Laparoscopic cervical encerclage in pregnancy in 6 steps

Publication date: Available online 8 April 2020Source: Journal of Minimally Invasive GynecologyAuthor(s): Dr. P.G. Paul, Dr. Tasneem Saherwala, Dr. Poulami Barma, Dr. George Paul, Dr. Sanghamitra Thakur
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research

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Publication date: Available online 30 April 2020Source: Journal of Minimally Invasive GynecologyAuthor(s): Stella Maris Catharine Graham, Alice Elizabeth Burton, Ying Hong Li
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Urologic and gynecologic surgeons are the top utilizers of robotic surgery; however, non-obstetrical robotic-assisted laparoscopic surgery (RALS) in pregnant patients is infrequent. A systematic literature review was performed to ascertain the frequency, indication and complications of RALS in pregnancy. Results showed thirty-eight pregnancies from eleven publications between 2008-2020. Five cases were for urologic indication and thirty-three for gynecologic indication. Minimal surgical alterations were required.
Source: Urology - Category: Urology & Nephrology Authors: Source Type: research
AbstractIt is estimated that 0.5 –2% of women will require nonobstetric surgery during pregnancy,1,2 yet operative laparoscopy after 20 weeks of gestation remains uncommon. The most common indications for nonobstetric surgery during pregnancy are acute appendicitis, acute cholecystitis1 and torsion of adnexal masses. Before any intervention in pregnancy, clinicians must consider the safety of the woman and be mindful of risks to the fetus.
Source: The Obstetrician and Gynaecologist - Category: OBGYN Authors: Tags: TIPS AND TECHNIQUES Source Type: research
The objective of this study is to investigate the practicality of using ultrasound data to predict low EFI (score ≤6).
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: Original Article Source Type: research
Case Summary: A 28-year-old nulliparous woman presented with rectal bleeding. Colonoscopy revealed a 4-cm malignant-appearing mass in the proximal rectum, and biopsies confirmed invasive adenocarcinoma of the rectum. Computed tomography scan showed no evidence of metastatic disease. Staging MRI found transmural extension with minimal stranding in the adjacent fat, as well as no evidence of pathological pelvic adenopathy, consistent with a T3N0 lesion. The proposed treatment plan involved neoadjuvant chemotherapy and radiation therapy before primary surgical resection. The patient desired fertility preservation and was re...
Source: Diseases of the Colon and Rectum - Category: Gastroenterology Tags: Resident’s Corner Source Type: research
Publication date: Available online 30 April 2020Source: Journal of Minimally Invasive GynecologyAuthor(s): Stella Maris Catharine Graham, Alice Elizabeth Burton, Ying Hong Li
Source: Journal of Minimally Invasive Gynecology - Category: OBGYN Source Type: research
Authors: Senarath S, Ades A, Nanayakkara P Abstract Most adnexal masses are benign, incidental findings of pregnancy which resolve spontaneously. They may present clinically due to haemorrhage, rupture, torsion and mass effect. Aetiological classification includes ovarian benign, ovarian malignant, non-ovarian, gynaecological, non-ovarian non-gynaecological and an additional subset of pathologies unique to pregnancy. Ultrasound is the first-line imaging modality for the evaluation of adnexal masses. This may be supplemented with magnetic resonance imaging. Tumour markers support evaluation of malignant potential, b...
Source: Journal of Obstetrics and Gynaecology - Category: OBGYN Tags: J Obstet Gynaecol Source Type: research
Conclusion: This study will establish high-quality evidence of the anesthetic effect and safety of PB in LS for EP to facilitate the clinical practice and guideline development. Study registration number: INPLASY202040044.
Source: Medicine - Category: Internal Medicine Tags: Research Article: Study Protocol Systematic Review Source Type: research
To investigate the influence factors of laparoscopic postoperative pregnancy of patients with endometriosis and infertility, further validate the application of EFI scoring system in endometriosis, and to improve the pregnancy rate. A total of 258 patients with endometriosis and infertility who underwent laparoscopic surgery and follow-up treatment at Wuxi Maternal and Child Health Hospital from January 2015 to December 2016 were selected and divided into pregnant and non-pregnant groups according to whether they were pregnant. All patients were divided into 4 groups according to EFI score: group with EFI score ≥9, 7&n...
Source: Medicine - Category: Internal Medicine Tags: Research Article: Observational Study Source Type: research
A 30-year-old nulliparous woman presented with light vaginal bleeding, right lower abdominal pain and tenderness, without peritonism. Serum beta human chorionic gonadotrophin (B-hCG) was static at 720-730 IU/mL over 48 hours and the uterus appeared empty on transvaginal ultrasound. Diagnostic laparoscopy was recommended over medical management due to ongoing pain.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: IMAGES IN Gynecological Surgery Source Type: research
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