Anastasia Jones, Jessica Quach, Marianne Tanios, Daniel Nahrwold, Cindy Yeoh, Sindhuja R Nimma
{"title":"Acute Pain Management for Gynecologic Surgery and a Succinct Guide to Regional Anesthesia, Including Nerve Blocks","authors":"Anastasia Jones, Jessica Quach, Marianne Tanios, Daniel Nahrwold, Cindy Yeoh, Sindhuja R Nimma","doi":"10.1089/gyn.2023.0053","DOIUrl":"https://doi.org/10.1089/gyn.2023.0053","url":null,"abstract":"","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":" 98","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138611647","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}
Journal of Gynecologic SurgeryAhead of Print Letter to the Editor: Which Procedure Ought to Be First During Concurrent Laparoscopy and Hysteroscopy?Atef M.M. Darwish and Dina A.M. DarwishAtef M.M. DarwishAddress correspondence to: Atef M.M. Darwish, MSc, MD, PhD, Woman's Health University Hospital, Assiut University, P.O. Box: (1) Assiut, Assiut 71111, Egypt E-mail Address: [email protected]Woman's Health University Hospital, Assiut University, Assiut, Egypt.Search for more papers by this author and Dina A.M. DarwishWoman's Health University Hospital, Assiut University, Assiut, Egypt.Search for more papers by this authorPublished Online:14 Nov 2023https://doi.org/10.1089/gyn.2023.0095AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article"Letter to the Editor: Which Procedure Ought to Be First During Concurrent Laparoscopy and Hysteroscopy?." Journal of Gynecologic Surgery, , pp. FiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, Mary Ann Liebert, Inc., publishersTo cite this article:Atef M.M. Darwish and Dina A.M. Darwish.Letter to the Editor: Which Procedure Ought to Be First During Concurrent Laparoscopy and Hysteroscopy?.Journal of Gynecologic Surgery.ahead of printhttp://doi.org/10.1089/gyn.2023.0095Online Ahead of Print:November 14, 2023PDF download
致编辑的信:在腹腔镜和宫腔镜同时进行时,哪个程序应该首先进行?Atef M.M. Darwish和Dina A.M.darwishm . darwisd的通信:Atef m . Darwish,理学硕士,医学博士,博士,妇女健康大学医院,Assiut大学,邮政信箱:(1)Assiut, Assiut 71111,埃及。电子邮件地址:[email protected]妇女健康大学医院,Assiut,埃及。搜索这位作者和迪娜·A.M.的更多论文达维什妇女健康大学医院,阿西尤特大学,埃及。搜索本文作者的更多论文发表在线:2023年11月14日https://doi.org/10.1089/gyn.2023.0095AboutSectionsView文章查看全文pdf /EPUB权限和引文下载CitationsTrack引文添加到收藏夹返回出版物共享分享在facebook上推特链接在redditemail查看文章“给编辑的信:并发腹腔镜和宫腔镜检查中哪个程序应该是第一个?”《妇科外科杂志》,第0卷第0期信息版权所有,Mary Ann Liebert, Inc.,出版商达尔维什。致编辑的信:在腹腔镜和宫腔镜同时进行时,哪个程序应该首先进行?妇科外科杂志。打印前://doi.org/10.1089/gyn.2023.0095Online打印前:2023年11月14日pdf下载
{"title":"<i>Letter to the Editor:</i> Which Procedure Ought to Be First During Concurrent Laparoscopy and Hysteroscopy?","authors":"Atef M.M. Darwish, Dina A.M. Darwish","doi":"10.1089/gyn.2023.0095","DOIUrl":"https://doi.org/10.1089/gyn.2023.0095","url":null,"abstract":"Journal of Gynecologic SurgeryAhead of Print Letter to the Editor: Which Procedure Ought to Be First During Concurrent Laparoscopy and Hysteroscopy?Atef M.M. Darwish and Dina A.M. DarwishAtef M.M. DarwishAddress correspondence to: Atef M.M. Darwish, MSc, MD, PhD, Woman's Health University Hospital, Assiut University, P.O. Box: (1) Assiut, Assiut 71111, Egypt E-mail Address: [email protected]Woman's Health University Hospital, Assiut University, Assiut, Egypt.Search for more papers by this author and Dina A.M. DarwishWoman's Health University Hospital, Assiut University, Assiut, Egypt.Search for more papers by this authorPublished Online:14 Nov 2023https://doi.org/10.1089/gyn.2023.0095AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article\"Letter to the Editor: Which Procedure Ought to Be First During Concurrent Laparoscopy and Hysteroscopy?.\" Journal of Gynecologic Surgery, , pp. FiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, Mary Ann Liebert, Inc., publishersTo cite this article:Atef M.M. Darwish and Dina A.M. Darwish.Letter to the Editor: Which Procedure Ought to Be First During Concurrent Laparoscopy and Hysteroscopy?.Journal of Gynecologic Surgery.ahead of printhttp://doi.org/10.1089/gyn.2023.0095Online Ahead of Print:November 14, 2023PDF download","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"7 22","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136229568","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}
Ala N. Uwais, Mohammad A. Jahameh, Qabas I. Al-Hawamdeh, Ahmed A. Al-Abadleh, Dania J. Altarawneh, Leena M. Mahmoud, Rogayah M. Alkhanazreh, Maryam I. Abutouq, Yanal K. Albaqaeen, Anas O. Satari
