Gynaecological Endoscopy最新文献_第8页

Laparoscopic excision of primary pelvic hydatid cyst presenting as an adnexal mass 以附件肿块表现的原发性盆腔包虫囊肿腹腔镜切除

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00453.x

Serdar Dilbaz, Eray Çalışkan, Kamber Oguzer, Asuman Ertem, Orhan Gelisen, Ali Haberal

引用次数: 0

Routine cystoscopy after laparoscopically assisted hysterectomy: what's the point? 腹腔镜辅助子宫切除术后常规膀胱镜检查:意义何在?

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00459.x

Elvis I. Seman, Robert T. O'Shea, Simon Gordon, John Miller

{"title":"Routine cystoscopy after laparoscopically assisted hysterectomy: what's the point?","authors":"Elvis I. Seman, Robert T. O'Shea, Simon Gordon, John Miller","doi":"10.1046/j.1365-2508.2001.00459.x","DOIUrl":"10.1046/j.1365-2508.2001.00459.x","url":null,"abstract":"To define the role of routine cystoscopy following laparoscopically assisted hysterectomy in the early detection of ureteric injuries.A retrospective observational study based on casenote review.A consecutive series of 436 women who underwent routine video cystoscopy after intrafascial laparoscopically assisted hysterectomy, with or without bilateral salpingo-oöphorectomy.In 436 cystoscope evaluations, six cases aroused suspicion of a ureteric injury. Subsequent evaluation confirmed injury in two of these cases. A further two cases were not suspected on cystoscopic grounds but were detected in the early postoperative period. One ureteric injury was associated with endoscopic staples, two with electrosurgery and one with the harmonic scalpel. The staple injury was suspected clinically during the operative procedure; the remainder were not.Routine cystoscopy at intrafascial laparoscopically assisted hysterectomy has not contributed to the early diagnosis and treatment of ureteric injuries sustained with the authors' current technique. Thus cystoscopy ought to be done selectively according to clinical intraoperative concern. The distal pelvic ureter should be routinely inspected for dilatation, via peritoneal windows, at the end of the hysterectomy. Every endogynaecologist should review their data on cystoscopy and ureteric injuries associated with laparoscopically assisted hysterectomy to ascertain whether cystoscopy is justifiable in their practice, and whether surgical techniques need to be modified to enhance ureteric protection.","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"10 4","pages":"253-256"},"PeriodicalIF":0.0,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.2001.00459.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78254526","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}

引用次数: 14

An unusual case of delayed bowel trauma following uterine perforation and endometrial ablation 子宫穿孔及子宫内膜消融后迟发性肠损伤的罕见病例

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00410.x

Kevin Jones, Harriet Anderson, Christopher Sutton

{"title":"An unusual case of delayed bowel trauma following uterine perforation and endometrial ablation","authors":"Kevin Jones, Harriet Anderson, Christopher Sutton","doi":"10.1046/j.1365-2508.2001.00410.x","DOIUrl":"10.1046/j.1365-2508.2001.00410.x","url":null,"abstract":"To report the case history of a patient who sustained delayed bowel trauma following uterine perforation, and endometrial ablation.The clinical records of the patient were reviewed.Dysfunctional uterine bleeding unresponsive to medication was diagnosed, and the patient was booked to undergo a Vesta system endometrial ablation procedure. Following insertion of the electrode-carrying balloon, the first warm-up phase was aborted because of an impedance error, and the second warm up failed to reach a temperature of 75 °C on all electrodes. Uterine perforation was suspected. Inspection of the uterus revealed a lateral perforation below the endocervical os. A rollerball ablation of the endometrium was then carried out under laparoscopic control. At 3 months later the patient was admitted with symptoms and signs of acute abdominal pathology. She underwent a laparotomy, and a small bowel perforation was oversewn. During the operation, malrotation of the bowel was diagnosed. The patient continued to experience menorrhagia, and subsequently underwent a hysterectomy.This is an unusual case report of delayed bowel trauma following uterine perforation, and endometrial ablation in a patient with malrotation of the bowel.","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"10 4","pages":"257-259"},"PeriodicalIF":0.0,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.2001.00410.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77090294","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}

