Showing papers in "Journal of Minimally Invasive Gynecology in 2008"

TL;DR: A higher likelihood of exploratory laparotomy for hysterectomy in the prerobotic cohort versus the robotic cohort and aHigher likelihood of intraoperative conversion to laparotomies with the preRobotic cohort than with the robotic cohorts existed.

TL;DR: Robotic assisted surgery is an enabling technology that allows gynecologic surgeons the ability to offer laparoscopic procedures to most of their patients.

TL;DR: The anatomic defect in 100% of patients treated was repaired, thus solving the symptom, and the "isthmocele" represents a possible consequence of one or more cesarean deliveries and may be symptomatic in some women.

TL;DR: This prospective trial aims to show the equivalence of a TLRH/TRRH versus TARH approach for patients with early stage cervical cancer following a 2-phase protocol.

TL;DR: The hysteroscopic morcellator for removal of intrauterine polyps and myomas offers a good alternative to conventional resectoscopy for residents in training, according to subjective surgeon and trainer scores for convenience of technique on a visual analog scale.

TL;DR: Extensive laparoscopic excision of DIE significantly improved IVF pregnancy rates of women with infertility-associated DIE.

TL;DR: Although the mean blood loss, duration of surgery, and hospital stay were greater in the groups in which larger myomas or more myomas were removed or the modified technique was performed as compared with their corresponding study group, the weight and size of removedMyomas were also proportionately larger in these groups.

TL;DR: Bidirectional barbed suture is a new design that incorporates tiny barbs spaced evenly along the length of the suture cut facing in opposite directions from the midpoint that is optimistic that this new suture material is a potentially valuable tool for gynecologic surgeons.

TL;DR: Risk of mesh extrusion or other mesh-related complications after laparoscopic sacral colpopexy using soft macroporous Y-shaped polypropylene mesh is about 1% in this study.

TL;DR: Urinary complications mainly occurred after segmental colorectal endometriosis resection combined with bilateral uterosacral ligament resection, and surgery designed to spare the pelvic autonomic nerves could reduce the incidence of urinary complications.

TL;DR: It is likely that sling-related complications are under-reported in the published medical literature and in the Manufacturer and User Facility Device Experience Database.

TL;DR: Hysteroscopy is confirmed as the gold standard in the assessment of abnormal uterine bleeding in menopause, permitting the elimination of the false-negative results of blind biopsy through direct visualization of the uterine cavity and the performance of targeted biopsy in case of doubt.

TL;DR: Evaluating the complications and early follow-up of the tension-free vaginal tape (TVT)-SECUR, a new minimally invasive anti-incontinence operative procedure, yielded some insights, including the necessity of meticulous and proper dissection before placement of the tape and the need for applying minimal extra tension to the tape.

TL;DR: In endometriotic lesions affecting the rectosigmoid beyond the inner muscular layer of the bowel wall, more than 40% of the circumference of the rectOSigmoid is affected by the disease, confirming the recommendation of segmental resection of the intestine for this form of the disease.

TL;DR: Conservative laparoscopic surgery provides a safe, feasible modality for management of ureteral endometriosis and is a silent, serious complication that must be suspected in all cases of DIE.

TL;DR: In the United States, median household income, insurance status, and race appear to be important independent determinants of access to laparoscopic hysterectomy for benign diseases.

TL;DR: Early results indicate the safe and effective ablation of adenomyosis tissue by MRgFUS is indicated and resulted in the improvement in clinical symptoms during the 6 months of follow-up.

TL;DR: It is stated that transobturator anterior vaginal wall mesh kits provide a surgical tool with an acceptable but real morbidity to treat anterior vaginal vaginal wall prolapse with a favorable objective and subjective outcome.

TL;DR: The pilot study demonstrates that the ewe is an excellent model for uterine transplant research and with further studies; it is planned to demonstrate that a pregnancy can be achieved after a successful uterine transplants.

TL;DR: A 45-year-old woman with menorrhagia and a complex pelvic mass underwent preoperative imaging and consequent total abdominal hysterectomy and bilateral salpingo-oophorectomy, revealing a retroperitoneal, pedunculated leiomyoma arising from the uterus anterior to the internal cervical os.

TL;DR: In an attempt to simplify the procedure, what is believed to be the first case of robotic-assisted radical trachelectomy was performed on a 30-year-old woman with early-stage cervical cancer desiring fertility preservation.

TL;DR: Uterine rupture during pregnancy after laparoscopic myomectomy is rare, and vaginal birth after LM appears to be safe in selected patients who meet the criteria.

TL;DR: Pain during the procedure was less severe in the misoprostol group than in the placebo group, but there were similarities in duration, pain during procedure and biopsy, need for dilation, side effects, and complications.

TL;DR: It was found that both maximum coaptation temperature and vessel shrinking correlated with the seal quality, and this correlation was reciprocal in arteries and veins.

TL;DR: The addition of total Laparoscopic hysterectomy to laparoscopic pelvic floor repair adds approximately 35 minutes to surgical time with no difference in the rate of perioperative or postoperative complications or prolapse outcome.

TL;DR: A positive correlation occurred between severity of dyschezia and lesion diameter with rectovaginal endometriosis but not with anterior rectal wall involvement.

TL;DR: Despite preoperative and postoperative counseling, the follow-up rate for post-Essure HSG for this clinic population was only 12.7%.

TL;DR: The surgical approach for treatment of a patient with severe pelvic and infiltrative bladder endometriosis with mucosal involvement using robotic-assisted laparoscopic excision and cystotomy repair is revealed.

TL;DR: Using the protocol for analgesia, anesthesia, and early discharge (24 hours after surgery) may be safely proposed after total LH in selected patients.