PubMed Journals Articles About "Vaginal Cuff Dehiscence At Total Laparoscopic Hysterectomy" RSS

12:46 EDT 19th March 2019 | BioPortfolio

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Showing "Vaginal Cuff Dehiscence Total Laparoscopic Hysterectomy" PubMed Articles 1–25 of 13,000+

Vaginal cuff dehiscence is observed in a higher rate after total laparoscopic hysterectomy compared to other types of hysterectomy.

Recently, it has been suggested that occurrence of post-hysterectomy vaginal cuff dehiscence has increased. Consequently, we evaluated the incidence of vaginal cuff dehiscence after different types of hysterectomies. Our hypothesis is that vaginal cuff dehiscence is more often associated with total laparoscopic hysterectomy (TLH) than other types of uterine removal.

Vaginal cuff dehiscence following total laparoscopic hysterectomy by monopolar cut vs coagulation mode during colpotomy: A randomized controlled trial.

To assess the effect of monopolar coagulation vs cut mode during colpotomy at total laparoscopic hysterectomy on vaginal cuff dehiscence.

Vaginal Cuff Dehiscence and Evisceration: A Review.

Vaginal cuff dehiscence is an infrequent complication of hysterectomy, with the potential for evisceration and additional morbidity. This review aims to describe the incidence, risk factors, preventative measures, and management. Identification of specific risk factors is problematic because many studies either lack comparison groups or are underpowered as a result of the rarity of this complication. Good surgical technique to optimize vaginal cuff healing and minimize the risk of postoperative cuff infecti...

Barbed Suture Versus Conventional Suture for Vaginal Cuff Closure in Total Laparoscopic Hysterectomy: A Randomized Controlled Clinical Trial.

To determine the surgical time, suture time, presence of postoperative dyspareunia, and complications that occur after closing the vaginal cuff with a barbed suture compared with conventional suture.

Laparoscopic nerve-sparing radical hysterectomy versus laparoscopic radical hysterectomy in cervical cancer: a systematic review and meta-analysis of clinical efficacy and bladder dysfunction.

It is widely accepted that nerve-sparing radical hysterectomy is associated with less postoperative morbidity than is observed in radical hysterectomy, while clinical safety is similar between the two. However, there is insufficient evidence to compare the laparoscopic approaches to these procedures. We performed a systematic review and meta-analysis to compare clinical efficacy and the rate of bladder dysfunction, including urodynamic assessment, between laparoscopic nerve-sparing radical hysterectomy (LNS...

Achieving High-Value in the Surgical Approach to Hysterectomy.

Value-based care, best clinical outcome relative to cost, is a priority in correcting the high costs for average clinical outcomes of health care delivery in the United States. Hysterectomy represents the most common and identifiable non-obstetric major surgical procedure among women. Surgical approaches to hysterectomy in the United States have changed in recent decades. For benign indications, clinical evidence identifies the superiority of vaginal hysterectomy to all other routes. These conclusions rest ...

Immediate postoperative pain control with ropivacaine following laparoscopic-assisted vaginal hysterectomy: A randomized double-blind pilot study.

Although laparoscopic hysterectomy, a worldwide popular surgery, ensures faster recovery and less postoperative pain than with laparotomic hysterectomy, immediate pain control still improving postoperative care. We introduce an effective method, intraoperative injection of ropivacaine into both uterosacral ligaments, to control immediate postoperative pain.

Impact of Laparoscopic Hysterectomy on Quality of Life.

There is an ongoing debate regarding the benefits and drawbacks of the various routes of hysterectomy. A number of studies have examined overall quality of life outcomes as well as specific patient-reported outcomes including physical, psychosocial, and sexual functioning following hysterectomy. Existing studies have used varied methodologies with widely heterogeneous results, but patient satisfaction appears to be very high following laparoscopic hysterectomy, with many studies favoring the laparoscopic ap...

Preemptive Oral Acetaminophen for Women Undergoing Total Laparoscopic Hysterectomy.

To decrease hospital expenses by administering oral acetaminophen rather than intravenous (IV) acetaminophen to women who undergo laparoscopic hysterectomy.

Treatment of Vaginal Shortening and Narrowing With Autologous Buccal Mucosa Graft Augmentation Without Vaginal Mold.

Vaginal foreshortening can occur after hysterectomy leading to inability to engage successfully in vaginal intercourse resulting in decreased quality of life. Vaginal elongation using autologous buccal mucosal graft with mold and postoperative bed rest has been reported extensively for vaginal stenosis and foreshortening, but graft without mold has never been described. A 61-year-old woman 5 years after robotic-assisted hysterectomy with foreshortened vagina and vaginal stricture sought care secondary to th...

