obstetric outcomes between major and minor PP, including antepartum, intraoperative and postpartum complications. Read More

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http://dx.doi.org/10.1111/ajo.13218DOI Listing

Assessing and validating housekeeping genes in normal, cancerous, and polycystic human ovaries.

J Assist Reprod Genet 2020 Jul 30. Epub 2020 Jul 30.

Pôle de Recherche en Gynécologie, Institut de Recherche Expérimentale et Clinique, Université Catholique de Louvain, Avenue Mounier 52, bte B1.52.02, 1200, Brussels, Belgium.

Purpose: Housekeeping genes (HKGs), reference or endogenous control genes, are vital to normalize mRNA levels between different samples. Since using inappropriate HKGs can lead to unreliable results, selecting the proper ones is critical for gene expression studies. To this end, normal human ovaries, as well as those from patients diagnosed with ovarian endometrioid adenocarcinoma (OEA), ovarian mucinous adenocarcinoma (OMA), ovarian serous papillary carcinoma (OSPC), and polycystic ovary syndrome (PCOS), were used to identify the most suitable housekeeping genes. Read More

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http://dx.doi.org/10.1007/s10815-020-01901-8DOI Listing

Trends in venous thromboembolism prophylaxis in gynecologic surgery for benign and malignant indications.

Arch Gynecol Obstet 2020 Jul 29. Epub 2020 Jul 29.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, Columbia University College of Physicians and Surgeons, 161 Fort Washington Ave, 8th Floor, New York, NY, 10032, USA.

Purpose: Venous thromboembolism (VTE) is a leading cause of perioperative morbidity and mortality. We analyzed the trends in use of VTE prophylaxis over time in women undergoing hysterectomy for both benign and malignant indications.

Methods: The Premier Database was used to identify women who underwent hysterectomy from 2011 to 2017. Read More

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http://dx.doi.org/10.1007/s00404-020-05678-0DOI Listing

Recovery time period and quality of life after hysterectomy.

J Public Health Res 2020 Jul 2;9(2):1837. Epub 2020 Jul 2.

Master Student, Faculty of Public Health, Universitas Airlangga, Mulyorejo, Surabaya, Indonesia.

Women who had undergone hysterectomy have to overcome problems related to sexual and reproductive health. They often suffer a decline in self-esteem due to sexual dysfunction and the inability to give birth, along with their quality of recovery. This study aims to describe the relationships between recovery time and the components of quality of life after hysterectomy. Read More

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http://dx.doi.org/10.4081/jphr.2020.1837DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7376450PMC

Negative impact of the COVID-19 pandemic on the management of cervical cancer patients in Zambia.

Ecancermedicalscience 2020 7;14:ed103. Epub 2020 Jul 7.

Cancer Diseases Hospital, Department of Oncology, Lusaka, 10101, Zambia.

International travel has largely been suspended due to the COVID-19 pandemic. Due to this situation, Zambia has not been able to import radioactive isotopes for High Dose Rate (HDR) brachytherapy, Iridium 192 (I192) and this has led to suspension of treatment for patients. Cancer of the cervix is the most common cancer in Zambia and brachytherapy is a core component of the treatment armamentarium. Read More

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http://dx.doi.org/10.3332/ecancer.2020.ed103DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7373645PMC

Dual antibiotic prevention bundle is associated with decreased surgical site infections.

Int J Gynecol Cancer 2020 Jul 29. Epub 2020 Jul 29.

Gynecologic Oncology, H Lee Moffitt Cancer Center and Research Center Inc, Tampa, Florida, USA.

Background: Gynecologic oncology surgery is associated with a wide variation in surgical site infection risk. The optimal method for infection prevention in this heterogeneous population remains uncertain.

Study Design: A retrospective cohort study was performed to compare surgical site infection rates for patients undergoing hysterectomy over a 1-year period surrounding the implementation of an institutional infection prevention bundle. Read More

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http://dx.doi.org/10.1136/ijgc-2020-001515DOI Listing

Perspective of the comparative effectiveness of non-pharmacologic managements on postpartum hemorrhage using a network meta-analysis.

Obstet Gynecol Sci 2020 Jul 30. Epub 2020 Jul 30.

Department of Public Health, Korea University Graduate School, Seoul, Korea.

Objective: Postpartum hemorrhage (PPH) is the leading cause of maternal mortality worldwide and is both unpredictable and inevitable. While uterotonic drugs are routinely recommended, there is ongoing debate on the ideal intervention to control uterine bleeding. This review aims to compare the use of non-pharmacologic treatments with peripartum hysterectomy in cases of life-threatening uncontrolled obstetric hemorrhage. Read More

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http://dx.doi.org/10.5468/ogs.20080DOI Listing

Uterine-Artery Embolization or Myomectomy for Uterine Fibroids.

N Engl J Med 2020 07;383(5):440-451

From St. George's Hospital and Medical School (I.M., A.-M.B.) and Whipps Cross Hospital (F.S.), London, the University of Glasgow, Glasgow (M.-A.L., J.M., O.W.), the University of Birmingham, Birmingham (W.M., L.J.M., V.C.), the University of Nottingham, Nottingham (J.P.D.), and the University of Oxford, Oxford (K.M.) - all in the United Kingdom.

Background: Uterine fibroids, the most common type of tumor among women of reproductive age, are associated with heavy menstrual bleeding, abdominal discomfort, subfertility, and a reduced quality of life. For women who wish to preserve their uterus and who have not had a response to medical treatment, myomectomy and uterine-artery embolization are therapeutic options.

Methods: We conducted a multicenter, randomized, open-label trial to evaluate myomectomy, as compared with uterine-artery embolization, in women who had symptomatic uterine fibroids and did not want to undergo hysterectomy. Read More

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http://dx.doi.org/10.1056/NEJMoa1914735DOI Listing

A mismatch in care: results of a United Kingdom-wide patient and clinician survey of gynaecological services for women with Lynch syndrome.

