The Journal of Minimally Invasive Gynecology via MedWorm.com 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 'The Journal of Minimally Invasive Gynecology' source. Wed, 08 Feb 2012 23:01:09 +0100 Table of Contents http://www.medworm.com/index.php?rid=5545955&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011013483%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545955 Wed, 28 Dec 2011 19:53:00 +0100 5545955 Board of Trustees http://www.medworm.com/index.php?rid=5545954&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011013471%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545954 Wed, 28 Dec 2011 19:53:00 +0100 5545954 Editorial Board http://www.medworm.com/index.php?rid=5545953&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS155346501101346X%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545953 Wed, 28 Dec 2011 19:53:00 +0100 5545953 Society Affiliations http://www.medworm.com/index.php?rid=5545952&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011013458%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545952 Wed, 28 Dec 2011 19:53:00 +0100 5545952 Meetings Calendar/Masthead http://www.medworm.com/index.php?rid=5545951&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011013446%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545951 Wed, 28 Dec 2011 19:53:00 +0100 5545951 Erratum http://www.medworm.com/index.php?rid=5545950&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011013409%2Fabstract%3Frss%3Dyes In the case report by Qiong et al (Volume 18, Number 6, page 766), one of the coauthor’s names is misrepresented. The author name Deep Jagat Prasad should in fact read as Jagat Prasad Deep. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545950 Wed, 28 Dec 2011 19:53:00 +0100 5545950 Fertility Performance and Obstetrical Outcomes Among Women With Previous Cesarean Scar Pregnancies http://www.medworm.com/index.php?rid=5545949&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011013367%2Fabstract%3Frss%3Dyes This report form the Sachler Faculty of Medicine, Tel-Aviv University, on the fertility performance and obstetrical outcome in women with a history of previous cesarean scar ectopic pregnancy is important. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545949 Wed, 28 Dec 2011 19:53:00 +0100 5545949 Reply http://www.medworm.com/index.php?rid=5545948&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012775%2Fabstract%3Frss%3Dyes Thank you for your letter regarding our case report entitled “Small Bowel Obstruction Resulting from Laparoscopic Vaginal Cuff Closure with a Barbed Suture” . Although we appreciate your comments on our surgical technique, we are afraid that you missed the primary intent of our case report. Our intent was not to describe a surgical technique but rather to disseminate knowledge regarding a potential complication of a relatively new suture material used in our field in the hopes that this complication can be averted in the future. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545948 Wed, 28 Dec 2011 19:53:00 +0100 5545948 Letter to the Editor http://www.medworm.com/index.php?rid=5545947&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011939%2Fabstract%3Frss%3Dyes I was interested to read Donnellan and Mansuria’s recent case report involving a small bowel obstruction and barbed suture . As an early advocate of the use of barbed suture in laparoscopy , I have followed this technology for some time and try keep “an ear to the ground” to best understand how the use of this type of suture is advancing and what may be some of its limitations. The authors’ report of a small bowel obstruction in a case in which barbed suture was used does not come as a surprise to me, and I agree that reporting it in this format is a good way of raising consciousness about a potential complication. That said, I was disappointed by the authors’ descriptions of their techniques and respectfully suggest that it was not the barbed suture per se that led to the compl... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545947 Wed, 28 Dec 2011 19:53:00 +0100 5545947 Leiomyoma Recurrent at the Cervical Stump: Report of Two Cases http://www.medworm.com/index.php?rid=5545946&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012830%2Fabstract%3Frss%3Dyes Abstract: Although supracervical hysterectomy is an increasingly popular modality for surgical management of benign uterine conditions data exploring all of its consequences are still forth coming. This case report will discuss the scenario of leiomyoma recurrence at the cervical stump after supracervical hysterectomy. After supracervical hysterectomy, the remnant cervix has the potential for leiomyoma formation. Surgeons performing supracervical hysterectomy should be aware of this possible outcome. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545946 Wed, 28 Dec 2011 19:53:00 +0100 5545946 Uterine Artery Embolization Complicated by Uterine Perforation at the Site of Previous Myomectomy http://www.medworm.com/index.php?rid=5545945&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012799%2Fabstract%3Frss%3Dyes Abstract: A 46-year-old woman had an unusual complication from uterine myoma embolization by development of extensive necrosis with subsequent uterine perforation at the location of a previous myomectomy. We suggest that a scarred uterus may be a risk factor for uterine fibroid embolization complications, such as uterine necrosis. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545945 Wed, 28 Dec 2011 19:53:00 +0100 5545945 Lymphatic-Venous Anastomosis for the Radical Cure of a Large Pelvic Lymphocyst http://www.medworm.com/index.php?rid=5545944&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012155%2Fabstract%3Frss%3Dyes Abstract: Therapeutic efficacy of lymphatic-venous anastomosis (LVA) has been shown, but expansion of the indication is desirable because LVA is a procedure with low invasiveness and is applicable over a wide area. This is the first reported case of intractable pelvic lymphocyst for which LVA was effective. LVA may be useful for pelvic lymphocyst at an early stage after cancer resection and lymph node dissection. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545944 Wed, 28 Dec 2011 19:53:00 +0100 5545944 Laparoscopic Management of Internal Hernia of Small Intestine through a Broad Ligament Defect http://www.medworm.com/index.php?rid=5545943&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS155346501101185X%2Fabstract%3Frss%3Dyes Abstract: Internal herniation through a defect in the broad ligament is a rare condition. A 42-year-old multiparous woman presented with a long-standing history of right-sided abdominal pain. Laparoscopy revealed herniation of small bowel through a defect in the right broad ligament. The hernia was reduced, and the defect was corrected laparoscopically. The postoperative recovery was uneventful, and the previously persistent abdominal pain has resolved. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545943 Wed, 28 Dec 2011 19:53:00 +0100 5545943 Colouterine Fistula Complicating Diverticulitis Diagnosed at Hysteroscopy: Case Report http://www.medworm.com/index.php?rid=5545942&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011824%2Fabstract%3Frss%3Dyes Abstract: Since Noecker first reported a colouterine fistula secondary to diverticulitis in 1929, about 20 cases have been reported in the literature. Methods for diagnosis have yet to be established. Herein we report the first case of a colouterine fistula at the level of the isthmus diagnosed at hysteroscopy. Diagnostic hysteroscopy enabled rapid diagnosis of the colouterine fistula. Diagnostic hysteroscopy is the first-choice diagnostic tool for investigation of any abnormal vaginal discharge such as blood or stool because it enables direct vision and biopsy of the lesions of the lower genital tract quickly and at low cost. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545942 Wed, 28 Dec 2011 19:53:00 +0100 5545942 Laparoscopic Extramucosal Partial Bladder Resection in a Patient with Symptomatic Deep-Infiltrating Endometriosis of the Bladder http://www.medworm.com/index.php?rid=5545941&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011800%2Fabstract%3Frss%3Dyes Abstract: Endometriosis is a complex disease, affecting the urinary tract, mainly the bladder, in 1% to 2% of cases. Thus far, partial cystectomy has been the treatment of choice for long-term relief of symptoms. Here, we describe the case of a 26-year-old patient with deep-infiltrating bladder endometriosis who was completely cured by laparoscopic extramucosal bladder resection. Diagnostic standards and factors affecting the rate of success for this additional option in endometriosis surgery are discussed. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545941 Wed, 28 Dec 2011 19:53:00 +0100 5545941 Laparoscopic Surgery for Endometrial Cancer: Why Don’t All Patients Go Home the Day After Surgery? http://www.medworm.com/index.php?rid=5545938&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS155346501101329X%2Fabstract%3Frss%3Dyes Conclusions: Laparoscopic surgery to treat endometrial cancer should be preferentially scheduled early in the day to facilitate discharge on POD1. The extent of staging lymphadenectomy performed does not increase hospital stay beyond POD1. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545938 Wed, 28 Dec 2011 19:53:00 +0100 5545938 Utero-Ovarian Vessel after Uterine Artery Embolization http://www.medworm.com/index.php?rid=5545925&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003372%2Fabstract%3Frss%3Dyes You can discuss this case report with its authors and with other AAGL members at http://www.AAGL.org/jmig-19-1-11-00248 (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545925 Wed, 28 Dec 2011 19:53:00 +0100 5545925 Partial Constriction of Left Infundibulopelvic Ligament http://www.medworm.com/index.php?rid=5545924&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS155346501100330X%2Fabstract%3Frss%3Dyes You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-19-1-1711 (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545924 Wed, 28 Dec 2011 19:53:00 +0100 5545924 AAGL Practice Report: Practice Guidelines for the Diagnosis and Management of Endometrial Polyps http://www.medworm.com/index.php?rid=5545923&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011873%2Fabstract%3Frss%3Dyes Abstract: Endometrial polyps are a common gynecologic disease that may be symptomatic, with abnormal vaginal bleeding being the most common presentation. They may be found incidentally in symptom-free women investigated for other indications. Increasing age is the most important risk factor, with medications such as tamixifen also implicated. Specific populations at risk include women with infertility. Malignancy arising in polyps is uncommon, and specific risks for malignancy include increasing age and postmenopausal bleeding. Management may be conservative, with up to 25% of polyps regressing, particularly if less than 10 mm in size. Hysteroscopic polypectomy remains the mainstay of management, and there are no differences for outcomes in the modality of hysteroscopic removal. Symptomati... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545923 Wed, 28 Dec 2011 19:53:00 +0100 5545923 The Food and Drug Administration’s 2011 Warning Regarding Adverse Effects Related to Mesh Implants for Pelvic Floor Reconstruction—Personal Perspectives http://www.medworm.com/index.php?rid=5545922&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012829%2Fabstract%3Frss%3Dyes You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-19-2-11-00439 (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545922 Wed, 28 Dec 2011 19:53:00 +0100 5545922 Cover 1 http://www.medworm.com/index.php?rid=5545921&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011013422%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545921 Wed, 28 Dec 2011 19:53:00 +0100 5545921 Comparison of Laparoscopically Assisted Vaginal Hysterectomy and Abdominal Hysterectomy: A Randomized Controlled Trial http://www.medworm.com/index.php?rid=5545937&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012787%2Fabstract%3Frss%3Dyes Abstract: Objective: To compare intraoperative hemorrhage and other operative parameters after laparoscopically assisted vaginal hysterectomy (LAVH) versus total abdominal hysterectomy (TAH) for benign gynecologic conditions.Design: A prospective, randomized, controlled trial.Materials and Methods: Between April 2010 and March 2011, 50 Thai patients with strong indications for hysterectomy—with uterine sizes ≤16 weeks of gravid uterus and with no contraindications for open or laparoscopic surgeries—were randomly assigned for LAVH or TAH.Main Outcome Measures: Intraoperative blood loss, operating time, postoperative analgesic requirements, perioperative complications, and duration of hospitalization.Results: Intraoperative blood loss was significantly less in the LAVH group (median 12... