1289 Urinary Retention Following Outpatient Minimally Invasive Hysterectomy
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): S Behbehani, RRM Delara, J Yi, ME Suarez, K Kunze, MN WassonStudy ObjectiveIdentify risk factors associated with postoperative urinary retention in patients undergoing minimally invasive outpatient hysterectomy.DesignRetrospective cohort studySettingAcademic medical centerPatients or ParticipantsAll patients undergoing outpatient minimally invasive hysterectomy between January, 2013 to July, 2018 were considered for inclusion.InterventionsOutpatient laparoscopic, vaginal, or robotically-a...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1473 Laparoscopic Sacrocolpopexy Plus Colporrhaphy with an Sis Graft Versus Total Pelvic Floor Reconstruction for Advanced Prolapse: A Retrospective Cohort Study
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): X Wang, Y Chen, K HuaStudy ObjectiveTransvaginal mesh (TVM) results in a greater anatomic cure but more complications. We aimed to compare laparoscopic sacrocolpopexy (LSC) plus colporrhaphy with a small intestine submucosa (SIS) graft versus TVM for advanced pelvic organ prolapse (POP).DesignRetrospective study, with more than one year follow-up.SettingTertiary university-affiliated hospital.Patients or ParticipantsBetween September 2015 and November 2016, 76 patients with advanced POP w...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1368 Analysis of Robotic-Assisted Rectus Abdominis Flap Harvest for Pelvic Reconstruction: A Single Institution Experience
ConclusionRobotic-assisted rectus abdominis flap harvest for pelvic floor reconstruction is a reliable means of defect closure, despite the presence of substantial comorbidities and risk factors in this patient cohort. Patient selection and counseling is crucial to optimize surgical outcomes in this complex population. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

3012 Lessons Learned from Ten Litigated Cases of Genitourinary and Gastrointestinal Fistulas Post Benign Gynecological Surgeries: A Multi-Center Case Series
ConclusionGU and GI fistulas are rare but morbid entities, which most often manifest after missed bladder or bowel injuries, post benign gynecological surgeries. Early detection and recognition of GI and GU injuries may be key for secondary prevention of fistula formation. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1395 Treatment of Vaginal Mesh Exposure with Platelet Rich Plasma and CO2 Laser
ConclusionThe treatment of symptomatic vaginal mesh exposure might be complex in some cases. In recurrent cases, multi-modal treatment may be required. PRP and PRP autologous graft may benefit women whose mesh exposure is associated with severe atrophy or where large areas of vaginal epithelium need removal. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2234 Comparing Pain Levels and Blood Loss Following Pelvic Floor Reconstructive Surgery Between Vaginal Packing Soaked with Either Estrogen, Bupivacaine or Saline
ConclusionThis study did not find a difference between the use of saline, bupivacaine and estrogen cream with vaginal packing after pelvic floor reconstructive surgery on post-operative VAS pain scores, EBL, LOS or urinary retention. Saline soaked packing is an equivalent, but less expensive, alternative to estrogen or bupivacaine vaginal packing – and could replace estrogen-soaked packing in those who have contraindications to estrogen use. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2671 Lefort Colpocleisis
ConclusionThe technical considerations for performing a LeFort Colpocleisis include ruling out malignancy prior to surgery, adequate lateral channels for uterine drainage, the use of lidocaine with epinephrine, closure in multiple layers with excellent hemostasis and an aggressive posterior colpoperineorrhaphy. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1406 Same-Day Discharge Following Vaginal Hysterectomy with Pelvic Floor Reconstruction: A Pilot Study
ConclusionSame-day discharge 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 - October 15, 2019 Category: OBGYN Source Type: research

1820 Resection of Uterus, Fallopian Tubes and Gonades by Laparoscopy in Patient with Sexual Ambiguity
ConclusionIn this moment, focus on sexual ambiguity has been changed. Now there is a greater emphasis on a conservative approach and the delay of irreversible surgery until adulthood. That new approach allows the individualization of the patient and makes surgical decision once a gender identity is presented. Laparoscopic surgery has been found to be a tool for the adequate treatment that allows a complete visualization of the atrophic organs and gonads. Generating almost imperceptible scars in the long term and preventing possible malignant transformation in the future. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1201 Laparoscoic Supracervical Hysterectomy and Sacrocervicopexy Using Flexdex's Platform Technology with Extraction of The Surgical Specimen by the Posterior Colpotomy for the Treatment of Uterine Prolapse
ConclusionThe FlexDex platform allows similar amplitude and intuitive wrist movement of the surgeon during complex procedures such as the one here presented – being a cost-effective alternative to the robot technology in countries where it is not readily available. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1783 Does Robot-Assisted Laparoscopy Improve Outcomes in Ovarian Dermoid Cystectomy?
