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Robotic Appendiceal Interposition With Right Lower Pole Calycostomy, Downward Nephropexy, and Psoas Hitch for the Management of an Iatrogenic Near-complete Ureteral Avulsion.

Although iatrogenic ureteral injuries are rare, they have potentially devastating consequences for both patients and physicians, and their management remains challenging. We report a case of a 51-year-old morbidly obese (body mass index = 63) woman who suffered an iatrogenic 15-cm right ureteral avulsion during hysteroscopic biopsy. Preoperative antegrade and retrograde pyelograms demonstrated no true renal pelvis and a 3-cm blind-ending distal ureteral stump. The patient underwent a right robotic downward nephropexy, psoas hitch, lower pole calycostomy, and 11-cm appendiceal interposition. At

Long-term survival outcomes of laparoscopically assisted radical hysterectomy in treating early-stage cervical cancer.

OBJECTIVE: The objective of the study was to determine the long-term disease-free and overall survival outcomes of laparoscopic treatment of early-stage cervical cancer. STUDY DESIGN: This was a longitudinal study of prospectively registered patients of cervical cancer undergoing laparoscopic surgery from June 1994 to December 2005. RESULTS: A total of 139 patients were included, in which 60 patients were in International Federation of Gynecology and Obstetrics stage IA, 76 in IB, and 3 in IIA. Mean operation time was 231.1 +/- 6.1 minutes. Median number of pelvic lymph node retrieval was 16

Minimizing bladder injury in laparoscopically assisted vaginal hysterectomy among women with previous cesarean sections.

BACKGROUND: This study demonstrated a method to prevent bladder injury during laparoscopically assisted vaginal hysterectomy (LAVH) to patients with vesicocervical adhesion after previous cesarean deliveries. METHODS: Between July 2004 and July 2005, 50 women with vesicocervical adhesion who had given birth by cesarean delivery underwent LAVH. To minimize the chance of bladder injury, transvaginal lateral intervention was used to enter the anterior cul-de-sac during laparoscopic intrafascial hysterectomy. The lateral windows of the vesicocervical space were opened first. Usually, the potentia

Long-term outcomes after intrauterine morcellation vs hysteroscopic resection of endometrial polyps.

STUDY OBJECTIVE: To compare the long-term outcomes of intrauterine morcellation (IUM) of endometrial polyps vs a traditional operative polypectomy technique, hysteroscopic resection (HSR), and to identify factors predictive of recurrent abnormal uterine bleeding (AUB) after operative polypectomy. DESIGN: Retrospective cohort study (Canadian Task Force classification II-2). SETTING: Minimally invasive gynecologic surgery practice in a tertiary care center. PATIENTS: Women who underwent operative hysteroscopic polypectomy between January 1, 2004 and December 31, 2009. INTERVENTIONS: Intraute

Timing, characteristics and determinants of infertility diagnostic work up before admission to eleven second-level assisted reproductive techniques (ART) centres in Italy.

OBJECTIVE: To describe the time-course of infertile couples not conceiving spontaneously or with medical or surgical therapies before assisted reproductive techniques (ART). STUDY DESIGN: Multicentre study of consecutive couples seen for the first time in eleven second-level infertility centres in Italy. A total of 464 couples entered the study and completed a structured questionnaire with the assistance of a clinician. Information was collected on general characteristics, reproductive and gynaecological history, and presumed causes of infertility. Further information was collected on: date o

Uterine restoration after repeated sloughing of fibroids or vaginal expulsion following uterine artery embolization.

The aim of our study is to present our experience with uterine restoration after repeated sloughing of uterine fibroids or transvaginal expulsion following uterine artery embolization (UAE) and to determine its safety and outcome. One hundred and twenty-four women (mean age, 40.3 years; age range, 29-52 years) with symptomatic uterine fibroids were included in this retrospective study. We performed arterial embolization with poly(vinyl alcohol) particles (250-710 microm). Clinical symptoms and follow-up information for each patient were obtained through medical records. At an average of 3.5 mo

A randomized, multicenter trial of safety and efficacy of the NovaSure system in the treatment of menorrhagia.

