Retained Essure Implants After Salpingectomy and Essure Removal Procedure
Publication date: Available online 11 August 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Kristen Pepin, Jon Einarsson (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 12, 2019 Category: OBGYN Source Type: research

Diagnosis and Treatment of Catamenial Pneumothorax: A Systematic Review
ConclusionThe possibility of endometriosis should be considered in reproductive aged women with catamenial symptoms of chest pain or shortness of breath. Right pneumothorax and diaphragmatic endometriosis are found in most cases. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 10, 2019 Category: OBGYN Source Type: research

Factors that Influence Applicants Pursuing a Fellowship in Minimally Invasive Gynecologic Surgery (FMIGS)
ConclusionFMIGS applicants are motivated by their interest in minimally invasive gynecologic surgery, academia and research, and the opportunity to increase their proficiency with advanced endoscopic procedures. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 10, 2019 Category: OBGYN Source Type: research

Hysterectomy provides benefit in health-related quality of life: A ten-year follow-up study
ConclusionsHysterectomy provided long-term improvement in HRQoL, especially in the women with myoma, AUB, and those with endometriosis. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 10, 2019 Category: OBGYN Source Type: research

Persistent ovarian remnant leading to borderline mucinous tumor
Publication date: Available online 9 August 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Sadikah Behbehani, Paul Magtibay, Megan Wasson (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 10, 2019 Category: OBGYN Source Type: research

Perioperative Outcomes of Minimally Invasive Sacrocolpopexy Based on Route of Concurrent Hysterectomy: A secondary analysis of the National Surgical Quality Improvement Program (NSQIP) Database
The objective of this study was to describe perioperative outcomes of minimally invasive sacrocolpopexy (MISCP) based on 4 different routes of concurrent hysterectomy: vaginal (VH), laparoscopic-assisted (LAVH), laparoscopic supracervical (LSCH), and total laparoscopic (TLH).DesignThis was a retrospective cohort study. A secondary analysis of the 2006-2015 National Surgical Quality Improvement Program (NSQIP) database was performed analyzing women who underwent concurrent hysterectomy with MISCP based on Current Procedural Terminology (CPT) codes. We excluded open abdominal hysterectomies. We compared outcomes between VH, ...
Source: Journal of Minimally Invasive Gynecology - August 10, 2019 Category: OBGYN Source Type: research

Mortality Rates in Laparoscopic and Robotic Gynecologic Oncology Surgery: A Systemic Review and Meta-analysis
Publication date: Available online 3 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Sadikah Behbehani, Elena Suarez-Salvador, Matthew Buras, Paul Magtibay, Javier MagrinaABSTRACTObjectiveTo review early operative mortality (
Source: Journal of Minimally Invasive Gynecology - August 8, 2019 Category: OBGYN Source Type: research

Ovarian Torsion in a 4-Year-Old Girl: Rare Occurrence
Publication date: Available online 30 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Aruna Nigam, Arpita De, Abhinav Jain, Neha Gupta, Reva Tripathi (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 8, 2019 Category: OBGYN Source Type: research

Feasibility, Complications, and Recurrence after Discoid Resection for Colorectal Endometriosis: A Series of 93 Cases
Publication date: Available online 19 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Aude Jayot, Sofiane Bendifallah, Carole Abo, Alexandra Arfi, Clémentine Owen, Emile DaraiABSTRACTLaparoscopic discoid colorectal resection is a surgical option for bowel endometriosis, 1 of the most severe forms of endometriosis. However, no study has clearly analyzed the feasibility or the complication and recurrence rates of the procedure in a homogeneous population with specific criteria for discoid resection. The aims of this study were to evaluate the rate of conversion to segmental resection, the need for ...
Source: Journal of Minimally Invasive Gynecology - August 7, 2019 Category: OBGYN Source Type: research

The outcome of fertility sparing and non-fertility sparing surgery for the treatment of adenomyosis. A systematic review and meta-analysis
Publication date: Available online 6 August 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Themistoklis Mikos, Matteo Lioupis, Christos Anthoulakis, Grigoris F GrimbizisAbstractObjectiveThe purpose of this systematic review is to identify the operative issues and specific dysmenorrhoea and menorrhagia outcomes in women who had fertility sparing surgery, as well as the expected oucome for extirpative disease.Data SourcesPROSPERO (ID No 125692). Search for eligible studies up to 31 March 2019 on Medline/PubMed (1966-2019), Scopus/Elsevier (1950-2019) and Google Scholar (up to 2019). The search terms applied f...
Source: Journal of Minimally Invasive Gynecology - August 7, 2019 Category: OBGYN Source Type: research

