Articles

Laparoscopic uterosacral ligament suspension versus sacrospinous ligament fixation for apical prolapse: perioperative outcomes

Pelvic organ prolapse can be repaired vaginally or laparoscopically. Studies comparing vaginal repair with sacrospinous ligament fixation (SSLF) or uterosacral ligament suspension (V-USLS) have found no differ...

Authors: Martina G. Gabra, Veronica Winget, Mohammad T. Torabi, Ilana Addis, Kenneth Hatch and John Heusinkveld

Is it possible to estimate the need for surgical management in patients with a tubo-ovarian abscess at admission? A retrospective long-term analysis

This study aimed to determine the possible prognostic factors correlated with the treatment modalities of tubo-ovarian abscesses (TOAs) and thus to assess whether the need for surgery was predictable at the ti...

Authors: Murat Gözüküçük and Esra Gülen Yıldız

Medical and surgical interventions to improve the quality of life for endometriosis patients: a systematic review

Endometriosis impairs the quality of life (QoL) of many women, including their social relationships, daily activity, productivity at work, and family planning. The aim of this review was to determine the instr...

Authors: Maurizio Nicola D’Alterio, Stefania Saponara, Mirian Agus, Antonio Simone Laganà, Marco Noventa, Emanuela Stochino Loi, Anis Feki and Stefano Angioni

Does hysteroscopy in women with persistent gestational trophoblastic disease reduce the need for chemotherapy? A prospective, single-arm, clinical trial pilot study

This study aimed to describe the efficacy of hysteroscopy in the management of women with the persistent gestational trophoblastic disease (PGTD)/GTN to reduce the need for chemotherapy.

Authors: Fatemeh Davari Tanha, Saghar Samimi Sede, Fariba Yarandi, Elham Shirali, Maliheh Fakehi, Zeinab Shaker, Mahsa Ghajarzadeh and Marjan Ghaemi

The use of hysteroscopic metroplasty with diode laser to increase endometrial volume in women with septate uterus: preliminary results

Septate uterus is a common Mullerian ducts anomaly. The aim of our pilot study was the evaluation of diode laser hysteroscopic metroplasty efficacy to increase endometrial volume in women with septate uterus.

Authors: Luigi Nappi, Maddalena Falagario, Stefano Angioni, Vincenzo De Feo, Michele Bollino and Felice Sorrentino

Applied anatomy knowledge in gynaecology and obstetrics: the trainees’ perception

Medical education has recognised the importance of anatomy teaching. Limitations in applied anatomy knowledge exist among obstetrics and gynaecology (O&G) trainees.

Authors: Fida Asali, Ismaiel Abu Mahfouz, Heba Abu Saleem, Salem Abu Mahfouz, Maha T. Mohammad and Oqba Al-Kuran

Laparoscopy approach to sigmoid colon perforation secondary to intrauterine device migration

Currently, the intrauterine device (IUD) is one of the most used contraceptive methods worldwide, since it has shown to be effective and reversible. One of its complications is the migration of the device, whi...

Authors: Henry Robayo-Amortegui, Marcela Rincon-Vanegas, Adolfredo Ballestas-Blanquicet and Jair Ruiz-Fonseca

Effects of delayed suprapubic port removal on post-laparoscopic shoulder pain: a randomized controlled trial

One of the major drawbacks of gynecologic laparoscopy is post-laparoscopic shoulder pain (PLSP) that is believed to result from intra-abdominal CO₂ retention leading to peritoneal and diaphragmatic stretching and...

Authors: Amphan Chalermchockcharoenkit, Pattaya Hengrasmee, Paiboon Sophontanarak, Korakot Sirimai, Pavit Sutchritpongsa and Pisutt Srichaikul

The development and psychometric validation of a low-cost anthropomorphic 3D-printout simulator for training basic skills applicable to office-based hysteroscopy

Hysteroscopy training requires the development of specific psychomotor skills. Few validated low-cost models exist in hysteroscopy. The main objective of this study is to determine face, content, and construct...

Authors: Ana Rita Peixoto Panazzolo, Leisa Beatriz Grando, Lia Karina Volpato and Getúlio R. de Oliveira Filho

Femoral nerve injury in gynecologic surgery: medico-legal issues for best surgical practices

Femoral nerve injury following gynecologic surgery may be a postoperative complication, leading to medical malpractice claims and litigation.

Authors: Piergiorgio Fedeli, Maurizio Guida, Pasquale Giugliano, Laura Letizia Mazzarelli, Annalisa D’Apuzzo, Roberto Scendoni and Giuseppe Vacchiano

The impact of previous cesarean section on the outcome of patients with non-adherent placenta previa

To evaluate the impact of previous lower segment cesarean section on maternal and fetal outcomes of patients with non-adherent placenta previa

Authors: Amer Sindiani, Nail Obeidat, Omar Abu-Azzam and Heba Hijazi

Indocyanine green fluorescence imaging, sentinel lymph node mapping in patients with vulvar cancer: peritumoral injection dosage and waiting times in our experience

Vulvar cancer is a rare gynecological malignancy that primarily affects women of postmenopausal age. Treatment is mainly surgical, particularly for vulvar squamous cell carcinoma, the most prevalent histotype....

Authors: P. Scollo, M. Ferrara, B. Pecorino, A. B. Di Stefano and G. Scibilia

Adnexal masses during pregnancy: management for a better approach

The incidence of adnexal masses, due to large use of ultrasound during pregnancy, has considerably increased during last years. Large percentage of ovarian masses found during pregnancy consists in simple cyst...

Authors: Simona Martone, Libera Troìa and Stefano Luisi

Dissection of the uterine wall in a scarred uterus: a case report

Uterine rupture is a potentially fatal complication during pregnancy, delivery, or postpartum. Women attempting a trial of labor after a cesarean section have an increased risk of a subsequent rupture. We repo...

Authors: Sanne J. M. Zilver, Wouter Wegdam and Angelo B. Hooker

Emergency peripartum hysterectomy in a tertiary teaching hospital in Northern Jordan: a 15-year review

Emergency peripartum hysterectomy is a major operation performed when conservative measures fail to stop life-threatening postpartum hemorrhage. It is associated with a high rate of maternal morbidity among su...

Authors: Hasan Rawashdeh, Rawan Obeidat and Lubna Masaadeh

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