Robotic Complete Excision of Sacrocolpopexy Mesh: Standardized Technique
ConclusionMinimally invasive removal of sacrocolpopexy mesh can be standardized using this step by step approach. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 19, 2019 Category: OBGYN Source Type: research

vNOTES Hysterectomy Aided By Transcervical Instrumental Uterine Manipulation
ConclusionDuring vNOTES hysterectomy, using an instrument placed transcervically into the uterus for manipulation gives a leverage that helps in good exposure of all uterine attachments. It prevents unintentional rotation of uterus and its attachments. Therefore, surgeon is not required to use second hand for retraction of uterus during surgery. This allows surgeon to use second hand for retraction of bowel and adnexa. As the tip of instruments is not completely visible in vNOTES surgery, manipulation helps to deflect the uterus and its attachments away from important structures thus preventing inadvertent thermal damage f...
Source: Journal of Minimally Invasive Gynecology - May 16, 2019 Category: OBGYN Source Type: research

Venous Gas Embolism (VGE) During Hysteroscopic Endometrial Ablation: Report of Five Cases and Review of the Literature
ConclusionWhile entrainment of some air/gas bubbles is common during hysteroscopy, life-threatening/fatal VGE is rare (1/1140 cases). Situational awareness and strict adherence to certain principles including understanding the conditions, prerequisites and pathophysiology of VGE, attention to surgical principles and operative technique, close communication with the anesthesiologist and early therapeutic intervention are of paramount importance to avoid this rare but potentially serious complication. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 16, 2019 Category: OBGYN Source Type: research

New retroperitoneal vNOTES approach to sentinel node for endometrial cancer: a demonstration video
ConclusionIt has been previously demonstrated that vNOTES hysterectomy offers patient benefits over total laparoscopic hysterectomy [3]. The retroperitoneal vNOTES approach now also offers good transvaginal access to the entire retroperitoneal space for sentinel node resection. This is a new approach that requires further validation before vNOTES hysterectomy with retroperitoneal sentinel node resection can be used outside study settings for the treatment of endometrial cancer. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 11, 2019 Category: OBGYN Source Type: research

Seven Hormonal Biomarkers for Diagnosing Endometriosis: Meta-Analysis and Adjusted Indirect Comparison of Diagnostic Test Accuracy
ConclusionAromatase may be an excellent diagnostic test for endometriosis. However, because of the moderate quality of the included studies and the limited sample size, this result requires more research to validate. (PROSPERO registration number: PROSPERO 2018 CRD42018105126.) (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 8, 2019 Category: OBGYN Source Type: research

Vaginal Cuff Dehiscence Mimicking Pelvic Organ Prolapse
Publication date: Available online 7 May 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Sadikah Behbehani, Johnny Yi (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 8, 2019 Category: OBGYN Source Type: research

Clinical Outcomes in Early Cervical Cancer Patients Treated with Nerve Plane-Sparing Laparoscopic Radical Hysterectomy
Publication date: Available online 7 May 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Dan Zhao, Bin Li, Yating Wang, Shuanghuan Liu, Yanan Zhang, Guangwen YuanAbstractStudy ObjectivesTo explore the feasibility of nerve plane-sparing laparoscopic radical hysterectomy (NPS-LRH) as a simplified C1 type surgery for cervical cancer patients, and to compare this technique with laparoscopic radical hysterectomy (LRH).DesignA retrospective comparative studySettingAn academic tertiary hospital affiliated with the Chinese national cancer center.Patients615 patients with FIGO stage Ib and IIa cervical cancer who und...
Source: Journal of Minimally Invasive Gynecology - May 8, 2019 Category: OBGYN Source Type: research

In Vivo Comparison of MONOFIX, A Novel Barbed Suture with a Triangular Stopper, with Pre-existing Products in a Porcine Model
ConclusionThis study demonstrated that MONOFIX has equivalent tensile strength and histologic reaction when compared with commonly used barbed suture devices. Accordingly, this preclinical study suggests that the use of MONOFIX is a safe alternative to other barbed suture devices. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 7, 2019 Category: OBGYN Source Type: research

