One hundred cases of laparoscopic subtotal hysterectomy using the PK and Lap Loop systems.

Abstract:

STUDY OBJECTIVE:To evaluate the safety and short-term outcomes of laparoscopic subtotal hysterectomy using the PK and Lap Loop systems. DESIGN:Prospective observational study (Canadian Task Force classification II-2). SETTING:Princess Royal University and Chelsfield Park Hospitals, Kent, UK. PATIENTS:One hundred women who underwent laparoscopic subtotal hysterectomy for menorrhagia from February 2003 through July 2004. INTERVENTION:The procedure was performed using the Plasma Kinetic (PK) system to seal the vascular pedicles and the Lap Loop system to separate the uterus at the level of the internal os. The uterus was removed from the abdominal cavity mainly by morcellation or posterior colpotomy. MEASUREMENTS AND MAIN RESULTS:Of 100 patients, 59 were operated on as outpatients. Mean patient age was 44.6 years, median parity was 2, mean body mass index was 26.8, and mean duration of symptoms was 4 years. Clinically, the uterus was enlarged in 70 patients, and preoperative ultrasound scanning suggested the presence of uterine myomas in 42 patients. In addition to hysterectomy, 47 patients had concomitant pelvic surgery. The mean total operating time was 45.5 minutes, and mean estimated blood loss was 114 mL. The overall major complication rate was 2%; two patients required blood transfusion after surgery. There were no bowel or urinary tract injuries, unintended laparotomy, return to operating room, or anesthetic complications. At follow-up, all patients were satisfied with surgery. CONCLUSION:Laparoscopic subtotal hysterectomy using the PK and Lap Loop systems for treatment of therapy-resistant menorrhagia is safe, can be performed as an outpatient procedure, and is associated with reduced operating time and high patient satisfaction.

authors

Erian J,El-Toukhy T,Chandakas S,Theodoridis T,Hill N

doi

10.1016/j.jmig.2005.05.007

keywords:

subject

Has Abstract

pub_date

2005-07-01 00:00:00

pages

365-9

issue

4

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(05)00296-7

journal_volume

12

pub_type

杂志文章
  • The Hohl instrument for optimizing total laparoscopic hysterectomy procedures.

    abstract:STUDY OBJECTIVE:To evaluate the feasibility of total laparoscopic hysterectomy (TLH) using the Hohl instrument in an initial cohort of patients. DESIGN:Retrospective cohort analysis (Canadian Task Force classification II-3). SETTING:Department of Obstetrics and Gynecology, Erlangen University Hospital, Erlangen, Germ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2005.04.006

    authors: Mueller A,Oppelt P,Ackermann S,Binder H,Beckmann MW

    更新日期:2005-09-01 00:00:00

  • Ten-year subjective outcome results of the retropubic tension-free vaginal tape for treatment of stress urinary incontinence.

    abstract:STUDY OBJECTIVE:To assess the 10-year subjective outcome of use of retropubic tension-free vaginal tape (TVT). DESIGN:Structured telephone interview (Canadian Task Force classification II-3). SETTING:Universitiy-affiliated tertiary medical center. PATIENTS:Sixty consecutive women with urodynamically confirmed stress...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2011.07.006

    authors: Groutz A,Rosen G,Cohen A,Gold R,Lessing JB,Gordon D

    更新日期:2011-11-01 00:00:00

  • Is pouch of Douglas obliteration a marker of bowel endometriosis?

    abstract:STUDY OBJECTIVE:To estimate the clinical significance of pouch of Douglas (POD) obliteration in women undergoing laparoscopic excision of endometriosis. DESIGN:Prospective study (Canadian Task Force Classification II-2). SETTING:University-affiliated tertiary referral center for endometriosis. PATIENTS:A total of 45...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2011.01.011

    authors: Khong SY,Bignardi T,Luscombe G,Lam A

    更新日期:2011-05-01 00:00:00

  • Analysis of survival after laparoscopic-assisted vaginal hysterectomy compared with the conventional abdominal approach for early-stage endometrial carcinoma: a review of the literature.

