scholarly journals EPV221/#599 Implementation and feasibility of prophylactic bilateral salpingectomy at benign, minimally invasive (vaginal and laparoscopic) hysterectomy in styria (Austria)

2021 ◽  
Author(s):  
C Hütter ◽  
K Simon ◽  
M Kratky ◽  
C Mutz-Eckhart ◽  
S Klammer ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Laparoscopic Hysterectomy ◽  
Bilateral Salpingectomy

scholarly journals The effect of prophylactic bilateral salpingectomy on ovarian reserve in patients who underwent laparoscopic hysterectomy

2021 ◽  
Vol 14 (1) ◽  
Author(s):  
Shizhuo Wang ◽  
Jiahui Gu
Keyword(s):  
Ovarian Cancer ◽  
Ovarian Reserve ◽  
Premenopausal Women ◽  
Laparoscopic Hysterectomy ◽  
Ovarian Tumors ◽  
Reproductive Age ◽  
Control Group ◽  
Significant Difference ◽  
Bilateral Salpingectomy ◽  
The Impact

Abstract Background Bilateral salpingectomy has been proposed to reduce the risk of ovarian cancer, but it is not clear whether the surgery affects ovarian reserve. This study compares the impact of laparoscopic hysterectomy for benign disease with or without prophylactic bilateral salpingectomy on ovarian reserve. Methods Records were reviewed for 373 premenopausal women who underwent laparoscopic hysterectomy with ovarian reserve for benign uterine diseases. The serum anti-Müllerian hormone (AMH), follicle-stimulating hormone (FSH), luteinizing hormone (LH), estradiol (E2), and three-dimensional antral follicle count (AFC) were assessed before surgery and 3 and 9 months postoperatively to evaluate ovarian reserve. Patients were divided into two groups according to whether they underwent prophylactic bilateral salpingectomy. The incidence of pelvic diseases was monitored until the ninth month after surgery. Results There was no significant difference between the two surgery groups in terms of baseline AMH, E2, FSH, LH, and AFC (all P > 0.05). There was no difference in potential bias factors, including patient age, operative time, and blood loss (all P > 0.05). There was also no significant difference between the two groups 3 months after surgery with respect to AMH (P = 0.763), E2 (P = 0.264), FSH (P = 0.478), LH (P = 0.07), and AFC (P = 0.061). Similarly, there were no differences between groups 9 months after surgery for AMH (P = 0.939), E2 (P = 0.137), FSH (P = 0.276), LH (P = 0.07) and AFC (P = 0.066). At 9 months after the operation, no patients had malignant ovarian tumors. The incidences of benign ovarian tumors in the salpingectomy group were 0 and 2.68 % at 3 and 9 months after surgery, respectively, and the corresponding values in the control group were 0 and 5.36 %. The incidences of pelvic inflammatory disease in the salpingectomy group were 10.72 and 8.04 % at 3 and 9 months after surgery, respectively, while corresponding values in the control group were 24.13 and 16.09 %. Conclusions Prophylactic bilateral salpingectomy did not damage the ovarian reserve of reproductive-age women who underwent laparoscopic hysterectomy. Prophylactic bilateral salpingectomy might be a good method to prevent the development of ovarian cancer. Larger clinical trials with longer follow-up times are needed to further evaluate the risks and benefits.

scholarly journals Clinical practice of mininally invasive gynaecological surgeries

2018 ◽  
Vol 21 (2) ◽  
pp. 19-23
Author(s):  
Binaya Raj Bhandari ◽  
Ranjana Shrestha ◽  
Binita Pradhan
Keyword(s):  
Clinical Practice ◽  
Minimally Invasive ◽  
Hospital Stay ◽  
Laparoscopic Hysterectomy ◽  
Descriptive Study ◽  
Routine Practice ◽  
Gynaecological Surgery ◽  
Patient Demographics ◽  
Common Operation ◽  
Operative Recovery

Introduction: Endoscopic gynaecological surgery which is a routine practice in outer world since last 40 years, is still at earlier phase in Nepal. This study was done to know the clinical practice of minimally invasive gynaecological surgeries in Minimally Invasive Diagnostic and Therapeutic (MIDAT) hospital. Methods: A hospital based descriptive study was conducted in gynaecological department of MIDAT hospital over 16 months period from 1st Bhadra 2071 to 30th Poush 2072 (17th August 2014 to 14th January 2016) among 115 women who underwent minimally invasive gynaecological surgeries (MIGS). Patient demographics, types of surgeries, indications of laparoscopy and hysteroscopy, reason for laparoscopic conversion, complications of surgeries and hospital stay were analyzed. Results: There were total 115 minimally invasive gynaecological surgeries done in MIDAT hospital during study period. Laparoscopic gynaecological surgeries and hysteroscopy were performed in 86 (75%) and in 29 (25%) women respectively. Among laparoscopy, laparoscopic hysterectomy {31 (36%)} was the more common operation. During laparoscopy, conversion to open was done in nine (10.5%) patients. Complications of MIGS were seen in three (3.5%) women. Conclusions: MIGS has acceptable morbidity, smooth post operative recovery and shorter hospital stay. In recent time, MIGS is gradually becoming popular in Nepal.   

