Gynecological SurgeryThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the latest items in this publication.

Pages: 1 2 3 4 5 6 7

320 records returned

Laparoscopic management of cornual heterotopic pregnancy with the use of Harmonic ACE®—a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the first case of successful management of cornual heterotpic pregnancy by Harmonic ACE® and a favourable outcome of the intrauterine pregnancy. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0534-yAuthors Sonia Chachan, Royal Surrey County Hospital Department of Gynaecology Guildford Surrey GU2 7XX UKN. Waters, Post Graduate Medical School, University of Surrey Department of Gynaecology, Institution: Minimal Access Therapy Training Unit Manor Park Guildford Surrey GU2 7WG UKA. Kent, Post Graduate Medical School, University of Surrey Department of Gynaecology, Institution: Minimal...
Source: Gynecological Surgery - November 17, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Laparoscopic subtotal hysterectomy versus laparoscopic total hysterectomy: a decade of experienceEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract At present, there are only few data on the surgical outcomes of laparoscopic hysterectomy (LH). Up till now, it has been unclear whether there is a difference in number of complications among the subcategories of laparoscopic total hysterectomy and laparoscopic subtotal hysterectomy (LSH). Therefore, we have performed a retrospective analysis to evaluate the peri- and postoperative outcomes in women undergoing LSH versus LH. This multi-centre retrospective cohort study (Canadian Task Force classification II-2) was conducted in multi-centres (two teaching hospitals and one university medical centre) ...
Source: Gynecological Surgery - November 13, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Short-term morbidity following vaginal prolapse surgery: what the surgeon does not seeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The aim of this study was to estimate the incidence of minor complications after pelvic floor surgery as well as service utilisation for these complaints. One hundred consecutive women were asked about any troublesome symptoms following pelvic floor surgery. Sixty-six percent of women reported a troublesome complaint in the post-operative period. The most common symptom was vaginal discharge. Forty-four percent of this cohort sought the advice of a medical practitioner. These findings are important since patients may wish to know about the more common but fairly troublesome minor complaints found in...
Source: Gynecological Surgery - November 12, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Safety and efficacy of the transobturator tape for stress urinary incontinence: short-term and medium-term results of 125 patients demonstrate a procedure-related learning curveEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report our initial experience in a district general hospital and study the learning curve effect. This is a retrospective study of the first 125 women to have the TOT procedure (Aris® Transobturator Tape). Short-term follow-up took place with the operating gynecologist in the clinic 3 months postoperatively, while medium-term follow-up was assessed by a patient questionnaire at 18–36 months (mean 23 months). Short-term success rate was 89.3%. Complications were bladder injury 2.4%, postoperative urinary tract infection 8.1%, transient voiding dysfunction 13.7%, tape erosion 4.1%, and de novo urgen...
Source: Gynecological Surgery - November 10, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Laparoscopic management of a pelvic retroperitoneal leiomyoma—case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Leiomyomas are benign tumors frequently found in the fourth and fifth decades of life. Although the uterus is the most common site of origin of leiomyomas, they can develop at any site where there is smooth muscle cell. Extrauterine leiomyomas are not common and usually their diagnostic are more challenging. In this paper, we report one case of pelvic retroperitoneal leiomyoma associated to vulvar/perineal leiomyomas. A 47-year-old female patient presented with a 6-month history of deep dyspareunia, abdominal pain, dysuria, and pain during defecation. She had a previous history of two open myomectom...
Source: Gynecological Surgery - November 6, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

