Gynaecological Endoscopy最新文献

{"title":"Pelvic infection: ovarian drilling is to blame?","authors":"Tamás Major MD, György Bacskó MD, Anatal Borsos MD","doi":"10.1046/j.1365-2508.1998.00163.x","DOIUrl":"https://doi.org/10.1046/j.1365-2508.1998.00163.x","url":null,"abstract":"","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"7 2","pages":"109"},"PeriodicalIF":0.0,"publicationDate":"2008-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.1998.00163.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91819961","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Forthcoming Events","authors":"","doi":"10.1046/j.1365-2508.1999.008001061.x","DOIUrl":"https://doi.org/10.1046/j.1365-2508.1999.008001061.x","url":null,"abstract":"","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"8 1","pages":"61-64"},"PeriodicalIF":0.0,"publicationDate":"2008-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.1999.008001061.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"137504390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"One hundred laparoscopic myomectomies with ultrasonic energy: surgical evaluation of a new energy source","authors":"Nelson H. Stringer","doi":"10.1046/j.1365-2508.1998.00161.x","DOIUrl":"https://doi.org/10.1046/j.1365-2508.1998.00161.x","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To evaluate the surgical efficiency of ultrasonic energy for laparoscopic myomectomies through review of the dissection and haemostatic capabilities of the energy source; the pregnancy results after surgery; formation of uterine fistulas and postoperative adhesions, and energy-related difficulties and complications.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>Retrospective chart review.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>One surgeon, and the Department of Obstetrics and Gynecology, Rush Medical College, Chicago, Illinois.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patients</h3>\u0000 \u0000 <p>100 women with symptomatic uterine leiomyomata.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interventions</h3>\u0000 \u0000 <p>100 consecutive laparoscopic myomectomies were performed between April 1993 and May 1997. Ultrasonic cutting and coagulation (Ultrasonic Scalpel) was used on all cases for dissection of myomas from the myometrium.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The indications for surgery were: menometrorrhagia (44%), chronic pain (29%) and increasing uterine size (27%), and 99 procedures were completed laparoscopically. One procedure was converted to an open laparotomy to remove a broken needle fragment from the Endostitch^TM (1% conversion rate). No energy-related complications occurred. A total of 320 myomas were removed laparoscopically from 99 patients. Dissection and achievment of haemostasis was easy and rapid with all types of myomas. To date, 10 patients have experienced 12 pregnancies. No fistulas or uterine dehiscence have occurred. A total of 26 patients had second-look evaluations, and 65% of these were clinically free of adhesions (grade 0 or grade 1).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>When compared with published results of laparoscopic myomectomies performed with lasers and electrosurgical instruments, ultrasonic energy demonstrated equal dissection and haemostatic capabilities without the risks of toxic smoke, burns and thermal injuries. Ultrasonic energy is an effective energy source for laparoscopic myomectomies.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"7 2","pages":"85-93"},"PeriodicalIF":0.0,"publicationDate":"2008-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.1998.00161.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91819957","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Broken needle tip in Cooper's ligament: high occurrence rate with the EndostitchTM suturing device","authors":"Brölmann,&nbsp; Ter Haar,&nbsp; Scholten","doi":"10.1046/j.1365-2508.1998.00168.x","DOIUrl":"https://doi.org/10.1046/j.1365-2508.1998.00168.x","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To study the frequency of needle breakage with the Endostitch^TM needleholder while performing Burch laparoscopic colposuspension, and its consequences for patient and doctor.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A retrospective observational multicentred study, after selection of the centres by questionnaire.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>Three general hospitals in the Netherlands with resident training facilities and special interest in endoscopic surgery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Subjects</h3>\u0000 \u0000 <p>35 consecutive patients with genuine stress incontinence.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Intervention</h3>\u0000 \u0000 <p>Laparoscopic Burch colposuspension using the Endostitch needleholder.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Main outcome measure</h3>\u0000 \u0000 <p>Needle complications and postoperative recovery.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In five patients (14%) six needles broke off in the Cooper's ligament. Four needle tips in three patients could not be located despite dissecting the ligament and intensive search, and were ultimately left in the patients. The recovery of all patients with and without needle complications was uneventful.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The Endostitch is designed for intracorporeal suturing and knot tying, but because of its shape it is not suited for suturing Cooper's ligament. Mesh stapling techniques save operating time, but result in foreign (mostly non-absorbable) material being left in the patient and the stability of the suspension in the longer term is not yet established. At the present time, conventional suturing and knot tying seem to be preferable in laparoscopic suspension procedures, as they lead to more similarity between the laparoscopic method and the ‘open’ approach whose efficacy is well accepted.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"7 2","pages":"101-103"},"PeriodicalIF":0.0,"publicationDate":"2008-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.1998.00168.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91819958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Laparoscopic myomectomy during pregnancy","authors":"Dov Luxman,&nbsp;Jacob R. Cohen,&nbsp;Menachem P. David","doi":"10.1046/j.1365-2508.1998.00167.x","DOIUrl":"https://doi.org/10.1046/j.1365-2508.1998.00167.x","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To describe a unique case of laparoscopic myomectomy during pregnancy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Setting</h3>\u0000 \u0000 <p>A university-affiliated maternity hospital.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Subject</h3>\u0000 \u0000 <p>A 27-year-old primigravida presenting with acute abdominal pain at 15 weeks of gestation. A diagnosis of torsion of a subserous myoma was made following failure of conservative treatment.