    abstract:STUDY OBJECTIVE:To assess potential differences in perioperative features and survival between laparoscopic-assisted vaginal hysterectomy and conventional transabdominal hysterectomy in stage I endometrial cancer. DESIGN:Retrospective, nonrandomized clinical study (Canadian Task Force classification II-2). SETTING:Ac...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2005.08.013

    authors: Gil-Moreno A,Díaz-Feijoo B,Morchón S,Xercavins J

    更新日期:2006-01-01 00:00:00

  • Comparison of the use of LigaSure, HALO PKS cutting forceps, and ENSEAL tissue sealer in total laparoscopic hysterectomy: a randomized trial.

    abstract:STUDY OBJECTIVE:There are many instruments with different energy modalities or with different properties that are available for use in total laparoscopic hysterectomy. The aim of the study was to compare the use of LigaSure (Valleylab, Boulder, CO), HALO PKS cutting forceps (Gyrus-ACMI, Maple Grove, MA), and ENSEAL tis...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jmig.2014.01.010

    authors: Aytan H,Nazik H,Narin R,Api M,Tok EC

    更新日期:2014-07-01 00:00:00

  • Reproductive Outcomes following Use of Barbed Suture during Laparoscopic Myomectomy.

    abstract:STUDY OBJECTIVE:To review pregnancy outcomes after laparoscopic myomectomy with the use of barbed suture. DESIGN:Retrospective cohort study and follow-up survey. SETTING:Single, large academic medical center. PATIENTS:Patients who underwent laparoscopic myomectomy with the use of barbed suture for myometrial closure...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2020.02.005

    authors: Pepin K,Dmello M,Sandberg E,Hill-Verrochi C,Maghsoudlou P,Ajao M,Cohen SL,Einarsson JI

    更新日期:2020-01-01 00:00:00

  • Laparoscopic Resection of Cesarean Scar Ectopic Pregnancy.

    abstract:STUDY OBJECTIVE:To demonstrate a technique for the laparoscopic surgical management of cesarean section scar ectopic pregnancy. DESIGN:Step-by-step presentation of the procedure using video (Canadian Task Force classification III). SETTING:Cesarean section scar ectopic pregnancy is a rare form of ectopic pregnancy wi...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2016.11.006

    authors: Ades A,Parghi S

    更新日期:2017-01-01 00:00:00

  • Robotic Resection of Diaphragm Metastases in Ovarian Cancer: Technical Aspects.

    abstract::Diaphragm metastases in ovarian cancer can be safely resected robotically in selected patients. The technique is similar to laparotomy, whether it is a peritoneal or full-thickness excision. Trocar placement is very important for successful resection and is dependent on the location of the disease. Metastases involvin...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2019.12.018

    authors: Magrina JF,Magtibay PM

    更新日期:2020-01-01 00:00:00

  • Minimally Invasive Surgery for Resection of Diaphragm Metastases in Ovarian Cancer.

    abstract:STUDY OBJECTIVE:To estimate pulmonary complications and diaphragm recurrence after resection of diaphragm metastases by minimally invasive surgery (MIS) for epithelial ovarian cancer (EOC). DESIGN:Retrospective analysis (Canadian Task Force classification III). SETTING:Mayo Clinic in Scottsdale, Arizona, from January...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2018.12.003

    authors: Magrina JF,Guardiola TC,Magtibay PM 3rd,Kosiorek HE,Magtibay PM

    更新日期:2019-01-01 00:00:00

  • Unique Learning System for Uterine Artery Embolization for Symptomatic Myoma and Adenomyosis for Obstetrician-Gynecologists in Cooperation with Interventional Radiologists: Evaluation of UAE From the Point of View of Gynecologists Who Perform UAE.

