Laparoscopic diagnosis and treatment of obturator nerve entrapment due to a deep infiltrating endometriotic nodule: a case report
We report a rare case of deep infiltrating endometriotic nodule entrapping the right obturator nerve. Unlike the previously reported cases; patient history, clinical, laboratory data and missed findings in previous imaging studies made our case difficult to diagnose. We successfully diagnosed the case and treated by laparoscopic surgery. The video demonstrating the surgery is also included. The recent follow-up in July 2018 (18 months after the operation performed in January 2017) showed no signs or symptoms of recurrence or any other new complaints. 18 months duration of follow-up for this case is the longest follow-up da...
Source: Journal of Minimally Invasive Gynecology - October 5, 2018 Category: OBGYN Source Type: research

Prediction of pouch of douglas obliteration: point-of-care ultrasound vs. pelvic examination
Publication date: Available online 27 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Kristina Arion, Tuba Aksoy, Catherine Allaire, Heather Noga, Christina Williams, Mohamed A. Bedaiwy, Paul J. YongAbstractStudy ObjectiveTo evaluate point-of-care pre-operative transvaginal ultrasound (TVUS) sliding sign, in comparison to palpation of a nodule on digital pelvic examination, for the prediction of pouch of Douglas (POD) obliteration.DesignAnalysis of data from a prospective data registry (Canadian Task Force Classification II-2).SettingTertiary referral center.PatientsWomen with suspected endometrios...
Source: Journal of Minimally Invasive Gynecology - October 5, 2018 Category: OBGYN Source Type: research

A Case of Cardiac Arrhythmia from Absorption of Normal Saline During Hysteroscopic Myomectomy.
We present a case of severe hypokalemia, metabolic acidosis, and arrhythmia following absorption of 2500 mls of normal saline during a hysteroscopic myomectomy. The patient was a 36-year-old woman with abnormal uterine bleeding due to a submucosal leiomyoma. She received a total of 3500 mls of normal saline (2500 mls was absorbed via the uterus and 1000 mls given intravenously) during hysteroscopy. This resulted in hemodilution, electrolyte disturbances, and arrhythmia. She was treated with electrolyte replacement and closely monitored. Normal saline may result in severe metabolic derangements due to hemodilution and hyper...
Source: Journal of Minimally Invasive Gynecology - October 5, 2018 Category: OBGYN Source Type: research

Higher Prevalence of Endometrial Polyps in Patients with Fallopian Tube Obstruction: A Case-Control Study
Publication date: Available online 28 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Yu Sun, Jing Zhang, Wenpei BaiABSTRACTStudy ObjectiveTo study the association between endometrial polyps and fallopian tube patency diagnosed by hysteroscopy, conventional histology, and four-dimensional hysterosalpingo contrast sonography (4D-HyCoSy).DesignCase-control study (Canadian Task Force classification II-2).SettingUniversity hospital.PatientsA total of 323 women of reproductive age underwent 4D-HyCoSy and hysteroscopy between January 2015 and December 2017.InterventionA retrospective analysis of the asso...
Source: Journal of Minimally Invasive Gynecology - October 5, 2018 Category: OBGYN Source Type: research

The association of sonographic evidence of adenomyosis with severe endometriosis and with gene expression in eutopic endometrium
Publication date: Available online 28 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Uri P. Dior, Debbie Nisbet, Jenny N. Fung, Grant Foster, Martin Healey, Grant W. Montgomery, Peter AW. Rogers, Sarah J. Holdsworth-Carson, Jane E. GirlingAbstractStudy objectiveTo examine the presence of sonographic evidence of adenomyosis (SEOA) in patients undergoing laparoscopic surgery for investigation of endometriosis and to assess if there is an association between SEOA and endometriosis severity. Using gene expression analysis, we also aimed to determine if gene expression in eutopic endometrium differed i...
Source: Journal of Minimally Invasive Gynecology - October 5, 2018 Category: OBGYN Source Type: research

Bladder Endometriosis: Management by cystoscopic & laparoscopic approach
Publication date: Available online 29 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Dr. Parul Shah, Dr. PreetiBala Patel, Dr. Jayshree S. Parmar, Dr. Foram Shah (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 5, 2018 Category: OBGYN Source Type: research