Same-Day Discharge after Vaginal Hysterectomy with Pelvic Floor Reconstruction: Pilot Study
ConclusionSDD after vaginal hysterectomy with pelvic floor reconstruction appears to be safe and feasible. Patients who were discharged the same day did not require a higher volume of emergency department or office evaluations. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 7, 2019 Category: OBGYN Source Type: research

The Time Has Come to Quit Relying on a Blind Endometrial Biopsy or Dilation and Curettage to Rule Out Malignant Endometrial Changes
Publication date: Available online 10 April 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Franklin D. Loffer (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 7, 2019 Category: OBGYN Source Type: research

Effect of Low-pressure Pulmonary Recruitment Maneuver on Postlaparoscopic Shoulder Pain: Randomized Controlled Trial
Publication date: Available online 28 March 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Jiyoung Lee, Chunghyun Park, Jihee Kim, Yumin Ki, Sun Hee Cha, Jong Yeop KimAbstractStudy ObjectivePostlaparoscopic shoulder pain (PLSP) is effectively reduced by a pulmonary recruitment maneuver (PRM). The goal of this study is to assess the efficacy of a PRM using maximal inspiratory pressure of 30 cm H2O, which is lower than previously studied pressure for reducing PLSP.DesignRandomized controlled trial.SettingUniversity hospital.PatientsEighty-four patients who were undergoing elective gynecologic laparoscopy.Inte...
Source: Journal of Minimally Invasive Gynecology - May 5, 2019 Category: OBGYN Source Type: research

Endometrial Fat Cell Metaplasia: An Incidental Shiny Gold Spot Inside the Uterus
Publication date: Available online 13 April 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Luis Alonso, Ashley Ulker, Douglas Timmons, Jose Carugno (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 5, 2019 Category: OBGYN Source Type: research

Sexual Function following Laparoscopic versus Transvaginal Closure of the Vaginal Vault after Laparoscopic Hysterectomy: Secondary Analysis of a Randomized Trial by the Italian Society of Gynecological Endoscopy Using a Validated Questionnaire
Publication date: Available online 3 April 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Stefano Uccella, Vito Andrea Capozzi, Matteo Ricco’, Emanuele Perrone, Margherita Zanello, Stefania Ferrari, Pier Carlo Zorzato, Renato Seracchioli, Antonella Cromi, Maurizio Serati, Raffaella Ergasti, Francesco Fanfani, Roberto Berretta, Mario Malzoni, Stefano Cianci, Enrico Vizza, Maurizio Guido, Francesco Legge, Giuseppe Ciravolo, Salvatore Gueli AllettiAbstractStudy ObjectiveThe effect of the different types of vaginal cuff closures on posthysterectomy sexual function has not been investigated in depth. We ev...
Source: Journal of Minimally Invasive Gynecology - May 3, 2019 Category: OBGYN Source Type: research

Sentinel Lymph Node Biopsies in Endometrial Cancer: Practice Patterns among Gynecologic Oncologists in the United States
ConclusionIn summary, despite the growing use of sentinel lymph node injection and biopsy in endometrial cancer, practice patterns vary considerably among providers sampled by this survey. Some of the decisions are based on limited evidence and, in some instances, deviate from current published guidelines. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 3, 2019 Category: OBGYN Source Type: research

Sacrospinofixation of Richter in 8 points: original contribution of the laparoscopic column in the visualization of the sacrospinous ligaments
Publication date: Available online 3 May 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Marie ZILLIOX, Lise Lecointre, Thomas Boisramé, Cherif AkladiosAbstractStudy ObjectiveAlthough the standard technique is currently based on laparoscopic promontofixation, the standard vaginal technique for the treatment of uterine prolapse is sacrospinofixation according to Richter 1, 2, 3. Described by Kurt Richter in 1968, this intervention corrects the middle floor and consists of fixing the vaginal dome (after hysterectomy or not) on the sacrospinous ligament(s) 4, 5. The technique includes a wide dissection o...
Source: Journal of Minimally Invasive Gynecology - May 3, 2019 Category: OBGYN Source Type: research

