MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Gynecological Surgery' source. Wed, 08 Feb 2012 23:00:55 +0100 http://www.medworm.com/index.php?rid=5661074&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg43v3q4086676242%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s10397-012-0730-z Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5661074 Thu, 02 Feb 2012 06:56:45 +0100 5661074 http://www.medworm.com/index.php?rid=5650599&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp04p831673054335%2F Content Type Journal ArticleCategory Case reportPages 1-3DOI 10.1007/s10397-012-0727-7Authors Santiago Domingo, Department of Obstetrics and Gynaecology, Hospital Universitario La Fe, Bulevar Sur, s/n, 46026 Valencia, SpainAlfredo Perales-Puchalt, Department of Obstetrics and Gynaecology, Hospital Universitario La Fe, Bulevar Sur, s/n, 46026 Valencia, SpainJose María Vila-Vives, Department of Obstetrics and Gynaecology, Hospital Universitario La Fe, Bulevar Sur, s/n, 46026 Valencia, SpainMarta Gurrea, Department of Obstetrics and Gynaecology, Hospital Universitario La Fe, Bulevar Sur, s/n, 46026 Valencia, SpainAntonio Pellicer, Department of Obstetrics and Gynaecology, Hospital Universitario La Fe, Bulevar Sur, s/n, 46026 Valencia, Spain Journal Gynecological SurgeryOnline ISSN... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5650599 Mon, 30 Jan 2012 16:06:02 +0100 5650599 http://www.medworm.com/index.php?rid=5650600&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj5108m7p2t702304%2F Content Type Journal ArticleCategory EditorialPages 1-2DOI 10.1007/s10397-012-0726-8Authors Ivo Brosens, Leuven Institute of Fertility and Embryology, Tiensevest 168, 3000 Leuven, Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5650600 Wed, 25 Jan 2012 18:14:59 +0100 5650600 http://www.medworm.com/index.php?rid=5599728&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4748lv078380p2m1%2F Content Type Journal ArticleCategory Case reportPages 1-5DOI 10.1007/s10397-012-0725-9Authors C. Cronin, Department of Obstetrics and Gynaecology, Cork University Maternity Hospital, Cork, IrelandM. Hewitt, Department of Obstetrics and Gynaecology, Cork University Maternity Hospital, Cork, IrelandI. Harley, Department of Obstetrics and Gynaecology, Belfast Health and Social Care Trust, Belfast, Northern Ireland, UKK. O’Donoghue, Department of Obstetrics and Gynaecology, Cork University Maternity Hospital, Cork, IrelandB. A. O’Reilly, Department of Obstetrics and Gynaecology, Cork University Maternity Hospital, Cork, Ireland Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5599728 Fri, 13 Jan 2012 17:17:52 +0100 5599728 http://www.medworm.com/index.php?rid=5562475&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1007g16478113728%2F Abstract  The aim of this study was to investigate the effectiveness of combining a paracervical block with an intramyometrial block of the uterine fundus on women's perception of pain during Novasure® radio-frequency impedance-controlled endometrial ablation. The study design was a case–control study. The study was conducted in private practice/office setting. The patients were 83 premenopausal women undergoing endometrial ablation due to heavy menstrual periods. The intervention used was hysteroscopic injection of local anaesthetic into the myometrium of the uterine fundus in addition to a paracervical block. There were no adverse events as a consequence of either the anaesthesia or the ablation procedure. All women were asked 60 s into the active ablation procedu... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5562475 Fri, 30 Dec 2011 07:09:06 +0100 5562475 http://www.medworm.com/index.php?rid=5553495&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa51gj46162876x7r%2F Abstract  Since the dissociation between adenomyoma and endometriosis in the 1920s and the laparoscopic progress in the diagnosis and surgery of endometriosis, the literature has been greatly focused on the disease endometriosis. The study of adenomyosis, on the other hand, has been neglected as the diagnosis remained based on hysterectomy specimens. However, since the introduction of magnetic resonance and sonographic imaging techniques in the 1980s, the myometrial junctional zone has been identified as a third uterine zone and interest in adenomyosis was renewed. This has also been the start for the interest in the role of the myometrial junctional zone dysfunction and adenomyosis in reproductive and obstetrical disorders. Content Type Journal ArticleCategory Perspect... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5553495 Tue, 27 Dec 2011 17:04:08 +0100 5553495 http://www.medworm.com/index.php?rid=5545909&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0g3141161n8333n1%2F Abstract  The following study describes the use of laparoscopic surgery in the public hospitals of the Ecuadorian ministry of public health in Quito, Ecuador in the year 2008. The aim of the present study was the description of the recent situation of laparoscopic surgery in the public sector of the Ecuadorian capital, the level of training and education of laparoscopists, and the determination of missing factors in the educational programs in minimally invasive surgery in Ecuador. We analyzed the use of laparoscopic approach in correlation to the specialty and the diagnosis. The results revealed that in many diagnoses, the standard surgical approach still is the laparotomy. The discrepancy between general surgery, gynecology, and urology in the use of minimally invasive su... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5545909 Wed, 21 Dec 2011 20:05:29 +0100 5545909 http://www.medworm.com/index.php?rid=5516485&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fpwg17617446w8088%2F Abstract  Obesity is a risk factor for the development of uterine fibroids and dysfunctional uterine bleeding which may require hysterectomy. Vaginal hystectomy for enlarged uteri due to fibroids can be difficult and challenging while abdominal hysterectomy increases the risk of infection and bleeding. This prospective study was conducted to compare the operative outcome of laparoscopic supracervical hysterectomy in women with high body mass index (BMI) with enlarged or normal sized uteri. Patients were divided in to four groups according to body mass index and uterine weight. Group 1 included patients with BMI ≥ 25 kg/m2and uterine weight of ≥280 g, group 2 included patients with BMI ≥ 25 kg/m2 and uterine weight of <280 g, group 3 (BMI �... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5516485 Wed, 14 Dec 2011 16:40:55 +0100 5516485 http://www.medworm.com/index.php?rid=5496353&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv74j5665376320r6%2F Abstract  Laparoscopic surgery requires a unique set of technical skills. There is emphasis on increasing patient safety, and therefore, a growing need to improve laparoscopic training. The aim of this study is to determine if the use of a ‘take-home’ box trainer would improve gynaecological surgeon performance. Thirteen obstetricians and gynaecologists (consultants and registrars) were enrolled to receive 6 months formal laparoscopic training using a ‘take-home’ box trainer. Laparoscopic skills were objectively assessed using a virtual reality haptic-enhanced simulator prior to commencement and at the completion of the course utilising three defined exercises (locating and coordinating, tissue manipulation and object positioning) where task duration, path leng... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5496353 Sat, 10 Dec 2011 16:55:47 +0100 5496353 http://www.medworm.com/index.php?rid=5470491&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl6k817115283525p%2F Abstract  To review outcomes of patients with stage IB-2 cervical carcinoma treated with chemoradiation therapy (CRT) followed by total abdominal hysterectomy (TAH), common iliac and para-aortic lymphadenectomy (PAL). A retrospective review of patients with stage IB-2 cervical cancer treated with CRT followed by TAH/PAL from 1999 to 2009 was performed. Brachytherapy was limited to 1,500–1,800 cGy. Sixty-nine patients were identified. The mean age was 46.7 years, tumor diameter 5.4 cm, and all patients had complete clinical response to CRT. The mean follow-up was 61.7 months. There were no central pelvic relapses and two pelvic sidewall failures (97% pelvic control). The mean time to progression was 31.6 months, and 5-year disease-specific survival ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5470491 Tue, 29 Nov 2011 22:22:47 +0100 5470491 http://www.medworm.com/index.php?rid=5470490&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl4g5p63hx2p337r0%2F This study takes place in gynecological infectious diseases clinic in secondary and tertiary care centers. The subjects are one hundred forty-five consecutive patients with introital pain during or when attempting sexual intercourse. One-digit examination of the posterior hymenal rim of the vulva elicits the specific pain and clinical examination reveals nothing abnormal or only focal redness on the central posterior vestibulum. This condition should be clearly differentiated from the focal-provoked vestibulodynia, although mixed forms are frequent. A questionnaire was composed to assess the level of pain experienced during intercourse and of satisfaction of their sexual life in general at 1 to 3 years after the intervention. After a mean of 3 years, 90% of the patients wer... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5470490 Tue, 29 Nov 2011 22:22:47 +0100 5470490 http://www.medworm.com/index.php?rid=5450590&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa25j47646462858x%2F This study was conducted to adapt and validate a patient safety (PS) framework for minimally invasive surgery (MIS) as a first step in understanding the clinical relevance of various PS risk factors in MIS. Eight patient safety risk factor domains were identified using frameworks from a systems approach to patient safety. A questionnaire was drafted containing 34 questions. Three experts in the field of patient safety critically reviewed the questionnaire on clinical relevance and completeness. The questionnaire was distributed among known patient safety experts in person and also sent electronically. A total of 41 questionnaires were distributed and the response rate was 71%. The intraclass correlation coefficient was 0.42 representing moderate agreement. For seven of nine risk doma... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5450590 Thu, 24 Nov 2011 17:52:44 +0100 5450590 http://www.medworm.com/index.php?rid=5450591&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm171p62l3318643l%2F Abstract  Genital prolapse is one of the most frequent reasons for gynaecologic consultations. Laparoscopic sacrocolpopexy (LSC) became the gold standard since laparoscopy was developed. We retrospectively compared two groups of patients: 82 who undergone LSC from January 1996 to December 2002 (group A) and 169 from January 2002 to December 2009 (group B), always by the same team. Suspension was reinforced with two strips of synthetic mesh. Laparoscopy was performed in 93 women of group A and 169 of group B. They all had symptomatic uterine prolapse. Conversion to laparotomy because of technical difficulties was significantly lower in the second than the first period (1 vs. 11, p < 0.001). We performed less culdoplasty, levator myorrhaphy and Burch colposuspension (p�... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5450591 Tue, 22 Nov 2011 17:59:56 +0100 5450591 http://www.medworm.com/index.php?rid=5433124&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F72310000g2465025%2F In this study, we retrospectively evaluated the clinical indices from the time of onset of acute abdomen to surgery at our hospital, in patients with tumor-related ovarian torsion. Among cases diagnosed preoperatively with benign ovarian tumors between 1995 and 2010, there were 54 patients who developed acute abdomen that was surgically diagnosed as ovarian torsion. For evaluation, these patients were divided into two groups according to the time from the onset of acute abdomen to surgical intervention as follows: <10 and ≥10 h. C-reactive protein (CRP) levels, leukocyte counts, body temperature, tumor size, and degree of torsion were compared between the two patient groups. Ovarian status based on postoperative histopathology was classified as necrotic, congestive, or norm... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5433124 Fri, 18 Nov 2011 17:31:31 +0100 5433124 http://www.medworm.com/index.php?rid=5433125&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv6206k1838172575%2F Abstract  Optimal cytoreduction (OCR) remains the gold standard treatment of ovarian cancer. Current radiological imaging has limited sensitivity and specificity in prediction of achieving OCR prior to surgery. This prospective pilot study included 50 patients with advanced ovarian carcinoma. Prior to the main laparotomy, a mini-laparotomy—just large enough to allow a hand in—was performed. A decision was then made as to whether achieving OCR is “possible”, “not possible” or lastly “unsure”. Formal laparotomy then followed. At the end of the formal laparotomy, cytoreduction was regarded as either “optimal” or “suboptimal” based on residual disease. Out of 45 cases where results were deemed suitable for analysis, 27 were regarded as “OCR possible”,... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5433125 Fri, 18 Nov 2011 06:57:46 +0100 5433125 http://www.medworm.com/index.php?rid=5433126&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc3740v352311x545%2F Abstract  This prospective randomized controlled study was conducted to assess the role of misoprostol, given sublingually or rectally, on the outcome of hysteroscopic procedures. A total of 212 premenopausal patients undergoing hysteroscopic procedures were randomly allocated into three groups: group 1 (n = 71), sublingual misoprostal given 2 h before the procedure; group 2 (n = 71) rectal misoprostal 2 h before the procedure; group 3 (n = 70), control group, no medications were given. Main outcome measures were ease of cervical dilatation, dilatation time to Hegar 6, complications as cervical laceration and postoperative cramps, bleeding and pyrexia. The cervical canal at the start was significantly wider misoprostol groups (P = 0.038). Cervical di... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5433126 Fri, 18 Nov 2011 06:57:45 +0100 5433126 http://www.medworm.com/index.php?rid=5433127&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd60n67x854821204%2F Abstract  The aim of this study was to evaluate the value of ultrasound (US)-guided axillary lymph node fine needle aspiration cytology (FNAC) in staging clinically node-negative invasive breast cancer. Based on retrospective data, we analyzed sensitivity, specificity, and positive and negative predictive value and efficacy of preoperative axillary US-guided FNAC. A total of 108 consecutive female patients with histological-confirmed invasive breast cancer between January 2006 and December 2010 were included. The management decisions were based on cytological results. Twenty-two patients underwent neoadjuvant chemotherapy and 86 remaining patients benefited of primary surgery. Patients with positive cytology or included in neoadjuvant regimens were scheduled for axillary ly... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5433127 Tue, 15 Nov 2011 16:56:48 +0100 5433127 http://www.medworm.com/index.php?rid=5411169&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F628767421514304k%2F Content Type Journal ArticleCategory ImagesPages 1-2DOI 10.1007/s10397-011-0714-4Authors Sang Wook Yi, Department of Obstetrics and Gynecology, Gangneung Asan Hospital, University of Ulsan College of Medicine, Gangneung, Gangwon 210-711, South Korea Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5411169 Mon, 14 Nov 2011 16:57:25 +0100 5411169 http://www.medworm.com/index.php?rid=5411170&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm4n48777j735p148%2F In conclusion, there is no solid evidence proving the superiority of any method of laparoscopic entry. Content Type Journal ArticleCategory Review ArticlePages 1-8DOI 10.1007/s10397-011-0710-8Authors Johannes Ott, Department of Gynecology and Obstetrics, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaAgnes Jaeger-Lansky, Department of Gynecology and Obstetrics, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaGunda Poschalko, Department of Gynecology and Obstetrics, Medical University of Vienna, Waehringer Guertel 18-20, 1090 Vienna, AustriaRegina Promberger, Department of Surgery, Medical University of Vienna, Vienna, AustriaEleen Rothschedl, Department of Gynecology and Obstetrics, Medical University of Vienna, Waehringer Gu... