Journal of gynecological endoscopy and surgery最新文献_第4页

Do new vessel sealing devices and harmonic ace increase ureteric injury in total laparoscopic hysterectomy? 腹腔镜全子宫切除术中新型血管密封装置和谐波导管是否会增加输尿管损伤?

Journal of gynecological endoscopy and surgery Pub Date : 2009-07-01 DOI: 10.4103/0974-1216.71613

Prakash Trivedi, Sylvia D'Costa, Preeti Shirkande, Meenu Wahi, Shilpi Kumar

{"title":"Do new vessel sealing devices and harmonic ace increase ureteric injury in total laparoscopic hysterectomy?","authors":"Prakash Trivedi, Sylvia D'Costa, Preeti Shirkande, Meenu Wahi, Shilpi Kumar","doi":"10.4103/0974-1216.71613","DOIUrl":"https://doi.org/10.4103/0974-1216.71613","url":null,"abstract":"Objectives: To compare the risk of ureteric injury in total laparoscopic hysterectomy (TLH) using new vessel sealing devices (VSDs) and harmonic scalpel with simple scissors, bipolar and suturing. This was an evaluation of 1209 cases, carried out from May 1999 to April 2010.Design and setting: A retrospective comparative study was carried out at a tertiary gynecological endoscopic unit.Materials and methods: Out of 1209 patients, who had hysterectomies for various indications, TLH was done in 892 patients, 273 had vaginal hysterectomy and 44 had abdominal hysterectomy. We evaluated the incidence of ureteric injury in these cases.Results: There was no mortality. In the group of vaginal and abdominal hysterectomy, there were no ureteric injuries. In the TLH group, we had 390 cases with simple scissors, bipolar and suturing with no ureteric injury. In 502 cases, new VSDs, e.g., plasma kinetic gyrus, Martin Maxim with Robi grasper, with or without harmonic 5 mm scalpel/ace were used. There were five ureteric injuries, all on the right side (one double ureter): first case was with Martin Maxim and Robi grasper, two with plasma kinetic gyrus 10 mm trissector, one with harmonic scalpel and the last one with scissors. We evaluated the reasons for such ureteric injuries, with experienced laparoscopic surgeons and the best possible set up. There were seven conversions to open surgery out of 892 cases of TLH, more due to poor case selection.","PeriodicalId":89586,"journal":{"name":"Journal of gynecological endoscopy and surgery","volume":"1 2","pages":"83-8"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/0974-1216.71613","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30523128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 6

A Comparative Evaluation of Suburethral and Transobturator Sling in 209 Cases with Stress Urinary Incontinence in 8 years. 8年来压力性尿失禁209例经尿道悬吊与经气管悬吊的比较分析。

Journal of gynecological endoscopy and surgery Pub Date : 2009-07-01 DOI: 10.4103/0974-1216.71615

Prakash Trivedi, Sylvia D'Costa, Preeti Shirkande, Shilpi Kumar, Mangala Patil

{"title":"A Comparative Evaluation of Suburethral and Transobturator Sling in 209 Cases with Stress Urinary Incontinence in 8 years.","authors":"Prakash Trivedi, Sylvia D'Costa, Preeti Shirkande, Shilpi Kumar, Mangala Patil","doi":"10.4103/0974-1216.71615","DOIUrl":"https://doi.org/10.4103/0974-1216.71615","url":null,"abstract":"Aims and objectives: To evaluate the outcome of suburethral and transobturator sling in treatment of female stress urinary incontinence in 209 cases from 2002 to 2010. The criteria evaluated were success, failure, complications, operating time, ease of the procedure, availability and cost effectivity of the sling.Design and setting: A retrospective comparative study was carried out at a tertiary referral centre for female urinary incontinence.Material and methods: A total of 209 patients (females from 27 to 79 years of age) with proven stress urinary incontinence were treated by suburethral transvaginal tape (TVT) type of slings in 101 cases and transobturator Monarc type of sling in 108 cases at the National Institute of Endoscopic Surgery and Urinary Incontinence Center, Mumbai, India, from March 2002 to June 2010. The maximum follow up was for 8 years.Results: The TVT type of slings had higher complication rate like needle entering the bladder, retention of urine necessitating to cut the tape in the center and had a success rate of 94.5% compared to Monarc/Trivedi obturator tape (TrOT) type of sling with outside-in technique, which had a negligible complication (less than 1%), pain in groin or leg movement that reduced in 6 weeks and a success rate of 95%. Specially, the Indian design Trivedi's stress urinary incontinence tape (TSUIT) and TrOT with reusable needles, the cost was only 15-20% of the international brands.","PeriodicalId":89586,"journal":{"name":"Journal of gynecological endoscopy and surgery","volume":"1 2","pages":"105-12"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/0974-1216.71615","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30524643","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 5

President's Message for IAGE Journal. 主席给IAGE杂志的致辞。

Journal of gynecological endoscopy and surgery Pub Date : 2009-07-01 DOI: 10.4103/0974-1216.71607