Laparoscopic Partial Bladder Cystectomy for Bladder Endometriosis: A Combined Cystoscopic and Laparoscopic approach
ConclusionIn bladder endometriosis a combined approach with the urologist can assist in safely excising deep bladder endometriosis without removal of normal bladder tissue. Stents placed in the ureter assist in avoiding injury to the ureters. Demarcating the endometriotic nodule by the urologist through the bladder and excising the bladder nodule laparoscopically is both safe and effective. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 7, 2019 Category: OBGYN Source Type: research

The Number of Removed Pelvic Lymph Nodes as a Prognostic Marker in FIGO Stage IB1 Cervical Cancer with Negative Lymph Nodes
ConclusionWith uniform pelvic lymphadenectomy, the total pelvic RLN number could be a valuable predictor of outcome in stage IB1 cervical cancer without lymph node metastasis during a follow-up of at least five years. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 7, 2019 Category: OBGYN Source Type: research

Acute isolated tubal torsion with hematosalpinx in a premenopausal woman: The importance of the Whirlpool sign
Publication date: Available online 5 August 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Mehmet Tunc Canda, Mustafa Melih Erkan, Namik Demir, Dilsat Camli (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 7, 2019 Category: OBGYN Source Type: research

Keep Your Landmarks Close, And The Hypogastric Nerve Closer: An Approach To Nerve-Sparing Endometriosis Surgery
ConclusionsThe hypogastric nerve follows a predictable course and can be identified, dissected, and spared during pelvic surgery, making it an important landmark for the preservation of pelvic autonomic innervation. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 4, 2019 Category: OBGYN Source Type: research

Evaluation of the console in acquiring laparoscopic skills through videogaming
ConclusionWe confirm the correlation between videogaming and laparoscopic skills. Further, we conclude that the correlation is stronger with the Wii console compared to the Xbox for psychomotor skills. This may be due to the similarity of action between the Nintendo Wii remote and the laparoscopic instruments. Thus, practising videogaming on the Nintendo Wii console over Xbox may improve manual dexterity laparoscopic skills. However, research of larger cohort studies with different games would provide further insight into the best methods for future simulated learning. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 4, 2019 Category: OBGYN Source Type: research

Ultrasonographic Features of Uterine Scar after Laparoscopic and Laparoscopy-Assisted Minilaparotomy Myomectomy: A Comparative Study
Publication date: Available online 10 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Zahra Asgari, Fateme Salehi, Reyhaneh Hoseini, Mahboubeh Abedi, Ali MontazeriABSTRACTStudy ObjectiveTo evaluate uterine scar features after laparoscopic myomectomy (LM) compared with myomectomy performed by laparoscopy initially and then completed with minilaparotomy (LAM).DesignProspective cohort study.SettingAn academic center for advanced endoscopic gynecologic surgery.PatientsSixty-nine symptomatic women who underwent myomectomy between July and December 2018.InterventionPatients underwent LM or LAM and 3-month fol...
Source: Journal of Minimally Invasive Gynecology - August 2, 2019 Category: OBGYN Source Type: research

Laparoscopic Access with Optical Gasless Trocar: A Single-center Experience of 7431 Procedures
ConclusionsThe optical gasless trocar is a feasible laparoscopic entry technique. The complication rate is lower than those reported previously. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 2, 2019 Category: OBGYN Source Type: research

Is High-Intensity Focused Ultrasound (HIFU) effective for the treatment of Adenomyosis? A systematic review and meta-analysis
ConclusionThis review suggests a potential benefit for HIFU in the treatment of adenomyosis-related symptoms, however findings of the metanalysis were based on fewer, non-uniform studies, which did not equally account for each specific symptom/parameter across the board. Results showed there appears to be a potential of HIFU in the treatment of adenomyosis-related symptoms. To date, there are no comparative and randomized clinical trials comparing HIFU technique to other conservative treatment options. There is as yet insufficient data regarding fertility and pregnancy outcomes. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 2, 2019 Category: OBGYN Source Type: research

