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 between 2008 and 2016. INTERVENTION:Laparoscopic myomectomy and a follow-up survey regarding pregnancy outcome. MEASUREMENTS AND MAIN RESULTS:A total of 486 patients met inclusion criteria and underwent a laparoscopic myomectomy between 2008 and 2016. Of the 428 with viable contact information, 240 agreed to participate (56%). Of those who responded to the survey, 101 (42%) attempted to get pregnant, and there were 4 unplanned pregnancies. There were 110 pregnancies among 76 survey respondents. In total, of the women attempting a postoperative pregnancy, 71% had at least 1 pregnancy. Comparing the women who did and did not conceive postoperatively, the group who got pregnant was on average younger, 33.8 ± 4.5 years vs 37.5 ± 6.5 years (p = .001); had fewer myomas removed, median = 2 (range 1-9) vs median = 2 (range 1-16) myomas (p = .038); and had a longer follow-up period, 30 months ( vs 30 (11-93 months) ± 20 (p <.001). The mean time to first postoperative pregnancy was 18.0 months (range 2-72 months). Of the 110 reported postoperative pregnancies, there were 60 live births (55%), 90% by means of cesarean section. The mean gestational age at birth was 37.8 weeks. In the cohort, there were 8 preterm births, 3 cases of abnormal placentation, 2 cases of fetal growth restriction, 3 cases of hypertensive disorders of pregnancy, and 2 cases of myoma degeneration requiring hospitalization for pain control. There were no uterine ruptures reported. CONCLUSION:According to our findings, pregnancy outcomes after laparoscopic myomectomy with barbed suture are comparable with available literature on pregnancy outcomes with conventional smooth suture.

authors

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

doi

10.1016/j.jmig.2020.02.005

subject

Has Abstract

pub_date

2020-01-01 00:00:00

pages

1566-1572

issue

7

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(20)30096-0

journal_volume

27

pub_type

杂志文章
  • To excise or ablate endometriosis? A prospective randomized double-blinded trial after 5-year follow-up.

    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

    authors: Healey M,Cheng C,Kaur H

    更新日期:2014-11-01 00:00:00

  • Martius graft for management of exposed vaginal prolapse mesh.

    abstract::Although the use of vaginal mesh kits in treatment of pelvic organ prolapse (POP) has decreased the number of surgical failures, mesh exposure can occur. When conservative management fails, removing the exposed material is associated with the risk of recurrence of POP and could be challenging. We report a successful o...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2012.10.007

    authors: Al-Badr A

    更新日期:2013-03-01 00:00:00

  • Port Site Metastases: A Survey of the Society of Gynecologic Oncology and Commentary on the Clinical Workup and Management of Port Site Metastases.

    abstract:STUDY OBJECTIVE:Laparoscopic port site metastases (PSMs) have an incidence of .5% to 2%. The management of an isolated PSM (iPSM), without evidence of recurrence elsewhere, remains unclear. The aim of this study was to elucidate practices regarding iPSMs. DESIGN:A 23-item survey was created using commercially availabl...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2017.01.011

    authors: Baptiste CD,Buckley de Meritens A,Jones NL,Chatterjee Paer S,Tergas AI,Hou JY,Wright JD,Burke WM

    更新日期:2017-01-01 00:00:00

  • Complicated Clinical Course and Poor Reproductive Outcomes of Women with Tubo-Ovarian Abscess after Fertility Treatments.

    abstract:STUDY OBJECTIVE:To assess the clinical course and surgical and fertility outcomes of patients diagnosed with tubo-ovarian abscess (TOA) after fertility treatment. DESIGN:Parallel case series over 10 consecutive years (Canadian Task Force classification II-2). SETTING:Tel Aviv Sourasky Medical Center, a tertiary unive...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2018.06.004

    authors: Fouks Y,Cohen Y,Tulandi T,Meiri A,Levin I,Almog B,Cohen A

    更新日期:2019-01-01 00:00:00

  • Combined conservative surgical and medical treatment of a uterocutaneous fistula.

    abstract::Uterocutaneous fistula is a rare complication that may follow cesarean section. Herein is described a rare case of uterocutaneous fistula. The patient, a 28-year-old woman with a history of American Society for Reproductive Medicine stage IV endometriosis (Douglas pouch obliteration), underwent a cesarean section at 2...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2011.10.010

    authors: Thubert T,Denoiseux C,Faivre E,Naveau A,Trichot C,Deffieux X

    更新日期:2012-03-01 00:00:00

  • Ghost Ileostomy in Anterior Resection for Bowel Endometriosis: Technical Description.

