Regarding “Comparison of Laparoscopic Hysterectomy in Patients with Endometriosis with and without an Obliterated Cul-de-sac.”

Publication date: Available online 14 December 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Michel Canis, Pauline Chauvet, Nicolas Bourdel
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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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
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
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
The purpose of this video is to describe the vaginal appendectomy (VagAppy), a novel approach to coincidental appendectomy at time of hysterectomy. Coincidental appendectomy at time of a primary gynecologic procedure has been described in the literature for many years. There is a growing body of evidence supporting appendectomy as part of surgical management of endometriosis given the prevalence of appendiceal endometriosis, as high as 39% in deep infiltrating endometriosis. A common technique for performance of a laparoscopic appendectomy is with a surgical stapler.
Source: American Journal of Obstetrics and Gynecology - Category: OBGYN Authors: Tags: Video Cafe Source Type: research
Conclusion The total operative time for laparoscopic hysterectomy was significantly shorter in the group of patients (I-3) operated after the systematic laparoscopic skills and suture training was introduced in our hospital.Resumo Objetivo Avaliar o impacto do treinamento laparosc ópico sistematizado de habilidades e sutura (TLSHS) nos resultados intra e pós-operatórios da histerectomia laparoscópica em um hospital universitário brasileiro. Métodos Estudo observacional transversal de revisão de 244 prontuários de pacientes submetidas a histerectomia total laparosc&oac...
Source: Revista Brasileira de Ginecologia e Obstetricia - Category: OBGYN Source Type: research
ConclusionsClavien –Dindo complication grading was readily applicable to laparoscopic removal of endometriosis of all stages. Higher Clavien–Dindo grades correctly reflected clinically relevant complications and were associated with deep infiltrating endometriosis, stage IV endometriosis, bowel surgery, or hystere ctomy. Clavien–Dindo classification can be recommended for evaluation of laparoscopic endometriosis surgery outcome.
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
ConclusionCervicovaginal aplasia can be successfully treated by laparoscopy-assisted neocervicovaginal reconstruction as demonstrated in the video.
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
ConclusionAlthough the rate of iatrogenic endometriosis is low after laparoscopic supracervical hysterectomy and sacrocervicopexy, the possibility of the occurrence of iatrogenic endometriosis should be discussed with patients who are diagnosed with apical prolapse to determine the type of surgical intervention. Iatrogenic endometriosis should be kept in mind for differential diagnosis in case of pain after laparoscopic supracervical hysterectomy and sacrocervicopexy.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
The objectives of our study were to (1) examine the rate of vesicoureteral injury on benign hysterectomy by the surgical approach and (2) compare the risk of vesicoureteral injury specifically between minimally invasive laparoscopic and abdominal hysterectomy on a populational level.DesignRetrospective population-based observational study.SettingThe National Inpatient Sample.PatientsA total of 501 110 women who had undergone hysterectomy for benign gynecologic disease between January 2012 and September 2015 were included as follows: total abdominal hysterectomy (TAH, n = 284 365 [56.7%]), total laparos...
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
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