BJOG 2020 Jul 29. Epub 2020 Jul 29.

Division of Cancer Sciences, Faculty of Biology, Medicine and Health, University of Manchester, St Mary's Hospital, Manchester, UK.

Objective: To describe the current testing practice, referral pathways and gynaecological services available to women with Lynch syndrome (LS) in the United Kingdom.

Design: Cross sectional nationwide survey of gynaecological oncologists and women with LS.

Setting: United Kingdom METHODS: Gynaecological oncologists were contacted directly. Read More

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http://dx.doi.org/10.1111/1471-0528.16432DOI Listing

Historical and projected hysterectomy rates in the USA: Implications for future observed cervical cancer rates and evaluating prevention interventions.

Gynecol Oncol 2020 Jul 25. Epub 2020 Jul 25.

Cancer Research Division, Cancer Council NSW, 153 Dowling Street, Woolloomooloo, Sydney, NSW 2011, Australia; School of Public Health, University of Sydney, Australia.

Background: SEER-reported cervical cancer incidence rates reflect the total female population including women no longer at risk due to hysterectomy. Hysterectomy rates have been declining in the United States as alternative treatments have become available, which could result in an apparent increase in SEER-reported cervical cancer rates. We aimed to obtain nationally representative historical data on hysterectomy rates in USA, use trends analysis to project rates back to 1935 and forward to 2035, and then predict the impact of changing hysterectomy rates on SEER-reported cervical cancer rates. Read More

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http://dx.doi.org/10.1016/j.ygyno.2020.05.030DOI Listing

Hormone Therapy Use After Premature Surgical Menopause Based on Prescription Records: A Population-Based Study.

J Obstet Gynaecol Can 2020 Apr 27. Epub 2020 Apr 27.

Division of Gynaecologic Oncology, University of British Columbia, Vancouver, BC.

Objective: Premature surgical menopause (PSM) without subsequent hormone replacement therapy (HRT) can lead to morbidity and mortality. Our objective was to describe the use of HRT following PSM and identify variables associated with HRT use based on prescription records from a population-based cohort.

Methods: A population-based retrospective cohort of women in British Columbia, Canada who underwent PSM between the ages of 19 and 49 years. Read More

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http://dx.doi.org/10.1016/j.jogc.2020.03.022DOI Listing

The invasion status of lymphovascular space and lymph nodes in cervical cancer assessed by mono-exponential and bi-exponential DWI-related parameters.

Clin Radiol 2020 Jul 25. Epub 2020 Jul 25.

Department of Radiology, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, 160 Pujian Rd, Shanghai, 200127, China. Electronic address:

Aim: To investigate whether mono-exponential and bi-exponential diffusion-weighted imaging (DWI)-related parameters of the primary tumour can evaluate the status of lymphovascular space invasion (LVSI) and lymph node metastasis (LNM) in patients with cervical carcinoma preoperatively.

Materials And Methods: Eighty patients with cervical carcinoma were enrolled, who underwent preoperative multi b-value DWI and radical hysterectomy. They were classified into LVSI(+) versus LVSI(-) and LNM(+) versus LNM(-) according to postoperative pathology. Read More

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http://dx.doi.org/10.1016/j.crad.2020.05.024DOI Listing

Prevalence, related factors and maternal outcomes of primary postpartum haemorrhage in governmental hospitals in Kabul-Afghanistan.

BMC Pregnancy Childbirth 2020 Jul 28;20(1):428. Epub 2020 Jul 28.

Midwifery department, School of Nursing and Midwifery, Kabul Medical University, Kabul, Afghanistan.

Background: To determine the prevalence, related factors and maternal outcomes of primary PPH in governmental hospitals in Kabul Afghanistan.

Methods: An observational study was designed to determine the prevalence, related factors and maternal outcomes of primary PPH in governmental hospitals in Kabul-Afghanistan. The population of this study consisted of all women who gave birth to a child between August and October 2018. Read More

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http://dx.doi.org/10.1186/s12884-020-03123-3DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7390104PMC

Mini-plus percutaneous setting in total laparoscopic hysterectomy.

Minim Invasive Ther Allied Technol 2020 Jul 29:1-7. Epub 2020 Jul 29.

Division of Gynecologic Oncology, Department of Obstetrics and Gynecology, VKF Koc University School of Medicine, Istanbul, Turkey.

Introduction: We aimed to analyze the preliminary experience of a mini-plus percutaneous instrument (MpPc) setting in total laparoscopic hysterectomy (TLH).

Material And Methods: Forty-three women who underwent a mini-plus percutaneous total laparoscopic hysterectomy at a tertiary-care university-based teaching hospital and academic affiliated private hospital between May 2017 and 2018 were included. MpPc-TLH was performed through one optical trans-umbilical 5-mm trocar, one 5-mm ancillary port on the right side, either one 2. Read More

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http://dx.doi.org/10.1080/13645706.2020.1794899DOI Listing

Robot assisted repair of complex vesico-vaginal fistulae: feasibility and outcomes.

Urology 2020 Jul 25. Epub 2020 Jul 25.

Department of Urology, Postgraduate Institute of Medical Education & Research, Chandigarh, India. Electronic address:

Objective: To share our experience and techniques of robot assisted repair of complex vesico-vaginal fistulae.

Methods: Prospectively maintained data of patients undergoing robot-assisted repair of complex VVF from December 2014 to October 2019 were analysed. Patient characteristics, operative data, post-operative events and follow up outcomes were noted. Read More

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http://dx.doi.org/10.1016/j.urology.2020.07.024DOI Listing
July 2020
2.188 Impact Factor