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5411170 Sat, 12 Nov 2011 16:53:11 +0100 5411170 http://www.medworm.com/index.php?rid=5366260&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv515022611265840%2F This study aimed to assess the feasibility and the short- and long-term efficacy of hysteroscopic myomectomy for submucous myomas with intramural development [grade 1 (G1) and grade 2 (G2)] by using non-electrical “cold” loops and to verify the role of preoperative variables on surgical outcomes. Symptomatic (bleeding and infertility) premenopausal patients with the diagnosis of submucous myoma at transvaginal sonography, and with G1 and G2 grading at sonohysterography, were included in this prospective study. Hysteroscopic myomectomy was performed by the combined monopolar electrical slicing and traction-and-leverage manoeuvres by non-electrical “cold” loops. One hundred fifty-nine patients were recruited, and 169 procedures were performed. Operating time, fluid deficit, com... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5366260 Sat, 29 Oct 2011 05:48:28 +0100 5366260 http://www.medworm.com/index.php?rid=5338489&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2j8218788538498q%2F Abstract  The purpose of this study is to evaluate the current practice of Dutch gynecologists in the removal of benign endometrial polyps and compare these results with the results of a previous study from 2003. In 2009 Dutch gynecologists were surveyed by a mailed questionnaire about polypectomy. Gynecologists answered questions about their individual performance of polypectomy: setting, form of anesthesia, method, and instrument use. The results were compared with the results from the previous survey. The response rate was 70% (585 of 837 gynecologists). Among the respondents, 455 (78%) stated to remove endometrial polyps themselves. Polyps were mostly removed in an inpatient setting (337; 74%) under general or regional anesthesia (247; 54%) and under direct hysteroscopi... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5338489 Tue, 18 Oct 2011 15:58:26 +0100 5338489 http://www.medworm.com/index.php?rid=5338490&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk200861j48qq17l7%2F We describe a case in which KYMERAX was successfully used during a total laparoscopic hysterectomy. A 42-year-old patient (IIG/IIP) presented with a history of hypermenorrhagia and dysmenorrhagia. Because of a prior cesarean section and to rule out further pathologies possibly associated to dysmenorrhagia, the patient was prepared for a total laparoscopic hysterectomy in our department. The world’s first human use of the KYMERAX System was discussed in details with the patient prior to the procedure. The first clinical use in gynecologic laparoscopy proved to be feasible with the new robotic-driven, articulating, handheld surgical system. KYMERAX may offer benefits in advanced laparoscopy, NOTES, and single-port surgery. Content Type Journal ArticleCategory Clinical PracticePag... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5338490 Mon, 17 Oct 2011 16:01:58 +0100 5338490 http://www.medworm.com/index.php?rid=5325701&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8198047376p43017%2F Abstract  The aim of this study was to assess the time patients spend at the various stages of the surgical journey and identifying factors that lead to “bottlenecks”. A prospective, observational study of 70 patients over 23 consecutive elective gynaecology lists. Timelines of patients' surgical journey were recorded and various outcomes such as room turnover and patient turnaround intervals calculated. Of the 70 patients (23 major and 47 intermediate), 32 were managed by one anaesthetist and 38 cases by two. The mean arrival in the operating theatre—knife-to-skin interval for major cases was significantly longer than intermediate (17.9 vs. 12.05 min, p = 0.001), but there were no statistically significant differences in other time intervals between major/int... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5325701 Sat, 15 Oct 2011 15:44:55 +0100 5325701 http://www.medworm.com/index.php?rid=5325702&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx2j582682571664u%2F Abstract  The past decades have brought about numerous new methods in the treatment of the most frequent benign gynaecological tumour, the myoma, while at the same time, the indications of traditional surgical treatment have also been reassessed. The constant procrastination of pregnancy to older and older age, the frequency of myoma growing by age and the wider application of assisted reproduction techniques have created new conditions for the treatment of myoma. In our research, we analysed the data of 30 infertile patients out of a group of 99 who had hysteroscopic and laparoscopic myomectomy carried out in one session. In the course of 2 years, nine women got pregnant. Besides two miscarriages, the others could carry their pregnancy for at least 34 weeks. Out ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5325702 Sat, 15 Oct 2011 15:44:53 +0100 5325702 http://www.medworm.com/index.php?rid=5325703&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8184w531283m3615%2F Abstract  Inguinal lymphadenectomy is a part of the surgical treatment of invasive perineal cancers and lower extremities and inferior trunk melanomas. Inguinal node metastasis represents a major prognostic factor; therefore, inguinal lymphadenectomy has a central role in oncological patient management. Nevertheless, inguinal node dissection is associated with significant morbidity such as lymphedema, wound dehiscence, flap necrosis, infection, seroma, femoral hernia, and deep venous thromboembolism. Recently, several publications have reported experiences with video endoscopic-assisted techniques attempting to reduce the high morbidity related to open inguinal lymphadenectomy. The primary results are promising in terms of feasibility, oncological survey and goals, postoper... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5325703 Thu, 13 Oct 2011 15:50:38 +0100 5325703 http://www.medworm.com/index.php?rid=5212229&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft3466774731l1010%2F The objective is to improve anatomical results (sacropexy with mesh seeming better than traditional surgery) and keep still the advantage of vaginal route. Numbers of cohort series and randomized control trials have been recently published. These works increase our knowledge of advantages and risks of mesh. It has been shown that the use of mesh to treat cystocoele through vaginal route improves anatomical results when compared to traditional surgery. The rate of complications, especially de novo dyspareunia, remains equivalent between the two techniques. Content Type Journal ArticleCategory Review ArticlePages 1-13DOI 10.1007/s10397-011-0702-8Authors Virginie Bot-Robin, Department of Gynaecologic Surgery, Jeanne de Flandre Hospital, Centre Hospitalier Régional et Universitair... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5212229 Fri, 09 Sep 2011 05:48:33 +0100 5212229 http://www.medworm.com/index.php?rid=5212228&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb8j5l821056v1733%2F Abstract  Postoperative adhesions are the most frequent complication of peritoneal surgery, causing small bowel obstruction, female infertility and chronic pain. This pilot study assessed the efficacy of a sprayable polyethylene glycol (PEG) barrier in the prevention of de novo adhesions. 16 patients undergoing laparoscopic gynecological surgery were randomly assigned by shuffled sealed envelopes to receive either the adhesion barrier or no adhesion prevention. Incidence and severity of adhesions were scored at eight sites in the pelvis and reassessed by second look laparoscopy. Adhesion prevention was considered successful if no de novo adhesion were found at second look laparoscopy. One patient was excluded before randomization. Nine patients were randomized to treatment ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5212228 Fri, 09 Sep 2011 05:48:33 +0100 5212228 http://www.medworm.com/index.php?rid=5198265&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F27676th627w1524w%2F Abstract  This paper details a retrospective study evaluating long-term outcomes after laparoscopic and abdominal myomectomy, including improvement of abnormal vaginal bleeding, periodic blood loss, pelvic pain, and fertility. This is a retrospective study based on a postal questionnaire and the women’s medical journal. A total of 233 women were identified as having had a myomectomy during the period 2003–2006 and were sent a postal questionnaire. The response rate was 70%. After surgery, pain score was significantly reduced. The number of days with bleeding and the degree of discomfort due to bleeding was also reduced after the surgery. Among 31% of the women who stated infertility as a reason for the myomectomy, 52% became pregnant during the observational period of 4... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5198265 Mon, 05 Sep 2011 16:16:07 +0100 5198265 http://www.medworm.com/index.php?rid=5198266&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F977183622234405j%2F Abstract  Conventional bipolar resectoscopy is widely recognized as the first choice for major hysteroscopic operations. We recently proposed an alternative approach to operative hysteroscopy called Integrated Bigatti Shaver (IBS®) that improves visualization during the procedure, reducing several problems of conventional resectoscopy such as fluid overload, water intoxication, uterine perforation and long surgeon’s learning curve. In cooperation with Karl Storz GmbH & Co., we created a new shaving system that, when introduced through the straight operative channel of a panoramic 90° optic, allows performance of many major hysteroscopic operations. The present randomised comparative study was designed to compare 50 cases performed with conventional bipolar resectoscope ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5198266 Mon, 05 Sep 2011 16:16:06 +0100 5198266 http://www.medworm.com/index.php?rid=5198267&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fmt2143j1631143w7%2F Content Type Journal ArticleCategory Case reportPages 1-3DOI 10.1007/s10397-011-0700-xAuthors Jelena Kisic-Trope, Department of Gynecology, Oslo University Hospital and University of Oslo, Oslo, NorwayErik Qvigstad, Department of Gynecology, Oslo University Hospital and University of Oslo, Oslo, Norway Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5198267 Sat, 03 Sep 2011 06:39:26 +0100 5198267 http://www.medworm.com/index.php?rid=5193014&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fmm125574q4677m83%2F This study examines the perspectives of the trainees. We performed a national questionnaire survey of intermediate- and advanced-level trainees in the UK During a 12-month period, 52% of trainees had performed at least one procedure independently; 80% of trainees performed most of the procedure on at least one occasion. The satisfaction with training was rated as 3 on a five-point Likert scale. Thirty percent of the trainees had access to a laparoscopy simulator. We found a high level of trainee engagement with laparoscopic tubal surgery. The intensity of experience is likely inadequate to satisfy the learning curve. A holistic approach s required to ensure surgical competence. Content Type Journal ArticleCategory Original ArticlePages 1-7DOI 10.1007/s10397-011-0697-1Authors Ra... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5193014 Fri, 02 Sep 2011 05:52:38 +0100 5193014 http://www.medworm.com/index.php?rid=5148375&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe754k757u934018x%2F Content Type Journal ArticleCategory AbstractPages 1-225DOI 10.1007/s10397-011-0694-4 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5148375 Sun, 14 Aug 2011 05:45:29 +0100 5148375 http://www.medworm.com/index.php?rid=5127630&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb216411354316717%2F Abstract  Plenty of authors propose outpatient hysteroscopy as the gold standard diagnostic method for the evaluation of endometrial pathology. This statement has been strengthened in the recent years due to the wide use of smaller diameter hysteroscopic devices, which have made the dilation of the cervix and the use of anesthesia unnecessary. The main purpose of this paper is to summarize the indications of diagnostic hysteroscopy. In this review, we used the most recent publications in MEDLINE and Cochrane Library in order to specify the indications of diagnostic hysteroscopy and the experience that have been obtained till today in the management of certain pathological uterine conditions. The key words we used were diagnostic hysteroscopy, abnormal uterine bleeding, infe... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5127630 Thu, 11 Aug 2011 06:56:29 +0100 5127630 http://www.medworm.com/index.php?rid=5081683&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F977wx14773586020%2F Abstract  Although the superiority of vaginal compared to abdominal hysterectomy is well established, most gynaecologists still prefer the abdominal route for removal of benign large uteri >14 weeks. Gonadotrophin-releasing hormone agonists such as goserelin can reduce uterine bulk by up to 60% and was initially used to convert a midline to Pfannenstiel incision in abdominal hysterectomy. The conversion of an abdominal to a potential vaginal hysterectomy by uterine size reduction would prove advantageous, and the authors present data from a case control study of 12 women with uteri >14 weeks who successfully underwent vaginal hysterectomy following preoperative treatment with goserelin. Women scheduled for hysterectomy for menorrhagia with non-prolapsing clin... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5081683 Thu, 28 Jul 2011 15:54:24 +0100 5081683 http://www.medworm.com/index.php?rid=5058540&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F888gl70666m90350%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s10397-011-0681-9Authors Rishi Shonpal, 18 Green Lane, Purley, Surrey, CR8 3PG UKSarah Milford, University Hospital of Wales, Heath Park, Cardiff, CF14 4XN UKA. N. Griffiths, University Hospital of Wales, Heath Park, Cardiff, CF14 4XN UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5058540 Thu, 21 Jul 2011 18:03:11 +0100 5058540 http://www.medworm.com/index.php?rid=5042657&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff18626751867k133%2F In conclusion, there is a significant learning curve for the laparoscopic full staging procedure in ovarian cancer. In our study this is mainly reflected in the amount of lymph nodes harvested and not in the total operating time. Content Type Journal ArticlePages 1-8DOI 10.1007/s10397-011-0692-6Authors Henk W. R. Schreuder, Division of Woman and Baby, Department of Surgical and Oncological Gynecology, University Medical Centre Utrecht, P.O. Box 85500, Room F05-126, 3508 GA Utrecht, The NetherlandsThyrza O. S. Pattij, Division of Woman and Baby, Department of Surgical and Oncological Gynecology, University Medical Centre Utrecht, P.O. Box 85500, Room F05-126, 3508 GA Utrecht, The NetherlandsRonald P. Zweemer, Division of Woman and Baby, Department of Surgical and Oncological Gyneco... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=5042657 Thu, 14 Jul 2011 06:01:54 +0100 5042657 http://www.medworm.com/index.php?rid=4994815&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8830707n37rh30k4%2F This study aimed to evaluate the efficacy of abdominal cerclage by laparotomy and by laparoscopy among women who had failed transvaginal cerclage. We evaluated all women with cervical insufficiency that underwent abdominal cerclage between the years 2000 and 2010. Of a total of 20 patients, 12 patients underwent abdominal cerclage by laparoscopy and 8 others by laparotomy. The procedure was done in the pregnant state in four patients in the laparoscopy group and in all patients in the laparotomy group. There was no significant difference in the operative time between the laparoscopy and the laparotomy group. The median duration of hospitalization in the laparoscopy group was 6 h and in the laparotomy group was 96 h. Of 18 pregnancies, 16 resulted in a live birth (88.9%). Ab... