Private Doctors Perform Most Hysterectomies in India - Survey Private Doctors Perform Most Hysterectomies in India - Survey

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Source: Medscape Medical News Headlines - Category: Consumer Health News Tags: Medscape Today News Source Type: news

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Opinion StatementIn patients with early-stage cervical cancer, radical hysterectomy and pelvic lymphadenectomy is the gold standard. However, this disease commonly affects women of childbearing age; thus an option to spare fertility is ideal. This option came to fruition in the early 90s when the Dargent procedure or radical trachelectomy was first reported. The procedure has subsequently been modified as technology has improved and now may be performed via minimally invasive techniques. Additionally, with the advent of the sentinel lymph node procedure, the morbidity in this usually young patient population has continued ...
Source: Current Treatment Options in Oncology - Category: Cancer & Oncology Source Type: research
Genome‑wide DNA methylation analysis of uterosacral ligaments in women with pelvic organ prolapse. Mol Med Rep. 2018 Nov 13;: Authors: Zhang L, Zheng P, Duan A, Hao Y, Lu C, Lu D Abstract Pelvic organ prolapse (POP) is an increasingly serious health problem that impairs quality of life and is caused by multiple additive genetic and environmental factors. As the uterosacral ligaments (ULs) provide primary support for the pelvic organs, it was hypothesized that disruption of these ligaments (as a result of aberrant methylation) may lead to a loss of support and eventually contribute to POP. In the pres...
Source: Molecular Medicine Reports - Category: Molecular Biology Tags: Mol Med Rep Source Type: research
This report presents the case of a nulliparous premenopausal woman with no other contributory history who presented with DPL 3  years after UAE. The presentation of this patient suggests the potential for a causal relationship between UAE and DPL.
Source: CardioVascular and Interventional Radiology - Category: Radiology Source Type: research
The surprising results of two new studies prompt a warning from Dr Maurie Markman that minimally invasive radical hysterectomy should not be considered standard of care for early cervical cancer.Medscape Oncology
Source: Medscape Today Headlines - Category: Consumer Health News Tags: Hematology-Oncology Commentary Source Type: news
This study shows that the umbilical port is the most commonly used port for specimen retrieval among UK gynaecologists and that most gynaecologists would not insert an additional port purely for specimen retrieval. Most respondents would still use power morcellation for a laparoscopic myomectomy and subtotal hysterectomy, despite the recent concerns over morcellation and its safety. What are the implications of these findings for clinical practice and/or further research? This paper demonstrates the need for development of a database of morcellation practices to enable analysis of both benefits and potential adverse outcom...
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research
ConclusionsParasitic leiomyomas are a rare late complication of power morcellation following laparoscopic myomectomy or hysterectomy. Most patients present with an abdominal/pelvic mass and may need surgical excision to relieve the symptoms. Care should be taken during power morcellation to prevent excessive fragmentation of the tissues, some of which may become implanted and persist to form parasitic myomas. Moreover, effort should be made to retrieve all myoma fragments by carefully checking the abdominal cavity. Whenever possible, the morcellation should be done in a containment bag.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
Conditions:   Uterine Cervical Neoplasm;   Laparotomy;   Laparoscopy;   Survival;   Mortality;   Morbidity;   Quality of Life;   Pelvic Floor Disorders;   Cost-Benefit Analysis Interventions:   Procedure: Laparotomic radical hysterectomy;   Procedure: Laparotomic radical trachelectomy;   Procedure: Laparoscopic radical hysterectomy;   Procedure: Laparoscopic radical trachelectomy Sponsor:   Lei Li Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Postoperative Pain Interventions:   Procedure: Erector Spinae Plane Block;   Procedure: control Sponsor:   Fayoum University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Condition:   Postoperative Pain Interventions:   Procedure: Erector Spinae Plane Block;   Procedure: control Sponsor:   Fayoum University Not yet recruiting
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
Publication date: Available online 14 November 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Jing Zuo, Ling Ying Wu, Min Cheng, Ping Bai, Cheng Zhi Lei, Ning Li, Gong Yi Zhang, Dan Zhao, Bin LiAbstractStudy ObjectiveTo evaluate the detection rate and accuracy of sentinel lymph node (SLN) mapping using cervical and fundal injection of carbon nanoparticles (CNPs) in laparoscopic surgery of endometrioid endometrial cancer (EC), and to identify uterine lymphatic drainage pathways validated by mapping.DesignA prospective consecutive study (Canadian Task Force classification II-2)SettingA academic research cente...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
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