2534 Opioid Use and Misuse among Gynecologic Oncology Patients
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): SR Pena, J Brown, M Wally, R Seymour, JR Hsu, RW NaumannStudy ObjectiveTo determine opioid and benzodiazepine prescribing practices in the gynecologic oncology population and determine if this patient population is at risk for narcotic abuse.DesignThis was an IRB-approved, retrospective study of opioid and benzodiazepine prescriptions for cervical, ovarian (including fallopian tube and primary peritoneal), and uterine cancer patients within a single healthcare system from January 2016 to ...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1868 Prognostic Value of Preoperative Lymphocyte-Monocyte Ratio in Patients with Ovarian Clear Cell Carcinoma
ConclusionMarkers of systemic inflammatory response provide useful prognostic information and lymphocyte-to-monocyte ratio is the most reliable independent prognostic factor of overall survival in patients with ovarian clear cell carcinoma. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1471 Single-Site Laparoscopic Total Hysterectomy and Bilateral Pelvic Lymphadenectomy for Endometrial Cancer
ConclusionSingle-site laparoscopy is an alternative surgical choice for endometrial cancer. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2921 Trends in Endometrial Hyperplasia Over the Past Decade – Is It on the Increase?
ConclusionOverall hyperplasia incidence is increasing. While BMI is elevated, there was no upward trend observed. Does the insidious decline in age demographic suggest that hyperplasia is occurring in younger women? Our review did not demonstrate a continuous increase in atypia, however there was a higher incidence in the 2013 group, who were also the most obese. Adherence to best practice surveillance in our hospitals was falling short. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2000 Survival Outcomes of Neoadjuvant Chemotherapy Followed By Laparoscopic or Open Radical Hysterectomy Versus Concurrent Chemoradiation in Patients with Locally Advanced Cervical Cancer
ConclusionNeoadjuvant chemotherapy followed by laparoscopic and open radical hysterectomy seems to be a safe treatment option for locally advanced cervical cancer, in terms of similar survival outcomes and morbidity of treatment with CCRT. However, the present study is too limited to permit conclusions due to its small sample size and retrospective design despite statistical methods for adjusting confounding factors. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1206 The Effect of Sub-Cutaneous and Intra-Peritoneal Anesthesia on Post Laparoscopic Pain: A Randomized Controlled Trial
ConclusionSub-cutaneous and/ or intra-peritoneal anesthesia were not effective in reducing post-operative pain. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1582 Laparoscopic Excision of Endometriosis does not Reduce the Risk of Reoperation within 2 Years Compared with Ablation of Implants
ConclusionThere was no difference in the risk of repeat surgery within 2 years whether endometriosis was excised or ablated. Excision using robot-assisted technique showed a non-significant trend toward a decrease in reoperation rate. In this clinical center, endometriosis ablation and excision are equally effective to prevent repeat surgery. The method should be selected based on surgeon experience. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1469 Comparison of Neovaginoplasty Using Acellular Porcine Small Intestinal Submucosa Graft or Interceed in Patients with Mayer-Rokitansky-Küster-Hauser Syndrome
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): X Zhang, J Ding, K HuaStudy ObjectiveTo compare using the acellular porcine small intestinal submucosa (SIS) graft or the Interceed in patients with MRKH syndrome undergoing creation of a neovagina.DesignRetrospective study.SettingAcademic affiliated community hospital.Patients or ParticipantsPatients with MRKH syndrome undergoing creation of a neovagina from 2016 to 2018 were retrospectively investigated.InterventionsWharton-Sheares-George neovaginoplasty was performed using the acellula...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2920 A Retrospective Look at Gynecological Surgical Complications
ConclusionMore surgical complications were seen in abdominal cases versus minimally invasive cases. Out of all the major and minor complications seen in gyn surgery the more common complication were GU complications. Currently in the process of analyzing complications based on surgeon experience and training with the hypothesis that surgeons who operate more and have gynecological training after residency will have fewer complications (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

Index of Primary Authors
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2725 A New Approach to the Surgical Treatment of Stage III and IV Pelvic Organ Prolapse (POP) - Preliminary Results
ConclusionPresented technique seems to be a safe and effective alternative to other POP treatment methods. It is associated with a negligible complications rate. Laparoscopic approach with it's superiority to laparotomy in some patients and a short learning curve, makes it even safer. Increasing the number of treated patients and continuing follow-up 3 and 5 years after the surgery is planned. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

The role of transillumination in a laparoscopic resection of a cesarean scar niche
Publication date: Available online 14 October 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Christine E. Foley, Erin Rhinehart, Noah Rindos (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 14, 2019 Category: OBGYN Source Type: research