Objective: Hysterectomy is a widely performed major gynecologic surgery. However, few studies have examined the outcomes of vaginal natural orifice transluminal endoscopic surgery (vNOTES) and compared them with those of conventional laparoscopic hysterectomy. This study assessed if vNOTES hysterectomy is both safe and feasible for patients with noncancerous conditions of the uterus. Materials and Methods: This comparative retrospective study was conducted in the department of obstetrics and gynecology at Al-Karak Governmental Hospital, Karak, Jordan. Data on hysterectomy cases were collected from hospital records for operations between January 2018 and January 2023. There were 2 groups of patients: a total laparoscopic hysterectomy (TLH) group and a vNOTES group. Data from each group were obtained on patients' demographics, indications for surgery, and intraoperative and postoperative parameters. Results: After exclusions, the TLH group had 44 cases and the vNOTES group had 16 cases. Both groups had similar general characteristics with the most-common indication for hysterectomy being fibroid uteri: ∼ ½ of TLH cases, compared to ∼1/3 of vNOTES cases. Patients who had TLH had significantly shorter surgery durations (151.7 ± 50.4 minutes), compared to patients who had vNOTES (176.3 ± 36.9 minutes); p = 0.044. vNOTES resulted in significantly longer hospital stays (1.8 ± 0.5 days) than TLH (1.5 ± 0.5 days); p = 0.029. Conclusions: The vNOTES approach is a novel technique which showed comparable outcomes to conventional laparoscopy. (J GYNECOL SURG 20XX:000)
{"title":"Introduction of Vaginal Natural Orifice Transluminal Endoscopic Surgery: Al-Karak Governmental Hospital Experience","authors":"Ala N. Uwais, Mohammad A. Jahameh, Qabas I. Al-Hawamdeh, Ahmed A. Al-Abadleh, Dania J. Altarawneh, Leena M. Mahmoud, Rogayah M. Alkhanazreh, Maryam I. Abutouq, Yanal K. Albaqaeen, Anas O. Satari","doi":"10.1089/gyn.2023.0075","DOIUrl":"https://doi.org/10.1089/gyn.2023.0075","url":null,"abstract":"Objective: Hysterectomy is a widely performed major gynecologic surgery. However, few studies have examined the outcomes of vaginal natural orifice transluminal endoscopic surgery (vNOTES) and compared them with those of conventional laparoscopic hysterectomy. This study assessed if vNOTES hysterectomy is both safe and feasible for patients with noncancerous conditions of the uterus. Materials and Methods: This comparative retrospective study was conducted in the department of obstetrics and gynecology at Al-Karak Governmental Hospital, Karak, Jordan. Data on hysterectomy cases were collected from hospital records for operations between January 2018 and January 2023. There were 2 groups of patients: a total laparoscopic hysterectomy (TLH) group and a vNOTES group. Data from each group were obtained on patients' demographics, indications for surgery, and intraoperative and postoperative parameters. Results: After exclusions, the TLH group had 44 cases and the vNOTES group had 16 cases. Both groups had similar general characteristics with the most-common indication for hysterectomy being fibroid uteri: ∼ ½ of TLH cases, compared to ∼1/3 of vNOTES cases. Patients who had TLH had significantly shorter surgery durations (151.7 ± 50.4 minutes), compared to patients who had vNOTES (176.3 ± 36.9 minutes); p = 0.044. vNOTES resulted in significantly longer hospital stays (1.8 ± 0.5 days) than TLH (1.5 ± 0.5 days); p = 0.029. Conclusions: The vNOTES approach is a novel technique which showed comparable outcomes to conventional laparoscopy. (J GYNECOL SURG 20XX:000)","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"34 8","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135093257","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}
Ladin A. Yurteri-Kaplan, William Winkelman, Charelle M. Carter-Brooks, Nicole M. Donnellan, Donna Mazloomdoost, Svjetlana Lozo, Rebecca G. Rogers, Cara L. Grimes