    abstract:STUDY OBJECTIVE:To evaluate a unique learning system for uterine artery embolization (UAE) and examine its feasibility and clinical outcomes for the treatment of symptomatic uterine leiomyomas and adenomyosis when performed by obstetrician-gynecologists in cooperation with interventional radiologists (IVRs). DESIGN:Re...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2017.08.008

    authors: Soeda S,Hiraiwa T,Takata M,Kamo N,Sekino H,Nomura S,Kojima M,Kyozuka H,Ozeki T,Ishii S,Tameda T,Asano K,Miyazaki M,Takahashi T,Watanabe T,Taki Y,Fujimori K

    更新日期:2018-01-01 00:00:00

  • Acquisition of endovascular skills for obstetrician-gynecologists.

    abstract:STUDY OBJECTIVE:To identify skills not part of the training of obstetrician-gynecologists that are needed to perform endovascular procedures, especially uterine artery embolization. DESIGN:Literature review of known skills necessary to perform endovascular procedures. RESULTS:Important areas of endovascular skills ar...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2005.12.008

    authors: McLucas B

    更新日期:2006-03-01 00:00:00

  • Laparoscopic promontofixation for the treatment of recurrent sigmoid neovaginal prolapse: case report and systematic review of the literature.

    abstract::Prolapse of a sigmoid neovagina, created in patients with congenital vaginal aplasia, is rare. In correcting this condition, preservation of coital function and restoration of the vaginal axis should be of primary interest. A 34-year-old woman with vaginal agenesis underwent vaginoplasty using sigmoid colon. Almost 6 ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2011.12.012

    authors: Kondo W,Ribeiro R,Tsumanuma FK,Zomer MT

    更新日期:2012-03-01 00:00:00

  • Intrauterine lidocaine infusion for pain relief during saline solution infusion sonohysterography: a randomized, controlled trial.

    abstract:STUDY OBJECTIVE:To evaluate the efficacy of intrauterine lidocaine instillation in reducing patient discomfort during saline solution infusion sonohysterography (SIS). DESIGN:A double-blinded, randomized, controlled trial (Canadian Task Force classification I). SETTING:Suleyman Demirel University School of Medicine, ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jmig.2007.02.007

    authors: Guney M,Oral B,Bayhan G,Mungan T

    更新日期:2007-05-01 00:00:00

  • Uterine Artery-sparing Minimally Invasive Radical Trachelectomy: A Case Report and Review of the Literature.

    abstract::Radical trachelectomy is considered in patients with early-stage cervical cancer who desire future fertility. This article is accompanied by a video that provides step-by-step demonstration of a uterine artery-sparing robotic-assisted radical trachelectomy in a patient with stage IB1 squamous cell carcinoma of the cer...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2019.05.017

    authors: Kim S,Chung S,Azodi M,Menderes G

    更新日期:2019-01-01 00:00:00

  • Sterility of Selected Operative Sites During Total Laparoscopic Hysterectomy.

    abstract:STUDY OBJECTIVE:To describe the type and quantity of bacteria found intraoperatively on the abdomen, vagina, surgical gloves, instrument tips, and uterus at distinct time points during total laparoscopic hysterectomy (TLH). DESIGN:Observational study (Canadian Task Force classification III). SETTING:Academic affiliat...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2017.06.004

    authors: Shockley ME,Beran B,Nutting H,Arnolds K,Sprague ML,Zimberg S

    更新日期:2017-01-01 00:00:00

  • Impact of Surgical Route in Influencing the Risk of Lymphatic Complications After Ovarian Cancer Staging.

    abstract::Lymphatic complications are a common occurrence after staging surgery for early-stage ovarian cancer (eEOC). We investigated whether the introduction of minimally invasive surgery influences the risk of developing lymphoceles and lymphorrhea in patients undergoing staging for eEOC. For this purpose, data of consecutiv...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,meta分析,评审

    doi:10.1016/j.jmig.2017.03.014

    authors: Bogani G,Borghi C,Ditto A,Signorelli M,Martinelli F,Chiappa V,Scaffa C,Perotto S,Leone Roberti Maggiore U,Montanelli L,Di Donato V,Infantino C,Lorusso D,Raspagliesi F

    更新日期:2017-01-01 00:00:00

  • Use of Vessel-Sealing Devices during Vaginal Hysterectomy.

