Vaginal hysterectomy may at times prove difficult and require laparoscopic assistance to ensure safety of operations. This article reports a case in which single port laparoscopic assistance enabled vaginal hysterectomy in a patient with severe uterine ventrofixation. The ...
PubMed
... pregnant. It is meant to be a permanent method of birth control. Laparoscopically assisted vaginal hysterectomy (LAVH) �LAVH is a type of hysterectomy in which the uterus is removed through the vagina. The laparoscope is used to guide the ... Laparoscopic hysterectomy �In this procedure, the uterus is ...
MedlinePLUS
OBJECTIVE: To evaluate the feasibility and safety of single-port laparoscopically assisted vaginal hysterectomy (SP-LAVH) using transumbilical GelPort access. STUDY DESIGN: A prospective case-control study was performed at a University teaching hospital between January 2009 and March 2010, a total of 242 women with ...
Objective. To investigate the effects of conventional and single port laparoscopically-assisted vaginal hysterectomy (LAVH) on sexual function in premenopausal women. Design. A prospective case-control study. Setting. University teaching hospital. Population. A total of 95 premenopausal women having LAVH from January 2009 to December 2009. Methods. ...
The objective of this meta-analysis was to assess whether laparoscopic-assisted vaginal hysterectomy achieves better clinical results compared with abdominal hysterectomy. Medline (PubMed), EMBASE, Web of Science, ProQuest, Cochrane Library and China Biological Medicine Database were searched to identify randomized controlled trials that compared ...
Background and Objectives:Natural orifice transluminal endoscopic surgery involves the introduction of instruments through a natural orifice into the peritoneal cavity to perform diagnostic and therapeutic surgical interventions. We report the utilization of the vaginal opening at the time of laparoscopic-assisted vaginal hysterectomy or total laparoscopic ...
PubMed Central
The purpose of this article is to present a case of laparoscopic myomectomy (LM) that led to the identification of a new minimally invasive technique [laparoscopic-assisted vaginal myomectomy (LAVM)] for removing multiple transmural uterine myomas and facilitating uterine suturing. In addition, we reviewed the literature to (1) describe the history leading ...
Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an innovative approach in which a flexible endoscope enters the abdominal cavity via the transesophageal, transgastric, transcolonic, transvaginal or transvescical route, combining the technique of minimally invasive surgery with flexible endoscopy. Several groups have described different modifications by using flexible endoscopes with ...
OBJECTIVE: Single-port access (SPA) surgery is a rapidly advancing technique in laparoscopic surgery. Currently, there is limited evidence on the learning curve and complications of performing SPA laparoscopic-assisted vaginal hysterectomies (LAVHs). STUDY DESIGN: One hundred patients who initially planned to undergo a SPA-LAVH for ...
Background and Objectives:Laparoscopic-assisted colonic resection has been well described for multiple surgical indications. This typically requires an abdominal incision for specimen removal that is associated with the majority of postoperative pain. We describe the first laparoscopic-assisted transvaginal approach for sigmoidectomy and rectocolpopexy for the treatment of ...
BACKGROUND: To present our experience of vaginal reconstruction with the use of a pedicled ileum segment and laparoscope assistance, and to analyze its complications and long-term anatomic and functional results. METHODS: The abdominal and perineal approaches were performed simultaneously with the patient in a special position. Under ...
Hysterectomy is the commonest gynecologic operation performed not only for malignant disease but also for many benign conditions such as fibroids, endometrial hyperplasia, adenomyosis, uterine prolapse, dysfunctional uterine bleeding, and cervical intraepithelial neoplasia. There are many approaches to hysterectomy for benign disease: abdominal hysterectomy, vaginal ...
Objectives: this study aims to assess the frequency, complications and advantages of each of the three principal approaches to hysterectomies: abdominal, vaginal, and laparoscopic. Patients and method: this prospective study analyses a consecutive series of 78�hysterectomies for benign disease (myomas and precancerous lesions of the cervix) in the gynaecological surgery ...
