Journal of minimally invasive gynecology
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J Minim Invasive Gynecol · Jan 2008
Randomized Controlled TrialPentoxifylline after conservative surgery for endometriosis: a randomized, controlled trial.
To compare outcomes after conservative surgery for endometriosis with and without pentoxifylline and to assess the efficacy of pentoxifylline in preventing recurrence of endometriosis after conservative surgery. ⋯ The use of pentoxifylline after conservative surgery for endometriosis resulted in improved VAS scores at 2 and 3 months after the procedure when compared with patients having conservative surgery only. The longer-term use of pentoxifylline after conservative surgery may improve long-term outcomes after surgical treatment for endometriosis.
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J Minim Invasive Gynecol · Nov 2007
Immediate Foley removal after laparoscopic and vaginal hysterectomy: determinants of postoperative urinary retention.
We sought to evaluate the incidence of postoperative voiding dysfunction in patients undergoing vaginal hysterectomy (VH) or total laparoscopic hysterectomy (TLH) and to identify risk factors for the development of postoperative urinary retention after uncomplicated total hysterectomy. ⋯ Patients undergoing VH are more likely to develop postoperative voiding dysfunction than those who undergo TLH, when a policy of immediate catheter removal after surgery is used.
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J Minim Invasive Gynecol · Nov 2007
Review Case ReportsParasitic peritoneal leiomyomatosis diagnosed 6 years after laparoscopic myomectomy with electric tissue morcellation: report of a case and review of the literature.
A 33-year-old woman, gravid 2 para 2, underwent laparoscopic myomectomy with electric tissue morcellation for intraligamental myoma. Six years later, asymptomatic pelvic tumor was found during a routine checkup. Under laparoscopic observation, multiple soft tumors were detected in the peritoneal cavity and these tumors were successfully excised by a laparoscopic-assisted procedure. Pathological examination demonstrated that these tumors were progesterone receptor-positive leiomyomas that were almost identical histologically to the myoma tissue excised 6 years earlier.
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J Minim Invasive Gynecol · Sep 2007
Management of large cystic adnexal tumor by gasless laparoscopic-assisted surgery with wound retractor.
We used a retrospective analysis to evaluate the efficacy of a wound retractor used in gasless laparoscopic-assisted surgery by the subcutaneous abdominal wall-lift method for the management of large cystic adnexal tumors. In the department of gynecology at a general hospital, 39 patients with large cystic adnexal tumors with an excised tissue weight including cystic contents exceeding 1000 g were treated by gasless laparoscopic-assisted surgery with a wound retractor from January 2001 through December 2006. Intervention was with a gasless laparoscopic-assisted adnexal surgery with a wound retractor. ⋯ Histopathologic diagnosis of the excised tumor was mucinous cystadenoma, 18 cases; serous cystadenoma, 8 cases; mucinous cystadenocarcinoma of low-grade malignancy, 5 cases; dermoid cyst, 4 cases; paraovarian cyst, 2 cases; endometriotic cyst, 1 case; and clear cell adenocarcinoma, 1 case. Bilateral adnexal tumors were noted in 3 cases. We determined that gasless laparoscopic-assisted adnexal surgery with a wound retractor is an effective, minimally invasive procedure to treat large cystic adnexal tumors.
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J Minim Invasive Gynecol · Jul 2007
ReviewEndometrial ablation devices: review of a manufacturer and user facility device experience database.
Our objective was to evaluate complications reported to the Manufacturer and User Facility Device Experience (MAUDE) database and to look for trends of complications among various endometrial ablation devices. This database was not intended to be used either to evaluate rates of adverse events or to compare adverse event occurrence rates across devices. We performed a retrospective review of the Food and Drug Administration's MAUDE database. ⋯ The total number of adverse events reported in the United States for the time period January 1, 2003, through December 31, 2006, was 254. The largest number of major complications for cryoablation was bowel injury (n = 5), for microwave was bowel injury (n = 6), for hot water balloon was complications leading to hysterectomy (n = 7), for free circulating hot water was severe burns (n = 22), and for bipolar mesh was bowel injury (n = 19). The MAUDE database is useful to both the physician and manufacturer to look at trends and types of complications.