    abstract:STUDY OBJECTIVE:To demonstrate the proper use of vessel-sealing devices during vaginal hysterectomy. DESIGN:Educational video (Canadian Task Force classification level III). SETTING:University hospital. INTERVENTION:The video reviews the principles on the use of energy in minimally invasive surgery. We focus on how ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2018.04.018

    authors: Davidson ERW,Kho R

    更新日期:2019-02-01 00:00:00

  • Office hysteroscopic sterilization compared with laparoscopic sterilization: a critical cost analysis.

    abstract:STUDY OBJECTIVE:To evaluate the actual cost difference in performing Essure hysteroscopic sterilization in the office compared with ambulatory surgery using laparoscopic sterilization in the operating room. DESIGN:Cost-comparison analysis (Canadian Task Force classification III). SETTING:University hospital and affil...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2005.05.016

    authors: Levie MD,Chudnoff SG

    更新日期:2005-07-01 00:00:00

  • Systematic implementation of laparoscopic hysterectomy independent of uterus size: clinical effect.

    abstract:STUDY OBJECTIVE:To investigate the effect of uterine weight on the mode of hysterectomy and on perioperative outcomes and to explore how the increasing experience in endoscopic techniques influenced our choice of surgical approach to hysterectomy to treat benign conditions. DESIGN:Retrospective analysis (Canadian Task...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2013.02.009

    authors: Uccella S,Cromi A,Bogani G,Casarin J,Formenti G,Ghezzi F

    更新日期:2013-07-01 00:00:00

  • Comparison of Carbon Dioxide Absorption Rates in Gynecologic Laparoscopy with a Valveless versus Standard Insufflation System: Randomized Controlled Trial.

    abstract:STUDY OBJECTIVE:The primary objective was to compare carbon dioxide (CO2) absorption rates in patients undergoing gynecologic laparoscopy with a standard versus valveless insufflation system (AirSeal; ConMed, Utica, NY) at intra-abdominal pressures (IAPs) of 10 and 15 mm Hg. Secondary objectives were assessment of surg...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jmig.2019.05.005

    authors: Madueke-Laveaux OS,Advincula A,Grimes CL,Walters R,Kim JH,Simpson K,Truong M,Young C,Landau R,Ryntz T

    更新日期:2020-01-01 00:00:00

  • Hysteroscopic Removal of Retained Products of Conception Implanted Over a Focal Area of Adenomyosis: A Case Report.

    abstract:STUDY OBJECTIVE:To describe a technique for hysteroscopic removal of retained products of conception (RPOC) implanted over an area of adenomyosis. DESIGN:A case report (Canadian Task Force classification III). SETTING:RPOC is an unfortunate complication that may occur after the resolution of a normal pregnancy; it is...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2017.09.010

    authors: Alonso L,Nieto L,Carugno J

    更新日期:2018-01-01 00:00:00

  • Surgical management of recurrent ureteric endometriosis causing recurrent hypertension in a postmenopausal woman.

    abstract::Endometriosis is a common condition that affects as many as 10% to 20% of women of reproductive age. Because of the subtle clinical signs and symptoms and limitations of imaging methods, the diagnosis is frequently delayed or missed, with serious consequences including hypertension, hydronephrosis, and loss of kidney ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2009.09.006

    authors: Khong SY,Lam A,Coombes G,Ford S

    更新日期:2010-01-01 00:00:00

  • Variance in abdominal wall anatomy and port placement in women undergoing robotic gynecologic surgery.

    abstract:STUDY OBJECTIVES:To estimate whether variability in the size and ratios of the lower and upper abdomen exist in women undergoing robotic gynecologic surgery and whether demographic variables are significantly associated, and to determine the association between abdominal wall dimensions and supraumbilical robotic port ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2010.04.008

    authors: Matthews CA,Schubert CM,Woodward AP,Gill EJ

    更新日期:2010-09-01 00:00:00

  • Pelvic Neuroanatomy: An Overview of Commonly Encountered Pelvic Nerves in Gynecologic Surgery.

