Gynecologic Surgery Research Articles

12289 Use of Palonosetron to Prevent Postoperative Nausea/Vomiting in Gynecologic Surgery: A Single-Center Retrospective Study

12289 Use of Palonosetron to Prevent Postoperative Nausea/Vomiting in Gynecologic Surgery: A Single-Center Retrospective Study

Patient-reported harm following cancellation of planned surgery at a Danish university hospital: a cross-sectional study.

To estimate the prevalence and severity of patient-reported physical and non-physical harm following surgery cancellation. Cross-sectional study. A large Danish university hospital. Patients (≥18 years) from various surgical specialities, such as orthopaedic, spinal, abdominal, gynaecological, thoracic, vascular and urological surgery whose surgery was cancelled <2 weeks prior to the scheduled date due to hospital-related causes.OutcomePatient-reported physical and non-physical harm, defined as physical worsening, emotional strain and other consequences, measured using a patient-reported survey. We identified 785 patients whose surgery was cancelled from 1 December 2021 to 1 June 2022, of whom 436 (55.5%) responded to the electronic survey. Physical worsening was reported by 42% and emotional strain by 48% of patients. One-third of patients reported an inability to continue daily activities, and 28% reported a need for an increased dose of analgesics. Emotional strain included various negative feelings such as being disappointed (59%) and lonely (31%). Furthermore, 44% of the respondents feared deterioration of their disease and 9% experienced anxiety of dying. The relative risk of emotional strain was higher in females than in males (54% vs 41%, adjusted relative risk (RR)=1.32 (1.08; 1.63)). A waiting period >30 days compared with ≤30 days was associated with a higher risk of physical worsening (25.3% vs 48.9%, adjusted RR=1.93 (1.42; 2.63)). Harm, measured as physical worsening and emotional strain, is reported with severity by nearly half of respondents following cancellation.

The use of pedometers to assess patient ambulation following gynecologic oncology surgery: A prospective observational study

The use of pedometers to assess patient ambulation following gynecologic oncology surgery: A prospective observational study

Factors influencing gynecologic risk reduction surgeries for BRCA1 or BRCA2 germline mutation carriers

Factors influencing gynecologic risk reduction surgeries for BRCA1 or BRCA2 germline mutation carriers

12362 The Use of Pedometers to Assess Patient Ambulation Following Gynecologic Oncology Surgery: A Prospective Observational Study

12362 The Use of Pedometers to Assess Patient Ambulation Following Gynecologic Oncology Surgery: A Prospective Observational Study

The implementation of an electronic symptom management system to monitor postoperative pain in gynecologic oncology surgery patients: A multicenter evaluation

The implementation of an electronic symptom management system to monitor postoperative pain in gynecologic oncology surgery patients: A multicenter evaluation

The effects of lumbar sympathetic ganglion block therapy on secondary lower limb lymphedema among patients with gynecologic cancer surgery

The effects of lumbar sympathetic ganglion block therapy on secondary lower limb lymphedema among patients with gynecologic cancer surgery

11425 Referral Patterns for Minimally Invasive Gynecologic Surgery Subspecialists Within an Urban Tertiary Care Network

11425 Referral Patterns for Minimally Invasive Gynecologic Surgery Subspecialists Within an Urban Tertiary Care Network

12056 Optimizing Pre-Operative Hemoglobin and Iron Status Prior to Gynecology Surgery: A Multidisciplinary Collaborative Approach

12056 Optimizing Pre-Operative Hemoglobin and Iron Status Prior to Gynecology Surgery: A Multidisciplinary Collaborative Approach

11680 Implementing Social Needs Screening in a Minimally Invasive Gynecology Surgery Clinic: A Quality Improvement Project

11680 Implementing Social Needs Screening in a Minimally Invasive Gynecology Surgery Clinic: A Quality Improvement Project

The Integration of Indocyanine Green (ICG) to Optimize Benign Gynecological Surgery

The Integration of Indocyanine Green (ICG) to Optimize Benign Gynecological Surgery

11371 Academic Retention and Geographic Distribution of Recent Graduates of Minimally Invasive Gynecologic Surgery Fellowships

11371 Academic Retention and Geographic Distribution of Recent Graduates of Minimally Invasive Gynecologic Surgery Fellowships

11825 Race, Ethnicity, and Sex Representation Trends Among Minimally Invasive Gynecologic Surgery Fellowship Trainees and Graduates

11825 Race, Ethnicity, and Sex Representation Trends Among Minimally Invasive Gynecologic Surgery Fellowship Trainees and Graduates

The Current State of AAGL Fellowship in Minimally Invasive Gynecologic Surgery (FMIGS): Surgical Volume and Case Types

The Current State of AAGL Fellowship in Minimally Invasive Gynecologic Surgery (FMIGS): Surgical Volume and Case Types

Trends in reimbursement for minimally invasive gynecologic surgery

Trends in reimbursement for minimally invasive gynecologic surgery

11766 Essentials in Minimally Invasive Gynecologic Surgery (EMIGS): Set Up and Technique for the Suprapubic Surgeon

11766 Essentials in Minimally Invasive Gynecologic Surgery (EMIGS): Set Up and Technique for the Suprapubic Surgeon

Giant benign mesenteric cysts (mesothelioma and lymphangioma): A report of two cases

