Comparison of the Number of Spindle Cells in Peritoneal Washings between Laparoscopic Myomectomy with Morcellation and Open Myomectomy without Morcellation.

Abstract:

STUDY OBJECTIVE:This study evaluated peritoneal washings for the detection of spindle cells (SCs) in laparoscopic and open myomectomies. DESIGN:Prospective, nonrandomized clinical trial. SETTING:An academic tertiary referral center. PATIENTS:Women suspected of having benign uterine myoma undergoing laparoscopic or open myomectomy from October 2016 to April 2018. INTERVENTIONS:Washing of the peritoneal cavity to detect SCs was performed twice during the laparoscopic myomectomy. The first washing was after the closure of the myometrial incision and before morcellation. The second one was performed after morcellation. The procedure was also performed once during the open myomectomy, after the completion of the myomectomy and the closure of the incision. After a peritoneal washing with 200 mL normal saline, 30 mL liquid was collected and sent to the laboratory for SC detection. Surgical parameters such as operating time, mean change in serum hemoglobin level, complications, length of hospital stay, and readmission were compared between the 2 groups. MEASUREMENTS AND MAIN RESULTS:A total of 150 participants were included in the analysis: 78 in the laparoscopic group and 72 in the open myomectomy group. After morcellation, the incidence of SCs was 2.6% (n = 2) and 6.9% (n = 5) in the laparoscopic and open myomectomy groups, respectively (p = .204). CONCLUSION:SCs were observed in both the laparoscopic and open myomectomy groups. Thus, morcellation alone could not be the cause for SC dissemination, which might also be triggered by the manipulation of myoma(s).

authors

Asgari Z,Hashemi M,Hosseini R,Sepidarkish M,Seifollahi A

doi

10.1016/j.jmig.2020.10.024

subject

Has Abstract

pub_date

2020-11-02 00:00:00

eissn

1553-4650

issn

1553-4669

pii

S1553-4650(20)31113-4

pub_type

杂志文章
  • Laparoscopic Uterosacral Suture Sacrohysteropexy: LUSSH Procedure.

    abstract:STUDY OBJECTIVE:To demonstrate a mesh-free laparoscopic uterosacral suture sacrohysteropexy (LUSSH). DESIGN:Technical video demonstrating LUSSH for uterine prolapse (Canadian Task Force classification III). SETTING:University hospital. PATIENT:A 37-year-old woman with grade 3 uterine descent requested uterine-sparin...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2018.03.025

    authors: Jan H,Ghai V

    更新日期:2019-02-01 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

  • Transcatheter embolization of uterine arteriovenous malformation: report of 2 cases and review of literature.

    abstract::Arteriovenous malformation (AVM) of the uterus is a rare cause of menorrhagia and may at times lead to life-threatening hemorrhage. The clinical findings may not always be reliable in the diagnosis of uterine AVM, and a high index of suspicion is important because, unlike many other causes of menorrhagia, curettage ma...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2011.07.007

    authors: Molvi SN,Dash K,Rastogi H,Khanna SB

    更新日期:2011-11-01 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 novel modification of traditional 2-port laparoscopic surgery using a 5-mm flexible scope.

    abstract::In embryonic natural orifice transumbilical endoscopic surgery, more than 1 port is inserted through the umbilicus. In the present study, embryonic natural orifice transumbilical endoscopic surgery combined with a flexible scope was used to further improve gynecologic surgery. A surgical incision was made in the umbil...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2009.07.006

    authors: Kikuchi I,Kumakiri J,Kuroda K,Matsuoka S,Kitade M,Takeda S

    更新日期:2009-11-01 00:00:00

  • Different Routes of Misoprostol for Same-Day Cervical Priming Prior to Operative Hysteroscopy: A Randomized Blinded Trial.

    abstract:STUDY OBJECTIVE:To compare the effectiveness of and patient satisfaction with different routes of misoprostol administration for short-term cervical priming before operative hysteroscopy. DESIGN:Randomized blinded trial (Canadian Task Force classification I). SETTING:University hospital. PATIENTS:One hundred and twe...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jmig.2016.12.024

    authors: Ganer Herman H,Kerner R,Gluck O,Feit H,Keidar R,Bar J,Sagiv R

    更新日期:2017-01-01 00:00:00

  • Postpartum Permanent Sterilization: Could Bilateral Salpingectomy Replace Bilateral Tubal Ligation?