    abstract:OBJECTIVE:This video tutorial identifies key anatomic landmarks useful in identifying the path of the most commonly encountered pelvic nerves in benign gynecologic surgery. DESIGN:This is a narrated overview of commonly encountered pelvic nerves during benign gynecology, their origin, sensory, and motor function, as w...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2020.06.005

    authors: Moawad GN,Wu C,Klebanoff JS,Urbina P,Alkatout I

    更新日期:2020-06-12 00:00:00

  • Contrast-tuned imaging and second-generation contrast agent SonoVue: a new ultrasound approach to evaluation of tubal patency.

    abstract:STUDY OBJECTIVE:To determine whether transvaginal hysterosalpingo-contrast sonography (HyCoSy) with a new dedicated contrast-enhanced ultrasound technique, can contribute to accurate diagnosis of tubal occlusion. DESIGN:Prospective observational study (Canadian Task Force classification II-2). SETTING:University hosp...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jmig.2009.03.019

    authors: Exacoustos C,Zupi E,Szabolcs B,Amoroso C,Di Giovanni A,Romanini ME,Arduini D

    更新日期:2009-07-01 00:00:00

  • Review of vasopressin use in gynecologic surgery.

    abstract::Vasopressin has been used in gynecologic surgery since the 1950s. Since its initial introduction, multiple applications of vasopressin have been explored. The expansion of vasopressin usage in gynecologic surgery is being fueled in part by the increase in minimally invasive surgical techniques, in which alternative me...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2012.03.022

    authors: Chudnoff S,Glazer S,Levie M

    更新日期:2012-07-01 00:00:00

  • Laparoscopic mesh sacrohysteropexy with concurrent laparoscopic myomectomy for treatment of multiple myomas: case report and literature review.

    abstract::Conservative surgical management of uterine prolapse with uterine conservation has become an alternative treatment in women who wish to maintain their uterus. Vaginal and abdominal approaches for uterine suspension have been described and reported. Certain concomitant pathologic conditions of the uterus such as uterin...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2013.04.025

    authors: Chinthakanan O,Miklos JR,Moore RD

    更新日期:2013-11-01 00:00:00

  • Robotic surgery: changing the surgical approach for endometrial cancer in a referral cancer center.

    abstract:STUDY OBJECTIVE:To study the effect of robotic surgery on the surgical approach to endometrial cancer in a gynecologic oncology center over a short time. DESIGN:Prospective analysis of patients with early-stage endometrial cancer who underwent robotic surgery. SETTING:Teaching hospital. PATIENTS:Eighty patients who ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2009.03.013

    authors: Peiretti M,Zanagnolo V,Bocciolone L,Landoni F,Colombo N,Minig L,Sanguineti F,Maggioni A

    更新日期:2009-07-01 00:00:00

  • Effect of undiagnosed deep adenomyosis after failed NovaSure endometrial ablation.

    abstract:STUDY OBJECTIVE:To determine the prevalence of adenomyosis and deep adenomyosis after NovaSure (Hologic Inc., Newark, DE) endometrial ablation in hysterectomy specimens after NovaSure endometrial ablation failure. DESIGN:Prospective observational study (Canadian Task Force classification II-2). SETTING:The TweeSteden...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2014.10.006

    authors: Mengerink BB,van der Wurff AA,ter Haar JF,van Rooij IA,Pijnenborg JM

    更新日期:2015-02-01 00:00:00

  • Twelve-month safety and efficacy of low-dose mifepristone for uterine myomas.

    abstract:STUDY OBJECTIVES:The primary aim was to assess long-term effects of low-dose mifepristone on myoma regression, symptoms, and endometrial pathology. The secondary aim was to assess regrowth of myomas after cessation of mifepristone. DESIGN:Prospective, open-label, randomized, controlled trial of 5 mg versus 10 mg mifep...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1016/j.jmig.2005.01.022

    authors: Eisinger SH,Bonfiglio T,Fiscella K,Meldrum S,Guzick DS

    更新日期:2005-05-01 00:00:00