The Newsletter of the ESGEEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleDOI 10.1007/s10397-009-0530-2 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Number 4 / November, 2009 (Source: Gynecological Surgery)
Source: Gynecological Surgery - November 2, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Recent literature with commentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Surgical ShortcutsDOI 10.1007/s10397-009-0527-x Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Number 4 / November, 2009 (Source: Gynecological Surgery)
Source: Gynecological Surgery - November 2, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Charles McBurney (1845–1913) and McBurney’s pointEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Surgical EponymsDOI 10.1007/s10397-009-0526-yAuthors M. Thiery, Jan Palfyn Foundation and Museum for History of Medicine, “Het Pand” Gent Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Number 4 / November, 2009 (Source: Gynecological Surgery)
Source: Gynecological Surgery - November 2, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Uterine arterial embolization: collagen analysis of endometrial/uterine biopsy pre and after procedureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, there is a significant reduction in collagen of endometrial/uterine tissue in patients submitted to UAE. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-009-0528-9Authors Cláudio Emílio Bonduki, Federal University of São Paulo Department of Gynecology Rua dos Otonis 601, Vila Clementino São Paulo SP BrazilGilmar de Oliveira Dornelas, Federal University of São Paulo Department of Gynecology Rua dos Otonis 601, Vila Clementino São Paulo SP BrazilAndré Bernardo, Federal University of São Paulo Department of Gynecology Rua dos Otonis 601, Vila Clementino São Paulo SP Brazil...
Source: Gynecological Surgery - October 13, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

PostersEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory AbstractsDOI 10.1007/s10397-009-0519-x Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Supplement 1 / October, 2009 (Source: Gynecological Surgery)
Source: Gynecological Surgery - October 9, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

The ESGE Junior PlatformEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory AbstractsDOI 10.1007/s10397-009-0517-z Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Supplement 1 / October, 2009 (Source: Gynecological Surgery)
Source: Gynecological Surgery - October 9, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

VideosEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory AbstractsDOI 10.1007/s10397-009-0518-y Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Supplement 1 / October, 2009 (Source: Gynecological Surgery)
Source: Gynecological Surgery - October 9, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Free CommunicationsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory AbstractsDOI 10.1007/s10397-009-0521-3 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Supplement 1 / October, 2009 (Source: Gynecological Surgery)
Source: Gynecological Surgery - October 9, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

ContentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
CONTENTS Content Type Journal ArticleDOI 10.1007/s10397-009-0525-z Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Supplement 1 / October, 2009 (Source: Gynecological Surgery)
Source: Gynecological Surgery - October 9, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Bilateral hydrosalpinges masquerading as ovarian cancer: a late complication of microwave endometrial ablation: a case report and literature reviewEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report on a late presentation of bilateral hydrosalpinges 2 years following microwave endometrial ablation. The patient was reviewed in the Gynaecological Oncology Centre on account of a raised cancer antigen 125 (CA125) and suspicious appearances on ultrasound and computed tomography. Benign tubal masses should be considered amongst the differential diagnosis in women presenting with adnexal masses and a raised CA125 following endometrial ablative procedures. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-009-0523-1Authors Gbolahan Somoye, Aberdeen Royal Infirmary Department Gynaecologi...
Source: Gynecological Surgery - September 24, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Cervico-isthmic pregnancy developing within the scar of a previous cesarean section: a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The cervico-isthmic pregnancy is a rare event occurring during pregnancy. In this current report, we describe a case of a woman with pregnancy developed within a previous cesarean section scar and successfully treated with conservative management. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-009-0515-1Authors Achille Tolino, University “Federico II” of Naples Departments of Obstetrics and Gynecology Naples ItalyLucia Battista, University “Federico II” of Naples Departments of Obstetrics and Gynecology Naples ItalyGaetano Chiacchio, University “Federico II” of Napl...
Source: Gynecological Surgery - September 23, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Small bowel incarceration in the umbilical artery following total laparoscopic radical hysterectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of a patient who presented an intestinal obstruction following a TLRH for cervical cancer. The obstruction was caused by entrapment of a segment of small bowel under the dissected obliterated umbilical artery resulting in a loop incarceration. Wide radical pelvic dissection in radical hysterectomy usually leaves uncovered many dissected retroperitoneal structures. Postoperative bands and adhesions represent the main cause of bowel obstruction after a surgical procedure. Retroperitoneal vessel dissection is mandatory to achieve safely an adequate radicality, but it may lead to intestinal complications ...
Source: Gynecological Surgery - September 23, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Morphology of human endometrial explants and secretion of stromal marker proteins in short- and long-term culturesEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Human endometrial tissue is frequently biopsied under surgical and laparoscopic procedures for the investigation of infertility, abdominal, or menstrual pain. These symptoms often but not always are the consequence of endometriosis, which is characterised by the growth of endometrial tissue outside the uterine cavity and affecting 8–10% of women during the fertile age. First-line treatment is often by surgery. Biopsied endometrial tissue is not only used for immunohistochemical examination but has also been cultured in vitro. Explant culture systems maintain the three-dimensional structure of the ...
Source: Gynecological Surgery - September 17, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Surgical management of adenomyoma with hysteroscopy and laparotomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A nulliparous woman presented with menorrhagia, anemia, and an enlarged uterus. A diagnosis of leiomyoma was made. At surgery, hysteroscopic resection was not possible because of the size of the mass. Laparotomy was performed and the uterus was opened through a “classical incision”. Hemostasis was secured with an intrauterine balloon. Histology revealed the mass to be an adenomyoma. Resecting an adenomyoma from the uterus can be complicated. Techniques, such as hysteroscopic examination before laparotomy, using a classical uterine scar, intrauterine balloon, and preoperative gonadotropin-releasi...
Source: Gynecological Surgery - September 17, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Cardiac and gingival metastasis after total abdominal hysterectomy with bilateral salpingo-oophorectomy for primary uterine epithelioid angiosarcoma: case report and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a unique case of cardiac and gingival metastases developing 4 years after total abdominal hysterectomy with bilateral salpingo-oophorectomy for primary uterine epithelial angiosarcoma. Initial treatment remains total abdominal hysterectomy with bilateral salpingo-oophorectomy. Limited distant metastases may be surgically resected in selected cases in order to improve quality of life or to prevent sudden death in untreated patients. Optimal chemotherapy regimens must be determined. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0514-2Authors Olivier Donnez, Cliniques Univer...
Source: Gynecological Surgery - September 16, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Carcinosarcoma of the breast: report of a case and review of the literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a female patient with breast CS. Relevant literature is briefly reviewed. A 65-year-old-woman was admitted for the management of a palpable mass of the left breast. Mammography depicted a high-density mass with marginal irregularity and pleomorphic calcification. Subsequent excisional biopsy revealed a biphasic metaplastic breast carcinoma, and the patient underwent a left-modified radical mastectomy. The final histopathologic diagnosis was defined as a metaplastic breast carcinoma of CS type, with a squamous cell epithelial component of intermediate and mainly low-grade differentiation. Recent case series ...
Source: Gynecological Surgery - September 16, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Intestinal endometriosisEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 46-year old woman presented with chronic and intractable pelvic pain persisting for several months. She claimed to have no symptoms related to bowel or urinary function. Content Type Journal ArticleCategory Clinical PracticeDOI 10.1007/s10397-009-0516-0Authors Ayman Al-Talib, McGill University Department of Obstetrics and Gynecology Montreal CanadaTogas Tulandi, McGill University Department of Obstetrics and Gynecology Montreal Canada Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery)
Source: Gynecological Surgery - September 16, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Androgen insensitivity revealed by surgery in elderly identical twinsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Two elderly identical twin sisters with inguinal hernias and malignant gonadic tumors were diagnosed during surgery as having complete androgen insensitivity syndrome. Androgen insensitivity syndrome, also referred to as testicular feminization, is an X-chromosome-linked genetic condition in which the tissues of a genotypic male are unresponsive to androgens because of an anomaly of the androgen receptor. This results in feminization of the external genitalia. The internal genital organs including the cranial part of the vagina, cervix, uterus, and fallopian tubes are absent because of testicular in...
Source: Gynecological Surgery - August 24, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Parasitic leiomyomas: two case reports and review of literatureEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present two such rare cases of parasitic fibroids attached to the sigmoid colon and urethra, respectively. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0511-5Authors Janaki Putran, Colchester Hospital University Foundation Trust Department of Obstetrics and Gynaecology Turner Road Colchester CO4 5JL UKKhaled Khaled, Colchester Hospital University Foundation Trust Department of Obstetrics and Gynaecology Turner Road Colchester CO4 5JL UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery)
Source: Gynecological Surgery - August 11, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