Extra-Pelvic Endometriosis: A Systematic Review
ConclusionsExtra-pelvic endometriosis, traditionally thought to be rare, have been reported in a considerable number of cases. Heightened awareness and clinical suspicion of the disease, and multi-disciplinary approach is recommended to achieve prompt diagnosis and optimize patient outcomes. At this time, there are no comparative studies to provide recommendations regarding optimal diagnostic methods, treatment options and outcomes for endometriosis involving extra-pelvic sites. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 14, 2019 Category: OBGYN Source Type: research

Dysmorphic Uterus: Do We Need a T-Y-I Subclassification?
Publication date: Available online 10 September 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Luis Alonso, Sergio Haimovich, Attilio Di Spiezio Sardo, Jose Carugno (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 12, 2019 Category: OBGYN Source Type: research

Robotic Tumor Debulking Off External Iliac Vessels For Management of Recurrent Ovarian Cancer
ConclusionsRobotic resection of the tumor nodule off the external iliac vessels was successfully performed with adequate range of motion provided by the arms and without any complications.Trocar placement should be tailored to the site of surgical interest. Robotic-assisted laparoscopy should be considered as a valid alternative to the traditional open approach, when managing solitary masses in recurrent ovarian cancer patients. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 12, 2019 Category: OBGYN Source Type: research

Regarding “Link between Endometriosis, Atherosclerotic Cardiovascular Disease, and the Health of Women Midlife “
Publication date: Available online 11 October 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Philippe R. Koninckx, Anastasia Ussia, Muna Tahlak, Arnaud Wattiez (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 12, 2019 Category: OBGYN Source Type: research

Imaging for adenomyosis - Making the diagnosis by sonography
ConclusionA structured systematic description of individual 2 dimensional and 3 dimensional ultrasound features is important for a correct diagnosis of adenomyosis. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 12, 2019 Category: OBGYN Source Type: research

Laparoscopic excision of a 5-cm retroaortic relapse of ovarian cancer
ConclusionLaparoscopic approach to isolated relapse of ovarian cancer is feasible and safe, with fast recovery (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 12, 2019 Category: OBGYN Source Type: research

Authors’ reply
Publication date: Available online 11 October 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Omur Taskin, Kiran Rikhraj, Justin Tan, Tara Sedlak, Timothy C. Rowe, Mohamed A. Bedaiwy (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 12, 2019 Category: OBGYN Source Type: research

The Association Between Mindfulness and Postoperative Pain: A Prospective Cohort Study of Gynecologic Oncology Patients Undergoing Minimally Invasive Hysterectomy
ConclusionMindfulness was previously shown to be a promising intervention for chronic pain treatment. Our study demonstrates that higher preoperative dispositional mindfulness is associated with more favorable postoperative pain outcomes, including lower pain scores but not lower opioid consumption. This relationship provides an opportunity to target the modifiable personality characteristic of mindfulness, to reduce postoperative pain in patients following gynecologic surgery. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 9, 2019 Category: OBGYN Source Type: research

New sonographic classification of adenomyosis: do type and degree of adenomyosis correlate to severity of symptoms?
ConclusionThe ultrasonographic evaluation of the type and extension of adenomyosis in the myometrium seems to be important in correlation to the severity of symptoms and infertility. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 9, 2019 Category: OBGYN Source Type: research

Perioperative Narcotic Trends in Women Undergoing Minimally Invasive Myomectomy
Publication date: Available online 7 October 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Paul Tyan, Jordan S. Klebanoff, Savannah Smith, Richard Amdur, Alexandra North, Marloes S. Maassen, Gaby N. MoawadAbstractStudy ObjectiveEvaluate the perioperative narcotic utilization patterns at the time of myomectomy, specifically as they relate to the opioid epidemic. We also aim to evaluate the differences between conventional laparoscopy and robotic surgery in terms of narcotic utilization.DesignRetrospective cohort studySettingA single academic university hospitalPatientsWomen undergoing minimally invasive myo...
Source: Journal of Minimally Invasive Gynecology - October 9, 2019 Category: OBGYN Source Type: research

Regarding “Tension-free vaginal tape for the treatment of stress urinary incontinence: a 13-year prospective follow-up”
Publication date: Available online 3 September 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Henry H. Chill, David Shveiky (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 5, 2019 Category: OBGYN Source Type: research