Rakesh Sinha

引用次数: 0

JGES as a Platform for Knowledge Dissemination. JGES作为知识传播的平台。

Journal of gynecological endoscopy and surgery Pub Date : 2009-07-01 DOI: 10.4103/0974-1216.71608

Prakash Trivedi

引用次数: 0

Laparoscopic management of large ovarian cysts at a rural hospital. 农村医院大卵巢囊肿的腹腔镜治疗。

Journal of gynecological endoscopy and surgery Pub Date : 2009-07-01 DOI: 10.4103/0974-1216.71616

Vishwanath V Shindholimath, S G Jyoti, K V Patil, A S Ammanagi

{"title":"Laparoscopic management of large ovarian cysts at a rural hospital.","authors":"Vishwanath V Shindholimath, S G Jyoti, K V Patil, A S Ammanagi","doi":"10.4103/0974-1216.71616","DOIUrl":"https://doi.org/10.4103/0974-1216.71616","url":null,"abstract":"Objective: To assess the feasibility and outcome of laparoscopic surgery for the management of large ovarian cysts at a rural hospital.Materials and methods: Fifteen patients from March 2004 to February 2007, with large ovarian cysts, with diameter >10 cm, were managed laparoscopically. The masses were cystic and were not associated with ascites or enlarged lymph nodes on ultrasound. Serum CA-125 levels were within the normal range (35 U/ml). Preoperative evaluation included history, clinical examination, sonographic images and serum markers. The management of these ovarian cysts included aspiration, cystectomy or salphingo-oophorectomy, depending on the patient's age, obstetric history and desire of future fertility. In large, solid, fixed or irregular adnexal masses, suspicious of malignancy, laparotomy was done.Results: Five patients presented with pain in the abdomen and 10 patients with abdominal distension and discomfort. The average maximum diameter of the ovarian cysts was 16.75 cm (range 10-24 cm). The mean duration of the operation was 80 min. The postoperative hospital stay was from 4 to 6 days. No intraoperative complications occurred and the hospital course of all patients was uncomplicated. In one case, laparoscopy was converted to laparotomy. One patient had minor wound infection at umbilical port site. The patients did not report any complaints during follow up and the clinical examination findings were normal in all, up to 9 months after discharge.Conclusion: With proper patient selection, the size of an ovarian cyst is not necessarily a contraindication for laparoscopic surgery.","PeriodicalId":89586,"journal":{"name":"Journal of gynecological endoscopy and surgery","volume":"1 2","pages":"94-7"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/0974-1216.71616","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30524641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 11

Laparoscopic management of large myomas. 大肌瘤的腹腔镜治疗。

Journal of gynecological endoscopy and surgery Pub Date : 2009-07-01 DOI: 10.4103/0974-1216.71611

Rakesh Sinha, Meenakshi Sundaram

引用次数: 7

Role of diagnostic hysteroscopy in abnormal uterine bleeding and its histopathologic correlation. 宫腔镜在异常子宫出血诊断中的作用及其组织病理学相关性。

Journal of gynecological endoscopy and surgery Pub Date : 2009-07-01 DOI: 10.4103/0974-1216.71617

Sheetal G Patil, S B Bhute, S A Inamdar, Neema S Acharya, Deepti S Shrivastava

{"title":"Role of diagnostic hysteroscopy in abnormal uterine bleeding and its histopathologic correlation.","authors":"Sheetal G Patil, S B Bhute, S A Inamdar, Neema S Acharya, Deepti S Shrivastava","doi":"10.4103/0974-1216.71617","DOIUrl":"https://doi.org/10.4103/0974-1216.71617","url":null,"abstract":"Aims and objectives: To study the accuracy of hysteroscopy in evaluation of abnormal uterine bleeding and to correlate hysteroscopic findings with histopathologic findings.Materials and methods: A prospective study was carried out in the Department of Obstetrics and Gynecology at AVBRH and JNMC, Sawangi (M), Wardha, from May 2006 to September 2008. One hundred cases were selected for this study from patients of age group 18 and above, who were admitted with the history of abnormal uterine bleeding. Hysteroscopic examination was done in all patients post-menstrually, whenever possible, except in those cases where menstrual cycles were grossly irregular or patients came with continuous bleeding per vaginum. The patients then underwent dilatation and curettage and endometrium was sent for histopathologic examination. The correlation between findings on hysteroscopy and histopathologic examination was tabulated.Results: FOLLOWING WERE THE FINDINGS ON HYSTEROSCOPY: proliferative 34%, secretary 16%, hyperplasia 18%, atrophic 8%, endometrial polyp 9%, submucous myoma 11%, carcinoma of endometrium 03%, misplaced Cu-T 1%.Conclusion: In patients with abnormal uterine bleeding, hyster-oscopy provides more accurate dia-gnosis than dilatation and curettage.","PeriodicalId":89586,"journal":{"name":"Journal of gynecological endoscopy and surgery","volume":"1 2","pages":"98-104"},"PeriodicalIF":0.0,"publicationDate":"2009-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/0974-1216.71617","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30524642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 65