The Newsletter of the ESGEEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory AnnouncementDOI 10.1007/s10397-009-0510-6 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Number 3 / September, 2009 (Source: Gynecological Surgery)
Source: Gynecological Surgery - August 4, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Recent literature with commentsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Surgical ShortcutsDOI 10.1007/s10397-009-0502-6 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Number 3 / September, 2009 (Source: Gynecological Surgery)
Source: Gynecological Surgery - August 4, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Laparoscopic interval surgery for stage 4 primary fallopian tube carcinoma—a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present the first case of laparoscopic interval surgery (IS) for stage IVb PFTC minimising peri-operative morbidity with no delay in resuming chemotherapy. This case demonstrates that there exists a role for laparoscopic surgery in selected patients which should be explored. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-009-0507-1Authors Thumuluru Kavitha Madhuri, The Royal Surrey County Hospital Department of Gynaecological Oncology LEVEL B, GOPD, Egerton Road Guildford Surrey GU2 7XX UKAnil Tailor, The Royal Surrey County Hospital Department of Gynaecological Oncology LEVEL B, GOPD, Egerton...
Source: Gynecological Surgery - July 31, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

National inpatient diagnostic hysteroscopy surveyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract This survey was undertaken to determine the common practise patterns of how hysteroscopy is carried out in the UK. We believe this will help to develop a consensus and set national guidelines in accordance with the way we undertake this procedure. In addition; we aim to assess the operators understanding of hysteroscope optics related to this procedure. The study was conducted in a teaching hospital in the southwest of England, UK. Postal questionnaires were sent within the first week of June 2007 to 1,000 consultant gynaecologists in the UK. The surveyed gynaecologists were selected from the Royal ...
Source: Gynecological Surgery - July 27, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