Channel-Like 360° Isthmocele Treatment With 16 Fr Mini-Resectoscope: Step By Step Technique
ConclusionThe presence of a uterine scar defect is usually asymptomatic or refers to postmenstrual spotting with dark red or brown discharge, dysmenorrhea, dyspareunia, chronic pelvic pain, infertility or dull sensation following menstruation. Several factors may possibly play a role in isthmocele development such as low uterine incision, deficient suturing technique of the uterine incision, patient-related factors that impair wound healing or increase inflammation or adhesion formation. Different techniques were used as reconstructive therapies of the cesarean scar defect including laparoscopic or robot-assisted laparosco...
Source: Journal of Minimally Invasive Gynecology - May 3, 2019 Category: OBGYN Source Type: research

Emergent Laparoscopic Removal of a Perforating Intrauterine Device During Pregnancy Under Regional Anesthesia
ConclusionLaparoscopic removal of perforated IUD during pregnancy under regional anesthesia is a feasible and safe option that should be considered when needed. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 2, 2019 Category: OBGYN Source Type: research

Compartment Syndrome of the Hand after Laparoscopic Gynecologic Surgery
We present the case of a patient diagnosed with compartment syndrome of the hand after laparoscopic surgery for epithelial ovarian cancer. The patient is a 42-year-old woman with incidental finding of high-grade ovarian serous carcinoma after an emergency surgery. On imaging evaluation, the patient was found to have evidence of residual retroperitoneal adenopathy and was taken to the operating room for a staging procedure by laparoscopy. In the immediate postoperative period, she developed compartment syndrome of the right hand that required multiple fasciotomies and multidisciplinary management by plastic surgery, orthope...
Source: Journal of Minimally Invasive Gynecology - May 2, 2019 Category: OBGYN Source Type: research

Racial Disparities in Response to a US Food and Drug Administration Safety Communication Regarding the Use of Power Morcellation for the Treatment of Uterine Leiomyoma
Publication date: Available online 30 March 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Tomomi Matsushita, Akihiko Sekizawa, Lisa K. JacobsAbstractStudy ObjectiveTo investigate whether the rate of increase in the performance of abdominal myomectomy over a laparoscopic approach after the US Food and Drug Administration (FDA) safety communication regarding morcellator use for myomectomy differs among races.DesignRetrospective cohort study.SettingThe American College of Surgeons National Surgical Quality Improvement data.PatientsPatients aged 18 to 55 years who underwent either laparoscopic or abdominal myo...
Source: Journal of Minimally Invasive Gynecology - May 2, 2019 Category: OBGYN Source Type: research

Regarding “Total Laparoscopic Hysterectomy and Bilateral Salpingo-Oophorectomy for a 6095-Gram Fibroid Uterus in a Jehovah's Witness”
Publication date: Available online 5 April 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Alessandro Loddo (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 2, 2019 Category: OBGYN Source Type: research

Robot-assisted Sentinel Lymph Node Mapping and Inguinal Lymph Node Dissection Using Near-infrared Fluorescence in Vulvar Cancer
This study reports the outcomes of 4 patients with vulvar cancer undergoing robotic sentinel lymph node (SLN) mapping and lymph node (LN) dissection with near-infrared fluorescence. From 2015 to 2017, 3 patients with squamous cell carcinoma of the vulva underwent robot-assisted SLN mapping and inguinal LN dissection. One patient with a vulvar melanoma had robotic bilateral SLN mapping only. The da Vinci Xi System with Firefly technology (Intuitive Surgical, Sunnyvale, CA) and indocyanine green radiotracer was used in all cases. Eight groins underwent robot-assisted SLN mapping, 6 of which underwent inguinal LN dissection. ...
Source: Journal of Minimally Invasive Gynecology - May 2, 2019 Category: OBGYN Source Type: research

Calcium Deposit on Essure® Implants. A rare finding of unknown clinical impact
Publication date: Available online 30 April 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Luis Alonso, Antonio Simone Laganà, Hannah Palin, Jose Carugno (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 30, 2019 Category: OBGYN Source Type: research

