Articles

A novel approach to minimally invasive hysterectomy without the use of a uterine manipulator: Kamran’s TLH technique

There are a number of techniques documented in the literature to perform laparoscopic hysterectomy, and here, we propose a safe and novel technique that obviates the need for a pelvic assistant, removes the ne...

Authors: Ahmed M. Gendia, Noel E. Donlon and Waseem M. Kamran

A retrospective study of a novel non-umbilical laparoscopic entry port in thin patients—Jain point

To bring forth a novel non-umbilical entry port in case of thin patient.

Authors: Nutan Jain, Shalini Singh, Kiran Kumari Mandal, Apoorva Walia, Vandana Jain and Richa Kalia

Histological findings of patients with adnexal torsion who underwent surgical treatment: short reminder

Ovarian torsion is a rare emergency condition in women. Early diagnosis is necessary to preserve fertility.

Authors: Ritva Nissi, Markku Santala and Anne Talvensaari-Mattila

Sigmoid vaginoplasty in Mayer-Rokitansky-Kuster-Hauser syndrome

Mayer-Rokitansky-Kuster-Hauser syndrome (MRKH) is characterized by congenital aplasia of the uterus and upper 2/3 of the vagina, with normal female secondary sexual characteristics and a normal karyotype (46, ...

Authors: Ibrahim Amadou Magagi, Harissou Adamou, Souleymane Oumarou Garba, Maazou Halidou, Ousseini Adakal, Oumarou Habou, Maman Bachir Abdoulaye, Madi Nayama and Rachid Sani

Hysteroscopic view with targeted biopsy in the assessment of endometrial carcinoma. What is the rate of underestimatated diagnosis? The results of a multicenter Italian trial

In the last two decades, many reports demonstrated the unreliability of endometrial biopsy pathology showing an AH (atypical hyperplasia) to exclude a synchronous EEC (endometrioid endometrial carcinoma), with...

Authors: Giancarlo Garuti, Stefano Angioni, Liliana Mereu, Stefano Calzolari, Luca Mannini, Federica Scrimin, Paolo Casadio, Davide De Alberti, Luigi Nappi, Enrico Busato, Francesco P. G. Leone, Gaetano Perrini, Vito Cela and Massimo Luerti

An evaluation of a Myomscore in the preoperative assessment of uterus myomatosus: a new diagnostic standard? The experience at the Mathilden Hospital in Herford, Germany

Authors: R. Wojdat and E. Malanowska

Extending cervicoplastic surgery: an alternative technique to overcome the limitation of office hysteroscopy

Our objective is to show a feasible approach to the hysteroscopic procedures when the cervical canal has a diameter smaller than the lesion. Our study is designed as a case series and illustration of the surgi...

Authors: Stefano Calzolari, Chiara Comito, Dora Pavone, Flavia Sorbi, Eleonora Castellacci, Giovanna Giarrè, Karin Louise Andersson, Valeria Dubini and Felice Petraglia

Laparoscopic-assisted myomectomy with uterine artery occlusion at a freestanding ambulatory surgery center: a case series

Non-hysteroscopic myomectomy is infrequently performed in a freestanding ambulatory setting, in part due to risks of intraoperative hemorrhage. There are also concerns about increased surgical risks for morbid...

Authors: Paul MacKoul, Natalya Danilyants, Faraj Touchan, Louise Q. van der Does, Leah R. Haworth and Nilofar Kazi

Endometrial stromal sarcoma presented as endometrial polyp: a rare case

Endometrial stromal sarcomas are rare malignant mesenchymal tumors, occurring in the age group of 45–55 years. We report a case of low-grade endometrial stromal sarcoma in a 39-year-old woman, whose ultrasound...

Authors: Daniilidis Angelos, Liberis Anastasios, Miliaras Dimosthenis, Dampali Roxani, Papanikolaou Alexis and Dinas Konstantinos

Hysteroscopic treatment of retained placental tissue: a case report

Retained placenta tissue is a rare condition, and its diagnosis and surgical treatment are often challenging. Conventionally, the surgical management of such cases is largely performed using blind dilation and...

Authors: Daniilidis Angelos, Liberis Anastasios, Papandreou Panagiotis, Sidiropoulos Konstantinos, Pratilas George and Dinas Konstantinos

Is fibroid location associated with hemorrhage and complication rates following laparoscopic myomectomy?