First single-incision type 7 total laparoscopic hysterectomy, adnexectomy, and appendectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study is a retrospective chart review and discussion of two patients who underwent a total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and appendectomy (Canadian Task Force Level III). Both patients underwent a type 7 total laparoscopic hysterectomy for benign indications in July 2007 and sustained no complications. The evidence from these two cases suggests that advanced laparoscopic procedures are possible using a single skin incision for multiple ports. Technological advances, including those in port structure, are needed to enable surgeons to employ strategies that effectively enhance instrume...
Source: Gynecological Surgery - July 25, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Predictors of acute cervicouterine angulation in patients scheduled for gynaecological or infertility intrauterine office proceduresEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract The purpose behind this observational study was to find whether age, parity, ethnicity, uterine position or the mode of presentation (infertility or gynaecological) could be used to predict acute cervicouterine angulation (ACUA) before intrauterine office surgical procedures. Uterine version, flexion and ACUA were recorded after transvaginal scanning in 914 patients and during subsequent examinations in a subgroup of 422 patients. ACUA was tested against presentation, age, parity, ethnicity and uterine position using chi-square and logistic regression. A two-tailed p value <0.05 was considered si...
Source: Gynecological Surgery - July 23, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Laparoscopic resection of cystic adenomyosis in a teenager with arcurate uterusEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report a case of juvenile cystic adenomyosis in a 19-year-old nulliparous patient presenting with secondary dysmenorrhoea and non-cyclical pain. A 20-mm adenomyotic cyst in the fundal myometrium was successfully excised laparoscopically by modified myomectomy. It is mandatory to take persistent primary and early secondary dysmenorrhoea seriously, especially after poor response to medical treatment and to have a low threshold for further investigations, because a diagnosis of cystic adenomyosis requires targeted therapeutic intervention. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-009-0505-3...
Source: Gynecological Surgery - July 18, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Early postoperative discharge following radical vulvectomy and bilateral inguinal lymphadenectomy for vulvar carcinomaEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Currently, no robust evidence exists for the optimal period for maintaining the suction drainage in the groin incisions for women who undergo inguinal lymphadenectomy for vulvar carcinoma. In many cases, this may take more than 2 weeks. Some authorities advocate early drain removal at 72 h after surgery, but this approach is associated with increased risk of lymphocyst formation. We attempted to discharge women with suction drains in situ within 48 to 72 h following the surgery. Four patients that underwent vulvectomy and bilateral inguinal lymphadenectomy for vulval cancer were disch...
Source: Gynecological Surgery - July 18, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Fertility and pregnancy outcomes following uterine artery embolization (UAE) for uterine arteriovenous malformation (AVM)Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 19-year-old patient presented with intractable uterine bleeding, 11 weeks post-abortion. A pelvic ultrasound with Doppler and color imaging suggested a uterine arteriovenous malformation. Failing conservative therapies, the patient consented to uterine artery embolization (UAE). Two months later, she conceived and had an uneventful normal vaginal delivery at term. Since this is an extremely rare condition, allowing limited clinical exposure and experience, there may be an underlying reluctance by general practitioners to treat these cases with uterine artery embolization for fear of compromis...
Source: Gynecological Surgery - July 9, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Evaluation of Modified Fenton procedure for persistent superficial dyspareunia following childbirthEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, 24 women underwent a Modified Fenton procedure for persistent superficial dyspareunia caused by a band of scar tissue or web of skin at the introitus. Fourteen women (60.8%) reported complete relief and moderate relief was reported in nine (39%). The results were encouraging in the majority of women treated. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0501-7Authors Suganthi Chandru, University Hospital of North Staffordshire Academic Unit of Obstetrics and Gynaecology Stoke-on-Trent UKTamer Nafee, University Hospital of North Staffordshire Academic Unit of Obstetrics and G...
Source: Gynecological Surgery - June 29, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Direct optical entry through Palmer’s point: a new technique for those at risk of entry-related trauma at laparoscopyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We present a technique of direct optical entry through Palmer's point (3 cm below the left costal margin in the mid-clavicular line) as an alternative laparoscopic entry method for those gynaecological patients at risk of periumbilical adhesions. This method has been used in 15 patients and allowed the adhesions to be cleared where necessary. We feel that this technique can provide a safe approach to the abdominal cavity and should be considered as another method alongside closed and open umbilical techniques in the laparoscopic gynaecologist's repertoire. Content Type Journal ArticleCategory CommunicationDOI 1...
Source: Gynecological Surgery - June 24, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Friedrich Trendelenburg (1844–1924) and the trendelenburg positionEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory Surgical EponymsDOI 10.1007/s10397-009-0499-xAuthors M. Thiery, Jan Palfyn Foundation and Museum for History of Medicine Aan de Bocht 6 9000 Gent Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery)
Source: Gynecological Surgery - June 23, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Guideline on preventing entry-related gynaecological laparoscopic injuries: post-publication reflections of the senior authorEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A few months ago, the Royal College of Obstetricians and Gynaecologists of the UK published the latest clinical guideline relevant to gynaecological surgery entitled “Preventing entry-related gynaecological laparoscopic injuries”, which is freely available for all to read on the college website. The preparation of this document not only took a long time, requiring a considerable amount of literature research, but also very arduous because we were required to make constant changes to the manuscript as a result of the comments and criticisms from the three lead reviewers of the Guidelines and Audi...
Source: Gynecological Surgery - June 23, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Management of symptomatic pelvic lymphocyst after radical pelvic or pelvic and paraaortic lymphadenectomy for cervical and endometrial cancerEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Pelvic and paraaortic lymph node dissection, as part of the staging surgery for cervical and endometrial carcinoma, interrupts the afferent lymphatics. The high acceptance by the community of gyn-oncologists was after finding that laparoscopic lymphadenectomy can be performed in the majority of patients and is associated with low complication rate. Incidence of lymphocele formation and incidence of severe complications associated with lymphocele, such as infection, deep venous thrombosis, or urinary tract occlusion, were retrospectively evaluated in the past years (01.2001–01.2007) after surgery. ...
Source: Gynecological Surgery - June 16, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Bladder endometriosis, a remarkable resemblance in a monozygotic twinEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract It is known for many years that heritability plays a role in the development of endometriosis in many patients. Deep endometriosis of the bladder is a rare presentation of the disease and bladder endometriosis was not reported in monozygotic twin studies so far. Since monozygotic twins share the same genes, concordance and differences in presentation of endometriosis may help to discriminate between genetic and environmental determinants. The remarkable resemblance in the presentation of bladder endometriosis in this monozygotic twin seems to indicate that genetic factors are of importance in the ar...
Source: Gynecological Surgery - June 16, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Conservative management of a urachal remnant perforation during laparoscopic ovarian cystectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Complications associated with persistent urachal remnant disease have been well documented in neonates and more recently in adults. These include laparoscopic perforation. The case has previously been made for conservative management of small symptomatic urachal remnants in young infants and also for conservative management of iatrogenic cystotomies in the absence of overt sepsis using assisted bladder drainage and prophylactic antibiotics. However, to our knowledge, there has been no recent case of successful conservative management of laparoscopically perforated urachal remnant in an adult. This c...
Source: Gynecological Surgery - June 13, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Efficiency of TachoSil® to prevent postsurgical adhesion development on laparoscopic rat modelEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study revealed that TachoSil®, an absorbable biomaterial, can reduce postoperative adhesions after laparoscopic surgery on a rat model. TachoSil® also prevents thermo-induced injuries on uterine parenchyma (less fibrosis and less inflammation). Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-009-0496-0Authors Erdogan Nohuz, General Hospital Thiers Department of Obstetrics and Gynaecology Route du Fau 63300 Thiers FranceClaude Darcha, University Hospital Clermont-Ferrand Department of Pathology 63003 Clermont-Ferrand FranceWagner Moreno, General Hospital Thiers Department of Obstetrics ...
Source: Gynecological Surgery - June 10, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Subserosal intramural ectopic pregnancy in an adenomyotic area following assisted reproduction treatmentEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 38-year-old woman presented for early pregnancy ultrasound scanning 6 weeks and 4 days following an assisted reproduction treatment cycle. She had ß human chorionic gonadotrophin (ßhCG) blood level of 10,853 IU/L 2 weeks before presentation. She gave previous history of termination of pregnancy, myomectomy and bilateral salpingectomy. The uterus was retroverted with multiple fibroids and non-homogenous myometrium in many areas. The endometrium was 21.1 mm thick with no intrauterine pregnancy. An initial diagnosis of cornual/interstitial ectopic pregnancy was made. Howeve...
Source: Gynecological Surgery - May 30, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