    abstract:OBJECTIVE:To demonstrate our application of the ghost ileostomy in the setting of laparoscopic segmental bowel resection for symptomatic bowel endometriosis nodule. DESIGN:Technical step-by-step surgical video description (educative video) SETTING: University Tertiary Hospital. Institutional Review Board ruled that ap...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2019.09.769

    authors: Ferreira H,Smith AV,Vilaça J

    更新日期:2020-01-01 00:00:00

  • Radiofrequency global endometrial ablation followed by hysteroscopic sterilization.

    abstract:STUDY OBJECTIVE:To describe the feasibility of performing Essure hysteroscopic sterilization immediately after NovaSure global endometrial ablation (GEA). DESIGN:Descriptive feasibility study (Canadian Task Force classification III). SETTING:Midwestern United States academic medical center. PATIENTS:Twenty-five wome...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 临床试验,杂志文章

    doi:10.1016/j.jmig.2007.01.014

    authors: Hopkins MR,Creedon DJ,El-Nashar SA,Brown DL,Good AE,Famuyide AO

    更新日期:2007-07-01 00:00:00

  • Robotic Surgery in Elderly and Very Elderly Gynecologic Cancer Patients.

    abstract:STUDY OBJECTIVE:To investigate the feasibility, safety, and short-term outcomes of robotic surgery (RS) for gynecologic oncologic indications (cervical, endometrial, and ovarian cancer) in elderly patients, especially women age 65 to 74 years (elderly group [EG]) compared with women age ≥75 years (very elderly group [V...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2018.01.007

    authors: Gallotta V,Conte C,D'Indinosante M,Federico A,Biscione A,Vizzielli G,Bottoni C,Carbone MV,Legge F,Uccella S,Ciocchetti P,Russo A,Polidori L,Scambia G,Ferrandina G

    更新日期:2018-01-01 00:00:00

  • Minimally Invasive Adnexal Mass Extraction: Considerations and Techniques (With Videos).

    abstract::Adnexal masses are a common indication for surgery in the United States. This article reviews the clinical features that may suggest an underlying malignancy, including ultrasound and biomarkers. The decision regarding how to remove an adnexal mass involves consideration of several factors, including body habitus, int...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2016.11.010

    authors: Walsh TM,McMillin MG,Kho KA

    更新日期:2017-02-01 00:00:00

  • Robotic Radical Hysterectomy Is Not Superior to Laparoscopic Radical Hysterectomy in Perioperative Urologic Complications: A Meta-Analysis of 23 Studies.

    abstract:OBJECTIVE:This study aimed to compare the risks of intraoperative and postoperative urologic complications after robotic radical hysterectomy (RRH) compared with laparoscopic radical hysterectomy (LRH). DATA SOURCES:We searched Pubmed, EMBASE, and the Cochrane Library for studies published up to March 2019. Related ar...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,meta分析

    doi:10.1016/j.jmig.2019.07.008

    authors: Hwang JH,Kim BW,Kim SR,Kim JH

    更新日期:2020-01-01 00:00:00

  • Pentoxifylline therapy after laparoscopic surgery for different stages of endometriosis: a prospective, double-blind, randomized, placebo-controlled study.

    abstract:STUDY OBJECTIVE:To evaluate the effects of pentoxifylline administration on patients with different stages of endometriosis on whom laparoscopy was performed. DESIGN:Prospective, double-blind, randomized, placebo-controlled clinical (Canadian Task Force classification I). SETTING:University and private hospitals. PA...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jmig.2006.06.024

    authors: Alborzi S,Ghotbi S,Parsanezhad ME,Dehbashi S,Alborzi S,Alborzi M

    更新日期:2007-01-01 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

  • Preoperative Oral Carbohydrate Loading in Laparoscopic Gynecologic Surgery: A Randomized Controlled Trial.

    abstract:STUDY OBJECTIVE:To determine whether carbohydrate loading improves the postoperative quality of recovery (QoR) better than the midnight fasting policy in laparoscopic gynecologic surgeries. DESIGN:Randomized, parallel-group trial. SETTING:Tertiary university hospital. PATIENTS:Female patients scheduled for laparosco...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2020.12.002

    authors: Cho EA,Lee NH,Ahn JH,Choi WJ,Byun JH,Song T

    更新日期:2020-12-10 00:00:00

  • Oral estroprogestins after laparoscopic surgery to excise endometriomas: continuous or cyclic administration? Results of a multicenter randomized study.

    abstract:STUDY OBJECTIVE:To evaluate continuous (CON) compared with cyclic (CYC) administration of combined oral estroprogestins for 6 months after laparoscopic excision of ovarian endometriomas associated with pain. DESIGN:Multicenter, prospective, randomized trial (Canadian Task Force classification I). SETTING:Tertiary car...