STUDY OBJECTIVE: To compare the safety and effectiveness of the NovaSure impedance-controlled endometrial ablation system with hysteroscopic wire loop resection plus rollerball ablation for treatment of excessive uterine bleeding in premenopausal women. DESIGN: Randomized, multicenter, double-arm study (Canadian Task Force classification I). SETTING: Nine academic medical centers and private offices. PATIENTS: Two hundred sixty-five premenopausal women with symptomatic menorrhagia. INTERVENTION: Ablation performed with the NovaSure system or wire loop resection and rollerball. MEASUREMENT

Воздействие дексаметазона на подстрекательские маркеры хирургического стресса: случайное испытание роботической истерэктомии.

Иммунодепрессивное действие дексаметазона может помочь уменьшить риск таких послеоперационных осложнений, как инфекция, образование сцепления и запоздалое исцеление ран. Дексаметасон может уменьшить повреждение тканей и ускорить восстановление, смягчив возбудительскую реакцию, модифицировав активность иммунных клеток и сократив высвобождение провоспалительных цитокинов. В этом первом произвольном эксперименте дексаметазона в роботизированной гистерэктомии мы стремились оценить его влияние на уменьшение C-реактивного белка (CRP) в качестве косвенного признака хирургического стресса. Methods Wom

Совпадение в полном тексте источника
… 168 ± 6 168 ± 5 168 ± 6 Weight (kg) 82 ± 19 82 ± 15 82 ± 17 BMI (kg/m 2 ) 29 ± 6 29 ± 5 29 ± 5 Smoking 14 13 26 Parity (n) 2 (0–2) 2 (0–2) 2 (0–2) Previous surgery (n) a)  -cesarean section 15 12 27  -conisation 7 6 13  -laparoscopic cholecystectomy 6 6 12  -oophorectomy 2 3 5  -laparoscopy 6 7 13  -hysteroscopy … 168 ± 6 168 ± 5 168 ± 6 Weight (kg) 82 ± 19 82 ± 15 82 ± 17 BMI (kg/m 2 ) 29 ± 6 29 ± 5 29 ± 5 Smoking 14 13 26 Parity (n) 2 (0–2) 2 (0–2) 2 (0–2) Previous surgery (n) a)  -cesarean section 15 12 27  -conisation 7 6 13  -laparoscopic cholecystectomy 6 6 12  -oophorectomy 2 3 5  -laparoscopy 6 7 13  -hysteroscopy …

Pediatric radical abdominal trachelectomy for anaplastic embryonal rhabdomyosarcoma of the uterine cervix: an alternative to radical hysterectomy.

Rhabdomyosarcoma arising in the female genital tract carries 5-year survival in excess of 80%, but lifelong infertility may be a consequence of local control strategies. We present the technique and outcome for a fertility-sparing, radical abdominal trachelectomy in a 12-year-old girl with anaplastic, embryonal rhabdomyosarcoma involving the uterine cervix. The patient had presented to our center after the piecemeal resection of a uterine cervical mass; because of concern about microscopic residual disease, we classified her as group II-A according to the Intergroup Rhabdomyosarcoma Study syst

Lift-laparoscopic total hysterectomy as a routine procedure.

In this study, laparoscopic hysterectomy was done with a special lift system that elevates the abdominal wall without carbon dioxide (CO2) insufflation. During this procedure, bipolar diathermy scissors also were used, which disconnected the uterus from its vessels and ligaments. The uterus was then removed through the vagina. In 403 cases, variables including operation time, complication rate, blood loss, postoperative pain, hospital stay, vaginal discharge, and convalescence time were examined. Compared with other laparoscopic methods [laparoscopic-assisted vaginal hysterectomy (LAVH), supra

Enhancing the scope of in vitro maturation for fertility preservation: transvaginal retrieval of immature oocytes during endoscopic gynaecological procedures.

STUDY QUESTION: Could in vitro maturation (IVM) following transvaginal oocyte retrieval during gynaecological surgery (IVM-surgery) be an ef … comprised 158 consecutive women with polycystic ovary syndrome (PCOS) who underwent laparoscopy or hysteroscopy for other reasons and had concomitant transvaginal oocyte retrieval followed by IVM between 2014 and 2016. PARTICIPANTS/MATERIALS, SETTING, METHODS: A total of 158 women with anovulatory PCOS who underwent IVM-surgery in our infertility centre were …

Cesarean Scar Ectopic Pregnancy: Laparoscopic Resection and Total Scar Dehiscence Repair.

STUDY OBJECTIVE: To illustrate a laparoscopic technique for the resection of cesarean scar ectopic pregnancy, associated with isthmocele rep … d between 1978 and 2014 (126 case reports, 45 cases series, and 23 clinical studies) concluded that hysteroscopy or laparoscopic hysterotomy seems to be the best first-line approach to treating cesarean scar ectopic pregnancy, with uterine artery embolization reserved for significant bleeding and/or a high suspicion index for arteriovenous malformation [1]. Th …

The presentation and management of complex female genital malformations.