Objective. To develop a regression-based prediction equation for operative time and estimated blood loss in laparoscopically assisted vaginal hysterectomy (LAVH) for large uteri, as required, by combined laparoscopic in situ and vaginal morcellation. Design. Prospective study (Canadian Task Force classification ...
A technique for laparoscopically assisted resection of umbilical structures in foals was developed. Eleven foals ranging from 8 to 42 days old underwent this procedure. Results of bacteriologic culture of umbilical structures were positive in 7 foals. Mean duration of anesthesia was 99 minutes, of which the initial 20 to 25 minutes were typically devoted ...
... STDFact-PID.htm. Accessed March 10, 2011. Hillard PA. Vaginal signs and symptoms: Vaginal discharge. In: Hillard PA. The 5-minute Obstetrics and Gynecology Consult. Philadelphia, ...
Introduction:Laparoscopic hysterectomy for large fibroid uteri is technically a difficult procedure. In this article, we report our experience with fibroid uteri >1 kg in weight.Materials and Methods:An intent-to-treat study.Results:From 2003 to 2009, 13 patients were successfully treated for large fibroid uteri with postoperative specimens weighing >1000 g. Four patients had total abdominal ...
This is an Open Access article distributed under the terms of the Creative Commons Attribution License
E-print Network
Abstract Background: Single-port laparoscopic-assisted vaginal hysterectomy (S-LAVH) uses only one transumbilical incision site and has better cosmetic result than conventional multiport LAVH. This study aimed to evaluate our initial experience with S-LAVH compared with the more conventional three-port LAVH in women with benign uterine diseases. Methods: ...
BackgroundThis randomized, double-blinded clinical study was designed to evaluate the efficiency and safety of remifentanil with ketorolac for IV PCA after laparoscopic-assisted vaginal hysterectomy.MethodsEighty patients were randomly allocated into four groups. Group R received IV PCA using only remifentanil at a basal rate of 0.025 �g/kg/min and a ...
BackgroundWe evaluated the effect and safety of the immediate postoperative continuous infusion of remifentanil at two doses in patients undergoing laparoscopic-assisted vaginal hysterectomy (LAVH) with alfentanil-based patient-controlled analgesia (PCA).MethodsThe study enrolled 50 ASA physical status 1 or 2 patients scheduled to undergo LAVH. Anesthesia ...
Introduction and hypothesisThe purpose of this study is to identify risk factors for mesh erosion in women undergoing minimally invasive sacrocolpopexy (MISC). We hypothesize that erosion is higher in subjects undergoing concomitant hysterectomy.MethodsThis is a retrospective cohort study of women who underwent MISC between November 2004 and January 2009. Demographics, operative techniques, and ...
Cervical carcinoma remains an important health problem in both developed and developing countries even though population-based screening programs are widely available. The classical surgical management of early-stage cervical carcinoma, known as radical hysterectomy (RH), was first described by Wertheim more than one hundred years ago and was then modified and re-popularized by Meigs in 1950s. The ...
While medical technology is very useful we need to be aware of its inappropriate use. Examples are given, such as: continuous vs. intermittent electronic fetal monitoring; widespread use of magnetic resonance image technology where simple methods could be as effective; laparoscopically assisted vaginal hysterectomies replacing simple ...
... by on- line access, tape, or file ... Disease / surgical procedure / etc. ... Topical Transdermal Transmammary Transplacental Unknown Urethral Vaginal ...
Center for Biologics Evaluation and Research (CBER)
The study reported here compares outcomes of three approaches to minimally invasive hysterectomy for benign indications, namely, robotic-assisted laparoscopic (RALH), laparoscopic-assisted vaginal (LAVH) and laparoscopic supracervical (LSH) hysterectomy. The total patient cohort comprised the first 237 patients undergoing robotic surgeries at our hospital ...
Vaginal hysterectomy is the method of choice for gynaecologists who carry out hysterectomies. Undertaking this procedure regularly will enhance the gynaecologist's level of skill and enable conditions such as ovarian cysts, broad ligament fibroids and other adnexal pathology to be dealt with vaginally during hysterectomy surgery without abdominal invasion. ...