Recurrence rate after “one step” CO2 fiber laser vaporization versus cystectomy for ovarian endometrioma: a 3-year follow-up study
ConclusionsThis study suggests that “one step” CO2 fiber laser vaporization may be effective for endometrioma treatment as it is associated with recurrence rates comparable to those occurring following cystectomy, with the advantage of being an ovarian tissue-sparing technique. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 2, 2019 Category: OBGYN Source Type: research

Vaginal dinoprostone in reducing pain perception during diagnostic office hysteroscopy in postmenopausal women: A randomized, double-blind placebo-controlled trial
Publication date: Available online 1 August 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Ahmed Samy, Ahmed M. Abbas, Ahmed S.S.A. Rashwan, Bassem Talaat, Ahmed Ibrahim Eissa, Ahmed A. Metwally, Bahaa Eldin M. Hammad, Ahmed M. Ibrahim, Iman M. Elzahaby, Sherif Sameh Zaki, Mohamed-El SharkawyABSTRACTStudy Objectiveto evaluate the efficacy of vaginal dinoprostone in reducing pain perception during diagnostic office hysteroscopy (OH) in postmenopausal women.DesignA randomized, double-blind controlled trialSettingtertiary University hospitalParticipantspostmenopausal patients scheduled for OH.InterventionsElig...
Source: Journal of Minimally Invasive Gynecology - August 2, 2019 Category: OBGYN Source Type: research

Inferior Mesenteric Arterial Supply to a Symptomatic Uterine Myoma
Publication date: Available online 9 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Joshua Cornman-Homonoff, Kevin Holcomb, Marc H. Schiffman (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 1, 2019 Category: OBGYN Source Type: research

Surgical principles for disc resection of deep bowel endometriosis
ConclusionDisc resection is the technique of choice to treat focal bowel endometriosis’ lesion with less than 3 centimeters. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 1, 2019 Category: OBGYN Source Type: research

Deep Infiltrating Endometriosis and spontaneous hemoperitoneum: a life-threatening situation treated by laparoscopy
ConclusionSpontaneous hemoperitoneum represents a rare and life-threatening complication associated with endometriosis. In patients with hemoperitoneum and a history of endometriosis is important to pay attention to the possible presence of uncommon bleeding localizations. Laparoscopy was useful and effective in this challenging situation, identifying the bleeding source and performing a selective coagulation. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 1, 2019 Category: OBGYN Source Type: research

Surgical technique for the endometrioma in 10 steps
CONCLUSIONStandardization of laparoscopic cystectomy for endometrioma 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 easier to realize. Moreover, the standardization of the surgical techniques may reduce the learning curve. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - August 1, 2019 Category: OBGYN Source Type: research

Regarding “Surgical Intervention in Patients with Tubo-ovarian Abscess: Clinical Predictors and a Simple Risk Score”
Publication date: Available online 28 June 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Harry Reich (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 31, 2019 Category: OBGYN Source Type: research

Authors’ Reply
Publication date: Available online 4 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Nishant Sahay, Mukta Agarwal, Pranav Santhalia, Anubha Sahay (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 31, 2019 Category: OBGYN Source Type: research

Ovarian torsion in a 4 year old girl: Rare occurrence
Publication date: Available online 30 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Aruna Nigam, Arpita De, Abhinav Jain, Neha Gupta, Reva Tripathi (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 31, 2019 Category: OBGYN Source Type: research

An effective method combining various endoscopes in treatment of intravesical migrated intrauterine device
ConclusionMigrated IUD in bladder was successfully and completely extracted by the method combining various endoscopes and the operative time was 56 minutes. In the follow-up period, the patient did not report any symptom of frequency urination. This surgical process has the following characteristics: 1) Preoperative examination should be performed to clarify the ectopic site of IUD; 2) Various endoscopes should be combined for diagnosis and treatment; 3) Endoscopic surgery is an effective treatment method for migrated IUD. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 31, 2019 Category: OBGYN Source Type: research

Laparoscopic Radiofrequency Ablation of Uterine Leiomyomas: Clinical Outcomes during Early Adoption into Surgical Practice
ConclusionsLaparoscopic RFA of leiomyomas can be introduced into surgical practice with good clinical outcomes for patients. Gynecologists with no prior experience are able to gain confidence and skill with the procedure quickly in
Source: Journal of Minimally Invasive Gynecology - July 31, 2019 Category: OBGYN Source Type: research