Interstitial Pregnancy Following Ipsilateral Salpingectomy: Analysis of 46 Cases and Literature Review
ConclusionsPatients with history of ipsilateral salpingectomy should be cautioned regarding the possibility of interstitial pregnancy. Laparoscopic cornuostomy appears to be an appropriate treatment for interstitial pregnancy in patients wishing to preserve fertility, and the use of concomitant prophylactic MTX may reduce the risk of PEP, especially in patients with ruptured masses and high human gonadotropin levels. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 5, 2019 Category: OBGYN Source Type: research

A Novel Cerclage Insertion: Modified Laparoscopic Transabdominal Cervical Cerclage with Transvaginal Removing (MLTCC-TR)
Publication date: Available online 2 October 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Yi-yi Wang, Hua Duan, Xiang-ning Zhang, Sha Wang, Lei GaoAbstractStudy ObjectiveTo report on our center's experience of a novel modified approach for laparoscopic cervical cerclage and to evaluate its safety and efficacy preliminarily.DesignA retrospective descriptive studySettingSingle academic institutionPatientsPregnant and non-pregnant women who underwent the Modified Laparoscopic Transabdominal Cervical Cerclage with Transvaginal Removing (MLTCC-TR) from June 2016 to April 2019. Eligible participants had multipl...
Source: Journal of Minimally Invasive Gynecology - October 4, 2019 Category: OBGYN Source Type: research

Robotic Transabdominal Cerclage vs Laparotomy: A Comparison of Obstetric and Surgical Outcomes
Publication date: Available online 15 August 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Rachael B. Smith, Janel Brink, Chengcheng Hu, Richard Gerkin, Jordan H. Perlow, Jamal MouradABSTRACTStudy ObjectiveTo compare obstetric and surgical outcomes of transabdominal cerclage (TAC) via laparotomy (TAC-LAP) versus robotic-assisted (TAC-RA) approaches.DesignRetrospective cohort study.SettingAn academic medical center.PatientsSixty-nine women with acquired or congenital cervical insufficiency.InterventionsAll women underwent TAC either by laparotomy or robotic-assisted approaches by 2 primary surgeons between ...
Source: Journal of Minimally Invasive Gynecology - October 2, 2019 Category: OBGYN Source Type: research

Chronic Endometritis: Three-dimensional Ultrasound and Hysteroscopy Correlation
Publication date: Available online 3 September 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Luis Alonso, Jose Carugno (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 2, 2019 Category: OBGYN Source Type: research

Proximal Fallopian Tubal Embolization by Interventional Radiology Prior to Embryo Transfer in Infertile Patients With Hydrosalpinx: A Prospective Study of an Off-Label Treatment
ConclusionPregnancy in the RTO-EM group was comparable to the salpingectomy group in patients with hydrosalpinx prior to ET treatment. Radiologically guided tubal occlusion with embolization microcoils may be an alternative to salpingectomy for patients with hydrosalpinx planning IVF-ET. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 1, 2019 Category: OBGYN Source Type: research

Case report: Critically high carboxyhemoglobin level following extensive hysteroscopic myomectomy
We present a case of a 36-year-old G0P0 with Abnormal Uterine Bleeding-Leiomyoma and resultant anemia undergoing hysteroscopic resection of a large, submucous fibroid. During surgery, the patient was found to have a critically elevated level of carboxyhemoglobin, and accompanying ECG derangements. She was managed with prolonged intubation, 100% O2, and trending of her carboxyhemoglobin levels before extubation.This demonstrates the importance of being cognizant of the potentially toxic gaseous byproducts of bipolar resection, and to include intravasation of these byproducts in one's consideration of patient safety during e...
Source: Journal of Minimally Invasive Gynecology - September 28, 2019 Category: OBGYN Source Type: research

Adnexal torsion in pregnancy managed by laparoscopy is associated with favorable obstetrical outcomes
ConclusionThe obstetrical outcomes of pregnant women who underwent laparoscopy for adnexal torsion are generally favorable. However, there is a risk for preterm delivery which is primarily associated with multiple gestation. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 27, 2019 Category: OBGYN Source Type: research

Uterine PEComa – A Group of Rare Mesenchymal Tumors
Publication date: Available online 22 August 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Prabha Agrawal, Manjula Anagani, Rahul Agrawal (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 24, 2019 Category: OBGYN Source Type: research

Regarding “Histopathology and Clinical Outcomes of 151 Women with Postmenopausal Bleeding Treated with Resectoscopic Surgery”
Publication date: Available online 20 September 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Dmitry Fridman, Ohad Rotenberg, Peer Dar (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 22, 2019 Category: OBGYN Source Type: research

