Prediction of unsuccessful endometrial ablation: random forest vs logistic regression
ConclusionAlthough machine learning techniques are gaining popularity in development of clinical prediction tools, this study shows that ML is not necessarily superior to the traditional statistical LR techniques. Both techniques should be considered when developing a clinical prediction model. Both models can identify the clinical predictors to surgical re-intervention and contribute to the shared decision-making process in the clinical practice. (Source: Gynecological Surgery)
Source: Gynecological Surgery - June 29, 2021 Category: OBGYN Source Type: research
Defining the limits of caesarean scar niche repair: new anatomical landmarks
ConclusionsLateral bands are a consistent anatomical landmark which identify the level and width of the uterine niche and thus simplify the laparoscopic repair making this a reproducible technique. (Source: Gynecological Surgery)
Source: Gynecological Surgery - June 22, 2021 Category: OBGYN Source Type: research
A novel approach to minimally invasive hysterectomy without the use of a uterine manipulator: Kamran ’s TLH
ConclusionUterine manipulator is a key component in performing laparoscopic hysterectomy. However, our approach demonstrated that TLH can be safely performed without the use of any uterine or vaginal manipulation. (Source: Gynecological Surgery)
Source: Gynecological Surgery - June 21, 2021 Category: OBGYN Source Type: research
Laparoscopic uterosacral ligament suspension versus sacrospinous ligament fixation for apical prolapse: perioperative outcomes
ConclusionWe did not find a difference in complications between L-USLS and SSLF. (Source: Gynecological Surgery)
Source: Gynecological Surgery - June 14, 2021 Category: OBGYN Source Type: research
Is it possible to estimate the need for surgical management in patients with a tubo-ovarian abscess at admission? A retrospective long-term analysis
ConclusionsAlthough the treatment in TOA may vary according to clinical, sonographic, and laboratory findings; age of patients, the abscess size, and volume were seen as the major factors affecting medical treatment failure. Moreover, TOA treatment should be planned on a more individual basis. (Source: Gynecological Surgery)
Source: Gynecological Surgery - June 7, 2021 Category: OBGYN Source Type: research
Medical and surgical interventions to improve the quality of life for endometriosis patients: a systematic review
In conclusion, women must be informed about endometriosis and given easily accessible information to improve treatment adherence and their QoL. (Source: Gynecological Surgery)
Source: Gynecological Surgery - June 3, 2021 Category: OBGYN Source Type: research
Does hysteroscopy in women with persistent gestational trophoblastic disease reduce the need for chemotherapy? A prospective, single-arm, clinical trial pilot study
ConclusionHysteroscopy may play a significant role in the management of GTN, although it requires validation in larger prospective randomized studies and longer follow-up. (Source: Gynecological Surgery)
Source: Gynecological Surgery - June 3, 2021 Category: OBGYN Source Type: research
The use of hysteroscopic metroplasty with diode laser to increase endometrial volume in women with septate uterus: preliminary results
ConclusionsOffice hysteroscopic metroplasty with diode laser is a safe procedure and has preliminary showed to increase endometrial volume. The increase in endometrial volume by 3D-TV US could be used as a prognostic factor for the reproductive outcomes. (Source: Gynecological Surgery)
Source: Gynecological Surgery - June 1, 2021 Category: OBGYN Source Type: research
Applied anatomy knowledge in gynaecology and obstetrics: the trainees ’ perception
ConclusionsDeficiencies in knowledge existed. Factors which may improve knowledge include more applied undergraduate anatomy courses, more frequent operating sessions, attending anatomy workshops, and more senior colleagues ’ demonstration of anatomy during surgeries. (Source: Gynecological Surgery)
Source: Gynecological Surgery - May 18, 2021 Category: OBGYN Source Type: research
Laparoscopy approach to sigmoid colon perforation secondary to intrauterine device migration
We present the case of a patient who presented a colouterine fistula secondary to an IUD migration. (Source: Gynecological Surgery)
Source: Gynecological Surgery - May 12, 2021 Category: OBGYN Source Type: research
Effects of delayed suprapubic port removal on post-laparoscopic shoulder pain: a randomized controlled trial
ConclusionDSPR is an effective CO2 expulsion technique, resulting in significant reduction of both incidence and severity of PLSP within 24 –48 h post-laparoscopy.Trial registrationThai Clinical Trials Registry,TCTR20160208003. Registered 8 February 2016 — retrospectively registered;http://www.thaiclinicaltrials.org/ (Source: Gynecological Surgery)
Source: Gynecological Surgery - May 11, 2021 Category: OBGYN Source Type: research
The development and psychometric validation of a low-cost anthropomorphic 3D-printout simulator for training basic skills applicable to office-based hysteroscopy
ConclusionsThe low-cost simulator designed for the acquisition of basic skills in hysteroscopy demonstrated face, content, and construct validity. (Source: Gynecological Surgery)
Source: Gynecological Surgery - May 3, 2021 Category: OBGYN Source Type: research
Femoral nerve injury in gynecologic surgery: medico-legal issues for best surgical practices
ConclusionsTo avoid potential malpractice lawsuits, care must be taken to accurately collect data linked to individual factors and the possible complications of a surgical procedure. A detailed description is required of the patient ’s position on the surgical table, the self-retaining retractors selected, length of time they were in use, maximum tractive force exerted, and their inspection or repositioning during the operation. (Source: Gynecological Surgery)
Source: Gynecological Surgery - April 30, 2021 Category: OBGYN Source Type: research
The impact of previous cesarean section on the outcome of patients with non-adherent placenta previa
ConclusionThere is a significant increase in the incidence of inadvertent neighboring viscus injury, transfusion of 4 units or more of packed red blood cells, transfusion of fresh frozen plasma, uterine brace compressive sutures, uterine artery ligation, and peripartum hysterectomy in patients with non-adherent placenta previa and previous cesarean section, compared to those with non-adherent placenta previa and no previous history of cesarean section, with no difference in perinatal outcome. (Source: Gynecological Surgery)
Source: Gynecological Surgery - April 29, 2021 Category: OBGYN Source Type: research
Indocyanine green fluorescence imaging, sentinel lymph node mapping in patients with vulvar cancer: peritumoral injection dosage and waiting times in our experience
ConclusionsThe potential of the administration of indocyanine green (ICG) allows the execution of SLN biopsy, avoiding the multiple administrations of radiocolloid in the pre-operative phase, painful for the patient, elimination, and exposure to radioactivity. Therefore, while requiring standardization of the methodology and a large-scale application, this procedure could open a new surgical management perspective in patients with early-stage vulvar cancer. (Source: Gynecological Surgery)
Source: Gynecological Surgery - April 5, 2021 Category: OBGYN Source Type: research