Journal of Gynecologic SurgeryAhead of Print Can a Society Elevate the Quality of Research: A Look at the Proceedings of the Society of Gynecologic Surgeons' (SGS) Annual Conference Over the Years. An SGS Collaborative Research in Pelvic Surgery Consortium StudyLadin A. Yurteri-Kaplan, William Winkelman, Charelle M. Carter-Brooks, Nicole M. Donnellan, Donna Mazloomdoost, Svjetlana Lozo, Rebecca G. Rogers, and Cara L. GrimesLadin A. Yurteri-KaplanAddress correspondence to: Ladin Yurteri-Kaplan, MD, MS, Department of Obstetrics and Gynecology, Columbia University Medical Center, 622 West 168th Street, New York, NY 10032-3784, USA E-mail Address: [email protected]Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York, USA.Search for more papers by this author, William WinkelmanDepartment of Obstetrics and Gynecology, Harvard Medical School and Mount Auburn Hospital, Boston, Massachusetts, USA.Search for more papers by this author, Charelle M. Carter-BrooksDepartment of Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences, Washington, D.C., USA.Search for more papers by this author, Nicole M. DonnellanDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Magee-Women's Hospital, Pittsburgh, Pennsylvania, USA.Search for more papers by this author, Donna MazloomdoostEunice Kennedy Shiver National Institute of Child Health and Human Development/National Institutes of Health, Bethesda, Maryland, USA.Search for more papers by this author, Svjetlana LozoDepartment of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York, USA.Search for more papers by this author, Rebecca G. RogersDepartment of Obstetrics and Gynecology, Albany Medical College, Albany, New York, USA.Search for more papers by this author, and Cara L. GrimesDepartment of Obstetrics and Gynecology and Urology, New York Medical College, Valhalla, New York, USA.Search for more papers by this authorPublished Online:8 Nov 2023https://doi.org/10.1089/gyn.2023.0067AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article"Can a Society Elevate the Quality of Research: A Look at the Proceedings of the Society of Gynecologic Surgeons' (SGS) Annual Conference Over the Years. An SGS Collaborative Research in Pelvic Surgery Consortium Study." Journal of Gynecologic Surgery, , pp. FiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, Mary Ann Liebert, Inc., publishersTo cite this article:Ladin A. Yurteri-Kaplan, William Winkelman, Charelle M. Carter-Brooks, Nicole M. Donnellan, Donna Mazloomdoost, Svjetlana Lozo, Rebecca G. Rogers, and Cara L. Grimes.Can a Society Elevate the Quality of Research: A Look at the Proceedings of the Socie
妇科外科杂志提前印刷可以提高一个社会的研究质量:看多年来妇科外科学会(SGS)年会的会议记录。骨盆外科联合研究的SGS合作研究Ladin A. Yurteri-Kaplan, William Winkelman, Charelle M. Carter-Brooks, Nicole M. Donnellan, Donna Mazloomdoost, Svjetlana Lozo, Rebecca G. Rogers, Cara L. GrimesLadin A. Yurteri-Kaplan, MD, MS,哥伦比亚大学医学中心妇产科,622 West 168 Street, New York, NY 10032-3784, USA电子邮件地址:[email protected]美国纽约哥伦比亚大学医学中心妇产科检索作者William winkelman的更多论文,他是美国马萨诸塞州波士顿的哈佛医学院和奥本山医院妇产科。搜索作者Charelle M. carter - brooks妇产科,乔治华盛顿大学医学与健康科学学院,华盛顿特区,美国的更多论文。搜索本文作者Nicole M. donnellan的更多论文,美国宾夕法尼亚州匹兹堡市匹兹堡大学医学院妇产科与生殖科学系和匹兹堡大学医学中心麦基妇女医院。查找本文作者Donna mazloomdoos(美国马里兰州贝塞斯达国立卫生研究院,美国国立儿童健康与人类发展研究所)的更多论文。搜索作者的更多论文,Svjetlana lozoo妇产科,哥伦比亚大学医学中心,纽约,纽约,美国。搜索作者Rebecca G. rogers的更多论文,美国纽约州奥尔巴尼市奥尔巴尼医学院妇产科。搜索作者和Cara L. grimes的更多论文,纽约医学院妇产科和泌尿外科,瓦尔哈拉,纽约,美国。搜索本文作者的更多论文发表在线:2023年11月8日https://doi.org/10.1089/gyn.2023.0067AboutSectionsView文章查看全文pdf /EPUB权限和引文下载引文链接添加到收藏回到出版物共享分享在facebook上推特链接在redditemail查看文章“一个社会可以提高研究质量:看看多年来妇科外科医生学会(SGS)年会的会议记录。盆腔外科联合研究中的SGS合作研究。本文作者:Ladin A. Yurteri-Kaplan, William Winkelman, Charelle M. Carter-Brooks, Nicole M. Donnellan, Donna mazloomdost, Svjetlana Lozo, Rebecca G. Rogers和Cara L. Grimes。一个社会能否提高研究质量:多年来妇科外科医师学会年会论文集的回顾。盆腔外科联合研究中的SGS合作研究。妇科外科杂志。打印前://doi.org/10.1089/gyn.2023.0067Online打印前:2023年11月8日pdf下载
{"title":"Can a Society Elevate the Quality of Research: A Look at the Proceedings of the Society of Gynecologic Surgeons' (SGS) Annual Conference Over the Years. An SGS Collaborative Research in Pelvic Surgery Consortium Study","authors":"Ladin A. Yurteri-Kaplan, William Winkelman, Charelle M. Carter-Brooks, Nicole M. Donnellan, Donna Mazloomdoost, Svjetlana Lozo, Rebecca G. Rogers, Cara L. Grimes","doi":"10.1089/gyn.2023.0067","DOIUrl":"https://doi.org/10.1089/gyn.2023.0067","url":null,"abstract":"Journal of Gynecologic SurgeryAhead of Print Can a Society Elevate the Quality of Research: A Look at the Proceedings of the Society of Gynecologic Surgeons' (SGS) Annual Conference Over the Years. An SGS Collaborative Research in Pelvic Surgery Consortium StudyLadin A. Yurteri-Kaplan, William Winkelman, Charelle M. Carter-Brooks, Nicole M. Donnellan, Donna Mazloomdoost, Svjetlana Lozo, Rebecca G. Rogers, and Cara L. GrimesLadin A. Yurteri-KaplanAddress correspondence to: Ladin Yurteri-Kaplan, MD, MS, Department of Obstetrics and Gynecology, Columbia University Medical Center, 622 West 168th Street, New York, NY 10032-3784, USA E-mail Address: [email protected]Department of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York, USA.Search