Neovaginoplasty using Nile Tilapia Fish Skin as a new biological graft in patients with Mayer-Rokitansky-Küster-Hauser syndrome
Publication date: Available online 20 September 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Maria Tereza Pinto Medeiros Dias, Andreisa Paiva Monteiro Bilhar, Livia Cunha Rios, Bruno Almeida Costa, Edmar Maciel Lima Júnior, Ana Paula Negreiros Nunes Alves, Zenilda Vieira Bruno, Manoel Odorico de Moraes Filho, Leonardo Robson Pinheiro Sobreira BezerraABSTRACTMayer–Rokitansky–Kuster–Hauser syndrome is the second most common cause of primary amenorrhea, trailing only gonadal dysgenesis. In patients who failed dilation therapy, neovaginoplasty is an appropriate treatment option. Sever...
Source: Journal of Minimally Invasive Gynecology - September 22, 2019 Category: OBGYN Source Type: research

Histopathology and Clinical Outcomes of 151 Women with Postmenopausal Bleeding Treated with Resectoscopic Surgery
Publication date: Available online 20 September 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): George A. Vilos, Rakia AlJasser, Angelos G. Vilos, Basim Abu-Rafea (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 22, 2019 Category: OBGYN Source Type: research

The role of fertility preservation in women with endometriosis: a systematic review
CONCLUSIONWomen with endometriosis may benefit from fertility preservation techniques. However, there currently is a paucity of data in this population, especially when compared to other indications for fertility preservation. While much knowledge can be translated from the oncofertility discipline, we have identified and discuss endometriosis-related changes to ovarian reserve and oocyte health that justify further well-designed research to confirm that fertility preservation outcomes are similar for women with endometriosis. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 22, 2019 Category: OBGYN Source Type: research

Endometriosis and ectopic pregnancy: A meta-analysis
Publication date: Available online 20 September 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Paul J. Yong, Samaa Matwani, Chantalle Brace, Andrea Quaiattini, Mohamed A. Bedaiwy, Arianne Albert, Catherine AllaireAbstractObjectiveTo systematically review and perform a meta-analysis of the risk of ectopic pregnancy in endometriosis.Data sourcesMEDLINE (OVID), Embase (OVID), CINAHL (EBSCO) and Cochrane to April 1, 2019. Inclusion criteria: cohort or case-control studies from 1990 onwards. Exclusion criteria: cohort studies without controls, case reports or series, or no English full-text.Methods of study sele...
Source: Journal of Minimally Invasive Gynecology - September 22, 2019 Category: OBGYN Source Type: research

Chronic Endometritis in Fertile and Infertile Women Who Underwent Hysteroscopic Polypectomy
ConclusionIn women with endometrial polyps, the prevalence of CE in infertile women is higher than that in fertile women. Pregnancy outcome in infertile women with treated CE was similar to those who were infertile and without CE. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 20, 2019 Category: OBGYN Source Type: research

Which knots are recommended in laparoscopic surgery and how to avoid insecure knots
Publication date: Available online 20 September 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Armando Romeo, Luiz Flavio Fernandes, Graciele Vidoto Cervantes, Revaz Botchorisishvili, Chiara Benedetto, Leila Adamyan, Anastasia Ussia, Arnaud Wattiez, William Kondo, Philippe Robert KoninckxABSTRACTStudy ObjectiveTo investigate why security of identical knot sequences is variable and how to avoid occasionally insecure knots.DesignA factorial design was used to assess factors affecting the security of half knot (H) and half hitch (S) knot combinations. The effect of tying forces and the risk factors to transfor...
Source: Journal of Minimally Invasive Gynecology - September 20, 2019 Category: OBGYN Source Type: research

Post-Ablation Cavity Evaluation (PACE): A Prospective, Multi-center, Observational Clinical Study to Evaluate Hysteroscopic Access to the Uterine Cavity Four Years After Water Vapor Endometrial Ablation for the Treatment of Heavy Menstrual Bleeding
ConclusionWater vapor endometrial ablation preserved an accessible uterine cavity and visualization of the ostia in the majority of subjects, with minimal incidence of severe adhesions a mean of four years following the ablation procedure. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 17, 2019 Category: OBGYN Source Type: research

Chronic Pelvic Pain Caused by Postmenopausal Endometriosis
Publication date: Available online 20 August 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Megan N. Wasson (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 16, 2019 Category: OBGYN Source Type: research

Intrauterine Instillation of Tranexamic Acid in Hysteroscopic Myomectomy: A double blind Placebo Controlled Parallel Groups Randomized Clinical Trial
Conclusionintrauterine instillation of TXA with the distention medium during hysteroscopic myomectomy resulted in a statistically significant decrease in hemoglobin level reduction 24 hours after the surgery; albeit with minimal clinical significance. TXA resulted in better visualization of the field throughout the procedure. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 16, 2019 Category: OBGYN Source Type: research

