Journal of Gynecologic SurgeryAhead of Print Vaginal Natural Orifice Endoscopic Surgery: How It Can Be the Return of Vaginal SurgeryJerry Matkins Jr.Jerry Matkins Jr.Address correspondence to: Jerry Matkins, Jr., MD, Atrium Health, Eastover OB/GYN, 1025 Morehead Medical Drive, Charlotte, NC 28204, USA E-mail Address: [email protected]Atrium Health, Eastover OB/GYN, Charlotte, NC, USA.Search for more papers by this authorPublished Online:25 Sep 2023https://doi.org/10.1089/gyn.2023.0085AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View articleFiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, Mary Ann Liebert, Inc., publishersTo cite this article:Jerry Matkins Jr..Vaginal Natural Orifice Endoscopic Surgery: How It Can Be the Return of Vaginal Surgery.Journal of Gynecologic Surgery.ahead of printhttp://doi.org/10.1089/gyn.2023.0085Online Ahead of Print:September 25, 2023PDF download
{"title":"Vaginal Natural Orifice Endoscopic Surgery: How It Can Be the Return of Vaginal Surgery","authors":"Jerry Matkins","doi":"10.1089/gyn.2023.0085","DOIUrl":"https://doi.org/10.1089/gyn.2023.0085","url":null,"abstract":"Journal of Gynecologic SurgeryAhead of Print Vaginal Natural Orifice Endoscopic Surgery: How It Can Be the Return of Vaginal SurgeryJerry Matkins Jr.Jerry Matkins Jr.Address correspondence to: Jerry Matkins, Jr., MD, Atrium Health, Eastover OB/GYN, 1025 Morehead Medical Drive, Charlotte, NC 28204, USA E-mail Address: [email protected]Atrium Health, Eastover OB/GYN, Charlotte, NC, USA.Search for more papers by this authorPublished Online:25 Sep 2023https://doi.org/10.1089/gyn.2023.0085AboutSectionsView articleView Full TextPDF/EPUB Permissions & CitationsDownload CitationsTrack CitationsAdd to favorites Back To Publication ShareShare onFacebookTwitterLinked InRedditEmail View articleFiguresReferencesRelatedDetails Volume 0Issue 0 InformationCopyright 2023, Mary Ann Liebert, Inc., publishersTo cite this article:Jerry Matkins Jr..Vaginal Natural Orifice Endoscopic Surgery: How It Can Be the Return of Vaginal Surgery.Journal of Gynecologic Surgery.ahead of printhttp://doi.org/10.1089/gyn.2023.0085Online Ahead of Print:September 25, 2023PDF download","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135769641","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}
Background: Cervical ectopic pregnancy (CEP) is a rare diagnosis with few reported cases, making establishment of a standardized treatment challenging. CEPs often require multiple therapeutic modalities and curative surgical management. Case: A patient in her late 40s presented with a persistent CEP after in-vitro fertilization (IVF). Initially, the ectopic pregnancy was treated with ultrasound-guided needle aspiration and multiple doses of methotrexate, but further approaches were necessary to resolve the case. Results: This patient had a CEP with a heartbeat and she had a very high β–human chorionic gonadotropin (β-hCG level). She initially responded appropriately to repeat doses of methotrexate and needle aspiration, but her β-hCG levels eventually plateaued. Eventually, definitive suction curettage, vasopressin injection, and an intracervical Foley balloon tamponade provided a successful resolution. Conclusions: This case highlights further how multimodal treatment methods are valuable for safe resolution of CEPs. The patient at first responded appropriately to multiple doses of methotrexate, which decreased her surgical risks and morbidity significantly. (J GYNECOL SURG 20XX:000)
