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

Opioid Prescription Usage After Benign Gynecologic Surgery: A Prospective Cohort Study
Publication date: Available online 15 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Insiyyah Patanwala, Chensi Ouyang, Matthew Fisk, Georgine LamvuAbstractStudy ObjectiveTo compare the amount of opioids (tablets and morphine milligram equivalents-MME) prescribed by physicians and used by patients, after benign gynecologic surgery.DesignProspective Cohort StudySettingTertiary Center- Main Hospital Operating Room and Outpatient Surgery CenterPatientsWomen undergoing benign gynecologic surgeryInterventionsMajor and minor gynecologic surgeriesMeasurementsThe surgery groups were: 1) minor laparoscopy (Mino...
Source: Journal of Minimally Invasive Gynecology - July 16, 2019 Category: OBGYN Source Type: research

Robotic radical hysterectomy is not superior to laparoscopic radical hysterectomy in perioperative urologic complications: A meta-analysis of 23 studies
CONCLUSIONCurrent evidence suggests that RRH is not superior to LRH in terms of perioperative urologic complications. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 14, 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 - July 13, 2019 Category: OBGYN Source Type: research

A Novel Incision-free Device for Transvaginal Apical Pelvic Organ Prolapse Repair
ConclusionThe Apyx anchoring system, a novel incision free minimally invasive prolapse repair device, demonstrated an anatomically feasible, easy-to-use procedure for suspending the vaginal apex to the sacrospinous ligaments. Its clinical safety, efficacy, and impact on patient symptoms and quality of life, should be further studied. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 11, 2019 Category: OBGYN Source Type: research

Ultrasonographic Features of Uterine Scar after Laparoscopic and Laparoscopy-Assisted Minilaparatomy 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).DesignA prospective cohort study.SettingAn academic center for advanced endoscopic gynecologic surgery.PatientsOf 107 symptomatic female patients, 69 underwent myomectomy between July and December 2018.InterventionPatients underwent LM or LAM and 3-m...
Source: Journal of Minimally Invasive Gynecology - July 11, 2019 Category: OBGYN Source Type: research

Sometimes complete nerve-sparing surgery is not possible in deep infiltrating endometriosis: Presurgical magnetic resonance/ultrasound fusion imaging as a novel diagnostic tool
Publication date: Available online 10 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Marco Scioscia, Bruna A. Virgilio, Arnaldo Scardapane, Giovanni Pontrelli (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 11, 2019 Category: OBGYN Source Type: research

Laparoscopic Access With Optical Gasless Trocar: A Single-Centre Experience of 7,431 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 - July 11, 2019 Category: OBGYN Source Type: research

Efficacy of antibiotic prophylaxis for hysteroscopy: a meta-analysis of randomized trials
CONCLUSIONThe use of antibiotics appears not to be beneficial to prevent infection after hysteroscopy, however, the lack of high-quality studies makes it difficult to draw firm conclusions. Considering the very low infection rate highlighted after hysteroscopic procedures a difference will probably never be proven in a randomized trial. Big population program data to confirm these results are therefore warranted. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 11, 2019 Category: OBGYN Source Type: research

Massive Broad Ligament Hematoma Caused by Spontaneous Uterine Artery Rupture after Uncomplicated Vaginal Delivery
Publication date: Available online 12 June 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Hyun Jung Lee, Eun Duc Na, Hyeon Chul Kim, Mi Sun Kim, Myoung Jin Moon (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 10, 2019 Category: OBGYN Source Type: research

Inferior mesenteric arterial supply to a symptomatic uterine fibroid
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 - July 10, 2019 Category: OBGYN Source Type: research

Short-term Outcomes of Nonrobotic Single-incision Laparoscopic Sacrocolpopexy: A Surgical Technique
This study consisted of a retrospective analysis of 49 consecutive cases.SettingThis study was set at the Third Affiliated Hospital of Guangzhou Medical University from October 2016 to November 2017.PatientsThe population for this study consisted of women with stage II to IV POP who met eligibility criteria for laparoscopic surgery.InterventionsS-LSC included the use of V-loc 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 the uterus and adnexa....
Source: Journal of Minimally Invasive Gynecology - July 9, 2019 Category: OBGYN Source Type: research

