Articles

Abstracts of the 24^th Annual Congress of the European Society for Gynaecological Endoscopy (ESGE), 7^th -10^th October 2015, Syma – Budapest – Hungary

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Intravesical mini-laparoscopic repair of vesicovaginal fistulas

Vesicovaginal fistulas (VVF) constitute the most common type of genitourinary fistulas. In developed countries, VVF are almost always iatrogenic and frequently a secondary result of gynecological surgery. Some...

Authors: Antoni Llueca, Jose Luis Herraiz, Miguel Rodrigo, Yasmin Mazzouzi, Dolores Piquer, Miriam Guijarro, Arhoa Cañete and Javier Escrig

Intraoperative transvaginal sonography: a novel approach for localization of deeper myomas during laparoscopic myomectomy

The aim of this study is to assess the use of intraoperative transvaginal ultrasonography (TVS) to locate deep myomas that were not identified on laparoscopic view. The design of this study is a prospective ob...

Authors: P .G Paul, Dimple K. Ahluwalia, Dhivya Narasimhan, Gaurav Chopade, Saurabh Patil, Varsha Rengaraj and Tanuka Das

Minimally invasive management of 14–16-week abdominal ectopic with hemoperitoneum: an emergency laparoscopic procedure

Since the first laparoscopic cholecystectomy on a pregnant lady in 1991, a plethora of articles and case studies have been published addressing laparoscopy and their role in pregnancy. The Royal College of Obs...

Authors: Mohammed Rizk and Haitham Salem

Abstracts of Oral, Poster and Video Presentations British Society for Gynaecological Endoscopy Silver Jubilee Meeting ‘Preparing for a Golden Era’ Central Hall Westminster, London 4^th & 5^th June 2015

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Hysteroscopic morcelation of large type II myoma

Authors: Karin Abbink, Sameer Sendy, Tawfig H. Gaafar and Dick C. Schoot

Natural orifice transluminal endoscopic surgery (NOTES) salpingectomy for ectopic pregnancy: a first series demonstrating how a new surgical technique can be applied in a low-resource setting

This paper demonstrates the feasibility of a salpingectomy for ectopic pregnancy by transvaginal natural orifice transluminal endoscopic surgery (vNOTES). Conventional, reusable laparoscopic instruments were u...

Authors: Van Peer Sarah and Baekelandt Jan

Delivery and pregnancy outcome in women with bowel resection for deep endometriosis: a retrospective cohort study

Endometriosis affects women in reproductive age and can involve bowel in 6–12 % of the patients. In case of bowel occlusion or deep pain, radical laparoscopic endometriosic surgery associated with bowel resect...

Authors: Silvia Baggio, Paola Pomini, Alessandro Zecchin, Simone Garzon, Cecilia Bonin, Lorenza Santi, Anna Festi and Massimo Piergiuseppe Franchi

Adnexectomy by poor man’s transvaginal NOTES

The purpose of this study was to demonstrate the feasibility and safety of adnexectomy by transvaginal natural orifice transluminal endoscopic surgery (vNOTES) for benign adnexal masses. Conventional, reusable...

Authors: Anneleen Reynders and Jan Baekelandt

Broad ligament defects as a cause of chronic pelvic pain

We report a case of a woman with chronic right-sided pelvic pain with an unusual combination of broad ligament defects and associated terminal ileum and caecum herniation. Reduction of the hernia and closure o...

Authors: Charlotte Palmer, David Rowlands and Vasileios Minas

The prevalence of occult leiomyosarcoma at surgery for presumed uterine fibroids: a meta-analysis

There is a concern regarding the risk of occult leiomyosarcomas found at surgery for presumed benign fibroids. We sought to produce a comprehensive review of published data addressing this issue and provide hi...

Authors: Elizabeth A. Pritts, David J. Vanness, Jonathan S. Berek, William Parker, Ronald Feinberg, Jacqueline Feinberg and David L. Olive

SOS save our surgeons: Stress levels reduced by robotic surgery

Robotic-assisted laparoscopic surgery (RALS) is making an increasingly significant contribution to the field of gynaecological surgery. RALS offers similar patient benefits to standard laparoscopic surgery (SL...

Authors: A. M. Hurley, P. J. Kennedy, L. O’Connor, T. G. Dinan, J. F. Cryan, G. Boylan and B. A. O’Reilly

Total laparoscopic hysterectomy with previous cesarean section using a standardized technique: experience of Pontificia Universidad Catolica de Chile

Total laparoscopic hysterectomy (TLH) in the presence of patients with previous cesarean section (CS) is becoming increasingly common. When performing TLH in these patients, bladder adhesions to the uterus may...

