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Abstract Background: The aim of this paper is to review and compare the results obtained using the Pfannenstiel, laparoscopy and minilaparotomy approaches for total hysterectomy procedure in relation to benign uterine diseases. Methods: A retrospective data analysis was performed on 165 patients who underwent hysterectomy for benign uterine diseases at our centre during the period 2004 to 200…
Abstract The finding of pneumoperitoneum on a chest radio-graph is most commonly associated with an underlying viscus perforation (Mularski et al. West J Med 170:41–46,1999). Urgent surgical intervention, in particular emergency laparot-omy, is often required in these cases. However, in 10 % of patients, a perforated viscus is not the precipitating cause of a pneumoperitoneum (referred to as …
Traditionally, a large uterus (as defined by The American College of Obstetricians and Gynaecologists as a uterine mass of >280 g) has been considered a contraindication to vaginal hysterectomy [1]. When comparedwith abdominal hysterectomy, the vaginal route has been associatedwith a shorter length of hospital stay and speedier return to normal activities [2,3]. Vaginal hyster-ectomy of an enl…
Abstract Uterine artery embolization (UAE) has been part of treatment options for postpartum hemorrhage (PPH) at Oslo University Hospital since 2007. We wanted to investigate i introduction of UAE influenced the incidence of postpartum hysterectomy and in addition to evaluate clinical success and fertility after UAE. This retrospective study includes patients treated for severe PPH undergoing U…
Abstract New surgical techniques and technology have sim-plified laparoscopic hysterectomy and have enhanced the safety of this procedure. However, the surgical colpotomy step has not been addressed. This study evaluates the surgical colpotomy step in laparoscopic hysterectomy with respect to difficulty and duration. Furthermore, it proposes an alternative route that may simplify this step in l…
Abstract The objective of this case report is to demonstrate a new hysterectomy technique via transvaginal natural orifice transluminal endoscopic surgery (NOTES) using robotic sur-gery. Previous experience with the Da Vinci Xi (Intuitive Surgery) for gynaecological oncology, and with NOTES for adnexal surgery and hysterectomy, led to the decision to com-bine the advantages of these techniques,…
Abstract This study aimed to evaluate the effect of surgical risk factors, including type of surgery, body mass index, uter-ine size and presence of adhesions, on perioperative outcomes and complication rates in laparoscopic hysterectomy (LH). This was a retrospective cohort study of 264 LH cases per-formed between 2005 and 2013 at a London University Hos-pital. One hundred sixty six (62.9 %) …
AbstractThe diagnosis and management of non-puerperal uterine inversion can be challenging. The majority of case are caused by benign leiomyomas, but 15 % are related to a malignant mass. Published case reports can guide gynaecologists who encounter this rare condition and provide valuable insight in its management. We present a case of non-puerperal uterine inversion in a pre-menopausal woman …
AbstractTotal laparoscopic hysterectomy (TLH) in the presence of patients with previous cesarean section (CS) is becoming increasingly common. When performing TLH in these patients, bladder adhesions to the uterus may make dissectionmuchmore difficult with higher complication rates. The aim of this study was to assess the safety of TLH in patients with previous CS in an OBGYN residence program…
AbstractThe purpose of this study was to demonstrate the feasibility and safety of total laparoscopic hysterectomy (TLH) by single-incision laparoscopic surgery (SILS) with conventional, reusable laparoscopic instruments, inserted through an inexpensive, self-constructed single-port device. Between June 2013 and April 2014, 15 TLHs by SILS were performed by a single surgeon (BJ). Only convent…