{"title":"Optimizing Outcomes Using Multimodal Therapy: Persistent Cervical Ectopic Pregnancy with Cardiac Motion","authors":"Andrew Claffey, Kevin Doody, Kathy Doody","doi":"10.1089/gyn.2023.0062","DOIUrl":"https://doi.org/10.1089/gyn.2023.0062","url":null,"abstract":"Background: Cervical ectopic pregnancy (CEP) is a rare diagnosis with few reported cases, making establishment of a standardized treatment challenging. CEPs often require multiple therapeutic modalities and curative surgical management. Case: A patient in her late 40s presented with a persistent CEP after in-vitro fertilization (IVF). Initially, the ectopic pregnancy was treated with ultrasound-guided needle aspiration and multiple doses of methotrexate, but further approaches were necessary to resolve the case. Results: This patient had a CEP with a heartbeat and she had a very high β–human chorionic gonadotropin (β-hCG level). She initially responded appropriately to repeat doses of methotrexate and needle aspiration, but her β-hCG levels eventually plateaued. Eventually, definitive suction curettage, vasopressin injection, and an intracervical Foley balloon tamponade provided a successful resolution. Conclusions: This case highlights further how multimodal treatment methods are valuable for safe resolution of CEPs. The patient at first responded appropriately to multiple doses of methotrexate, which decreased her surgical risks and morbidity significantly. (J GYNECOL SURG 20XX:000)","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136308460","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}
Danielle Mor-Hadar, Eyal Mor, Netanel Nagar, Oliana Vazhgovsky, Olga Saukhat, Shira Felder, David Hochstein, Tima Davidson, Shai Tejman-Yarden, Limor Helpman, Jacob Korach
Objectives: Identifying and resecting gynecologic lymph-node metastases can be challenging. Augmented reality (AR) may improve localization of such lesions and adjacent structures. Materials and Methods: For this prospective case series of women who had lymphadenectomy for gynecologic malignancies at a tertiary-care center, a 3-dimensional targeted lesions model was created. It was based on preoperative axial imaging (computed tomography [CT] or positron emission tomography [PET]) of the lesions, which were evaluated by the surgical team preoperatively. The surgeon wore an AR wireless headset, enabling real-time use of the model to assist lymph-node resection. Results: This pilot study included 7 patients: 4 had lymphadenectomy with hysterectomy and bilateral salpingo-oophorectomy; 2 had lymphadenectomy; and 1 had lymphadenectomy during pelvic exenteration. Median age was 53 (34–70) and mean body mass index was 28.3 (± 6.5). Mean operating room time was 223 (± 130.9) minutes, mean blood loss was 398.5 (± 600.1) mL, and 1 patient needed a blood transfusion. Overall, there were no significant differences between the preoperative assessments of the sizes and locations of the lesions with AR, compared to axial imaging. Surgeons' evaluations of the model revealed that 7 (50%) indicated that the AR model was superior to axial imaging; 4 (28.6%) noted that the AR model prompted them to change their surgical approaches. AR modeling changed the surgical approaches in 2 cases and improved surgical accuracy, disease characteristics, or intra- and postoperative outcomes. Conclusions: Preoperative evaluation with AR was meaningful, compared to conventional methods in 25%–50% of cases. The effect of AR should be investigated further in a larger study. (J GYNECOL SURG 20XX:000)
{"title":"Augmented Reality to Guide Lymph-Node Resection in Gynecologic Malignancies: A Pilot Study","authors":"Danielle Mor-Hadar, Eyal Mor, Netanel Nagar, Oliana Vazhgovsky, Olga Saukhat, Shira Felder, David Hochstein, Tima Davidson, Shai Tejman-Yarden, Limor Helpman, Jacob Korach","doi":"10.1089/gyn.2023.0057","DOIUrl":"https://doi.org/10.1089/gyn.2023.0057","url":null,"abstract":"Objectives: Identifying and resecting gynecologic lymph-node metastases can be challenging. Augmented reality (AR) may improve localization of such lesions and adjacent structures. Materials and Methods: For this prospective case series of women who had lymphadenectomy for gynecologic malignancies at a tertiary-care center, a 3-dimensional targeted lesions model was created. It was based on preoperative axial imaging (computed tomography [CT] or positron emission tomography [PET]) of the lesions, which were evaluated by the surgical team preoperatively. The surgeon wore an AR wireless headset, enabling real-time use of the model to assist lymph-node resection. Results: This pilot study included 7 patients: 4 had lymphadenectomy with hysterectomy and bilateral salpingo-oophorectomy; 2 had lymphadenectomy; and 