Mini-laparoscopic total hysterectomy in current practice, feasibility and benefits: a prospective, unicentric, randomized controlled trial

ConclusionTotal mini-laparoscopic hysterectomy appears inferior to standard laparoscopy in terms of operative time and surgeon working conditions only the short-term cosmetic appearance was in favour of the 3 mm approach
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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Custom convenience kits containing Medline brand Sterile Pre-Saturated Povidone Iodine Sponge Products, labeled as follows: Part Description Part Number ABDOMINAL HYSTERECTOMY DYNJ906478 ABDOMINAL HYSTERECTOMY DYNJ906478A ACCESSORY HIP PACK-LF DYNJ0781865M ARTHRO/SHOULDER PACK DYNJ30056J ARTHRO/SHOULDER PACK DYNJ30056K ARTHRO/SHOULDER PACK DYNJ30056L ARTHRO/SHOULDER PACK DYNJ30056M BODY PACK DYNJ55107A BODY PACK DYNJ55107C BODY PACK DYNJ55107D C SECTION CDS CDS984613D C SECTION CDS CDS830172I C SECTION CDS CDS984613F C SECTION CDS CDS830172J C SECTION PACK CMPJ17294I C SECTION PACK-LF DYNJ64834 CARDIAC A &B SJ PACK DYN...
Source: Medical Device Recalls - Category: Medical Devices Source Type: alerts
Conclusions: In this preliminary study, our S1R PET/MRI method showed previously undetected abnormalities in chronic pelvic pain patients, yielding stronger evidence to support treatment decisions. S1R PET images revealed abnormalities in conditions difficult to identify by MR imaging alone, including adhesive disease or late stage endometriosis. In a subset of patients, our results suggest the presence of abnormally increased expression of S1R in tissues without any noticeable abnormalities on MRI. Therefore, S1R PET combined with high-resolution structural MRI can be a promising method to uncover a wide variety of painfu...
Source: Journal of Nuclear Medicine - Category: Nuclear Medicine Authors: Tags: Musculoskeletal Source Type: research
We describe the use of preoperatory bilateral ESPB at level T10 to provide postoperative analgesia following THL. PATIENTS AND METHODS: We enrolled 10 ASA 1-2 patients scheduled for TLH. After written informed consent we performed bilateral ESPB at T10 level in sitting position, with a linear probe and in plane cranio-caudal approach and ropivacaine 0.5% 20 for each side. The sensitive block was tested by pinprick. Standard general anesthesia was administered. Patient controlled analgesia (PCA) with morphine 1 mg/ml was delivered. We measured postoperative pain by visual analogue scale (VAS). RESULTS: Five patients...
Source: European Review for Medical and Pharmacological Sciences - Category: Drugs & Pharmacology Tags: Eur Rev Med Pharmacol Sci Source Type: research
w?>A 45-year-old woman, gravida 3 para 2-0-1-2, with 2 previous cesarean sections and a total laparoscopic hysterectomy for endometriosis, presented to the hospital with severe focal abdominal pain, fever, and skin erythema. She had a known history of abdominal wall endometriosis treated with norethindrone and declined excision of the abdominal wall endometrioma at the time of her hysterectomy. She discontinued her norethindrone 5 days before presentation. On examination, she had an 8-cm tender subcutaneous nodule and a 10.0  × 20.0-cm area of induration, erythema, and tenderness consistent with cellulitis (Figs.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Images in Gynecologic Surgery Source Type: research
A 45-year-old G3P2012 with two prior cesarean sections and a total laparoscopic hysterectomy for endometriosis, presents to the hospital with severe focal abdominal pain, fevers, and skin erythema. She has a known history of abdominal wall endometriosis treated with norethindrone and declined excision of the abdominal wall endometrioma at the time of her hysterectomy. She discontinued her norethindrone five days prior to presentation. On exam she had an 8 cm tender subcutaneous nodule and a 10.0  × 20.0 cm area of induration, erythema, and tenderness consistent with cellulitis (Figure 1, 2).
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: IMAGES IN Gynecological Surgery Source Type: research
AbstractIn this narrated video we present a case of pelvic organ prolapse (POP) recurrence 12  years after sacrocervicopexy, outline our management and suggest an optimal laparoscopic surgical technique that may reduce the risk of future recurrence. A 71-year-old patient, who had undergone an open sub-total hysterectomy with sacrocervicopexy 12 years previously, complained of a bulging sen sation in her vagina, of 12 months’ duration. On physical examination, a Pelvic Organ Prolapse Quantification (POP-Q) stage III prolapse was diagnosed, with marked apical, anterior and posterior compartment prolapse....
Source: International Urogynecology Journal - Category: OBGYN Source Type: research
Abstract OBJECTIVE: This distorted anatomical state of pouch of Douglas (POD) obliteration can be predicted with a high degree of certainty and reproducibility using the dynamic transvaginal ultrasound (TVS) sliding sign technique. Studies on POD obliteration prediction have always focused on populations in tertiary care centers with high endometriosis prevalence. In addition to patients with symptomatic endometriosis, POD obliteration may exist in individuals with asymptomatic endometriosis or other etiologies such as pelvic inflammatory disease (PID), pelvic tuberculosis, or surgical scarring. For most abdominal...
Source: The Ultrasound Review of Obstetrics and Gynecology - Category: Radiology Authors: Tags: Ultrasound Obstet Gynecol Source Type: research
Discussion –— Cesarean scar ectopic pregnancy (CSEP) or Cesarean scar pregnancy (CSP) is a rare form of ectopic pregnancy resulting from implantation of a blastocyst within myometrial scar tissue (old uterine scars) in the anterior lower uterine segment (LUS) at the site of prior Cesarean section.— It is considered amongst the rarest type of ectopic pregnancy, although some do not include it in the category of ectopic pregnancy as implantation occurs within the uterus itself.— Incidence is on rise due to increasing numbers of elective Cesarean sections as well as improved detection with tr...
Source: Sumer's Radiology Site - Category: Radiology Authors: Source Type: blogs
ABSTRACTIntroductionThe aims were to evaluate quality of life, cosmetic results and surgical outcomes of robotic single ‐site and robotic multiport total laparoscopic hysterectomy with sentinel lymph node mapping in women treated for low‐ risk endometrial cancer.Material and methodsThe study is a prospective, multicenter, case ‐control study conducted at Ospedale Santa Chiara in Trento and Novara and Pavia University Hospitals. 76 consecutive patients with a biopsy‐confirmed diagnosis of low‐risk endometrial cancer or atypical endometrial hyperplasia who had undergone robotic total laparoscopic hysterectomy and s...
Source: Acta Obstetricia et Gynecologica Scandinavica - Category: OBGYN Authors: Tags: ORIGINAL RESEARCH ARTICLE Source Type: research
Conclusion: Our new abdominal-wall retraction system for gasless TLH allowed for easy setup and a proper operation field in the performance of laparoscopic hysterectomy. PMID: 32161436 [PubMed - in process]
Source: JSLS : Journal of the Society of Laparoendoscopic Surgeons - Category: Surgery Tags: JSLS Source Type: research
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