scholarly journals Minimally Invasive Surgery at Paropakar Maternity and Women’s Hospital

2018 ◽  
Vol 12 (2) ◽  
pp. 16-20
Author(s):  
Gehanath Baral ◽  
Rijuta Joshi
Keyword(s):  
Laparoscopic Surgery ◽  
Minimally Invasive ◽  
Hospital Stay ◽  
Histopathological Examination ◽  
Mucinous Cystadenoma ◽  
Cystic Teratoma ◽  
Laparoscopic Hysterectomy ◽  
Serous Cystadenoma ◽  
Cross Sectional ◽  
Benign Condition

Aims: The purpose of this study is to review the reintroduced minimally invasive surgical practice in the hospital after a couple of decades long gap. Methods: It is a two years (2015 to 2017) retrospective cross-sectional study carried out in Paropakar Maternity and Women’s Hospital. The patients with pre-operative diagnosis of benign condition underwent laparoscopic surgery; hysteroscopy was diagnostic and operative both. Data were collected by demographics, indication of surgery, nature of surgery, complications, hospital stay and histo-pathological reports. Data were entered in the SPSS and MS-excel. Results were presented as tables and graphs.Results: Sixty five and 39 women underwent laparoscopic surgery and hysteroscopy respectively. None of them had major complications and hospital stay was1-3 days in majority.  The most common age group was 31-35 years. Preoperative diagnoses of them were adnexal tumor in 47 women, fibroid uterus in six, AUB in two, ectopic pregnancies in four, PCOD in two and one women each with primary sub-fertility and POP Q II with elongated cervix. Laparoscopic cystectomy was performed on 25 women for the adnexal masses while 13 women underwent laparoscopic oophorectomy for the ovarian masses. Total laparoscopic hysterectomy was the second commonest surgery (n=12). On histopathological examination of the ovarian tissues, mature cystic teratoma was the commonest finding (n=18) followed by the endometriotic cysts (n=9), benign serous cystadenoma (n=7) and mucinous cystadenoma (n=4).  Conclusions: Laparoscopy and hysteroscopy procedures have become the alternative in surgical modality at this hospital.

Percutaneous-assisted vs mini-laparoscopic hysterectomy: comparison of ultra-minimally invasive approaches

2020 ◽  
Author(s):  
Stefano Cianci ◽  
Emanuele Perrone ◽  
Cristiano Rossitto ◽  
Francesco Fanfani ◽  
Alessandro Tropea ◽  
...  
Keyword(s):  
Minimally Invasive ◽  
Laparoscopic Hysterectomy

scholarly journals Minimizing Risks in Minimally Invasive Surgery: Rates of Surgical Site Infection Across Subtypes of Laparoscopic Hysterectomy

2020 ◽  
Vol 27 (6) ◽  
pp. 1370-1376.e1
Author(s):  
Oluwateniola Brown ◽  
Julia Geynisman-Tan ◽  
Akira Gillingham ◽  
Sarah Collins ◽  
Christina Lewicky-Gaupp ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Surgical Site Infection ◽  
Invasive Surgery ◽  
Laparoscopic Hysterectomy ◽  
Site Infection ◽  
Surgery Rates

scholarly journals Single Port 11 mm Laparoscopic Hysterectomy Performed on a 32-Year-Old Female with Adhesive Disease

2020 ◽  
Vol 2020 ◽  
pp. 1-4
Author(s):  
Greg J. Marchand ◽  
Ali Azadi ◽  
Sienna Anderson ◽  
Stacy Ruther ◽  
Sophia Hopewell ◽  
...  
Keyword(s):  
Minimally Invasive Surgery ◽  
Robotic Surgery ◽  
Minimally Invasive ◽  
Single Port ◽  
Laparoscopic Hysterectomy ◽  
Minimally Invasive Procedures ◽  
Invasive Procedures ◽  
Invasive Approach ◽  
Complicating Factors ◽  
To Receive

In the field of minimally invasive surgery, there is constant drive to devise and execute the most minimally invasive surgeries possible. By the very nature of laparoscopy and robotic surgery, what one can accomplish with several ports of a given size will invariably be studied and attempted with fewer ports and with ports of smaller sizes. Although more complex pathology may require a more invasive approach, surgical cases without serious complicating factors may be amenable to extremely minimally invasive procedures. We report one such case where a 32-year-old female suffering from adenomyosis and endometriosis was able to receive a laparoscopic single-port hysterectomy and bilateral salpingo-oophorectomy through a single 11 mm port created with a blunt trochar.

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