Background:Endoscopic access to the proximal gastrointestinal tract may prove difficult for a variety of anatomic reasons. Under laparoscopic visualization, trocars can be placed into the stomach with the subsequent introduction of a flexible endoscope directly into the body of the stomach. The purpose of this study was to describe this technique and demonstrate that it is ...
Abstract Objective: The objective of this study was to review our experience of laparoscopic (LA) or laparoscopic-assisted pelvic surgery (LAPS) in small infants. Materials and Methods: The medical records of 35 patients who underwent an LA or LAPS between January 2007 and June 2010 were studied and 21 patients who were younger than 1 year or whose weight was less than 10?kg were included. ...
AIM: To explore the feasibility of a water-jet hybrid knife to facilitate wedge hepatic resection using a natural orifice transluminal endoscopic surgery (NOTES) approach in a non-survival porcine model.METHODS: The Erbe Jet2 water-jet system allows a needleless, tissue-selective hydro-dissection with a pre-selected pressure. Using this system, wedge hepatic resection was performed through three ...
Please cite this paper as: Vonk Noordegraaf A, Huirne J, Br�lmann H, van Mechelen W, Anema J. Multidisciplinary convalescence recommendations after gynaecological surgery: a modified Delphi method among experts. BJOG 2011; DOI: 10.1111/j.1471-0528.2011.03091.x. Objective? To generate structured detailed uniform convalescence recommendations after gynaecological surgery by a modified Delphi ...
... usually by online access, tape, or file ... Disease/surgical procedure/etc. ... Transmammary Transplacental Unknown Urethral Vaginal Dated: January ...
Geography Length of Pregnancy (Gestation) and Birthweight National Subnational Method of Delivery (Cesarean and Vaginal Births) National Subnational Characteristics of Mother...
Science.gov Websites
BackgroundVery few cases of small bowel obstruction due to ingested fruits have been described in literature, and most of these have managed by a laparotomy. Laparoscopic assisted surgery can effectively deal with such impacted foreign bodies, thereby avoiding a formal laparotomy.Case presentationA 75 years old lady was admitted via the Accident and ...
We reported an unusual case with subcutaneous seeding of hepatocellular carcinoma 12 months after laparoscopic-assisted partial hepatectomy. A 69-year-old woman with hepatitis-C-related liver cirrhosis was found to have hepatocellular carcinoma on routine sonographic examination. The tumor located superficially in the left lateral segment. She received ...
Interstitial laser photocoagulation (ILP), which is a new method of low power laser destruction of tumors, has been used to treat laparoscopically 50 consecutive patients with symptomatic uterine leiomyomas which were difficult or impossible to remove via laparoscopy. The KTP/YAG laser, with wavelengths of 532 and 1064 nm respectively, was employed. Holes 2 cm apart were drilled with a 600 ...
NASA Astrophysics Data System (ADS)
At present, there are only few data on the surgical outcomes of laparoscopic hysterectomy (LH). Up till now, it has been unclear whether there is a difference in number of complications among the subcategories of laparoscopic total hysterectomy and laparoscopic subtotal hysterectomy (LSH). Therefore, we have performed a retrospective analysis to evaluate the peri- and postoperative outcomes in ...
FREQUENTLY ASKED QUESTIONS FAQ028 GYNECOLOGIC PROBLEMS [PDF format] Vaginitis What is vaginitis? What can cause vaginitis? How is vaginitis diagnosed? How is vaginitis ...
The trend of using smaller operative corridors is seen in various surgical specialties. Neurosurgery has also recently embraced minimal access spine technique, and it has rapidly evolved over the past 2 decades. There has been a progression from needle access, small incisions with adaptation of the microscope, and automated percutaneous procedures to ...
A 5-year-old boy was seen for a second opinion as he had episodes of severe abdominal pain and a variably distended abdomen. Ultrasonography showed a suspected duplication cyst of the terminal ileum. A laparoscopically assisted resection was performed. Histology confirmed the diagnosis of a duplication cyst. A few months later a 10-year-old boy presented ...