    abstract:STUDY OBJECTIVE:There has recently been an expansion in the use of bilateral salpingectomy at the time of sterilization to theoretically decrease ovarian cancer risk. We sought to determine if postpartum salpingectomy is equivalent to postpartum bilateral tubal ligation (BTL) in terms of duration, estimated blood loss ...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2016.05.006

    authors: Danis RB,Della Badia CR,Richard SD

    更新日期:2016-09-01 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

  • "Silent" rupture of unscarred gravid uterus with subsequent pelvic abscess: successful laparoscopic management.

    abstract::Intrapartum rupture of an unscarred uterus is rare in current times. However, it is still associated with significant maternal and fetal mortality and morbidity. Unlike rupture or dehiscence of a previous cesarean scar, which is occasionally bloodless, complete rupture of a gravid unscarred uterus frequently results i...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2005.07.005

    authors: Sun CH,Liao CI,Kan YY

    更新日期:2005-11-01 00:00:00

  • Single-Use Energy Sources and Operating Room Time for Laparoscopic Hysterectomy: A Randomized Controlled Trial.

    abstract:STUDY OBJECTIVES:To compare the intraoperative direct costs of a single-use energy device with reusable energy devices during laparoscopic hysterectomy. DESIGN:A randomized controlled trial (Canadian Task Force Classification I). SETTING:An academic hospital. PATIENTS:Forty-six women who underwent laparoscopic hyste...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jmig.2015.08.881

    authors: Holloran-Schwartz MB,Gavard JA,Martin JC,Blaskiewicz RJ,Yeung PP Jr

    更新日期:2016-01-01 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 presacral teratomas.

    abstract::Presacral and retrorectal space tumors are relatively rare lesions, the location of which can result in the onset of symptoms that are not well-defined. Retrorectal teratomas are resected to alleviate these symptoms and to rule out malignancy. Complete resection by one of the open abdominal or sacral approaches was tr...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2008.06.011

    authors: Chen Y,Xu H,Li Y,Li J,Wang D,Yuan J,Liang Z

    更新日期:2008-09-01 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

  • Power Morcellator Features Affecting Tissue Spill in Gynecologic Laparoscopy: An In-Vitro Study.

    abstract:STUDY OBJECTIVE:To assess features of power morcellators (blade diameter, circular vs oscillating cutting, blade rotation speed, experience level) regarding their effect on the amount of tissue spill. In addition, the amount of tissue spill after the initial two-thirds and final one-third of the morcellated specimen wa...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2015.09.014

    authors: van den Haak L,Arkenbout EA,Sandberg EM,Jansen FW

    更新日期:2016-01-01 00:00:00

  • Laparoscopic myomectomy: clinical outcomes and comparative evidence.

    abstract::Laparoscopic myomectomy is a common surgical treatment for symptomatic uterine leiomyomas. Proponents of the laparoscopic approach to myomectomy propose that the advantages include shorter length of hospital stay and recovery time. Others suggest longer operative time, greater blood loss, increased risk of recurrence,...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2014.08.007

    authors: Buckley VA,Nesbitt-Hawes EM,Atkinson P,Won HR,Deans R,Burton A,Lyons SD,Abbott JA

    更新日期:2015-01-01 00:00:00

  • Clinical observation of a modified surgical method: posterior vaginal mesh suspension of female rectocele with intractable constipation.

    abstract:STUDY OBJECTIVE:To explore the feasibility and effectiveness of a modified posterior vaginal mesh suspension method in treating female rectocele with intractable constipation. DESIGN:Descriptive study (Canadian Task Force classification II-3). SETTING:The study was performed in the Study Center for Female Pelvic Dysf...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2012.06.004

    authors: Hong L,Li HF,Sun J,Zhu JL,Ai GH,Li L,Zhang B,Chi FL,Tong XW

    更新日期:2012-11-01 00:00:00

  • Surgical Repair of Rectovaginal Fistula Using the Modified Martius Procedure: A Step-by-Step Guide.