for more papers by this author, William WinkelmanDepartment of Obstetrics and Gynecology, Harvard Medical School and Mount Auburn Hospital, Boston, Massachusetts, USA.Search for more papers by this author, Charelle M. Carter-BrooksDepartment of Obstetrics and Gynecology, The George Washington University School of Medicine and Health Sciences, Washington, D.C., USA.Search for more papers by this author, Nicole M. DonnellanDepartment of Obstetrics, Gynecology and Reproductive Sciences, University of Pittsburgh School of Medicine and University of Pittsburgh Medical Center, Magee-Women's Hospital, Pittsburgh, Pennsylvania, USA.Search for more papers by this author, Donna MazloomdoostEunice Kennedy Shiver National Institute of Child Health and Human Development/National Institutes of Health, Bethesda, Maryland, USA.Search for more papers by this author, Svjetlana LozoDepartment of Obstetrics and Gynecology, Columbia University Medical Center, New York, New York, USA.Search for more papers by this author, Rebecca G. RogersDepartment of Obstetrics and Gynecology, Albany Medical College, Albany, New York, USA.Search for more papers by this author, and Cara L. GrimesDepartment of Obstetrics and Gynecology and Urology, New York Medical College, Valhalla, New York, USA.Search for more papers by this authorPublished Online:8 Nov 2023https://doi.org/10.1089/gyn.2023.0067AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View article\"Can a Society Elevate the Quality of Research: A Look at the Proceedings of the Society of Gynecologic Surgeons' (SGS) Annual Conference Over the Years. An SGS Collaborative Research in Pelvic Surgery Consortium Study.\" Journal of Gynecologic Surgery, , pp. FiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, Mary Ann Liebert, Inc., publishersTo cite this article:Ladin A. Yurteri-Kaplan, William Winkelman, Charelle M. Carter-Brooks, Nicole M. Donnellan, Donna Mazloomdoost, Svjetlana Lozo, Rebecca G. Rogers, and Cara L. Grimes.Can a Society Elevate the Quality of Research: A Look at the Proceedings of the Socie","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":" 38","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135340741","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}
Objective: The goal of this article, and its accompanying figure and video, is to review laparoscopic management of interstitial pregnancy, using both cornual resection and cornuostomy techniques. The text, figure, and video focus on 2 cases demonstrating, step-by-step, laparoscopic management of interstitial pregnancy using cornual resection and cornuostomy techniques. Methods: Case 1 involves a cornuostomy in a patient with a right, interstitial ectopic pregnancy identified through diagnostic laparoscopy using an Endoloop® (Ethicon/Johnson & Johnson Surgical Technologies, Somerville, NJ, USA). Case 2 is a laparoscopic wedge resection, using an Endoloop and a LigaSuretm (Medtronic, Minneapolis, MN, USA) device to address a ruptured, advanced-gestation, interstitial ectopic pregnancy. Results: Cornual resection and cornuostomy are both minimally invasive techniques that were effective interventions for these 2 interstitial ectopic pregnancies. Conclusions: While the open method is commonly used, emerging laparoscopic methods, such as cornual resection and cornuostomy, are minimally invasive with the added benefit of fertility preservation. (J GYNECOL SURG 20XX:000)
{"title":"Interstitial (Cornual) Ectopic Pregnancy: Laparoscopic Management","authors":"Hillary Nguyen, Svetha Rao, Derek Lok, Tanushree Rao","doi":"10.1089/gyn.2023.0072","DOIUrl":"https://doi.org/10.1089/gyn.2023.0072","url":null,"abstract":"Objective: The goal of this article, and its accompanying figure and video, is to review laparoscopic management of interstitial pregnancy, using both cornual resection and cornuostomy techniques. The text, figure, and video focus on 2 cases demonstrating, step-by-step, laparoscopic management of interstitial pregnancy using cornual resection and cornuostomy techniques. Methods: Case 1 involves a cornuostomy in a patient with a right, interstitial ectopic pregnancy identified through diagnostic laparoscopy using an Endoloop® (Ethicon/Johnson & Johnson Surgical Technologies, Somerville, NJ, USA). Case 2 is a laparoscopic wedge resection, using an Endoloop and a LigaSuretm (Medtronic, Minneapolis, MN, USA) device to address a ruptured, advanced-gestation, interstitial ectopic pregnancy. Results: Cornual resection and cornuostomy are both minimally invasive techniques that were effective interventions for these 2 interstitial ectopic pregnancies. Conclusions: While the open method is commonly used, emerging laparoscopic methods, such as cornual resection and cornuostomy, are minimally invasive with the added benefit of fertility preservation. (J GYNECOL SURG 20XX:000)","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"23 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135932805","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}