Minilaparoscopic Total Hysterectomy in Current Practice Feasibility and benefits: A Unicentric, Randomized Controlled Trial
ConclusionTotal minilaparoscopic HT appears inferior to standard laparoscopy in terms of operative time and surgeon working conditions; only the short-term cosmetic appearance was in favor of the 3-mm approach. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 9, 2019 Category: OBGYN Source Type: research

Uterine Artery–sparing Minimally Invasive Radical Trachelectomy: A Case Report and Review of the Literature
This article is accompanied by a video that provides 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, a 2-cm mass, and a desire for future fertility. We also conducted a review of the literature examining the use of uterine artery–sparing techniques among minimally invasive radical trachelectomies. Using PubMed, Google Scholar, and Ovid search tools, 28 total publications were reviewed, of which 16 were eligible for use in our comparison. With the addition of our case report, a total of 154 cases spar...
Source: Journal of Minimally Invasive Gynecology - July 9, 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 - July 4, 2019 Category: OBGYN Source Type: research

Regarding “Effect of Pneumoperitoneum and Patient Positioning on Intracranial Pressures During Laparoscopy. A Prospective Comparative Study.”
Publication date: Available online 4 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Livio Vitiello, Maddalena De Bernardo, Nicola Rosa (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 4, 2019 Category: OBGYN Source Type: research

Comparison of Laparoscopic Hysterectomy in Patients with Endometriosis with and without an Obliterated Cul-De-Sac
Publication date: Available online 4 July 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Alexandra Melnyk, Noah B. Rindos, Samar R. El Khoudary, Ted LeeAbstractStudy objectiveTo determine if intraoperative outcomes for patients undergoing a laparoscopic hysterectomy with endometriosis and an obliterated cul-de-sac are different than patients with endometriosis and no obliteration of the cul-de-sac.DesignRetrospective cohort study.SettingAcademic tertiary-care hospital.PatientsPatients undergoing total laparoscopic hysterectomy with endometriosis between 2012 and 2016.InterventionsTotal laparoscopic hysterec...
Source: Journal of Minimally Invasive Gynecology - July 4, 2019 Category: OBGYN Source Type: research

Author's reply: Sonographic assessment of optic nerve sheath and concerns regarding an artefact.
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 4, 2019 Category: OBGYN Source Type: research

Transobturator vaginal tape in 10 steps
ConclusionTogether with an appropriate preoperative study, the standardization of this surgical procedure and the application of tips and tricks suggested could make this technique easier to learn for beginners [2] and could help experienced surgeons in reducing, as much as possible, the most frequent complications too [3]. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 4, 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 Sütterlin (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 2, 2019 Category: OBGYN Source Type: research

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 the 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 years and had been using a combined oral contraceptive (COC) to prevent recurrence. The mass was diagnosed as a uterine myoma on the basis of ultras...
Source: Journal of Minimally Invasive Gynecology - July 2, 2019 Category: OBGYN Source Type: research

Urgent laparoscopic surgeries during the third trimester of pregnancy: A case series
ConclusionsOur results demonstrate that urgent laparoscopic surgeries in the third trimester of pregnancy are feasible, and they can be safely performed with minimal risk for the patient and fetus. Larger prospective studies are required to validate these recommendations. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - July 2, 2019 Category: OBGYN Source Type: research

Robotic-Assisted Total Laparoscopic Supralevator Pelvic Exenteration: Steps in Excising the Pelvic Viscera
ConclusionTotal pelvic exenteration can be safely performed robotically with appropriate understanding of the key steps and anatomic landmarks. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 29, 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
ConclusionOur long-term follow-up data demonstrate that the hysteroscopic correction of dysmorphic uteri may result in a 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 - June 29, 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 ergonomical fashion compared to conventional vaginal surgery. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 29, 2019 Category: OBGYN Source Type: research