Laparoendoscopic Single-site Surgery for Comprehensive Staging of Early Ovarian Cancer
Publication date: Available online 29 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): CHEN Sijing, Qi Xiaorong, CHEN Lin, YI Qihua, DONG Shimeng, XU Liufeng, ZHENG YingAbstractStudy ObjectiveTo demonstrate the procedure and suspension skills of laparoendoscopic single site (LESS) staging surgery with infrarenal para-aortic lymphadenectomy for an early-stage ovarian cancer.DesignA presentation of the surgery through this technical video.SettingA Hospital.Patient and InterventionA 45-year-old woman presented with pelvic mass on gynecologic examination and serum CA-125 of 5910 U/mL [normal:
Source: Journal of Minimally Invasive Gynecology - October 5, 2018 Category: OBGYN Source Type: research

Author's Reply
Publication date: Available online 29 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): LC Hickman, A Kotlyar, S Shue, T Falcone (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 5, 2018 Category: OBGYN Source Type: research

Regarding [Hemostatic Techniques for Myomectomy: An Evidence-Based Approach]
Publication date: Available online 29 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Carley Cost (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 5, 2018 Category: OBGYN Source Type: research

Efficacy of a fibrin sealant (Tissucol Duo®) for the prevention of lymphocele after laparoscopic pelvic lymphadenectomy: a randomised controlled trial
Publication date: Available online 5 October 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Ibon Jaunarena, Ruben Ruiz, Mikel Gorostidi, Paloma Cobas, Marisa Avila, David Del Valle, Juan Cespedes, Arantxa LekuonaABSTRACTStudy ObjectiveTo assess the efficacy of Tissucol Duo® (Baxter AG) fibrin sealant in decreasing the incidence of lymphocele (LC) after pelvic laparoscopic lymph node dissection using harmonic shears.Design classificationRandomized controlled trial (Canadian Task Force Classification level I)SettingTertiary referral and educational center.PatientsA double blind randomized controlled study...
Source: Journal of Minimally Invasive Gynecology - October 5, 2018 Category: OBGYN Source Type: research

Application of Sentinel Lymph Node Technique to Transvaginal Natural Orifices Transluminal Endoscopic Surgery (NOTES) in Endometrial Cancer
ConclusionIn our preliminary experience, SLN mapping in NOTES surgery appears to be feasible and safe. It can be considered as an alternative method to reduce morbidity from radical lymphadenectomy and provide the benefits from NOTES technique. However, the studies in the larger population are necessary. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 5, 2018 Category: OBGYN Source Type: research

Pyomyoma After Uterine Artery Embolization: Laparotomy Avoided by In-Bag Morcellation
We report a case of a pyomyoma in which in-bag morcellation allowed for a total laparoscopic hysterectomy instead of laparotomy, which has been recognized as the standard of care to avoid the spread of infection from morcellation. A 45-year-old multiparous woman presented with sepsis, pelvic pain, and leukocytosis at 1 month after undergoing uterine artery embolization for symptomatic uterine leiomyoma. Pelvic computed tomography scan revealed a 9-cm suspected pyomyoma. A total hysterectomy was performed using a laparoscopic approach with in-bag morcellation. The intervention was successful, and the postoperative course wa...
Source: Journal of Minimally Invasive Gynecology - September 22, 2018 Category: OBGYN Source Type: research

Surgery for Endometriosis Improves Major Domains of Quality of Life: A Systematic Review and Meta-Analysis
Publication date: Available online 20 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Fernanda Vieira Lins Arcoverde, Marina de Paula Andres, Giuliano Moysés Borrelli, Priscila de Almeida Barbosa, Mauricio Simões Abrão, Rosanne Marie KhoAbstractBecause surgery for endometriosis can involve severe complications, it is important to determine if the patient's quality of life (QOL) is indeed improved after surgery. A systematic review and meta-analysis, when appropriate, were conducted and included 38 studies that assessed the QOL using validated questionnaires administered before ...
Source: Journal of Minimally Invasive Gynecology - September 22, 2018 Category: OBGYN Source Type: research

Fellowship in Minimally Invasive Gynecologic Surgery: the Evolving Field behind the Name
Publication date: Available online 20 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Roseanne Marie Kho (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 22, 2018 Category: OBGYN Source Type: research

