Images in gynecology: A ‘Hemostatoma’ following resection of Endometriosis
Publication date: Available online 22 November 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Dr Kavita Ravendran, Dr Aaron Budden, Professor Jason Abbott (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - November 22, 2019 Category: OBGYN Source Type: research

Diagnostic accuracy of intra-operative tools for detecting endometriosis: A systematic review and meta-analysis
Publication date: Available online 22 November 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Sarah MAHEUX-LACROIX, Mathieu BELANGER, Lorence PINARD, Madeleine LEMYRE, Philippe LABERGE, Amélie BOUTINAbstractObjectiveTo evaluate the diagnostic accuracy of intra-operative laparoscopic imaging tools in reference to histopathology for detecting endometriotic lesions and to compare them to conventional white light inspection by performing a systematic review with meta-analysis.Data sourcesWe searched the databases MEDLINE, EMBASE, and CENTRAL as well as citations and reference lists to the end of February...
Source: Journal of Minimally Invasive Gynecology - November 22, 2019 Category: OBGYN Source Type: research

Augmented Reality with Diffusion Tensor Imaging (DTI) and Tractography during laparoscopic myomectomies
Publication date: Available online 22 November 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Pauline Chauvet, Nicolas Bourdel, Lilian Calvet, Benoit Magnin, Guillaume Teluob, Michel Canis, Adrien BartoliAbstractAugmented reality (AR) is a technology that allows a surgeon to see key hidden subsurface structures in an endoscopic video in real time. This works by overlaying information obtained from pre-operative imaging, and fusing it in real time with the endoscopic image. MR-DTI and fiber tractography are known to provide additional information to standard structural MRI. Here we report the first two cases...
Source: Journal of Minimally Invasive Gynecology - November 22, 2019 Category: OBGYN Source Type: research

Vesico-ureteral injury during benign hysterectomy: minimally-invasive laparoscopic surgery versus laparotomy
The objectives of our study were to (i) examine the rate of vesico-ureteral injury at benign hysterectomy by surgical approach and (ii) compare the risk of vesico-ureteral injury specifically between minimally-invasive laparoscopic and abdominal hysterectomy on a populational level.DesignRetrospective population-based observational study.SettingThe National Inpatient Sample.Patients501,110 women who underwent hysterectomy for benign gynecological disease from 1/2012-9/2015 were included: total abdominal hysterectomy (TAH, n=284,365 [56.7%]), total laparoscopic hysterectomy (TLH, n=60,410, [12.1%]), abdominal supracerv...
Source: Journal of Minimally Invasive Gynecology - November 17, 2019 Category: OBGYN Source Type: research

Bladder and urinary deep pelvic endometriosis: a step-by-step standard approach
ConclusionThis video shows how deep urinary endometriosis can be performed laparoscopically. Mastering suturing is essential to avoid complications. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - November 16, 2019 Category: OBGYN Source Type: research

Reduced complications following implementation of laparoscopic hysterectomy: A Danish population-based cohort study of minimally invasive benign gynecologic surgery 2004-2018
ConclusionFifteen years with a national database have resulted in a marked quality improvement: Denmark has 85% minimally invasive hysterectomies and has reduced the number of major complications by 50%. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - November 16, 2019 Category: OBGYN Source Type: research

Allen-Masters Syndrome: Typical presentation of an uncommon gynecologic entity
Publication date: Available online 15 November 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Chachia Salma, Bannour Imen, Alimi Amel, Bannour Badra, Boughizane Sassi (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - November 16, 2019 Category: OBGYN Source Type: research

Successful management of heterotopic cervical pregnancy with ultrasonographic-guided laser ablation
We report a case of a 36-year-old woman with type 2 diabetes mellitus and a one-year of primary infertility. Following oral ovulation induction cycles and IUI, diagnosis of heterotopic cervical pregnancy was made by ultrasonography at 7.4 weeks of gestation. Laser ablation of the cervical pregnancy was performed achieving adequate homeostasis at the implantation site and preserving the intrauterine pregnancy. A healthy infant was delivered at 36 0/7 wks by cesarean-section.Laser ablation is a minimally invasive procedure that appears to lead to successful outcomes in treatment of heterotopic cervical pregnancy. (Source: Jo...
Source: Journal of Minimally Invasive Gynecology - November 16, 2019 Category: OBGYN Source Type: research