    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.2010.11.004

    authors: Muzii L,Maneschi F,Marana R,Porpora MG,Zupi E,Bellati F,Angioli R,Benedetti Panici P

    更新日期:2011-03-01 00:00:00

  • Back to the Future: Schauta-Amreich Radical Vaginal Hysterectomy Assisted by Laparoscopy with Sentinel Lymph Node Biopsy for Early-stage Cervical Cancer.

    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

    authors: Ferrier C,Pellevoizin R,Touboul C,Boudy AS,Wohrer H,Guerini C,Owen C,Bendifallah S,Daraï E

    更新日期:2021-01-01 00:00:00

  • Hysteroscopic Intrauterine Adhesiolysis Using a Blunt Spreading Dissection Technique With Double-action Forceps.

    abstract:STUDY OBJECTIVE:To demonstrate step-by-step the technique of hysteroscopic adhesiolysis (HA) by means of a blunt spreading technique using double-action forceps to dissect and restore the layer between the anterior and posterior uterine walls in a patient with severe intrauterine adhesions (IUAs), particularly in cases...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2017.10.011

    authors: Huang H,Cheng C,Johnson G,Wang R,Xue M,Zhang A,Xu D,Guan X

    更新日期:2018-01-01 00:00:00

  • Laparoscopic treatment and staging of early ovarian cancer.

    abstract:STUDY OBJECTIVE:To review the laparoscopic staging procedure in a series of patients with early ovarian cancer and compare results with the literature. DESIGN:A prospective single-center study (Canadian Task Force classification II-2). SETTING:A hospital in Spain. PATIENTS:A total of 20 patients with apparent early ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2008.04.002

    authors: Colomer AT,Jiménez AM,Bover Barceló MI

    更新日期:2008-07-01 00:00:00

  • Surgical outcome of extraperitoneal paraaortic lymph node dissections compared with transperitoneal approach in gynecologic cancer patients.

    abstract:STUDY OBJECTIVE:To evaluate the surgical outcome of extraperitoneal paraaortic lymph node dissection compared with the traditional transperitoneal approach. DESIGN:Retrospective review (Canadian Task Force classification III). SETTING:University hospital. PATIENTS:Women with gynecologic malignancies admitted to our ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2013.03.009

    authors: Morales S,Zapardiel I,Grabowski JP,Hernandez A,Diestro MD,Gonzalez-Benitez C,De Santiago J

    更新日期:2013-09-01 00:00:00

  • Surgical hysteroscopic treatment of cesarean-induced isthmocele in restoring fertility: prospective study.

    abstract::The reproductive outcome in 41 consecutive patients with cesarean-induced isthmocele and secondary infertility was evaluated prospectively. Patients included menopausal women (mean [SD; 95% CI] age, 35 [4.1; 29-42] years), with fertility duration of 3 to 8 (4.6 [28]) years with isthmocele, postmenstrual abnormal uteri...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2010.10.011

    authors: Gubbini G,Centini G,Nascetti D,Marra E,Moncini I,Bruni L,Petraglia F,Florio P

    更新日期:2011-03-01 00:00:00

  • Identification of Predictive Factors in Endometriosis for Improvement in Patient Quality of Life.

    abstract:STUDY OBJECTIVE:To investigate predictive factors for change in quality of life (QOL) between pre- and postoperative periods in patients with endometriosis. DESIGN:A prospective and multicenter cohort study. SETTING:Five districts including a tertiary referral center and private and general public hospitals. PATIENT...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jmig.2019.05.013

    authors: Comptour A,Pereira B,Lambert C,Chauvet P,Grémeau AS,Pouly JL,Canis M,Bourdel N

    更新日期:2020-01-01 00:00:00

  • Laparoscopic Neuronavigation for Deep Lateral Pelvic Endometriosis: Clinical and Surgical Implications.

    abstract:STUDY OBJECTIVE:To evaluate the clinical presentation and surgical outcome in patients with deep lateral pelvic endometriosis (dLPE). DESIGN:A retrospective multicentric study (Canadian Task Force classification II-2). SETTING:University tertiary referral centers. PATIENTS:One hundred forty-eight women with deep inf...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jmig.2018.02.015

    authors: Chiantera V,Petrillo M,Abesadze E,Sozzi G,Dessole M,Catello Di Donna M,Scambia G,Sehouli J,Mechsner S

    更新日期:2018-01-01 00:00:00

  • Hernia uterine inguinale: an uncommon cause of pelvic pain in the adult female patient.