Perioperative Interventions to Minimize Blood Loss at the Time of Hysterectomy for Uterine Leiomyomas: A Systematic Review and Meta-Analysis
Publication date: Available online 27 April 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Julian A Gingold, Anna Chichura, Mary Pat Harnegie, Rosanne M KhoAbstractObjectiveHysterectomy for uterine leiomyoma is associated with significant morbidity including blood loss. A systematic review and meta-analysis was conducted to identify non-hormonal interventions, perioperative surgical interventions and devices to minimize blood loss at the time of hysterectomy for leiomyoma.Data SourcesLibrarian-led search of Embase, Medline, Web of Science, Scopus, CINAHL and Cochrane databases from 1946-2018, with hand-guid...
Source: Journal of Minimally Invasive Gynecology - April 29, 2019 Category: OBGYN Source Type: research

Differentiating a rare uterine lipoleiomyoma from uterine perforation at hysteroscopy - a scary story
Publication date: Available online 27 April 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Attilio Di Spiezio Sardo, Annarita Gencarelli, Mariana Da Cunha Vieira, Gaetano Riemma, Teresa De Simone, Jose Carugno (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 27, 2019 Category: OBGYN Source Type: research

Essentials in Minimally Invasive Gynecology (EMIG) Manual Skills Pilot Validation Trial
ConclusionThe EMIG laparoscopic and hysteroscopic simulations systems were considered to have good face validity and appear to be suitable for a construct validation trial to confirm their utility in distinguishing amongst trainees and practitioners with a wide spectrum of endoscopic surgical experience. The recording and specimen storage mechanisms will allow for multiple proctors to rate a candidate's performance, thereby enhancing evaluation consistency and quality. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 26, 2019 Category: OBGYN Source Type: research

Predictors of Prolonged Operative Time for Robotic-Assisted Laparoscopic Myomectomy: Development of a Preoperative Calculator for Total Operative Time
ConclusionsRobotic-assisted laparoscopic myomectomy has become a more common surgical approach for the management of uterine fibroids. Preoperative radiographic evaluation and a thorough understanding of patients’ histories may enhance patient counseling and surgical planning. Uterine volume, fibroid number and fibroid size appear more predictive of operative time than fibroid location. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 26, 2019 Category: OBGYN Source Type: research

Surgical Trends and Time Frame Comparison of Surgical Types of Hysterectomy: A Nationwide, Population-based 15-year Study
ConclusionThis 15-year study describes an increase of LHs and subtotal abdominal hysterectomies over time and provides evidence of surgical trends and a paradigm shift of hysterectomies. Surgical skills and performance extended from high- to low-surgical volume gynecologists and from medical centers to regional and local hospitals. This shift may have a great influence on patient and health care provider choice of treatment. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

Reply
Publication date: Available online 6 April 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Matthew T. Siedhoff (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

The Link Between Endometriosis, Atherosclerotic Cardiovascular Disease, and the Health of Women Midlife
Publication date: Available online 25 April 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Omur Taskin, Kiran Rikhraj, Justin Tan, Tara Sedlak, Timothy C. Rowe, Mohamed A. BedaiwyAbstractEndometriosis and atherosclerotic cardiovascular disease (ASCVD) are both essentially diseases of inflammation. It is well established that inflammation is the leading mechanism in the initiation and maintenance of vascular injury and in the development and progression of atherosclerosis. Thus, if women with endometriosis do indeed have increased general inflammation, they are at increased risk of developing microvascular d...
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

Cover 1
Publication date: May–June 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 4Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

Editorial Board
Publication date: May–June 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 4Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

Board Of Directors-Ed Calendar
Publication date: May–June 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 4Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

International Societies
Publication date: May–June 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 4Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

Toc
Publication date: May–June 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 4Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

Isolated Tubal Torsion after Tubal Ligation
Publication date: May–June 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 4Author(s): Lucy Liu, Courtney Birchall, Andrea Benton, Timothy Deimling (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