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4994815 Thu, 30 Jun 2011 17:49:50 +0100 4994815 http://www.medworm.com/index.php?rid=4987726&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm885l224t700r264%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s10397-011-0690-8Authors Luiz Flavio Cordeiro Fernandes, Endometriosis Clinic, Department of Obstetrics and Gynecology, Hospital das Clínicas, School of Medicine, University of São Paulo, São Paulo, BrazilSergio Podgaec, Endometriosis Clinic, Department of Obstetrics and Gynecology, Hospital das Clínicas, School of Medicine, University of São Paulo, São Paulo, BrazilGuilherme Cutait Castro Cotti, Department of Colorectal Surgery, Hospital das Clínicas, School of Medicine, University of São Paulo, São Paulo, BrazilMauricio Simoes Abrao, Endometriosis Clinic, Department of Obstetrics and Gynecology, Hospital das Clínicas, School of Medicine, University of São Paulo, São Paulo, Brazil Journal Gynecological SurgeryOnline I... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4987726 Tue, 28 Jun 2011 15:50:10 +0100 4987726 http://www.medworm.com/index.php?rid=4987727&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F55548823rg86035l%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s10397-011-0689-1Authors Ziena Abdullah, Queens Hospital, Rom Valley Way, Romford, Essex, RM7 0AG UKAkobundu Nnochiri, Rom Valley Way, Romford, Essex, RM7 0AG UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4987727 Tue, 28 Jun 2011 15:50:08 +0100 4987727 http://www.medworm.com/index.php?rid=4971827&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx24464368420566q%2F This study was a retrospective chart analysis of patients with laparoscopes for endometriosis at St. John Detroit Riverview Hospital in Detroit, Michigan. All women had concomitant disease involving the uterus and multiple genital structures. In total, 93% had uterine implants, 62% had ovarian implants, 51% had posterior cul-de-sac disease, and 44% had fallopian tube involvement. Forty-five percent had abdominal wall spread, 8% with large bowel implants, and 13% with small bowel involvement. Fifty percent had uterosacral implants, 2% had bladder involvement, 2% had perihepatic involvement, and 4% had omental implants. African American women appear to have a predilection for uterine implants of endometriosis, which may be due to genetic, environmental, or previously presented theories... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4971827 Thu, 23 Jun 2011 16:30:48 +0100 4971827 http://www.medworm.com/index.php?rid=4963363&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff63nr576247h5602%2F We report herein a comparative retrospective study of open surgery and laparoscopy on cyst rupture by tissue type. A total of 1,483 cases of surgical removal of benign ovarian tumor performed at our institution between 1995 and 2010 were reviewed. Cyst rupture rates during open surgery and laparoscopy were compared for tumorectomy and adnexectomy for the four most frequent tissue types found at postoperative histopathology: endometrial cyst, mature cystic teratoma, serous cystadenoma, and mucinous cystadenoma. Data collected for our study demonstrated that cyst rupture rates are higher in laparoscopy than in open surgery regardless of tissue type. Rupture rates were significantly higher during laparoscopic tumorectomy, while there was no significant difference overall in rupture rate... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4963363 Wed, 22 Jun 2011 06:04:18 +0100 4963363 http://www.medworm.com/index.php?rid=4963362&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy15221n35020162u%2F This study confirms the usefulness of endometrial evaluation by hysteroscopy as a diagnostic instrument for providing a prognosis of the chance for the patients to become pregnant. Content Type Journal ArticlePages 1-4DOI 10.1007/s10397-011-0687-3Authors A. Santi, Department of Obstetrics and Gynaecology, Inselspital, University of Berne, DKF Murtenstrasse 35, Berne, CH-3010 SwitzerlandR. Felser, Department of Obstetrics and Gynaecology, Inselspital, University of Berne, DKF Murtenstrasse 35, Berne, CH-3010 SwitzerlandN. A. Bersinger, Department of Obstetrics and Gynaecology, Inselspital, University of Berne, DKF Murtenstrasse 35, Berne, CH-3010 SwitzerlandD. M. Wunder, Department of Obstetrics and Gynaecology, Inselspital, University of Berne, DKF Murtenstrasse 35, Berne, CH-3010 ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4963362 Wed, 22 Jun 2011 06:04:18 +0100 4963362 http://www.medworm.com/index.php?rid=4940250&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F105088l786709q75%2F In this study, perioperative outcomes and survival data in patients with early cervical cancer operated with three surgical methods: robot-assisted, laparoscopic and open, are to be analyzed. From January 2006 to May 2010, 294 patients with T1в1 cervical cancer were studied retrospectively. Robot-assisted radical hysterectomy (RARH) was performed in 73 (24.8%) of them, laparoscopic-assisted radical vaginal hysterectomy (LARVH) in 46 (15.6%) and, in 175, (59.5%), abdominal radical hysterectomy (ARH). Mean hospital stay of patients with RARH and LARVH was 4.1 ± 0.7 and 4.8 ± 0.5, respectively, and of those with ARH, 9.6 ± 1.0 days (p = 0.001). Mean operative time was 152.2 ± 26.5 min for the robotic group as it was significantly shorter in comparison w... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4940250 Thu, 09 Jun 2011 05:45:42 +0100 4940250 http://www.medworm.com/index.php?rid=4915869&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc62x057195wx2245%2F This study demonstrated the feasibility and effectiveness of a new, compact single-port robotic voice-activated endoscope at improving laparoscope guidance during the performance of single-port hysterectomy with pelvic lymph node dissection in the porcine model. Further work is needed to better define the ideal operative procedure for single-site surgery in oncology and integration of new single-port robotic platforms into clinical practice. Content Type Journal ArticlePages 1-5DOI 10.1007/s10397-011-0684-6Authors Pedro F. Escobar, Department of OB/GYN and Women’s Health Institute, Cleveland Clinic, Desk A-81, 9500 Euclid Avenue, Cleveland, OH 44195, USAJason Knight, Department of OB/GYN and Women’s Health Institute, Cleveland Clinic, Desk A-81, 9500 Euclid Avenue, Cleveland,... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4915869 Tue, 07 Jun 2011 05:43:58 +0100 4915869 http://www.medworm.com/index.php?rid=4915868&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv112385601225k54%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s10397-011-0686-4Authors Mitchell B. Berger, Department of Obstetrics and Gynecology, University of Michigan Health System, L4000 Women’s Hospital, 1500 East Medical Center Drive, Room, Ann Arbor, MI 48109-5276, USASusan D. Ernst, Department of Obstetrics and Gynecology, University of Michigan Health System, L4000 Women’s Hospital, 1500 East Medical Center Drive, Room, Ann Arbor, MI 48109-5276, USARichard W. Lieberman, Department of Obstetrics and Gynecology, University of Michigan Health System, L4000 Women’s Hospital, 1500 East Medical Center Drive, Room, Ann Arbor, MI 48109-5276, USA Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4915868 Tue, 07 Jun 2011 05:43:58 +0100 4915868 http://www.medworm.com/index.php?rid=4897247&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5842344624582885%2F Content Type Journal ArticlePages 1-4DOI 10.1007/s10397-011-0682-8Authors Costas Panayotidis, Royal Cornwall NHS Hospital—Gynaecology, Truro, UKGeorgina Pressley, Peninsula College of Medicine and Dentistry, Truro, UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4897247 Tue, 31 May 2011 05:48:41 +0100 4897247 http://www.medworm.com/index.php?rid=4897248&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy042514730250085%2F The objective of this study is to review outcomes and factors predictive of patient satisfaction following NovaSure endometrial ablation in the treatment of menorrhagia. NovaSure endometrial ablation has been established as a safe and effective treatment for menorrhagia. The setting of a hospital that is the biggest user of NovaSure in Ireland, coupled with a stable population, provided a unique opportunity to obtain accurate long-term follow-up data on the largest sample size reported to date. This is a retrospective observational study of 400 women who attended for NovaSure endometrial ablation between December 2006 and December 2009. Information was collected from patient charts and followed up with postal and telephone questionnaires. Statistical analysis was performed using SPSS... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4897248 Thu, 26 May 2011 05:46:43 +0100 4897248 http://www.medworm.com/index.php?rid=4897249&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F616504570k27w476%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s10397-011-0680-xAuthors M. N. Baumgarten, Department of Obstetrics and Gynecology, Hospital East Limburg, Genk, BelgiumG. Mestdagh, Department of Obstetrics and Gynecology, Hospital East Limburg, Genk, Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4897249 Mon, 23 May 2011 17:02:26 +0100 4897249 http://www.medworm.com/index.php?rid=4849060&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx75l656037421h65%2F We present three patients who presented with a menstrual disorder after postpartum surgical intervention on suspicion of placental remnants. Hysteroscopic evaluation revealed severe intrauterine adhesions with complete obliteration of the uterine cavity. Repeated and extensive hysteroscopic adhesiolysis is performed to acquire a cavity with a normal appearance. Besides the puerperal uterus, the time of surgical performance is crucial in the risk for adhesion formation. Performing a late surgical intervention, as from 24–48 h after delivery, leads to an increased risk for adhesion formation. Prevention of IUA can be established by an accurate indication for late postpartum surgical interventions. When performing a late surgical intervention, hysteroscopic surgery is preferable.... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4849060 Wed, 18 May 2011 18:18:31 +0100 4849060 http://www.medworm.com/index.php?rid=4834355&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq613g7531112t755%2F Abstract  The identification and subsequent complete excision of abdominal scar endometriosis is particularly challenging due to the difficulty in defining the endometriotic deposit from the surrounding scar tissue. This case demonstrates a technique to precisely identify the lesion using ultrasound, and by the use of wire localisation, guide the surgeon to the disease location. This allowed precise and complete wide local incision of the lesion. Content Type Journal ArticlePages 1-3DOI 10.1007/s10397-011-0678-4Authors M. M. H. Lee, Department of Obstetrics and Gynaecology, Poole NHS Foundation Trust, Longfleet Road, Poole, BH15 2JB Dorset, UKN. K. Robson, Department of Obstetrics and Gynaecology, Poole NHS Foundation Trust, Longfleet Road, Poole, BH15 2JB Dorset, UKT. ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4834355 Thu, 12 May 2011 16:44:29 +0100 4834355 http://www.medworm.com/index.php?rid=4834356&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp0p648jt1k111ku5%2F Abstract  The purpose of this study was to obtain information to aid in deciding the timing of immediate laparoscopic surgery for gynecological disorders. We evaluated immediate laparoscopic surgery (within 12 h after admission) performed at our institution between January 2005 and March 2010. Of the total 287 laparoscopic surgeries performed for patients with gynecological disorders during this period, 70 (24.4%) were immediate laparoscopic surgeries, 33 (47.1%) of which were for ectopic pregnancy, and 24 (34.3%) for ovarian tumor. Among the 24 surgeries for ovarian tumor, there were almost equal proportions of surgeries for mature cystic teratoma (ten cases, 41.7%) and endometrioma (nine cases, 37.5%). As to the breakdown of immediate surgery by pathology, immediate ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4834356 Thu, 12 May 2011 16:44:28 +0100 4834356 http://www.medworm.com/index.php?rid=4807982&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0w65242333183l36%2F Abstract  We reviewed articles in the PubMed database which describe the results and outcome of a repeat midurethral synthetic sling (MUS), known as tension-free vaginal tape (TVT), or transobturator tape/tension-free vaginal tape obturator for prior MUS failure in patients who presented with persistent or recurrent stress urinary incontinence (SUI). We combined or separated the keywords “TVT,” “failure,” “repeat TVT,” and “recurrent/persistent SUI.” The search was limited by publication data from 2000 to 2010, humans, female, and English text. A repeat TVT procedure treating prior TVT failure showed success rates ranging from 70% to 90%. The outcomes showed no significant differences between a repeat retropubic route or transobturator route. A repeat MUS pr... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4807982 Fri, 06 May 2011 16:21:00 +0100 4807982 http://www.medworm.com/index.php?rid=4807983&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp5678857g4108235%2F This study addresses the value of hysteroscopy on diagnostic accuracy and its effectiveness to the one-stop therapeutic approach. This is a prospective study of patients admitted in the ambulatory surgery unit of the Sto. André–Leiria Hospital (Portugal) from February 2005 to February 2008 for a one-stop diagnostic and therapeutic approach. Patient selection was done on transvaginal ultrasound findings or on clinical pathology. Depending on the transvaginal ultrasound report and the clinical data, the instrumentation and analgesia for the one-stop approach was defined. The average age was 54 years (range24–87 years). The majority of patients (96.2%) presented with a transvaginal ultrasonographic lesion. The hysteroscopic evaluation characterized the hysteroscopic findi... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4807983 Fri, 06 May 2011 16:20:57 +0100 4807983 http://www.medworm.com/index.php?rid=4784421&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh83314341221g85q%2F Abstract  Most of endometriomas with CA125 level over 1,000 IU/mL have related with rupture. This is important in differential diagnosis from malign ovarian disease. However, the mechanism of elevation of CA125 in patients with endometrioma is not clear. We reviewed elevation of CA125 level over 1,000 IU/mL in endometriomas and attempted to explore possible mechanisms of this elevation together with presentation of our current case. A review of the literature suggests that extremely elevated CA125 level combined with high CA19-9 level may indicate a recent rupture of endometrioma. Content Type Journal ArticlePages 1-4DOI 10.1007/s10397-011-0673-9Authors Murat Gözüküçük, Department of Obstetrics and Gynecology, Ankara University Medical Faculty, Ankara, T... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4784421 Mon, 02 May 2011 15:00:34 +0100 4784421 http://www.medworm.com/index.php?rid=4784420&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj650tx162t708434%2F Abstract  Abnormal uterine bleeding is one of the most common problems in women of reproductive age, and dysfunctional uterine bleeding (DUB) accounts for about half the cases. The aim of this review is to present all treatment options for women suffering from DUB and to evaluate their effectiveness. A detailed search strategy on electronic databases was carried out to identify trials and reviews on management of abnormal uterine bleeding. Tranexamic acid is the most effective medical treatment. A levonorgestrel-releasing intrauterine device is a low-cost, simple, and effective medical method, comparable to hysterectomy in terms of quality of life. In cases of DUB resistant to medical treatment, surgical treatment should be offered. First-generation ablation techniques are ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4784420 Mon, 02 May 2011 15:00:34 +0100 4784420 http://www.medworm.com/index.php?rid=4694294&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F360ju73277xt2g27%2F Abstract  The aim of this study was to assess the safety, effectiveness and pattern of inserting tension-free vaginal tape (TVT) slings alongside other gynaecological operations. It was a retrospective case note review of 116 patients who had a range of minor and major vaginal, laparoscopic and abdominal procedures at the same time as having TVT sling insertion at five district general hospitals in the UK. It showed an overall incidence of complications of 22.4% and laparotomy was not required. A patient had bladder perforation, another had blood transfusion, a third had infection at the site of needle passing, and three patients had urinary tract infection. The overall incidence of complications in this series was significantly higher in those having major concomitant surg... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4694294 Thu, 07 Apr 2011 17:09:07 +0100 4694294 http://www.medworm.com/index.php?rid=4694295&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F92v51w53p1206n32%2F Content Type Journal ArticlePages 1-3DOI 10.1007/s10397-011-0667-7Authors Marc Possover, Department for Surgical Gynecology & Neuropelveology, Hirslanden Clinic, Witellikerstrasse 40, CH–8032 Zürich, Switzerland Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4694295 Thu, 07 Apr 2011 17:09:05 +0100 4694295 http://www.medworm.com/index.php?rid=4607614&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc0242q252g1nmn00%2F Content Type Journal ArticlePages 1-1DOI 10.1007/s10397-011-0670-zAuthors James English, Worthing & Southlands Hospitals Trust, Lyndhurst Road, Worthing, West Sussex BN11 2DH, UKJolyon Ford, Worthing & Southlands Hospitals Trust, Lyndhurst Road, Worthing, West Sussex BN11 2DH, UKW. F. Anthony Miles, Worthing & Southlands Hospitals Trust, Lyndhurst Road, Worthing, West Sussex BN11 2DH, UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4607614 Tue, 15 Mar 2011 05:49:18 +0100 4607614 http://www.medworm.com/index.php?rid=4576089&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fxp386187830v3j68%2F This report is on recovery and long-term outcomes in a small-scale randomised controlled trial (RCT) after total laparoscopic hysterectomy versus total abdominal hysterectomy in (potential) endometrial carcinoma patients. An RCT was performed among women with atypical endometrial hyperplasia and endometrial carcinoma scheduled for hysterectomy in a teaching hospital in The Netherlands. Women were randomised to total laparoscopic hysterectomy versus total abdominal hysterectomy both with bilateral salpingo-oophorectomy and were followed until 5 years after the intervention. Patients completed the RAND 36-Item Short Form Health Survey (RAND-36), Quality of Recovery-40 (QoR-40) and Recovery Index-10 (RI-10) until 12 weeks after surgery. Main outcome measure was quality of life... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4576089 Thu, 10 Mar 2011 17:09:40 +0100 4576089 http://www.medworm.com/index.php?rid=4576088&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff1t652n4173p1180%2F This study is designed as a retrospective cohort study. Multivariate linear regression model was constructed to determine factors associated with increased intra-abdominal adhesions including age, number of previous abdominal operations, and endometriosis. Adhesions were graded using a modified (ASRM) classification for adnexal adhesions. Factors affecting the development of intra-abdominal adhesions were number of previous abdominal operations (P < 0.0001, 95% CI 0.18–0.30) and degree of endometriosis (P < 0.0001, 95% CI 0.25–0.35). Endometriosis had more influence on adhesion formation than number of previous operations as demonstrated by the standardized coefficients beta in endometriosis (0.32) versus previous abdominal operations (0.21). Age, BMI, and PID were n... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4576088 Thu, 10 Mar 2011 17:09:40 +0100 4576088 http://www.medworm.com/index.php?rid=4562773&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw52274340vlj7nj2%2F Abstract  Are hysterectomies still necessary in 2010 and why and how should they be performed? As every now and then a critical evaluation of routine surgical procedure is necessary, there it is: This review follows the “Perspectives on laparoscopic hysterectomy” by Michelle Nisolle (Gynecol Surg 7:105–107, 2010). Hysterectomies performed in the field of obstetrics and gynaecology until the nineteenth century had always a lethal end. In the twentieth century, they were perhaps too frequently performed whereas the twenty-first century has witnessed a steep decline in hysterectomy numbers. It is therefore an opportune time to review the indications for hysterectomies, hysterectomy techniques and the present and future status of this surgical procedure. There is a widespr... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4562773 Fri, 04 Mar 2011 11:07:12 +0100 4562773 http://www.medworm.com/index.php?rid=4546469&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk02w572404516h66%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s10397-011-0665-9Authors Jose Gerardo Garza-Leal, Universidad Autónoma de Nuevo León, Monterrey, Nuevo Leon MexicoDavid Toub, Gynesonics, Inc, 604 Fifth Avenue, Suite D, Redwood City, CA 94063, USAIván Hernández León, Universidad Autónoma de Nuevo León, Monterrey, Nuevo Leon MexicoLorena Castillo Saenz, Universidad Autónoma de Nuevo León, Monterrey, Nuevo Leon MexicoDarrin Uecker, Gynesonics, Inc, 604 Fifth Avenue, Suite D, Redwood City, CA 94063, USAMichael Munrow, Gynesonics, Inc, 604 Fifth Avenue, Suite D, Redwood City, CA 94063, USADiane King, Gynesonics, Inc, 604 Fifth Avenue, Suite D, Redwood City, CA 94063, USAJordan Bajor, Gynesonics, Inc, 604 Fifth Avenue, Suite D, Redwood City, CA 94063, USAJames Coad, West Virginia Un... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4546469 Wed, 02 Mar 2011 07:44:20 +0100 4546469 http://www.medworm.com/index.php?rid=4509013&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw674l742618435v1%2F The objective of this preliminary observational study was to monitor changes in focal cystic and non-cystic subendometrial lesions reminiscent of adenomyosis seen during the luteal phase of the cycle by repeating transvaginal ultrasound scan examinations during the follicular phase. Five patients who presented with abnormal uterine bleeding with or without dysmenorrhoea showed such lesions, following luteal phase transvaginal scanning. All lesions became smaller and less conspicuous, or an indiscriminate endometrial/myometrial interface was seen in the suspected areas during the follicular phase. Midcycle scanning of one patient showed enhancement of the irregular subendometrial area, but still without reaching the same size, or attaining an echogenic pattern as seen during the initi... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4509013 Mon, 21 Feb 2011 06:36:27 +0100 4509013 http://www.medworm.com/index.php?rid=4509014&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F661414m18u820l17%2F Abstract  The goal of this paper is to review the current data documenting the advantages of robotic surgery over open or laparoscopic surgery. The aim of this study is to compare the complications and perioperative outcome of robotic surgery with open and laparocopic surgery, in gynecologic oncology. The terms radical robotic or robot- assisted hysterectomy in PubMed search lead to 41 references. We excluded one review of literature, ten studies with benign and malignant cases, eight cases reports, one letter to the editor. We kept the prospective studies and comparative studies (total abdominal hysterectomy (TAH) vs. total robotic hysterectomy (TRH), total laparoscopic hysterectomy (TLH) vs. TRH or TAH vs. TRH vs. TLH). The results are separated for endometrial cancers, e... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4509014 Sat, 19 Feb 2011 07:17:06 +0100 4509014 http://www.medworm.com/index.php?rid=4485704&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F075j1232k74m8518%2F The objective of this study was to evaluate the prevalence and extent of intra-abdominal adhesions at cesarean deliveries (CS) and their clinical relevance. We studied 490 cases of primary CS, 430 first repeat, and 106 cases of second or third repeat CS. Using a standard scoring system, the prevalence, extent, and consistency of adhesions were evaluated prospectively. We also examined the incision–delivery interval and the total operating time. At repeat CS, adhesions were found mainly between the uterus and the bladder or the abdominal wall. Dense adhesions to the bladder and to the abdominal wall were significantly more after ≥2 CSs (46.3% and 48.2%) than after one CS (29.8% and 25.6%). The adhesions on these areas were also more severe after ≥2 CSs than after one CS. There w... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4485704 Fri, 11 Feb 2011 11:51:16 +0100 4485704 http://www.medworm.com/index.php?rid=4485703&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F87pw520027802724%2F Abstract  Rectovaginal endometriosis (RVE) is one of the most serious and incapacitating forms of presentation of this disease. Traditionally, medical treatment has not been considered effective for the majority of patients, being surgery the only reasonable and therapeutic choice in these cases. This exposes patients to a potentially serious morbidity, thus a careful evaluation should be done by a surgical board considering the impact of the disease as well as the quality of life of the patients. The main surgical techniques used are the shaving of the rectal wall affected by the endometriosic implants, the discoid excision of the front rectal wall, and the segmental intestinal resection, and there is no consensus concerning which is the most effective and suitable between... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4485703 Fri, 11 Feb 2011 11:51:16 +0100 4485703 http://www.medworm.com/index.php?rid=4439997&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn25lrl4g55x0r775%2F Abstract  Advanced ovarian carcinoma is a lethal tumour, and its standard treatment is consists of aggressive primary cytoreductive surgery followed by a chemoadjuvance based on platinum agents. We searched the Cochrane Gynaecological Cancer Group Trials Register of 2010, Cochrane Central Register of Controlled Trials, MEDLINE and EMBASE of 2010. We also searched registers of clinical trials, abstracts of scientific meetings, and reference lists of included studies. One of the goals of its management is to achieve the longest overall survival possible, and the most important survival factor is the residual tumour after cytoreductive surgery, obtaining the best surveillance in the cases where no tumour is left in the abdomen. To improve the cytoreductive rates in the actual ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4439997 Thu, 03 Feb 2011 07:24:11 +0100 4439997 http://www.medworm.com/index.php?rid=4430311&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx6223225gt371631%2F The objective of this study was to evaluate long-term oncological outcomes of laparoscopic management of endometrial carcinoma (EC) in a large series of consecutive patients from two referral cancer centres. The study is a large retrospective study with 15-year follow-up. The clinical records of 207 consecutive women with clinical stage I EC managed by laparoscopy between 1990 and 2005 were reviewed. Laparoscopy included peritoneal washing, inspection of abdominal cavity, total laparoscopic hysterectomy + bilateral salpingo-oophorectomy and pelvic/para-aortic lymphadenectomy depending on the preoperative histology or frozen section results. Data collected included conversion rate, operative time, hospital stay, surgical complications, FIGO 1988 stage and 5-year survival. Laparoscopic... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4430311 Thu, 27 Jan 2011 17:38:13 +0100 4430311 http://www.medworm.com/index.php?rid=4430313&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm19q02487j3v0211%2F Abstract  The aim of this study was to analyze the feasibility and technique of removing large submucous myomas laparoscopically. This technique decreases the complications of removing the submucous myoma hysteroscopically. The design was based on a retrospective review (Canadian Task Force Classification II-1) in a dedicated high volume gynecological laparoscopy centre. The subjects were twenty-two women who underwent laparoscopic removal of submucous myomas at our center. Laparoscopic removal of submucous myoma was done in all patients in whom the size of the myoma was more than 5 cm. The results revealed the following: (1) median clinical size of the uterus was 12 weeks (6, 18); (2) median size of the myoma was 7 cm (5, 10); (3) median weight of the specim... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4430313 Thu, 27 Jan 2011 17:38:10 +0100 4430313 http://www.medworm.com/index.php?rid=4430312&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw454668g6tk81g13%2F Abstract  Mesothelial cells are involved in peritoneal repair, and they modulate adhesion formation. Intraperitoneal injection of cultured mesothelial cells can decrease adhesion formation. The importance of the amount of cells, of the culture methods or of the origin of the cells is still unknown. Female Balb/c mice were used in a CO2 pneumoperitoneum-enhanced adhesion formation model. Mesothelial cells were obtained from Balb/c mice and cultured over a 3-week period. Following a pilot experiment (n = 10) with injection of 400,000 mesothelial cells a dose–response study was performed with 400,000; 133,000; and 44,000 cells (n = 40). Adhesion formation decreased after the injection of cultured mesothelial cells as evidenced in the first (proportion p < 0.046... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4430312 Thu, 27 Jan 2011 17:38:10 +0100 4430312 http://www.medworm.com/index.php?rid=4412767&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3413745467r60076%2F Abstract  This was a single-site cohort study to evaluate the safety of a new transcervical device (VizAblate™) combining real-time intrauterine sonography with radiofrequency (RF) ablation for the treatment of fibroids. Nineteen women with uterine fibroids received treatment with the VizAblate System in a closed abdomen setting prior to hysterectomy. Twelve of these subjects underwent an immediate abdominal hysterectomy after radiofrequency ablation (acute group), while the remaining seven underwent hysterectomy on post-ablation days 16 and 17 (subacute group). Uteri were sectioned and stained with the viability stain triphenyltetrazolium chloride (TTC) to quantify fibroid ablation dimensions and assess the serosa for thermal injury. Subjects in the subacute group w... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4412767 Mon, 24 Jan 2011 18:02:37 +0100 4412767 http://www.medworm.com/index.php?rid=4353593&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg0101817g6v44187%2F Abstract  The uterine mobilization is important to expose correctly the vesico-uterine plane, the adnexae, and the posterior cul-de-sac. Several studies compared different types of uterine manipulator and their maneuvrability, underlining the limitations or advantages related to the head and shaft when they are fixed together, limiting exposition or in the other, once there is dye injection capability. A new model of uterine manipulator by suction of endometrial cavity has been studied. Patients were not selected by uterine dimension or by gynecological disease; only the cases of endometrial cancer were excluded. In ten patients, we performed an hysteroscopic study associated to an endometrial specimen before installing the uterine device. No endometrial modification was fo... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4353593 Wed, 12 Jan 2011 17:06:52 +0100 4353593 http://www.medworm.com/index.php?rid=4339848&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy81x1102181j1333%2F Content Type Journal ArticlePages 1-4DOI 10.1007/s10397-010-0653-5Authors Philippe de Rosnay, Department of Obstetrics and Gynaecology, West Middlesex University Hospital NHS Trust, Twickenham Road, Isleworth, Middlesex TW7 6AF, UKManju Chandiramani, Department of Obstetrics and Gynaecology, West Middlesex University Hospital NHS Trust, Twickenham Road, Isleworth, Middlesex TW7 6AF, UKSana Usman, Department of Obstetrics and Gynaecology, West Middlesex University Hospital NHS Trust, Twickenham Road, Isleworth, Middlesex TW7 6AF, UKElizabeth Owen, Department of Obstetrics and Gynaecology, West Middlesex University Hospital NHS Trust, Twickenham Road, Isleworth, Middlesex TW7 6AF, UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surg... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4339848 Mon, 10 Jan 2011 16:12:43 +0100 4339848 http://www.medworm.com/index.php?rid=4339851&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx286kj68625758t3%2F Content Type Journal ArticlePages 1-2DOI 10.1007/s10397-010-0646-4Authors Srdjan Saso, Division of Surgery, Oncology, Reproductive Biology and Anaesthetics, Institute of Reproductive & Developmental Biology, Imperial College London, Hammersmith Hospital Campus, Du Cane Road, London, W12 0NN UKJ. Richard Smith, Gynaecological Oncology, West London Gynaecological Cancer Centre, Queen Charlotte’s Hospital, Hammersmith Hospital Campus, Imperial College London, Du Cane Road, London, W12 0NN UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4339851 Mon, 10 Jan 2011 16:12:41 +0100 4339851 http://www.medworm.com/index.php?rid=4339850&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Feg1553v53638m18w%2F Abstract  The aim of this prospective study was to estimate whether the presence of endometrioma was associated with more severe disease, and with operative findings that were considered to make surgery more demanding in patients with deeply infiltrating endometriosis located in the posterior fornix of the vagina. Ninety-eight patients scheduled for primary surgery underwent complete excision of all visible endometriotic lesions and adhesions by laparoscopy (86 patients, 87.8%) or by laparotomy (12 patients, 12.2%) in four hospitals specialized in the surgical treatment of endometriosis. Endometrioma was detected in 46 patients (47.0%). No statistically significant difference was detected between patients with and without an endometrioma, in the presence of six studied oper... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4339850 Mon, 10 Jan 2011 16:12:41 +0100 4339850 http://www.medworm.com/index.php?rid=4339849&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe456xl4316429477%2F We describe the technique with strategies to perform surgical treatment of the myoma with a single-access laparoscopic approach. Content Type Journal ArticlePages 1-4DOI 10.1007/s10397-010-0651-7Authors Liliana Mereu, Division of Gynecology, Centro Oncologico Fiorentino, Via Ragionieri 101, Sesto Fiorentino, Florence, ItalyStefano Angioni, Division of Gynecology, Obstetrics and Pathophysiology of Human Reproduction, University of Cagliari, Cagliari, ItalyAlessandro Pontis, Division of Gynecology, Centro Oncologico Fiorentino, Via Ragionieri 101, Sesto Fiorentino, Florence, ItalyGiada Carri, Division of Gynecology, Centro Oncologico Fiorentino, Via Ragionieri 101, Sesto Fiorentino, Florence, ItalyLuca Mencaglia, Division of Gynecology, Centro Oncologico Fiorentino, Via Ragionieri 10... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4339849 Mon, 10 Jan 2011 16:12:41 +0100 4339849 http://www.medworm.com/index.php?rid=4319916&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff132234q06612283%2F We present our 1-year data on the new laparoscopic uterine sling suspension procedure. We have found significant anatomical improvements in points C and D on the pelvic organ prolapse quantification score, and improvements in vaginal, sexual and quality of life scores. We conclude that this technique is a promising new surgical method for treating uterine prolapse. Content Type Journal ArticlePages 1-3DOI 10.1007/s10397-010-0650-8Authors Arvind Vashisht, Department of Obstetrics and Gynaecology, University College Hospital, 250 Euston Road, London, NW1 2PG UKRohna Kearney, Department of Obstetrics and Gynaecology, Addenbrooke’s Hospital, Cambridge, UKAlfred Cutner, Department of Obstetrics and Gynaecology, University College Hospital, 250 Euston Road, London, NW1 2PG UK ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4319916 Tue, 04 Jan 2011 17:52:48 +0100 4319916 http://www.medworm.com/index.php?rid=4319917&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn4363n467625508r%2F Abstract  Sling procedures are a widely proven treatment for stress urinary incontinence. The aim of this prospective study was to evaluate the effect of the transobturator tape on female sexual functioning. Fifty-four women treated for stress urinary incontinence with transobturator tape filled out self-administered questionnaires on quality of life, urinary incontinence, and sexual function prior to surgery and 6 weeks and 12 months postoperatively. Preoperatively, 40 women (78%) were sexually active. There were no significant postoperative changes regarding frequency of sexual activity, sexual desire, and problems with lubrication or orgasm. Preoperatively, 55% reported urinary leakage during sexual activity and after surgery 6.5%. Sexual satisfaction was signi... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4319917 Tue, 04 Jan 2011 17:52:47 +0100 4319917 http://www.medworm.com/index.php?rid=4319918&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe840050178683305%2F Abstract  Although laparoscopy continues to be the gold standard in the diagnosis of deep endometriosis, non-invasive imaging methods are important for an adequate staging of the disease, as they may determine the site, size, and severity of the lesions and thus contribute to planning the surgical treatment better. An observational study was carried out between April 2008 and June 2009 during which time nine consecutive patients underwent preoperative PET scan examination for clinical suspicion of deep endometriosis. PET scans provide a functional assessment of cellular activity; but in our study, it did not exhibit consistent results. Content Type Journal ArticlePages 1-5DOI 10.1007/s10397-010-0652-6Authors A. Setubal, Gynecology Department, Hospital da Luz, Av. Lusi... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4319918 Tue, 04 Jan 2011 17:52:46 +0100 4319918 http://www.medworm.com/index.php?rid=4301321&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb45956u280576007%2F This study was conducted to assess whether women would prefer to undergo saline infusion sonography (SIS) or office hysteroscopy for the investigation of the uterine cavity. In a randomised controlled trial, 100 patients underwent SIS or office hysteroscopy for assessing patients' pain scores. After the investigation, 92 of them were asked to fill out an anonymous questionnaire addressing their preference regarding the method of evaluation and treatment of the uterine cavity. A control group, consisting of 50 women who never underwent SIS or office hysteroscopy, was also asked to complete an identical questionnaire. The questionnaire was completed by 113 women (83.7%). Twenty-four (21.2%) women would opt for SIS, whereas 52 (46.0%) would opt for office hysteroscopy, and 37 (32.7%) ha... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4301321 Wed, 29 Dec 2010 17:10:23 +0100 4301321 http://www.medworm.com/index.php?rid=4273705&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F13328r5871714560%2F Abstract  Hypotension is a frequent complication of spinal anaesthesia for caesarean section and can threaten the well-being of the unborn child. Numerous randomised controlled trials (RCTs) dealt with measures to prevent hypotension. The aim of this study was to determine the reporting quality of RCTs using the Consolidated Standards of Reporting Trials (CONSORT) statement since low quality can lend false credibility to a study and overestimate the effect of an intervention. We performed a systematic literature search in PubMed to identify relevant RCTs in a pre-CONSORT period (1990–1994) and a post-CONSORT period (2004–2008). A comparative evaluation was done between the two periods, and the trials were assessed for compliance with each of the 22 CONSORT items. A tota... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4273705 Fri, 17 Dec 2010 17:39:36 +0100 4273705 http://www.medworm.com/index.php?rid=4269041&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx4750158596632up%2F Abstract  Congenital atresia of the cervix is a rare mullerian anomaly. Hysterectomy has been advocated as the management of choice in the early days as the reproductive performance is thought to be low despite successful neo-canal creation. In recent years, conservative surgery is being recommended more frequently in patients with congenital cervical atresia and with total or partial vaginal aplasia and is shown to have a better reproductive performance. The treatment strategy should be tailored to relieve retrograde menstrual symptoms and restore fertility. Here, we report a young girl with congenital cervical atresia with upper vaginal atresia managed with uterovaginal anastomosis and review the management options and reproductive performance in such cases. Content ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4269041 Wed, 15 Dec 2010 15:53:05 +0100 4269041 http://www.medworm.com/index.php?rid=4269042&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5v1p5u6772464115%2F Abstract  The aim of this study was to evaluate preoperative sleep patterns in-patients scheduled for elective endoscopic surgery and to compare sleep characteristics before different types of endoscopic procedures. A prospective survey cohort study (Canadian Task Force classification II-2) was designed to evaluate quantitative and qualitative (score 1–7) sleep parameters. Patients completed sleep-monitoring forms on the baseline (6 weeks before surgery), two nights (night-2), and the night before surgery (night-1). Of a total 119 women, 73 (61%) underwent laparoscopies and 46 (39%) hysteroscopies. Forty-seven (40%) operations involved organ removal and 72 (60%) were reconstructive surgery. The mean overall sleep-quality score on night-1 (3.29 ± 0.15) was higher... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4269042 Mon, 13 Dec 2010 22:02:53 +0100 4269042 http://www.medworm.com/index.php?rid=4239638&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Flt02536t57h23746%2F Abstract  Fitz-Hugh–Curtis syndrome is characterized by perihepatic inflammation appearing with pelvic inflammatory disease (PID), mostly in women of childbearing age. Acute pain and tenderness in the right upper abdomen is the most common symptom that makes women visit the emergency rooms. It can also emerge with fever, nausea, vomiting, and, in fewer cases, pain in the left upper abdomen. It seems that the pathogens that are mostly responsible for this situation is Chlamydia trachomatis and Neisseria gonorrhoeae. Because of its characteristics, differential diagnosis for this syndrome is a constant, as it mimics many known diseases, such as cholelithiasis, cholecystitis, and pulmonary embolism. The development of CT scanning provided diagnosticians with a very useful too... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4239638 Mon, 06 Dec 2010 18:46:02 +0100 4239638 http://www.medworm.com/index.php?rid=4239640&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fku04k2526718684k%2F Content Type Journal ArticleDOI 10.1007/s10397-010-0645-5Authors Michel P. H. Vleugels, Rivierenland Hospital, Tiel, NetherlandsSergine Heckel, Centre Hospitalier St. Joseph St. Luc, Lyon, FranceSebastian Veersema, St. Antonius Hospital, Nieuwegein, NetherlandsJean Bernard Engrand, Centre Hospitalier Général, Dunkerque, FranceVincent Villefranque, CHG René Dubos, Pontoise, FranceHervé Fernandez, CHU Kremlin Bicêtre, Paris, FrancePierre Panel, CHG André Mignot, Versailles, France Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4239640 Mon, 06 Dec 2010 14:28:42 +0100 4239640 http://www.medworm.com/index.php?rid=4239639&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu3314141t677u7w4%2F This study shows that VPwVS is a holistic solution for prolapse repair among sexually inactive, geriatric patients, addressing all related issues and appears better than CC; however, a larger, multicentric study may be needed to statistically prove its advantage over CC. VPwVS’s relevance is pronounced with an increasing geriatric population. Content Type Journal ArticleDOI 10.1007/s10397-010-0641-9Authors Sarita Kakatkar, Dr. Manohar Joshi Memorial Hospital (MJM Hospital), Janardan Sadan, 1194-23 Ghole Road, Pune, 411005 India Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4239639 Mon, 06 Dec 2010 14:28:42 +0100 4239639 http://www.medworm.com/index.php?rid=4176939&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl55t10j250g53050%2F Content Type Journal ArticleDOI 10.1007/s10397-010-0638-4Authors Magdy Moustafa, Department of Obstetrics and Gynaecology, Frimley Park Hospital, Portsmouth Road, Frimley-Camberley-Surrey, Surrey, GU16 7UJ UKRosiland Jones, Department of Obstetrics and Gynaecology, Frimley Park Hospital, Portsmouth Road, Frimley-Camberley-Surrey, Surrey, GU16 7UJ UKAbdelgany Hassan, Department of Obstetrics and Gynaecology, Frimley Park Hospital, Portsmouth Road, Frimley-Camberley-Surrey, Surrey, GU16 7UJ UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4176939 Mon, 15 Nov 2010 18:15:51 +0100 4176939 http://www.medworm.com/index.php?rid=4160890&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg647634335kg740m%2F We describe the eighth undisputed case of a pure sebaceous carcinoma arising in a teratoma of the ovary. A 45-year-old woman underwent laparoscopic hysterectomy, bilateral salpingo-oophorectomy with pelvic and paraaortic lymphadenectomy. The final stage was pT1a, pN0 (0/30), M0, G2. The carcinoma was localized within a dermoid cyst not involving the capsule or adjacent abdominal structures. Complete tumor excision without iatrogenic tumor cell dissemination and proper staging are important for the prognosis and treatment and should be performed as soon as possible after diagnosis. Unfortunately, the very small number of cases published does not allow an evidence-based therapeutic management. Content Type Journal ArticleDOI 10.1007/s10397-010-0637-5Authors Daniele Bolla, Depart... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4160890 Wed, 10 Nov 2010 17:25:50 +0100 4160890 http://www.medworm.com/index.php?rid=4141584&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp1146813018550t3%2F We present and contrast six scoring systems after the traumatisation of the parietal peritoneum in the rat model. Advantages, disadvantages and statistical considerations of these systems are highlighted. Experimental adhesions were created bilaterally in n = 11 Wistar rats. This resulted in n = 22 adhesion areas. Standardised trauma was inflicted to the parietal peritoneum in a linear shape (20 × 5 mm) using bipolar electrocautery at 40 W. The defect was closed using five interrupted 3/0 Vicryl sutures placed equidistantly. After 14 days, second look laparotomy was performed and number of adhesions, adhesion coverage, adhesion strength, adhesion quality and the attachment to target organs were scored. A total of 43 adhesions formed at the traumatised areas... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4141584 Fri, 05 Nov 2010 10:54:35 +0100 4141584 http://www.medworm.com/index.php?rid=4136741&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F71wr537460675265%2F This study suggests an association between increasing BMI and increased entry attempts for laparoscopy, increased difficulty in surgical landmark identification and an overall reduction in completion of gynaecological laparoscopy as planned. Content Type Journal ArticleDOI 10.1007/s10397-010-0636-6Authors Kate McIlwaine, Department of Endosurgery, Mercy Hospital for Women, 163 Studley Rd., Heidelberg, VIC 3084, AustraliaM. Cameron, Department of Endosurgery, Mercy Hospital for Women, 163 Studley Rd., Heidelberg, VIC 3084, AustraliaE. Readman, Department of Endosurgery, Mercy Hospital for Women, 163 Studley Rd., Heidelberg, VIC 3084, AustraliaJ. Manwaring, Department of Endosurgery, Mercy Hospital for Women, 163 Studley Rd., Heidelberg, VIC 3084, AustraliaP. Maher, Department of End... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4136741 Sun, 31 Oct 2010 05:46:13 +0100 4136741 http://www.medworm.com/index.php?rid=4112560&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F203021772764hm20%2F Abstract  To evaluate the anatomical aspects and relations of a modified tissue passage with the tension-free vaginal tape obturator (TVT-O) needle, designed for the purpose of reduction of the thigh pain, related with this anti-urinary incontinence operation. The distances between the modified TVT-O surgically inserted needle and obturator nerve branches were measured in fresh cadaver. The introduced surgical needle caused no trauma to any of the adjacent cadaveric organs, and the distances between the surgical needle and the obturator nerve branches was 4 cm. The modified TVT-O needle route is shown to be safe and remote from the obturator nerve branches, thus conduction of a clinical study for evaluation of related pain reduction is recommended. Content Type Jou... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4112560 Wed, 27 Oct 2010 16:06:12 +0100 4112560 http://www.medworm.com/index.php?rid=4112561&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx977231058110335%2F Abstract  At present, conventional resectoscopy can be considered the gold standard procedure for major hysteroscopic operations [1]. Despite well-recognized advantages of resectoscopy, several problems, such as fluid overload, uterine perforation due to monopolar or bipolar current, lack of visualization resulting in a time-consuming procedure, and long learning curve, remain still unsolved. We have made, in cooperation with Karl Storz GmbH & Co., a new shaving system that, introduced through a straight operative channel of a panoramic 90° optic, allows to perform all kinds of major operative procedures such as polypectomy, G0, G1, and G2, submucosal myomectomy, and endometrial ablation. We have performed 44 operative hysteroscopy, including 24 polyps, 15 submucosal myomas... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4112561 Tue, 26 Oct 2010 16:47:23 +0100 4112561 http://www.medworm.com/index.php?rid=4091914&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj758u47942158531%2F Content Type Journal ArticleDOI 10.1007/s10397-010-0633-9Authors Dan Levin, Department of Obstetrics and Gynaecology, McGill University, Women’s Pavilion, 687 Pine Avenue West, Montreal, H3A 1A1 Quebec CanadaTogas Tulandi, Department of Obstetrics and Gynaecology, McGill University, Women’s Pavilion, 687 Pine Avenue West, Montreal, H3A 1A1 Quebec Canada Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4091914 Thu, 21 Oct 2010 17:15:54 +0100 4091914 http://www.medworm.com/index.php?rid=4042664&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm8230j10347x1187%2F Content Type Journal ArticleDOI 10.1007/s10397-010-0630-zAuthors S. Nethra, Countess of Chester NHS Foundation Trust, Liverpool Road, Chester, CH2 1UL UKJed Hawe, Countess of Chester NHS Foundation Trust, Liverpool Road, Chester, CH2 1UL UKJackie Elder, Countess of Chester NHS Foundation Trust, Liverpool Road, Chester, CH2 1UL UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4042664 Tue, 05 Oct 2010 18:05:41 +0100 4042664 http://www.medworm.com/index.php?rid=4038445&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr7344744x567107h%2F Abstract  The purpose of our review is to evaluate the perioperative characteristics of laparoscopic total hysterectomy (LTH) and laparoscopic supracervical hysterectomy (LASH) including the hospital stay, hemoglobin concentration, the operative time, postoperative analgesia, intra and postoperative complications. We also examine the quality of life examining general health, sexual satisfaction, dyspareunia and time to first intercourse Content Type Journal ArticleDOI 10.1007/s10397-010-0629-5Authors Anwar Moria, Department of Obstetrics and Gynecology, McGill University, Montreal, QC CanadaTogas Tulandi, Department of Obstetrics and Gynecology, McGill University, Montreal, QC Canada Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4038445 Mon, 04 Oct 2010 12:30:12 +0100 4038445 http://www.medworm.com/index.php?rid=4038446&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr8630282n76j3314%2F In conclusion, a simple classification scoring separately severity of subtle, typical, cystic, deep, adenomyotic, and peritoneal pocket lesions is suggested. This will permit to confirm or reject statistically many of the actual uncertainties on endometriosis and to evaluate what the predictive power of the severity of each type of lesion is, both essential elements for a validated endometriosis classification. Content Type Journal ArticleDOI 10.1007/s10397-010-0626-8Authors Philippe R. Koninckx, Department of Obstetrics and Gynaecology, U. Z. Gasthuisberg, K. U. Leuven, Leuven, 3000 BelgiumAnastasia Ussia, Gruppo Italo Belga, Rome, ItalyLeila Adamyan, Moscow State University, Moscow, RuslandArnaud Wattiez, Ircad, Strassbourg University, Strassbourg, France Journal Gynecol... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4038446 Sat, 02 Oct 2010 06:02:56 +0100 4038446 http://www.medworm.com/index.php?rid=4020304&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F447472567328v621%2F This study was conducted to assess the subjective outcome, complications and cure rates of prolapse surgery with a standardized trocar-quided polypropylene mesh in the first 100 patients. A follow-up visit was made after 2 months after the operation and the subjective outcome was assessed with a postal questionnaire 1 year postoperatively. An anterior mesh was used in 48, posterior mesh in 45, total mesh in five and combined anterior and posterior mesh in two patients. All patients had one or more subjective symptoms. Forty-seven percent of the patients had undergone prolapse surgery and 16% an anti-incontinence operation previously. Two patients had peroperative bleeding of more than 1,000 ml, antibiotic treatment was needed in 28 patients and two hematomas were evacu... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=4020304 Tue, 28 Sep 2010 19:18:55 +0100 4020304 http://www.medworm.com/index.php?rid=3996215&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7192x277k637253q%2F Abstract  The aim of this study is to report our experience with a novel technique, the hysteroscopic morcellator (HM), for removal of intrauterine myomas and polyps. We performed a retrospective study on 315 women undergoing operative hysteroscopy with the HM in our university-affiliated teaching hospital. We collected data on installation and operating times, fluid deficit, peri- and postoperative complications. In 37 patients undergoing myomectomy with the HM, mean installation time was 8.7 min, mean operating time, 18.2 min, and median fluid deficit, 440 mL. Three out of 37 HM procedures were converted to resectoscopy, related to a type 2 myoma. In 278 patients, mean installation and operating times for polypectomy with the HM were 7.3 min and 6.6&nb... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3996215 Mon, 20 Sep 2010 19:57:34 +0100 3996215 http://www.medworm.com/index.php?rid=3978820&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq13751j1717q7735%2F We present a series of 24 patients treated by NovaSure® GEA followed by Essure® hysteroscopic sterilization at the same session. Bilateral placement of the micro-inserts after GEA was successful in all 24 patients. Confirmation by ultrasound and plain X-ray of the pelvis indicated a correct position in all 48 tubes. Routine follow-up by hysterosalpingography (HSG) to document bilateral tubal occlusion was only possible in 17/23 (74%) patients; these 34 tubes were blocked. In 6/23 (26%) patients, tubal occlusion could not be determined by HSG because of minimal filling of the uterine cavity with contrast medium. The latter was caused by severe uterine synechiae. All patients were satisfied with the result of GEA at 3 months; 19 women (83%) reported amenorrhea and the others, a ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3978820 Thu, 16 Sep 2010 16:48:34 +0100 3978820 http://www.medworm.com/index.php?rid=3978821&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fbrj610243t452074%2F Content Type Journal ArticleDOI 10.1007/s10397-010-0624-xAuthors Ana Moreno-Collado, Department of Gynaecology, HUM La Fe, N. 1 Pintor Vilar street, 0-5, 46010 Valencia, SpainJuan Gilabert-Estellés, Department of Gynaecology, HUM La Fe, N. 1 Pintor Vilar street, 0-5, 46010 Valencia, SpainSilvana Aniorte-Martinez, Department of Gynaecology, HUM La Fe, N. 1 Pintor Vilar street, 0-5, 46010 Valencia, SpainNoemí Galindo-Mateu, Department of Gynaecology, HUM La Fe, N. 1 Pintor Vilar street, 0-5, 46010 Valencia, SpainMarta Molina-Planta, Department of Gynaecology, HUM La Fe, N. 1 Pintor Vilar street, 0-5, 46010 Valencia, SpainGema Higueras, Department of Gynaecology, HUM La Fe, N. 1 Pintor Vilar street, 0-5, 46010 Valencia, SpainFernando Ruiz-Ripoll, Department of Gynaecology, HUM La Fe, N.... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3978821 Tue, 14 Sep 2010 05:58:48 +0100 3978821 http://www.medworm.com/index.php?rid=3956225&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq18613j577657820%2F Abstract  The purpose of this study is to gauge the management of pregnant women with a past history of cervical excisional treatments for cervical intra-epithelial neoplasia (CIN). A postal survey of 120 consultant obstetricians and gynaecologists in the northwest of England was done. The response rate was 41.7%. Thirty-seven respondents (74%) agreed with the evidence that cervical excisional treatment increases the risk of late miscarriage, preterm labour, premature rupture of the membranes and spontaneous rupture of the membranes at term. Thirty-one (62%) think that cervical assessment during pregnancy in women who had excisional treatments is not essential, nevertheless, 72% of the respondents utilise transvaginal ultrasonography alone or in combination with other metho... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3956225 Thu, 09 Sep 2010 16:44:26 +0100 3956225 http://www.medworm.com/index.php?rid=3948808&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5606n01562160j63%2F This study is of retrospective design within a rural community hospital. All vaginal hysterectomies performed by a single practitioner over an 11-year-period (1998–2009) were used as samples in this study. With few exclusions, all candidates for benign hysterectomy underwent vaginal hysterectomy. Comparison was made between vaginal cases without enlargement >14 weeks, prior cesarean, or need for oopherectomy defined as “Standard” and those with contraindications defined as “Non-standard.” Intraoperative complications and morbidity, including conversion to abdominal route, and postoperative morbidity, including return to the OR, transfusions, and length of hospital stay, were the main outcome measures. Of 325 hysterectomies attempted vaginally during the study period... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3948808 Wed, 08 Sep 2010 05:19:27 +0100 3948808 http://www.medworm.com/index.php?rid=3866223&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F32vr4902u1xh14k2%2F Abstract  The sentinel lymph node biopsy (SLNB) is the standard procedure for axillary staging in patients with primary breast cancer. Of these patients, 10–15% will develop local breast cancer recurrence. Optimal management of the axilla for these patients is still not established. The aim of this review is to assess the role of secondary lymph node biopsy in patients with ipsilateral breast cancer recurrence. The MEDLINE–PubMed databases were searched from 2006 to 2010 for publications addressing the role of secondary SLNB for ipsilateral breast cancer recurrence. Following terms were used: breast cancer recurrence, sentinel node biopsy, lymphatic drainage, follow-up lymphatic mapping. Twenty-two publications reporting a second SLNB at the time of ipsilateral relapse ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3866223 Thu, 12 Aug 2010 19:50:41 +0100 3866223 http://www.medworm.com/index.php?rid=3866224&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv24672k7x7545564%2F Abstract  Hysteroscopic sterilization through the Essure® method is preferably performed in the outpatient department without any form of anesthesia. This approach requires the hysteroscopic skills of the gynecologist to use the vaginoscopic route. Initially, the manufacturer advised to remove any type of intrauterine device (IUD), 1 month before the procedure, to prevent difficult procedures and also to increase the success rate of placement. This observational prospective study analyzed the outcome in women in where the IUD was left in the uterus during the sterilization. During a period of 2 years, all women have been included consecutively in seven public hospitals located in France and the Netherlands. During this procedure, 32 out of 239 IUDs had to be remo... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3866224 Wed, 11 Aug 2010 21:24:45 +0100 3866224 http://www.medworm.com/index.php?rid=3832604&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq5314016h5547588%2F Abstract  The aim of this work is to explore the efficacy , safety, and patients' satisfaction of laparoscopic uterosacral nerve ablation (LUNA) in relief of pain in women with chronic pelvic pain in whom diagnostic laparoscopy reveals either no pathology or mild endometriosis (AFS score ≤5). The study was a prospective, single-blind, randomized trial with 12 months follow-up. It was conducted at the endoscopy unit of the Gynecology Department of El Minia University Hospital, Egypt. One hundred ninety Egyptian women consented to participate in the study. These eligible patients were randomized using computer-generated tables and were divided into two equal groups, including the control group (diagnostic laparoscopy with no pelvic denervation) and the study group (dia... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3832604 Fri, 06 Aug 2010 17:53:11 +0100 3832604 http://www.medworm.com/index.php?rid=3832603&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F927p753782347612%2F Content Type Journal ArticleDOI 10.1007/s10397-010-0600-5Authors Peter Hercz, Department of Obstetrics and Gynecology, Ferenc Jahn South-Pest Hospital of the Municipality of Budapest, Köves u. 1, Budapest, 1204 HungaryZsolt Makai, Department of Obstetrics and Gynecology, Ferenc Jahn South-Pest Hospital of the Municipality of Budapest, Köves u. 1, Budapest, 1204 Hungary Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3832603 Fri, 06 Aug 2010 17:53:11 +0100 3832603 http://www.medworm.com/index.php?rid=3800731&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw40865662072542h%2F Abstract  Diagnostic hysteroscopy is a simple procedure that can provide a good visualization of the whole uterine cavity without cervical dilation and usually without anesthesia. It has been proposed as an office method for diagnosis of endometrial disorders, including cancer. Hysteroscopy, especially combined with endometrial biopsy, has high diagnostic accuracy. However, concerns have been raised about the potential for hysteroscopy to flush malignant endometrial cells into the peritoneal cavity through the fallopian tubes and to cause dissemination of malignant cells into the abdominal cavity through the fallopian tubes from uteri containing endometrial carcinoma. Moreover, some controversy also remains about the functional viability of these cells and their potential t... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3800731 Tue, 27 Jul 2010 20:23:01 +0100 3800731 http://www.medworm.com/index.php?rid=3800730&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6470373784734n52%2F Abstract  The aim of our study was to assess the feasibility and efficacy of laparoscopically assisted vaginal hysterectomy (LAVH) with the two-port method. One hundred seventy-six women with uterine diseases underwent LAVH using the two-port method. We reviewed the medical records of the patients’ age, parity, body mass index, history of previous abdominal surgery, operative indications, histopathological diagnosis, operating time, weight of the removed uterus, change in the hemoglobin levels, hospital stay, and occurrence of any complications. The median age of the patients was 46 years (range, 33–60 years), the median parity was 2 (range, 0–5), and the median body mass index was 23.4 kg/m2 (range, 17.6–29.6 kg/m2). Forty-two patients (23.9%) ha... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3800730 Tue, 27 Jul 2010 20:23:01 +0100 3800730 http://www.medworm.com/index.php?rid=3796974&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fcv61874039681350%2F We describe the first in vivo use of neutral argon plasma energy in gynaecological surgery in the UK and the largest series worldwide. The use of PlasmaJet® (PJ) in different applications in 118 selected cases in a tertiary referral centre for gynaecological oncology and minimal access surgery was assessed. The effectiveness, ease of use, ergonomics and safety of PJ in gynaecological surgery is evaluated prospectively. Following this experience, we have devised a table of recommended power settings for different applications. Content Type Journal ArticleCategory Techniques and InstrumentationDOI 10.1007/s10397-010-0591-2Authors Thumuluru Kavitha Madhuri, Royal Surrey County Hospital Department of Gynaeoncology, GOPD LEVEL B Egerton road Guildford GU2 7XX UKDimitri Papatheodorou... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3796974 Tue, 27 Jul 2010 09:11:58 +0100 3796974 http://www.medworm.com/index.php?rid=3785420&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F00711477882l1186%2F Content Type Journal ArticleCategory Short CommunicationDOI 10.1007/s10397-010-0608-xAuthors Paul P. G., Paul’s Hospital Center for Advanced Endoscopy and Infertility Treatment Vattekattu Road, Kaloor Kochi Kerala 682017 IndiaSowjanya Aggarwal, Paul’s Hospital Center for Advanced Endoscopy and Infertility Treatment Vattekattu Road, Kaloor Kochi Kerala 682017 IndiaAmeet Patil, Paul’s Hospital Center for Advanced Endoscopy and Infertility Treatment Vattekattu Road, Kaloor Kochi Kerala 682017 India Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3785420 Fri, 23 Jul 2010 12:13:58 +0100 3785420 http://www.medworm.com/index.php?rid=3785419&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F07532v1314425124%2F Content Type Journal ArticleCategory Short CommunicationDOI 10.1007/s10397-010-0614-zAuthors Ioannis Kotsopoulos, “Theagenio” Anticancer Hospital of Thessaloniki Gynecologic Oncology Department Thessaloniki GreeceDimitrios Evaggelinos, “Theagenio” Anticancer Hospital of Thessaloniki Gynecologic Oncology Department Thessaloniki GreeceParaskevi Skafida, “Theagenio” Anticancer Hospital of Thessaloniki Gynecologic Oncology Department Thessaloniki GreeceVasilios Kartsiounis, “Theagenio” Anticancer Hospital of Thessaloniki Gynecologic Oncology Department Thessaloniki GreeceNektarios Chalvatzas, University of Schleswig-Holstein, Campus Luebeck Department of Gynecology and Obstetrics Luebeck GermanyAndreas Kavallaris, University of Schleswig-Holstein, Campus Luebeck Department ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3785419 Fri, 23 Jul 2010 12:13:58 +0100 3785419 http://www.medworm.com/index.php?rid=3785421&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff46x4375633223v4%2F This study aims to evaluate the feasibility of a minimally invasive access-integrated protocol for aspiration or drainage of symptomatic uterine cysts. The design of the study is a prospective cohort study. The study setting is a tertiary care referral facility and university hospital. Twenty seven women with objective evidence of uterine cysts diagnosed by ultrasonography. The patients underwent transvaginal sonographic diagnosis of uterine cysts at different sites. Cyst aspiration was performed using interventional 2D ultrasonography, hysteroscopy and/or laparoscopy. Follow-up was performed for a maximum of 1 year to assess relief of symptoms and the recurrence rate. The main outcome measures of the study are success of aspiration tool, relief of symptoms, and persistence or r... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3785421 Fri, 23 Jul 2010 12:13:56 +0100 3785421 http://www.medworm.com/index.php?rid=3774539&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe27k5u46r540682t%2F Content Type Journal ArticleCategory Short CommunicationDOI 10.1007/s10397-010-0609-9Authors U. R. Chetan, Royal Preston Hospital Preston PR2 9HT UKS. Sengupta, Royal Preston Hospital Preston PR2 9HT UKK. Abdo, Royal Preston Hospital Preston PR2 9HT UKJ. Ward, Royal Preston Hospital Preston PR2 9HT UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3774539 Fri, 16 Jul 2010 07:21:25 +0100 3774539 http://www.medworm.com/index.php?rid=3774540&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9921k3614227n334%2F Abstract  Total laparoscopic hysterectomy and bilateral salpingo-oophorectomy (TLH) offers an alternative and potentially more favourable procedure for women with early endometrial neoplasia. This cohort review presents the first 66 consecutive cases of TLH for endometrial neoplasia from one surgical team in a large teaching hospital. Data were collected for all women undergoing hysterectomy for suspected endometrial cancer, grade 1–2 adenocarcinoma, carcinoma in situ or severe atypical hyperplasia over 4 years using a prospectively kept theatre database. A total of 95 hysterectomies were identified, 66 (69%) underwent TLH, 18 (19%) underwent laparoscopically assisted vaginal hysterectomy (LAVH) and 11 (12%) had total abdominal hysterectomy (TAH) procedures. The mean... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3774540 Wed, 14 Jul 2010 22:49:13 +0100 3774540 http://www.medworm.com/index.php?rid=3774541&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq1v6082411124504%2F Content Type Journal ArticleCategory Short CommunicationDOI 10.1007/s10397-010-0610-3Authors Simone Ferrero, San Martino Hospital and University of Genoa Department of Obstetrics and Gynecology Largo R. Benzi 1 16132 Genoa ItalyGiovanni Camerini, San Martino Hospital and University of Genoa Department of Surgery Largo R. Benzi 1 16132 Genoa ItalyPier Luigi Venturini, San Martino Hospital and University of Genoa Department of Obstetrics and Gynecology Largo R. Benzi 1 16132 Genoa ItalyEnnio Biscaldi, Galliera Hospital Department of Radiology Via Mura delle Cappuccine 14 16128 Genoa ItalyValentino Remorgida, San Martino Hospital and University of Genoa Department of Obstetrics and Gynecology Largo R. Benzi 1 16132 Genoa Italy Journal Gynecological SurgeryOnline ISSN 1613-2084Print... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3774541 Wed, 14 Jul 2010 22:49:12 +0100 3774541 http://www.medworm.com/index.php?rid=3774542&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F084l5u8167788807%2F Abstract  In this third review of the series of evidence-based practice reviews of clinical practice, we examine the evidence for the use of imaging techniques in the pre-planning for surgery for deep infiltrating endometriosis, particularly where there is recto-sigmoid disease. As in previous evidence-based practice reviews, we set a clinical scenario of a patient with suspected deep infiltrating endometriosis affecting her left utero-asacral ligament and with a suspicion of recto-sigmoid disease and ask which diagnostic tests would be the most accurate for diagnosis and pre-operative planning. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-010-0605-0Authors A. L. Nightingale, University of Surrey Women’s Health Research Unit, Postgraduate M... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3774542 Wed, 14 Jul 2010 22:49:11 +0100 3774542 http://www.medworm.com/index.php?rid=3728248&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1135683v8v163383%2F Content Type Journal ArticleCategory ImagesDOI 10.1007/s10397-010-0602-3Authors Rakesh Sinha, Beams Specialty Hospital for Women Mumbai IndiaPratima Kadam, Beams Specialty Hospital for Women Mumbai IndiaMeenakshi Sundaram, Beams Specialty Hospital for Women Mumbai IndiaChaitali Mahajan, Beams Specialty Hospital for Women Mumbai IndiaParul Shah, Beams Specialty Hospital for Women Mumbai IndiaSmita Lakhotia, Beams Specialty Hospital for Women Mumbai IndiaGayatri Rao, Beams Specialty Hospital for Women Mumbai India Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3728248 Sun, 04 Jul 2010 22:45:07 +0100 3728248 http://www.medworm.com/index.php?rid=3708678&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq86um164490873ln%2F Abstract  Endometrial sampling for histopathology examination is essential to diagnose endometrial cancer. There are many ways to obtain the specimen including endometrial biopsy or hysteroscopy. Hysteroscopy provides an accurate evaluation of the endometrial cavity and allows directed sampling of suspected lesion. However, there have been concerns that endometrial cells could be flushed into the fallopian tubes and the peritoneal cavity. We performed a literature search using the key words “endometrial cancer,” ”endometrial sampling,” “dilation and curettage” (D&C), “hysteroscopy,” and “cancer cells dissemination” and conducted the search in the Medline, EMBASE, and the Cochrane of Database of systematic reviews. Endometrial cell dissemination could occ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3708678 Fri, 25 Jun 2010 17:08:29 +0100 3708678 http://www.medworm.com/index.php?rid=3693311&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc064j78818477523%2F Content Type Journal ArticleCategory Short CommunicationDOI 10.1007/s10397-010-0603-2Authors Ismail A. Al-Badawi, King Faisal Specialist Hospital & Research Center Deptartment of Obstetrics and Gynecology 3354 Riyadh 11211 Saudi ArabiaTogas Tulandi, McGill University Montreal QC Canada Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3693311 Mon, 21 Jun 2010 16:07:42 +0100 3693311 http://www.medworm.com/index.php?rid=3689212&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F55006p1491262764%2F Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-010-0597-9Authors Salvatore Andrea Mastrolia, Università degli Studi di Bari—IV Clinica Ginecologica e Ostetrica Bari ItalyHugo Alvarez-Arguelles, Hospital Universitario de Canarias—Servicio de Anatomia Patológica La Cuesta SpainJanet Carballo, Hospital Universitario de Canarias—Servicio de Ginecología y Obstetricia La Cuesta SpainFrancisco Amaya, Hospital Universitario de Canarias—Servicio de Ginecología y Obstetricia La Cuesta SpainJavier de la Torre, Hospital Universitario de Canarias—Servicio de Ginecología y Obstetricia La Cuesta Spain Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3689212 Sun, 20 Jun 2010 23:13:29 +0100 3689212 http://www.medworm.com/index.php?rid=3669080&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl7177442x33n67u5%2F Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-010-0598-8Authors Michele Mazzola, San Raffaele Giglio Hospital Department of Gynaecology and Obstetrics Contrada Pietrapollastra, Cefalù Palermo ItalyVincenzo Miceli, San Raffaele Giglio Hospital Department of Gynaecology and Obstetrics Contrada Pietrapollastra, Cefalù Palermo ItalySarah Tardino, San Raffaele Giglio Hospital Department of Gynaecology and Obstetrics Contrada Pietrapollastra, Cefalù Palermo ItalyLuigi Marsala, San Raffaele Giglio Hospital Department of Gynaecology and Obstetrics Contrada Pietrapollastra, Cefalù Palermo ItalyRoberto Tozzi, Oxford Cancer Centre Department of Gynaecologic Oncology Oxford UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecologi... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3669080 Wed, 16 Jun 2010 07:17:22 +0100 3669080 http://www.medworm.com/index.php?rid=3669081&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4156531216t7g5r1%2F Content Type Journal ArticleCategory Short CommunicationDOI 10.1007/s10397-010-0601-4Authors M. Moustafa, Frimley Park Hospital Surrey UKA. Montgomery, Frimley Park Hospital Surrey UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3669081 Wed, 16 Jun 2010 07:17:21 +0100 3669081 http://www.medworm.com/index.php?rid=3669082&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd6786ut571020136%2F Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-010-0595-yAuthors Mathieu Luyckx, Université Catholique de Louvain Department of Gynecology, Cliniques Universitaires de Mont-Godinne 7430 Yvoir BelgiumJacques Donnez, Université Catholique de Louvain Department of Gynecology, Cliniques Universitaires Saint-Luc Avenue Hippocrate, 10 1200 Brussels BelgiumMonique Delos, Université Catholique de Louvain Department of Gynecology, Cliniques Universitaires de Mont-Godinne 7430 Yvoir BelgiumJoseph Kerger, Université Catholique de Louvain Department of Gynecology, Cliniques Universitaires de Mont-Godinne 7430 Yvoir BelgiumOlivier Donnez, Université Catholique de Louvain Department of Gynecology, Cliniques Universitaires de Mont-Godinne 7430 Yvoir Belgium Journal Gyn... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3669082 Fri, 11 Jun 2010 19:48:39 +0100 3669082 http://www.medworm.com/index.php?rid=3654368&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb865l730471178qg%2F Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-010-0596-xAuthors I. Anev, Poole Hospital NHS Foundation Trust—Obstetrics and Gynaecology Longfleet Rd Poole BH15 2JB UKA. Clarke, Poole Hospital NHS Foundation Trust—Obstetrics and Gynaecology Longfleet Rd Poole BH15 2JB UKC. Lee-Elliott, Poole Hospital NHS Foundation Trust—Obstetrics and Gynaecology Longfleet Rd Poole BH15 2JB UKT. Carpenter, Poole Hospital NHS Foundation Trust—Obstetrics and Gynaecology Longfleet Rd Poole BH15 2JB UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3654368 Thu, 10 Jun 2010 17:39:16 +0100 3654368 http://www.medworm.com/index.php?rid=3654367&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fkljm56593kw2018j%2F Content Type Journal ArticleCategory ImagesDOI 10.1007/s10397-010-0599-7Authors Rakesh Sinha, Bombay Endoscopy Academy and Centre for Minimally Invasive Surgery (BEAMS Hospital) Mumbai IndiaMeenakshi Sundaram, Bombay Endoscopy Academy and Centre for Minimally Invasive Surgery (BEAMS Hospital) Mumbai IndiaSmita Lakhotia, Bombay Endoscopy Academy and Centre for Minimally Invasive Surgery (BEAMS Hospital) Mumbai IndiaPratima Kadam, Bombay Endoscopy Academy and Centre for Minimally Invasive Surgery (BEAMS Hospital) Mumbai India Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3654367 Thu, 10 Jun 2010 17:39:16 +0100 3654367 http://www.medworm.com/index.php?rid=3611341&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh363962ph8121v86%2F Abstract  The level of difficulty of various types of hysterectomy differs and may influence the choice of either approach. When surgeons consider one specific approach to hysterectomy as more difficult, they may be reluctant to perform this type of hysterectomy. The main objective of this study was to investigate the potential different levels of difficulty for laparoscopic and abdominal hysterectomy. Furthermore, the accuracy of estimating the level of difficulty was examined. In a randomized controlled trial between laparoscopic hysterectomy (LH) and abdominal hysterectomy (AH), gynaecologists were asked to record the preoperatively estimated and postoperatively experienced level of difficulty on a Visual Analogue Scale (VAS). Differences between LH and AH were examined ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3611341 Thu, 27 May 2010 16:56:30 +0100 3611341 http://www.medworm.com/index.php?rid=3611342&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fbw5441j262047652%2F Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-010-0590-3Authors Chia-Cheng Lin, Taipei Medical University-Wan Fang Hospital Division of General Surgery, Department of Surgery No.111, Sec. 3, Xinglong Rd., Wenshan Dist. Taipei 11696 Taiwan (R.O.C.)Chih-Chun Lee, Taipei Medical University-Wan Fang Hospital Division of General Surgery, Department of Surgery No.111, Sec. 3, Xinglong Rd., Wenshan Dist. Taipei 11696 Taiwan (R.O.C.) Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3611342 Thu, 27 May 2010 11:00:22 +0100 3611342 http://www.medworm.com/index.php?rid=3611343&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe17735111r734p74%2F Giant ovarian cystadenoma weighing 59 kg Content Type Journal ArticleCategory ImagesDOI 10.1007/s10397-010-0593-0Authors Didier Fobe, Centre Hospitalier Régional de Namur 185 Avenue Albert 1er 5000 Namur BelgiumTom Vandervurst, Centre Hospitalier Régional de Namur 185 Avenue Albert 1er 5000 Namur BelgiumLaetitia Vanhoutte, Centre Hospitalier Régional de Namur 185 Avenue Albert 1er 5000 Namur Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3611343 Tue, 25 May 2010 16:49:25 +0100 3611343 http://www.medworm.com/index.php?rid=3601520&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj3m4431156j37254%2F This study confirms that training improves laparoscopic skills and indicates that many repetitions are required for reaching proficiency. Full acquisition of LPS (e.g., HEC) facilitates the acquisition of more complex laparoscopic tasks (e.g., LICK). Mastering LICK is not sufficient for acquiring HEC skills, the clinical relevance of which still needs to be evaluated. Mastering both skills before starting a training program in the operating theater is advisable. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-010-0594-zAuthors Carlos Roger Molinas, European Academy of Gynaecological Surgery Leuven BelgiumRudi Campo, European Academy of Gynaecological Surgery Leuven Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Sour... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3601520 Mon, 24 May 2010 16:25:55 +0100 3601520 http://www.medworm.com/index.php?rid=3601521&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff64p435wt7747503%2F The objective of this literature study is to determine and discuss the role of QoL as an outcome in randomized controlled trials (RCT) or systematic reviews of RCTs that study the treatment effect of hysterectomy compared to that of minimal invasive alternatives. A systematic literature search was performed in the PubMed database and in the Cochrane database to find randomized trials and systematic reviews of randomized trials, comparing hysterectomy with minimal invasive or conservative treatment options with sufficient follow-up using satisfaction, health status, and quality of life as outcomes. The results were based on nine randomized trials and two systematic reviews. The differences are mostly in favor of hysterectomy. In two out of four studied treatment alternatives, the sati... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3601521 Fri, 21 May 2010 21:10:16 +0100 3601521 http://www.medworm.com/index.php?rid=3565441&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd03451325h8u3135%2F Content Type Journal ArticleCategory Short CommunicationDOI 10.1007/s10397-010-0588-xAuthors A. Alalade, Royal Gwent Hospital Cardiff Road Newport NP20 2UB UKA. Abdelmagied, Royal Gwent Hospital Cardiff Road Newport NP20 2UB UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3565441 Thu, 13 May 2010 07:44:56 +0100 3565441 http://www.medworm.com/index.php?rid=3562232&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7831757g54t15m76%2F Abstract  In this paper, we present our experience with cystoscopy and hydrodistension for the diagnosis of interstitial cystitis (IC) and association with endometriosis/adenomyosis. This is a retrospective study of 116 patients who have undergone cystoscopy and hydrodistension because of suspicion of interstitial cystitis as shown by elevated Pain Urgency and Frequency questionnaire (PUF) scores and, in some patients, positive potassium sensitivity test (PST) or anesthetic bladder challenge (ABC) tests as well. Cystoscopic findings were grouped into “no IC,” “atypical IC,” and “typical IC” groups. Chi-square analysis was used for comparing percentages. PUF questionnaire showed high sensitivity (98%) with ≥5 score but low specificity (0%). The best specificity... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3562232 Wed, 12 May 2010 07:46:14 +0100 3562232 http://www.medworm.com/index.php?rid=3523653&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg46415j5t6ql4l74%2F Content Type Journal ArticleCategory ImagesDOI 10.1007/s10397-010-0586-zAuthors Attilio Di Spiezio Sardo, University of Naples “Federico II” Department of Gynecology and Obstetrics and Pathophysiology of Human Reproduction Via Pansini 5 Naples ItalyMarialuigia Spinelli, University of Naples “Federico II” Department of Gynecology and Obstetrics and Pathophysiology of Human Reproduction Via Pansini 5 Naples ItalyCarmela Coppola, University of Naples “Federico II” Department of Gynecology and Obstetrics and Pathophysiology of Human Reproduction Via Pansini 5 Naples ItalyBrunella Zizolfi, University of Naples “Federico II” Department of Gynecology and Obstetrics and Pathophysiology of Human Reproduction Via Pansini 5 Naples ItalyCarmine Nappi, University of Naples “Federi... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3523653 Thu, 29 Apr 2010 19:46:08 +0100 3523653 http://www.medworm.com/index.php?rid=3517401&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg83512w8223323jh%2F Content Type Journal ArticleCategory Short CommunicationDOI 10.1007/s10397-010-0584-1Authors Somprakas Basu, Banaras Hindu University Department of General Surgery, Institute of Medical Sciences Varanasi 221005 IndiaVivek Srivatava, Banaras Hindu University Department of General Surgery, Institute of Medical Sciences Varanasi 221005 IndiaMohan Kumar, Banaras Hindu University Department of Pathology, Institute of Medical Sciences Varanasi 221005 IndiaVijay K. Shukla, Banaras Hindu University Department of General Surgery, Institute of Medical Sciences Varanasi 221005 India Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3517401 Wed, 28 Apr 2010 08:04:43 +0100 3517401 http://www.medworm.com/index.php?rid=3492405&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fcw862717w5362705%2F We report the post-operative rates of pregnancy and mode of delivery after a median follow-up of 40 months post-operatively. Laparoscopic technique and obstetrical outcome is discussed with recent literature review. The average number of removed fibroids was 2. The mean weight of the leiomyomas was 94.3 g. The cavum uteri was opened in eight patients. Overall, 42 out of 59 women delivered 51 live newborn babies, yielding a post-operative success rate of 71%. The miscarriage rate post-operatively was 8 out of 60 pregnancies (13%). In patients with leiomyomas identified as infertility cofactor, laparoscopic management is a convincing therapeutic approach. In our experience, conception rate was 71%, and complications during pregnancy were limited to 4% of the patients. Risk of... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3492405 Tue, 20 Apr 2010 10:55:46 +0100 3492405 http://www.medworm.com/index.php?rid=3488899&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4467pr1w0x724181%2F Abstract  The purpose of this study was to evaluate tissue damage caused by the PlasmaJetTM coagulator in the uterus, ovary, and fallopian tube at different power settings in vitro and then to examine the damage caused in vivo. In vitro evaluation included prospective recruitment of six subjects undergoing hysterectomy with or without salpingo-oophorectomy. Tissue damage was evaluated histologically for power levels at 10%, 15%, and 20%, and for duration of 2 and 5 s at a clinically acceptable distance of 0.5 to 1 cm between the tip of probe and tissue. In vivo evaluation included 15 subjects undergoing hysterectomy with or without salpingo-oophorectomy. The most suitable power setting and duration of diathermy was decided from in vitro examination and applied on i... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3488899 Mon, 19 Apr 2010 05:49:46 +0100 3488899 http://www.medworm.com/index.php?rid=3488900&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk34q4754020618x9%2F Content Type Journal ArticleCategory ImagesDOI 10.1007/s10397-010-0583-2Authors Ludovico Muzii, Università Campus Bio-Medico Department of Obstetrics and Gynecology Via A del Portillo 21 00128 Rome ItalyRiccardo Marana, Università Cattolica del Sacro Cuore Department of Obstetrics and Gynecology Rome Italy Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3488900 Mon, 19 Apr 2010 05:49:43 +0100 3488900 http://www.medworm.com/index.php?rid=3481783&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk766426k833142w3%2F Content Type Journal ArticleCategory ESGE NewsletterDOI 10.1007/s10397-010-0579-y Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 7 Journal Issue Volume 7, Number 2 / May, 2010 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3481783 Wed, 14 Apr 2010 16:47:48 +0100 3481783 http://www.medworm.com/index.php?rid=3481785&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj4657952v08140w7%2F Content Type Journal ArticleCategory Surgical EponymsDOI 10.1007/s10397-010-0567-2Authors M. Thierry, Foundation Jan Palfyn and the Museum of Medical History Ghent Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 7 Journal Issue Volume 7, Number 2 / May, 2010 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3481785 Wed, 14 Apr 2010 16:47:47 +0100 3481785 http://www.medworm.com/index.php?rid=3481784&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft8q4847601332m0p%2F Content Type Journal ArticleCategory Surgical ShortcutsDOI 10.1007/s10397-010-0568-1 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 7 Journal Issue Volume 7, Number 2 / May, 2010 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3481784 Wed, 14 Apr 2010 16:47:47 +0100 3481784 http://www.medworm.com/index.php?rid=3469923&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv3n6k1g353457w83%2F Content Type Journal ArticleCategory Short CommunicationDOI 10.1007/s10397-010-0581-4Authors Rasiah Bharathan, Royal Sussex County Hospital Department of Obstetrics and Gynaecology Eastern Road Brighton BN2 5BE UKShreelata Datta, Royal Sussex County Hospital Department of Obstetrics and Gynaecology Eastern Road Brighton BN2 5BE UKShalena Phakey, Royal Sussex County Hospital Department of Obstetrics and Gynaecology Eastern Road Brighton BN2 5BE UKNaim Boutrous, Medway Maritime Hospital Department of Obstetrics and Gynaecology Windmill Road Gillingham Kent ME7 5NY UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3469923 Mon, 12 Apr 2010 17:48:38 +0100 3469923 http://www.medworm.com/index.php?rid=3469924&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl6638m765x000274%2F Abstract  We analysed the introduction of the robot-assisted laparoscopic radical hysterectomy in patients with early-stage cervical cancer with respect to patient benefits and surgeon-related aspects of a surgical learning curve. A retrospective review of the first 14 robot-assisted laparoscopic radical hysterectomies and the last 14 open radical hysterectomies in a similar clinical setting with the same surgical team was conducted. Patients were candidates for a laparoscopic sentinel node procedure, pelvic lymph node dissection and open radical hysterectomy (RH) before August 2006 and were candidates for a laparoscopic sentinel node procedure, pelvic lymph node dissection and robot-assisted laparoscopic radical hysterectomy (RALRH) after August 2006. Overall, blood loss i... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3469924 Mon, 12 Apr 2010 17:48:37 +0100 3469924 http://www.medworm.com/index.php?rid=3431270&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff67378p057676547%2F Abstract  Transvaginal ultrasound and office hysteroscopy are established diagnostic tools for the evaluation of infertility patients, with hysteroscopy often considered as the more precise method to evaluate the uterine cavity and ultrasound as the more readily available and less invasive method. We look at both methods in two typical infertility patient groups, including one group with a history of failed in vitro fertilization–embryo transfer (IVF–ET) cycles. Eighty patients were prospectively evaluated. Forty patients presented with a history of failed embryo transfer despite repeat normal transvaginal ultrasound examinations. Forty infertility patients with abnormal ultrasound testing served as a group for comparison. All patients underwent office hysteroscopy. In ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3431270 Wed, 31 Mar 2010 05:43:26 +0100 3431270 http://www.medworm.com/index.php?rid=3422808&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh292165t01718205%2F This study seeks to identify areas of poor utilisation of theatre time and estimate the cost of late starts. Retrospective study of elective gynaecological operations from September to November 2008 in a district general hospital was conducted. Primary outcome measures were time to send, time for anaesthesia and procedure time. Secondary outcome measures were time to send for the first patient and cost of late starts (N = 164). The mean time to send was 19 ± 8.10 min (95% CI: 18–20). The mean time for anaesthesia was 9 ± 6.40 min (95% CI: 7.91–9.86). The mean procedure time was 60 ± 35 (95% CI: 55–65). On average time to send for the first patient on the morning list took 20 ± 9.83 min (95% CI: 17–23) and resulted in 93% of lists starting... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3422808 Mon, 29 Mar 2010 17:11:46 +0100 3422808 http://www.medworm.com/index.php?rid=3412140&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5224386xg1212jr6%2F We report two cases of large bowel cancer adjacent to mesh following previous abdominal sacrocolpopexy. As far as we are aware, there have been no previous reports of bowel cancer associated with mesh either in the form of a rectal erosion or mesorectal migration. In both cases, the mesh was part of the surgical field when operating for the large bowel cancer and had to be completely removed as it was intimately entangled with the surgical specimen to be removed. When carrying out procedures using mesh, it is important that we keep in mind that mesh surgery, especially for prolapse procedures, has been used for a relatively short duration of time, and there may still be unknown long-term complications associated with their usage. It is unlikely that the mesh is a causative agent in t... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3412140 Fri, 26 Mar 2010 19:20:13 +0100 3412140 http://www.medworm.com/index.php?rid=3406280&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ftn7u652500166481%2F Abstract  This paper presents a review of the diagnosis and treatment of twin-to-twin transfusion syndrome (TTTS). The incidence of fetal or neonatal mortality and preterm delivery in monochorionic twin pregnancies is substantially much higher than in dichorionic twin pregnancies due to TTTS. About 15% of all monochorionic twin pregnancies are affected by severe TTTS which is characterized by hypervolemia and polyhydramnios in one fetus and hypovolemia and anhydramnios in the other one. It is caused by vascular anastomoses within the shared placental system. With close surveillance without intervention, the majority of these pregnancies result in fetal death of both fetuses. Effective treatment is provided by intrauterine laser coagulation of the communicating vessels, allo... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3406280 Wed, 24 Mar 2010 17:56:53 +0100 3406280 http://www.medworm.com/index.php?rid=3386463&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq94n20620645r2w8%2F Abstract  The laparoscopic route for the removal of uteri for benign conditions represents a well-established surgical route over the last 20 years, gaining popularity throughout the world. The modifications of the original technique and the variable involvement of the laparoscopic component necessitated the description of this surgical procedure, and therefore, classification systems were introduced. An attempt was hence made to standardize laparoscopic hysterectomy so that we all understand the same meaning when we describe a specific type. This standardization, however, has not incorporated factors such as simplicity, different types of energy use, and complications that have to be audited to a set standard that probably does not exist yet, due to the variable compl... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3386463 Thu, 18 Mar 2010 19:31:14 +0100 3386463 http://www.medworm.com/index.php?rid=3386465&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp5x23u24765686t2%2F Abstract  The Authors describe a novel technique for laparoscopic myomectomy of fibroids with a subserosal component which involves the use of endoscopic loops under progressive tension to avoid bleeding, facilitate enucleation and possibly reduce the need of conventional sutures. Data analysis from a series of 34 consecutive operations shows that the use of endoloops helps achieving a good haemostasis, and no case of haemorrhage from the fibroid bed was ever recorded. Moreover, the need of diathermy was reduced, and the enucleation of the fibroids resulted facilitated by a bloodless field and the squeezing effect induced by the progressive tension on the loops. Although a reduction of number of traditional suturing was recorded, we do not recommend this technique to surgeo... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3386465 Thu, 18 Mar 2010 19:31:13 +0100 3386465 http://www.medworm.com/index.php?rid=3386464&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F013162m47p66r551%2F This study was aimed to find out whether a combined approach of hysteroscopy followed by hydrosonography could provide more accurate information about the uterine lumen. Consecutive patients referred for diagnostic hysteroscopy were recruited to the study. Each patient had a transvaginal ultrasound scan, hysteroscopy, and immediately thereafter hydrosonography. Additional information retrieved by hydrosonography was recorded. When hysteroscopy revealed a normal uterine cavity, no further information was gained from hydrosonography. However, in 80% of the cases where hysteroscopy showed an abnormal uterine cavity (e.g., septum, adhesions, fibroid, endometrial polyp), hydrosonography added significant information regarding the size of the lesion, degree of fibroid encroachment, or lum... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3386464 Thu, 18 Mar 2010 19:31:13 +0100 3386464 http://www.medworm.com/index.php?rid=3372166&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F98736257085k8294%2F Content Type Journal ArticleCategory Short CommunicationDOI 10.1007/s10397-010-0571-6Authors Rishi Shonpal, 18 Green Lane Purley Surrey CR8 3PG UKA. N. Griffiths, University Hospital of Wales Heath Park Cardiff CF14 4XN UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3372166 Mon, 15 Mar 2010 17:56:33 +0100 3372166