Total laparoscopic hysterectomy for large uterus. 大子宫腹腔镜全子宫切除术。

Journal of gynecological endoscopy and surgery Pub Date : 2009-01-01 DOI: 10.4103/0974-1216.51908

Rakesh Sinha, Meenakshi Sundaram, Smita Lakhotia, Chaitali Mahajan, Gayatri Manaktala, Parul Shah

{"title":"Total laparoscopic hysterectomy for large uterus.","authors":"Rakesh Sinha, Meenakshi Sundaram, Smita Lakhotia, Chaitali Mahajan, Gayatri Manaktala, Parul Shah","doi":"10.4103/0974-1216.51908","DOIUrl":"https://doi.org/10.4103/0974-1216.51908","url":null,"abstract":"Aim: In this review, we assessed the feasibility of total laparoscopic hysterectomy (TLH) in cases of very large uteri weighing more than 500 grams. We have analyzed whether it is possible for an experienced laparoscopic surgeon to perform efficient total laparoscopic hysterectomy for large myomatous uteri regardless of the size, number and location of the myomas.Design: Retrospective review (Canadian Task Force Classification II-1)Setting: Dedicated high volume Gynecological laparoscopy centre.Patients: 173 women with symptomatic myomas who underwent total laparoscopic hysterectomy at our center. There were no exclusion criteria based on the size number or location of myomas.Intervention: TLH and modifications of performing the surgery by ligating the uterine arteries prior, myomectomy followed by hysterectomy, direct morcellation after uterine artery ligation.Results: 72% of patients had previous normal vaginal delivery and 28% had previous cesarean section. Average clinical size of the uterus was 18 weeks (10, 32). The average weight of the specimen was 700 grams (500, 2240). The average duration of surgery was 107 min (40, 300) and the average blood loss was 228 ml (10, 3200).Conclusion: Total laparoscopic hysterectomy is a technically feasible procedure. It can be performed by experienced surgeons for large uteri regardless of the size, number or location of the myomas.","PeriodicalId":89586,"journal":{"name":"Journal of gynecological endoscopy and surgery","volume":"1 1","pages":"34-9"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/0974-1216.51908","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30523119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 32

Role of hysteroscopy prior to assisted reproductive techniques. 辅助生殖技术前宫腔镜检查的作用。

Journal of gynecological endoscopy and surgery Pub Date : 2009-01-01 DOI: 10.4103/0974-1216.51906

Nandita Palshetkar, Hrishikesh Pai, Suchita Pisat

引用次数: 0

Hydrosalpinx functional surgery or salpingectomy? The importance of hydrosalpinx fluid in assisted reproductive technologies. 输卵管积水功能手术还是输卵管切除术?输卵管积水在辅助生殖技术中的重要性。

Journal of gynecological endoscopy and surgery Pub Date : 2009-01-01 DOI: 10.4103/0974-1216.51903

Mandakini Parihar, Aparna Mirge, Reshma Hasabe

{"title":"Hydrosalpinx functional surgery or salpingectomy? The importance of hydrosalpinx fluid in assisted reproductive technologies.","authors":"Mandakini Parihar, Aparna Mirge, Reshma Hasabe","doi":"10.4103/0974-1216.51903","DOIUrl":"https://doi.org/10.4103/0974-1216.51903","url":null,"abstract":"The first IVF baby, Louise Brown, was born in a natural cycle IVF of a woman who had bilateral tubal block making IVF the only option for having a child. The last 3 decades has seen astounding progress in the field of ART. Today thanks to ART, tubal disease and tubal factor infertility is easily overcome. The accepted theory today is that the hydrosalpinx fluid plays a causative role in the reduced pregnancy rate with ART. It is well known that the success of ART for patients with tubal disease with hydrosalpinx is reduced by half compared with patients without hydrosalpinx. Ideal would be removal of a hydrosalpinx by laparoscopic salpingectomy to improve pregnancy rates. However in some cases this is not feasible due to dense pelvic adhesions making access difficult. In such cases it is recommended that even de-linking the tube from the uterus would help in improving the ART outcome. There is suggestion that sonographically visible hydrosalpinges and those affected bilaterally have a poorer prognosis than those seen incidentally at laparoscopy. While there is clinical evidence supporting the causative role of the fluid itself, there is a lack of knowledge as to how the fluid exerts its negative effects. It is generally believed that the fluid holds a key position in impairing implantation potential. The aim of this review is to highlight the importance of identifying hydrosalpinges and its association with reduced fertility outcome using assisted reproductive technologies. Here we have discussed the different options available for the same, and highlighted the current modes of treatment.","PeriodicalId":89586,"journal":{"name":"Journal of gynecological endoscopy and surgery","volume":"1 1","pages":"12-6"},"PeriodicalIF":0.0,"publicationDate":"2009-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.4103/0974-1216.51903","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"30523676","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 14