1 had lymphadenectomy during pelvic exenteration. Median age was 53 (34–70) and mean body mass index was 28.3 (± 6.5). Mean operating room time was 223 (± 130.9) minutes, mean blood loss was 398.5 (± 600.1) mL, and 1 patient needed a blood transfusion. Overall, there were no significant differences between the preoperative assessments of the sizes and locations of the lesions with AR, compared to axial imaging. Surgeons' evaluations of the model revealed that 7 (50%) indicated that the AR model was superior to axial imaging; 4 (28.6%) noted that the AR model prompted them to change their surgical approaches. AR modeling changed the surgical approaches in 2 cases and improved surgical accuracy, disease characteristics, or intra- and postoperative outcomes. Conclusions: Preoperative evaluation with AR was meaningful, compared to conventional methods in 25%–50% of cases. The effect of AR should be investigated further in a larger study. (J GYNECOL SURG 20XX:000)","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135785119","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 : 2023-09-01Epub Date: 2023-09-30DOI: 10.5187/jast.2023.e15
Chris Major Ncho, Akshat Goel, Vaishali Gupta, Chae-Mi Jeong, Ji-Young Jung, Si-Young Ha, Jae-Kyung Yang, Yang-Ho Choi
This study evaluated the effects of supplementing solubles from shredded, steam-exploded pine particles (SSPP) on growth performances, plasma biochemicals, and microbial composition in broilers. The birds were reared for 28 days and fed basal diets with or without the inclusion of SSPP from 8 days old. There were a total of three dietary treatments supplemented with 0% (0% SSPP), 0.1% (0.1% SSPP) and 0.4% (0.4% SSPP) SSPP in basal diets. Supplementation of SSPP did not significantly affect growth or plasma biochemicals, but there was a clear indication of diet-induced microbial shifts. Beta-diversity analysis revealed SSPP supplementation-related clustering (ANOSIM: r = 0.31, p < 0.01), with an overall lower (PERMDISP: p < 0.05) individual dispersion in comparison to the control group. In addition, the proportions of the Bacteroides were increased, and the relative abundances of the families Vallitaleaceae, Defluviitaleaceae, Clostridiaceae, and the genera Butyricicoccus and Anaerofilum (p < 0.05) were significantly higher in the 0.4% SSPP group than in the control group. Furthermore, the linear discriminant analysis effect size (LEfSe) also showed that beneficial bacteria such as Ruminococcusalbus and Butyricicoccuspullicaecorum were identified as microbial biomarkers of dietary SSPP inclusion (p < 0.05; | LDA effect size | > 2.0). Finally, network analysis showed that strong positive correlations were established among microbial species belonging to the class Clostridia, whereas Erysipelotrichia and Bacteroidia were mostly negatively correlated with Clostridia. Taken together, the results suggested that SSPP supplementation modulates the cecal microbial composition of broilers toward a "healthier" profile.
本试验研究了添加蒸汽爆炸松颗粒(SSPP)可溶性物对肉鸡生长性能、血浆生化和微生物组成的影响。饲养28 d，从8日龄开始分别饲喂添加或不添加SSPP的基础饲粮。在基础饲粮中添加0% (0% SSPP)、0.1% (0.1% SSPP)和0.4% (0.4% SSPP) SSPP的3种饲粮处理。补充SSPP没有显著影响生长或血浆生化，但有明确的迹象表明饮食诱导的微生物转移。β -多样性分析显示，与对照组相比，SSPP添加相关的聚类(ANOSIM: r = 0.31, p < 0.01)，总体个体分散度(PERMDISP: p < 0.05)较低。此外，拟杆菌科(Bacteroides)的比例也有所增加，且Vallitaleaceae、Defluviitaleaceae、Clostridiaceae以及Butyricicoccus和Anaerofilum的相对丰度在0.4% SSPP组显著高于对照组(p < 0.05)。此外，线性判别分析效应大小(LEfSe)也表明，有益菌如白色瘤胃球菌(Ruminococcus albus)和pullicaecorum丁酸球菌(butyricoccus pullicaecorum)被确定为饲料SSPP夹杂物的微生物生物标志物(p < 0.05;| LDA效应大小| > 2.0)。网络分析结果表明，梭状芽胞杆菌(Clostridia)和丹毒毛菌(Erysipelotrichia)、细菌性芽胞杆菌(Bacteroidia)与梭状芽胞杆菌(Clostridia)呈显著负相关。综上所述，结果表明，添加SSPP可调节肉鸡盲肠微生物组成，使其更“健康”。
