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 454 consecutive women who underwent laparoscopic surgery for treatment of pelvic pain or infertility-associated endometriosis between October 2004 and September 2008. INTERVENTIONS:Demographic, historical, and final surgical data were compared between women with and without POD obliteration at laparoscopy. Logistic regression analyses were performed to investigate the predictive value of POD obliteration at laparoscopy with regard to bowel endometriosis. MEASUREMENTS AND MAIN RESULTS:One hundred consecutive women with POD obliteration at laparoscopy were included. 58% (95% confidence interval [CI] 0.48-0.67, n = 58/100) of the women with POD obliteration required bowel surgery compared with 20% (95% CI 0.16-0.25, 72/354) of women without POD obliteration (p <.001). Of the POD obliteration group, 66% (95% CI 0.53-0.76) required bowel shaving, 12% (0.06-0.23) full segmental rectal resection, 9% (0.04-0.19) wedge rectal resection, 5% (0.02-0.14) full segmental rectosigmoid resection and 9% (0.04-0.19) a combination of the above. Bowel endometriosis was histologically confirmed in all women. CONCLUSION:POD obliteration at laparoscopy carries a high risk of bowel endometriosis and bowel surgery. This risk is three times higher than those without POD obliteration. Women with POD obliteration should be managed in tertiary referral centers for the treatment of endometriosis where colorectal input is available.
journal_name
J Minim Invasive Gynecoljournal_title
Journal of minimally invasive gynecologyauthors
Khong SY,Bignardi T,Luscombe G,Lam Adoi
10.1016/j.jmig.2011.01.011subject
Has Abstractpub_date
2011-05-01 00:00:00pages
333-7issue
3eissn
1553-4650issn
1553-4669pii
S1553-4650(11)00014-8journal_volume
18pub_type
杂志文章abstract：:The primary goal of the clinical evaluation of abnormal uterine bleeding is to establish a specific diagnosis in the most efficient and least invasive manner possible. Hysteroscopy (HS) allows physicians to obtain directed biopsy in addition to direct visualization of the uterine cavity and lesions, but often requires...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2006.08.003
更新日期：2006-11-01 00:00:00
abstract：:The radio-guided occult lesion localization (ROLL) technique has been in use since the mid-1990s, mainly in breast surgery. Today, ROLL is used for numerous oncologic pathologies, including parathyroid lesions, melanomas, and colorectal tumors. We report a patient with an 11-mm left mesorectal solitary recurrence of a...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2016.09.012
更新日期：2017-01-01 00:00:00
abstract：:In healthcare, the goal of maximizing value by improving the quality of care and lowering costs has been notoriously challenging to achieve. The fee-for-service model in gynecology and other fields has historically promoted the reduction of nonsurgical or minimally invasive approaches in favor of complex, often morbid...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jmig.2018.11.013
更新日期：2019-02-01 00:00:00
abstract：:At laparoscopic-assisted vaginal hysterectomy with a novel "paper roll" vaginal morcellation technique, large uteri (> or = 500 g) can be removed via the vagina with safety, speed, and ease. The technique provides protection for the bladder and rectum, and large uteri can be removed in 1 piece, allowing the pathologis...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2010.02.005
更新日期：2010-05-01 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：:A MEDLINE search was conducted using the keywords "laparoscopy ovarian cancer," "laparoscopy and borderline ovarian tumors," "advanced stage ovarian cancer," "laparoscopic cytoreduction ovarian cancer," "laparoscopy intraperitoneal catheter," "port-site metastases," and "carbon dioxide pneumoperitoneum." The publicati...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jmig.2009.01.007
更新日期：2009-05-01 00:00:00
abstract：:A 33-year-old woman with a 2-year history of swelling and pain in her buttock and left thigh fluctuating with her menstrual cycle who was becoming progressively disabled was referred to the department of orthopedics. Magnetic resonance imaging (MRI) detected a left buttock lesion of 3 x 2 cm that was initially diagnos...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2008.09.619
更新日期：2009-01-01 00:00:00