Introduction and importanceMesenteric cysts are a rare group of intra-abdominal tumors located in the mesentery or omentum, most of this lesion are asymptomatically but occasionally presents with non-specific symptoms, which makes diagnosis difficult. Case presentationWe present two cases of giant mesenteric cyst in our Institution, the first case is a women of 23 years with previous gynecologic surgery with chronic abdominal pain and large abdominal mass CT showed a giant intraabdominal 30 × 25 × 15 cm, the patient went to laparotomy and a large mesenteric tumor found. The Histopathology reported a Benign cyst mesothelioma (BCM). The second case is a 47 year male with intermittent abdominal pain and abdominal CT shows a 20x21x15 cm tumor. Laparotomy was performed. Histopathology reported a large lymphangioma. Clinical discussionBCM tumors are rare intrabdominal lesions often diagnosed in premenopausal women. Its etiopathogenesis is still unclear, associated risk factors are endometriosis, pelvic inflammatory disease and previous pelvic surgery. Lymphangiomas are an infrequent cyst tumors. It results from a failure in the evolutionary development of the lymphatic system, often localized in the head and neck and its localization in the abdomen is even rare. The definitive diagnosis is made by histopathology. ConclusionMesenteric cysts diagnosis if often challenge due to nonspecific symptoms and significant overlap in imaging appearance between the different entities, its diagnosis should be in mind when encounter a cystic abdominal tumor, surgical complete removal of this tumors is the optimal treatment to prevent recurrence and complications.

The Impact of Minimally Invasive Gynecologic Surgery Subspecialty Training on Outcomes of Benign Hysterectomy

The Impact of Minimally Invasive Gynecologic Surgery Subspecialty Training on Outcomes of Benign Hysterectomy

Evaluation of postoperative pain on Transversus Abdominis Plane block and Erector Spinae Plane block in patients undergoing gynecological surgery: a prospective, comparative study

INTRODUCTION: Moderate to severe pain after gynecological surgery has an impact on postoperative recovery and mobilization. Transversus Abdominis Plane (TAP) block and Erector Spinae Plane (ESP) block have been used as multimodal analgesia for abdominal surgery. OBJECTIVES: This study aims to compare postoperative pain in patients undergoing either ESP blocks or TAP blocks, and the need for postoperative morphine in patients undergoing gynecological surgery.MATERIALS AND METHODS: This was a single-center, prospective, double-arm, comparative study. Forty subjects were enrolled in this study, and classified into two groups. One group of 20 subjects underwent ESP block, and the remaining 20 subjects underwent TAP block following a gynecologic surgical procedure. Patients were then assessed using with the Numeric Rating Scale (NRS) pain score which will be observed at intervals of 0–1 hour, 1–6 hours, 6–12 hours, and 12–24 hours. Numerical data analysis was done using an unpaired T-test on normally distributed data and the Mann-Whitney test on non-normally distributed data. Categorical data analysis was done using Fisher's Exact Test. RESULTS: NRS score at rest was higher in the TAP block group at 1–6 hours and 6–12 hours (pain scale 3) than in the ESP block group (pain scale 1). Movement-evoked pain NRS score was higher in the TAP block groups significantly. CONCLUSION: ESP block results in a lower postoperative pain score NRS value and reduces the need for morphine in post-gynecological surgery patients with a median incision compared to the TAP block.

Comparison of the effectiveness of subcostal transversus abdominis plane and rectus sheath blocks in postoperative analgesia in major open gynecological cancer surgeries: a prospective randomized study.

The transversus abdominis plane block (TAPB) is frequently used for postoperative analgesia in abdominal surgery. However, it remains insufficient for analgesia during upper abdominal surgeries. Therefore, we compared the efficacy of the subcostal transversus abdominis plane block (STAPB) or rectus sheath block (RSB), in addition to the posterior transversus abdominis plane block (PTAPB), for postoperative analgesia in major gynecologic cancer surgeries. This prospective randomized study included 50 patients aged > 18 years (American Society of Anesthesiologists physical status II or III), who underwent gynecologic cancer surgery through a midline incision. All patients underwent PTAPB, STAPB, or RSB according to the randomization. The following parameters were recorded and compared: demographic data; intraoperative hemodynamic parameters; numeric rating scale (NRS) pain levels at the 1st, 6th, 12th, and 24th postoperative hours; opioid consumption; number of requests and boluses; adverse effects; surgical complications within 24 h. Forty-seven patients were included in this study. In the STAPB group, postoperative 1, 12 and 24 h NRS values were lower; opioid consumption, opioid demand, and bolus numbers were lower during the postoperative 24 h as compared to RSB (P < 0.05). The intraoperative opioid and hemodynamic values were similar in both groups. STAPB in addition to PTAPB provides more effective analgesia than RSB for postoperative pain management in open gynecologic cancer surgeries.