Objective: This study compared the outcomes of the bulking agent polyacrylamide hydrogel (PAHG) with a single-incision sling (SIS) for treating occult stress urinary incontinence (SUI) in association with vaginal prolapse surgery. Methods: This was a retrospective study of patients who underwent transvaginal surgical correction of pelvic organ prolapse and received either SIS or urethral bulking with PAHG for occult SUI. Demographic and perioperative data were extracted from the charts. The primary outcomes were Urinary Distress Inventory–6 (UDI-6) scores, Incontinence Impact Questionnaire–7 (IIQ-7) scores, and incontinence episodes documented by 3-day bladder diaries collected 24 months after surgery. Secondary outcomes included complications such as adverse events, rates of urine retention with prolonged catheterization, and urinary-tract infections. Results: Thirty patients had the bulking agent using PAHG with the prolapse surgery for occult incontinence and 23 patients has SIS. Twenty-two patients from each group completed the postoperative questionnaires. UDI-6 scores were low in both groups with bulking versus SIS value (19 versus 11; p = 0.096). The stress subscale median value for bulking versus SIS was 33 versus 0; p = 0.009. IIQ-7 median value was 0 for both groups. The median Foley catheter duration for the bulking group versus the SIS group was 1 versus 5 days (p = 0.015). Conclusions: SIS and PAHG were equally satisfactory for treating occult SUI with similar total UDI-6 and IIQ-7 scores; yet, the UDI-6 stress subscale was significantly better for the SIS group, but with more short-term voiding dysfunction. (J GYNECOL SURG 20XX:000)
{"title":"Single-Incision Sling Versus Polyacrylamide Hydrogel During Transvaginal Prolapse Surgery for Occult Stress Urinary Incontinence: A Retrospective Cohort Study","authors":"Ahmed Abdelaziz, Mark Walters, Mickey Karram","doi":"10.1089/gyn.2023.0092","DOIUrl":"https://doi.org/10.1089/gyn.2023.0092","url":null,"abstract":"Objective: This study compared the outcomes of the bulking agent polyacrylamide hydrogel (PAHG) with a single-incision sling (SIS) for treating occult stress urinary incontinence (SUI) in association with vaginal prolapse surgery. Methods: This was a retrospective study of patients who underwent transvaginal surgical correction of pelvic organ prolapse and received either SIS or urethral bulking with PAHG for occult SUI. Demographic and perioperative data were extracted from the charts. The primary outcomes were Urinary Distress Inventory–6 (UDI-6) scores, Incontinence Impact Questionnaire–7 (IIQ-7) scores, and incontinence episodes documented by 3-day bladder diaries collected 24 months after surgery. Secondary outcomes included complications such as adverse events, rates of urine retention with prolonged catheterization, and urinary-tract infections. Results: Thirty patients had the bulking agent using PAHG with the prolapse surgery for occult incontinence and 23 patients has SIS. Twenty-two patients from each group completed the postoperative questionnaires. UDI-6 scores were low in both groups with bulking versus SIS value (19 versus 11; p = 0.096). The stress subscale median value for bulking versus SIS was 33 versus 0; p = 0.009. IIQ-7 median value was 0 for both groups. The median Foley catheter duration for the bulking group versus the SIS group was 1 versus 5 days (p = 0.015). Conclusions: SIS and PAHG were equally satisfactory for treating occult SUI with similar total UDI-6 and IIQ-7 scores; yet, the UDI-6 stress subscale was significantly better for the SIS group, but with more short-term voiding dysfunction. (J GYNECOL SURG 20XX:000)","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"128 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135932896","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}
Alexandra Snyder, Yael Baumfeld, S. Abbas Shobeiri