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545937 Fri, 02 Dec 2011 05:00:00 +0100 5545937 Bladder Dysfunction after Gynecologic Laparoscopic Surgery for Benign Disease http://www.medworm.com/index.php?rid=5545935&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS155346501101257X%2Fabstract%3Frss%3Dyes Conclusion: Postoperative bladder dysfunction appears idiosyncratic, with no single factor predictive of this problem. Possibilities for the demonstrated rate of dysfunction include normal bladder behavior, unmasking future bladder dysfunction, response to drugs, or neurologic issues. The implications of postoperative bladder dysfunction may have consequences for health care resource use and allocation, acute patient management, and possible long-term urinary function consequences and are worthy of further study. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545935 Mon, 28 Nov 2011 05:00:00 +0100 5545935 Outcome of Laparoscopic Repair of Ureteral Injury: Follow-up of Twelve Cases http://www.medworm.com/index.php?rid=5545934&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012143%2Fabstract%3Frss%3Dyes Conclusion: Early recognition and treatment of ureteral injuries are important to prevent morbidity. Laparoscopic ureteroureterostomy could be considered in transections of the ureter where technical expertise is available. To the best of our knowledge, this is the largest series, to date, of ureteral repairs via laparoscopy. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545934 Mon, 21 Nov 2011 05:00:00 +0100 5545934 Cost Analysis of Abdominal, Laparoscopic, and Robotic-Assisted Myomectomies http://www.medworm.com/index.php?rid=5545931&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011915%2Fabstract%3Frss%3Dyes Conclusion: In this cost-minimization analysis, abdominal myomectomy is the least expensive approach when compared to laparoscopy and robotic-assisted laparoscopy. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545931 Mon, 21 Nov 2011 05:00:00 +0100 5545931 Endometriosis of the Round Ligament of the Uterus http://www.medworm.com/index.php?rid=5545930&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011903%2Fabstract%3Frss%3Dyes Conclusions: The prevalence of RLU endometriosis in patients with DIE was 13.8%, which emphasizes that a rigorous evaluation of this structure must be part of the routine surgical treatment of patients with endometriosis. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545930 Thu, 17 Nov 2011 05:00:00 +0100 5545930 Clinical Practice Guideline for Abnormal Uterine Bleeding: Hysterectomy versus Alternative Therapy http://www.medworm.com/index.php?rid=5545936&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012763%2Fabstract%3Frss%3Dyes Conclusion: Selecting an appropriate treatment for AUB requires identifying a woman’s most burdensome symptoms and incorporating her values and preferences when weighing the relative benefits and harms of hysterectomy versus other treatment options. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545936 Mon, 14 Nov 2011 05:00:00 +0100 5545936 A Systematic Review Comparing Hysterectomy with Less-Invasive Treatments for Abnormal Uterine Bleeding http://www.medworm.com/index.php?rid=5545926&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011004407%2Fabstract%3Frss%3Dyes Conclusion: Less-invasive treatment options for AUB result in improvement in quality of life but carry significant risk of retreatment caused by unsatisfactory results. Although hysterectomy is the most effective treatment for AUB, it carries the highest risk for adverse events. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545926 Mon, 14 Nov 2011 05:00:00 +0100 5545926 Low-Dose Spinal Anesthesia with Hyperbaric Bupivacaine with Intrathecal Fentanyl for Operative Hysteroscopy: A Case Series Study http://www.medworm.com/index.php?rid=5545940&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011940%2Fabstract%3Frss%3Dyes Conclusions: Low-dose spinal anesthesia is a feasible technique in the inpatient setting for operative hysteroscopy in women with high surgical risks. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545940 Thu, 10 Nov 2011 05:00:00 +0100 5545940 Myomectomy Decreases Abnormal Uterine Peristalsis and Increases Pregnancy Rate http://www.medworm.com/index.php?rid=5545933&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012131%2Fabstract%3Frss%3Dyes Conclusions: The presence of uterine fibroids might induce abnormal uterine peristalsis in some patients, leading to infertility, and myomectomy may improve fertility in these patients. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545933 Thu, 10 Nov 2011 05:00:00 +0100 5545933 Predictors of Successful Salpingo-Oophorectomy at the Time of Vaginal Hysterectomy http://www.medworm.com/index.php?rid=5545932&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011927%2Fabstract%3Frss%3Dyes Conclusions: Patient age and cervical length are independent factors that influence the success of accomplishing salpingo-oophorectomy at the time of vaginal hysterectomy. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545932 Mon, 07 Nov 2011 05:00:00 +0100 5545932 The Risk of Umbilical Hernia and Other Complications with Laparoendoscopic Single-Site Surgery http://www.medworm.com/index.php?rid=5545929&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011861%2Fabstract%3Frss%3Dyes Conclusion: When performed by advanced laparoscopic surgeons, laparoendoscopic single-site gynecologic surgery is associated with a low risk of major adverse events. Additionally, the overall umbilical hernia rate was 2.4% and was lower (0.5%) in subjects without significant comorbidities. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545929 Fri, 28 Oct 2011 04:00:00 +0100 5545929 Table of Contents http://www.medworm.com/index.php?rid=5350183&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012222%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350183 Thu, 27 Oct 2011 03:35:28 +0100 5350183 Ad Hoc Reviewer http://www.medworm.com/index.php?rid=5350182&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012805%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350182 Thu, 27 Oct 2011 03:35:28 +0100 5350182 Board of Trustees http://www.medworm.com/index.php?rid=5350181&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012210%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350181 Thu, 27 Oct 2011 03:35:28 +0100 5350181 Editorial Board http://www.medworm.com/index.php?rid=5350180&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012209%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350180 Thu, 27 Oct 2011 03:35:28 +0100 5350180 Society Affiliations http://www.medworm.com/index.php?rid=5350179&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012192%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350179 Thu, 27 Oct 2011 03:35:28 +0100 5350179 Meetings Calendar/Masthead http://www.medworm.com/index.php?rid=5350178&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012180%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350178 Thu, 27 Oct 2011 03:35:28 +0100 5350178 Effect of Screening on Ovarian Cancer Mortality: The Prostate, Lung, Colorectal and Ovarian (PLCO) Cancer Screening Randomized Controlled Trial http://www.medworm.com/index.php?rid=5350177&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011004262%2Fabstract%3Frss%3Dyes Ovarian carcinoma is the deadliest of all gynecologic cancers. Two main factors account for its poor prognosis: (1) inability to detect disease early and (2) chemoresistance of recurrent disease. More than 70% of women with ovarian carcinoma remain symptom free until disease is well advanced. Despite radical and aggressive first-line treatment, the recurrence rate is very high (>70%), and most women die of the disease. In contrast, the survival rate of women with early-stage ovarian carcinoma is greater than 90%, thus providing opportunity for the development of effective screening strategies. Current ovarian cancer screening methods include transvaginal ultrasonography (TVUS) and serum cancer antigen CA 125 measurements. Each of the 2 modalities, alone or in combination, have been thoroug... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350177 Thu, 27 Oct 2011 03:35:28 +0100 5350177 Observer Agreement in the Evaluation of the Uterine Cavity by Hysteroscopy Prior to In Vitro Fertilization http://www.medworm.com/index.php?rid=5350176&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003438%2Fabstract%3Frss%3Dyes This study addresses the results of 123 hysteroscopic examinations in asymptomatic women before IVF in which intraobserver variation was measured by reviewing the DVD recording 2 months later and with interobserver variation in 3 other experienced hysteroscopists measured using the κ statistic. Specific factors studied included abnormal cavity shape (presumed septum), myomas, polyps, and adhesions. There were 107 recordings of sufficient quality to be evaluated. The original findings included 12 polyps (size not disclosed), 1 myoma, and 2 presumed septae, with 2 patients exhibiting 2 abnormalities. Only prevalence of polyps was sufficient for meaningful statistical analysis. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350176 Thu, 27 Oct 2011 03:35:28 +0100 5350176 Minimally Invasive Surgical Approach for Treatment of Isolated Endometrial Cancer Recurrence in an Ultra-Morbidly Obese Patient http://www.medworm.com/index.php?rid=5350175&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011770%2Fabstract%3Frss%3Dyes Abstract: Herein is reported the first published case of an ultra-morbidly obese woman affected by an isolated pelvic recurrence of endometrial cancer, which was successfully treated via minimally invasive vaginal excision. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350175 Thu, 27 Oct 2011 03:35:28 +0100 5350175 Transcatheter Embolization of Uterine Arteriovenous Malformation: Report of 2 Cases and Review of Literature http://www.medworm.com/index.php?rid=5350174&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003712%2Fabstract%3Frss%3Dyes Abstract: Arteriovenous malformation (AVM) of the uterus is a rare cause of menorrhagia and may at times lead to life-threatening hemorrhage. The clinical findings may not always be reliable in the diagnosis of uterine AVM, and a high index of suspicion is important because, unlike many other causes of menorrhagia, curettage may paradoxically aggravate the bleeding. Herein are described the cases of 2 patients with uterine AVM with abnormal vaginal bleeding. Both had a history of abortion followed by dilation and curettage. In both patients, the diagnosis of uterine AVM was established at Doppler flow ultrasonography. Treatment using transcatheter embolization was successful, and both patients had normal menstrual cycles at follow-up. One patient delivered a healthy baby 2½ years after t... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350174 Thu, 27 Oct 2011 03:35:28 +0100 5350174 Malignant Hyperthermia during a Laparoscopic Operation http://www.medworm.com/index.php?rid=5350173&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003451%2Fabstract%3Frss%3Dyes Abstract: Malignant hyperthermia (MH) is a life-threatening complication of general anesthesia, and early diagnosis and prompt treatment are important for successful management of this condition. Diagnosis of MH during a laparoscopic operation may be difficult because the early signs of the condition are similar to the expected physical changes that occur during laparoscopy. Herein is presented the case of a successfully treated 37-year-old woman without any pertinent surgical or medical history in whom MH developed during laparoscopic myomectomy. The operation was initiated with the patient under general anesthesia with propofol, sevoflurane, nitrous oxide, and intermittent doses of vecuronium. Twenty minutes after the start of CO2 insufflation, increased end-tidal CO2 and tachycardia wer... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350173 Thu, 27 Oct 2011 03:35:28 +0100 5350173 Laparoscopic Transection and Immediate Repair of Obturator Nerve during Pelvic Lymphadenectomy http://www.medworm.com/index.php?rid=5350172&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003748%2Fabstract%3Frss%3Dyes Abstract: Radical pelvic surgery including pelvic lymphadenectomy in the obturator fossa has become a routine endoscopically performed procedure in patients with gynecologic cancer. Nerve injury during these procedures is rare. However, to choose the best surgical procedure, the surgeon must be aware of the anatomical landmarks of the obturator fossa and of various injury mechanisms. Herein is presented the case of obturator nerve transection during laparoscopic pelvic lymph node dissection, radical vulvectomy, and inguinal lymphadenectomy and its immediate laparoscopic repair in a 56-year-old patient. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350172 Thu, 27 Oct 2011 03:35:28 +0100 5350172 Treatment of Endometriosis with Local Acetylsalicylic Acid Injection: Experimental Study in Rabbits http://www.medworm.com/index.php?rid=5350171&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011782%2Fabstract%3Frss%3Dyes The objective of the present study was to estimate the effects of introduction of acetylsalicylic acid solution into peritoneal implants in autologous endometrium as a method for treating endometriosis. Forty adult female rabbits were subdivided into 4 groups of 10 rabbits each, and endometriosis was induced via autotransplantation of endometrial fragments into the peritoneal cavity. At 30 days after induction of endometriosis, all animals were randomly assigned to 1 of 2 protocols. In protocol 1, animals were evaluated at 24 hours after treatment; group 1 (control) received physiologic solution, and group 2 received acetylsalicylic acid. In protocol 2, animals were evaluated at 10 days after treatment, group 3 (control) and group 4 received acetylsalicylic acid. After measuring the lesio... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350171 Thu, 27 Oct 2011 03:35:28 +0100 5350171 AlphaScope vs Lens-Based Hysteroscope for Office Polypectomy without Anesthesia: Randomized Controlled Study http://www.medworm.com/index.php?rid=5350170&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011004444%2Fabstract%3Frss%3Dyes Abstract: In this randomized controlled study, effectiveness, operative time, and acceptability of endometrial polypectomy were compared using an AlphaScope vs an office operative lens-based hysteroscope (LBH). One hundred fifty women with a diagnosis of endometrial polyp were operated on using an AlphaScope or LBH in the office setting. In 73 procedures using the AlphaScope (97.3%) and 68 using the LBH (90.7%), the polyp was successfully removed completely. In the AlphaScope group, 2 procedures were incomplete because of excessive endometrial mucosa thickness. In the LBH group, 3 procedures were incomplete because of difficulty in management of a large polyp, and 4 procedures were stopped because of patient pain and low compliance. Time to completion of the procedure and complete removal... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350170 Thu, 27 Oct 2011 03:35:28 +0100 5350170 Anterior Approach to Laparoscopic Uterine Artery Ligation http://www.medworm.com/index.php?rid=5350169&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003724%2Fabstract%3Frss%3Dyes Abstract: Herein is described an anterior approach to uterine artery ligation during laparoscopic myomectomy and total laparoscopic hysterectomy. The anterior leaf of the broad ligament is opened and the uterine artery is clipped lateral to its crossing over the ureter. Outcome measures were completion of the procedure laparoscopically and the need for transfusion postoperatively. Thirty-eight myomectomies and 28 difficult total laparoscopic hysterectomies (primarily uteri with large myomas) were performed, with 1 conversion to laparotomy during myomectomy and 1 during hysterectomy, and 1 transfusion after total laparoscopic hysterectomy. The anterior approach to uterine artery ligation is an alternative method for treatment of uterine artery occlusion during laparoscopic myomectomy or hys... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350169 Thu, 27 Oct 2011 03:35:28 +0100 5350169 Hysteroscopic Management of Residual Trophoblastic Tissue Is Superior to Ultrasound-Guided Curettage http://www.medworm.com/index.php?rid=5350166&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011004316%2Fabstract%3Frss%3Dyes Conclusion: The results of this study indicate that selective HR of residual trophoblastic tissue significantly reduces the incidence of intrauterine adhesions and increases pregnancy rates. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350166 Thu, 27 Oct 2011 03:35:28 +0100 5350166 Transobturator vs Single-Incision Suburethral Mini-slings for Treatment of Female Stress Urinary Incontinence: Early Postoperative Pain and 3-Year Follow-up http://www.medworm.com/index.php?rid=5350165&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011757%2Fabstract%3Frss%3Dyes Conclusion: Both procedures were effective, with few adverse effects. In sexually inactive patients, the TVT-SECUR procedure may be preferable because thigh and vaginal pain is largely averted with this procedure. Sexually active patients might be better referred for the TVT-O procedure because it was not followed by dyspareunia in our series. Patient choice of surgical method rather than randomization weakened the strength of this study. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350165 Thu, 27 Oct 2011 03:35:28 +0100 5350165 Survey of Robotic Surgery Training in Obstetrics and Gynecology Residency http://www.medworm.com/index.php?rid=5350162&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011004390%2Fabstract%3Frss%3Dyes Abstract: To examine the status of resident training in robotic surgery in obstetrics and gynecology programs in the United States, an online survey was emailed to residency program directors of 247 accredited programs identified through the Accreditation Council for Graduate Medical Education website. Eighty-three of 247 program directors responded, representing a 34% response rate. Robotic surgical systems for gynecologic procedures were used at 65 (78%) institutions. Robotic surgery training was part of residency curriculum at 48 (58%) residency programs. Half of respondents were undecided on training effectiveness. Most program directors believed the role of robotic surgery would increase and play a more integral role in gynecologic surgery. Robotic surgery was widely reported in resid... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350162 Thu, 27 Oct 2011 03:35:28 +0100 5350162 Laparoscopic Sacrocolpopexy for Management of Pelvic Organ Prolapse Enhances Quality of Life at One Year: A Prospective Observational Study http://www.medworm.com/index.php?rid=5350161&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011004304%2Fabstract%3Frss%3Dyes Conclusions: Laparoscopic sacrocolpopexy for pelvic floor prolapse is a safe and effective treatment that has a positive impact on every aspect of quality of life (symptoms, social impact, sexual function) in the medium term. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350161 Thu, 27 Oct 2011 03:35:28 +0100 5350161 Infection during Natural Orifice Transluminal Endoscopic Surgery Peritoneoscopy: A Randomized Comparative Study in a Survival Porcine Model http://www.medworm.com/index.php?rid=5350160&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011004298%2Fabstract%3Frss%3Dyes Conclusions: In these small series of animals and with the careful lavage and preparation used, NOTES appeared to be comparable to laparoscopy in terms of peritoneal contamination and clinical infection. Despite the adherence to a strict antiseptic protocol, peritoneal contamination occurs but does not lead to septic complications in the swine. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350160 Thu, 27 Oct 2011 03:35:28 +0100 5350160 Robot-Assisted Laparoscopic Hysterectomy vs Traditional Laparoscopic Hysterectomy: Five Metaanalyses http://www.medworm.com/index.php?rid=5350154&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011004432%2Fabstract%3Frss%3Dyes In conclusion, compared with traditional laparoscopic hysterectomy, robot-assisted laparoscopic hysterectomy was associated with shorter LOS and fewer postoperative complications and conversions to laparotomy; there were no differences in EBL and operative time. These results confirm that robot-assisted laparoscopy has less deletorious effect on hospital, society, and patient stress and leads to better intervention quality. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350154 Thu, 27 Oct 2011 03:35:28 +0100 5350154 Effectiveness of Abdominal Cerclage Placed via Laparotomy or Laparoscopy: Systematic Review http://www.medworm.com/index.php?rid=5350153&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003736%2Fabstract%3Frss%3Dyes Abstract: Preterm delivery remains a primary cause of neonatal morbidity and mortality. One cause of preterm birth is cervical incompetence. In women with a shortened or absent cervix or in those in whom previous vaginal cerclage failed, abdominal cerclage may be recommended. We performed a systematic literature search of PubMed, EMBASE, and the Cochrane database. Thirty-one eligible studies were selected. Six studies (135 patients) reported on the laparoscopic approach, and 26 (1116 patients) on the abdominal approach. Delivery of a viable infant at 34 weeks of gestation or more varied from 78.5% (laparoscopic) to 84.8% (abdominal). Second-trimester fetal loss occurred in 8.1% (laparoscopic) vs 7.8% (abdominal), with no reported third-trimester losses (laparoscopic) vs 1.2% (abdominal). W... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350153 Thu, 27 Oct 2011 03:35:28 +0100 5350153 Solitary Fibrous Tumor of the Great Omentum http://www.medworm.com/index.php?rid=5350152&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011000161%2Fabstract%3Frss%3Dyes You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-19-1-1634 (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350152 Thu, 27 Oct 2011 03:35:28 +0100 5350152 Bilateral Inguinal Hernia Containing Rudimentary Uteri in a Woman with Primary Amenorrhea http://www.medworm.com/index.php?rid=5350151&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011000045%2Fabstract%3Frss%3Dyes You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-19-1-1622 (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350151 Thu, 27 Oct 2011 03:35:28 +0100 5350151 Patient Safety Communication from the Food and Drug Administration Regarding Transvaginal Mesh for Pelvic Organ Prolapse Surgery http://www.medworm.com/index.php?rid=5350150&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011885%2Fabstract%3Frss%3Dyes You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-18-6-11-00400 (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350150 Thu, 27 Oct 2011 03:35:28 +0100 5350150 Cover 1 http://www.medworm.com/index.php?rid=5350149&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011012167%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350149 Thu, 27 Oct 2011 03:35:28 +0100 5350149 Accuracy of Three-Dimensional Ultrasonography in Differential Diagnosis of Septate and Bicornuate Uterus Compared with Office Hysteroscopy and Pelvic Magnetic Resonance Imaging http://www.medworm.com/index.php?rid=5545939&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011812%2Fabstract%3Frss%3Dyes Conclusion: Transvaginal 3-D ultrasonography appears to be extremely accurate for the diagnosis and classification of congenital uterine anomalies, more than office hysteroscopy and MRI. It may conveniently become the only mandatory step in the assessment of the uterine cavity in patients with a suspected septate or bicornuate uterus. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545939 Mon, 24 Oct 2011 04:00:00 +0100 5545939 Treatment of Twenty-Two Patients with Complete Uterine and Vaginal Septum http://www.medworm.com/index.php?rid=5545928&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011836%2Fabstract%3Frss%3Dyes Conclusion: Resection of vaginal septum and hysteroscopic metroplasty for complete uterine septum with resection of the cervical septum is a safe procedure that may improve dyspareunia and dysmenorrhea when present. Reproductive and obstetric outcomes after this procedure do not appear to be compromised, even though a relatively high miscarriage rate remains after metroplasty, questioning its systematic practice in symptom-free women without any previous obstetric history. