Preclinical evaluation of a new robot-assisted surgical system for use in gynecology minimal access surgery
AbstractRobot-assisted laparoscopy has been developed to overcome some of the important limitations of conventional laparoscopy. In particular, the provision of stable magnified three-dimensional vision, tremor filtering, motion scaling, and articulated instruments with robot-assisted surgery has the potential to enable more surgeons to perform more complex surgery compared with conventional laparoscopy. The aim of this study was to evaluate the utility of a new robot-assisted surgical system (Versius, CMR Surgical, Cambridge, UK) for gynecologic procedures in a preclinical setting. Cadaveric sessions were conducted to eva...
Source: Gynecological Surgery - April 13, 2020 Category: OBGYN Source Type: research
Laparoscopic hysterectomy versus total abdominal hysterectomy: a retrospective study at a tertiary hospital
ConclusionLH compares to TAH in terms of duration of surgery, rates of intraoperative and early postoperative complications, and the need for blood transfusion. However, it has significantly less rate of late postoperative complications and length of hospital stay. (Source: Gynecological Surgery)
Source: Gynecological Surgery - April 9, 2020 Category: OBGYN Source Type: research
The role of diagnostic hysteroscopy in diagnosis of incomplete uterine septum in patients with recurrent pregnancy loss in the era of transvaginal 3D ultrasound scan
ConclusionsThe data suggest that mean IILFM in patients with RPL and PSU can be underestimated on TV 3D US. Therefore, its diagnostic accuracy in such patients may need further evaluation. (Source: Gynecological Surgery)
Source: Gynecological Surgery - December 10, 2019 Category: OBGYN Source Type: research
Laparoscopic lateral suspension: a single-site and single-surgeon experience
ConclusionsLLS might be a valid alternative to the laparoscopic sacrocolpopexy in women with prolapse in the anterior compartment and apical descent. Younger women with higher parity and higher degree of prolapse in the middle compartment had a higher recurrence rate after LLS. (Source: Gynecological Surgery)
Source: Gynecological Surgery - December 9, 2019 Category: OBGYN Source Type: research
Medical management of deeply infiltrating endometriosis - 7 year experience in a tertiary endometriosis centre in London
ConclusionsMedical treatments are generally safe, well tolerated and inexpensive. More than half (52.6%) of women were successfully managed with medical therapy to control their symptoms. This study supports the growing evidence supporting hormonal therapies in the management of deeply infiltrating endometriosis. The findings may be used to counsel women on the likely success rate of medical management. (Source: Gynecological Surgery)
Source: Gynecological Surgery - December 2, 2019 Category: OBGYN Source Type: research
The utility of fibrinogen level as a predictor of complications after laparoscopic gynecologic surgery: a prospective observational study
ConclusionsOur findings demonstrated that fibrinogen increase can enable the early detection of postoperative complications after laparoscopic gynecological surgery. Further prospective and multi-center studies are warranted to confirm these results. (Source: Gynecological Surgery)
Source: Gynecological Surgery - October 31, 2019 Category: OBGYN Source Type: research
Effectiveness of ovarian suspension in preventing postoperative ovarian adhesions in patients with severe pelvic endometriosis —a case-control study
ConclusionsThe reduction in adhesions via ovarian suspension surgery promises reductions in the complications of endometriosis. (Source: Gynecological Surgery)
Source: Gynecological Surgery - October 28, 2019 Category: OBGYN Source Type: research
Comparison of laparoscopy-assisted vaginal hysterectomy as endoscopic single-station surgery and conventional laparoscopic hysterectomy —surgical effects on safety and quality of life
ConclusionLESS hysterectomy is a reliable and safe option in gynecologic surgery. Compared to conventional laparoscopic hysterectomy, LESS surgery demonstrated comparable surgical properties in regard to blood loss, duration of surgery, and intra-/postoperative complications. Notably, patients undergoing LESS hysterectomy experienced some less pain postoperatively. (Source: Gynecological Surgery)
Source: Gynecological Surgery - August 15, 2019 Category: OBGYN Source Type: research
Correction to: Comparing self-assessment of laparoscopic technical skills with expert opinion for gynecological surgeons in an operative setting
In the publication of this article [1], the contributing author Wesam Aleyadeh was missing. This has now been updated in this correction. (Source: Gynecological Surgery)
Source: Gynecological Surgery - May 26, 2019 Category: OBGYN Source Type: research
Prediction of unsuccessful endometrial ablation: a retrospective study
ConclusionWe propose two multivariate models to predict the chance of failure and surgical re-intervention within 2 years after EA. Due to the permanent character of EA, the increasing number of post-operative failure and re-interventions, these prediction models could be useful for both the doctor and patient and may contribute to the shared decision-making. (Source: Gynecological Surgery)
Source: Gynecological Surgery - April 30, 2019 Category: OBGYN Source Type: research
Implementing robotic assisted myomectomy in surgical practice – a retrospective cohort study
ConclusionRALM should replace open surgery if feasible and should not replace traditional laparoscopy unless other benefits are proven. (Source: Gynecological Surgery)
Source: Gynecological Surgery - March 31, 2019 Category: OBGYN Source Type: research
A value-based evaluation of minimally invasive hysterectomy approaches
ConclusionLRH, TVH, and LAVH yielded the highest value scores; LSH, TLH, and RALH yielded the lowest. Healthcare costs continue to escalate, in large part due to innovations in medical technology. For healthcare stakeholders seeking to control costs without sacrificing quality, it is critical to operationalize the value of varying surgical techniques, including measures of surgeon experience, operative outcomes, costs, and patient satisfaction. (Source: Gynecological Surgery)
Source: Gynecological Surgery - March 17, 2019 Category: OBGYN Source Type: research
Gasless laparoendoscopic single-site surgery with intraoperative autologous blood transfusion for management of ectopic pregnancy with significant hemoperitoneum: a retrospective observational study
ConclusionGasless LESS surgery with intraoperative autologous blood transfusion is a feasible minimally invasive surgical option with avoidance to use homologous blood for management of selected cases of ectopic pregnancy even with significant hemoperitoneum. (Source: Gynecological Surgery)
Source: Gynecological Surgery - March 4, 2019 Category: OBGYN Source Type: research
Symptomatic endometriosis developing several years after menopause in the absence of increased circulating estrogen concentrations: a systematic review and seven case reports
ConclusionsSymptomatic and clinically progressive endometriosis after menopause in the absence of increased systemic estrogen concentrations or exogenous estrogen intake starts more than 10 years after menopause in the majority of women. This observation suggests that a genetic and/or epigenetic incident caused estrogen-independent progression, increased sensitivity to estrogens or increased local production of estrogens. This observation is important for understanding the pathophys iology of endometriosis, for the management of postmenopausal endometriosis, and for individualization of medical therapy of endometriosis ...
Source: Gynecological Surgery - February 15, 2019 Category: OBGYN Source Type: research
The diagnosis and management of interstitial ectopic pregnancies: a review
The objective of this article is to review the published literature on the diagnosis and management of interstitial pregnancies (IPs). IPs account for 2 –6% of all ectopic pregnancies and have the potential to cause life-threatening haemorrhage resulting in a 2–5% mortality rate. There is little consensus on the best practice for diagnosing and managing interstitial pregnancies. By reviewing the published data, we set out to determine what the b est evidence-based practice for the management of interstitial ectopic pregnancies is, what protocols can be used and whether this improves post-operative outcomes and future f...
Source: Gynecological Surgery - February 4, 2019 Category: OBGYN Source Type: research