A call for surgical case reportsEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory EditorialDOI 10.1007/s10397-009-0493-3Authors Ivo Brosens, LIFE, Leuven Institute for Fertility and Embryology Tiensevest 168 3000 Leuven Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery)
Source: Gynecological Surgery - May 30, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Ovarian fibroma with liquefaction necrosis—a diagnostic and treatment dilemma—a case reportEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report the case of a large ovarian fibroma which presented a challenging pre-operative diagnosis with suspicious features on ultrasound scan and raised Ca 125 level. The risk of malignancy index was within normal limits and the patient underwent laparoscopic treatment. At laparoscopy, features remained suspicious. Histology confirmed benign ovarian disease. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0491-5Authors Ravi Jumnoodoo, Worthing and Southlands NHS Trust Lyndhurst Road Worthing West Sussex UKJenny Lo, Worthing and Southlands NHS Trust Lyndhurst Road Worthing West Sussex UKJam...
Source: Gynecological Surgery - May 14, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Laparoscopic surgical approach for a borderline ovarian tumour of more than 25 cmEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We describe a 58-year-old menopausal woman consulting for bleeding and abdominal volume; pelvic pain occurred occasionally. Magnetic resonance and ultrasound evidenced a big ovarian tumour as more than 23 cm in diameter with an intracystic mass of 5 cm. Laparoscopic treatment was exhaustively performed. No surgical complication occurred and no treatment was necessary after surgery. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0492-4Authors S. Tamburro, CH Thiers, Gynecology and Obstetrics Thiers FranceE. Nohuz, CH Thiers, Gynecology and Obstetrics Thiers FranceG. Mage, CHU Cler...
Source: Gynecological Surgery - May 14, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Laparoscopic repair of vaginal vault dehiscence after postpartum hysterectomyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract Post-hysterectomy vaginal vault dehiscence was triggered by intercourse. Laparoscopy allows examination of vaginal vault and permits laparoscopic repair. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0483-5Authors N. Waters, University of Surrey Minimal Access Therapy Training Unit, Post Graduate Medical School Manor Park Guildford Surrey GU2 7WG UKS. Chachan, Royal Surrey Hospital Department of Gynaecology Guildford Surrey GU2 7XX UKK. Morton, Royal Surrey Hospital Department of Gynaecology Guildford Surrey GU2 7XX UKA. Kent, University of Surrey Minimal Access Therapy ...
Source: Gynecological Surgery - May 7, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Suspicious myometrial mass on ultrasonography and MRI does not necessarily mean a sarcoma on histologyEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We report an unusual ultrasonographic and magnetic resonance imaging (MRI) presentation of a myometrial mass in a 38-year-old woman hoping to conceive. Hysterectomy had been proposed elsewhere because of the suspicious nature of the mass, but the patient was seeking a second opinion. This atypical formation looked consistent with either hydropic degeneration of a uterine myoma or leiomyosarcoma, but preoperative differential diagnosis was impossible. Laparoscopic tumorectomy was performed and histology confirmed a degenerating uterine myoma. We, therefore, show that unusual ultrasonographic and MRI findings do not nece...
Source: Gynecological Surgery - May 1, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

