New Retroperitoneal Transvaginal Natural Orifice Transluminal Endoscopic Surgery Approach to Sentinel Node for Endometrial Cancer: A Demonstration Video
ConclusionIt has been previously shown 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 - June 9, 2019 Category: OBGYN Source Type: research

Intrauterine fallopian tube incarceration after vacuum aspiration for pregnancy termination causes infertility
Publication date: Available online 7 June 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Boughizane Sassi, Bannour Badra, Rjiba Ghada, Bannour Imen, El Abed Meriem, Khairi Hedi (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 7, 2019 Category: OBGYN Source Type: research

A desmoid tumor at the site of endometriosis surgery, coincident with the use of oral contraceptives
Publication date: Available online 7 June 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Masashi Takamura, Kaori Koga, Shigenobu Emoto, Kazushige Kawai, Yutaka Osuga, Soichiro IshiharaAbstractDesmoid tumors, which are often estrogen-dependent, frequently develop in surgical wounds.Here we report a Case of 33 year-old woman with a 4-cm solid mass detected in her left adnexal area. She had previously undergone a laparoscopic surgery for endometriosis at age 29, and had been using combined oral contraceptives (COC) to prevent recurrence. The mass was diagnosed as a uterine fibroid on the basis of ultrasonograp...
Source: Journal of Minimally Invasive Gynecology - June 7, 2019 Category: OBGYN Source Type: research

Venous Gas Embolism during Hysteroscopic Endometrial Ablation: Report of 5 Cases and Review of the Literature
ConclusionsAlthough 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 - June 6, 2019 Category: OBGYN Source Type: research

Uterine artery sparing minimally invasive radical trachelectomy: a case report and review of the literature
Publication date: Available online 4 June 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Soorin Kim, Sophie Chung, Masoud Azodi, Gulden MenderesABSTRACTRadical trachelectomy is considered in patients with early stage cervical cancer who desire future fertility. This manuscript is accompanied by a video that provides the step-by-step demonstration of a uterine artery sparing robotic-assisted radical trachelectomy in a patient with stage IB1 squamous cell carcinoma of the cervix, with a two centimeter mass, and a desire for future fertility. We also conducted a review of literature examining the use of uterin...
Source: Journal of Minimally Invasive Gynecology - June 6, 2019 Category: OBGYN Source Type: research

Paramyomatous isthmic ectopic pregnancy
Publication date: Available online 5 June 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Andrew McIntyre, Sujana Molakatalla (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 6, 2019 Category: OBGYN Source Type: research

Hamstring Autograft as a Mesh-Alternative for Pelvic Organ Prolapse
Publication date: Available online 5 June 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Amadeus Hornemann, Benjamin Hoch, Günter Germann, Wolfgang Franz, Marc Suetterlin (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 6, 2019 Category: OBGYN Source Type: research

Mini-laparoscopic total hysterectomy in current practice, feasibility and benefits: a prospective, unicentric, randomized controlled trial
ConclusionTotal mini-laparoscopic hysterectomy appears inferior to standard laparoscopy in terms of operative time and surgeon working conditions only the short-term cosmetic appearance was in favour of the 3 mm approach (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 4, 2019 Category: OBGYN Source Type: research

Channel-like 360° Isthmocele Treatment with a 16F Mini-Resectoscope: A 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 a dull sensation after menstruation. Several factors may play a role in isthmocele development such as a low uterine incision, a deficient suturing technique of the uterine incision, and 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 laparoscopi...
Source: Journal of Minimally Invasive Gynecology - May 31, 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 ObjectiveTo 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 study.SettingAn academic tertiary hospital affiliated with the Chinese National Cancer Center.PatientsSix hundred fifteen patients with Fédération...
Source: Journal of Minimally Invasive Gynecology - May 31, 2019 Category: OBGYN Source Type: research

Robotically Assisted Total Laparoscopic Supralevator Pelvic Exenteration- Steps to Excision of the Pelvic Viscera
ConclusionA total pelvic exenteration can be safely performed robotically with appropriate understanding of the key steps and anatomical landmarks (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 28, 2019 Category: OBGYN Source Type: research

An Efficient Single-Session Spatial Skill Trainer for Robot-assisted Surgery: A Randomized Trial
Publication date: Available online 27 May 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Liel Luko, Avi Parush, Emad Matanes, Roy Lauterbach, Ayal Taitler, Lior LowensteinAbstractObjectiveTo introduce and examine a single session of spatial skill training as an efficient means of improving surgical suturing performance in robot-assisted surgery.Designrandomized, controlled trialSettingA tertiary university medical center in Israel.ParticipantsA purposive sample comprised 41 residents with no robotic suturing skillsInterventionsA computer-based simulator training of spatial skillsMeasurements and Main Result...
Source: Journal of Minimally Invasive Gynecology - May 28, 2019 Category: OBGYN Source Type: research

Identification of predictive factors in endometriosis for improvement in patient quality of life
Publication date: Available online 27 May 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Aurélie Comptour, Bruno Pereira, Céline Lambert, Pauline Chauvet, Anne-Sophie Gremeau, Jean-Luc Pouly, Michel Canis, Nicolas BourdelABSTRACTStudy objectiveTo investigate predictive factors for change in quality of life (QoL) between pre and post-operative periods in patients with endometriosisDesignProspective and multicenter cohort studySetting5 districts including a tertiary referral center, private and general public hospitalsPatient981 patients, aged 15-50 years, underwent laparoscopic treatment (prefe...
Source: Journal of Minimally Invasive Gynecology - May 28, 2019 Category: OBGYN Source Type: research