ConclusionRobot-assisted laparoscopy did not reduce intraoperative spillage of dermoid cyst contents compared to traditional laparoscopy or laparotomy. In patients with large (>6cm) dermoid cysts the use of RAL decreased blood loss, length of postoperative hospital stay, need for inpatient admission and conversion to LAP (compared to SLA), but increased the length of surgery and hospital cost compared to LAP. We conclude that larger dermoid cysts may be treated with RAL instead of LAP. Smaller cysts may have equivalent outcomes with traditional laparoscopic techniques. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2728 Robotic Assisted Excision of a Uterine Rudimentary Horn
ConclusionWe hypothesize that after removal of the right fallopian tube retrograde menstrual flow was blocked and caused her severe dysmenorrhea. After the excision of the rudimentary horn the patient's pain improved and went on to naturally conceive an intrauterine pregnancy. The Patient is currently in her second trimester. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2835 Robot-Assisted Laparoendoscopic Single-Site (Ra-Less) Myomectomy Using Lapsingle Port
ConclusionRA-LESS myomectomy is a safe and feasible surgery with excellent cosmetic and postoperative outcomes in selected patients. Further investigation is needed to define the patient groups that will most benefit from it. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2040 Three-Arm Robotic Hysterectomy: Choreography for the Trainee
ConclusionThe principles of this step-by-step choreographed method can be reproducible with every platform, docking preference, and surgeon handedness. The 5 exercises break down the procedure for the trainee as specific tasks to complete and master separately. This facilitates the learning process and maintains operating room efficiency. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2529 Increased Surgical Site Infections in Robotic Hysterectomies in a Large Health System
ConclusionA review of cases reveals robotic hysterectomies as having the largest rate of SSI in the 6 hospitals examined at 1.98% as compared to laparoscopic hysterectomies with an SSI rate of 0.13% over 2 years. Further research is needed to validate these findings over time and geographic location, and examine reasons why robotic surgery may confirm a higher infection rate than laparoscopic in these locations. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2026 Robot-Assisted Laparoscopic Adenomyomectomy is a Feasible Option of Uterus-Sparing Surgery: Adenomyomectomy Cohort Study
ConclusionAdenomyosis is a common benign gynecologic disease, however, conservative surgical option for preserving fertility is challenging. Adenomyomectomy is a conservative surgical option for preserving fertility. Comparing with open surgery, robot-assisted laparoscopic adenomyomectomy is a feasible option of uterus-sparing surgery using minimally invasive approach. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2878 Posterior Approach to Uterine Artery Ligation
ConclusionIn conclusion, an obliterated anterior cul-de-sac due to previous surgeries makes it difficult to access the uterine arteries secondary to poor visualization. By approaching uterine artery ligation from the posterior aspect, one may avoid inadvertent injury to vasculature or the bladder and reduce the amount of bleeding during the bladder dissection. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2180 Experience of Centro Medico Nacional “20 De Noviembre“ in Robotic-assisted Hysterectomy for Large Uteri: A Case Series of 20 Women
ConclusionIn skilled hands, robotic-assisted laparoscopic hysterectomy in women with large uteri is an acceptable option, associated with minimal complications. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1369 Cost and Outcomes Analysis of Robotic, Laparoscopic, and Abdominal Hysterectomy for Benign Disease in a Community Hospital Setting
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): N Yoo, M Cernadas, D PerisicStudy ObjectiveTo compare overall costs and quality measures of various methods of benign hysterectomies at a community based hospital systemDesignA retrospective review of all hysterectomies for benign indications at Saint Peters University Hospital between March 2017 to Dec 2018. Robotic assisted laparoscopic hysterectomies, laparoscopic hysterectomies, and abdominal hysterectomies were compared.SettingData was collected from admission to discharge. In the OR...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2751 A New Approach to the 4-Point Transversus Abdominis Plane Block
ConclusionA four-point TAP block is a safe, efficacious, yet simple procedure which can be performed by the surgeon under laparoscopic visualization. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2175 Use of a Mathematical Model for the Prediction of Surgical Time in Robotic Myomectomy