The Newsletter of the ESGEEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Content Type Journal ArticleCategory ESGE NewsletterDOI 10.1007/s10397-009-0490-6 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Number 2 / May, 2009 (Source: Gynecological Surgery)
Source: Gynecological Surgery - April 28, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Feedback in laparoscopic skills acquisition: an observational study during a basic skills training courseEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In conclusion, most benefit from expert feedback can be obtained at the start of the learning curve. Therefore, the basic laparoscopic skills course should be attended early in residency. Additionally, it is crucial that training objectives are clear prior to a course for both the expert and the trainee, in order to focus the feedback on all training objectives. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-009-0486-2Authors B. E. Schaafsma, Leiden University Medical Center Department of Gynecology, K6-76 P.O. Box 9600 2300 RC Leiden The NetherlandsE. Hiemstra, Leiden University Medical Ce...
Source: Gynecological Surgery - April 28, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals

Ovarian cancer and Mayer–Rokitansky–Kuster–Hauser syndromeEmail this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Abstract A 48-year-old woman with Mayer–Rokitansky–Kuster–Hauser (MRKH) syndrome, right kidney aplasia, a pelvic-abdominal mass, and an elevated CA-125 level underwent bilateral salpingo-oophorectomy, omentectomy, and debulking for a presumed ovarian carcinoma. Intraoperative findings included a pelvic tumor on the surface of both ovaries. Pathological examination revealed a poorly differentiated ovarian carcinoma, mixed type, mainly of transitional and serous types, with minor components of clear cell and mucinous patterns. A stage III ovarian epithelial carcinoma, mixed type was diagnosed. The patien...
Source: Gynecological Surgery - April 23, 2009 Category: OBGYN Tags: Gynecological Surgery Source Type: journals