Long term reproductive outcomes after hysteroscopic treatment of dysmorphic uteri in women with reproductive failure: an European multicenter study
CONCLUSIONSOur long-term follow-up data demonstrated that the hysteroscopic correction of dysmorphic uterus may result in high live birth rate in women suffering from unexplained infertility or repeated miscarriages. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 28, 2019 Category: OBGYN Source Type: research

Short-term Outcomes of Non-robotic Single-incision Laparoscopic Sacrocolpopexy: A Surgical Technique
This study will consist of a retrospective analysis of 49 consecutive cases.SettingThis study is set at the Third Affiliated Hospital of Guangzhou Medical University from October 2016 to November 2017.PatientsThe population for this study will consist of women with stage II-IV POP, who met eligibility criteria for laparoscopic surgery.InterventionsS-LSC included the use of V-locTM barbed suture and retroperitoneal tunneling, in addition to standard single-incision laparoscopic surgery techniques. All 49 cases were successfully completed. All cases included concomitant procedures; 42 (85.7%) had removal of uterus and adnexa...
Source: Journal of Minimally Invasive Gynecology - May 28, 2019 Category: OBGYN Source Type: research

Essentials in Minimally Invasive Gynecology 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 among 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 - May 25, 2019 Category: OBGYN Source Type: research

Oocyte Retrieval During Laparoscopic Vaginoplasty to Reduce Invasiveness in the Treatment of Mayer-Rokitansky Küster-Hauser Syndrome
ConclusionThis is the first report of combined oocyte retrieval and vaginoplasty for patients with MRKH syndrome. The approach was found to be feasible in patients with a desire for future fertility. It is our belief that physicians treating patients with MRKH should refer patients to centers with expertise in both vaginoplasty and assisted reproductive technology. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 25, 2019 Category: OBGYN Source Type: research

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 - May 23, 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 - May 23, 2019 Category: OBGYN Source Type: research

Workplace Harassment and Discrimination in Gynecology: Reflections on the Report of the AAGL Member Survey
Publication date: Available online 22 May 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Bobbie Gostout, Gretchen Glaser, Vanessa Torbenson (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 23, 2019 Category: OBGYN Source Type: research

Laparoscopic ovarian dermoid cystectomy in 10 steps
CONCLUSIONStandardization of laparoscopic cystectomy for ovarian teratoma could make this procedure easier and safer to perform. The 10 steps presented help to perform each part of surgery in logical sequence making the procedure ergonomic and easier to adopt and learn. Moreover, the standardization of the surgical techniques could reduce the learning curve. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 23, 2019 Category: OBGYN Source Type: research

Laterally-Extended Endopelvic Resection (LEER) of recurrent epithelioid trophoblastic tumor by laparoscopy
We report the resection of a recurrent epithelioid trophoblastic tumor by laparoscopic Laterally-Extended Endopelvic Resection (LEER). The LEER technique was developed to resect en bloc multiple visceral compartments involving the lateral pelvic wall with negative margins for local control of advanced and recurrent malignancies. Described by Höckel, this procedure is usually performed by a midline laparotomy.Our patient had undergone prior laparotomic surgery including hysterectomy, partial bladder resection and a right ureteral re-implantation for an epithelioid trophoblastic tumor without adjuvant treatment. She pre...
Source: Journal of Minimally Invasive Gynecology - May 22, 2019 Category: OBGYN Source Type: research

Postoperative Opioid Use Using Enhanced Recovery After Surgery 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 use after benign gynecologic surgery after implementation of Enhanced Recovery After Surgery (ERAS) opioid prescribing recommendations.DesignA prospective cohort study.SettingAn academic tertiary care hospital.PatientsAll patients undergoing elective benign gynecologic surgery at a large academic institution between August 2017 and December 2017, 1 year after ERAS postoperative opioid prescribing recommendati...
Source: Journal of Minimally Invasive Gynecology - May 22, 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 - May 22, 2019 Category: OBGYN Source Type: research

A comparison of carbon dioxide absorption rates in gynecologic laparoscopy with a valveless versus standard insufflation system: A Randomized Controlled Trial
ConclusionCO2 absorption rates, anesthesiologists’ ability to maintain adequate etCO2 and post-operative shoulder pain did not differ based on insufflation system type or IAP. Surgeons’ rating of visualization of the operative field was significantly improved when using the valveless over the standard insufflation system. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 22, 2019 Category: OBGYN Source Type: research

Neuroendocrine tumor or endometriosis of the appendix: which is which?
Publication date: Available online 21 May 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Mauricio S Abrao, Lidia H J Myung, Marcelo Averbach, Rosanne M Kho (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 22, 2019 Category: OBGYN Source Type: research

In vitro Leakage Testing of Tissue Containment Bags When Subjected to Power Morcellation Forces
ConclusionThis study provides a mechanism for more realistically simulating the conditions experienced by containment bags during morcellation, and quantifying the level of safety provided by the bags. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - May 22, 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 - 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