Mesh-related complications of laparoscopic sacrocolpopexy
ConclusionsThis large series suggests that laparoscopic sacrocolpopexy might confer a low risk of mesh exposure. Together with good anatomical and patient-reported outcomes, laparoscopic sacrocolpopexy is a safe option for patients presenting with post-hysterectomy vault prolapse.
ConclusionsMinimal deviation adenocarcinoma represents one of rare cervical adenocarcinomas without HPV-association. While it is crucial to differentiate benign from malignant lesions in this subtype, imaging characteristics often overlap and may not provide a specific diagnosis. Therefore, it should be considered in suspicious multicystic cervical lesions and inconclusive PAP-smear. Definitive diagnosis of this subtype should be based on cervical biopsy.
Publication date: Available online 12 September 2019Source: The LancetAuthor(s): Kevin Cooper, Suzanne Breeman, Neil W Scott, Graham Scotland, Justin Clark, Jed Hawe, Robert Hawthorn, Kevin Phillips, Graeme MacLennan, Samantha Wileman, Kirsty McCormack, Rodolfo Hernández, John Norrie, Siladitya Bhattacharya, HEALTH Study GroupSummaryBackgroundHeavy menstrual bleeding affects 25% of women in the UK, many of whom require surgery to treat it. Hysterectomy is effective but has more complications than endometrial ablation, which is less invasive but ultimately leads to hysterectomy in 20% of women. We compared laparoscop...
Publication date: Available online 11 September 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Boping Yang, Da Wei Zhu, Jing Tang, Suzhen Ran, Li Li, Yugang ChiAbstractIntramural pregnancy is one of the rarest types of ectopic pregnancy. Surgery for intramural pregnancy could include excision or hysterectomy by laparoscopic or open surgery, we proposed a new treatment for intramural pregnancy to reduce the trauma of the patient. Hysteroscopic surgery will be a most minimally invasive surgery.
ConclusionAfrican American, Hispanic, and Asian/PI women eligible for minimally invasive hysterectomy were more likely than White women to receive abdominal hysterectomy. The proportion of all women undergoing abdominal hysterectomy was highest at hospitals serving higher proportions of African American persons. This difference in treatment type can lead to disparities in outcomes, in part due to their association with complications.
Intramural pregnancy is one of the rarest types of ectopic pregnancy. Surgery for intramural pregnancy could include excision or hysterectomy by laparoscopic or open surgery, we proposed a new treatment for intramural pregnancy to reduce the trauma of the patient. Hysteroscopic surgery will be a most minimally invasive surgery.
ConclusionFMIGS applicants are motivated by their interest in minimally invasive gynecologic surgery, academia and research, and the opportunity to increase their proficiency with advanced endoscopic procedures.
Abstract OBJECTIVE: To evaluate the effects of shared decision making using a simple decision aid for opioid prescribing after hysterectomy. METHODS: We conducted a prospective quality initiative study including all patients undergoing hysterectomy for benign, nonobstetric indications between March 1, 2018, and July 31, 2018, at our academic institution. Using a visual decision aid, patients received uniform education regarding postoperative pain management. They were then educated on the department's guidelines regarding the maximum number of tablets recommended per prescription and the mean number of opioid...
Ersin Gündoğan, Egemen Cicek, Fatih Sumer, Cuneyt KayaalpJournal of Minimal Access Surgery 2019 15(4):345-347Here, we presented a case of laparoscopic colon cancer resection who developed vaginal recurrence after transvaginal specimen extraction. To our knowledge, this is the first case report on natural orifice specimen extraction-site cancer recurrence. A 59-year-old female underwent laparoscopic left hemicolectomy due to left-sided colon adenocarcinoma, and the specimen was removed through the vagina. She was admitted to the hospital with the complaint of vaginal discharge after 1 year. Tumoural infiltration o...
Conditions: Total Laparoscopic Hysterectomy; Patient-controlled Analgesia Interventions: Other: convetional PCA method unsing only 1-channel; Other: utilizing 2-channel Sponsor: Korea University Guro Hospital Recruiting