To determine whether hemorrhage and complication rates vary according to the location of the dominant fibroid following laparoscopic myomectomy.

Authors: Kiper Aslan, Adnan Orhan, Engin Türkgeldi, Ebru Suer, Nergis Duzok, Kemal Özerkan, Barış Ata and Gürkan Uncu

Laparoscopy in the coronavirus disease 2019 (COVID-19) era

The novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that emerged in China at the end of 2019 has become a pandemic infection that has now involved 200 countries with 465,915 confirmed cases ...

Authors: Stefano Angioni

Preclinical evaluation of a new robot-assisted surgical system for use in gynecology minimal access surgery

Robot-assisted laparoscopy has been developed to overcome some of the important limitations of conventional laparoscopy. In particular, the provision of stable magnified three-dimensional vision, tremor filter...

Authors: Marcus Carey, Anish Bali, Ivilina Pandeva, Ashish Pradhan and Mark Slack

Laparoscopic hysterectomy versus total abdominal hysterectomy: a retrospective study at a tertiary hospital

To compare laparoscopic hysterectomy (LH) with total abdominal hysterectomy (TAH) regarding different outcome measures at our tertiary hospital.

Authors: Mahmoud Elmorsi Aboulfotouh, Fouad Chaalan and Abdelbaset Fakhry Mohammed

The role of diagnostic hysteroscopy in diagnosis of incomplete uterine septum in patients with recurrent pregnancy loss in the era of transvaginal 3D ultrasound scan

To determine the accuracy of transvaginal 3D ultrasound scan (TV 3D US) in detecting partial septate uterus (PSU) in patients with recurrent pregnancy loss (RPL).

Authors: O. Abuzeid, J. LaChance, J. Hebert, M. I. Abuzeid and R. Welch

Laparoscopic lateral suspension: a single-site and single-surgeon experience

In the reconstructive surgery for pelvic organ prolapse (POP), different newer mesh fixation techniques as an alternative to sacrocolpopexy has been developed. In order to gain more data about the different te...

Authors: Claudia Mang, Hansjörg Huemer, Ariane Birkenmaier and Jörg Humburg

Medical management of deeply infiltrating endometriosis - 7 year experience in a tertiary endometriosis centre in London

Deeply infiltrating endometriosis has an estimated prevalence of 1% in women of reproductive age. Ninety percent have rectovaginal lesions but disease may also include the bowel, bladder and ureters. Current p...

Authors: Marianne Wild, Tariq Miskry, Asmaa Al-Kufaishi, Gillian Rose and Mary Crofton

The utility of fibrinogen level as a predictor of complications after laparoscopic gynecologic surgery: a prospective observational study

Complications after laparoscopic gynecological surgery may increase patients’ morbidity and mortality; therefore, their timely diagnosis and early treatment would help clinicians to avoid life-threatening situ...

Authors: Antonio Macciò, Giacomo Chiappe, Paraskevas Kotsonis, Fabrizio Lavra, Romualdo Nieddu, Paolo Onnis, Elisabetta Sanna, Valerio Mais and Clelia Madeddu

Effectiveness of ovarian suspension in preventing postoperative ovarian adhesions in patients with severe pelvic endometriosis—a case-control study

Endometriosis can exert obvious negative effects on women’s quality of life.

Authors: Zahra Dehbashi, Shaheen Khazali, Fateme Davari Tanha, Farnaz Mottahedian, Mahsa Ghajarzadeh, Saghar Samimi Sadeh and Koorosh Kamali

Comparison of laparoscopy-assisted vaginal hysterectomy as endoscopic single-station surgery and conventional laparoscopic hysterectomy—surgical effects on safety and quality of life

To extend the benefits of minimally invasive surgery, an increasing enthusiasm has emerged for the laparo-endoscopic single-site surgery (LESS). The idea of LESS is to allow inserting multiple laparoscopic ins...

Authors: Alexander Mustea, Bernd Holthaus, Haytham Elmeligy, Stefanie Krüger-Rehberg, Dominika Trojnarska, Zaher Alwafai, Juliane Sternberg, Matthias B. Stope, Thomas Kohlmann, Ivo Meinhold-Heerlein and Dominique Koensgen

Correction to: Comparing self-assessment of laparoscopic technical skills with expert opinion for gynecological surgeons in an operative setting

In the publication of this article [1], the contributing author Wesam Aleyadeh was missing. This has now been updated in this correction.