Incidence of Leiomyosarcoma at Surgery for Presumed Uterine Fibroids in Different Age Groups
ConclusionThe incidence of occult LMS in patients under 40 years old undergoing surgery for presumed uterine fibroids was zero. These findings are suggestive that use of power morcellation in this population may be safe. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 29, 2019 Category: OBGYN Source Type: research

Laterally Extended Endopelvic Resection 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 reimplantation for an epithelioid trophoblastic tumor without adjuvant treatment. She pr...
Source: Journal of Minimally Invasive Gynecology - June 28, 2019 Category: OBGYN Source Type: research

High-Intensity Focused Ultrasound in the Treatment of Abdominal Wall Endometriosis
Publication date: Available online 27 June 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Suhua Shi, Guantai Ni, Li Ling, Huafeng Ding, Yihui Zhou, Zhimin DingAbstractStudy ObjectiveTo evaluate high-intensity focused ultrasound (HIFU) ablation therapy for abdominal wall endometriosis.DesignA retrospective study.SettingGynecological department of a teaching hospital in China.PatientsThirty patients with abdominal wall endometriosis were treated from May 2013 to December 2015.InterventionsThirteen patients were treated with HIFU ablation, and 17 patients were treated with surgical resection.Measurements and M...
Source: Journal of Minimally Invasive Gynecology - June 28, 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 - June 28, 2019 Category: OBGYN Source Type: research

Comparison of Carbon Dioxide Absorption Rates in Gynecologic Laparoscopy with a Valveless versus Standard Insufflation System: Randomized Controlled Trial
ConclusionCO2 absorption rates, anesthesiologists’ ability to maintain adequate etCO2, and postoperative 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 - June 26, 2019 Category: OBGYN Source Type: research

Temporary ligation of uterine artery at its origin using a removable ‘shoelace’ knot
ConclusionLaparoscopic ligation of the uterine arteries at their origin is known to reduce intra operative blood loss. However, in patients desirous of future fertility, the effect of permanent ligation of these vessels bilaterally is still under study.The removable shoelace knot is a low cost, easily 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 - June 26, 2019 Category: OBGYN Source Type: research

Cover 1
Publication date: July–August 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 5Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 25, 2019 Category: OBGYN Source Type: research

Board Of Directors-Ed Calendar
Publication date: July–August 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 5Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 25, 2019 Category: OBGYN Source Type: research

International Societies
Publication date: July–August 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 5Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 25, 2019 Category: OBGYN Source Type: research

Editorial Board
Publication date: July–August 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 5Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 25, 2019 Category: OBGYN Source Type: research

Toc
Publication date: July–August 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 5Author(s): (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 25, 2019 Category: OBGYN Source Type: research

Workplace Harassment and Discrimination in Gynecology: Reflections on the Report of the American Association of Gynecologic Laparoscopists Member Survey
Publication date: July–August 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 5Author(s): Bobbie Gostout, Gretchen Glaser, Vanessa Torbenson (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 25, 2019 Category: OBGYN Source Type: research

“When You Hear Hoofbeats, Think of Horses, Not Zebras:” A Case of Bladder Endometriosis in Menopause
Publication date: July–August 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 5Author(s): Eugenio Solima, Ida Pino, Giuseppe Scagnelli, Davide Biasoni, Michele Vignali (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 25, 2019 Category: OBGYN Source Type: research

Preserving Fertility by Treating the 3 Compartments: Laparoscopic Approach to Deep Infiltrating Endometriosis
ConclusionsA 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 - June 25, 2019 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, such as hemorrhage, simple perforation, and infection. Intrauterine fallopian tube incarceration is uncommon but can affect fertility. This diagnosis is important to avoid destruction of the fimbriae and necrosis of the tube and also to reduce the risk of ectopic pregnancy. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 25, 2019 Category: OBGYN Source Type: research

