OBJECTIVE To introduce a surgical technique that combines culdoscopy with laparoscopy and microlaparoscopy. METHODS This was a feasibility study conducted at The Mount Sinai Hospital of Queens. The technique is used when a larger port is required during laparoscopy or microlaparoscopy procedures. The additional port is placed in the vagina and, under laparoscopic surveillance, into the poster...

BACKGROUND AND OBJECTIVES New technology has allowed us to perform major abdominal and pelvic surgeries with increasingly smaller instruments. The ultimate goal is surgery with no visible scars. Until current technical limitations are overcome, minilaparoscopy-assisted natural orifice surgery (MANOS) provides a solution. The aim of this study was to examine our clinical and experimental experie...

In cases of benign lesions, pelviscopy is used in about 70% of all abdominal operations at our Department of Obstetrics and Gynecology. From 1990 to 1992, 851 patients with myomas were treated by surgery. In 57% pelviscopy, in 2% laparotomy, and in 1% hysteroscopic myomectomies were treated. In 11%, a CISH (Classical Intrafascial SEMM-serrated edged macro morcellator-Hysterectomy) without colpo...

Background: To evaluate differences in the proportion of uterine fibroid (UF) treatments that are uterine-sparing between Black women and White identify factors could explain disparities. Methods: Women at age 18–54 years who were enrolled from 10 clinical sites United States into Comparing Options for Management: Patient-Centered Results UFs (COMPARE-UF) treatment registry completed questionna...

Introduction Uterine leiomyomas are common benign pelvic tumors. Currently, laparoscopic myomectomy (LM) is the preferred treatment option for women in fertile age group with symptomatic myomas. The authors hypothesize that combining LM a bilateral temporary occlusion of hypogastric artery (TOHA) using vascular clips minimizes uterine blood flow during surgery and can significantly reduce surge...

Until recently, surgical treatment of a benign adnexal mass implied a laparotomy. In recent years, the development of laparoscopic surgery, as well as ultrasound-guided aspiration techniques, have significantly modified the treatment options for these patients. These procedures have shown considerable advantages. They have reduced surgical trauma and have shortened the hospital stay. We present...

BACKGROUND AND OBJECTIVES The well-known advantages of minimally invasive surgery make the approach well suited for hysterectomy and other gynecological procedures. The removal of specimens excised during surgery has been a challenge that has been answered by the use of power morcellation. With this study we sought to assess the feasibility of power morcellation within a specimen bag. METHODS...

BACKGROUND Perioperative hemodynamic fluctuations are seen more often in hypertensive patients than in normotensive patients. The purpose of our study was to investigate the perioperative hemodynamic effects of dexmedetomidine and midazolam used for premedication in hypertensive patients relative to each other and in comparison to normotensive patients. METHODS One-hundred-forty female, normo...

Hysterectomies performed in the field of obstetrics and gynaecology until the 19th century always had a lethal end. In the 20th century they were performed quite successful concerning survival but perhaps too frequently, whereas the 21st century has witnessed a steep decline in hysterectomy numbers. It is, therefore, an opportune time to review the indications for hysterectomies and hysterectom...

BACKGROUND We assessed the results and impact of blockage of utero-ovarian anastomoses (UOA) on clinical outcome in women treated by laparoscopic uterine artery occlusion for uterine fibroids. METHODS Between 2004 and 2005, we prospectively analyzed the clinical data for 23 laparoscopic uterine artery occlusion cases combined with blockage of utero-ovarian anastomoses (Group A) and 67 laparos...