Evaluation of YouTube laparoscopic hysterectomy videos as educational materials during the COVID-19 era using the LAParoscopic surgery Video Educational GuidelineS (LAP-VEGaS) and LAP-VEGaS video assessment tool

2021 ◽  
pp. 1-6
Author(s):  
Fehmi Unal ◽  
Nil Atakul ◽  
Hasan Turan ◽  
Irem Yaman Ruhi
Keyword(s):  
Laparoscopic Surgery ◽  
Assessment Tool ◽  
Laparoscopic Hysterectomy ◽  
Educational Materials ◽  
Video Assessment

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.

scholarly journals Gynecologists May Underestimate the Amount of Blood Loss during Total Laparoscopic Hysterectomy

2018 ◽  
Vol 2018 ◽  
pp. 1-5 ◽  
Author(s):  
Masakazu Sato ◽  
Minako Koizumi ◽  
Kei Inaba ◽  
Yu Takahashi ◽  
Natsuki Nagashima ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Blood Loss ◽  
Laboratory Testing ◽  
Ovarian Tumor ◽  
Open Surgery ◽  
Laparoscopic Hysterectomy ◽  
Total Laparoscopic Hysterectomy ◽  
Before And After

Background. We considered the possibility of underestimation of the amount of bleeding during laparoscopic surgery, and we investigated comparing the amount of bleeding between laparoscopic surgery and open surgery by considering the concentration of hemoglobin before and after surgery as indicators. Methods. The following procedures were included: A, surgery for ovarian tumor; B, myomectomy; and C, hysterectomy either by laparoscopic surgery or open surgery. Patients who underwent the above procedures in between January 1, 2010, and December 31, 2017, were enrolled. We identified 1749 cases (A: 90, B: 105, and C: 325 of open surgery and A: 667, B: 437, and C: 125 of laparoscopic surgery). We considered the sum as an estimation of blood loss during surgery and the change in the value of hemoglobin in laboratory testing one day before and after surgery. Results. During laparoscopic surgery, the measurements of blood loss included the following: A: 59.8 ml; B: 168.6 ml; and C: 206.8 ml. During open surgery, measurements of blood loss included the following: A: 130.7 ml; B: 236.7 ml; and C; 280.9 ml. The reduction of hemoglobin after surgery compared with that before surgery was less in laparoscopic surgery than that in open surgery in A and B; however, this reduction was not significantly different in C. Conclusion. Our results suggest that the estimation of the bleeding in A and B was appropriate; however, the estimation might be underestimated in C during laparoscopic surgery.

A Dynamic Quality Assessment Tool for Laparoscopic Hysterectomy to Measure Surgical Outcomes

2017 ◽  
Vol 72 (1) ◽  
pp. 18-32
Author(s):  
Sara R. C. Driessen ◽  
Erik W. van Zwet ◽  
Pascal Haazebroek ◽  
Evelien M. Sandberg ◽  
Mathijs D. Blikkendaal ◽  
...  
Keyword(s):  
Quality Assessment ◽  
Surgical Outcomes ◽  
Assessment Tool ◽  
Laparoscopic Hysterectomy ◽  
Quality Assessment Tool ◽  
Dynamic Quality

A dynamic quality assessment tool for laparoscopic hysterectomy to measure surgical outcomes

2016 ◽  
Author(s):  
Sara RC. Driessen ◽  
Erik W. Van Zwet ◽  
Pascal Haazebroek ◽  
Evelien M. Sandberg ◽  
Mathijs D. Blikkendaal ◽  
...  
Keyword(s):  
Quality Assessment ◽  
Surgical Outcomes ◽  
Assessment Tool ◽  
Laparoscopic Hysterectomy ◽  
Quality Assessment Tool ◽  
Dynamic Quality

scholarly journals Simultaneous Laparoscopic Surgery during Deep Inferior Epigastric Artery Perforator Flap Elevation: A Case Report

2020 ◽  
Vol 25 (2) ◽  
pp. 146-150
Author(s):  
Jaemin Lee ◽  
Hyung Chul Lee ◽  
Byung-Il Lee ◽  
Seung-Ha Park ◽  
Eul-Sik Yoon
Keyword(s):  
Laparoscopic Surgery ◽  
Perforator Flap ◽  
Laparoscopic Hysterectomy ◽  
Diep Flap ◽  
Inferior Epigastric Artery ◽  
Epigastric Artery ◽  
Deep Inferior Epigastric Artery ◽  
Gas Leaks ◽  
Flap Elevation ◽  
Artery Perforator

