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, Germany. PATIENTS:Forty-four women underwent the new TLH procedure using the Hohl instrument from May 2004 through January 2005. The laparoscopic approach was used when the patient had undergone more than one previous pelvic abdominal operation and/or had a reduced vaginal capacity. The indications for hysterectomy were symptomatic leiomyoma in 25 patients and hypermenorrhea in 19 patients. INTERVENTION:Total laparoscopic hysterectomy using the Hohl instrument. MEASUREMENTS AND MAIN RESULTS:No ureteral or bladder injury occurred in any of the patients. The complication rate during surgery and in the postoperative period was zero. The mean loss of hemoglobin was 1.68+/-0.96 g/dL, the mean operating time was 108+/-21 minutes, and the mean uterine weight was 302+/-121 g. CONCLUSION:Total laparoscopic hysterectomy using the Hohl instrument simplifies the surgical procedure. The reported technique is an option comparable with laparoscopic-assisted vaginal hysterectomy and may be effective in preventing minor and major complications during TLH.
journal_name
J Minim Invasive Gynecoljournal_title
Journal of minimally invasive gynecologyauthors
Mueller A,Oppelt P,Ackermann S,Binder H,Beckmann MWdoi
10.1016/j.jmig.2005.04.006keywords:
subject
Has Abstractpub_date
2005-09-01 00:00:00pages
432-5issue
5eissn
1553-4650issn
1553-4669pii
S1553-4650(05)00397-3journal_volume
12pub_type
杂志文章abstract：:The most common mode of injury to the ureter is iatrogenic; however, injury during laparoscopic sterilization is rare. Although thermal ureteric injury during laparoscopic sterilization has been reported, to our knowledge, this is the first published report of ureteric injury caused by placement of a Filschie clip dur...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2009.01.011
更新日期：2009-05-01 00:00:00
abstract：STUDY OBJECTIVE:To assess whether it is possible for an experienced laparoscopic surgeon to perform efficient laparoscopic myomectomy regardless of the size, number, and location of the myomas. DESIGN:Prospective observational study (Canadian Task Force classification II-1). SETTING:Tertiary endoscopy center. PATIEN...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2008.01.009
更新日期：2008-05-01 00:00:00
abstract：OBJECTIVE:To demonstrate our technique for robot-assisted laparoscopic ectopic pregnancy excision and concomitant scar revision. DESIGN:We present a stepwise narrated demonstration of our primary laparoscopic technique. SETTING:Although cesarean scar pregnancy is rare, it leads to life-threatening complications and o...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2020.06.017
更新日期：2020-06-27 00:00:00
abstract：:Splenic rupture is a rare and severe complication of laparoscopic surgery. We report a case of delayed splenic rupture as a severe complication of laparoscopy, occurring 5 days after surgery performed on a 52-year-old woman with history of abdominal surgery and with acute pelvic infection. Subcapsular hematoma, result...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2007.08.615
更新日期：2008-01-01 00:00:00
abstract：OBJECTIVE:Laparoscopic uterine artery ligation may be performed during myomectomy or other uterine invasive procedures to reduce the amount of blood loss during surgery. In this video, the authors describe 3 different laparoscopic techniques to approach the uterine artery. DESIGN:Step-by-step video demonstration of 3 ...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2019.08.026
更新日期：2020-01-01 00:00:00
abstract：STUDY OBJECTIVE:Feasibility of laparoscopic extraperitoneal surgical staging for locally advanced cervical carcinoma in a gynecologic oncology fellowship training program. DESIGN:Retrospective analysis (II-2) of all patients who underwent laparoscopic extraperitoneal surgical staging at Women and Children's Hospital f...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2006.04.007
更新日期：2006-09-01 00:00:00
abstract：:This article reveals our surgical approach for treatment of a patient with severe pelvic and infiltrative bladder endometriosis with mucosal involvement using robotic-assisted laparoscopic excision and cystotomy repair. To our knowledge, this is the first case of total robotic-assisted laparoscopic partial bladder res...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2008.07.002
更新日期：2008-11-01 00:00:00
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
更新日期：2007-05-01 00:00:00
abstract：STUDY OBJECTIVE:To determine patient and hospital characteristics that were associated with undergoing laparoscopic hysterectomy compared with abdominal hysterectomy. DESIGN:Canadian Task Force Classification II-3. METHODS:In this retrospective cohort study, we analyzed the 2010 Healthcare Cost and Utilization Projec...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2013.08.709
更新日期：2014-03-01 00:00:00
abstract：STUDY OBJECTIVE:Although all ectopic pregnancies are associated with risk of hemorrhage, cornual pregnancies are feared for catastrophic hemorrhage and uncontrollable bleeding. The maternal mortality rate can be as high as 2.5%, which is 7 times higher than the mortality rate for ectopic pregnancies in general. Differe...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2017.04.005
更新日期：2017-01-01 00:00:00
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
更新日期：2020-01-01 00:00:00
abstract：STUDY OBJECTIVE:To compare perioperative and long-term outcomes related to laparoscopic and open abdominal surgical management of cervical cancer. DESIGN:Propensity-matched comparison of prospectively collected data (Canadian Task Force classification II-1). SETTING:University teaching hospital. PATIENTS:Sixty-five ...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2014.03.018
更新日期：2014-09-01 00:00:00
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
更新日期：2015-02-01 00:00:00
abstract：:Radiation treatment planning for women with locally advanced cervical cancer (stages IB2-IVA) is often based on positron emission tomography (PET). PET, however, has poor sensitivity in detecting metastases in aortocaval nodes. We have initiated a study with the objective of determining whether pre-therapeutic laparos...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.jmig.2013.07.007
更新日期：2014-01-01 00:00:00
abstract：STUDY OBJECTIVE:To compare preoperative transvaginal ultrasound (TVUS) and magnetic resonance imaging (MRI) with intraoperative ultrasound (IOUS) in surgeons first learning to use this technique. DESIGN:A prospective study of IOUS accuracy for mapping the size and location of myomas compared with TVUS or MRI (Canadian...