Laparoscopic Management of 42 Cases of Tubal Stump Pregnancy and Postoperative Reproductive Outcomes
ConclusionLaparoscopic surgery is a feasible option for tubal stump pregnancy, associated with favorable pregnancy outcomes. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - November 13, 2019 Category: OBGYN Source Type: research

Same-day discharge in minimally invasive surgery performed by gynecologic oncologists: A review of patient selection.
ConclusionSame-day discharge seems to be safe and feasible in minimally invasive surgery performed by the gynecologist oncologist. Proposed selection criteria include:
Source: Journal of Minimally Invasive Gynecology - November 10, 2019 Category: OBGYN Source Type: research

Identifying the problems of randomized controlled trials for the surgical management of endometriosis associated pelvic pain
ConclusionSurgical RCTs have always been difficult to undertake, yet there are 16 RCTs in the area of endometriosis-associated pain. Ethical considerations, the equipoise of surgeons and participants and follow-up duration are all important parameters in establishing RCTs. We must also be willing to accept and adopt the evidence when it does demonstrate a particular outcome – such as the fact that surgical uterosacral nerve disruption does not improve pain, or that disc excision does not substantially reduce complications compared to segmental resection for bowel disease as prior non-randomized studies suggested. If ...
Source: Journal of Minimally Invasive Gynecology - November 10, 2019 Category: OBGYN Source Type: research

Noninvasive Diagnosis of Adenomyosis: A Structured Review and Meta-Analysis of Diagnostic Accuracy in Imaging
ConclusionAs a result of the systemic review and meta-analysis, we identified TVUS and MRI as good and comparable non-invasive imaging methods for diagnosisng adenomayosis, leading us to recommend TVUS as the first-line diagnostic imagin method and MRI as second if TVUS is inconclusive. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - November 10, 2019 Category: OBGYN Source Type: research

Four Surgical Strategies for the Treatment of Caesarean Scar Defect: A Systematic Review and Network Meta-Analysis
Publication date: Available online 5 November 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Yunan He, Jiaojiao Zhong, Wei Zhou, Sen Zeng, Hui Li, Hui Yang, Nianchun ShanABSTRACTObjectiveThis network meta-analysis compared treatment via laparoscopy (LP), hysteroscopy (HP), combined laparoscopy with hysteroscopy (LH), and vaginal repair (VR) for reducing intermittent abnormal uterine bleeding and caesarean scar defect (CSD) diverticulum depth in patients with CSD.Data SourcesElectronic databases (PubMed, EMBASE, CENTRAL, MEDLINE, ClinicalTrials.gov, Chinese Biomedical Literature Database, and China National ...
Source: Journal of Minimally Invasive Gynecology - November 5, 2019 Category: OBGYN Source Type: research

Laparoscopic Hysterectomy and Resection of Vaginal Septum in a Patient with Bicollis Uterus
Publication date: Available online 2 November 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Alison A. Garrett, Christine E. Foley, Noah Rindos (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - November 2, 2019 Category: OBGYN Source Type: research

Cover 1
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 30, 2019 Category: OBGYN Source Type: research

Board Of Directors-Ed Calendar
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 30, 2019 Category: OBGYN Source Type: research

International Societies
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 30, 2019 Category: OBGYN Source Type: research

Editorial Board
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 30, 2019 Category: OBGYN Source Type: research

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Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 30, 2019 Category: OBGYN Source Type: research

The Role of the Mirena Intrauterine Device in the Management of Endometrial Polyps: A Pilot Study
ConclusionOur case-control study found that the LNG-IUD can have a role in the treatment of polyps for women who have heavy menstrual bleeding. This is the first study to show regression of endometrial polyps after treatment with LNG-IUD by direct visualisation at hysteroscopy. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 30, 2019 Category: OBGYN Source Type: research