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Intervention</h3>\u0000 \u0000 <p>On laparoscopy, a 7-cm subserous pedunculated myoma was demonstrated. Laparoscopic myomectomy was successfully accomplished.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>No intra- or postoperative complications were recorded. The woman delivered vaginally a healthy baby at 39 weeks' gestation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Laparoscopic myomectomy during pregnancy is feasible. This procedure cannot be generally recommended since data concerning the safety of laparoscopic operation in general and myomectomy in particular, are limited. The patients should be carefully selected, and the operation should be performed by an experienced surgeon to guarantee a favourable outcome.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"7 2","pages":"105-107"},"PeriodicalIF":0.0,"publicationDate":"2008-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.1998.00167.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91819960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A randomized study comparing levonorgestrel intrauterine system (LNG IUS) and transcervical resection of the endometrium (TCRE) in the treatment of menorrhagia: preliminary results","authors":"Nina Kittelsen,&nbsp;Olav Istre","doi":"10.1046/j.1365-2508.1998.00165.x","DOIUrl":"https://doi.org/10.1046/j.1365-2508.1998.00165.x","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>To identify the effect of the levonorgestrel coil (Mirena; LNG IUS) vs. transcervical resection of the endometrium (TCRE) for treatment of menorrhagia.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A randomized study of 60 patients performed at a gynaecological clinic specializing in operative hysteroscopy.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>24 patients in the LNG IUS group and 29 patients in the TCRE group completed 20 months of follow up. In the TCRE group one patient refused to continue after the result of randomization. Reasons for discontinuation in the LNG IUS group included abdominal pain (2), acne (1) and bleeding or continuous spotting (3). The bleeding intensity was assessed using the PBAC score and was reduced in both groups, from 418 to 42 in the LNG IUS group, and from 378 to 6.6 in the TCRE group.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Both methods have a dramatic effect on bleeding intensity and furthermore the LNG IUS is reversible and has no operative hazards or side-effects.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"7 2","pages":"61-65"},"PeriodicalIF":0.0,"publicationDate":"2008-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.1998.00165.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91820033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Gasless laparoscopic ovarian cystectomy with minilaparotomy during pregnancy","authors":"Hiromi Inoue,&nbsp;Kaoru Nabuchi,&nbsp;Yuki Ishihara,&nbsp;Yumiko Fukumoto,&nbsp;Masaru Kobayashi","doi":"10.1046/j.1365-2508.1998.00158.x","DOIUrl":"https://doi.org/10.1046/j.1365-2508.1998.00158.x","url":null,"abstract":"<div>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Recently there have been many reports of laparoscopic surgery during pregnancy, despite serious concerns about the possible consequences of fetal damage caused by the pneumoperitoneum and anaesthetics, or the risk of the trauma to the enlarged uterus. We have attempted gasless laparoscopic surgery with extra-abdominal cystectomy under regional anaesthesia for ovarian cysts in pregnancy to avoid or minimize such risks.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Interventions</h3>\u0000 \u0000 <p>We report three cases of laparoscopically assisted abdominal cystectomy during early pregnancy using a gasless method (Laparolift in two cases and surgical wire in one case) and combined spinal-epidural anaesthesia (CSE). Extra-abdominal cystectomy was performed after a minilaparotomy directly above the ovarian cyst.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In all three cases, there were no intraoperative complications and postoperative recoveries were rapid and uneventful for both the mother and the fetus. Intra-abdominal procedures in gasless laparoscopy are more difficult than those with pneumoperitoneum because of the limited visual field. In respect to anaesthesia, all the patients experienced discomfort with the head-down tilt during the operation, although this position was maintained for the shortest possible period of time. However, the procedures were performed smoothly and with relative ease with extra-abdominal cystectomy. All the patients were discharged on the second postoperative day and subsequently completed their normal pregnancies with spontaneous vaginal delivery of healthy full-term babies.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Gasless laparoscopic cystectomy with a minilaparotomy in early pregnancy may be an alternative approach to ovarian cysts in pregnancy, considering the absence of fetal risk from CO₂ pneumoperitoneum and a relatively low risk of trauma to the enlarged uterus. With regard to the choice of anaesthesia in this approach, general anaesthesia may be preferable.</p>\u0000 </section>\u0000 </div>","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"7 2","pages":"95-99"},"PeriodicalIF":0.0,"publicationDate":"2008-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.1998.00158.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91557582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to Dr Cornier concerning ‘Blind endometrial biopsies: insufficient for diagnosis in women with intrauterine pathology’","authors":"Kent \u0000 mrcp frcs frcog dch\u0000 ,&nbsp; Coats","doi":"10.1046/j.1365-2508.1999.00287.x","DOIUrl":"10.1046/j.1365-2508.1999.00287.x","url":null,"abstract":"","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"8 5","pages":"307-308"},"PeriodicalIF":0.0,"publicationDate":"2008-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88118677","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Forthcoming Events","authors":"","doi":"10.1046/j.1365-2508.2001.010001075.x","DOIUrl":"https://doi.org/10.1046/j.1365-2508.2001.010001075.x","url":null,"abstract":"","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"10 1","pages":"75-78"},"PeriodicalIF":0.0,"publicationDate":"2008-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.2001.010001075.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"109166688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Peritoneal seeding following hysteroscopic diagnosis of cervical adenocarcinoma (Gynaecological Endoscopy 1999; 8: 179–81)","authors":"J.F. Admiraal \u0000 md","doi":"10.1046/j.1365-2508.2000.00352-3.x","DOIUrl":"10.1046/j.1365-2508.2000.00352-3.x","url":null,"abstract":"","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"9 4","pages":"274-275"},"PeriodicalIF":0.0,"publicationDate":"2008-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73135583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}