Objective: This study evaluated trends and efficiency of robotic surgeons per surgical volume, procedure type, and subspecialty. As robotic surgery is more popular in gynecologic subspecialties, studies comparing surgical volume suggest that robotic gynecologic surgery is advantageous when performed by high-volume surgeons and used for complex surgeries. Materials and Methods: During 2017–2021, evaluations were made of 3914 robotic gynecologic surgery cases performed at the Inova Fairfax Women's Hospital, Fairfax, VA, USA. All patients having robotic gynecologic surgery during the study were included. Surgeons were divided into high-, medium-, and low-volume groups. Statistical analysis evaluated changes in procedure types, surgeon subspecialties, operating times, and surgeon volumes. Results: Over the 5 years, there was a significant increase in adnexal surgery, surgery for pelvic organ prolapse, and myomectomy. High-volume surgeons performed more-complex surgeries overall. Operating room (OR) and surgery times were significantly lower for high-volume surgeons than for other groups. Conclusions: There was an increased variety of procedure types performed on the Da Vinci® robot over the 5 years. The data showed that high-volume surgeons had shorter OR and surgery times while performing more-complicated surgeries. This supports that high-volume gynecologic surgeons perform robotic cases more efficiently. With the increased interest in robotic surgery among surgeons and patients, an ongoing analysis of robotic surgery trends is essential to optimize availability, usage, and outcomes of these surgeries. (J GYNECOL SURG 20XX:000)
{"title":"Robotic Surgery Trends and Efficiency in a High-Volume Gynecologic Surgery Center","authors":"Alexandra Snyder, Yael Baumfeld, S. Abbas Shobeiri","doi":"10.1089/gyn.2023.0020","DOIUrl":"https://doi.org/10.1089/gyn.2023.0020","url":null,"abstract":"Objective: This study evaluated trends and efficiency of robotic surgeons per surgical volume, procedure type, and subspecialty. As robotic surgery is more popular in gynecologic subspecialties, studies comparing surgical volume suggest that robotic gynecologic surgery is advantageous when performed by high-volume surgeons and used for complex surgeries. Materials and Methods: During 2017–2021, evaluations were made of 3914 robotic gynecologic surgery cases performed at the Inova Fairfax Women's Hospital, Fairfax, VA, USA. All patients having robotic gynecologic surgery during the study were included. Surgeons were divided into high-, medium-, and low-volume groups. Statistical analysis evaluated changes in procedure types, surgeon subspecialties, operating times, and surgeon volumes. Results: Over the 5 years, there was a significant increase in adnexal surgery, surgery for pelvic organ prolapse, and myomectomy. High-volume surgeons performed more-complex surgeries overall. Operating room (OR) and surgery times were significantly lower for high-volume surgeons than for other groups. Conclusions: There was an increased variety of procedure types performed on the Da Vinci® robot over the 5 years. The data showed that high-volume surgeons had shorter OR and surgery times while performing more-complicated surgeries. This supports that high-volume gynecologic surgeons perform robotic cases more efficiently. With the increased interest in robotic surgery among surgeons and patients, an ongoing analysis of robotic surgery trends is essential to optimize availability, usage, and outcomes of these surgeries. (J GYNECOL SURG 20XX:000)","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"79 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135932915","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}
Marcos Izquierdo, Michael Platten, Luis Tollinche, Anastasia Jones, Cindy Yeoh
Gynecologic surgeries are often complex interventions that require extensive communication and planning to ensure favorable patient outcomes. Many gynecologic surgery patients present with a vast range of systemic comorbidities that need adequate workups and plans for care prior to undergoing anesthesia. Enhanced recovery after surgery (ERAS) protocols are vital for organizing patient-centered discussions preoperatively, allowing the patient, anesthesia, and surgical teams to address all clinical concerns directly to minimize perioperative risks. A multidisciplinary approach in preoperative patient-management decisions helps optimize the care of each patient's comorbidities and medications and is essential to ensure best patient outcomes. (J GYNECOL SURG 2023:XXX>
