Articles

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

Abstracts of the 23rd Annual congress of the European Society European Society (ESGE), 24th – 26th September 2014, SQUARE, BRUSSELS

Authors:

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

The CROWN Initiative: journal editors invite researchers to develop core outcomes in women’s health

Authors: Khalid Khan

Laparoscopic ovarian reconstruction without suturing after cystectomy for endometrioma

The primary aim of this study is to evaluate the technique of ovarian reconstruction without suturing after laparoscopic cystectomy of endometrioma. The secondary aim is to find the pregnancy rate following th...

Authors: P. G. Paul, Harneet Kaur, Dhivya Narasimhan, Gaurav Chopade and Dimple Kandhari

Closed entry technique for the laparoscopic management of adnexal mass during pregnancy

Management of adnexal masses during pregnancy is challenging for most gynecologists. When surgery is needed, a minimally invasive approach should be preferred. The aim of this study was to evaluate the safety ...

Authors: Alejandro Correa-Paris, Elena Suárez-Salvador, Antonia Gomar Crespo, Oriol Puig Puig, Jordi Xercavins and Antonio Gil-Moreno

Dilemmas in management of bilateral ectopic pregnancies—report of two cases and a review of current practice

Simultaneous bilateral ectopic pregnancies occurring spontaneously or following assisted conception techniques, although rare, present the clinician with diagnostic uncertainty and management dilemmas which ma...

Authors: Arpita Ghosh, Daniel Borlase, Tosin Ajala, Anthony James Kelly and Zaky Ibrahim

A randomised trial of Medgyn Endosampler® vs Endocurette® in an outpatient hysteroscopy clinic setting

Outpatient hysteroscopy and endometrial biopsy are increasingly being used in the investigation of abnormal uterine bleeding. In our unit, both Endocurette® and Endosampler® endometrial biopsy devices are avai...

Authors: A. S. Khalid and C. Burke

A comparative study of Essure® hysteroscopic sterilisation versus laparoscopic sterilisation

The purpose of this study is to compare success rate, patient satisfaction, discomfort, procedure time and intraoperative adverse events of hysteroscopic (Essure®) versus laparoscopic sterilisation. This study...

Authors: Niblock Kathy, Connor Katie, Morgan David and Johnston Keith

Ultrasound-assisted intraoperative localization and laparoscopic management of a previously missed unruptured retroperitoneal ectopic pregnancy

Primary retroperitoneal ectopic pregnancy represents an extremely unusual entity with a rather obscure pathogenesis. Implantation in the retroperitoneal space has been reported to occur both spontaneously and ...

Authors: Athanasios Protopapas, Nikolaos Akrivos, Stavros Athanasiou, Ioannis Chatzipapas, Aikaterini Domali and Dimitrios Loutradis

Ampullar ectopic pregnancy following ipsilateral partial isthmic salpingectomy

The study is about ampullar ectopic pregnancy following ipsilateral partial isthmic salpingectomy. An ectopic pregnancy is any pregnancy outside of the uterine cavity. Pregnancies in the fallopian tube account...

Authors: F. J. G. Kusters, D. M. J. Oom and A. C. Van Hof

When second-generation endometrial ablation fails—a review of 200 cases of endometrial ablation

Authors: Kathy Niblock, Abdelmageed Abdelrahman and Keith Johnston

The risk of uterine rupture after myomectomy: a systematic review of the literature and meta-analysis

Fibroids may give rise to specific obstetrical complications such as pain due to degeneration, fetal malpresentation, or placenta previa. For all these reasons, surgical resection of the fibroid may be indicat...

Authors: J. Claeys, I. Hellendoorn, T. Hamerlynck, J. Bosteels and S. Weyers

Proposal of a modified transcervical endometrial resection (TCER) technique for menorrhagia treatment. Feasibility, efficacy, and patients’ acceptability

The aim of this study is to evaluate the feasibility, efficacy, safeness, and patients’ acceptability of a modified transcervical endometrial resection (TCER) technique for the treatment of menorrhagia. Eighty...

Authors: Pietro Litta, Luigi Nappi, Pasquale Florio, Luca Mencaglia, Mario Franchini and Stefano Angioni

Laparoscopic management of an 11-week rudimentary uterine horn pregnancy using extracorporeal Roeder knot to secure the dilated vascular pedicle

Pregnancy in a uterine rudimentary horn carries a high risk of uterine rupture with severe and potentially lethal intra-abdominal haemorrhage. There is now growing evidence that this condition can be safely ma...

Authors: Vasileios Minas, Elizabeth Shaw and Thomas Aust

Obituary

Authors: Gerard Mage

Role of prophylactic antibiotics in endoscopic gynaecological surgery; a consensus proposal

Surgical site infection can result in increased morbidity for the patient, prolonged hospital stay and hospital readmission. Preoperative antibiotics reduce the incidence of such infections, particularly in op...

Authors: Vasileios Minas, Nahid Gul and David Rowlands

Routine vaginoscopic office hysteroscopy in modern infertility work-up: a randomized controlled trial

This study aims to estimate the safety, efficacy, and patient acceptability of adding vaginoscopic office hysteroscopy (VOH) to the routine infertility diagnostic work-up for evaluation of the endometrial cavi...

Authors: Atef M. Darwish, Ahmad I. Hassanin, Mahmoud A. Abdel Aleem, Ibraheem I. Mohammad and Islam H. Aboushama