1463 Postvoid Residual Measurements by Bladder Ultrasound in Obese Women: Are They Accurate?
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): D Bastawros, N Hendley, J Zhao, EM Myers, GB Taylor, MJ Kennelly, KJ Stepp, ME TarrStudy ObjectiveTo evaluate the accuracy of bladder scanner measurements in assessing post-void residual (PVR) volumes in obese women [body mass index (BMI)≥30 kg/m2] as compared to non-obese women (BMI
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1438 Experience with the Storz Trophyscope® Versus Cooper Surgical Endosee® for Office Diagnostic Hysteroscopy
ConclusionThere is no difference in adequate visualization or pathologic diagnoses with the Endosee and TrophyScope devices in this prospective cohort. Larger, adequately powered studies are needed to confirm the sensitivity and specificity for these newer, disposable office hysteroscopic devices. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2535 Unusual Approach to Hysteroscopically-Guided Myomectomy in a Woman with a Septate Uterus
ConclusionUterine anomalies may be challenging to characterize based on exam or ultrasound alone. Surgical management of gynecological pathology, such as fibroids, requires understanding of normal and anomalous anatomic landmarks and innovative application of common instrumentation. This patient's unique anatomy allowed intrauterine instrumentation normally preformed blindly to be directly visualized by hysteroscopy. This allowed safe and effective treatment in a technically challenging case. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1261 Risk Factors for Recurrent Ectopic Pregnancy Following Single-Dose Methotrexate Treatment
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): G Levin, UP Dior, A Shushan, A Benshushan, A RottenstreichStudy ObjectiveWe aimed to investigate the predisposing factors for recurrent ectopic pregnancy (REP) following single-dose methotrexate (MTX) treatment.DesignA retrospective cohort study.SettingA tertiary medical center.Patients or ParticipantsAll patients diagnosed with a first EP and treated by intention of single-dose regimen of intramuscular MTX.InterventionsCases (REP) and controls (first-time only EP) were compared in order ...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1262 The Role of Ultrasound in the Management of Third Stage of Second Trimester Delivery: A Retrospective Cohort Study
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): G Levin, UP Dior, A Benshushan, A Shushan, A RottenstreichStudy ObjectiveThe use of intraoperative sonographic guidance for second trimester elective dilation and curettage (D & E) procedure reduces the incidence of uterine perforation. Nevertheless, the role of intraoperative sonographic guidance during curettage procedure following second trimester medical induction has not been evaluated. We aim to evaluate the effect of intraoperative sonographic guidance during curettage procedur...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2776 Uterine Volume Assessment as a Predictor of in vitro Fertilization Pregnancy Outcomes
ConclusionOur findings suggest that baseline uterine volume is a strong predictor of term birth after fresh ET. These findings require prospective validation in larger sample sizes given the multifactorial nature of term birth. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1931 Laparoscopic Tuboplasty
ConclusionTubal reconstructive surgery remains an important option to offer patients who want to avoid in vitro fertilization and who have mild tubal disease. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2495 A Retrospective Review of Outpatient Endometrial Ablation Using Minitouch for Treatment of Heavy Menstrual Bleeding
ConclusionWith its flexibility and smaller size over other devices minimizing the need for cervical dilatation and patient discomfort, the use of Minitouch for outpatient treatment of HMB at our center was shown to be well-tolerated, with high reliability of procedure completion, good safety and efficacy outcomes. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1260 Medical Treatment Success of Recurrent Ectopic Pregnancy vs. Primary Ectopic Pregnancy: A Case Control Study
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): G Levin, UP Dior, A Shushan, A Benshushan, A RottenstreichStudy ObjectiveWe aim in our study to evaluate whether there is a significant difference between women presenting with primary tubal ectopic pregnancy (EP) or recurrent ectopic pregnancy (REP) that are treated medically with methotrexate (MTX).DesignA retrospective cohort study.SettingA tertiary medical center during 2010-2018.Patients or ParticipantsAll patients diagnosed with an EP and treated by intention of single-dose regimen ...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1817 is Paracervical Block Useful to Decrease Pain During in Office?