Two Surgical Techniques for Essure Device Ablation: The Hysteroscopic Way and the Laparoscopic Way by Salpingectomy with Tubal Interstitial Resection
ConclusionMore and more patients are asking for the removal of their implants. The surgical technique has to be adapted to the location of the implants and has to allow their complete removal to avoid leaving fragments that can cause the persistence of side effects. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

Novel Anastomotic Technique for Uterine Transplant Using Utero-ovarian Veins for Venous Drainage and Internal Iliac Arteries for Perfusion in Two Laparoscopically Harvested Uteri
Publication date: May–June 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 4Author(s): Shailesh Puntambekar, Seema Puntambekar, Milind Telang, Pankaj Kulkarni, Shardul Date, Mangesh Panse, Ravindra Sathe, Nikhil Agarkhedkar, Neeta Warty, Sandesh Kade, Manoj Manchekar, Mihir Chitale, Hirav Parekh, Kajal Parikh, Mehul Mehta, Bhushan Kinholkar, Joy Shankar Jana, Avinash Pare, Shailendra Kanade, Abhay SadreAbstractStudy ObjectiveTo evaluate 2 cases of uterine transplant surgery that used utero-ovarian veins as outflow channels, internal iliac arteries for perfusion, and the organ harvest surgery pe...
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

Left–Right Asymmetry of Tubal Pregnancy: A 12-Year Retrospective Hospital-Based Study
Publication date: May–June 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 4Author(s): Wei Xia, Jian Zhang, Duo Zhang, Qian Zhu, Huiyu Zhang, Zhen Huang, Feng Sun, Hongjie Pan, Hua DuanAbstractStudy ObjectiveTo investigate whether there are left–right asymmetries, factors affecting lateral dominance, and clinical feature differences in the left and right sides of tubal pregnancy (TP).DesignRetrospective study (Canadian Task Force classification II-2).SettingInternational Peace Maternity and Child Health Hospital, School of Medicine, Shanghai Jiao Tong University.PatientsPatients (n = ...
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

Transvaginal Natural Orifice Transluminal Endoscopic Surgery for Sacrocolpopexy: A Pilot Study of 26 Cases
Publication date: May–June 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 4Author(s): Juan Liu, Jaden Kohn, Huaying Fu, Zhenkun Guan, Xiaoming GuanAbstractStudy ObjectiveTo describe the surgical technique and short-term outcomes for 26 cases of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) sacrocolpopexy for the treatment of pelvic organ prolapse (POP).DesignRetrospective case series study (Canadian Task Force classification II-2).SettingAcademic tertiary care university hospital in Guangdong, China.PatientsWomen diagnosed with stages II to IV POP between May 2017 and M...
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

Circumferential Vault Excision and Reconstruction: Technical Description of Management of Intractable Secondary Vault Hemorrhage after Hysterectomy in Resource-Limited Settings
Publication date: May–June 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 4Author(s): Dipak Limbachiya, Mangirish Kenkre, Siddharth Shah, Rashmi KumariAbstractHemorrhage after gynecologic surgery is an infrequent complication. It can be divided based on time of onset into primary and secondary. Secondary hemorrhage is a life-threatening complication with a reported incidence of .17% to .45%. When the etiology cannot be ascertained and when the hemorrhage does not respond to conservative management, it is aptly labeled as an intractable hemorrhage. Numerous techniques have been used to manage s...
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

Laparoscopic Diagnosis and Treatment of Obturator Nerve Entrapment Because of a Deep Infiltrating Endometriotic Nodule: A Case Report
We report a rare case of a deep infiltrating endometriotic nodule entrapping the right obturator nerve. Unlike the previously reported cases, patient history, clinical and laboratory data, and missed findings in previous imaging studies made our case difficult to diagnose. We successfully diagnosed the case and treated the patient with laparoscopic surgery. A video showing the surgery is also included. The recent follow-up in July 2018 (18 months after the operation was performed in January 2017) showed no signs or symptoms of recurrence or any other new complaints. The 18-month follow-up for this case is the longest follo...
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