Analgesic effect of trigger point injection and EMLA for shoulder pain in patients undergoing total laparoscopic hysterectomy: A randomized controlled study.

The purpose of this study was to evaluate the effects of trigger point injection (TPI) and eutectic mixture local anesthetics (EMLA) cream on the postoperative shoulder pain in patients undergoing total laparoscopic hysterectomy.

Trends in apical prolapse surgery between 2010 and 2016 in Denmark.

Pelvic organ prolapse is a common diagnosis. Today there is no consensus on the ideal operation technique for apical prolapse. Vaginal hysterectomy with suspension of the vaginal cuff is the most frequently used, but the popularity of uterus-preserving techniques is increasing. The aim of this study was to describe trends in surgical techniques used to treat primary apical prolapse in Danish hospitals.

Discharge readiness following robotic and laparoscopic hysterectomy.

To evaluate which factors may be predictive of patient readiness of discharge after robotic and laparoscopic hysterectomy.

Pyomyoma after uterine artery embolization: laparotomy avoided by in-bag morcellation.

We report a case of a pyomyoma where in-bag morcellation allowed for a total laparoscopic hysterectomy instead of laparotomy which has been recognized as the standard of care to avoid infection spreading by morcellation. A 45-year-old multiparous woman presented with sepsis, pelvic pain, and leukocytosis one month after uterine artery embolization for symptomatic uterine leiomyoma. The diagnostic of a 9-cm pyomyoma was suspected at pelvic computed tomography scan. A total hysterectomy was performed using a ...

Hysterectomy by Transvaginal Natural Orifice Transluminal Endoscopic Surgery versus laparoscopy as a day-care procedure: a randomised controlled trial.

To compare hysterectomy by Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) versus total laparoscopic hysterectomy (TLH) as a day-care procedure.

Cystitis Cystica on Routine Cystoscopy at Time of Total Laparoscopic Hysterectomy.

Massive subcutaneous emphysema extending to the face during total laparoscopic hysterectomy.

Robotic Radical Hysterectomy for Cervical Cancer; a Population-Based study of Adoption and Immediate Postoperative Outcomes in the US.

To determine incidence of robotic radical hysterectomy (RRH) in the United States in comparison to abdominal radical hysterectomy (ARH), with secondary outcomes of peri-operative complications, length of stay, immediate post-operative mortality, cost and a sub-analysis compared to laparoscopic radical hysterectomy (LRH).

Hysterectomy - who should be trained to do it?

We wish to thank Dr. Matsubara et al. for their valuable response on our Editorial that deals with the important topic whether all residents still need to learn to perform abdominal hysterectomy. We think that Matsubara et al. raise some interesting issues in respect to the need for mastering abdominal hysterectomy not only by endoscopically trained gynecologist but also by obstetricians. We agree that ideally, all gynecologists should be able to quickly convert to laparotomy to control a life threatening...

Route of hysterectomy during minimally invasive sacrocolpopexy does not affect postoperative outcomes.

Hysterectomy can be performed during sacrocolpopexy, but there are limited studies comparing the effect of route of hysterectomy on adverse events. We hypothesized there would be no difference in adverse events or patient-reported outcomes in women who underwent minimally invasive sacrocolpopexy with either vaginal or supracervical hysterectomy.

The incidence, causes, and management of lower urinary tract injury during total laparoscopic hysterectomy.

Evidence-based guidelines for vaginal hysterectomy of the International Society for Gynecologic Endoscopy (ISGE).

This project was established by the International Society for Gynecologic Endoscopy (ISGE) to provide evidence-based recommendations on the selection of women in whom vaginal hysterectomy can be safely performed.

Feasibility of Oophorectomy at the Time of Vaginal Hysterectomy in Patients with Pelvic Organ Prolapse.

Determine the feasibility of oophorectomy at the time of vaginal hysterectomy in patients with pelvic organ prolapse and define prognostic factors and perioperative morbidity associated with the procedure.

McCarus Minimally Invasive Hysterectomy: 20 Years' Experience-Lessons Learned.

The advancement of surgical innovation for both devices and techniques has directly impacted the number of hysterectomy options available to patients. These advancements have led to an expansion of options that has been exceptionally impactful for minimally invasive surgery. For individuals who are diagnosed with a health condition or disease that requires a hysterectomy, these advances allow the surgeon to consider an expanded variety of procedures that may improve patients' outcomes and accommodate patien...

The analgesic efficacy of oblique subcostal transversus abdominis plane block after laparoscopic hysterectomy: A randomized, controlled, observer-blinded study.

We aimed to assess whether an ultrasound (US)-guided oblique subcostal transversus abdominis plane (OSTAP) block would improve the postoperative pain scores and decrease the tramadol consumption after a laparoscopic hysterectomy.

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