Reduced complications following implementation of laparoscopic hysterectomy: A Danish population-based cohort study of minimally invasive benign gynecologic surgery 2004-2018
ConclusionFifteen years with a national database have resulted in a marked quality improvement: Denmark has 85% minimally invasive hysterectomies and has reduced the number of major complications by 50%.
CONCLUSION: Graduating obstetrics and gynecology residents and their program directors are confident in their abilities to perform the majority of core surgical procedures by graduation. By the second year, more than 90% of residents and their program directors were confident in their ability to perform cesarean deliveries and operative hysteroscopy. Sixty-nine percent and 86% of graduating residents felt comfortable performing vaginal and laparoscopic hysterectomies, respectively. PMID: 32649501 [PubMed - as supplied by publisher]
We report a case of low-grade endometrial stromal sarcoma in a 39-year-old woman, whose ultrasound examination suggested a large endometrial polyp. Polypectomy followed by laparoscopic total hysterectomy with bilateral salpingo-oophorectomy was performed. The final histological examinat ion showed no residual disease, implying that the tumor was totally resected during hysteroscopy. This case report highlights that endometrial stromal sarcoma is to be included in the differential diagnosis of endometrial polyp though rare.
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...
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...
ConclusionCongenital uterine malformations are responsible for a variety of symptoms and health problems depending on the anatomical defect of the uterus and/or cervix. Further investigation is required to establish unanimous guidelines for the individualized and suitable invasive or not management of each patient.
ConclusionGU and GI fistulas are rare but morbid entities, which most often manifest after missed bladder or bowel injuries, post benign gynecological surgeries. Early detection and recognition of GI and GU injuries may be key for secondary prevention of fistula formation.
To demonstrate the tansvaginal natural orifice transluminal endoscopic surgery (NOTES) hysterectomy for large uterine (the size of six months pregnancy) with combined transvaginal surgical and single-site surgical skills
to demonstrate transvaginal lappendectomy at the time of transvaginal laparoscopic hysterectomy, bilateral salpingo-oophorectomy
ConclusionWhilst radical completion surgery should be advised in UA, this case, in addition to all published conservatively managed cases of UA, demonstrates that conservative management is possible in appropriately selected women. Intensive monitoring post-operatively is essential owing to the risk of recurrence; however, this may pose deleterious side effects which require consideration.
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.