Authors: C. Celle, C. Pomés, G. Durruty, M. Zamboni and M. Cuello

Anxiety at outpatient hysteroscopy

This review summarises current understanding and research on the association between anxiety and outpatient hysteroscopy. Women undergoing hysteroscopy suffer from significant levels of anxiety, with repercuss...

Authors: Pietro Gambadauro, Ramesan Navaratnarajah and Vladimir Carli

Pictorial blood loss assessment chart for quantification of menstrual blood loss: a systematic review

To evaluate the diagnostic accuracy of pictorial blood loss assessment chart (PBLAC) compared to objective measurements of menstrual blood loss (MBL), a systematic search of MEDLINE, EMBASE, Cumulative Index t...

Authors: Sherif A. El-Nashar, Sherif A. M. Shazly and Abimbola O. Famuyide

Conservative laparoscopic electrocoagulation adenomyolysis for the management of symptomatic adenomyosis

The objective of the study was to assess the safety and efficacy of conservative laparoscopic electrocoagulation adenomyolysis (CLEA) in the management of women with symptomatic adenomyosis. The study design i...

Authors: Hosam Abdel-Fattah, Nasser El-Lakkany, Adel Saad Helal, Alaa Mosbah, El-Said Abdel-Hady and Mahmoud Abdel-Shaheed

Belgian consensus on adhesion prevention in hysteroscopy and laparoscopy

Intrauterine and intraabdominal adhesions are a major cause for infertility. The most recent investigations have demonstrated the potential of intraperitoneal adhesion barriers combined with good surgical tech...

Authors: Verguts Jasper, Bosteels Jan, Corona Roberta, Hamerlynck Tjalina, Mestdagh Greet, Nisolle Michelle, Puttemans Patrick, Squifflet Jean-Luc, Van Herendael Bruno and Weyers Steven

A study to compare the pain, discomfort and tiredness between straight stick and single-incision laparoscopic surgery: an in vitro study

This study compares pain and tiredness experienced by a student and gynaecological surgeons of varying experience between straight sticks (SS) and single-incision laparoscopic surgery (SILS) in vitro. Data was...

Authors: Debjani Mukhopadhyay and Thomas E. J. Ind

Large ovarian cysts assumed to be benign treated via laparoscopy

The aim of this study was to assess the feasibility and outcome of laparoscopic surgery in the management of large ovarian cysts in patients treated at a university hospital. Twelve patients with large (diamet...

Authors: J. L. Herraiz Roda, J. A. Llueca Abella, C. Catalá Masó, Y. Maazouzi, M. Colecha Morales, A. Serra Rubert, D. Piquer Simó, C. Oliva Martí and E. Calpe Gómez

Low-cost total laparoscopic hysterectomy by single-incision laparoscopic surgery using only reusable standard laparoscopic instruments

The purpose of this study was to demonstrate the feasibility and safety of total laparoscopic hysterectomy (TLH) by single-incision laparoscopic surgery (SILS) with conventional, reusable laparoscopic instrume...

Authors: Anneleen Reynders and Jan Baekelandt

The GELPOINT (Applied Medical) port is a suitable instrument for salpingo-oophorectomy with good rates of patient satisfaction, in particular body image

Authors: Edward Prosser-Snelling and Timothy Duncan

Options on fibroid morcellation: a literature review

In laparoscopy, specimens have to be removed from the abdominal cavity. If the trocar opening or the vaginal outlet is insufficient to pass the specimen, the specimen needs to be reduced. The power morcellator...

Authors: Hans Brölmann, Vasilios Tanos, Grigoris Grimbizis, Thomas Ind, Kevin Philips, Thierry van den Bosch, Samir Sawalhe, Lukas van den Haak, Frank-Willem Jansen, Johanna Pijnenborg, Florin-Andrei Taran, Sara Brucker, Arnaud Wattiez, Rudi Campo, Peter O’Donovan and Rudy Leon de Wilde

Morcellation of presumed benign uterine tumors: abandon the technique or patient triage?

Authors: Frédéric Amant

Cross-linked xenogenic collagen implantation in the sheep model for vaginal surgery

The properties of meshes used in reconstructive surgery affect the host response and biomechanical characteristics of the grafted tissue. Whereas durable synthetics induce a chronic inflammation, biological gr...

Authors: Masayuki Endo, Iva Urbankova, Jaromir Vlacil, Siddarth Sengupta, Thomas Deprest, Bernd Klosterhalfen, Andrew Feola and Jan Deprest

Patient satisfaction and amenorrhea rate after endometrial ablation by ThermaChoice III or NovaSure: a retrospective cohort study

Heavy menstrual bleeding poses an important health problem, which can be managed, besides other treatments, with endometrial ablation. Nowadays, the bipolar radio frequency device (NovaSure) is the most common...