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545928 Mon, 24 Oct 2011 04:00:00 +0100 5545928 Risk Factors, Symptoms, and Treatment of Ovarian Torsion in Children: The Twelve-Year Experience of One Center http://www.medworm.com/index.php?rid=5545927&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011011794%2Fabstract%3Frss%3Dyes Conclusions: Ovarian torsion in premenarchal girls usually presents with intermittent abdominal pain and abdominal tenderness. Other signs and symptoms are nonspecific. When performed, Doppler imaging may assist in diagnosing ovarian torsion in children. Detorsion followed by cystectomy may prevent recurrence. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5545927 Thu, 20 Oct 2011 04:00:00 +0100 5545927 Treatment of Cornual Heterotopic Pregnancy via Selective Reduction without Feticide Drug http://www.medworm.com/index.php?rid=5350164&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011004420%2Fabstract%3Frss%3Dyes Conclusion: An early intervention should be carried in vital stable patients by means of puncturing and aspirating cornual heterotopic pregnancy under transvaginal ultrasound guidance. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350164 Mon, 26 Sep 2011 04:00:00 +0100 5350164 Does Intraabdominal Pressure Affect Development of Subcutaneous Emphysema at Gynecologic Laparoscopy? http://www.medworm.com/index.php?rid=5350163&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011004419%2Fabstract%3Frss%3Dyes Conclusions: The incidence of subcutaneous emphysema increased with higher intraabdominal pressure during gynecology laparoscopy. Low BMI and increased intraoperative ETco2 concentration were also related to the occurrence of subcutaneous emphysema. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350163 Fri, 23 Sep 2011 04:00:00 +0100 5350163 Monopolar Electrosurgery through Single-Port Laparoscopy: A Potential Hidden Hazard for Bowel Burns http://www.medworm.com/index.php?rid=5350159&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011004286%2Fabstract%3Frss%3Dyes Conclusions: During single-port laparoscopy and use of monopolar radiofrequency, the proximity and crossing of multiple instruments generate capacitive or direct coupled currents, which may cause visceral burns. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350159 Mon, 19 Sep 2011 04:00:00 +0100 5350159 Quality of Life after Segmental Resection of the Rectosigmoid by Laparoscopy in Patients with Deep Infiltrating Endometriosis with Bowel Involvement http://www.medworm.com/index.php?rid=5350158&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011004274%2Fabstract%3Frss%3Dyes Conclusion: Laparoscopic segmental resection of the rectosigmoid fulfills its essential objective of treating endometriosis with bowel involvement and improving patients’ QoL to a significant extent. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350158 Mon, 19 Sep 2011 04:00:00 +0100 5350158 Table of Contents http://www.medworm.com/index.php?rid=5164821&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003839%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164821 Sat, 27 Aug 2011 19:31:04 +0100 5164821 Board of Trustees http://www.medworm.com/index.php?rid=5164820&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003827%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164820 Sat, 27 Aug 2011 19:31:04 +0100 5164820 Editorial Board http://www.medworm.com/index.php?rid=5164819&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003815%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164819 Sat, 27 Aug 2011 19:31:04 +0100 5164819 Society Affiliations http://www.medworm.com/index.php?rid=5164818&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003803%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164818 Sat, 27 Aug 2011 19:31:04 +0100 5164818 Meetings Calendar/Masthead http://www.medworm.com/index.php?rid=5164817&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003797%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164817 Sat, 27 Aug 2011 19:31:04 +0100 5164817 Erratum http://www.medworm.com/index.php?rid=5164816&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003761%2Fabstract%3Frss%3Dyes In the article by Robert K. Zurawin and Jonathan L. Zurawin entitled “Adverse Events Due to Suspected Nickel Hypersensitivity in Patients with Essure Micro-Inserts” (Volume 18, Number 4, pp. 475-482), the author affiliation line should read “From the Department of Obstetrics and Gynecology, Baylor College of Medicine, Houston, Texas (both authors).” The corrected line appears in the online version of the article. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164816 Sat, 27 Aug 2011 19:31:04 +0100 5164816 A Systematic Review of the Effect of the Distension Medium on Pain during Outpatient Hysteroscopy http://www.medworm.com/index.php?rid=5164815&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003281%2Fabstract%3Frss%3Dyes Cooper and colleagues at Birmingham Women’s Hospital in the United Kingdom performed a systematic review of the literature comparing normal saline solution vs carbon dioxide (CO2) as distention medium in outpatient hysteroscopy. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164815 Sat, 27 Aug 2011 19:31:04 +0100 5164815 High-Intensity Focused Ultrasound Treatment of Abnormal Bleeding Secondary to Uterine Myoma http://www.medworm.com/index.php?rid=5164814&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002524%2Fabstract%3Frss%3Dyes Lim et al from South Korea describe the use of high-intensity focused ultrasonography for treatment of acute vaginal bleeding caused by myomas in 2 young women, both nulliparous and desirous of maintaining their reproductive capacity. Both patients presented with abdominal pain, menorrhagia, dysmenorrhea, and significant symptomatic anemia (hemoglobin = 7 g/dL). (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164814 Sat, 27 Aug 2011 19:31:03 +0100 5164814 Surgical Management of Deep Infiltrating Endometriosis: Pleading for a Symptom-Guided Approach http://www.medworm.com/index.php?rid=5164813&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002469%2Fabstract%3Frss%3Dyes In this opinion piece, there is discussion of the evidence for conservative (disk excision or shaving) compared with radical (segmental resection) surgery to treat invasive endometriosis of the lower gastrointestinal tract. The authors implore that the symptoms associated with deeply invasive disease of the gastrointestinal tract can be as easily ameliorated using the conservative approach as by using the more risky and morbid radical approach. They acknowledge the limited data in this area, in particular comparative prospective studies, and indeed the literature is already polarized as to which technique should be used, indicating a publication bias inherent in articles on this topic. Such lack of equipoise is likely to prevent adequately powered studies from being reported, and we are le... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164813 Sat, 27 Aug 2011 19:31:03 +0100 5164813 Echogenic Foci in the Ovary: Are They Predictive of Endometriosis? http://www.medworm.com/index.php?rid=5164812&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002457%2Fabstract%3Frss%3Dyes The diagnosis of endometriosis usually necessitates an operative procedure. Although ultrasonographic findings can be predictive of endometriomas, the question is whether in the presence of normal ovaries, other visual clues are available to enable the diagnosis of endometriosis. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164812 Sat, 27 Aug 2011 19:31:03 +0100 5164812 Transvaginal Ultrasound-Guided Radiofrequency Myolysis for Treatment of Uterine Myomas http://www.medworm.com/index.php?rid=5164811&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002433%2Fabstract%3Frss%3Dyes This is a longitudinal cohort study of 69 self-selecting women with symptomatic myomas who declined surgical intervention. It is not clear whether the study was prospective or retrospective. Patients were administered propofol anesthesia in an outpatient setting and underwent transvaginal insertion of an ultrasonic needle into the center of the myoma(s) before myolysis at 85°C. Mean myoma diameter was 7 cm. No complications of the procedure were reported. At 12-month follow-up, volume reduction at ultrasound assessment was 75%, and patients were both satisfied and used fewer menstrual pads with each menstruation. There have been 3 uncomplicated pregnancies in the cohort since the intervention. This technique, which has been described for more than 14 years, seems to be beneficial. To ad... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164811 Sat, 27 Aug 2011 19:31:03 +0100 5164811 Uterine Preservation and Vaginal Reconstruction in a Patient with Congenital Vaginal Agenesis Presenting With Cyclic Menouria http://www.medworm.com/index.php?rid=5164810&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003359%2Fabstract%3Frss%3Dyes Abstract: Herein we report the case of a patient with primary amenorrhea and cyclic menouria. The patient was a 20-year-old woman with primary amenorrhea and inability to achieve sexual intercourse. Clinical examination revealed normally developed labia majora and minora, clitoris, and external urethral orifice, but no vaginal opening. A mature female pubic hair pattern was present, and axillary hair development was normal. Breasts were normally developed. Abdominopelvic magnetic resonance imaging demonstrated a remnant upper vagina and unicornuate uterus filled with fluid, and left-sided renal agenesis. Intraoperatively, a congenital vesicouterine fistulous tract was observed. The fistulous tract was completely resected. Vaginal reconstruction using a sigmoid colon pedicled flap was perfo... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164810 Sat, 27 Aug 2011 19:31:02 +0100 5164810 Internal Pudendal Artery Injury during Prolapse Surgery Using Nonanchored Mesh http://www.medworm.com/index.php?rid=5164809&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003347%2Fabstract%3Frss%3Dyes Abstract: Herein is presented the case of a patient with stage 2 uterine prolapse treated surgically using nonanchored mesh. Complications were internal pudendal artery injury and a massive presacral hematoma that formed after surgery. Transcatheter arterial embolization was performed immediately, and the bleeding stopped. The patient subsequently experienced difficulty micturating and defecating because of presacral hematoma compression. Self-micturation and defecation capabilities were regained gradually at approximately 1 week after surgery. The hematoma resolved completely by 71 days postoperatively. Comprehensive knowledge of pelvic anatomy is important when performing surgery to treat prolapse using mesh kits. Removing the mesh and prophylactic antibiotic therapy is a means of conser... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164809 Sat, 27 Aug 2011 19:31:02 +0100 5164809 Metastatic Lobular Breast Carcinoma Infiltrating a Uterine Leiomyoma http://www.medworm.com/index.php?rid=5164808&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS155346501100327X%2Fabstract%3Frss%3Dyes Abstract: Metastatic breast cancer is rarely identified in a uterine leiomyoma. Herein is reported the case of a 53-year-old patient with untreated left-sided breast cancer who later manifested abdominal symptoms and metrorrhagia. After hysterectomy, pathologic analysis revealed metastatic lobular breast carcinoma involving the uterine fundus and a leiomyoma. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164808 Sat, 27 Aug 2011 19:31:01 +0100 5164808 Successful Robotically Assisted Laparoscopic Correction of Chronic Uterine Inversion http://www.medworm.com/index.php?rid=5164807&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS155346501100255X%2Fabstract%3Frss%3Dyes We report a successful robotically assisted repair of a chronic uterine inversion. A modified Spinelli technique was used. The patient was discharged home after an uncomplicated postoperative course. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164807 Sat, 27 Aug 2011 19:31:01 +0100 5164807 Intrauterine Contraceptive Device Migration to the Lower Urinary Tract: Report of 2 Cases http://www.medworm.com/index.php?rid=5164806&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002494%2Fabstract%3Frss%3Dyes We present the first case of an IUD migrating through the bladder to the opening of the urethra. Endoscopic retrieval is feasible and safe in cases with an intravesically migrated IUD. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164806 Sat, 27 Aug 2011 19:31:01 +0100 5164806 The Singer, Not the Song http://www.medworm.com/index.php?rid=5164805&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003384%2Fabstract%3Frss%3Dyes Abstract: Recently, data have been published on the possible damage to the healthy ovarian tissue determined by surgery for the excision of endometriomas. We believe that, besides endometriosis in itself, the overall quality of surgery may have a major role in determining damage to the ovary. In recent years, surgeons dedicated to the treatment of endometriosis have refined the technique of laparoscopic surgery for the excision of endometriomas, with particular attention in developing the correct plane of cleavage and in the judicious use of electrosurgery. Quality of the surgery, and not surgery per se, may be important. Surgery is the gold standard treatment for ovarian endometriomas, but it should be performed with proper techniques by specifically trained surgeons. It's the singer, not... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164805 Sat, 27 Aug 2011 19:31:01 +0100 5164805 Renaissance of Surgical Recanalization for Proximal Fallopian Tubal Occlusion: Falloposcopic Tuboplasty as a Promising Therapeutic Option in Tubal Infertility http://www.medworm.com/index.php?rid=5164803&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003360%2Fabstract%3Frss%3Dyes Conclusions: Falloposcopic tuboplasty is safe and effective for treatment of tubal infertility. The pregnancy rate after falloposcopic tuboplasty is comparable to that after in vitro fertilization, which suggests that it can be an alternative to in vitro fertilization in women with tubal infertility. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164803 Sat, 27 Aug 2011 19:31:00 +0100 5164803 Endoscopic Inguinal Lymphadenectomy with a Novel Abdominal Approach to Vulvar Cancer: Description of Technique and Surgical Outcome http://www.medworm.com/index.php?rid=5164802&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003311%2Fabstract%3Frss%3Dyes Conclusions: Endoscopic inguinal lymph node dissection using this novel abdominal approach in patients with vulvar cancer is a safe and feasible technique that may diminish the wound-related complications associated with the standard open approach. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164802 Sat, 27 Aug 2011 19:30:59 +0100 5164802 Effects of Single Vaginal Incision Technique on Quality of Life in Women with Stress Urinary Incontinence http://www.medworm.com/index.php?rid=5164800&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003268%2Fabstract%3Frss%3Dyes Conclusion: Early clinical results of the present trial demonstrate that the ContaSure Needleless System seems to be capable of improving significantly all aspects of quality of life in women with incontinence. To improve the willingness for treatment of women with stress incontinence, this minimally invasive technique should be encouraged after confirming its efficacy in larger prospective, randomized, comparative trials. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164800 Sat, 27 Aug 2011 19:30:58 +0100 5164800 Improved Premenstrual Syndrome Symptoms after NovaSure Endometrial Ablation http://www.medworm.com/index.php?rid=5164795&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003207%2Fabstract%3Frss%3Dyes Abstract: Study Objective: To evaluate the change in premenstrual syndrome (PMS) symptoms in women with heavy periods who underwent endometrial ablation.Design: The study used a prospective, single-arm cohort of adult women who were to undergo NovaSure endometrial ablation for heavy menses who also reported symptoms of PMS. A brief baseline survey was done to evaluate menstrual bleeding and baseline PMS symptoms, and two 30-day prospective validated measures of PMS were used. Follow-up surveys were sent at 4 to 6 months and included both the brief survey questions and the validated measures of PMS (Canadian Task Force classification II-3).Measurements and Main Results: Thirty-six women with heavy periods who were to undergo endometrial ablation had PMS symptoms and completed all surveys a... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164795 Sat, 27 Aug 2011 19:30:56 +0100 5164795 Incidental Duplicate Ureteral Orifice During Transobturator Tape Procedure http://www.medworm.com/index.php?rid=5164789&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465010002980%2Fabstract%3Frss%3Dyes You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-18-5-1527 (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164789 Sat, 27 Aug 2011 19:30:53 +0100 5164789 A Rare Case of Nine Twisted Adnexal Torsion Successfully Resolved by Conservative Laparoscopic Detorsion http://www.medworm.com/index.php?rid=5164788&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465010002748%2Fabstract%3Frss%3Dyes You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-18-5-1522 (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164788 Sat, 27 Aug 2011 19:30:52 +0100 5164788 Cover 1 http://www.medworm.com/index.php?rid=5164787&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003773%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164787 Sat, 27 Aug 2011 19:30:52 +0100 5164787 Ten-Year Subjective Outcome Results of the Retropubic Tension-Free Vaginal Tape for Treatment of Stress Urinary Incontinence http://www.medworm.com/index.php?rid=5350157&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003487%2Fabstract%3Frss%3Dyes Conclusions: Ten-year subjective outcome of retropubic TVT are less favorable than previously reported. Early postoperative impaired bladder emptying is the most significant risk factor for long-term failure. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350157 Mon, 22 Aug 2011 04:00:00 +0100 5350157 Management of a Persistent Adnexal Mass in Pregnancy: What Is the Ideal Surgical Approach? http://www.medworm.com/index.php?rid=5350156&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS155346501100344X%2Fabstract%3Frss%3Dyes Conclusion: Minimally invasive surgery is a reasonable approach to management of a second-trimester adnexal mass in gravid women. Laparoscopy enables a shorter hospital stay, decreased blood loss, and fewer postoperative complications without seeming to have a negative effect on pregnancy-related outcomes. While these findings are reassuring, larger studies are encouraged to continue to evaluate this issue. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350156 Tue, 16 Aug 2011 04:00:00 +0100 5350156 Barbed vs Standard Suture: Randomized Single-Blinded Comparison of Adhesion Formation and Ease of Use in an Animal Model http://www.medworm.com/index.php?rid=5350155&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003402%2Fabstract%3Frss%3Dyes Abstract: Study Objective: To compare adhesion formation and ease of use of barbed vs traditional suture during myometrial closure in a sheep model.Design: Randomized trial using each subject as its own control (Canadian Task Force classification I).Setting: Certified animal research facility.Subjects: Twenty-three nonpregnant ewes.Interventions: The Harmonic scalpel was used to create a myometrial incision in each uterine horn, and the incisions were randomly allocated to be closed using either polyglactin 210 (Vicryl) or barbed suture. Each animal served as its own control, with 1 horn sutured using barbed suture and the other horn sutured using Vicryl suture. Ease of use was evaluated by comparing closure times. Adhesion formation was compared at necropsy 3 months later using a standard... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350155 Tue, 16 Aug 2011 04:00:00 +0100 5350155 Development and Use of a Restructured Animal Tissue Model for Training in Laparoscopic Salpingostomy and Salpingectomy http://www.medworm.com/index.php?rid=5350168&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003426%2Fabstract%3Frss%3Dyes The objective of this study was to develop and evaluate a restructured animal tissue model that can be used in the surgical training of gynecologists in laparoscopic salpingostomy and salpingectomy. Since 2005, a hands-on laparoscopic training course for gynecologic students has been developed and conducted at the Cushieri Skills Centre, University of Dundee. A restructured animal tissue model of ectopic pregnancy was developed and used for practicing laparoscopic salpingostomy and salpingectomy. At the end of each course, data were collected using a standardized anonymous questionnaire using a Likert scale (1= strongly disagree; 2 = disagree; 3 = neither agree nor disagree; 4 = agree; and 5 = strongly agree). Feedback on the ectopic pregnancy model from course participants was obtained in... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350168 Fri, 12 Aug 2011 04:00:00 +0100 5350168 Laparoscopic Intraperitoneal Port Placement for Optimally Cytoreduced Advanced Ovarian Cancer http://www.medworm.com/index.php?rid=5164799&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003244%2Fabstract%3Frss%3Dyes Conclusion: Based on the data from our institution, laparoscopic placement of an intraperitoneal port may be safely performed as a second procedure after initial surgery for stage III ovarian, fallopian tube, or primary peritoneal cancer and provides access for post-operative therapy. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164799 Sun, 31 Jul 2011 23:00:00 +0100 5164799 The Adiana System for Permanent Contraception: Safety and Efficacy at 3 Years http://www.medworm.com/index.php?rid=5164796&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003219%2Fabstract%3Frss%3Dyes Conclusions: These data demonstrate that the efficacy of the Adiana System for pregnancy prevention is similar to other permanent sterilization methods. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164796 Sun, 31 Jul 2011 23:00:00 +0100 5164796 Laparoscopic Hysterectomy: Eliciting Preference of Performers and Colleagues Via Conjoint Analysis http://www.medworm.com/index.php?rid=5164792&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002482%2Fabstract%3Frss%3Dyes Conclusions: The presence of a gynecologist who performs LH positively influences the referral behavior of colleagues. The effect of an increased body mass index seems to be a restrictive parameter for choosing LH according to both referring gynecologists and those who perform LH. Level of experience does not influence preference of laparoscopists. The observed discrepancy between reported and simulated referral behavior in group 3 demonstrates that practical impediments significantly decrease referral tendencies, consequently hampering implementation of this minimally invasive approach. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164792 Sun, 31 Jul 2011 23:00:00 +0100 5164792 Use of SAND Balloon Catheter for Laparoscopic Management of Extremely Large Ovarian Cysts http://www.medworm.com/index.php?rid=5350167&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003414%2Fabstract%3Frss%3Dyes The objective of the study was to assess the feasibility and outcome of laparoscopic surgery for management of extremely large ovarian cysts using the SAND balloon catheter. From January 2006 to December 2009, 25 patients with large cystic adnexal tumors underwent laparoscopic-assisted surgery using the SAND balloon catheter. Median (range) patient age was 43 (20–68) years, body mass index was 25 (19–32), mass size was 26 cm (15–60 cm), duration of the surgical procedure was 60 (30–300) minutes), and blood loss was 30 (10–100) mL. There were no major surgical complications. Intra-abdominal leakage of cyst fluid was observed in only 1 case (4%). With proper patient selection, the SAND balloon catheter can be extremely useful in laparoscopic removal of very large adnexal masses, wi... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5350167 Fri, 29 Jul 2011 04:00:00 +0100 5350167 Women’s Preferences for Minimally Invasive Incisions http://www.medworm.com/index.php?rid=5164801&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003293%2Fabstract%3Frss%3Dyes Abstract: Study Objective: To determine whether traditional, robotic, or single-site laparoscopic incisions are more appealing to women.Design: Descriptive study using a survey (Canadian Task Force classification III).Setting: Single-specialty referral-based gynecology practice.Patients: All patients older than 18 years who came for care to the Newton-Wellesley Hospital Minimally Invasive Gynecological Surgery Center from April 2, 2010, to June 30, 2010.Interventions: Three identical photos of an unscarred female abdomen were each marked with a black pen to indicate typical incision lengths and locations for robotic, single-site, and traditional laparoscopic surgery. Subjects were then asked to rank these incisions in order of preference. Additional demographic and surgical history questio... