In obese patients, laparoscopic ports should be placed more than 10 centimeters from the midline to minimize the chance of injury to epigastric vessels, according to research presented at the 41st Global Congress of the American Association of Gynecologic Laparoscopists.
Laparoscopy and Hysteroscopy
More than 64% of the adult women in the United States are overweight or obese, and these patients pose special challenges for surgeons. New research examining outcomes and complication rates, particularly in the emerging field of robotic surgery, will allow better management of these patients, and ObGyn.net will be paying special attention to this research at AAGL 2012 in Las Vegas.
A review comparing laparoscopic hysterectomy versus abdominal hysterectomy for early-stage endometrial cancer has found that rates of overall survival and disease-free survival are similar for the surgical procedures.
According to the findings of a new intervention review and meta-analysis, neither paracervical block with lidocaine nor conscious sedation significantly reduced overall pain scores for tubal sterilization with hysteroscopy.
This patient had severe adhesions of the bladder and uterus following an extensive abdominal myomectomy. The bladder injury was recognized at the time of hysterectomy. A two layer closure is demonstrated using laparoscopic intracorporeal knot tying techniques.
A prospective case series analysis has shown that single incision laparoscopic surgery is a technique that is both feasible and safe for the surgical management of a variety of gynecological conditions.
Removing specimens transvaginally during laparoscopic resection of adnexal masses is associated with less postoperative pain than transumbilical removal, according to a new study.
A 39 year-old woman presented with urinary frequency and pelvic pressure. On pelvic examination, a large pelvic mass was felt adjacent to the uterus, deep in the pelvis. MRI showed a 12 cm subserosal fibroid adjacent to the right side of the uterus.
No single technique is superior at preventing major vascular or visceral complications during laparoscopic entry, according to a Cochrane review, but certain techniques confer advantages.
Laparoscopy has short-term advantages and seemingly equivalent long-term outcomes as compared with laparotomy for endometrial cancer according to a meta-analysis of randomized controlled trials.