Journal of minimally invasive gynecology
-
J Minim Invasive Gynecol · May 2014
ReviewElectromechanical morcellators in minimally invasive gynecologic surgery: an update.
To assess all electromechanical morcellators used in gynecology to achieve an objective comparison between them and to make suggestions for improvements in future developments. ⋯ Over the years, the morcellator has improved with respect to the morcellation rate. However, the morcellation process still has limitations, including tissue scattering, morcellator-related injuries, and the inevitable small blade diameter, which all come at the expense of the morcellation rate and time. Therefore, development of improved morcellators is required, with consideration of the observed limitations.
-
J Minim Invasive Gynecol · May 2014
Randomized Controlled Trial Comparative StudyLow vs standard pneumoperitoneum pressure during laparoscopic hysterectomy: prospective randomized trial.
To compare the use of low pneumoperitoneum pressure (LPP; 8 mm Hg) vs standard pneumoperitoneum pressure (SPP; 12 mm Hg) during mini-laparoscopic hysterectomy (MLH). ⋯ In experienced hands, use of LPP is safe and feasible. During performance of MLH, compared with SPP, LPP is a simple method that offers advantages of less shoulder-tip pain.
-
Morcellation at laparoscopy is a commonly used minimally invasive method to extract bulky tissue from the abdomen without extending abdominal incisions. Despite widespread use of morcellation, complications still remain underreported and poorly understood. We performed a systematic review of surgical centers in the United States to identify, collate and update the morcellator-related injuries and near misses associated with powered tissue removal. ⋯ These complications are largely unreported, likely because of publication bias associated with catastrophic events. Surgeon experience likely confers some protection against these injuries. Understanding and implementing safe practices associated with the use of the laparoscopic morcellator will reduce these iatrogenic injuries.
-
J Minim Invasive Gynecol · May 2014
Randomized Controlled TrialUse of music to reduce anxiety during office hysteroscopy: prospective randomized trial.
To investigate the effects of music on anxiety and perception of pain during office hysteroscopy. ⋯ Music can be useful as a complementary method to control anxiety and reduce perception of pain. The patient is more relaxed and experiences less discomfort.
-
J Minim Invasive Gynecol · May 2014
Clinical TrialUltrasound-guided percutaneous microwave ablation for submucosal uterine fibroids.
To prospectively evaluate the efficiency and safety of ultrasound-guided percutaneous microwave ablation (PMWA) in treating symptomatic submucosal uterine myomas. ⋯ PMWA seems to be effective and safe for treatment of submucosal myomas.