ConclusionHysteroscopy as a safe and relatively low pain procedure. Local anesthetic in the form of a paracervical block has been used historically to decrease pain during the procedure. Paracervical block does not significantly decrease pain during procedure, even in menopausal women who were found to have higher pain scales on average. Therefore, future studies should further investigate strategies to decrease pain during office hysteroscopy especially for postmenopausal women. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2021 Hysteroscopic Polypectomy with Stone Retrieval Basket
ConclusionThe utilization of a stone retrieval basket is a novel and effective method for retrieving a wide based endometrial polyp following incomplete resection with hysteroscopic scissors. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1514 Impact of Hysteroscopic Surgical Management of Cesarean Scar Syndrome on Pregnancy Rate: A Prospective Observational Study
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): A Takahashi, F Kimura, S Tsuji, A Yamanaka, A Takashima, A Takebayashi, T MurakamiStudy ObjectiveTo evaluate fertility outcomes following hysteroscopic treatment of ishmoceles women with cesarean scar syndrome.DesignProspective observational study.SettingAcademic department in a university hospital.Patients or ParticipantsA series of 36 patient who had undergone hysteroscopic surgery for secondary infertility due to defects with retention of bloody fluid in the uterine cavity between July...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1447 FDA Notice on Transvaginal Energy-Based Devices (TV-EBD) for Laser Vaginal Therapy: Was it Justified?
ConclusionMany of the reported adverse events on the MAUDE database revealed a fundamental lack of education, either to the providers, or to the patients, on the efficacy of laser vaginal therapy. Almost half of the total individual reports to MAUDE (12) were patients with previous medical histories regarding vaginal dryness, incontinence or sexual dysfunction reporting continued lack of improvement. These reports support the concern of miscommunication with device manufacturer. As with any medical treatment, in-depth consultation with a professional help reduce any procedural risk. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2531 LiNA Operascope: Pilot Evaluation of a Single-use Operative Hysteroscopy System
ConclusionThe OperaScope system can provide highly satisfying visualization of the endometrial cavity during diagnostic and operative hysteroscopic procedures. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1894 Delivery Outcome in the Third Trimester after Hysteroscopic Adhesiolysis
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): B Gao, Q Feng, D Xu, X GuanStudy ObjectiveTo investigate the delivery outcome of women in the third trimester who previously underwent hysteroscopic adhesiolysis (HA).DesignRetrospective cohort study.SettingUniversity-affiliated hospital.Patients or ParticipantsA total of 127 women with a history of HA before pregnancy and delivery in the third trimester from May 2011 to May 2018 were enrolled (Study Group). Additionally, a total of 127 women with a negative history of HA were randomly se...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2427 Hysterectomy and Salpingo-Oophorectomy by Transvaginal Natural Orifice Transluminal Endoscopic Surgery (V-Notes): Video Technical Report
ConclusionUsing transvaginal NOTES by applying the method of single-incision laparoscopic surgery via the vaginal route, adnexal surgery and hysterectomy could be performed safely and effectively in selected patients (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1671 Transumbilical Notes Pectopexy: Tips and Tricks
ConclusionTransumbilical LESS allows the surgeon to perform iliopectineal ligament after accessing the entire abdomen via a single port. This procedure can achieve a good clinical effect. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1867 Transvaginal Single-Port Laparoscopic Hysterectomy for Large Uterus
ConclusionCombined with traditional transvaginal anterior / posterior colpotomy, single-site surgical skills allow the surgeon to accomplish hysterectomy for large uterine without abdominal incision, and let patient recover rapidly. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1824 Description of the Endocervicoscopy Technique for the Identification of Acetowhite Lesions Before Cervical Cone
ConclusionWe show our experience in the implementation of a previously described practice. We show a good correlation between the location seen in the endocerviscoscopy and the surgical piece, that is the main objective to achieve tailored treatments. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2085 Conservative Management of Endometrial Carcinoma and Precursor Lesions Preceding IVF Treatment: A Case Series