{"title":"Preoperative Evaluation and Optimization for Gynecologic Surgery Patients","authors":"Marcos Izquierdo, Michael Platten, Luis Tollinche, Anastasia Jones, Cindy Yeoh","doi":"10.1089/gyn.2023.0068","DOIUrl":"https://doi.org/10.1089/gyn.2023.0068","url":null,"abstract":"Gynecologic surgeries are often complex interventions that require extensive communication and planning to ensure favorable patient outcomes. Many gynecologic surgery patients present with a vast range of systemic comorbidities that need adequate workups and plans for care prior to undergoing anesthesia. Enhanced recovery after surgery (ERAS) protocols are vital for organizing patient-centered discussions preoperatively, allowing the patient, anesthesia, and surgical teams to address all clinical concerns directly to minimize perioperative risks. A multidisciplinary approach in preoperative patient-management decisions helps optimize the care of each patient's comorbidities and medications and is essential to ensure best patient outcomes. (J GYNECOL SURG 2023:XXX>","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135271164","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}
Uterine fibroids may impact fertility and the outcomes of infertility treatments negatively, depending on the fibroids' positions in the uterine wall, their sizes, and their numbers. This article reviews the available data on managing uterine fibroids in infertile patients. Subserosal fibroids do not affect fertility negatively and generally do not require treatment. It is advisable to remove submucosal fibroids before infertility treatment or in patients who have recurrent miscarriages. It is challenging to counsel infertile women with intramural fibroids because of the lack of a consensus about what should be done. The choice of treating intramural fibroids depends on the characteristics of the fibroids (such as numbers, sizes, and distances from the endometrial cavity), the reproductive history of the patient, and her willingness to wait until the appropriate time for myometrial healing before receiving infertility treatments. (J GYNECOL SURG 20XX:000)
{"title":"Surgery for Fibroids in Infertility Women: The How, the When, and the When Not","authors":"Simone Ferrero, Fabio Barra, Giulio Evangelisti, Michele Paudice, Valerio Gaetano Vellone","doi":"10.1089/gyn.2023.0080","DOIUrl":"https://doi.org/10.1089/gyn.2023.0080","url":null,"abstract":"Uterine fibroids may impact fertility and the outcomes of infertility treatments negatively, depending on the fibroids' positions in the uterine wall, their sizes, and their numbers. This article reviews the available data on managing uterine fibroids in infertile patients. Subserosal fibroids do not affect fertility negatively and generally do not require treatment. It is advisable to remove submucosal fibroids before infertility treatment or in patients who have recurrent miscarriages. It is challenging to counsel infertile women with intramural fibroids because of the lack of a consensus about what should be done. The choice of treating intramural fibroids depends on the characteristics of the fibroids (such as numbers, sizes, and distances from the endometrial cavity), the reproductive history of the patient, and her willingness to wait until the appropriate time for myometrial healing before receiving infertility treatments. (J GYNECOL SURG 20XX:000)","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"21 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135270770","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}
Pub Date : 2023-10-31DOI: 10.1089/gyn.2022.0127.correx
Journal of Gynecologic SurgeryAhead of Print CorrectionOpen AccessCorrection to: Myomectomy Benefits, Risks, Long-Term Outcomes, and Effects on Fertility and Pregnancy Outcomes: A Literature Review by Gnanachandran et al. Journal of Gynecologic Surgery 2023;39(4):151–157; doi: 10.1089/gyn.2022.0217is erratum ofMyomectomy Benefits, Risks, Long-Term Outcomes, and Effects on Fertility and Pregnancy Outcomes: A Literature ReviewPublished Online:31 Oct 2023https://doi.org/10.1089/gyn.2022.0127.correxAboutSectionsPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail In the August 2023 issue of Journal of Gynecologic Surgery (vol. 39, no. 4; pp. 151–157) the article entitled “Myomectomy Benefits, Risks, Long-Term Outcomes, and Effects on Fertility and Pregnancy Outcomes: A Literature Review” by Gnanachandran et