Journal of minimally invasive gynecology
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J Minim Invasive Gynecol · Jul 2013
Randomized Controlled Trial Comparative StudyComparison of sublingual misoprostol with lidocaine spray for pain relief in office hysteroscopy: a randomized, double-blind, placebo-controlled trial.
To compare the effectiveness of sublingual misoprostol with lidocaine pump spray for office hysteroscopy. ⋯ Sublingual misoprostol is more effective than lidocaine spray in pain reduction during office hysteroscopy. Misoprostol may cause vaginal spotting, which may impair the vision during hysteroscopy especially just after the menstrual period. Preventive measures should be taken to make the procedure pain free because the physician may underestimate pain perception during the procedure.
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J Minim Invasive Gynecol · Jul 2013
ReviewComputer-assisted laparoscopy in fertility preservation and reproductive surgery.
Current strategies for fertility preservation rely heavily on assisted reproductive technology and fertility-sparing surgery. Whether seeking to avert loss of fertility associated with excision of adnexal or uterine disease or to preempt gonadal failure resulting from chemotherapy or radiation, each woman is unique in her reproductive endeavor and will benefit from careful consideration of her fertility goals together with a specialist in assisted reproductive technology and reproductive surgery. ⋯ Computer-assisted laparoscopy, commonly known as robotic surgery, addresses the practical limitations of conventional laparoscopic surgery and holds the promise of making complex fertility-sparing procedures safe and reproducible in the hands of reproductive specialists. Herein we illustrate the transforming capabilities of robotics in reproductive surgery and highlight the current and future potential of this technology in fertility preservation.
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J Minim Invasive Gynecol · Jul 2013
Randomized Controlled TrialBarbed versus standard suture: a randomized trial for laparoscopic vaginal cuff closure.
To compare closure times, cuff healing, and postoperative dyspareunia between barbed and traditional sutures during laparoscopic total hysterectomy. ⋯ Laparoscopic vaginal cuff closure times are similar when using barbed sutures and braided sutures.
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J Minim Invasive Gynecol · Jul 2013
Nonresectoscopic endometrial ablation in high-risk surgical patients: a cohort study.
To evaluate the use of nonresectoscopic endometrial ablation in women with high anesthetic and surgical risk compared with low-risk women based on the American Society of Anesthesia (ASA) physical status stratification. ⋯ For women who are high anesthetic and surgical risks because of serious underlying comorbidities, nonresectoscopic endometrial ablation can provide minimally invasive, safe, and effective therapy for menorrhagia.