    abstract:STUDY OBJECTIVE:To demonstrate the surgical repair of a rectovaginal fistula (RVF) using the modified Martius procedure. DESIGN:A step-by-step presentation of the procedure using video (Canadian Task Force classification III). SETTING:RVF is abnormal epithelialized connections between the vagina and rectum. Causes of...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2017.08.657

    authors: Wang D,Chen J,Zhu L,Sang M,Yu F,Zhou Q

    更新日期:2018-01-01 00:00:00

  • Preoperative Conization and Risk of Recurrence in Patients Undergoing Laparoscopic Radical Hysterectomy for Early Stage Cervical Cancer: A Multicenter Study.

    abstract:STUDY OBJECTIVE:To investigate the factors associated with poorer oncologic outcomes in patients undergoing laparoscopic radical hysterectomy (LRH) for early stage cervical cancer. DESIGN:Multicenter retrospective study. SETTING:Three gynecologic oncology referral centers. PATIENTS:Patients with International Federa...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2020.04.015

    authors: Casarin J,Bogani G,Papadia A,Ditto A,Pinelli C,Garzon S,Donadello N,Laganà AS,Cromi A,Mueller M,Raspagliesi F,Ghezzi F

    更新日期:2021-01-01 00:00:00

  • Scopolamine for prevention of postoperative nausea in gynecologic laparoscopy, a randomized trial.

    abstract:STUDY OBJECTIVE:We sought to estimate effectiveness of transdermal scopolamine to prevent postoperative nausea and vomiting after gynecologic laparoscopy. DESIGN:Patients were randomized to receive preoperative transdermal scopolamine or placebo. Main outcome measure was incidence of nausea during the first 24 hours p...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jmig.2007.08.616

    authors: Einarsson JI,Audbergsson BO,Thorsteinsson A

    更新日期:2008-01-01 00:00:00

  • Robotic Hysterectomy in Severely Obese Patients With Endometrial Cancer: A Multicenter Study.

    abstract:STUDY OBJECTIVE:The aim of this study was to evaluate the surgical and oncologic outcomes of robotic hysterectomy with or without or less pelvic and aortic lymphadenectomy in severely obese patients (body mass index [BMI] ≥ 40 kg/m(2)) with endometrial cancer. MATERIAL AND METHODS:Between August 2010 and November 2014...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,多中心研究

    doi:10.1016/j.jmig.2015.08.887

    authors: Corrado G,Chiantera V,Fanfani F,Cutillo G,Lucidi A,Mancini E,Pedone Anchora L,Scambia G,Vizza E

    更新日期:2016-01-01 00:00:00

  • Transvaginal Resection of an Infected Sacrocolpopexy Mesh by Single-Port Trocar.

    abstract:STUDY OBJECTIVE:Laparoscopy using a single port improves morbidity while keeping the same level of requirement. This technique has been evaluated in gynecology for salpingectomy, ovarian surgery, and hysterectomy. Here, the authors illustrate a new use of a single port using the transvaginal approach. DESIGN:Case repo...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2017.09.027

    authors: Schaub M,Lecointre L,Faller E,Boisramé T,Baldauf JJ,Akladios CY

    更新日期:2018-01-01 00:00:00

  • Does intraabdominal pressure affect development of subcutaneous emphysema at gynecologic laparoscopy?

    abstract:STUDY OBJECTIVE:To estimate the effect of intraabdominal pressure and risk factors related to the occurrence of subcutaneous emphysema during laparoscopic surgery. DESIGN:Prospective randomized study (Canadian Task Force classification I). SETTING:University hospital. PATIENTS:Two hundred patients who underwent gyne...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,随机对照试验

    doi:10.1016/j.jmig.2011.08.006

    authors: Lee DW,Kim MJ,Lee YK,Lee HN

    更新日期:2011-11-01 00:00:00

  • Hysteroscopy in pregnancy-related conditions: descriptive analysis in 273 patients.