Perioperative Management of Women Undergoing Risk-Reducing Surgery for Hereditary Breast and Ovarian Cancer
Publication date: Available online 19 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Mariam M. AlHilli, Zahraa Al-HilliAbstractCarriers of genetic mutations that predispose to cancer syndromes are often faced with complex decisions. For women with hereditary breast and ovarian cancer (HBOC) in particular, the decision to undergo risk-reducing mastectomy (RRM) or bilateral salpingo-oophorectomy (BSO) is burdensome from a physical and psychological perspective. Although risk reducing surgery is the most effective preventative measure in reducing a genetic mutation carrier's risk of breast or ovarian...
Source: Journal of Minimally Invasive Gynecology - September 20, 2018 Category: OBGYN Source Type: research

Cesarean Scar Pregnancies – Incidence and Factors Associated with Conversion to Surgery from Medical Management
Publication date: Available online 19 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Uri P Dior, Ricardo Palma-Dias, Karen L Reidy, Claudia Cheng, Martin HealeyAbstractStudy ObjectiveTo describe the incidence, management, complications and define risk factors for conversion from medical to surgical treatment of Cesarean Scar Pregnancies (CSP).DesignA retrospective clinical study (Canadian Task Force classification II-3).SettingA tertiary medical center.PatientsAll patients who were admitted and treated for CSP between 2008 and 2016.InterventionsThe cohort was divided according to management; demog...
Source: Journal of Minimally Invasive Gynecology - September 20, 2018 Category: OBGYN Source Type: research

Laparoscopic management of an intrauterine fallopian tube incarceration after curettage for a non- progressing pregnancy
ConclusionCurettage for miscarriage or undesired pregnancy is not exempt from complications (as hemorrhage, simple perforation, or infection) Intrauterine fallopian tube incarceration is uncommon but can affect fertility. This diagnosis is important to avoid destruction of the fimbriae, necrosis of the tube and also to reduce the risk for ectopic pregnancy. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 20, 2018 Category: OBGYN Source Type: research

Laparoscopic Management Of Cervical Ectopic With Devascularisation
Publication date: Available online 19 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Ramesh Bettaiah, Shwetha Sudhakar Kamath (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 20, 2018 Category: OBGYN Source Type: research

Surgeon Volume in Benign Gynecologic Surgery: A Review of Outcomes, Impact on Training, and Ethical Contexts
Publication date: Available online 20 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Laura M. Glaser, Lacey Brennan, Louise P. King, Magdy P. MiladAbstractIt is becoming increasingly clear that surgeon volume affects surgical outcomes. High-volume surgeons demonstrate reduced perioperative complications, shorter operative times, and reduced blood loss during multiple modalities of benign gynecologic surgery. Furthermore, high-volume surgeons consistently demonstrate higher rates of minimally-invasive approaches, low rates of conversion to laparotomy, and lower per-procedure case costs. It is sugge...
Source: Journal of Minimally Invasive Gynecology - September 20, 2018 Category: OBGYN Source Type: research

Discharge readiness following robotic and laparoscopic hysterectomy
Publication date: Available online 18 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Christopher C. DeStephano, Shilpa P. Gajarawala, Mariana Espinal, Michael G. Heckman, Emily R. Vargas, Matthew A. RobertsonAbstractStudy Objective: To evaluate which factors may be predictive of patient readiness of discharge after robotic and laparoscopic hysterectomy.Study Design: Prospective cohort study (Canadian Task Force Classification Level II-2).Setting: Single tertiary care center in the United States.Patients: All 230 patients undergoing robotic and laparoscopic hysterectomy between November 2015 and Ap...
Source: Journal of Minimally Invasive Gynecology - September 19, 2018 Category: OBGYN Source Type: research

When less is more: Minimally invasive surgery compared to laparotomy for interval debulking after neoadjuvant chemotherapy in women with advanced ovarian cancer
Publication date: Available online 18 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Jubilee Brown, Lane Drury, Erin K. Crane, William E. Anderson, David L. Tait, Robert V. Higgins, R. Wendel NaumannAbstractStudy Objective: To compare outcomes of advanced ovarian cancer patients who had minimally invasive surgery (MIS) with outcomes of advanced ovarian cancer patients who had laparotomy for interval cytoreduction after neoadjuvant chemotherapy (NACT).Design: IRB-approved retrospective cohort study (Canadian Task Force classification II-2)Setting: One large teaching hospital with a tertiary referra...
Source: Journal of Minimally Invasive Gynecology - September 19, 2018 Category: OBGYN Source Type: research

Techniques for Preemptive Analgesia in Gynecologic Surgery
ConclusionTechniques for preemptive analgesia are simple and effective. These tools can be utilized for patients undergoing gynecological surgeries via a vaginal or abdominal approach and can help optimize postoperative pain and narcotic usage. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 19, 2018 Category: OBGYN Source Type: research