Incidence of Leiomyosarcoma at Surgery for Presumed Uterine Myomas in Different Age Groups
ConclusionThe incidence of occult LMS in patients under 40 years old undergoing surgery for presumed uterine myomas was 0. These findings are suggestive that the use of power morcellation in this population may be safe. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 31, 2019 Category: OBGYN Source Type: research

Single-Port/Pneumovagina Technique for Two Further Applications
ConclusionThe creation of a pneumovagina with the application of a single-port device provides an excellent view of vaginal structures and allows the application of laparoscopic techniques to perform vaginal surgeries in a much more ergonomic fashion compared with conventional vaginal surgery. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 31, 2019 Category: OBGYN Source Type: research

Ureteral anomalies in gynecologic surgery
Publication date: Available online 27 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Christine E. Foley, Suketu Mansuria (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 28, 2019 Category: OBGYN Source Type: research

Dual Compartment Surgery for Pulmonary Endometriosis
Publication date: Available online 27 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Lora Liu, Serin Seckin, Karli Goldstein, Tamer Seckin (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 28, 2019 Category: OBGYN Source Type: research

Indwelling Intrauterine Foley Balloon Catheter for Intraoperative and Postoperative Bleeding in Cesarean Scar Pregnancy
ConclusionsThe use of an indwelling, intrauterine Foley balloon catheter has positive results in the management of CSP. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 28, 2019 Category: OBGYN Source Type: research

Optimizing Perioperative Outcomes with Selective Bowel Resection Following an Algorithm Based on Preoperative Imaging for Bowel Endometriosis
ConclusionSelective bowel resection algorithm provides a systematic approach to the surgical management of patients with bowel endometriosis. Adherence to the surgical plan according to the preoperative imaging and criteria outlined in the algorithm can be accomplished in the majority of patients; however, the surgical team should be aware that upstaging or downstaging may be required, depending on the intraoperative findings. When feasible, the team should opt for a less extensive procedure to avoid complications associated with more radical surgery. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 28, 2019 Category: OBGYN Source Type: research

Temporary Ligation of the Uterine Artery at Its Origin Using a Removable “Shoelace” Knot
ConclusionLaparoscopic ligation of the uterine arteries at their origin is known to reduce intraoperative blood loss 1, 2. However, in patients desiring future fertility, the effect of permanent ligation of these vessels bilaterally remains under study 3, 4, 5. The removable “shoelace” knot is a low-cost, readily available alternative to metallic titanium clips that requires no special surgical expertise to implement. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 28, 2019 Category: OBGYN Source Type: research

Laparoscopic Reverse Technique For Posterior Rectovaginal Deep Endometriosis Nodule Step by Step.
ConclusionLaparoscopic reverse technique is an alternative approach to face retrocervical or rectovaginal nodules infiltrating the anterior rectal wall.  In this technique, the separation of the nodule from the rectal wall is performed at the end of the surgery and not at the beginning as performed within the traditional technique. This enables the surgeon to perform a more precise dissection of the endometriotic nodule from the rectal wall because of the increased mobility of the bowel. The wider range of movements serves as an ergonomic advantage for the subsequent dissection of the lesion from the rectum, allowing ...
Source: Journal of Minimally Invasive Gynecology - July 26, 2019 Category: OBGYN Source Type: research

Deep Infiltrating Endometriosis: Using Preoperative Radiology for Surgical Planning
Publication date: Available online 25 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Rachael Haverland, Scott Young, Megan Wasson (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 26, 2019 Category: OBGYN Source Type: research

Prediction of Occult Uterine Sarcoma prior to Hysterectomy for Women with Leiomyoma or Abnormal Bleeding
ConclusionMultiple clinical features are associated with the presence of a uterine sarcoma, but when incorporated into a prediction model, they fail to provide significantly more information about women who may have an unrecognized sarcoma and only marginally improve the certainty about women who are not likely to have sarcoma. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 26, 2019 Category: OBGYN Source Type: research

Reproductive and obstetric outcome after hysteroscopic removal of retained products of conception
ConclusionHysteroscopic removal of RPOC seems to have no detrimental effect on reproductive outcome. The pregnancy rates do not differ significantly (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 26, 2019 Category: OBGYN Source Type: research

The Balance of Parenting and Professional Life among Gynecologic Subspecialists: A Unicorn?
Publication date: Available online 24 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Beri Ridgeway (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 25, 2019 Category: OBGYN Source Type: research

