Adnexal masses during pregnancy: management for a better approach
AbstractThe incidence of adnexal masses, due to large use of ultrasound during pregnancy, has considerably increased during last years. Large percentage of ovarian masses found during pregnancy consists in simple cysts and they tend to disappear spontaneously during pregnancy. There are still a percentage of masses that persist in second and third trimester that need to be monitored and, sometimes, surgically removed. If the mass increases in size, sometimes, it is itself an indication for delivery via cesarean section. Keeping in mind that adnexal masses diagnosed in pregnancy are generally benign, it is essential to cons...
Source: Gynecological Surgery - March 12, 2021 Category: OBGYN Source Type: research

Dissection of the uterine wall in a scarred uterus: a case report
We report a case of a 24-year-old woman, gravida 2 para 1 with a previous cesarean section who underwent a trial of labor. During labor she complained of pain while labor progressed rapidly. Because of signs of fetal distress, a vacuum extraction was performed. Two hours after delivery, the patient complained again of severe  abdominal pain. Blood accumulated in a previously non-existent area between the serosa and uterine muscle. A dissection of the uterine wall occurred with serious clinical consequences, compatible with a complete uterine rupture. Emergency laparotomy was performed to repair the uterine wall; a hyst er...
Source: Gynecological Surgery - March 2, 2021 Category: OBGYN Source Type: research

Emergency peripartum hysterectomy in a tertiary teaching hospital in Northern Jordan: a 15-year review
AbstractEmergency peripartum hysterectomy is a major operation performed when conservative measures fail to stop life-threatening postpartum hemorrhage. It is associated with a high rate of maternal morbidity among survivors. This work aims to evaluate the incidence, indication, and complications of peripartum hysterectomy at King Abdulla University Hospital over 15 years. A retrospective cohort study of emergency peripartum hysterectomy. The incidence was calculated. Risk factors for abnormally adherent placenta were explored. A comparison between total and subtotal hysterectomy in terms of morbidity outcomes was conducte...
Source: Gynecological Surgery - February 18, 2021 Category: OBGYN Source Type: research

A novel approach to minimally invasive hysterectomy without the use of a uterine manipulator: Kamran ’s TLH technique
ConclusionsThis novel technique is safe, efficient and conducive to standardising minimally invasive hysterectomy practices obviating the need for a uterine manipulator and pelvic assistant. (Source: Gynecological Surgery)
Source: Gynecological Surgery - September 24, 2020 Category: OBGYN Source Type: research

A retrospective study of a novel non-umbilical laparoscopic entry port in thin patients —Jain point
ConclusionThe Jain point can be an alternative non-umbilical primary entry port in thin patients especially when conventional techniques are contraindicated. (Source: Gynecological Surgery)
Source: Gynecological Surgery - August 30, 2020 Category: OBGYN Source Type: research

Histological findings of patients with adnexal torsion who underwent surgical treatment: short reminder
ConclusionsRapid and accurate diagnosis is essential to preserve ovarian function. (Source: Gynecological Surgery)
Source: Gynecological Surgery - August 25, 2020 Category: OBGYN Source Type: research

Sigmoid vaginoplasty in Mayer-Rokitansky-Kuster-Hauser syndrome
ConclusionIn the context of a low-resource setting, sigmoid transposition represents a good procedure to treat vaginal aplasia and restore a satisfactory sexual activity to patients with MRKH type 1. (Source: Gynecological Surgery)
Source: Gynecological Surgery - August 17, 2020 Category: OBGYN Source Type: research

Hysteroscopic view with targeted biopsy in the assessment of endometrial carcinoma. What is the rate of underestimatated diagnosis? The results of a multicenter Italian trial
ConclusionOur study showed that EEC diagnosis via hysteroscopy diagnosis could be improved through the implementation of operator training. Hysteroscopy-driven biopsies have excellent sensitivity and accuracy in the diagnosis of EEC, and the advantages of using hysteroscopy for making a diagnosis can improve the management of the patients with EEC. While it seems reasonable that hysteroscopy is the preferred technique for diagnosing and treating a benign pathology of the uterus, it could play a major role even in the diagnosis of a malignancy. (Source: Gynecological Surgery)
Source: Gynecological Surgery - July 18, 2020 Category: OBGYN Source Type: research

An evaluation of a Myomscore in the preoperative assessment of uterus myomatosus: a new diagnostic standard? The experience at the Mathilden Hospital in Herford, Germany
(Source: Gynecological Surgery)
Source: Gynecological Surgery - July 5, 2020 Category: OBGYN Source Type: research

Extending cervicoplastic surgery: an alternative technique to overcome the limitation of office hysteroscopy
AbstractOur objective is to show a feasible approach to the hysteroscopic procedures when the cervical canal has a diameter smaller than the lesion. Our study is designed as a case series and illustration of the surgical hysteroscopic technique. A group of patients (n = 37) underwent office hysteroscopy in Regional Reference Center for Hysteroscopy Service at Palagi Hospital, Florence, Italy, to see and treat an endometrial polyp with unfavorable cervical conditions between January 2019 and December 2019. An office hysteroscopy in outpatient setting with vaginoscopic approach was performed in women with unfavorable cervica...
Source: Gynecological Surgery - June 30, 2020 Category: OBGYN Source Type: research

Laparoscopic-assisted myomectomy with uterine artery occlusion at a freestanding ambulatory surgery center: a case series
ConclusionLaparoscopic-assisted myomectomy can be performed safely in a freestanding ambulatory surgery setting, including morbidly obese patients. This is especially important in the age of COVID-19, as elective surgeries have been postponed due to the 2020 pandemic, which may lead to a dramatic and permanent shift of outpatient surgery from the hospital to the ASC setting. (Source: Gynecological Surgery)
Source: Gynecological Surgery - June 15, 2020 Category: OBGYN Source Type: research

Endometrial stromal sarcoma presented as endometrial polyp: a rare case
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. (Source: Gynecological Surgery)
Source: Gynecological Surgery - May 31, 2020 Category: OBGYN Source Type: research

Hysteroscopic treatment of retained placental tissue: a case report
AbstractRetained placenta tissue is a rare condition, and its diagnosis and surgical treatment are often challenging. Conventionally, the surgical management of such cases is largely performed using blind dilation and curettage. Our case demonstrates that the successful complete removal of retained placental tissues can be achieved with operative hysteroscopy with minimal use of electrosurgery in order to minimize the short- and long-term complications. This was achieved using the loop of the bipolar resectoscope as a curette performing cold dissection. (Source: Gynecological Surgery)
Source: Gynecological Surgery - May 31, 2020 Category: OBGYN Source Type: research

Is fibroid location associated with hemorrhage and complication rates following laparoscopic myomectomy?
ConclusionThe incidence of hemorrhage or complication does not seem to vary depending on the fibroid location. However, the sample size was limited; observed values suggest that fibroid location does not affect hemorrhage and complication rates. (Source: Gynecological Surgery)
Source: Gynecological Surgery - May 25, 2020 Category: OBGYN Source Type: research

Laparoscopy in the coronavirus disease 2019 (COVID-19) era
AbstractThe novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that emerged in China at the end of 2019 has become a pandemic infection that has now involved 200 countries with 465,915 confirmed cases and 21,031 confirmed deaths. Unfortunately, many data have shown that the high number of undocumented infections could have a major role in the rapid diffusion of the disease. In most of the nations involved, non-urgent, non-cancer procedures have been stopped to reallocate medical and paramedical staff to face the emergency. Moreover, concerns have been raised that minimally invasive surgery could be a proced...
Source: Gynecological Surgery - May 13, 2020 Category: OBGYN Source Type: research