A successful laparoscopic-assisted cryptorchidectomy is reported in a novel species, the reindeer (Rangifer tarandus). The procedure was performed in an 8-year-old adult positioned in dorsolateral oblique recumbency, with an open approach midline subumbilical placement of the primary 10?mm optical port and carbon dioxide insufflation at 12?mmHg. Three 5?mm instrument ports ...
Accessing vaginal pH is fundamental during gynaecological visit for the detection of abnormal vaginal flora (AVF), but use of pH strips may be time-consuming and difficult to interpret. The aim of this study was to evaluate the VS-SENSE test (Common Sense Ltd, Caesarea, Israel) as a tool for the diagnosis of AVF and its correlation ...
... factors for vaginal cancer? What are the key statistics about vaginal cancer? Vaginal cancer is rare. Only ...
... infections that can cause vaginitis include trichomoniasis and yeast infections. Some other causes of vaginal symptoms, including ...
... vaginal cancer have the best chance for a cure. Vaginal cancer that spreads beyond the vagina is much more ...
Symptomatic Recurrent Diverticular Disease; Benign Adenomatous Sigmoidal Polyp, Requiring Surgery; Early Non-transmural Sigmoidtumor
ClinicalTrials.gov
Patients with colon cancer experienced similar rates of cancer recurrence whether they were treated with laparoscopically assisted surgery or conventional open abdominal surgery (colectomy) in a large randomized clinical trial.
Cancer.gov
In this report, I would like to explain the latest data from the 7th National Survey 2004, by the Japan Society for Endoscopic Surgery (1). Next, I will explain you the comment on laparoscopic gastric cancer operation, in particular. We perform the following 3 surgical procedures. (1) Intragastric method (2) Laparoscopic lesion lifting method (3) Laparoscopic ...
Natural Orifice Transluminal Endoscopic Surgery (NOTES) is an emerging concept which has been recently applied to the field of rectal excision. The authors describe a case of total mesorectal excision using a transanal port and laparoscopic assistance. We described a procedure performed in a 45-year-old for a rectal adenocarcinoma (1�cm wide, T1sm3) ...
The use of trial of labor after cesarean (TOLAC) has declined in the last decade, and the clinical risks of TOLAC remain low. Nonclinical factors continue to affect women's access to TOLAC. This article considers 5 categories of factors that seem to be influencing rates of TOLAC and vaginal birth after cesarean: opinion leaders and professional guidelines, ...
... common vaginal infections are: Bacterial Vaginosis Trichomoniasis Vaginal Yeast Infection Some vaginal infections are transmitted through sexual contact, but others, such as yeast infections, probably are not. Other causes of vaginitis ...
ObjectiveTo compare tension-free vaginal tape with colposuspension as primary treatment for stress incontinence.DesignMulticentred randomised comparative trial.SettingGynaecology or urology departments in 14 centres in the United Kingdom and Eire, including university teaching hospitals and district general hospitals.Participants344 women with urodynamic stress incontinence; ...
Clinical implementation and widespread application of natural orifice translumenal surgery (NOTES) has been limited by the lack of specialized endoscopic equipment, which has prevented the ability to perform complex procedures including colorectal resections. Relative to other types of translumenal access, transanal NOTES using transanal endoscopic microsurgery (TEM) provides ...
BACKGROUND: The transrectal natural orifice transluminal endoscopic surgery (NOTES) approach is a potentially promising alternative to transgastric or transvaginal approaches for intraperitoneal procedures. However, whether the optimal transrectal approach for intraperitoneal surgery is anterior or posterior remains unknown. To evaluate this, a prospective comparison of anterior and posterior ...
Background:Although the technical feasibility of laparoscopic management of Crohn's disease has been described, it remains of limited perceived usefulness in the management of surgically complex Crohn's. Successful management of such disease by using minimal access techniques is described.Patients and Methods:Seventeen patients underwent laparoscopically ...