ConclusionSurgical time can be predicted with the aforementioned formula. We believe that the utilization of a mathematical model can be used to increase the efficiency in operating rooms. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2351 The da Vinci SP® Surgical System has an Advantage in Performing Surgery on a Giant Uterine Leiomyoma Weighing 2340g
ConclusionThe da Vinci SP surgical system enables easy rotation of camera and instruments at once and this make it easy to perform the procedures which are performed above the umbilicus for the huge uterine leiomyoma reaching the diaphragm. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1885 Robotic-Assisted Hysterectomy and Bilateral Salpingo-Oophorectomy with Uterine Artery Ligation in a Case of Tubo-Ovarian Abscess with Severe Pelvic Adhesion
ConclusionTotal hysterectomy with bilateral salpingo-oophorectomy may be feasible in the treatment of tubo-ovarian abscess by using robotic-assisted instruments. Due to the greater precision, better visualization, and higher dexterity of robotic-assisted surgeries. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2033 Surgical Benefits of Concurrent Robotic and Laparoscopic Staging Surgery in Endometrial Cancer
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): PL Torng, YX LiStudy ObjectiveTo evaluate the concurrent interaction of laparoscopic and robotic-assisted surgery in the initial learning period of endometrial cancer staging.DesignRetrospective cohort study.SettingA tertiary care referral hospital.Patients or ParticipantsThe first 44 consecutive patients with endometrial cancer underwent laparoscopic (LSS) or robotic-assisted staging surgery (RSS) from February 2012 to October 2015.InterventionsQuality of surgery was determined by the nu...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1155 Robotic Laparoendoscopic Single-Site Radical Hysterectomy and Pelvic Lymphadenectomy with Conventional Surgical Instruments in Cervical Cancer
ConclusionOur preliminary experience has demonstrated that with experienced laparoscopic skills, R-LESS with the da Vinci Si system is a feasible and safe surgical approach for performance of radical hysterectomy and pelvic lymphadenectomy with conventional robotic surgical instruments. Further studies with greater number of patients in multiple settings will help us to fully elucidate the role of da Vinci Si surgical system in single-site gynecologic surgery. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2960 An Overview of Uterine Scar Defects Post Cesarean Section
ConclusionThere are numerous reports of the minimally invasive repair of CSD; however, it remains unknown in the obstetrical literature when interventions are required. Patients with minimal myometrial thinning and without evidence of serosal dehiscence may not require repair of the defect. More evidence is needed to observe obstetrical outcomes with or without repair. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1542 Robotic Single Port Laparoscopy Using the Da Vinci Sp® Surgical System For Benign Gynecologic Disease; Preliminary Report
ConclusionRobotic single port laparoscopy using the da Vinci SP surgical system might be an alternative surgical technique for various benign gynecologic diseases However, further studies are required to clarify the feasibility and safety of the new robot surgical system. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2065 Robot-Assisted Laparoscopy Repair of a C-Section Scar Defect: A Case Report
ConclusionThe robotic-assisted laparoscopy view, with the 3-D dimension, and the forceps joint make the suture easily to be performed by the gynecologic surgeon. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2144 Robotic Isthmocele Repair of a Big Cesarean Scar Defect - A Feasible Technique
ConclusionRobotic isthmocele repair is a feasible technique when correctly chosen. Due to the raising number of cesarean sections, gynecologists will face this problem more frequently and must be aware of its indications as well as different approaches. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1439 Feasibility and Surgical Outcomes Associated with Reduced Port Robotic-Assisted Hysterectomy
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): J Klebanoff, P Tyan, S Smith, A North, A Sparks, R Amdur, GN MoawadStudy ObjectiveDemonstrate the safety, feasibility, and outcomes associated with the reduced port robotic-assisted hysterectomy (RPRH).DesignWe performed a retrospective cohort study of women undergoing a reduced-port robotic-assisted hysterectomy between 2012 and 2018 for benign indications.SettingA single academic university hospital.Patients or ParticipantsWomen who underwent a reduced port robotic-assisted hysterectomy...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1659 Factors Associated with Use of Robot-Assistance for Hysterectomy in Treating Benign Disease