    abstract:STUDY OBJECTIVE:To describe the feasibility of office hysteroscopy in patients with pregnancy-related problems such as retained trophoblastic tissue, persistent molar tissue, pregnancy with in situ intrauterine device (IUD), isthmocele, embryoscopy, and osseous metaplasia. DESIGN:Retrospective cohort chart review of u...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2013.11.004

    authors: Pérez-Medina T,Sancho-Saúco J,Ríos M,Pereira A,Argila N,Cabezas E,Cayuela E

    更新日期:2014-05-01 00:00:00

  • Urinary complications after surgery for posterior deep infiltrating endometriosis are related to the extent of dissection and to uterosacral ligaments resection.

    abstract::Surgery for deep infiltrating endometriosis can relieve symptoms and improve quality of life. However, few data are available on complications, especially urinary disorders. The aim of this longitudinal study (Canadian Task Force classification II-3) was to evaluate urinary complications of laparoscopic surgery for de...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2007.10.009

    authors: Dubernard G,Rouzier R,David-Montefiore E,Bazot M,Daraï E

    更新日期:2008-03-01 00:00:00

  • Robotic Surgery in Women With Ovarian Cancer: Surgical Technique and Evidence of Clinical Outcomes.

    abstract::Robotic surgery is a new technology that has been progressively implemented to treat endometrial and cervical cancer. However, the use of robotic surgery for ovarian cancer is limited to a few series of cases and comparative studies with laparoscopy or laparotomy. The technical issues concerning robotic surgery, as we...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2015.10.014

    authors: Minig L,Padilla Iserte P,Zorrero C,Zanagnolo V

    更新日期:2016-03-01 00:00:00

  • Tigers in the Sidewall: Surgical Approaches to Excision of Lateral Deep Infiltrating Endometriosis.

    abstract:OBJECTIVE:To describe the surgical approaches and excisional techniques used in an extreme case of deep infiltrating endometriosis (DIE) affecting the lateral pelvic side wall. DESIGN:A technical video showing the excision of advanced lateral DIE. SETTING:An academic tertiary care hospital. INTERVENTIONS:A 32-year-o...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2019.06.019

    authors: Peters A,Rindos NB,Lee TTM

    更新日期:2020-02-01 00:00:00

  • Use of Historic Surgical Times to Predict Duration of Hysterectomy: Stratifying by Uterine Weight.

    abstract:STUDY OBJECTIVE:To describe the accuracy of historic averages for estimating operating room (OR) time for hysterectomy among women with small and large uteri. DESIGN:A retrospective cohort study. SETTING:Data from women who underwent abdominal, vaginal, or laparoscopic hysterectomy between 2015 and 2017 at the Univer...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2019.01.003

    authors: Cassling C,Shay R,Strassle PD,Voltzke K,Schiff L,Louie M,Carey E

    更新日期:2019-01-01 00:00:00

  • Factors Associated With Hemostatic Agent Use During Laparoscopic Hysterectomy.

    abstract::STUDY OBJECTIVE: To evaluate factors associated with the use of hemostatic agents during traditional laparoscopic or robotic hysterectomy. DESIGN:A retrospective cohort trial (Canadian Task Force classification III). SETTING:A single medical center in Cincinnati, OH, from August 1, 2013, to July 31, 2014. PATIENTS:...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章

    doi:10.1016/j.jmig.2016.08.827

    authors: Kakos A,Allen V,Whiteside J

    更新日期:2016-01-01 00:00:00

  • Laparoscopy for the management of early-stage endometrial cancer: from experimental to standard of care.

    abstract::We performed a search of PUBMED and MEDLINE for articles concerning surgical management of early stage endometrial cancer from 1950 to 2011. From the articles collected we extracted data such as estimated blood loss, operating room time, complications, conversion to laparotomy, and length of hospital stay. Forty-seven...

    journal_title:Journal of minimally invasive gynecology

    pub_type: 杂志文章,评审

    doi:10.1016/j.jmig.2012.02.006

    authors: Acholonu UC Jr,Chang-Jackson SC,Radjabi AR,Nezhat FR

    更新日期:2012-07-01 00:00:00

  • Laparoendoscopic Single-Site Sentinel Lymph Node Detection in Endometrial Cancer.

    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

    authors: Demirayak G,Comba C,Özdemir İA

    更新日期:2018-01-01 00:00:00