Bladder Endometriosis: Management by Cystoscopic and Laparoscopic Approaches
ConclusionThe video demonstrates the feasibility of simultaneous laparoscopic and cystoscopic approach for excision of a bladder endometriotic nodule. Marking the nodule by simultaneous cystoscopy and laparoscopy before excision helps in removing the disease completely and avoiding unnecessary normal bladder wall excision, thus reducing the risk of recurrence and resultant small bladder symptoms. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 25, 2019 Category: OBGYN Source Type: research

When Less Is More: Minimally Invasive Surgery Compared with Laparotomy for Interval Debulking After Neoadjuvant Chemotherapy in Women with Advanced Ovarian Cancer
Publication date: July–August 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 5Author(s): Jubilee Brown, Lane Drury, Erin K. Crane, William E. Anderson, David L. Tait, Robert V. Higgins, R. Wendel NaumannAbstractStudy ObjectiveTo 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).DesignRetrospective cohort study (Canadian Task Force classification II-2).SettingOne large teaching hospital with a tertiary referral function...
Source: Journal of Minimally Invasive Gynecology - June 25, 2019 Category: OBGYN Source Type: research

Prediction of Pouch of Douglas Obliteration: Point-of-care Ultrasound Versus Pelvic Examination
Publication date: July–August 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 5Author(s): Kristina Arion, Tuba Aksoy, Catherine Allaire, Heather Noga, Christina Williams, Mohamed A. Bedaiwy, Paul J. YongABSTRACTStudy ObjectiveTo evaluate the point-of-care preoperative transvaginal ultrasound (TVUS) sliding sign in comparison with 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).SettingA tertiary referral center.PatientsWomen with suspecte...
Source: Journal of Minimally Invasive Gynecology - June 25, 2019 Category: OBGYN Source Type: research

The Association of Sonographic Evidence of Adenomyosis with Severe Endometriosis and Gene Expression in Eutopic Endometrium
Publication date: July–August 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 5Author(s): Uri P. Dior, Debbie Nisbet, Jenny N. Fung, Grant Foster, Martin Healey, Grant W. Montgomery, Peter A.W. Rogers, Sarah J. Holdsworth-Carson, Jane E. GirlingABSTRACTStudy ObjectiveTo examine the presence of sonographic evidence of adenomyosis (SEOA) in patients undergoing laparoscopic surgery for the 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 endometri...
Source: Journal of Minimally Invasive Gynecology - June 25, 2019 Category: OBGYN Source Type: research

Efficacy of a Fibrin Sealant (Tissucol Duo) for the Preventionof Lymphocele after Laparoscopic Pelvic Lymphadenectomy:A Randomized Controlled Trial
ConclusionApplication of Tissucol Duo fibrin sealant after laparoscopic pelvic lymphadenectomy using ultrasonic shears does not decrease the occurrence of symptomatic or asymptomatic LC. (Source: Journal of Minimally Invasive Gynecology)
Source: Journal of Minimally Invasive Gynecology - June 25, 2019 Category: OBGYN Source Type: research

Left Lateral Port: Safe Laparoscopic Port Entry in Previous Large Upper Abdomen Laparotomy Scar
Publication date: July–August 2019Source: Journal of Minimally Invasive Gynecology, Volume 26, Issue 5Author(s): Nutan Jain, Vandana Jain, Chetna Agarwal, Priyanka Bansal, Sunil Gupta, Bhumika BansalABSTRACTThe first port entry in patient who underwent previous abdominal surgery. Palmer's point can be used in patients with suspected periumbilical adhesions, a history of an umbilical hernia, or multiple failed attempts of insufflations at the umbilicus. Palmer's point has its limitations in cases of left upper quadrant surgery, splenomegaly, portal hypertension, and improper nasogastric tube placement giving rise to a...
Source: Journal of Minimally Invasive Gynecology - June 25, 2019 Category: OBGYN Source Type: research