ConclusionIn addition to clinical diagnosis, many demographic and health system factors are associated with use of robot-assistance for hysterectomy. This may indicate decreased access to the robot among underserved patient populations coupled with the capacity of large, urban facilities to make capital investments in robotic equipment. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1165 Degree of Trendelenburg Position Required for Robotic Assisted Laparoscopic Gynecologic Surgery
ConclusionSteep Trendelenburg is not always needed for gynecologic surgery. The majority of cases can be accomplished with less than 18 degrees of Trendelenburg. BMI, case difficulty and uterine size were associated with requiring steeper Trendelenburg. We recommend personalized positioning by placing the patient in the minimal amount of Trendelenburg required to adequately expose the target anatomy. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1644 1. Clinical Study and Evaluation of the Robotic Single-Site Hysterectomy
ConclusionThe Robotic Single-Site hysterectomy is a safe, reliable and feasible surgical method in gynecology. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2590 Robotic Block of Uterine Vessels in Different Anatomical Locations
ConclusionDa Vinci robot advantageously provides 3D visualization and the rotatable endowrist, making the procedure of dissecting at different anatomical locations much easier and safer. Getting familiar with the anatomical sites can greatly help the aforementioned surgical procedures. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2990 Evaluation of the Incidence and Types of Complications in Patients Undergoing for Robot – Assisted Hysterectomy in a Third Level Care Hospital in Mexico
ConclusionThe incidence of complications is similar to that reported in open surgery and discretely larger than laparoscopic, however type I complications were the most frequent.The high incidence of probably due to what we are is a school hospital and surgeons are training period. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2993 Trans Console Authority Gradient On Robotic Platform Dual Consoles in Resident Surgical Education
ConclusionAffirmation of learner and instructor affinity for dual robotic consoles in training. Recognition that the trans console authority gradient can affect learner comfort and the learning environment. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2662 Accurate Dissection in Robotic Surgery Using the Double Bipolar Method-With Pinpoint Accuracy
ConclusionThe pinpoint accuracy of the bipolar method allowed for safe and complete dissection. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2794 Nerve Sparing Radical Hysterectomy Versus Conventional Radical Hysterectomy in Early-Stage Cervical Cancer: A Systematic Review And Meta-Analysis
ConclusionThe collected data up to now demonstrated that the nerve-sparing approach guarantees minimized surgical-related pelvic dysfunctions, similar oncologic outcomes as conventional radical hysterectomy. However, because of the low quality of the articles included, more evidence is needed. Further RCTs should be conducted to strengthen the superiority and safety of NSRH. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1879 Comparison of MRI, PET-CT, and Frozen Biopsy in The Evaluation of Lymph Node Status Before Fertility-Sparing Robotic or Laparoscopic Radical Trachelectomy in Early Stage Cervical Cancer
ConclusionWhen comparing patients with patients, frozen biopsy approach is significantly better than MRI and PET-CT to evaluate sensitivity, specificity, and accuracy. Frozen biopsy of all lymph nodes retrieved during surgery is still the best method to evaluate lymph node status before fertility-sparing radical trachelectomy. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1948 Robotic Type II B Posterior Exenteration for Recurrent Vaginal Cancer
ConclusionRobotic approach to highly morbid pelvic exenteration procedures should be considered in selected patients with recurrent gynecologic malignancies, who present without evidence of distant metastatic disease. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1757 Applicability of Two Venous Thromboembolism Risk Assessment Models in Gynecologic Surgical Patients
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): T Guo, C Liu, Z ZhangStudy ObjectiveThe aim of this study was to examine the applicability of the Caprini risk assessment model and gynecologic Caprini risk assessment model for postoperative venous thromboembolism risk assessment in gynecologic surgical patients and make a comparison between the two risk assessment models.DesignA database of a randomized controlled trial was employed. Scores of Caprini and gynecologic Caprini risk assessment model were calculated for each patient. Patien...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1796 Learning Curve Could Affect the Surgical Outcome of Radical Hysterectomy in Cervical Cancer