引用次数: 1

Comment on: Endometrial abnormalities in breast cancer patients with tamoxifen therapy (Prevedourakis, et al., Gynaecological Endoscopy 2000; 9: 23–6) 评论:他莫昔芬治疗的乳腺癌患者子宫内膜异常(Prevedourakis等，妇科内镜2000;9: 23-6)

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1111/j.1365-2508.2001.00441.pp.x

Cathrine M. Holland, Robin A. F. Crawford

引用次数: 0

Laparoscopic management of benign adnexal masses: experience in a developing country 良性附件肿块的腹腔镜治疗:发展中国家的经验

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00430.x

Atef M. Darwish, Ahmad F. Amin, Mahmoud A. AbdelAleem, Mohamad A. Youssef

{"title":"Laparoscopic management of benign adnexal masses: experience in a developing country","authors":"Atef M. Darwish, Ahmad F. Amin, Mahmoud A. AbdelAleem, Mohamad A. Youssef","doi":"10.1046/j.1365-2508.2001.00430.x","DOIUrl":"10.1046/j.1365-2508.2001.00430.x","url":null,"abstract":"ObjectiveTo compare the efficacy, cost-effectiveness, and possible complications of operative laparoscopy with laparotomy for treating benign adnexal cystic tumours at a unit in a developing country.DesignA prospective comparative study.SettingGynaecologic Endoscopy Unit, Assiut University Hospital, Assiut, Egypt.Subjects91 women of childbearing age with a clinical, biochemical and transvaginal sonographic diagnosis of benign adnexal cystic tumour.Interventions71 patients were allocated to one of two groups according to management approach. The laparoscopy group (A) included 37 patients while the laparotomy group (B) included 34 patients.Main outcome measuresFor each patient, the operating time, intra- and postoperative complications, postoperative pain and duration of hospital stay were recorded.ResultsThe operating time was significantly shorter in group A (47.8 ± 28.3 min) than in group B (64.9 ± 19.2 min). Intraoperative uncontrolled bleeding occurred in one patient in group A. Postoperative pain was significantly less in group A than in group B (P < 0.001). Postoperative febrile morbidity developed in 12.2% and 31.6% of patients in groups A and B, respectively. The duration of postoperative hospital stay was significantly shorter among patients in group A (49.5 ± 42.6 h) than in group B (124.8 ± 40.9 h) (P < 0.001). Postoperative complications included wound infections: one case in group A and three in group B.ConclusionsLaparoscopic management of benign cystic adnexal masses is a fast and safe procedure with minimal intra- and postoperative complications compared with laparotomy. Its use in developing countries with limited resources is cost-effective, given appropriate selection of cases and experienced endoscopists.","PeriodicalId":100599,"journal":{"name":"Gynaecological Endoscopy","volume":"10 3","pages":"159-165"},"PeriodicalIF":0.0,"publicationDate":"2008-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1046/j.1365-2508.2001.00430.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90768519","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}

引用次数: 4

Evaluation of ultrasound in an outpatient hysteroscopy clinic: does it alter management in premenopausal women? 超声在门诊宫腔镜诊所的评价:它会改变绝经前妇女的管理吗?

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00406.x

Sue Taylor, Siân Jones, Anne-Marie Dixon, Peter O'Donovan

引用次数: 4

Laparoscopic appearance of pelvic miliary schistosomiasis 盆腔军事性血吸虫病的腹腔镜检查

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00452.x

Obaid Al-Harbi, Sami Al Rohilly, Ibtihaj Hashim, Adnan F. M. Turkistani, Atilio Baez-Giangreco, Afaf Al Tweijry

引用次数: 1

Endoscopically assisted vaginal sacrospinous colpopexy 内窥镜辅助阴道骶棘性阴道固定术

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00469.x

Amina M. Shafik, Mohamed Hefni

引用次数: 0

Interstitial ectopic pregnancy following hysteroscopic resection of an intrauterine septum 宫腔镜宫内隔切除术后间质性异位妊娠

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00401.x

Stephen Robson, Christopher Pozza, John F. Kerin

引用次数: 1

Comparative mass of suture material involved in extracorporeal slip knots 体外滑脱节中涉及的缝合材料的相对质量

Gynaecological Endoscopy Pub Date : 2008-06-28 DOI: 10.1046/j.1365-2508.2001.00444.x

Thomas Ind, Danny Chou

引用次数: 1