ConclusionEndometrial cancer, specifically type I endometrioid adenocarcinoma and its precursor lesions are strongly associated with unopposed estrogen states such as polycystic ovarian syndrome (PCOS), obesity as well as nulliparity. Patients seeking assisted reproductive technologies make up a subset of these patients and strongly desire to maintain their fertility. Progesterone therapy for select patients may be a safe and effective temporary treatment for endometrial carcinoma and atypical precursor lesions prior to starting IVF-ET. IVF-ET is very effective in treating such patients. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1153 Laparoscopic Combined Hysteroscopic Management of Cesarean Scar Pregnancy with Temporary Occlusion of Bilateral Internal Iliac Arteries: A Retrospective Cohort Study
ConclusionLaparoscopy with temporary internal iliac artery occlusion technique offers effective surgical management of cesarean scar pregnancy, and hysteroscopy is necessary to deal with intrauterine lesions. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2989 Uterus with Complete Double Cervix and Complete Longitudinal Vaginal Septum, A Case Report
ConclusionCongenital uterine malformations are responsible for a variety of symptoms and health problems depending on the anatomical defect of the uterus and/or cervix. Further investigation is required to establish unanimous guidelines for the individualized and suitable invasive or not management of each patient. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2278 Spontaneous vs. Assisted Reproductive Technology-related Ectopic Pregnancy – Are There Any Differences?
ConclusionWomen with IVF-related EUP were less symptomatic upon presentation and underwent surgery for first-line treatment more often than those with spontaneous EUP did. The type of conception was not a prognostic factor for success of first-line conservative treatment. Observation alone was more successful among IVF pregnancies. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2736 Vaginoscopy: An Underutilized Surgical Approach in Cases of Distorted Anatomy
ConclusionVaginoscopy is a simple and effective technique that can improve visualization and access in complex cases resulting from anatomic distortion. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1678 Cold Scissor Ploughing Technique in Hysteroscopic Adhesiolysis-A Comparative Study
Publication date: November–December 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 7, SupplementAuthor(s): X Zhao, B Gao, X Guan, D XuStudy ObjectiveTo investigate the efficacy, feasibility, and safety of cold scissor ploughing technique in hysteroscopic adhesiolysis for intrauterine adhesions.DesignRetrospective cohort study.SettingUniversity-affiliated hospital.Patients or ParticipantsA total of 179 intrauterine adhesion (IUA) patients who had undergone hysteroscopic adhesiolysis (HA) at the Third Xiangya Hospital of Central South University were enrolled in this study from January 2016 to O...
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2128 Vaginal Surgery for Cesarean Scar Defect
ConclusionVaginal surgery seems to be effective for cesarean scar defect. A prospective study should be performed. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2903 Review of Latest Experience of Minitouch Endometrial Ablation Treatments
ConclusionWe report continuing positive outcomes and satisfaction with our introduction of Minitouch Endometrial Ablation Procedure as our standard clinical practice. It has provided noticeable improvement in our ablation service from safety and efficacy perspectives. The ability to perform more procedures per session, lowered use of analgesics/anesthetics, and quicker recovery are important benefits in our private hospital setting. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

1316 Extended Release Local Anesthetic for Postsurgical Vaginal Pain after Posterior Colporrhaphy and Perineorrhaphy: A Randomized Controlled Study
ConclusionIn this study of pelvic reconstructive surgeries with posterior colporrhaphy and/or perineorrhaphy, there were no differences in pain scores, nor any secondary outcomes, between liposomal bupivacaine and placebo injected into the posterior vaginal compartment. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2110 Vaginal CO2 Laser as Minimal Non-Invasive Treatment for Urinary Stresss Incontinence
ConclusionVaginal CO2 laser was found a safe non-invasive treatment for patients with urodynamic proven stress incontinence. Significant subjective improvement was time dependent and 68.9% reported improvement at 12-month follow-up. The objective urodynamic cure was 38.7%. The short-term efficacy is promising, however, long term follow-up and optimizing treatment protocol are needed. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research

2578 Promising Effect of Platelet-Rich Plasma And CO2 Laser in Urinary Incontinance
ConclusionPRP and vaginal laser appear to be promising alternative treatments for urinary incontinence with potential reduction in cost to both the patient and national health systems without any complications or side-effects. However, the true efficacy of these modalities need to be examined in an RCT setting. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - October 15, 2019 Category: OBGYN Source Type: research