As deep inferior epigastric artery perforator (DIEP) flap surgery is gaining popularity, more patients including BRCA-positive patients need simultaneous laparoscopic surgery. We share our experience on a patient who underwent concurrent laparoscopic hysterectomy during flap elevation with a novel method. A patient diagnosed with a right breast cancer also required laparoscopic hysterectomy due to multiple uterine myoma. After perforator mapping was performed, flap elevation through external oblique fascia level was carried out first, sparing the periumbilical perforator and superficial inferior epigastric vein. Three ports were inserted for laparoscopy on posterior fascia level in the periumbilical area, left upper quadrant area and suprapubic area. The surgery was completed without any complication, gas leaks or vascular injury with the advantage of reduced risk of vascular damage and less surgical incision.

scholarly journals A Comparative Study of Low Versus Standard Intraperitoneal Pressures in Gynaecological Laparoscopic Surgery

2021 ◽  
pp. 179-185
Author(s):  
Anup R. Patil ◽  
Deepika Dewani ◽  
Kalyani Mahajan ◽  
Neema Acharya ◽  
Arpita Jaiswal ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Abdominal Cavity ◽  
Laparoscopic Hysterectomy ◽  
Low Pressure ◽  
Minimal Invasive ◽  
Intraabdominal Pressure ◽  
Intraperitoneal Pressure ◽  
Organ Systems ◽  
Patient Will ◽  
Standard Pressure

Background: Minimal access surgery in contrast to open surgery has quicker recovery during the postoperative period as well as reduced scores of pain. As a result of increased pressure in the abdominal cavity, laparoscopic surgery  has many implications over a range of organ systems as well as their functioning. Laparoscopic surgery due to increased intraabdominal pressure also has many implications on various organ systems and their functioning. To overcome the consequences of increased intrabdominal pressure, a number of trials have been formulated to compare low- versus standard-pressure pneumoperitoneum. Aim: The aim of this study was to assess the effectivity of low intraperitoneal pressures v/s  standard intraperitoneal pressure during laparoscopic hysterectomies. Study Design: Experimental study  Materials and Methods: 40 cases with uncomplicated symptomatic benign uterine pathologies who were posted for laparoscopic hysterectomy were selected out of which 20-20 cases were randomized into low and standard pneumoperitoneum groups.  Results: In patients in whom low pressure pneumoperitoneum is employed are better recovered in terms of pain than standard pressure pneumoperitoneum. This means hospital stay can be shortened in low pressure pneumoperitoneum groups which will be more economical and comfortable for patients. Conclusion: Laparoscopic hysterectomy can be done at 10 mmhg with the benefits of : Optimum visualization with low pressure Reduction in post operative pain helping the patient for early ambulation so that patient will get back to routine work and normal life earlier, it is the main purpose of minimal invasive surgery.

Operative Outcomes of Single-Incision Laparoscopic Hysterectomy vs Conventional Laparoscopic Total Hysterectomy: A Prospective Randomized Controlled Study

2021 ◽  
pp. 155335062110418
Author(s):  
Adel Fathi ◽  
Mahmoud M. Saleh ◽  
Mosab Shetiwy ◽  
Islam A. Elzahaby ◽  
Omar Farouk ◽  
...  
Keyword(s):  
Laparoscopic Surgery ◽  
Postoperative Pain ◽  
Hospital Stay ◽  
Operative Time ◽  
Single Incision ◽  
Laparoscopic Hysterectomy ◽  
Controlled Study ◽  
Total Hysterectomy ◽  
Conventional Laparoscopic ◽  
Randomized Controlled

Background. Over time, there was an emerging need to shift from laparotomy to minimally invasive laparoscopic surgery, with the success of laparoscopic surgery in the last decade in gyne-oncology. Patients and Methods. This is a prospective randomized controlled trial conducted in Surgical Oncology Unit, Oncology Centre, Mansoura University, in the period between February 2016 and October 2019. Fifty female patients planned for total hysterectomy were randomized into two equal groups; the first underwent conventional laparoscopic hysterectomy (CLH), while the second underwent single-incision laparoscopic hysterectomy (SILH). Results. The mean operative time in the SILH group was 120.00 ± 28.72 minutes vs 103.20 ± 23.04 minutes in the CLH group ( P= .027). Median hospital stay in the SILH group was 1 day (range: 1–3 days), the same as that in the CLH group, with no statistical significance ( P= .384). Postoperative pain assessment using the Visual Analogue Scale (VAS) after 6 hours had a median score of 6 (2–8) in the SILH group and 6 (4–7) in the CLH group with significant increase in experienced pain in the SILH group ( P= .004), while no significant difference was noted after 12 hours and 24 hours in both SILH and CLH groups. Conclusion. Single-incision laparoscopic hysterectomy (SILH) has similar outcomes when compared to conventional laparoscopic hysterectomy as regard blood loss, hospital stay, conversion to laparotomy, intraoperative and postoperative complications with the disadvantages of longer operative time, increased surgeon’s workload, and relatively more postoperative pain.

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