Authors: Rami Kilani and Wesam Aleyadeh

Prediction of unsuccessful endometrial ablation: a retrospective study

Endometrial ablation (EA) is a frequently used treatment for abnormal uterine bleeding, mainly due to the low risks, low costs and short recovery time associated with the procedure. On the short term, it seems...

Authors: K. Y. R. Stevens, D. Meulenbroeks, S. Houterman, T. Gijsen, S. Weyers and B. C. Schoot

Implementing robotic assisted myomectomy in surgical practice – a retrospective cohort study

To compare surgical outcomes of patients with leiomyomas after robotic-assisted laparoscopic myomectomy (RALM), laparoscopic myomectomy (LsM), or laparotomic myomectomy (LtM) and to construct a useful algorith...

Authors: Silvie Aendekerk, Jasper Verguts, Susanne Housmans and Dirk Timmerman

A value-based evaluation of minimally invasive hysterectomy approaches

With surgical care contributing to the rising healthcare costs around the globe, quantifying the value of surgical modalities is critical to pushing healthcare systems in the direction of greater sustainabilit...

Authors: Natalya Danilyants, Paul MacKoul, Louise van der Does, Leah Haworth and Rupen Baxi

Gasless laparoendoscopic single-site surgery with intraoperative autologous blood transfusion for management of ectopic pregnancy with significant hemoperitoneum: a retrospective observational study

With advances in diagnostic and therapeutic modalities, earlier detection of ectopic pregnancy with minimal symptoms makes laparoscopic management more common. However, if diagnostic delay occurs, significant ...

Authors: Akihiro Takeda, Shiori Tsuge, Mayu Shibata, Sanae Shinone and Hiromi Nakamura

Symptomatic endometriosis developing several years after menopause in the absence of increased circulating estrogen concentrations: a systematic review and seven case reports

To review women with symptomatic and clinically progressive endometriosis after menopause in the absence of estrogen intake or excessive systemic endogenous production.

Authors: Fernanda de Almeida Asencio, Helizabet Abdalla Ribeiro, Paulo Ayrosa Ribeiro, Mario Malzoni, Leila Adamyan, Anastasia Ussia, Victor Gomel, Dan C. Martin and Philippe R. Koninckx

The diagnosis and management of interstitial ectopic pregnancies: a review

The objective of this article is to review the published literature on the diagnosis and management of interstitial pregnancies (IPs). IPs account for 2–6% of all ectopic pregnancies and have the potential to ...

Authors: Maximilian Brincat, Alison Bryant-Smith and T. K. Holland

Pelvic exenteration in gynecologic cancer: complications and oncological outcome

Pelvic exenteration (PE) is indicated in cases of unresponsive, recurrent pelvic cancer or for palliative intent. Despite the fact that the surgery is associated with a high rate of morbidity, it is currently ...

Authors: Víctor Lago, Ines Poveda, Pablo Padilla-Iserte, Eduardo Simón-Sanz, Álvaro García-Granero, Jose Luis Pontones, Luis Matute and Santiago Domingo

Didactic lectures versus simulation training: a randomised pilot evaluation of its impact on surgical skill

The Bristol enquiry and national surveys have highlighted medicolegal concerns, reduction in training time available for trainees and the change from trainees performing procedures for the first time on patien...

Authors: Prasanna Raj Supramaniam, Monica Mittal, Rebecca Davies, Lee Nai Lim and Kirana Arambage

Safety and efficacy of non-absorbable mesh in contemporary gynaecological surgery

Mesh-augmented pelvic floor surgery evolved to address the limitations of native tissue repair in reconstructive surgery. The development of the synthetic mid-urethral tape signalled a revolution in the treatm...

Authors: Matthew Izett, Anthony Kupelian and Arvind Vashisht

Total laparoscopic hysterectomy for benign disease: outcomes and literature analysis

To analyze surgical outcomes of total laparoscopic hysterectomy (TLH) for benign disease.

Authors: Liliana Mereu, Roberta Carlin, Alice Pellegrini, Francesca Guasina, Valeria Berlanda and Saverio Tateo

Elective uterine artery embolization prior to laparoscopic resection of interstitial pregnancy: two cases and literature review

Interstitial pregnancies (IP) can be treated medically or surgically. The most common complication remains hemorrhage. The risk of that may be reduced by elective uterine artery embolization (UAE) prior to sur...