BACKGROUND: Common uterine anomalies are important owing to their impact on fertility, and complex mesonephric anomalies and certain Mülleri … bryological interpretation of the anomaly. Most anomalies can typically be resolved vaginally or by hysteroscopy, but laparoscopy or laparotomy is often required as well. We also include additional discussion of the catalogue and classification systems for female genital malformations, the systematic association between renal agenesis and ipsilateral genital m …

Uterine perforation caused by intrauterine devices: clinical course and treatment.

STUDY QUESTIONS: What are the symptoms of uterine perforation caused by modern copper intrauterine devices (Cu-IUDs) and the levonorgestrel- … ant. Misplaced IUDs/IUSs were localized by a combination of vaginal ultrasonography (US) and X-ray, hysteroscopy or curettage. Only after this were patients treated by means of laparoscopy. The majority (n = 44; 65%) of the 68 intra-abdominal devices were located in the omentum, the remaining 24 (35%) around the uterus. Partial perforation or myometrial embedd …

Levonorgestrel intrauterine system for endometrial protection in women with breast cancer on adjuvant tamoxifen.

BACKGROUND: Adjuvant tamoxifen reduces the risk of breast cancer recurrence in women with estrogen receptor-positive breast cancer. Tamoxife … e endometrial pathology (including polyps, endometrial hyperplasia, or adenocarcinoma) diagnosed at hysteroscopy or endometrial biopsy; any reported side effects of treatment; and abnormal vaginal bleeding. MAIN RESULTS: In both included studies, the active treatment arm was the Mirena 20 mug/day levonorgestrel-releasing intrauterine device (Bayer Health Care …

Endometriosis and Endometrial Polyps Co-Occurrence in Individuals Not Seeking Pregnancy: A Case-Control Study.

OBJECTIVES: Endometriosis and endometrial polyps are both estrogen-dependent conditions, and an association between these two pathologies ha … tion bias cannot be excluded as polyps were diagnosed by ultrasound without direct visualization by hysteroscopy and histologic confirmation. No centralized image review was performed, introducing potential inter-operator variability. Finally, as no individual matching between cases and controls was performed, residual confounding cannot be completely excluded …

Best Practice Recommendations for Endometrial Intraepithelial Neoplasia/Atypical Endometrial Hyperplasia in the Military Health System.

Endometrial cancer is the most prevalent gynecologic cancer in the United States and has rising incidence and mortality. Endometrial intraep … st for further management. If no additional major risk factors for concurrent EC are identified and hysteroscopy with expert gynecologic pathology review confirms no presence of EC in the pathology specimen, a virtual consultation and counseling with a military GO can be offered, with local surgical and/or medical management provided by a GS. If on subsequent …

Endometrial assessment in abnormal uterine bleeding: transvaginal ultrasound alone may not be good enough.

OBJECTIVE: To evaluate the proportion of optimal assessments of endometrial thickness (ET) achieved by transvaginal ultrasound (TVS) compare … for endometrial cancer, thereby potentially reducing the number of invasive interventions, such as hysteroscopy and endometrial biopsy. © 2025 The Author(s). Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.

Objective way to support embryo transfer: a probabilistic decision.

STUDY QUESTION: Is it feasible to identify factors that significantly affect the clinical outcome of IVF-ICSI cycles and use them to reliabl … rtility criteria. Before being admitted to treatment, uterine anomalies were excluded by diagnostic hysteroscopy. To evaluate the factors possibly related to embryo viability and maternal receptivity, the class variable was categorized as pregnancy versus no pregnancy and the features included: female age, number of previous cycles, insemination technique, spe …

Early screening and post-treatment chronic endometritis in subsequent frozen embryo transfer cycles among women with first implantation failure: a retrospective cohort study.

BACKGROUND: First implantation failure (FIF) remains a significant challenge in in vitro fertilization/intracytoplasmic sperm injection-embr … -thawed embryo transfer (FET) cycle were included in the final analysis. All participants underwent hysteroscopy-guided endometrial biopsy with CD138 immunohistochemical evaluation at the initial post-FIF assessment. Women diagnosed with CE received standardized empirical antibiotic treatment followed by post-treatment CD138 reassessment before the subsequent …