FDA posts new info about using laparoscopic power morcellators to treat uterine fibroids https://go.usa.gov/xnnnS   #morcellator #safety #medicaldevice

FDA posts new info about using laparoscopic power morcellators to treat uterine fibroids https://go.usa.gov/xnnnS  #morcellator #safety #medicaldevice
Source: Food and Drug Adminstration (FDA): CDRHNew - Category: Medical Devices Authors: Source Type: news

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ConclusionThe rare clinical entity of a WS necessitates a targeted diagnostic evaluation and therapy. Clinical details, diagnostic studies and treatment are discussed here.
Source: International Journal of Surgery Case Reports - Category: Surgery Source Type: research
ConclusionR-TME for rectal cancer can achieve better oncological outcomes compared with L-TME, especially in stage III rectal cancers. However, a longer follow-up period is needed to confirm these findings.
Source: International Journal of Colorectal Disease - Category: Gastroenterology Source Type: research
ConclusionOur findings suggest that tumor progression accompanied by a high stage, long operative time, and insufficient bowel preparation and early postoperative diarrhea due to a large tumor circumference may be risk factors of AL after LALAR for rectal cancer.
Source: Journal of Gastrointestinal Cancer - Category: Cancer & Oncology Source Type: research
AbstractAimPublished reports showed conflicting results regarding the sustained alterations in leptin, chemerin, and ghrelin concenratios after metabolic surgery. Therefore, we performed the present work to contrast the alterations in leptin, chemerin, and ghrelin levels one year after Roux-en-Y gastric bypass (RYGB) versus laparoscopic sleeve gastrectomy (LSG).MethodsThe present research is a prospective, comparative one that followed 100 cases for whom RYGB or LSG was done. We assessed the serum values of adiposity-associated mediators, including adipokcytokines (leptin and active chemerin) and gastrointestinal hormones ...
Source: Obesity Surgery - Category: Surgery Source Type: research
Total Pancreatectomy and Islet Autotransplantation (TPIAT) are a potential treatment for children with severe, refractory chronic pancreatitis. A laparoscopic-assisted approach provides a smaller incision and excellent visualization of the distal pancreas and spleen during resection. A minimally-invasive approach has proven advantageous for other pediatric procedures, but its value is unknown for this rare operation. This retrospective review compares outcomes between patients undergoing laparoscopic-assisted versus open TPIAT.
Source: Journal of Pediatric Surgery - Category: Surgery Authors: Tags: Operative Techniques Source Type: research
ConclusionSame-day discharge seems to be safe and feasible in minimally invasive surgery performed by the gynecologist oncologist. Proposed selection criteria include:
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Publication date: Available online 9 November 2019Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Vladimir Kalis, Martin Smazinka, Zdenek Rusavy, Mija Blaganje, Martin Havir, Linda Havelkova, Khaled IsmailAbstractStudy ObjectivesThe primary aim of this study was to assess the clinical feasibility of a policy where laparoscopic sacrocolpopexy (LSC) is the default procedure for the management of a significant apical pelvic organ prolapse (a-POP). As a secondary aim, we wanted to evaluate LSC outcomes in relation to women’s preoperative assessment of their surgical fitness using...
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
In this study, we investigated cases of internal hernia after laparoscopic left-sided colectomy.MethodsData of 308 patients who underwent laparoscopic left hemicolectomy or sigmoidectomy at our institute between 2013 and 2018 were retrospectively reviewed. Patient characteristics and surgical variables were analyzed. The distance between the superior rectal artery (SRA) and abdominal aorta at the level of aortic bifurcation was measured using postoperative computed tomography in patients who underwent SRA-preserving colectomy.ResultsIn all, 3 patients (0.97%), all of whom had undergone colostomy without anastomosis and wit...
Source: Annals of Medicine and Surgery - Category: General Medicine Source Type: research
ConclusionSurgical RCTs have always been difficult to undertake, yet there are 16 RCTs in the area of endometriosis-associated pain. Ethical considerations, the equipoise of surgeons and participants and follow-up duration are all important parameters in establishing RCTs. We must also be willing to accept and adopt the evidence when it does demonstrate a particular outcome – such as the fact that surgical uterosacral nerve disruption does not improve pain, or that disc excision does not substantially reduce complications compared to segmental resection for bowel disease as prior non-randomized studies suggested. If ...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionA LUQ abdominal technique is a safe and reliable method of laparoscopic access in morbidly obese women undergoing MIS for endometrial cancer staging. This may be the preferred method of laparoscopic access for women with a panniculus or central adiposity, given the caudal displacement of the umbilicus and poor correlation with intraperitoneal anatomic landmarks in this setting.
Source: European Journal of Obstetrics and Gynecology and Reproductive Biology - Category: OBGYN Source Type: research
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