{"title":"Dietary supplementation of solubles from shredded, steam-exploded pine particles modulates cecal microbiome composition in broiler chickens.","authors":"Chris Major Ncho, Akshat Goel, Vaishali Gupta, Chae-Mi Jeong, Ji-Young Jung, Si-Young Ha, Jae-Kyung Yang, Yang-Ho Choi","doi":"10.5187/jast.2023.e15","DOIUrl":"10.5187/jast.2023.e15","url":null,"abstract":"<p><p>This study evaluated the effects of supplementing solubles from shredded, steam-exploded pine particles (SSPP) on growth performances, plasma biochemicals, and microbial composition in broilers. The birds were reared for 28 days and fed basal diets with or without the inclusion of SSPP from 8 days old. There were a total of three dietary treatments supplemented with 0% (0% SSPP), 0.1% (0.1% SSPP) and 0.4% (0.4% SSPP) SSPP in basal diets. Supplementation of SSPP did not significantly affect growth or plasma biochemicals, but there was a clear indication of diet-induced microbial shifts. Beta-diversity analysis revealed SSPP supplementation-related clustering (ANOSIM: <i>r</i> = 0.31, <i>p</i> < 0.01), with an overall lower (PERMDISP: <i>p</i> < 0.05) individual dispersion in comparison to the control group. In addition, the proportions of the <i>Bacteroides</i> were increased, and the relative abundances of the families Vallitaleaceae, Defluviitaleaceae, Clostridiaceae, and the genera <i>Butyricicoccus</i> and <i>Anaerofilum</i> (<i>p</i> < 0.05) were significantly higher in the 0.4% SSPP group than in the control group. Furthermore, the linear discriminant analysis effect size (LEfSe) also showed that beneficial bacteria such as <i>Ruminococcus</i> <i>albus</i> and <i>Butyricicoccus</i> <i>pullicaecorum</i> were identified as microbial biomarkers of dietary SSPP inclusion (<i>p</i> < 0.05; | LDA effect size | > 2.0). Finally, network analysis showed that strong positive correlations were established among microbial species belonging to the class <i>Clostridia</i>, whereas <i>Erysipelotrichia</i> and <i>Bacteroidia</i> were mostly negatively correlated with <i>Clostridia</i>. Taken together, the results suggested that SSPP supplementation modulates the cecal microbial composition of broilers toward a \"healthier\" profile.</p>","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":"27 1","pages":"971-988"},"PeriodicalIF":2.3,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10640930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83235775","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}
{"title":"Complete Cytoreduction in Advanced Epithelial Ovarian Cancer: The Time Has Come to Define a Standard Boundary","authors":"Divya Sehra, M. Ray","doi":"10.1089/gyn.2022.0124","DOIUrl":"https://doi.org/10.1089/gyn.2022.0124","url":null,"abstract":"","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45571538","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}
Jordan Duncan, Samantha Brown, Gina Ranieri, M. Wasson
{"title":"Minimally Invasive Surgery Debate for Myomectomy: Conventional or Robotic-Assisted Laparoscopy","authors":"Jordan Duncan, Samantha Brown, Gina Ranieri, M. Wasson","doi":"10.1089/gyn.2023.0059","DOIUrl":"https://doi.org/10.1089/gyn.2023.0059","url":null,"abstract":"","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42561584","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}
Simon Benoit Dubé, A. Zakhari, D. Nguyen, Jessica Papillon Smith, F. Mansour, S. Krishnamurthy
{"title":"The Management of Vaginal Vault Dehiscence After Laparoscopic Hysterectomy: A Surgical Techniques Video","authors":"Simon Benoit Dubé, A. Zakhari, D. Nguyen, Jessica Papillon Smith, F. Mansour, S. Krishnamurthy","doi":"10.1089/gyn.2023.0044","DOIUrl":"https://doi.org/10.1089/gyn.2023.0044","url":null,"abstract":"","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44961435","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}
Veronica S. Fox, L. Harvey, Zhiguo Zhao, K. Chaves, H. Curlin, O. Fajardo
{"title":"Long Term Trends in Postoperative Outcomes and Route of Benign and Fibroid Hysterectomies After U.S. Food and Drug Administration Statement on Power Morcellators","authors":"Veronica S. Fox, L. Harvey, Zhiguo Zhao, K. Chaves, H. Curlin, O. Fajardo","doi":"10.1089/gyn.2023.0056","DOIUrl":"https://doi.org/10.1089/gyn.2023.0056","url":null,"abstract":"","PeriodicalId":44791,"journal":{"name":"JOURNAL OF GYNECOLOGIC SURGERY","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44858552","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}
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