abstract：STUDY OBJECTIVE:To evaluate the effect of endometrial ablation on 6 premenstrual symptoms for up to 1 year after treatment. DESIGN:Prospective cohort of 59 women awaiting endometrial ablation (Canadian Task Force classification II-2). SETTING:University tertiary care hospital. PATIENTS:Adult women of childbearing ag...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2015.01.023
更新日期：2015-05-01 00:00:00
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
更新日期：2013-07-01 00:00:00
abstract：STUDY OBJECTIVE:To determine the efficacy of laparoscopic ultrasound (LUS) as compared with contrast-enhanced magnetic resonance imaging (CE-MRI) and transvaginal ultrasound (TVUS) in detection of uterine myomas. DESIGN:Retrospective study of imaging methods used in a trial of LUS-guided radiofrequency volumetric ther...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2013.04.015
更新日期：2013-11-01 00:00:00
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
更新日期：2010-01-01 00:00:00
abstract：STUDY OBJECTIVE:To show an original technique of laparoscopic lateral suspension (LLS) with a precut mesh in a difficult case of vaginal vault prolapse. DESIGN:Step-by-step descriptions of the technique using videos (educational video). SETTING:Vaginal vault prolapse affects up to 1% of patients who had a hysterectom...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2016.01.028
更新日期：2016-07-01 00:00:00
abstract：:Laparoendoscopic single-site surgery (LESS) and natural orifice translumenal endoscopic surgery are now being used in gynecologic oncologic procedures. We used our expertise with LESS to perform nerve-sparing laparoscopic radical hysterectomy. A 45-year-old woman with stage IA2 cervical cancer was referred to us. The ...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2013.04.019
更新日期：2013-11-01 00:00:00
abstract：STUDY OBJECTIVE:To compare surgical outcomes of laparoscopic hysterectomy for benign diseases according to the uterine weight. DESIGN:Retrospective study (Canadian Task Force classification II-3). SETTING:Teaching and research hospital, a tertiary center. PATIENTS:Women undergoing laparoscopic hysterectomy for benig...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2011.01.006
更新日期：2011-05-01 00:00:00
abstract：:Annual surgeon case volume has been linked to patient outcome in a variety of surgical fields, although limited data focus on gynecologic surgery performed by general gynecologists. Herein we review the literature addressing the associations between intraoperative injury, postoperative morbidity, and resource use amon...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jmig.2013.03.005
更新日期：2013-09-01 00:00:00
abstract：:The popularity of laparoscopy to perform radical hysterectomy has massively increased over the last 2 decades. However, oncologic outcomes (overall and disease-free survival) have been found to be better in patients managed by laparotomy compared with laparoscopy, challenging this surgical route. Compared with laparot...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2020.06.004
更新日期：2021-01-01 00:00:00
abstract：:The pelvic uterus-like mass is a rare phenomenon in which an extrauterine mass, comprised of smooth muscle and a central cavity lined by endometrium, is found within the pelvis. The mass is associated with endometriosis and in some of the cases with congenital Müllerian malformations. There is an ongoing debate whethe...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2008.03.002
更新日期：2008-07-01 00:00:00
abstract：:This review article summarizes the salient literature on the diagnosis and management of endometrial polyps. Electronic resources including Medline, PubMed, CINAHL, The Cochrane Library (including the Cochrane Database of Systematic Reviews), Current Contents, and EMBASE were searched with the MeSH terms including all...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jmig.2011.05.018
更新日期：2011-09-01 00:00:00
abstract：STUDY OBJECTIVE:To describe the clinical test parotid area sign, which is used to assess fluid absorption during resectoscopic surgery and to compare the test with volumetric fluid balance method with respect to its ability to detect fluid overload. DESIGN:Historical cohort study (Canadian Task Force classification II...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2006.09.017
更新日期：2007-03-01 00:00:00