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164801 Thu, 28 Jul 2011 23:00:00 +0100 5164801 Infertile Women with Deep and Intraperitoneal Endometriosis: Comparison of Fertility Outcome According to the Extent of Surgery http://www.medworm.com/index.php?rid=5164798&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003232%2Fabstract%3Frss%3Dyes Conclusion: Extensive surgery for intraperitoneal and deep endometriosis in infertile women does not modify global fertility outcome but is associated with a higher complication rate. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164798 Thu, 28 Jul 2011 23:00:00 +0100 5164798 Prospective Evaluation of Quality of Life in Total versus Supracervical Laparoscopic Hysterectomy http://www.medworm.com/index.php?rid=5164797&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003220%2Fabstract%3Frss%3Dyes Conclusion: LSH appears to provide greater improvement in short-term postoperative QOL compared with TLH. No significant differences were found in postoperative pain or return to daily activities. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164797 Sun, 24 Jul 2011 23:00:00 +0100 5164797 An “Intermediate Curriculum” for Advanced Laparoscopic Skills Training with Virtual Reality Simulation http://www.medworm.com/index.php?rid=5164794&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002561%2Fabstract%3Frss%3Dyes Abstract: Study Objective: To estimate face and construct validity for a novel curriculum designed for intermediately skilled laparoscopic surgeons on a virtual reality simulator. It consists of 5 exercises that focus on training precision and coordination between both hands.Design: Prospective study (Canadian Task Force II-2).Setting: Three university hospitals and 4 teaching hospitals in the Netherlands.Subjects: Residents, consultants, and laparoscopic experts (n = 69) in the fields of general surgery, gynecology, and urology participated. Participants were divided into 4 groups on the basis of their level of laparoscopic experience: resident, years 1–3 (n = 15); resident, years 4–6 (n = 17); consultant (n = 19); and laparoscopic experts (n = 18).Interventions: Participants complete... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164794 Sun, 24 Jul 2011 23:00:00 +0100 5164794 Diagnosis and Management of Endometrial Polyps: A Critical Review of the Literature http://www.medworm.com/index.php?rid=5164791&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002573%2Fabstract%3Frss%3Dyes This article will review the cause, epidemiology, clinical presentation, diagnostic investigations, and management of endometrial polyps. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164791 Sun, 24 Jul 2011 23:00:00 +0100 5164791 Laparoscopic Radical Hysterectomy with Pelvic Lymphadenectomy in Early Invasive Cervical Cancer http://www.medworm.com/index.php?rid=5164790&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002421%2Fabstract%3Frss%3Dyes The objective of this review was to update the current knowledge of laparoscopic radical hysterectomy in early invasive cervical cancer. Articles indexed in the MEDLINE database using the key words “Laparoscopic radical hysterectomy” and “Cancer of the cervix” were reviewed. Studies of laparoscopic radical hysterectomy for treatment of early cervical cancer with a minimum study population of 10 patients were selected. The laparoscopic approach was associated with less surgical morbidity (surgical bleeding) and with shorter length of hospital stay, although the duration of the operation may be longer. Laparoscopic radical hysterectomy with endoscopic pelvic lymphadenectomy, and paraaortic lymphadenectomy if needed, is a safe surgical option for treatment and staging of early invasiv... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164790 Sun, 24 Jul 2011 23:00:00 +0100 5164790 Increased Difficulties and Complications Encountered During Hysteroscopy in Women with Genital Tuberculosis http://www.medworm.com/index.php?rid=5164804&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002470%2Fabstract%3Frss%3Dyes Conclusion: Hysteroscopy in women with genital TB is associated with difficulty in performing the procedure and with higher rates of complications. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164804 Tue, 05 Jul 2011 23:00:00 +0100 5164804 Table of Contents http://www.medworm.com/index.php?rid=5042807&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002640%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042807 Thu, 30 Jun 2011 23:00:00 +0100 5042807 Board of Trustees http://www.medworm.com/index.php?rid=5042806&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002639%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042806 Thu, 30 Jun 2011 23:00:00 +0100 5042806 Editorial Board http://www.medworm.com/index.php?rid=5042805&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002627%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042805 Thu, 30 Jun 2011 23:00:00 +0100 5042805 Society Affiliations http://www.medworm.com/index.php?rid=5042804&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002615%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042804 Thu, 30 Jun 2011 23:00:00 +0100 5042804 Meetings Calendar/Masthead http://www.medworm.com/index.php?rid=5042803&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002603%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042803 Thu, 30 Jun 2011 23:00:00 +0100 5042803 Erratum http://www.medworm.com/index.php?rid=5042802&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002408%2Fabstract%3Frss%3Dyes In the letter to the editor by Wada-Hiraike et al, (Volume 18, Number 3, page 412), one of the coauthors is misspelled. The name “Yuji Taketami, MD” should appear correctly as “Yuji Taketani, MD.” (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042802 Thu, 30 Jun 2011 23:00:00 +0100 5042802 Dioxins in Ascites and Serum of Women with Endometriosis: a Pilot Study http://www.medworm.com/index.php?rid=5042801&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002512%2Fabstract%3Frss%3Dyes In this basic science study of 17 infertile women, 10 with and 7 without endometriosis, both blood and serum were obtained to measure 29 different dioxins to identify a possible correlation between concentrations of these factors in body fluids and the presence of endometriosis. Although the authors recognize that the study was underpowered, they noted a possible relationship between the presence of some dioxins and dioxinlike substances in the peritoneal fluid in women with endometriosis compared with control subjects. There was no difference in serum concentrations of dioxins in women with and without endometriosis. These data from this pilot study indicate that the local peritoneal milieu may have a pivotal role in determination of endometriosis and that soluble factors may contribute t... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042801 Thu, 30 Jun 2011 23:00:00 +0100 5042801 Ureteral Endometriosis: Clinical and Radiological Follow-Up After Laparoscopic Ureterocystoneostomy http://www.medworm.com/index.php?rid=5042800&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002500%2Fabstract%3Frss%3Dyes This is a retrospective study of laparoscopic ureterocystoneocystotomy in women with hydronephrosis, diagnosed using ultrasound preoperatively, in association with symptomatic deeply invasive endometriosis. The study included 39 of 1201 women with endometriosis affecting the urinary tract, of whom 20 subsequently underwent the index procedure. The study is from a quaternary referral center, and 75% of the women had undergone previous surgery to treat endometriosis, including 35% who underwent surgery of the urinary tract. In this highly selected group of patients, the procedures were performed uneventfully; however, the expertise in the group was significant insofar as this type of surgical intervention. There were no reports of leakage or fistulas, and only 1 report of a stenotic lesion r... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042800 Thu, 30 Jun 2011 23:00:00 +0100 5042800 “Waiting for Godot”: A Commonsense Approach to Medical Treatment of Endometriosis http://www.medworm.com/index.php?rid=5042799&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002445%2Fabstract%3Frss%3Dyes This article reviews the medical treatments for endometriosis and is a sobering read, noting that only oral contraceptives and progestins have a long-term role in managing this condition. There is a sense of incredulity in the reluctance to use these medications, which are inexpensive, have a good clinical track record, have a known and often well-tolerated adverse effect profile, and are often used as comparators for newly available drugs. The substantial limitations of many new medications that have undergone trial and are marketed for use in managing endometriosis are extolled, with the requirement to reverse the effects of ectopic endometrial deposits without affecting the eutopic endometrium, produce minimal systemic effects (a major issue with gonadotropin-releasing hormone agonist a... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042799 Thu, 30 Jun 2011 23:00:00 +0100 5042799 Jaypee Gold Standard Mini Atlas Series: Laparoscopic Surgery in Infertility and Gynecology http://www.medworm.com/index.php?rid=5042798&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002329%2Fabstract%3Frss%3Dyes This mini-book by Dr. Jain is a well organized text that, despite its small size,covers much of the field of gynecologic laparoscopy. It is well written in an easy-to-understand style. Its 14 chapters progress from simple operating room setup to relatively complex surgery. The chapters contain important information on energy sources, and proceed to the more difficult procedures such as treatment of rectovaginal endometriosis and myomectomy. The ending chapter on Prevention and Management of Complications contains some excellent tips that may be helpful to all readers. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042798 Thu, 30 Jun 2011 23:00:00 +0100 5042798 Letter to the Editor http://www.medworm.com/index.php?rid=5042797&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002366%2Fabstract%3Frss%3Dyes We congratulate Khong et al on this large retrospective series with the objective of estimating the clinical significance of bowel involvement in women with pouch of Douglas obliteration undergoing laparoscopy to treat endometriosis. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042797 Thu, 30 Jun 2011 23:00:00 +0100 5042797 Aggressive Angiomyxoma of the Pelviperineum: Surgical Treatment through a Perineal Incision http://www.medworm.com/index.php?rid=5042795&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002391%2Fabstract%3Frss%3Dyes Abstract: Aggressive angiomyxoma is a rare benign tumor of the pelvic soft tissue in women of reproductive age. The tumor is locally infiltrative and tends to recur. Herein is presented a case report of aggressive angiomyxoma that was totally excised using a transperineal approach. A 35-year-old woman had an aggressive angiomyxoma of the vulva and pelvis, with swelling of the right labium majus pudendi. Three years previously, she had undergone incomplete excision of the same type of pelviperineal mass via the transabdominal route. After a complete workup, a transperineal minimally invasive approach was used to excise the 20-cm mass filling the right side of the pelvis. Histopathologic findings were consistent with a diagnosis of aggressive angiomyxoma. Although often misdiagnosed as vario... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042795 Thu, 30 Jun 2011 23:00:00 +0100 5042795 Laparoscopy in the Morbidly Obese Pregnant Patient Using a Modified Foley Lap-Lift Technique: Case Report http://www.medworm.com/index.php?rid=5042794&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002317%2Fabstract%3Frss%3Dyes Abstract: Obesity in women of reproductive age is increasing. Gynecologic laparoscopy in the morbidly obese pregnant patient presents challenges, and is not often attempted. Herein is reported a successful case using a modified Foley lap-lift technique, which improved visualization and facilitated mechanical ventilation. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042794 Thu, 30 Jun 2011 23:00:00 +0100 5042794 Uterine Cavity–Myoma Fistula after Hysteroscopic Myomectomy Mimicking Uterine Perforation at Hysterosalpingography: Case Report http://www.medworm.com/index.php?rid=5042793&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002251%2Fabstract%3Frss%3Dyes Abstract: Fistula formation between the uterine cavity and the cavity of a subserosal myoma was diagnosed at laparoscopy/hysteroscopy in a 39-year-old woman with primary infertility. The patient had undergone 2 previous hysteroscopic resection procedures for removal of a submucosal myoma as part of infertility treatment. Hysterosalpingography demonstrated leakage of contrast medium from the uterine cavity, a characteristic feature of uterine perforation. At hysteroscopy/laparoscopy, a defect was observed in the posterior wall of the uterine cavity with connection to the cavity of a subserosal myoma without any tract to the peritoneal cavity. Laparoscopic myomectomy was performed to repair the uterine wall defect at the site of the fistula. Subsequently, the patient conceived after an offic... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042793 Thu, 30 Jun 2011 23:00:00 +0100 5042793 Lower Extremity Compartment Syndrome after Laparoscopic Radical Hysterectomy: Brief Report of an Unusual Complication of Laparoscopic Positioning Requirements http://www.medworm.com/index.php?rid=5042792&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001993%2Fabstract%3Frss%3Dyes We present a case report and review of the existing literature and discuss the main clinical features as well as preventive and therapeutic options. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042792 Thu, 30 Jun 2011 23:00:00 +0100 5042792 Small Bowel Obstruction Resulting from Laparoscopic Vaginal Cuff Closure with a Barbed Suture http://www.medworm.com/index.php?rid=5042791&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001348%2Fabstract%3Frss%3Dyes Abstract: Surgical trends favor the minimally invasive approach for gynecologic procedures. Technology, equipment, and surgical materials have evolved to simplify technically challenging skills and decrease operative times to permit successful completion of procedures via the laparoscopic approach. However, with the introduction of new advances, surgeons must also be aware of potential complications that may arise. A barbed suture is an attractive suture option that allows for easier and faster laparoscopic suturing by eliminating repeated knots and the need to maintain tension on the suture line. Here we present the case of a small bowel obstruction caused by barbed suture used for vaginal cuff closure at the time of total laparoscopic hysterectomy. Implementation of a new technology or s... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042791 Thu, 30 Jun 2011 23:00:00 +0100 5042791 Internal Hernia after Laparoscopic Sacrocervicopexy http://www.medworm.com/index.php?rid=5042790&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001300%2Fabstract%3Frss%3Dyes The objective of this case report was to emphasize the importance of peritonization, or “burial,” of the mesh during these laparoscopic procedures to avert bowel herniation. Furthermore, the need is stressed for a low operative threshold in patients who have undergone such laparoscopic procedures and who demonstrate symptoms of acute abdomen. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042790 Thu, 30 Jun 2011 23:00:00 +0100 5042790 Ovarian Neurofibroma: A Rare Visceral Occurrence of Type 1 Neurofibromatosis and an Unusual Cause of Chronic Pelvic Pain http://www.medworm.com/index.php?rid=5042789&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001294%2Fabstract%3Frss%3Dyes Abstract: Neurofibromatosis type 1 is a dominantly inherited neurologic disorder that affects primarily the skin, bones, and peripheral nervous system. The disorder may be associated with a variety of clinical manifestations including both superficial and deep-seated lesions such as café-au-lait spots, skinfold freckling, Lisch nodules, and cutaneous, deeper, and visceral neurofibromas, Visceral involvement, in particular, rarely affects the genital tract, and isolated ovarian neurofibromas are extremely rare. Herein is reported a case of a solitary neurofibroma of the left ovary in a 24-year-old woman with chronic pelvic pain. The tumor was excised at laparoscopy, with complete resolution of symptoms. After 3 years of follow-up, the patient remains asymptomatic and free of any further vi... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042789 Thu, 30 Jun 2011 23:00:00 +0100 5042789 Laparoscopic Management of External Iliac Artery Injury Using Yasargil Clamps and Intracorporeal Suture http://www.medworm.com/index.php?rid=5042788&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001282%2Fabstract%3Frss%3Dyes Abstract: Presented is a case report of laparoscopic repair of an external iliac artery injury using titanium Yasargil clamps and intracorporeal suture during lymphadenectomy. Yasargil clamps were introduced and placed, 1 distal and 1 proximal to the lesion. The vascular injury site was identified and repaired using intracorporeal sutures. Laparoscopic staging was completed successfully. No sign of thrombosis or vascular occlusion was detected. The patient was discharged on postoperative day 4 to receive adjuvant therapy. Laparotomy is the accepted way of managing major vascular injuries during laparoscopy. However, in controlled circumstances, with availability of Yasargil clamps and a surgeon experienced with intracorporeal suturing, immediate laparoscopic repair of major vascular injury... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042788 Thu, 30 Jun 2011 23:00:00 +0100 5042788 Medicolegal Review of Liability Risks for Gynecologists Stemming from Lack of Training in Robot-Assisted Surgery http://www.medworm.com/index.php?rid=5042787&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002263%2Fabstract%3Frss%3Dyes Abstract: The advances in robot-assisted surgery in gynecology evolved after most practicing gynecologists had already completed residency training. Postgraduate training in new technology for gynecologists in practice is limited. Therefore, gynecologists with insufficient training who perform robot-assisted surgery may potentially be at risk for liability. In addition to the traditional medical negligence claims, plaintiff attorneys are seeking causes of actions for lack of informed consent and negligent credentialing. Thus, it is essential that gynecologists be aware of these potential liability claims that arise in a robot-assisted malpractice suit. This commentary provides an overview of the current medicolegal liability risks originating from lack of training in robotic surgery and se... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042787 Thu, 30 Jun 2011 23:00:00 +0100 5042787 Utility of an Organ Retraction Sponge (Endoractor) in Gynecologic Laparoscopic Surgery http://www.medworm.com/index.php?rid=5042786&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS155346501100238X%2Fabstract%3Frss%3Dyes Abstract: Because it is minimally invasive, laparoscopic surgery is preferred over open surgery. However, it is often difficult to maintain an adequate surgical field during the procedure. As in open laparotomy, securing an adequate surgical field is important for adequate visualization. We evaluated the effectiveness and safety of the Endoractor, an organ retraction sponge that can be inserted through a 12-mm trocar to secure a surgical field in gynecologic laparoscopic surgery. The Endoractor, a 100% cellulose compressed sponge, can be expanded using physiologic saline solution, with the result that the swollen sponge displaces organs away from the surgical field. Between October 2009 and April 2010, we used the Endoractor in 24 patients, placed in a Trendelenberg position, during laparo... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042786 Thu, 30 Jun 2011 23:00:00 +0100 5042786 Intracorporeal Suturing: Economy of Instrument Movements Using a Box Trainer Model http://www.medworm.com/index.php?rid=5042783&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002275%2Fabstract%3Frss%3Dyes Abstract: Study Objective: To determine whether economy of instrument movement can differentiate between skills levels during intracorporeal suturing using a box trainer model.Design: Prospective cohort study (Canadian Task Force classification II-2).Setting: Skills laboratory of a university teaching hospital.Subjects: Forty-two volunteers participated including 19 medical students without previous laparoscopic experience (novices), 12 residents in obstetrics and gynecology (intermediates), and 11 practitioners of intracorporeal suturing who had performed at least 200 laparoscopic procedures including advanced surgery (experts).Interventions: Each participant performed 3 consecutive standardized intracorporeal sutures using a box trainer, and instrument movements were recorded using the T... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042783 Thu, 30 Jun 2011 23:00:00 +0100 5042783 Multidisciplinary Team Approach to Management of Severe Endometriosis Affecting the Ureter: Long-term Outcome Data and Treatment Algorithm http://www.medworm.com/index.php?rid=5042781&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002378%2Fabstract%3Frss%3Dyes Conclusions: Ureteral endometriosis can be treated effectively using laparoscopic ureterolysis in almost all patients. Different treatment approaches should be based on the results of preoperative evaluation and operative findings by a multidisciplinary team. Urinary assessment is crucial because most patients demonstrate no urinary tract symptoms and initial renal investigation can prevent irreversible damage. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042781 Thu, 30 Jun 2011 23:00:00 +0100 5042781 Adverse Events Due to Suspected Nickel Hypersensitivity in Patients with Essure Micro-Inserts http://www.medworm.com/index.php?rid=5042780&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002354%2Fabstract%3Frss%3Dyes Conclusion: Even considering the possibility of underreporting by several orders of magnitude, the reported incidence of adverse events suspected to be related to nickel hypersensitivity in patients with Essure micro-inserts is extremely small (0.01%). The incidence of confirmed nickel reactions is even smaller. This very low incidence of clinical reactions is consistent with data from other nickel-containing implantable devices and is reassuring, raising the question of whether nickel reactions are clinically relevant in the use of nitinol-containing micro-inserts for hysteroscopic sterilization. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042780 Thu, 30 Jun 2011 23:00:00 +0100 5042780 Combined Oral Contraceptive Therapy in Women with Posterior Deep Infiltrating Endometriosis http://www.medworm.com/index.php?rid=5042779&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002342%2Fabstract%3Frss%3Dyes Conclusions: Combined oral contraceptive therapy can have a role in restraining the progression of dysmenorrhea and dyspareunia and the growth of deep endometriotic nodules. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042779 Thu, 30 Jun 2011 23:00:00 +0100 5042779 Efficacy of a Polyethylene Oxide–Sodium Carboxymethylcellulose Gel in Prevention of Intrauterine Adhesions After Hysteroscopic Surgery http://www.medworm.com/index.php?rid=5042778&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002330%2Fabstract%3Frss%3Dyes Abstract: Study Objectives: To assess the efficacy of a polyethylene oxide–sodium carboxymethylcellulose gel (Intercoat; Gynecare, division of Ethicon, Inc., Somerville, NJ) in preventing the development of de novo intrauterine adhesions (IUAs) after hysteroscopic surgery and to rate the patency of the internal uterine ostium at 1-month follow-up diagnostic hysteroscopy.Design: Randomized controlled study (Canadian Task Force classification I).Setting: University hospital.Patients: One hundred ten patients diagnosed during office hysteroscopy as having single or multiple lesions suitable for surgical treatment or resistant dysfunctional uterine bleeding requiring endometrial ablation.Interventions: Patients were randomized to 2 groups. Group 1 underwent hysteroscopic surgery plus intraut... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042778 Thu, 30 Jun 2011 23:00:00 +0100 5042778 Successful Vapor-Based Endometrial Ablation: In Vivo Peri-Hysterectomy Study http://www.medworm.com/index.php?rid=5042775&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001312%2Fabstract%3Frss%3Dyes Conclusion: The AEGEA vapor-based endometrial ablation system has the potential to provide excellent cavity coverage with full-thickness endometrial ablation. The study results further support an acceptable in vivo safety profile for future clinical efficacy trials. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042775 Thu, 30 Jun 2011 23:00:00 +0100 5042775 Unusual Dermoid Cyst with Surprise http://www.medworm.com/index.php?rid=5042771&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465010002402%2Fabstract%3Frss%3Dyes You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-18-4-1513 (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042771 Thu, 30 Jun 2011 23:00:00 +0100 5042771 Laparoscopic Management in Mucinous Cystadenoma of the Appendix http://www.medworm.com/index.php?rid=5042770&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465010001391%2Fabstract%3Frss%3Dyes You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-18-4-1493 (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042770 Thu, 30 Jun 2011 23:00:00 +0100 5042770 JMIG Goes Interactive http://www.medworm.com/index.php?rid=5042769&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011003256%2Fabstract%3Frss%3Dyes You can discuss this article with its authors and with other AAGL members at http://www.AAGL.org/jmig-18-4-1706 (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042769 Thu, 30 Jun 2011 23:00:00 +0100 5042769 Cover 1 http://www.medworm.com/index.php?rid=5042768&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002585%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042768 Thu, 30 Jun 2011 23:00:00 +0100 5042768 Long-Term Follow-Up After Laparoscopic Management of Endometrial Cancer in the Obese: A Fifteen-Year Cohort Study http://www.medworm.com/index.php?rid=5164793&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002548%2Fabstract%3Frss%3Dyes Abstract: Study Objective: To assess the surgical outcomes and long-term results of laparoscopic treatment of endometrial cancer in obese patients, and compare these results with those of nonobese women.Design: Retrospective cohort study (Canadian Task Force classification II-2).Setting: Two referral cancer centers.Patients: Fifty-two obese and 155 nonobese women with clinical stage I endometrial cancer managed by laparoscopy from 1990–2005 in two referral centers.Interventions: Demographic, surgical, perioperative and pathological characteristics of obese women and nonobese women with endometrial cancer treated by laparoscopy were analyzed and then compared. Recurrence-free and overall survival was calculated by use of Kaplan-Meier method.Measurements and Main Results: Median BMI of the... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5164793 Wed, 29 Jun 2011 23:00:00 +0100 5164793 Minilaparoscopic Versus Conventional Laparoscopic Hysterectomy: Results of a Randomized Trial http://www.medworm.com/index.php?rid=5042777&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002020%2Fabstract%3Frss%3Dyes Conclusions: Ports can safely be reduced in size without a negative impact on the surgeon’s ability to perform LH. MLH appears to have no advantage over LH in terms of postoperative pain. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042777 Thu, 02 Jun 2011 23:00:00 +0100 5042777 Metroplasty in a Large Population of Women with Septate Uterus http://www.medworm.com/index.php?rid=5042776&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002007%2Fabstract%3Frss%3Dyes Abstract: Study Objective: To determine the reproductive outcome after hysteroscopic metroplasty in women with septate uterus.Design: Retrospective comparative single-center study (Canadian Task Force classification II-3).Setting: University-affiliated hospital.Patients: Two hundred forty-six patients with septate uterus undergoing hysteroscopic metroplasty between January 1998 and December 2007. The diagnosis was based on hysteroscopy and 3-dimensional ultrasonography. In the most cases laparoscopy was also available. The subjects were divided into 2 age-matched groups. Group 1 consisted of 108 women with unexplained infertility, and group 2 consisted of 138 women suffering from recurrent abortion.Interventions: Patients underwent hysteroscopic metroplasty by use of resectoscopy with an e... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042776 Sun, 29 May 2011 23:00:00 +0100 5042776 Adenomyosis: Review of the Literature http://www.medworm.com/index.php?rid=5042773&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002305%2Fabstract%3Frss%3Dyes Abstract: Adenomyosis usually occurs in women in their reproductive years, predominantly in those with menorrhagia and dysmenorrhea. The etiology and pathophysiology remain unclear; however, recent advancements in diagnostic methods and new investigations of treatment options have changed how clinicians manage adenomyosis. A review was performed using PubMed and cross-references of reviews, case reports, and prospective and retrospective studies published from 1958 to 2010 to provide an overview of the etiology, diagnosis, prevalence, risk factors, clinical signs and symptoms, and treatments of adenomyosis. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042773 Sun, 29 May 2011 23:00:00 +0100 5042773 Role of Eutopic Endometrium in Pelvic Endometriosis http://www.medworm.com/index.php?rid=5042772&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001324%2Fabstract%3Frss%3Dyes Abstract: Endometriosis is defined as the presence of endometrial tissue outside the uterine cavity and is considered a benign gynecologic condition; however, in some cases, it may be aggressive. The pathogenesis of endometriosis is complex and multifactorial. Despite being one of the most widely studied gynecologic diseases, its pathogenesis remains uncertain. The intrinsic endometrial abnormalities thought to be associated with endometriosis include abnormal expression of genes, modification of endometrial response to hormones such as progesterone; increased nerve density, and oxidative stress. Evaluation of the endometrium in patients with endometriosis is an important line of investigation in the pathophysiology of the disease. It has been suggested that investigation of eutopic endome... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042772 Thu, 26 May 2011 23:00:00 +0100 5042772 Reply http://www.medworm.com/index.php?rid=5042796&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001361%2Fabstract%3Frss%3Dyes In conclusion, multidisciplinary CO2 laser laparoscopic excision of deep endometriosis with colorectal extension improves pain, QOL [quality of life] and sexuality with high fertility and low complication and recurrence rates,” which, according to the published article, is based on 50 bowel resections in 56 women, with results as “confirmed endometriosis in 42/49 resections,” with detailed microscopy of depth of invasion and 6 endometriosis lesions outside the muscularis, and life table analysis on a very limited number of events. Such claims indeed confirm the importance of letters to the editor permitting discussions for the benefit of the readership. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042796 Tue, 24 May 2011 23:00:00 +0100 5042796 Davydov’s Procedure for the Treatment of Neovaginal Prolapse in Rokitansky Syndrome http://www.medworm.com/index.php?rid=5042785&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011002019%2Fabstract%3Frss%3Dyes Abstract: A 19-year-old woman with Rokitansky syndrome with neovaginal prolapse following self-dilation showed vaginal vault eversion of a 4- × 3-cm neovagina. A modified Davydov procedure was performed. No complications occurred. Vaginoscopy after 6 months showed an iodine-positive 8- × 3-cm neovagina. Functional results were assessed with the Female Sexual Function Index. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042785 Sun, 15 May 2011 23:00:00 +0100 5042785 A Remarkably Easy Knot-Tying Technique for Single-Incision Laparoscopic Surgery with the SILS Port for Gynecologic Diseases http://www.medworm.com/index.php?rid=5042784&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001373%2Fabstract%3Frss%3Dyes Abstract: Single-incision laparoscopic surgery (SILS) has been quickly accepted, especially for women, because the cosmetic benefits may be greater than with ordinary laparoscopic surgery. In gynecologic disease, SILS is appropriate for diagnostic laparoscopy, oophorectomy, and salpingectomy, among other conditions. In addition, the knot-tying process for intracorporeal suturing during SILS is a major rate-limiting step and a key determinant of the popularity of SILS. Although a roticulator instrument is useful for creating the needed operative angle, knot tying is still believed to be difficult. We have devised a remarkably simple knot-tying technique that can be applied during SILS with a SILS Port with a Roticulator and a straight-type needle driver. We determined that, after transfixin... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042784 Sun, 15 May 2011 23:00:00 +0100 5042784 An RCT: Use of Oxytocin Drip during Hysteroscopic Endometrial Resection and Its Effect on Operative Blood Loss and Glycine Deficit http://www.medworm.com/index.php?rid=5042782&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001385%2Fabstract%3Frss%3Dyes Abstract: Objective: To estimate the influence of oxytocin infusion on operative blood loss and glycine deficit during hysteroscopic transcervical endometrial resection (TCRE) for abnormal uterine bleeding (AUB).Design: Prospective, randomized, placebo-controlled study (Canadian Task Force classification I).Setting: Tertiary Care University Hospital.Patients: Forty-eight women with abnormal uterine bleeding that was unresponsive to conservative medical management were randomly assigned to undergo hysteroscopic TCRE with either oxytocin infusion (group A) or saline (group B). Intravenous Ringer’s lactate solution was used during surgery.Interventions: TCRE was carried out with glycine 1.5% mixed with 2% ethanol as a distension medium. For group A: one ampoule of oxytocin (10 U/mL/amp) was... The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042782 Sun, 15 May 2011 23:00:00 +0100 5042782 Canadian Hysterectomy Educational Experience: Survey of Recent Graduates in Obstetrics and Gynecology http://www.medworm.com/index.php?rid=5042774&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001270%2Fabstract%3Frss%3Dyes Conclusions: Although laparoscopic hysterectomy has substantial benefits compared with laparotomy, Canadian residents in obstetrics and gynecology are not receiving adequate training to feel comfortable using the laparoscopic approach as opposed to the vaginal and abdominal routes. To improve patient care, further educational initiatives are needed to ensure that graduates are capable of performing all types of hysterectomy. (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=5042774 Thu, 12 May 2011 23:00:00 +0100 5042774 Table of Contents http://www.medworm.com/index.php?rid=4784520&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001452%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=4784520 Sat, 30 Apr 2011 23:00:00 +0100 4784520 Board of Trustees http://www.medworm.com/index.php?rid=4784519&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001440%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=4784519 Sat, 30 Apr 2011 23:00:00 +0100 4784519 Editorial Board http://www.medworm.com/index.php?rid=4784518&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001439%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=4784518 Sat, 30 Apr 2011 23:00:00 +0100 4784518 Society Affiliations http://www.medworm.com/index.php?rid=4784517&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001427%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=4784517 Sat, 30 Apr 2011 23:00:00 +0100 4784517 Meetings Calendar/Masthead http://www.medworm.com/index.php?rid=4784516&cid=s_38517_29_f&fid=38517&url=http%3A%2F%2Fwww.jmig.org%2Farticle%2FPIIS1553465011001415%2Fabstract%3Frss%3Dyes (Source: The Journal of Minimally Invasive Gynecology) The Journal of Minimally Invasive Gynecology journals http://www.medworm.com/rss/comments.php?id=4784516 Sat, 30 Apr 2011 23:00:00 +0100 4784516