Articles

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

Treating symptomatic uterine fibroids with myomectomy: current practice and views of UK consultants

Authors: R. Mallick and F. Odejinmi

Recommendations for the surgical treatment of endometriosis—part 1: ovarian endometrioma

What does this document on the surgical treatment of endometriosis jointly prepared by the European Society for Gynaecological Endoscopy (ESGE), ESHRE, and the World Endometriosis Society (WES) provide?

Authors: Ertan Saridogan, Christian M. Becker, Anis Feki, Grigoris F. Grimbizis, Lone Hummelshoj, Joerg Keckstein, Michelle Nisolle, Vasilios Tanos, Uwe A. Ulrich, Nathalie Vermeulen and Rudy Leon De Wilde

Incidence and predictors of failed second-generation endometrial ablation

The need for any treatment following an endometrial ablation is frequently cited as “failed therapy,” with the two most common secondary interventions being repeat ablation and hysterectomy. Since second-gener...

Authors: Jordan Klebanoff, Gretchen E. Makai, Nima R. Patel and Matthew K. Hoffman

Survey among ESGE members on leiomyosarcoma morcellation incidence

Increased awareness of leiomyosarcoma (LMS) risk during myomectomy or hysterectomy is essential. Objective and correct reasoning should prevail on any decision regarding the extent and type of surgery to emplo...

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

A laparoscopic training model for surgical trainees

Authors: J. De Loose and S. Weyers

Role of blue dye for sentinel lymph node detection in early endometrial cancer

Sentinel Lymphonode analysis has become a barely new and innovative way to treat early stages of endometrial cancer (Ballester et al., Lancet Oncol 469–476, 2011; Buda et al., Ann Surg Oncol 2975-81, 2016). In...

Authors: Stefano Restaino, Carlo Ronsini, Angelo Finelli, Emanuele Perrone, Giovanni Scambia and Francesco Fanfani

Pushing the boundaries of laparoscopic myomectomy: a comparative analysis of peri-operative outcomes in 323 women undergoing laparoscopic myomectomy in a tertiary referral centre

The aim of this study was to analyse the demographic data and peri-operative outcomes of women undergoing a laparoscopic myomectomy and assess what factors, if any, precluded using the laparoscopic approach.

Authors: Rebecca Mallick and Funlayo Odejinmi

N₂O strongly prevents adhesion formation and postoperative pain in open surgery through a drug-like effect

Microsurgical tenets and peritoneal conditioning during laparoscopic surgery (LS) decrease postoperative adhesions and pain. For a trial in human, the strong beneficial effects of N₂O needed to be confirmed in op...

Authors: Roberta Corona, Maria Mercedes Binda, Leila Adamyan, Victor Gomel and Philippe R. Koninckx

Essure® present controversies and 5 years’ learned lessons: a retrospective study with short- and long-term follow-up

The risk-benefit of contraception with Essure® is being readdressed due to an increase of reports of adverse effects with this device. Our aim was to proceed to an internal quality evaluation and to identify o...

Authors: Sara Câmara, Filipa de Castro Coelho, Cláudia Freitas and Lilia Remesso

Applying a statistical method in transvaginal ultrasound training: lessons from the learning curve cumulative summation test (LC-CUSUM) for endometriosis mapping

Methods available for assessing the learning curve, such as a predefined number of procedures or direct mentoring are lacking. Our aim was to describe the use of a statistical method to identify the minimal tr...

Authors: Vered H. Eisenberg, Juan L. Alcazar, Nissim Arbib, Eyal Schiff, Reuven Achiron, Motti Goldenberg and David Soriano

Face and content validity of the virtual reality simulator ‘ScanTrainer®’

Ultrasonography is a first-line imaging in the investigation of women’s irregular bleeding and other gynaecological pathologies, e.g. ovarian cysts and early pregnancy problems. However, teaching ultrasound, e...

Authors: Amal Alsalamah, Rudi Campo, Vasilios Tanos, Gregoris Grimbizis, Yves Van Belle, Kerenza Hood, Neil Pugh and Nazar Amso

Effects of salpingectomy during abdominal hysterectomy on ovarian reserve: a randomized controlled trial

The aim of this study was to investigate the effect of salpingectomy on ovarian function by measuring AMH.

Authors: Afsaneh Tehranian, Roghayeh Hassani Zangbar, Faezeh Aghajani, Mahdi Sepidarkish, Saeedeh Rafiei and Tayebe Esfidani

Pregnancy following laparoscopic hysteropexy—a case series

Uterine-preserving prolapse surgery offers the chance to retain fertility; however, limited data is available for the safety of pregnancy following surgery and the effect of pregnancy on surgical outcome. Our ...

Authors: Helen Jefferis, Natalia Price and Simon Jackson

The role of the multidisciplinary team in the management of deep infiltrating endometriosis

The multidisciplinary team (MDT) is considered good practice in the management of chronic conditions and is now a well-established part of clinical care in the NHS. There has been a recent drive to have MDTs i...

Authors: Lilian Ugwumadu, Rima Chakrabarti, Elaine Williams-Brown, John Rendle, Ian Swift, Babbin John, Heather Allen-Coward and Emmanuel Ofuasia

The effect of music in gynaecological office procedures on pain, anxiety and satisfaction: a randomized controlled trial

Pain can interfere with office procedures in gynaecology. The aim of this study is to measure the positive effect of music in gynaecological office procedures.

Authors: N. Mak, I. M. A. Reinders, S. A. Slockers, E. H. M. N. Westen, J. W. M. Maas and M. Y. Bongers

Your contribution to Gynecological Surgery now freely available to the global scientific community

Authors: Jan Deprest, Frederic Amant, Jan Bosteels, Stephan Gordts, Thierry Van den Bosch, Steven Weyers, Sara Brucker, Grigoris Grimbizis, Benoit Rabischong, Attilio Di Spiezio Sardo, Michelle Nisolle, Giovanni Scambia, Ertan Saridogan and Rudi Leon De Wilde