Laparoscopic dissection of the pelvic ureter: rules of engagement
ConclusionThis video shows the feasibility of laparoscopic ureteral dissection and provides safety rules to perform a ureterolysis. Identification and dissection of the ureter should be part of any gynecological surgeon background to reduce the risk of complication. Knowledge of anatomy plays a pivotal role allowing the surgeon to keep the ureter at a distance minimizing the need of ureterolysis. Unfortunately, the need of ureteral dissection is not always predictable preoperatively and a gynecological surgeon need to master this technique especially when approaching more complex procedure such as endometriosis. Perform a ...
Source: Journal of Minimally Invasive Gynecology - September 18, 2018 Category: OBGYN Source Type: research

Modified Laparoscopic Lateral Suspension: The Mulayim Technique
ConclusionModified laparoscopic lateral suspension, the so-called Mulayim technique, might be considered as an alternative treatment for POP surgery; however, studies should be conducted in a larger number of patients with longer postoperative follow-up periods (Fig. 1). (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 14, 2018 Category: OBGYN Source Type: research

Female Pelvic Floor Immersive Simulation: A Randomized Trial to Test the Effectiveness of a Virtual Reality Anatomical Model on Resident Knowledge of Female Pelvic Anatomy
Publication date: Available online 12 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): David Rich Ellington, Phillip Corey Shum, Eva Adiki Dennis, Heather Lynn Willis, Jeff Michael Szychowski, Holly Elizabeth RichterAbstractStudy ObjectivesTo estimate the effect of a virtual reality (VR) anatomical model (VisCubeSX™) on OBGYN residents’ knowledge of female pelvic floor anatomy compared to a traditional curriculum.DesignCanadian Task Force Classification ISettingAcademic Obstetrics and Gynecology resident training programPatientsNot ApplicableInterventionsTraditional independent study cur...
Source: Journal of Minimally Invasive Gynecology - September 13, 2018 Category: OBGYN Source Type: research

Massive subcutaneous emphysema extending to the face during total laparoscopic hysterectomy
Publication date: Available online 12 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Ryoko Asano, Yukio Suzuki, Shin Saito, Natsuko Kamiya, Mihoko Aoki, Etsuko Miyagi (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 12, 2018 Category: OBGYN Source Type: research

Perforating Scar of Intrauterine Device with Subsequent Intramural Pregnancy and Uterine Rupture
Publication date: Available online 12 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Shu-Han You, Po-Cheng Chen, Ho-Yen Chueh, Kuan-Gen Huang, Hsin-Shih Wang, Chih-Feng Yen (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 12, 2018 Category: OBGYN Source Type: research

Preemptive Analgesia in Minimally Invasive Gynecologic Surgery
Publication date: Available online 29 July 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Jaime B. Long, Kristin Bevil, Dobie L. GilesABSTRACTPreemptive analgesia is an intervention provided before initiating painful stimuli that may reduce or prevent subsequent pain. This systematic review examines the evidence supporting the practice of preemptive analgesia in minimally invasive gynecologic surgery (MIGS). We searched PubMed, Cochrane Register for Controlled Trials, and Embase from inception through February 26, 2018. The search was limited to human and English language studies. A total of 324 studies wer...
Source: Journal of Minimally Invasive Gynecology - September 10, 2018 Category: OBGYN Source Type: research

Analysis of the reproductive outcome of patients with cesarean scar pregnancy treated by high-intensity focused ultrasound and uterine artery embolization: a retrospective cohort study
Conclusion: More attention should be paid to subsequent reproductive outcomes after CSP, not only for intrauterine pregnancy, but also for infertility and recurrent CSP.Early diagnosis and treatment of CSP could reduce the risk of infertility and recurrent CSP. HIFU seemed superior to UAE in reducing the risk of recurrent CSP. CSP patients should adhere to strict contraception if they do not desire more children. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 10, 2018 Category: OBGYN Source Type: research

Persistence of Symptoms after Total versus Supracervical Hysterectomy in Women with Histopathologic Diagnosis of Adenomyosis
ConclusionCompared to those without adenomyosis, women with histopathologic-proven adenomyosis were less likely to report persistent pain following hysterectomy. Retaining the cervix does not appear to increase the risk of symptom persistence or post-procedure patient satisfaction. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 8, 2018 Category: OBGYN Source Type: research