Use of intrauterine Foley probe for US-assisted hysteroscopic resection of complete septum: description of the procedure
ConclusionThe combination of real time US-guidance and the placement of an intrauterine balloon through one cervix may increase safety during the procedure as it allows a clear identification of both uterine cavities and septum borders while resection is performed. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 25, 2019 Category: OBGYN Source Type: research

Robotic vesicovaginal fistula repair
ConclusionsTraditionally, patients with vesicovaginal fistula after pelvic radiation therapy and multiple abdominal surgeries are managed by laparotomy. This video demonstrates a feasible robotic approach to vesicovaginal fistula repair, with superior imaging affording a three-dimensional vision and stabilization of instruments allowing wrist-like movements. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 25, 2019 Category: OBGYN Source Type: research

What Is a Good Teaching Video? Results of an Online International Survey
ConclusionThe many advantages of the video format, including availability and rising popularity, provide an opportunity to reinforce and complement current surgical teaching. To optimize use of this surgical teaching tool, standardization, updating, and ease of access of surgical videos should be promoted. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 23, 2019 Category: OBGYN Source Type: research

Laparoscopic Essure® Device Removal by En Bloc Salpingectomy-Cornuectomy with Intraoperative X-Ray Checking: A Retrospective Cohort Study
ConclusionEssure® device removal by LSC appears to be an effective and safe procedure. IX-S is a useful method to evaluate whether the removal of Essure® device is complete during an LSC procedure. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 20, 2019 Category: OBGYN Source Type: research

The impact of obesity on surgeon ergonomics in robotic and straight stick laparoscopic surgery
Publication date: Available online 18 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Esther L Moss, Panos Sarhanis, Thomas Ind, Michael Smith, Quentin Davies, Massimiliano ZeccaABSTRACTObjectiveWork-related musculoskeletal symptoms (WMS) are reported to be increasing in surgeons performing minimally invasive procedures.To investigate the use of Inertial Measurement Units (IMU) and electromyography sensor (EMG) recorders to record real-time information on the muscle movement/activity required to perform training exercises in simulated in normal and high body mass index (BMI) models.DesignProspective stu...
Source: Journal of Minimally Invasive Gynecology - July 19, 2019 Category: OBGYN Source Type: research

Feasibility, complications and recurrence following discoid resection for colorectal endometriosis: a series of 93 cases
Publication date: Available online 19 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Aude Jayot, Sofiane Bendifallah, Carole Abo, Alexandra Arfi, Clémentine Owen, Emile DaraiABSTRACTLaparoscopic discoid colorectal resection is a surgical option for bowel endometriosis, one of the most severe forms of endometriosis. However, no study has clearly analysed the feasibility, or the complication and recurrence rates of the procedure in a homogeneous population with specific criteria for discoid resection. The aims were to evaluate the rate of conversion to segmental resection, the need for double disc...
Source: Journal of Minimally Invasive Gynecology - July 19, 2019 Category: OBGYN Source Type: research

Nonsurgical Management of Interstitial Pregnancies: Feasibility and Predictors of Treatment Failure
ConclusionSuccessful nonsurgical management of an interstitial pregnancy is feasible, although appropriate selection of cases is advised. A large gestational sac is a risk factor for treatment failure and should prompt surgical intervention. Subsequent pregnancies can generally be considered safe and with a favorable outcome. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 19, 2019 Category: OBGYN Source Type: research

Tigers in the sidewall: Surgical approaches to excision of lateral deep infiltrating endometriosis
ConclusionExtreme cases of DIE involving the pelvic side wall require surgical finesse when normal planes of dissection are obliterated. Knowledge of retroperitoneal anatomy is critical in order to overcome unexpected lateral pelvic side wall endometriosis as the disease is rarely confined to the surface. Innovative surgical thinking complemented by an array of surgical tools will ultimately allow the surgeon to master these difficult endometriotic resections. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 19, 2019 Category: OBGYN Source Type: research

Surgical principles of segmental rectosigmoid resection and reanastomosis for deep infiltrating endometriosis
ConclusionsAdvanced laparoscopic surgical skills are needed to appropriately perform a segmental rectosigmoid resection. Sub-specialization and an adequate pretreatment evaluation are crucial to ensure the correct decision making process within a complex algorithm for surgical management of bowel endometriosis. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 17, 2019 Category: OBGYN Source Type: research