Journal of Minimally Invasive Gynecology

OBJECTIVE: To show the surgical steps used to perform a laparoscopic double discoid colorectal resection for the excision of two distinct deep endometriotic nodules (DENs). DESIGN: Stepwise demonstration of the technique with narrated video footage. SETTING: To date there is agreement that discoid resection should be the first choice procedure in patients eligible for surgical treatment with rectal, unifocal, DENs measuring ≤3 cm [1-3]...

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STUDY OBJECTIVE: To investigate the effect of endometriosis on perioperative outcomes in patients undergoing hysterectomy for benign disease. DESIGN: A retrospective cohort study SETTING: The American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database PATIENTS: A total of 127,556 hysterectomies performed for benign gynecologic indications INTERVENTIONS: Differences in the primary outcomes were compared between patients with and without endometriosis after adjustment for group differences in covariates using inverse probability of treatment weighting approach...

A patient in her late 20s presented with a month-long history of continuous dribbling of urine associated with right flank following suction-evacuation for an incomplete abortion. Contrast-Enhanced Computed Tomography (CECT) abdomen and Computerised Tomography (CT) urogram demonstrated a 1cm focal defect in the right lateral wall of the uterus communicating with a collection in the right hemipelvis and right paracolic region. Fluid was demonstrated in the uterus and cervix. The right ureter narrowed abruptly at the level of the S1 vertebra, with prominence of the proximal ureter...

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STUDY OBJECTIVE: Suction curettage is preferred over sharp curettage in obstetric settings. We compare the quality of operative tissue sampling between sharp curettage and suction curettage using electric vacuum aspiration for nonobstetric abnormal uterine bleeding in reproductive-aged women. DESIGN: A retrospective cohort study. SETTING: Community hospital in Long Island, New York. PATIENTS: Women ages 21 to 45 years (n = 257) who underwent operative curettage procedure for nonobstetric abnormal uterine bleeding...

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OBJECTIVE: To summarize evidence from Randomized Controlled Trials (RCTs) on the effectiveness of Virtual Reality Technology (VRT), as used by patients, for reducing pain during outpatient hysteroscopy. DATA SOURCES: Electronic databases and clinical registers were searched until 21th June 2023. The review protocol was registered in PROSPERO before the data extraction (CRD42023434340). METHODS OF STUDY SELECTION: We included RCTs of patients receiving VRT compared with controls receiving routine care during outpatient hysteroscopy...

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STUDY OBJECTIVES: To describe the uterine weight threshold for increasing risk of complications following a laparoscopic hysterectomy using the American College of Surgeons National Surgical Quality Improvement Program database (NSQIP) DESIGN: : Cross-sectional analysis using the American College of Surgeons National Surgical Quality Improvement Program database from 2016 to 2021. SETTING: American College of Surgeons National Surgical Quality Improvement Program database...

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