Journal of minimally invasive gynecology
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J Minim Invasive Gynecol · Jan 2015
The impact of obesity on the 30-day morbidity and mortality after surgery for endometrial cancer.
To examine the effect of body mass index (BMI) on postoperative 30-day morbidity and mortality after surgery to treat endometrial cancer. ⋯ Morbidly obese patients with endometrial cancer have more preoperative morbidities and postoperative complications, in particular surgical and infectious complications, and are less likely to undergo minimally invasive surgery. However, obesity was not an independent predictor of perioperative outcomes after controlling for other confounders.
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J Minim Invasive Gynecol · Jan 2015
ReviewLaparoscopic myomectomy: clinical outcomes and comparative evidence.
Laparoscopic myomectomy is a common surgical treatment for symptomatic uterine leiomyomas. Proponents of the laparoscopic approach to myomectomy propose that the advantages include shorter length of hospital stay and recovery time. Others suggest longer operative time, greater blood loss, increased risk of recurrence, risk of uterine rupture in future pregnancies, and potential dissemination of cells with use of morcellation. This review outlines techniques for performance of laparoscopic myomectomy and critically appraises the available evidence for operative data, short-term and long-term complications, and reproductive outcomes.
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J Minim Invasive Gynecol · Jan 2015
Anterior-apical single-incision mesh surgery (SIMS): surgical and functional outcomes at 1 year.
To study the surgical and functional outcomes of single-incision mesh surgery for treatment of advanced pelvic organ prolapse (POP). ⋯ Single-incision mesh surgery for treatment of advanced POP results in improvement in anatomical and quality-of-life outcomes. No mesh exposure was recorded in the first year after surgery; however, new onset of stress urinary incontinence may occur. Ultrasound evaluation demonstrated an increase in mesh length and thickness over time, with concurrent calculated lengthening of the C point and total vaginal length.
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J Minim Invasive Gynecol · Jan 2015
Hysteroscopic morcellation: review of the manufacturer and user facility device experience (MAUDE) database.
To investigate the number and type of adverse events associated with hysteroscopic morcellation of intrauterine disease. ⋯ The suction-based, mechanical energy, rotating tubular cutting system was developed to overcome adverse events that occur during traditional resectoscopy. On the basis of acknowledged limited information from the MAUDE database, it seems that life-threatening complications such as fluid overload, uterine perforation, and bleeding do occur with hysteroscopic morcellation but less frequently than with traditional electrocautery.