Articles

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

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

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

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

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

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

Authors: R. Mallick and F. Odejinmi

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

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

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

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

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

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

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

Dominant hand, non-dominant hand, or both? The effect of pre-training in hand-eye coordination upon the learning curve of laparoscopic intra-corporeal knot tying

Training of basic laparoscopic psychomotor skills improves both acquisition and retention of more advanced laparoscopic tasks, such as laparoscopic intra-corporeal knot tying (LICK). This randomized controlled...

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

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

The demand for uterus-sparing treatments is increasing as more women postpone childbirth to their 30–40s, when fibroids are more symptomatic. With an increasing choice of treatment options and changing care-pr...

Authors: R. Fusun Sirkeci, Anna Maria Belli and Isaac T. Manyonda

An original and effective technique to improve exposure in open surgery

Exposure, especially when the organs are enlarged, remains one of the most important issue in open surgery. Considering this constraint appears critical in the progress of the surgical procedure. We highlight ...

Authors: E. Nohuz and G. Chêne

Spontaneous twin pregnancy with live births after cryopreservation and re-implantation of ovarian tissue

Authors: Milan Milenkovic, Mats Brännström, Cesar Diaz-Garcia, Kersti Lundin, Ulrika Selleskog, Brita Söderlund, Ali Khatibi, Berit Gull, Hans Bokström, Claudia Mateoiu, Levent M. Akyürek and Ann Thurin-Kjellberg

Spigelian hernia in gynaecology

A Spigelian hernia is a rare hernia through the Spigelian fascia between the rectus muscle and the semilunar line. This hernia is well known in surgery. Symptoms vary from insidious to localised pain, an inter...

Authors: Anastasia Ussia, Fabio Imperato, Larissa Schindler, Arnaud Wattiez and Philippe R. Koninckx

Oophoropexy for ovarian torsion: a new easier technique

Oophoropexy for ovarian torsion is easy to be done by many tools either suturing to the lateral pelvic wall, plication of the ovarian ligament or even fixation to the back of the uterus, but it is little bit d...

Authors: Tamer A. Hosny

AAGL practice report: practice guidelines on intrauterine adhesions developed in collaboration with the European Society of Gynaecological Endoscopy (ESGE)

Authors:

Perioperative surgical outcome of conventional and robot-assisted total laparoscopic hysterectomy

To evaluate surgical outcome in a consecutive series of patients with conventional and robot assisted total laparoscopic hysterectomy.

Authors: W. J. van Weelden, B. B. M. Gordon, E. A. Roovers, A. A. Kraayenbrink, C. I. M. Aalders, F. Hartog and F. P. H. L. J. Dijkhuizen

Endometrial cancer in a woman undergoing hysteroscopy for recurrent IVF failure

Hysteroscopy, despite being the undisputed gold standard for the examination of the uterine cavity, is controversial as a routine procedure in infertile women. However, benign intrauterine conditions are commo...

Authors: Pietro Gambadauro and Johannes Gudmundsson

Vaginal McCall culdoplasty versus laparoscopic uterosacral plication to prophylactically address vaginal vault prolapse

Studies have shown that vaginal vault prolapse can affect up to 43% of women following hysterectomy for pelvic organ prolapse. Many techniques have been described to prevent and treat vaginal vault prolapse. T...

Authors: Kathy Niblock, Emily Bailie, Geoff McCracken and Keith Johnston

Laparoscopic management of spontaneous vaginal vault dehiscence and bowel evisceration 17 years following total abdominal hysterectomy

Authors: Georgina Baines, Simon R. Jackson and Natalia Price

Laparoscopic uterovaginal prolapse surgery in the elderly: feasibility and outcomes

Uterovaginal prolapse in very elderly women is a growing problem due to increased life expectancy. Surgeons and anaesthetists may be wary of performing quality of life surgery on this higher risk group. Where ...

Authors: Samuel W. King, Helen Jefferis, Simon Jackson, Alexander G. Marfin and Natalia Price

Ergonomics of laparoscopic graspers and the importance of haptic feedback: the surgeons’ perspective

Haptic feedback is drastically reduced in laparoscopic surgery compared to open surgery. Introducing enhanced haptic feedback in laparoscopic instruments might well improve surgical safety and efficiency. In t...

Authors: Chantal C. J. Alleblas, Michel P. H. Vleugels and Theodoor E. Nieboer