Richter's hernia in a 5-mm trocar site
Publication date: Available online 16 September 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Cheng-Zhi Zhao, Lu-Bin Liu (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 16, 2019 Category: OBGYN Source Type: research

Keep Your Landmarks Close and the Hypogastric Nerve Closer: An Approach to Nerve-sparing Endometriosis Surgery
ConclusionThe hypogastric nerve follows a predictable course and can be identified, dissected, and spared during pelvic surgery, making it an important landmark for the preservation of pelvic autonomic innervation. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 13, 2019 Category: OBGYN Source Type: research

Hysteroscopic Photodynamic Diagnosis Using 5-Aminolevulinic Acid: A High-Sensitivity Diagnostic Method for Uterine Endometrial Malignant Diseases
Publication date: Available online 12 August 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Yusuke Matoba, Kouji Banno, Iori Kisu, Yusuke Kobayashi, Kosuke Tsuji, Shimpei Nagai, Wataru Yamagami, Masaru Nakamura, Eiichiro Tominaga, Miho Kawaida, Daisuke AokiABSTRACTStudy ObjectiveTo examine the diagnostic accuracy of hysteroscopic photodynamic diagnosis (PDD) using 5-aminolevulinic acid (5ALA) in patients with endometrial cancer and premalignant atypical endometrial hyperplasia.DesignA single-center, open-label, exploratory intervention study.SettingUniversity Hospital in Japan.PatientsThirty-four patients w...
Source: Journal of Minimally Invasive Gynecology - September 13, 2019 Category: OBGYN Source Type: research

Ghost ileostomy in anterior resection for bowel endometriosis: technical description
ConclusionGhost ileostomy is a simple, safe and feasible technique available in the setting of lower colorectal anastomosis following bowel endometriosis resection. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 13, 2019 Category: OBGYN Source Type: research

Hospital Associated Cost of Endometriosis in Canada: A Population-Based Study
ConclusionThe hospital cost associated with endometriosis was approximately C$ 30 million (U$ 29.56 million) per year, whereas uterine endometriosis, hysterectomy and older age were found to have higher average cost per case. Though this study focuses specifically on hospital admission and does not account for outpatient costs or indirect costs, this study nonetheless highlights the economic burden of this debilitating disease on Canadian society during the study period. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 13, 2019 Category: OBGYN Source Type: research

Management of Intramural Pregnancy by Hysteroscopic surgery
Publication date: Available online 11 September 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Boping Yang, Da Wei Zhu, Jing Tang, Suzhen Ran, Li Li, Yugang ChiAbstractIntramural pregnancy is one of the rarest types of ectopic pregnancy. Surgery for intramural pregnancy could include excision or hysterectomy by laparoscopic or open surgery, we proposed a new treatment for intramural pregnancy to reduce the trauma of the patient. Hysteroscopic surgery will be a most minimally invasive surgery. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 13, 2019 Category: OBGYN Source Type: research

Patient Discharge Without an Order to Void in the Outpatient Gynecologic Surgery Setting
Publication date: Available online 11 September 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Parisa Samimi, Matthew Siedhoff, Naomi Greene, Kelly WrightAbstractStudy ObjectiveTo evaluate if there is a difference in hospital readmission when patients are required to void versus not required to void prior to discharge following a same-day gynecologic procedure.DesignA retrospective cohort study.SettingAn urban tertiary care hospital.Patients4743 patients undergoing same-day gynecologic surgery.InterventionsThe re-admission rates of patients discharged home without an order to void were compared to those wit...
Source: Journal of Minimally Invasive Gynecology - September 13, 2019 Category: OBGYN Source Type: research

Can laparoscopic entry be as much about the journey as the destination?
Publication date: Available online 11 September 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Gary N. Frishman (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 13, 2019 Category: OBGYN Source Type: research

The LACC Trial and Minimally Invasive Surgery in Cervical Cancer
Publication date: Available online 11 September 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Ignace Vergote, Javier F. Magrina, Vanna Zanagnolo, Paul M. Magtibay, Kristina Butler, Antonio Gil-Moreno, Berta-Diaz Feijoo, Rainer Kimmig, Michel Canis, Nicholas Bourdel, Thomas Ind, Rick Estape, Jan Persson, Peter Lim, Pluvio Coronado, Jordi Ponce, Eric Lambaudie, Toon Van Gorp, Angelo Maggioni, Fabrice Narducci (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 13, 2019 Category: OBGYN Source Type: research