ConclusionThe learning curve could significantly affect the oncologic outcome in robotic-assisted radical hysterectomy. Enough experience is necessary to improve surgical outcome in RRH. Further, a prospective randomized study regarding sufficient surgical competence is necessary for elaborate analysis of feasibility of minimally invasive radical hysterectomy. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2126 Perioperative Outcomes of Combined Gynecologic Oncology and Urogynecologic Surgeries
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): KW Fan, MK Shu, A Eddib, C TysonStudy ObjectiveTo compare perioperative outcomes of patients undergoing standard oncology staging versus combined oncology staging and urogynecologic procedures for pelvic floor dysfunction repair.DesignA retrospective cohort study of two gynecologic oncology patients groups who underwent robotic assisted surgical staging versus surgical staging with concomitant pelvic floor repair.SettingMany women diagnosed with a gynecologic malignancy may have comorbid ...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2303 Comparison of Laparoscopy and Laparotomy in Primary Cytoreductive Surgery of Advanced Epithelial Ovarian Cancer
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): JM Eom, JS Choi, J Bae, WM Lee, US Jung, H LeeStudy ObjectiveThe aim of this study was to assess the surgical and oncologic outcome of laparoscopic primary cytoreductive surgery on advanced epithelial ovarian cancer in comparison with conventional laparotomy surgery.DesignRetrospective cohort study.SettingUniversity hospital in Korea.Patients or ParticipantsPatients with FIGO stage up to III ovarian cancer undergoing laparoscopic primary cytoreductive surgery from January 2011 to March 20...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1870 Comparison of Laparoscopic Versus Open Radical Hysterectomy in Early Cervical Cancer after Completing Learning Curve and Reducing Intraperitoneal Tumor Exposure
ConclusionThe survival outcome of laparoscopic radical hysterectomy is comparable to open radical hysterectomy after completing learning curve and reducing intraperitoneal tumor exposure during surgery. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1538 Incidence of Gynecologic Cancers in Women after Uterine Fibroid Embolization
ConclusionA small fraction of women undergoing UFE develop subsequent gynecologic malignancies. Women choosing uterine preservation with UFE should be counseled about the risk of developing gynecologic malignancies in the future, some of which may be preventable with hysterectomy. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1251 Opportunistic Salpingectomy at Time of Non-Gynecologic Laparoscopic Procedures Would Significantly Reduce Ovarian Cancer Mortality and Would Reduce Overall Healthcare Expenditures
ConclusionUniversal OpSalp during hysterectomy, BTL and elective surgery will significantly reduce OvCa mortality and reduce overall healthcare expenditures due to prevention of OvCa. Therefore, it would be reasonable to perform OpSalp in all women undergoing elective surgery. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2898 200 Cases of Endometrial Cancer – 10 Year Outcomes
ConclusionThis study supports the strong association between high BMI and endometrial cancer. Despite obesity presenting significant surgical challenges, complication rates are low considering the patient demographic. The shortest median length of stay was with vaginal and laparoscopic hysterectomy. Preoperative grading and staging are relatively accurate in our department. Confirmed recurrence rates are low, although a significant proportion of patients are still in follow-up. Clinical follow-up is not useful in detecting recurrence in the majority of patients, which supports a Self Directed Aftercare approach in the majo...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2615 Robotic Tumor Debulking Off External Iliac Vessels for Management of Recurrent Ovarian Cancer
ConclusionTo optimize targeting and visualization of the surgical field in right pelvic sidewall/paracolic gutter, robotic arms can be placed in a straight line from above the pubic symphysis extending to the left subcostal line and between the midline vertical and midclavicular lines. Robotic tumor debulking should be considered in selected patients with recurrent ovarian cancer who present with oligo-metastatic disease, in the absence of carcinomatosis. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1354 The Safety and Efficacy Of Intra-Arterial Versus Intra-Venous Neoadjuvant Chemotherapy in Patients with Locally Advanced Cervical Cancer: A Meta-Analysis
ConclusionPlatinum-based NACT was well tolerated in patients with LACC and showed moderate response activity. Compared to NCIV, NCIA showed an evident advantage in the clinical response with a similar toxicity rate. The clinical efficacy of NCIA deserves further evaluation. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research