al. requires correction.This article was originally published under the copyright of Mary Ann Liebert, Inc. publishers. It has now been updated to reflect Open Access, with copyright transferring to the author(s), and a Creative Commons License (CC-BY) added (http://creativecommons.org/licenses/by/4.0). The CC-BY license goes into effect October 31, 2023.The online version of this article has been corrected to reflect this.FiguresReferencesRelatedDetailsRelated articlesMyomectomy Benefits, Risks, Long-Term Outcomes, and Effects on Fertility and Pregnancy Outcomes: A Literature Review26 Jul 2023Journal of Gynecologic Surgery Volume 0Issue 0 InformationCopyright 2023, Mary Ann Liebert, Inc., publishersTo cite this article:Correction to: Myomectomy Benefits, Risks, Long-Term Outcomes, and Effects on Fertility and Pregnancy Outcomes: A Literature Review by Gnanachandran et al. Journal of Gynecologic Surgery 2023;39(4):151–157; doi: 10.1089/gyn.2022.0217.Journal of Gynecologic Surgery.ahead of printhttp://doi.org/10.1089/gyn.2022.0127.correxcreative commons licenseOnline Ahead of Print:October 31, 2023PDF download
子宫肌瘤切除术的益处、风险、长期结局以及对生育和妊娠结局的影响:Gnanachandran等人的文献综述。妇科外科杂志2023;39(4):151-157;doi: 10.1089/gyn.2022.0217is子宫肌瘤切除术的好处,风险,长期结果,以及对生育和妊娠结果的影响:文献综述在线发表:2023年10月31日https://doi.org/10.1089/gyn.2022.0127.correxAboutSectionsPDF/EPUB权限和引文下载引文strack引文添加到收藏夹返回出版分享分享在facebook上推特链接在redditemail在2023年8月号的妇科外科杂志(卷39,no. 17)。4;Gnanachandran等人发表的题为“子宫肌瘤切除术的益处、风险、长期结果以及对生育和妊娠结局的影响:文献综述”的文章需要更正。本文最初由Mary Ann Liebert, Inc.出版社版权所有。它现在已经更新,以反映开放获取,版权转让给作者,并添加了创作共用许可证(CC-BY) (http://creativecommons.org/licenses/by/4.0)。CC-BY许可证将于2023年10月31日生效。为了反映这一点,本文的在线版本已经进行了更正。相关文章子宫肌瘤切除术的益处、风险、长期结果以及对生育能力和妊娠结果的影响:文献综述2023年7月26日《妇科外科杂志》第0卷第0期信息版权所有2023,Mary Ann Liebert, Inc.,出版商引用这篇文章:更正:子宫肌瘤切除术的益处、风险、长期结果以及对生育能力和妊娠结果的影响:Gnanachandran等人的文献综述。妇科外科杂志2023;39(4):151-157;doi: 10.1089 / gyn.2022.0217。妇科外科杂志。提前打印://doi.org/10.1089/gyn.2022.0127.correxcreative commons licenseOnline提前打印:2023年10月31日pdf下载
{"title":"<i>Correction to</i>: Myomectomy Benefits, Risks, Long-Term Outcomes, and Effects on Fertility and Pregnancy Outcomes: A Literature Review by Gnanachandran et al. <i>Journal of Gynecologic Surgery 2023;39(4):151–157</i>; doi: 10.1089/gyn.2022.0217","authors":"","doi":"10.1089/gyn.2022.0127.correx","DOIUrl":"https://doi.org/10.1089/gyn.2022.0127.correx","url":null,"abstract":"Journal of Gynecologic SurgeryAhead of Print CorrectionOpen AccessCorrection to: Myomectomy Benefits, Risks, Long-Term Outcomes, and Effects on Fertility and Pregnancy Outcomes: A Literature Review by Gnanachandran et al. Journal of Gynecologic Surgery 2023;39(4):151–157; doi: 10.1089/gyn.2022.0217is erratum ofMyomectomy Benefits, Risks, Long-Term Outcomes, and Effects on Fertility and Pregnancy Outcomes: A Literature ReviewPublished Online:31 Oct 2023https://doi.org/10.1089/gyn.2022.0127.correxAboutSectionsPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail In the August 2023 issue of Journal of Gynecologic Surgery (vol. 39, no. 4; pp. 151–157) the article entitled “Myomectomy Benefits, Risks, Long-Term Outcomes, and Effects on Fertility and Pregnancy Outcomes: A Literature Review” by Gnanachandran et al. requires correction.This article was originally published under the copyright of Mary Ann Liebert, Inc. publishers. It has now been updated to reflect Open Access, with copyright transferring to the author(s), and a Creative Commons License (CC-BY) added (http://creativecommons.org/licenses/by/4.0). The CC-BY license goes into effect October 31, 2023.The online version of this article has been corrected to reflect this.FiguresReferencesRelatedDetailsRelated articlesMyomectomy Benefits, Risks, Long-Term Outcomes, and Effects on Fertility and Pregnancy Outcomes: A Literature Review26 Jul 2023Journal of Gynecologic Surgery Volume 0Issue 0 InformationCopyright 2023, Mary Ann Liebert, Inc., publishersTo cite this article:Correction to: Myomectomy Benefits, Risks, Long-Term Outcomes, and Effects on Fertility and Pregnancy Outcomes: A Literature Review by Gnanachandran et al. Journal of Gynecologic Surgery 2023;39(4):151–157; doi: 10.1089/gyn.2022.0217.Journal of Gynecologic Surgery.ahead of printhttp://doi.org/10.1089/gyn.2022.0127.correxcreative commons licenseOnline Ahead of Print:October 31, 2023PDF download","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"2009 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135813801","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}