journal_title：Journal of minimally invasive gynecology
pub_type： 临床试验,杂志文章,多中心研究
doi：10.1016/j.jmig.2018.11.006
更新日期：2019-01-01 00:00:00
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
更新日期：2017-01-01 00:00:00
abstract：:Giant cervical polyps are characterized by an unusually large size and appear clinically as malignant. A 35-year-old woman had increased vaginal discharge and lower abdominal discomfort. At examination, a fist-sized, hard, consistent mass was found in the vagina. Pelvic magnetic resonance imaging revealed a 12.6 x 8-c...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2009.04.003
更新日期：2009-07-01 00:00:00
abstract：STUDY OBJECTIVE:To perform a cost-minimization analysis comparing robotic-assisted, laparoscopic, and abdominal sacrocolpopexy. DESIGN:Cost-minimization analysis using a micro-costing approach (Canadian Task Force classification III). MEASUREMENTS AND MAIN RESULTS:A decision model was developed to compare the costs (...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2010.03.011
更新日期：2010-07-01 00:00:00
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
更新日期：2013-11-01 00:00:00
abstract：STUDY OBJECTIVE:The identification of less invasive methods with acceptable diagnostic value for evaluating intrauterine abnormalities can improve the satisfaction of patients and physicians. Although hysteroscopy plus biopsy has favorable predictive and diagnostic values, limited studies have evaluated its value, and ...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2019.02.016
更新日期：2020-01-01 00:00:00
abstract：STUDY OBJECTIVE:To demonstrate the feasibility of sentinel lymph node (SLN) biopsy using a laparoendoscopic single-site (LESS) approach in endometrial cancer (EC). DESIGN:A step-by-step video demonstration of the surgical procedure (Canadian Task Force Classification III). SETTING:The satisfaction of patients who und...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2017.10.035
更新日期：2018-01-01 00:00:00
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
更新日期：2019-01-01 00:00:00
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
更新日期：2010-09-01 00:00:00
abstract：STUDY OBJECTIVE:To demonstrate our technique for hysteroscopic resection of the complete uterine septum. DESIGN:Step-by-step description and demonstration of the procedure using pictures and video (educational video). The video was approved by our hospital's Ethical Committee. SETTING:Uterine malformations represent ...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2019.07.013
更新日期：2020-01-01 00:00:00
abstract：:The rate of venous thromboembolic events (VTEs) including deep venous thrombosis and pulmonary embolism among women undergoing gynecologic surgery is high, particularly for women with a gynecologic malignancy. Current guidelines recommend VTE thrombopropylaxis in the immediate postoperative period for patients undergo...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jmig.2013.06.001
更新日期：2013-11-01 00:00:00
abstract：STUDY OBJECTIVE:We sought to determine whether relief of chronic pelvic pain symptoms with hormonal treatment is predictive of presence or absence of endometriosis or location of endometriosis within the pelvis. DESIGN:A retrospective, chart review (Canadian Task Force classification II-3). SETTING:A private practice...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2007.09.002
更新日期：2008-01-01 00:00:00
abstract：STUDY OBJECTIVE:To compare reduction of pain after laparoscopy for ablation or excision of endometriosis. DESIGN:Prospective, randomized, double-blind study (Canadian Task Force classification I). SETTING:Endometriosis and pelvic pain clinic at a university teaching hospital. PATIENTS:Women of reproductive age with ...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jmig.2014.04.002
更新日期：2014-11-01 00:00:00
abstract：STUDY OBJECTIVE:To compare the operative outcomes of patients undergoing either single-port or multiport laparoscopic hysterectomy (LH). METHODS:Two hundred fifty-six women scheduled for LH for symptomatic myoma and/or adenomyosis from 8 tertiary teaching hospitals were randomized to single-port or multiport groups. P...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章,多中心研究,随机对照试验
doi：10.1016/j.jmig.2015.02.022
更新日期：2015-07-01 00:00:00
abstract：STUDY OBJECTIVE:To describe the incidence of uterine vascular malformations (UVMs) including uterine arteriovenous malformations (AVMs) in patients after abortion or delivery and in outpatients. DESIGN:Prospective study (Canadian Task Force classification II-3). SETTING:Fukushima Red Cross Hospital. PATIENTS:Six pat...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2012.12.008
更新日期：2013-05-01 00:00:00
abstract：STUDY OBJECTIVE:To examine whether our new reporting system and mandatory fluid-balance form could improve the communication and awareness within the surgical team and therefore the safety of hysteroscopic operations. DESIGN:A case-control study (Canadian Task Force classification II-2). SETTING:An endoscopic gynecol...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2017.06.014
更新日期：2017-01-01 00:00:00