abstract：STUDY OBJECTIVE:To compare the impact of ultrasound-guided transvaginal ovarian needle drilling (TND) versus laparoscopic ovarian drilling (LOD) on ovarian reserve and pregnancy rate in patients with clomiphene citrate (CC)-resistant polycystic ovary syndrome (PCOS). DESIGN:A randomized clinical trial (Canadian Task F...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章,随机对照试验
doi：10.1016/j.jmig.2018.01.036
更新日期：2018-01-01 00:00:00
abstract：STUDY OBJECTIVE:To demonstrate the prevalence of endometriosis in the intrapelvic portion of the round ligaments of the uterus (RLUs) and to propose criteria for their excision. DESIGN:Retrospective case series analysis of women undergoing laparoscopy for the treatment of deep infiltrating endometriosis (Canadian Task...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2011.09.006
更新日期：2012-01-01 00:00:00
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
更新日期：2012-07-01 00:00:00
abstract：:Laparoscopic vessel sealing devices have revolutionized modern laparoscopy. These devices fall into 2 major categories: advanced bipolar and ultrasonic instruments. The range of tissue effects available with these technologies is more limited than with conventional monopolar electrosurgery; however, both advanced bipo...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jmig.2013.02.012
更新日期：2013-05-01 00:00:00
abstract：:Laparoscopic transabdominal cervicoisthmic cerclage (LTCC) is an alternative, less-morbid option to the traditional transabdominal cerclage, indicated for patients with cervical incompetence. Experience with the technique is based on case reports and a few case series. Considering LTCC for twin gestations, reports are...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2009.05.011
更新日期：2009-09-01 00:00:00
abstract：:Survivors of pelvic cancer treatment live with the ramifications of pelvic radiation for many years after their cure. Several options are available to preserve ovarian function and fertility in reproductive age women undergoing pelvic radiation. Laparoscopic ovarian transposition is an under-utilized, yet fairly simpl...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jmig.2016.08.831
更新日期：2017-01-01 00:00:00
abstract：STUDY OBJECTIVE:Our aim was to assess incidence and risk factors for pelvic pain after pelvic mesh implantation. DESIGN:Retrospective study (Canadian Task Force classification II-2). SETTING:Single university hospital. PATIENTS:Women who have undergone surgery with pelvic mesh implant for treatment of pelvic floor d...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2016.10.001
更新日期：2017-01-01 00:00:00
abstract：:We performed a literature review of reports comparing a levonorgestrel-releasing intrauterine device (LNG-IUD) with transcervical polyp resection (TCRP) as a treatment for heavy menstrual bleeding (HMB). Our second objective was to investigate the effectiveness of LNG-IUD and TCRP in reducing menstrual bleeding and th...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章,评审
doi：10.1016/j.jmig.2015.06.016
更新日期：2015-11-01 00:00:00
abstract：:Venous thromboembolism (VTE) is the leading cause of preventable healthcare-related death after surgery. Although there is a large body of research on VTE in the general population as well as risk-assessment tools, evidence specific to the current practices in gynecologic surgery is more sparse. This review article se...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2018.08.025
更新日期：2019-02-01 00:00:00
abstract：STUDY OBJECTIVE:To assess the feasibility of a noncontact radio sensor as an objective measurement tool to study postoperative recovery from endometriosis surgery. DESIGN:Prospective cohort pilot study. SETTING:Center for minimally invasive gynecologic surgery at an academically affiliated community hospital in conju...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2020.06.011
更新日期：2020-06-29 00:00:00
abstract：STUDY OBJECTIVE:To demonstrate stepwise techniques for the successful use of the laparoscopic single-site technique for safely performing transvaginal sacrocolpopexy for pelvic organ prolapse. DESIGN:Stepwise demonstration with narrated video footage (Canadian Task Force classification III). SETTING:Academic tertiary...
journal_title：Journal of minimally invasive gynecology
pub_type： 杂志文章
doi：10.1016/j.jmig.2020.11.018
更新日期：2020-11-26 00:00:00
