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%.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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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.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
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.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
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
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Virtual Poster Session 4: Hysteroscopy (1:00 PM — 1:10 PM) 1:00 PM STATION E Source Type: research
to demonstrate transvaginal lappendectomy at the time of transvaginal laparoscopic hysterectomy, bilateral salpingo-oophorectomy
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Open Communications 6: Hysteroscopy (2:00 PM – 3:00 PM) 2:07 PM Source Type: research
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.
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
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.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionDue to the heterogeneity of the tissue sampling techniques, diverse patient populations, and significant conflicting recommendations, no conclusive recommendation on the optimal tissue sampling technique can be made. However, it is of the authors opinion that it would be reasonable to limit uterine tissue sampling for confirmatory diagnosis of adenomyosis in those patients with a suspicion of adenomyosis based on both symptom profile and pelvic ultrasound, where a planned diagnostic laparoscopy for either infertility or pelvic pain has already been contemplated and scheduled, and where the confirmatory results ma...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Rationale: Endometrial neuroendocrine carcinoma is a rare histological subtype of endometrial cancer, divided into low-grade neuroendocrine carcinoma (carcinoid) and high-grade neuroendocrine carcinoma (small cell and large cell neuroendocrine carcinoma). It is characterized by high invasiveness and poor prognosis. L/SCNEC is an extremely rare pathological type of endometrial carcinoma, and the number of reports on this condition is few globally. Patient concerns: A 54-year-old Chinese female presented with vaginal bleeding. Diagnoses: Outpatient hysteroscopy and endometrial biopsy were performed, and the pathologi...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Clinical Case Report Source Type: research
We report a case of misdiagnosed endometrial cancer by D&C, but with a positive cytopathological finding. Following that, a meta-analysis including 4,179 patients of endometrial diseases with cyto-histopathological results was performed to assess the value of the endometrial cytological method in endometrial cancer diagnosis. The pooled sensitivity and specificity of the cytological method in detecting endometrial atypical hyperplasia or cancer was 0.91[95% confidence interval (CI) 0.74–0.97] and 0.96 (95% CI 0.90–0.99), respectively. The pooled positive likelihood ratio and negative likelihood ratio was 25.4 (...
Source: Frontiers in Oncology - Category: Cancer & Oncology Source Type: research
Publication date: Available online 10 February 2019Source: Best Practice &Research Clinical Obstetrics &GynaecologyAuthor(s): Vasilios Tanos, Zara Abigail ToneyAbstractThe increasing rate of elective and indicated caesarean sections worldwide has led to new pathologies and management challenges. The number of patients undergoing trial of labor after caesarean section (TOLAC) is also increasing. Three professional societies provide detailed guidelines based on scientific evidence for the management of patients attempting vaginal birth after caesarean section (VBAC). However, they do not provide any recommendations f...
Source: Best Practice and Research Clinical Obstetrics and Gynaecology - Category: OBGYN Source Type: research
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