Preserving fertility by treating the three compartments: laparoscopic approach to deep infiltrating endometriosis
CONCLUSIONA complete surgery is feasible for severe and deep endometriosis with a multicompartmental disease, using a laparoscopic approach aiming to preserve fertility. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 6, 2018 Category: OBGYN Source Type: research

Robotic Radical Hysterectomy for Cervical Cancer; a Population-Based study of Adoption and Immediate Postoperative Outcomes in the US
Publication date: Available online 5 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Sabrina Piedimonte, Nicholas Czuzoj-Shulman, Walter Gotlieb, Haim Arie AbenhaimAbstractStudy ObjectiveTo determine incidence of robotic radical hysterectomy (RRH) in the United States in comparison to abdominal radical hysterectomy (ARH), with secondary outcomes of peri-operative complications, length of stay, immediate post-operative mortality, cost and a sub-analysis compared to laparoscopic radical hysterectomy (LRH).DesignRetrospective cohort study (Design Classification II-2)SettingData from the National Inpat...
Source: Journal of Minimally Invasive Gynecology - September 6, 2018 Category: OBGYN Source Type: research

A Stepwise Approach to Laparoscopic Excision of a Noncommunicating Rudimentary Horn
ConclusionA stepwise hysteroscopic and laparoscopic approach can be used to safely resect a rudimentary horn as demonstrated by this case. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 5, 2018 Category: OBGYN Source Type: research

Venous thromboembolism in minimally invasive gynecologic surgery: a systematic review
Publication date: Available online 4 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Elisa M. Jorgensen, Hye-Chun HurAbstractVenous thromboembolism (VTE) is the leading cause of preventable healthcare-related death following surgery. While there is a large body of research on VTE in the general population, as well as risk-assessment tools, evidence specific to the current practices in gynecologic surgery is more sparse. This review article seeks to discuss current literature on VTE in gynecologic surgery, with a focus on minimally invasive surgery. Evidence on risk factors for VTE in gynecologic su...
Source: Journal of Minimally Invasive Gynecology - September 5, 2018 Category: OBGYN Source Type: research

Laparoscopic removal of a dislocated screw of a hip joint endoprothesis during oncological surgery
Publication date: Available online 5 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Christina Halder, Tanja Hauzenberger, Anton Scharl, Robert Bauer, Thomas Papathemelis (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 5, 2018 Category: OBGYN Source Type: research

Ovarian Reserve Following Laparoscopic Ovarian Cystectomy Versus Cyst Deroofing for Endometriomas
Publication date: Available online 5 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Mohamed S. Sweed, Ahmed K. Makled, Medhat A. El-Sayed, Mohamed E. Shawky, Hamdy A. Abd-Elhady, Ahmed M. Mansour, Radwa M. Mohamed, Hossam Hemeda, Eman A. Nasr-Eldin, Neveen S. Attia, Ebtihal Eltaieb, Heba Allam, Ahmed HusseinAbstractStudy Objective: Because laparoscopic ovarian cystectomy of endometriomas is known to adversely impact patient ovarian reserve, the search for other techniques of surgical management is ongoing, and the objective of the current study was to evaluate laparoscopic cyst deroofing as a feas...
Source: Journal of Minimally Invasive Gynecology - September 5, 2018 Category: OBGYN Source Type: research

Fertility Outcome after Cornual Resection for Interstitial Pregnancies
ConclusionCornual resection as treatment for interstitial pregnancies seems to have no added detrimental effect on subsequent pregnancy rates compared to salpingectomy for non-interstitial tubal ectopics. However, they more often lead to elective caesarean in subsequent pregnancies. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 1, 2018 Category: OBGYN Source Type: research

Parametrial Endometriosis: the Occult Condition that Makes the Hard Harder
Publication date: Available online 31 August 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Mohamed Mabrouk, Diego Raimondo, Alessandro Arena, Raffaella Iodice, Michele Altieri, Neveta Sutherland, Paolo Salucci, Elisa Moro, Renato SeracchioliAbstractObjectiveDespite the enormous impact of lateral parametrial endometriosis (LPE), only a few studies have evaluated its diagnosis, prevalence and clinical features. Our aim is to estimate the intraoperative prevalence of LPE in patients affected by deep infiltrating endometriosis (DIE) and to analyse clinical and surgical data associated with LPE.DesignRetrospect...
Source: Journal of Minimally Invasive Gynecology - September 1, 2018 Category: OBGYN Source Type: research