A Case of Cardiac Arrhythmia from Absorption of Normal Saline during Hysteroscopic Myomectomy
We present a case of severe hypokalemia, metabolic acidosis, and arrhythmia after absorption of 2500 mL normal saline during a hysteroscopic myomectomy. The patient was a 36-year-old woman with abnormal uterine bleeding caused by a submucosal leiomyoma. She received a total of 3500 mL normal saline (2500 mL was absorbed via the uterus and 1000 mL given intravenously) during hysteroscopy. This resulted in hemodilution, electrolyte disturbances, and arrhythmia. She was treated with electrolyte replacement and closely monitored. Normal saline may result in severe metabolic derangements caused by hemodilution and hyperchloremi...
Source: Journal of Minimally Invasive Gynecology - April 25, 2019 Category: OBGYN Source Type: research

Double Standard or Double Blinded? An Argument for All Peer-Reviewed Scientific Journals
Publication date: Available online 15 March 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Gaby Moawad, Paul Tyan, Sara Rahman (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 24, 2019 Category: OBGYN Source Type: research

Laparoscopic Myomectomy: An Alternative Approach to Tackling Submucous Myomas?
ConclusionLaparoscopic myomectomy for submucous myomas has similar perioperative outcomes and immediate complications as laparoscopic myomectomy for other myomas and can be considered for large or type 2 submucous myomas. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 24, 2019 Category: OBGYN Source Type: research

Two Modest Proposals: Thoughts from the Myoma/Leiomyosarcoma Controversies
Publication date: Available online 20 March 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): David L. Olive (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 23, 2019 Category: OBGYN Source Type: research

Identifying Preoperative Factors Associated with Nonresponders in Women Undergoing Comprehensive Surgical Treatment for Endometriosis
ConclusionMinimal preoperative factors are associated with nonresponse for women having surgery for endometriosis. The severity of pain experienced by women with endometriosis may be used to predict their response to surgery. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 18, 2019 Category: OBGYN Source Type: research

Robotic complete excision of sacrocolpopexy mesh. Standardized technique.
ConclusionMinimally invasive removal of sacrocolpopexy mesh can be standardized using this step by step approach. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 18, 2019 Category: OBGYN Source Type: research

Association between preoperative adenomyosis detection rate during pelvic ultrasonography and the specialty of the reading physician
Publication date: Available online 18 April 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Nupur Tamhane, Megan McDowell, Mariana Oliva, Jean Paul Tanner, Lauri Hochberg, Marisa Baker, Anthony N Imudia, Emad MikhailAbstractStudy ObjectiveTo compare the detection rate of adenomyosis when ultrasound is performed by a radiologist compared to a gynecologic expert sonologist.DesignA retrospective, single center study.SettingUniversity teaching hospitalPatientsAll women above 18 years of age with a positive histopathology diagnosis of adenomyosis obtained in a hysterectomy specimen from October 1, 2011 - October ...
Source: Journal of Minimally Invasive Gynecology - April 18, 2019 Category: OBGYN Source Type: research

Postoperative opioid utilization using Enhanced Recovery After Surgery (ERAS) guidelines for benign gynecologic procedures
Publication date: Available online 17 April 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Peter R. Movilla, Jolene A. Kokroko, Amalia G. Kotlyar, Tami S. RowenAbstractStudy ObjectiveTo evaluate opioid usage following benign gynecologic surgery after implementation of Enhanced Recovery After Surgery (ERAS) opioid prescribing recommendations.DesignProspective cohort study.SettingAn academic tertiary care hospitalPatients: All patients undergoing elective benign gynecologic surgery at a large academic institution between August 2017 – December 2017, one year after ERAS postoperative opioid prescribing r...
Source: Journal of Minimally Invasive Gynecology - April 17, 2019 Category: OBGYN Source Type: research

A Retrospective Review of Vaginal Cuff Dehiscence: Comparing Absorbable and Nonabsorbable Sutures
ConclusionOur data suggest that use of a nonabsorbable suture may be an effective approach to prevent spontaneous VCD, but the benefits should be weighed against the inherent risk associated with a second procedure to remove sutures. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - April 14, 2019 Category: OBGYN Source Type: research