Authors: I. Muller, J. van der Palen, D. Massop-Helmink, R. Vos-de Bruin and J. M. Sikkema

Feasibility of laparoendoscopic single-site surgery in supracervical hysterectomy: technique and retrospective case-control comparison

One recent innovation in the field of gynecology is laparoendoscopic single-site surgery (LESS). It is associated with reduced postoperative pain and better cosmetic outcome. The present paper aims to explain ...

Authors: Per Istre, Lars Franch Andersen and Henrik Halvor Springborg

Obesity and older age as protective factors for vaginal cuff dehiscence following total hysterectomy

Studies have shown an increased risk of vaginal cuff dehiscence following total laparoscopic hysterectomy (TLH). Patient variables associated with dehiscence have not been well described. This study aims to id...

Authors: Nicole M. Donnellan, Suketu Mansuria, Nancy Aguwa, Deirdre Lum, Leslie Meyn and Ted Lee

Complete plastic lining of the abdominal cavity during laparoscopic electromechanical morcellation—a promising technique

The risk of intraperitoneal fragment dissemination of uterine tissue, especially the dissemination of unexpected leiomyosarcoma during electromechanical morcellation, has been increasingly debated during the l...

Authors: Henrik Halvor Springborg and Olav Istre

Myoma morcellation and leiomyosarcoma panic

Authors: Vasilios Tanos, Hans Brölmann, Rudi Leon DeWilde, Peter O’Donovan and Rudi Campo

Ovarian endometrioma in the adolescent: a plea for early-stage diagnosis and full surgical treatment

The incidence and severity of endometriosis in adolescent are comparable with the incidence in adult women. The mean delay between the onset of symptoms and the final diagnosis varies between 6.4 and 11.7 year...

Authors: Stephan Gordts, Patrick Puttemans, Sylvie Gordts and Ivo Brosens

A mixture of 86% of CO₂, 10% of N₂O, and 4% of oxygen permits laparoscopy under local anesthesia: a pilot study

The aim of this study is to verify that 10 % of N₂O in CO₂ sufficiently reduces pain to permit laparoscopy under local anesthesia. In nine patients undergoing laparoscopy under local anesthesia for tubal steriliz...

Authors: Philippe R. Koninckx, Jasper Verguts, Roberta Corona, Leila Adamyan and Ivo Brosens

Discharge less than 6 hours after robot-assisted total laparoscopic hysterectomy—is it feasible?

The benefits of fast track regimes, i.e. reduction in hospital stay and minimization of postoperative complications, have led to their widespread use. This study tested the feasibility of a fast track programm...

Authors: Jakob Graves Rønk Dinesen, Birgit Hessellund and Lone Kjeld Petersen

The trainees’ pain with laparoscopic surgery: what do trainees really know about theatre set-up and how this impacts their health

Although it is clear that laparoscopic surgery is beneficial to the patient, such surgery brings with it unique challenges and possible injury to the surgeon. Firstly, we sought to investigate the prevalence o...

Authors: Declan Quinn and James Moohan

Transcervical, intrauterine ultrasound-guided radiofrequency ablation of uterine fibroids with the VizAblate® System: three- and six-month endpoint results from the FAST-EU study

This was a prospective, longitudinal, multicenter, single-arm controlled trial, using independent core laboratory validation of MRI results, to establish the effectiveness and confirm the safety of the VizAbla...

Authors: Marlies Bongers, Hans Brölmann, Janesh Gupta, José Gerardo Garza-Leal and David Toub

Tubo-ovarian abscess secondary to actinomycosis: unexpected presentation and its treatment

This is a case of an ovarian actinomycosis diagnosed as a complex ovarian cyst by ultrasound in asymptomatic patient. The ovarian tumour markers were within normal. The tube and ovary were removed laparoscopic...

Authors: Magdy Moustafa

Should medical students be given laparoscopic training?

Undergraduate medical education does not usually involve training in laparoscopic skills despite the fact that minimal access surgery has become the norm in the developed world. We designed a study to evaluate...

Authors: Taner Shakir, Tae Lee, Jeffrey Lim and Kevin Jones

Hysteroscopy findings and its correlation with latent endometrial tuberculosis in infertility

In India, 5 to 18 % of females attending infertility clinics are diagnosed to be suffering from genital tuberculosis. The present study was conducted to find out the prevalence of endometrial tuberculosis in i...