    abstract::Hernia uterine inguinale is a rare condition often presenting within the first few years of life as an asymptomatic palpable mass in the inguinal/groin area. This type of hernia contains uterine tissue and may contain oviducts, ovaries, and rarely the bladder. We report a case of a woman with a history of pelvic pain,...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2010.06.008

    authors: Mandel DC,Beste T,Hope W

    更新日期:2010-11-01 00:00:00

  • Patients with endometriosis of the rectosigmoid have a higher percentage of natural killer cells in peripheral blood.

    abstract:STUDY OBJECTIVE:To estimate the concentration of natural killer (NK) cells in the peripheral blood in patients with and without endometriosis. DESIGN:Case-control study (Canadian Task Force classification II-2). SETTING:Tertiary referral hospital. PATIENTS:One hundred fifty-five patients who had undergone videolapar...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2011.12.021

    authors: Dias JA Jr,Podgaec S,de Oliveira RM,Carnevale Marin ML,Baracat EC,Abrão MS

    更新日期:2012-05-01 00:00:00

  • A phase III randomized clinical trial comparing laparoscopic or robotic radical hysterectomy with abdominal radical hysterectomy in patients with early stage cervical cancer.

    abstract:STUDY OBJECTIVE:Cervical cancer is a significant health problem in countries of the developing world. Although case series suggest advantages of total laparoscopic radical hysterectomy (TLRH) compared with total abdominal radical hysterectomy (TARH), no randomized controlled trial is currently available to establish TL...

    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.2008.06.013

    authors: Obermair A,Gebski V,Frumovitz M,Soliman PT,Schmeler KM,Levenback C,Ramirez PT

    更新日期:2008-09-01 00:00:00

  • Hysteroscopic resection in the management of early-stage endometrial cancer: report of 2 cases and review of the literature.

    abstract::Although endometrial cancer, the most common gynecologic malignancy, is most often diagnosed in postmenopausal women, it affects young women who wish to preserve fertility. The purpose of this article is to describe 2 cases of stage IA endometrial cancer managed conservatively by a combination of hysteroscopic surgery...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2014.08.782

    authors: Arendas K,Aldossary M,Cipolla A,Leader A,Leyland NA

    更新日期:2015-01-01 00:00:00

  • Diagnostic imaging modalities for Müllerian anomalies: the case for a new gold standard.

    abstract::Female reproductive tract anomalies are difficult to number in the general population but are often discovered in evaluations of menstrual complications or fertility disorders. Traditionally, assessment of the reproductive tract entailed hysterosalpingography to image the uterine cavity with the final diagnosis provid...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2013.10.014

    authors: Berger A,Batzer F,Lev-Toaff A,Berry-Roberts C

    更新日期:2014-05-01 00:00:00

  • Successful Management of Heterotopic Cervical Pregnancy with Ultrasonographic-guided Laser Ablation.

    abstract::Heterotopic pregnancy refers to the simultaneous presence of ectopic pregnancy and intrauterine pregnancy. With the advent of assisted reproductive technology, the overall incidence of heterotopic pregnancies has risen. We report a case of a 36-year-old woman with type 2 diabetes mellitus and 1-year of primary inferti...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2019.11.003

    authors: Sepúlveda González G,Villagómez Martínez GE,Basurto Diaz D,Guerra de la Garza Evia ÁR,Rosales de León JC,Arroyo Lemarroy T,Soria López JA

    更新日期:2020-01-01 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

  • Transvaginal Natural Orifice Transluminal Endoscopic Surgery as a Rescue for Total Vaginal Hysterectomy.

    abstract:BACKGROUND:Transvaginal surgery is the most minimally invasive surgery for a gynecologic procedure but can be challenging for many to perform as evidenced by its declining rate. Vaginal removal of the adnexal structures can be difficult because of poor visualization. Factors such as abnormal pathology, incidental findi...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2018.01.028

    authors: Guan X,Bardawil E,Liu J,Kho R

    更新日期:2018-01-01 00:00:00

  • Impact of isthmocele on assisted reproductive treatment outcomes: an age-matched retrospective study.

    abstract:STUDY OBJECTIVE:To evaluate whether the presence of an ultrasonographic visible isthmocele has an impact on the chance of pregnancy in women undergoing embryo transfer. DESIGN:An age-matched retrospective study SETTING: Private assisted reproductive center PATIENTS: The study included a total of 150 patients with a pr...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2020.10.002

    authors: Asoglu MR,Celik C,Ozturk E,Cavkaytar S,Bahceci M

    更新日期:2020-10-07 00:00:00