Authors: Iris Verbeeck, Francesca Donders, Pieter-Jan Buyck, Dirk Timmerman, Andries Van Holsbeeck, Sandra A Cornelissen, Anne-Sophie Van Rompuy, Lien Van den Haute, Sylvie Gordts, Carla Tomassetti and Jan Deprest

A PET-positive rapidly growing mass of the abdominal wall after cesarean section with an unexpected diagnosis of vernix caseosa granuloma: a case report

Abdominal wall tumors are rare and include heterogeneous diseases. Among them, desmoid tumors are the most frequent and are often diagnosed in young women during or early after pregnancy; inflammatory response...

Authors: Antonio Macciò, Paraskevas Kotsonis, Fabrizio Lavra, Giacomo Chiappe, Ester Mura, Luca Melis and Clelia Madeddu

Comparing self-assessment of laparoscopic technical skills with expert opinion for gynecological surgeons in an operative setting

Competence in laparoscopic skills is important for all gynaecological surgeons. Most residency programmes teach technical skills in the operating room and through lectures, where the evaluation of surgical ski...

Authors: Rami Kilani

Laparoscopic-guided transversus abdominis plane block versus trocar site local anesthetic infiltration in gynecologic laparoscopy

Relieving postoperative pain and prompt resumption of physical activity are of the utmost importance for the patients and surgeons. Infiltration of local anesthetic is frequently used methods of pain control p...

Authors: Ibrahim A. El sharkwy, Elsayed H. Noureldin, Ekramy A. Mohamed and Ali A. Mohamed

Feasibility of sentinel lymph node fluorescence detection during robotic laparoendoscopic single-site surgery in early endometrial cancer: a prospective case series

In the last few decades, the introduction of technologies such as single-site surgery, robotics, and sentinel lymph node detection has reduced invasiveness in the treatment and staging of endometrial cancer pa...

Authors: Liliana Mereu, Alice Pellegrini, Roberta Carlin, Erica Terreno, Claudia Prasciolu and Saverio Tateo

Chronic pelvic pain and the role of exploratory laparoscopy as diagnostic and therapeutic tool: a retrospective observational study

Forty percent of exploratory laparoscopies are performed for chronic pelvic pain (CPP). However, a final diagnosis is still unreported in 35% of the patients. We decided to evaluate the identification of patho...

Authors: Géraldine Brichant, Marie Denef, Linda Tebache, Gaëlle Poismans, Serena Pinzauti, Valérie Dechenne and Michelle Nisolle

Fertility outcome after treatment of retained products of conception: a systematic review

Treatment of retained products of conception (RPOC) can be expectant, medical or operative. Surgical removal of RPOC may lead to intrauterine adhesions (IUA) and Asherman’s syndrome.

Authors: Tjalina W. O. Hamerlynck, Dora Meyers, Hannelore Van der Veken, Jan Bosteels and Steven Weyers

Laparoscopic sacrocolpopexy is as safe in septuagenarians or elder as in younger women

Data concerning laparoscopic sacrocolpopexy (LSCP) in elder women are scarce. We compared intra-operative and early-postoperative complications associated with laparoscopic colpo-, cervico-, or hysteropexy in ...

Authors: Karlien Vossaert, Susanne Housmans, Stefaan Pacquée, Geertje Callewaert, Laura Cattani, Frank Van der Aa, Albert Wolthuis, André D’hoore, Philip Roelandt and Jan Deprest

Correction to: Prevalence and predictors of burnout among obstetrics and gynecology residents in Canada

Following the publication of this article [1], the authors have removed the “Maslach Burnout Inventory, Forms: General Survey, Human Services Survey & Educators Survey” from the supplementary materials of the ...

Authors: Na’ama O. Al-Ma’mari, Ashley I. Naimi and Togas Tulandi

Fetoscopic endoluminal tracheal occlusion and reestablishment of fetal airways for congenital diaphragmatic hernia

Congenital diaphragmatic hernia (CDH) is a congenital anomaly with high mortality and morbidity mainly due to pulmonary hypoplasia and hypertension. Temporary fetal tracheal occlusion to promote prenatal lung ...

