Journal of minimally invasive gynecology
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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.
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J Minim Invasive Gynecol · May 2013
Multicenter StudyBlinded assessment of operative performance after fundamentals of laparoscopic surgery in gynecology training.
To determine the pass rate for the Fundamentals of Laparoscopic Surgery (FLS) examination among senior gynecology residents and fellows and to find whether there is an association between FLS scores and previous laparoscopic experience as well as laparoscopic intraoperative (OR) skills assessment. ⋯ The FLS pass rate for senior residents and fellows was 76%, with higher pass rates associated with increasing levels of training and laparoscopic case experience.
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J Minim Invasive Gynecol · May 2013
Historical ArticleSurgical complications specific to monopolar electrosurgical energy: engineering changes that have made electrosurgery safer.
Monopolar electrosurgical energy is the most commonly used energy source during laparotomic and laparoscopic surgery. The clinical application of monopolar energy is not without risk. Monopolar electrosurgical energy was introduced into surgical practice at the turn of the 20th century. ⋯ Today, insulation failure and capacitive coupling are the most common reasons for electrosurgical injury during laparocopic procedures. There is a need for advanced technology such as active electrode monitoring to address these invisible risks to the surgeon and their patients. In addition, the laparoscopic surgeon should be encouraged to study the basic biophysics involved in electrosurgery.
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J Minim Invasive Gynecol · Mar 2013
Comparative StudyEffect of uterine preservation on outcome of laparoscopic uterosacral suspension.
To compare the objective outcome of laparoscopic uterosacral hysteropexy with that of hysterectomy combined with laparoscopic uterosacral colpopexy. ⋯ Hysterectomy with laparoscopic uterosacral colpopexy produced better objective success rates than did laparoscopic uterosacral hysteropexy; however, repeat operation rates were not significantly different.