Evaluation of Positioning Devices for Optimization of Outcomes in Laparoscopic and Robotic-Assisted Gynecologic Surgery
The objective of this review was to assess techniques, devices, and equipment for patient positioning and their effect on patient outcomes, such as cephalad slide and neuropathy, in laparoscopic and robotic-assisted gynecologic surgery. We conducted a systematic review by searching MEDLINE, EMBASE, and Cochrane over 15 years. Study selection, data extraction, and quality assessment were performed by two reviewers independently. Seven articles were included for analysis: three randomized controlled trials, four case series. Four studies evaluated cephalad patient slide. The mean slide with various devices (memory foam, bean...
Source: Journal of Minimally Invasive Gynecology - September 1, 2018 Category: OBGYN Source Type: research

An effective assisted method using hysteroscopy transmittance test and a Foley catheter to repair previous cesarean scar defect by laparoscopy.
ConclusionThis surgical method has the following characteristics: 1. The resection of the diverticulum is complete and the suture is exact. 2. Suitable for patients with thin diverticulum wall, large diverticulum cavity and long time bleeding after menstruation. 3. Hysteroscopy transmittance test was used to confirm the site of PCSD and verify repair effect. 4. The Foley catheter can marker the resection site, prevent gas leakage and stop bleeding by local compression. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 1, 2018 Category: OBGYN Source Type: research

Impact of Laparoscopic Hysterectomy on Quality of Life
Publication date: Available online 1 September 2018Source: Journal of Minimally Invasive GynecologyAuthor(s): Chelsea Fortin, Christine Hur, Tommaso FalconeAbstractThere is an ongoing debate regarding the benefits and drawbacks of the various routes of hysterectomy. A number of studies have examined overall quality of life outcomes as well as specific patient-reported outcomes including physical, psychosocial, and sexual functioning following hysterectomy. Existing studies have used varied methodologies with widely heterogeneous results, but patient satisfaction appears to be very high following laparoscopic hysterectomy, ...
Source: Journal of Minimally Invasive Gynecology - September 1, 2018 Category: OBGYN Source Type: research

Robotic Single-Site Tubal Reanastomosis: The Robotic Factor
ConclusionThe single-site robotic approach provides a potent and valuable method for tubal reanastomosis, rendering difficult surgical techniques more accessible. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 1, 2018 Category: OBGYN Source Type: research

A Systematic Review of Perioperative Opioid Management for Minimally Invasive Hysterectomy
Conclusions: In a population at risk for persistent opioid use, prescription often exceeds patients’ needs. Guidelines for opioid prescribing in the setting of multimodal anesthetic regimens may allow us to lessen our contribution to the opioid epidemic. Further research on patients with chronic pain, patients with chronic opioid use, and the role of patient education is needed. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - September 1, 2018 Category: OBGYN Source Type: research

Authors' Reply
Publication date: September–October 2018Source: Journal of Minimally Invasive Gynecology, Volume 25, Issue 6Author(s): Antonio Simone Laganà, Luis Alonso Pacheco, Andrea Tinelli, Sergio Haimovich, Jose Carugno, Fabio Ghezzi (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 31, 2018 Category: OBGYN Source Type: research

Cover 1
Publication date: September–October 2018Source: Journal of Minimally Invasive Gynecology, Volume 25, Issue 6Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 31, 2018 Category: OBGYN Source Type: research

Board Of Directors-Ed Calendar
Publication date: September–October 2018Source: Journal of Minimally Invasive Gynecology, Volume 25, Issue 6Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 31, 2018 Category: OBGYN Source Type: research

International Societies
Publication date: September–October 2018Source: Journal of Minimally Invasive Gynecology, Volume 25, Issue 6Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 31, 2018 Category: OBGYN Source Type: research

Editorial Board
Publication date: September–October 2018Source: Journal of Minimally Invasive Gynecology, Volume 25, Issue 6Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 31, 2018 Category: OBGYN Source Type: research

Toc
Publication date: September–October 2018Source: Journal of Minimally Invasive Gynecology, Volume 25, Issue 6Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 31, 2018 Category: OBGYN Source Type: research

Rare Obstructive Müllerian Anomaly with Endometriosis and Elevated CA-125
Publication date: September–October 2018Source: Journal of Minimally Invasive Gynecology, Volume 25, Issue 6Author(s): Christina H. Suh, Yi-Horng Lee, Adrian C. Balica (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 31, 2018 Category: OBGYN Source Type: research