Authors: Subrat Kumar Mohakul, Venkata Radha Kumari Beela and Purnima Tiru

First baby born out of a transplanted uterus

Authors: Jan Deprest and Jacques Donnez

Hysterosalpingo-foam sonography (HyFoSy) using two different balloon catheters: a randomized trial

The purposes of this study were to evaluate and compare the technical feasibility and the patients’ pain during hysterosalpingo-foam sonography (HyFoSy) using two different 2-mm balloon catheters. Randomized t...

Authors: Dominique Van Schoubroeck, Thierry Van den Bosch, Lieveke Ameye, Thomas D’Hooghe and Dirk Timmerman

Comparison of dynamic MRI vaginal anatomical changes after vaginal mesh surgery and laparoscopic sacropexy

The aim of this study is to evaluate anatomical differences in vaginal length and axis between transvaginal mesh surgery (TVM) and laparoscopic sacropexy (LSC) by pelvic magnetic resonance imaging (MRI). Twent...

Authors: Hiromi Kashihara, Virginie Emmanuelli, Edouard Poncelet, Chrystèle Rubod, Jean-Philippe Lucot, Bram Pouseele and Michel Cosson

Tailor-made proficiency curves in laparoscopic hysterectomy: enhancing patient safety using CUSUM analysis

The objective of this study is to develop a risk-adjusted real-time quality control system in laparoscopic hysterectomy with respect to blood loss, operative time and adverse events in order to signal derailin...

Authors: A. R. H. Twijnstra, M. D. Blikkendaal, S. R. C. Driessen, E. W. van Zwet, C. D. de Kroon and F. W. Jansen

Transvaginal hysterotomy for cesarean scar pregnancy in 40 consecutive cases

To propose a novel procedure as a safe and effective treatment for cesarean scar pregnancy (CSP), a cohort study was initiated in patients diagnosed with CSP and treated with transvaginal hysterotomy from Dece...

Authors: Zhang Huanxiao, Chen Shuqin, Jiang Hongye, Xie Hongzhe, Niu Gang, Xu Chengkang, Guan Xiaoming and Yao Shuzhong

Editorial comment

Authors: Jan Bosteels, Ben Van Calster, Steven Weyers, Frederic Amant and Jan Deprest

Outcome and medium-term functional results of anterior rectopexy for rectocele repair

This retrospective observational study was designed to assess patients’ satisfaction after anterior rectopexy, with or without sacropexy, for treatment of symptomatic rectocele in a group of women with anterio...

Authors: M. J. W. Bogaerts-Samama, S. R. C. Driessen, E. Jenninga, J. B. V. M. Delemarre, J. B. Trimbos and M. E. Westerweel

Hysteroscopic diagnosis and excision of myometrial cystic adenomyosis

In 1908, Cullen described the first cases of cystic adenomyosis in his textbook on adenomyomata. Although not very common, with the introduction of noninvasive imaging techniques such as magnetic resonance ima...

Authors: S. Gordts, R. Campo and I. Brosens

Locoregional treatment of breast cancer during pregnancy

The management of patients with breast cancer during pregnancy is very demanding and it should be better performed in highly qualified and experienced centers. Referral to institutes and physicians trained in ...

Authors: Antonio Toesca, Oreste Gentilini, Fedro Peccatori, Hatem A. Azim Jr. and Frederic Amant

Erratum to: Abdominal versus laparoscopic hysterectomies for benign diseases: evaluation of morbidity and mortality among 465,798 cases

Authors: Amir Wiser, Christina A. Holcroft, Togas Tulandi and Haim A. Abenhaim

Cryptomenorrhea with cervicovaginal aplasia: endoscopic transfundal development of the lower genital tract

The current case series was done to evaluate the feasibility of transfundal hysteroscopy (TFH) in helping the development of new cervical canal in cases with cervical aplasia. Five cases with obstructive cervi...

Authors: Ali M. El Saman, Magdi M. Amin, Mohamad T. Khalaf, Dina M. Habib, Omar M. Shaaban and Alaa M. Ismail

An unnecessary ouch: is routine outpatient endometrial sampling indicated where hysteroscopy reveals an atrophic cavity?

There is currently little guidance in the literature as to whether routine endometrial sampling is indicated after a normal or atrophic cavity has been visualised at outpatient hysteroscopy for post-menopausal...

Authors: Siobhan Corcoran and Cathy Burke

Efficacy of ovarian suspension to round ligament with a resorbable suture to prevent postoperative adhesions in women with ovarian endometrioma: follow-up by transvaginal hydrolaparoscopy

The aim of this study was to assess the effect of ovarian suspension to the round ipsilateral ligament with a resorbable suture, performed during laparoscopic surgery for endometrioma, on postoperative ovarian...

Authors: Massimiliano Pellicano, Pierluigi Giampaolino, Giovanni Antonio Tommaselli, Ursula Catena, Carmine Nappi and Giuseppe Bifulco