Authors: Lennart Van der Veeken, Francesca Maria Russo, Luc De Catte, Eduard Gratacos, Alexandra Benachi, Yves Ville, Kypros Nicolaides, Christoph Berg, Glenn Gardener, Nicola Persico, Pietro Bagolan, Greg Ryan, Michael A. Belfort and Jan Deprest

Surgical outcomes of laparoscopic hysterectomy with concomitant endometriosis without bowel or bladder dissection: a cohort analysis to define a case-mix variable

Pelvic endometriosis is often mentioned as one of the variables influencing surgical outcomes of laparoscopic hysterectomy (LH). However, its additional surgical risks have not been well established. The aim o...

Authors: Evelien M. Sandberg, Sara R. C. Driessen, Evelien A. T. Bak, Nan van Geloven, Judith P. Berger, Mathilde J. G. H. Smeets, Johann P. T. Rhemrev and Frank Willem Jansen

Implementation of laparoscopic hysterectomy for endometrial cancer over the past decade

Laparoscopic hysterectomy (LH) for the treatment of early-stage endometrial carcinoma/cancer (EC) has demonstrated to be safe in several randomized controlled trials. Yet, data on implementation of LH in clini...

Authors: Tim Wollinga, Nicole P. M. Ezendam, Florine A. Eggink, Marieke Smink, Dennis van Hamont, Brenda Pijlman, Erik Boss, Elisabeth J. Robbe, Huy Ngo, Dorry Boll, Constantijne H. Mom, Maaike A. van der Aa, Roy F. L. P. Kruitwagen, Hans W. Nijman and Johanna M. A. Pijnenborg

Feasibility and safety of total laparoscopic hysterectomy for huge uteri without the use of uterine manipulator: description of emblematic cases

Uterine manipulator is a very useful tool in performing total laparoscopic hysterectomy (TLH) for large uteri; however, in some cases, it cannot be used due to unfavorable anatomical conditions. The feasibilit...

Authors: Antonio Macciò, Clelia Madeddu, Paraskevas Kotsonis, Giacomo Chiappe, Fabrizio Lavra, Ivan Collu and Roberto Demontis

Correction to: Cadaveric surgery in core gynaecology training: a feasibility study

After publication of the original article [1] it was brought to our attention that author Laura Delgaty was incorrectly included as Laura Delegate. The correct spelling of the author’s name is included in the ...

Authors: Chou Phay Lim, Mark Roberts, Tony Chalhoub, Jason Waugh and Laura Delgaty

Cadaveric surgery in core gynaecology training: a feasibility study

Fresh frozen cadaver training has been proposed as a better model than virtual reality simulators in laparoscopy training. We aimed to explore the relationship between cadaveric surgical training and increased...

Authors: Chou Phay Lim, Mark Roberts, Tony Chalhoub, Jason Waugh and Laura Delgaty

Clinical characteristic and intraoperative findings of uterine perforation patients in using of intrauterine devices (IUDs)

Intrauterine devices (IUDs) are the most popular form of contraception used worldwide; however, IUD is not risk-free. IUD migrations, especially uterine perforations, were frequently occurred in patients. The ...

Authors: Xin Sun, Min Xue, Xinliang Deng, Yun Lin, Ying Tan and Xueli Wei

Safety aspects of hysteroscopy, specifically in relation to entry and specimen retrieval: a UK survey of practice

The purpose of this study is to evaluate current practice amongst gynaecologists across the UK, regarding safety aspects of inpatient hysteroscopy under anaesthesia, specifically in relation to entry and speci...

Authors: S. H. Walker and L. Gokhale

A long-term cohort study of surgery for recurrent prolapse comparing mesh augmented anterior repairs to anterior colporrhaphy

There are safety concerns regarding the use of mesh in vaginal surgery with a call for long-term follow-up data. This study was designed to evaluate the long-term safety and efficacy of vaginal repairs perform...

Authors: Natasha Curtiss and Jonathan Duckett

A randomized control trial to evaluate the importance of pre-training basic laparoscopic psychomotor skills upon the learning curve of laparoscopic intra-corporeal knot tying

Training of basic laparoscopic psychomotor skills improves the acquisition of more advanced laparoscopic tasks, such as laparoscopic intra-corporeal knot tying (LICK). This randomized controlled trial was desi...

Authors: Carlos Roger Molinas, Maria Mercedes Binda, Cesar Manuel Sisa and Rudi Campo