Laparoscopy Still Most Popular Hysterectomy Approach After Morcellation Warnings Laparoscopy Still Most Popular Hysterectomy Approach After Morcellation Warnings
Laparoscopy remains the most common mode of hysterectomy since an April 2014 U.S. Food and Drug Administration (FDA) warning against power morcellation for laparoscopic specimen removal, according to a database study.Reuters Health Information
This study aimed to value all the possible variables related to the successful of laparoscopic procedures; in fact, we investigated not only the uterine weight, but in our multivariate analysis, the position of the fibroids, the trocar's setting, etc. were analysed. What are the implications of these findings for clinical practice and/or further research? This study reported novel data about the feasibility of laparoscopic hysterectomy for enlarged uteri. In opposition to the literature, the uterine weight is not a predictive value for laparotomic conversion. Moreover, we discussed the possible reasons of our novel finding...
This article aimed to review the literature on parasitic myoma and adenomyoma and to compare these diseases in terms of clinical, surgical, and prognostic factors. All published literature (case series and case reports) on iatrogenic myoma and adenomyoma was reviewed using PubMed/MEDLINE and ScienceDirect resources. Despite both conditions having an iatrogenic origin, iatrogenic parasitic myoma and adenomyoma are two different entities in terms of clinical manifestations as well as intraoperative particularities, with a common point: iatrogenic complication. A possible solution to avoid these iatrogenic complications is by...
Conditions: Benign Laparoscopic Hysterectomy; Systematic Salpingectomy Intervention: Other: Histopathologic tube anomalies Sponsor: Hospices Civils de Lyon Completed
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ConclusionMinimal preoperative factors are associated with nonresponse for women having surgery for endometriosis. The severity of pain experienced by women with endometriosis may be used to predict their response to surgery.
Conditions: Hysterectomy; Cellulitis; Vaginosis; Abscess; Cuff Interventions: Drug: cephalosporin + Metronidazole Vaginal; Drug: cephalosporin + Placebos Sponsors: CES University; Lafrancol S.A.; Prolab S.A; Clínica del prado; Clínica comfamiliar pereira Not yet recruiting
Publication date: Available online 15 April 2019Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Mona M. Savran, Elise Hoffmann, Lars Konge, Christian Ottosen, Christian Rifbjerg LarsenAbstractObjectivesThe aims of the study were to develop and gather validity evidence for a feasible rating scale for formative and summative assessment of total laparoscopic hysterectomy in the operating theatre.Study DesignThe study was a prospective observer-blinded cohort study. The rating scale was developed according to the generic format of Objective Structured Assessment of Technical Skills. We...
CONCLUSIONS: Evidence on the effectiveness and safety of RAS compared with CLS for non-malignant disease (hysterectomy and sacrocolpopexy) is of low certainty but suggests that surgical complication rates might be comparable. Evidence on the effectiveness and safety of RAS compared with CLS or open surgery for malignant disease is more uncertain because survival data are lacking. RAS is an operator-dependent expensive technology; therefore evaluating the safety of this technology independently will present challenges. PMID: 30985921 [PubMed - as supplied by publisher]
The aims of the study were to develop and gather validity evidence for a feasible rating scale for formative and summative assessment of total laparoscopic hysterectomy in the operating theatre.
Publication date: Available online 11 March 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Danielle Lovett-Carter