Hinh-Minh’s incision is a modified technique based on Pfannestiel’s incision (1900) and Cohen’s incision (1977), and could be applied in obstetric and gynecological surgeries (including Cesarean section). It has the advantages of two old techniques for gynecological operations. Hinh-Minh’s incision had taken full advantages and limited shortcomings of both techniques of Pfannenstiel’s incision and Joel Cohen’s incision. It secured aesthetics as Pfannestiel technique but reduced operation time and limited harmfully blood-vessels and nerves as well as Joel Cohen technique. At the same time, this technique was applied firstly in the situation of Vietnam on 49 patients underwent gynecological operations from June 2000 to December 2001. Operative time and recovery time were reduced, the rate of fever, wound infection and incision dehiscence were low.
Gynecologic Surgical Procedures ; Surgery

Background: Robotic surgery is a form of minimally invasive surgery wherein the surgeon controls the camera and instruments in a console, remote from the operating room table. Currently, the system in place is the da Vinci Surgical System which was approved by the United States Food and Drug Administration in 2000 for laparoscopic surgery. Since its approval in 2005 for Gynecologic procedures, the da Vinci Surgical System has been used for hysterectomies, lymph node dissections, sacrocolpopexies, myomectomies, and cerclage. Objective: This paper presents the initial seven cases of benign gynecologic diseases operated on utilizing the da Vinci Surgical System in our institution – six hysterectomies and one myomectomy. Methodology: Seven gynecologic surgeries that utilized the da Vinci Surgical System in 2019 until the first quarter of the year 2020 were done. Medical records of the seven patients were reviewed. Results: The average docking time was 38 minutes (range: 25 – 65 minutes) and the average console time was 227 minutes (range: 175 – 345 minutes). The average blood loss was 576 cc (range: 80 – 1200 cc). No cases converted to an abdominal laparotomy and no morbidities were reported. While two cases underwent blood transfusion intraoperatively, all cases were stable post-operatively and were for discharge after two days. On follow-up, all patients were stable with an unremarkable clinical course. Conclusion Our initial experience demonstrates that robotic surgery appears as a viable alternative to traditional approaches. As more cases are to be done in the future, fine-tuning of the logistical set-up and surgical skills are expected, as well as venturing into other gynecologic diseases such as malignancies. Further research must be conducted on various aspects of robotic surgery, such as but not limited to outcome comparison with traditional and other laparoscopic approaches, long term outcomes, patient safety, and patient experience and preference, among others.
Female ; Gynecologic Surgical Procedures

No abstract available.
Female ; Gynecologic Surgical Procedures* ; Laparotomy*

No abstract available.
Female ; Gynecologic Surgical Procedures ; Humans

A randomized control clinical trial was carried out in National Obstetric and Gynecological Hospital in order to assess preventive effect of cefuroxime (Zinacef, made by Glaxo Smithline in India and England) from May to July, 2005. Results show that there was no difference about preventive effect between Indian cefuroxime and English cefuroxime. However, there was a big difference about cost between the two cefuroxime. English Zinacef had a double cost compared to Indian Zinacef. Indian Zinacef 750 mg had a good preventive effect with shorten course therapy, less hospitalization day and suitable cost
Preventive Medicine ; Cefuroxime ; Gynecologic Surgical Procedures ; Surgery

Nowadays, various techniques of minimally invasive surgery have been developed and a trend to perform less invasive surgery is accelerated. Reducing number of trocar insertion sites and scars is one example of this trend. Recently, single port laparoscopic surgery (SPLS) through one umbilical incision has been developed. This technique is adopted to various operations for adnexal and uterine surgery and initial reports on this novel technique have been published. Single port laparoscopic surgery is a novel technique of minimally invasive surgery and it has become more popular in gynecologic surgery field during recent years. In this article we review instrument and techniques for SPLS and we also review recent published articles for elucidating the evidence of this novel technique.
Cicatrix ; Female ; Gynecologic Surgical Procedures ; Laparoscopy ; Surgical Instruments

Vesicovaginal fistula (VVF) is one of the most serious surgical complication in gynecologic surgery. Surgical approach to repair this condition can be performed by transvaginal or transabdominal. However, laparoscopic repair of VVF may be an alternative surgical method. We present four cases of VVF treated with transperitoneal laparoscopic technique. Laparoscopic repair is a feasible, safe and efficacious minimally invasive approach for the management of VVF. We believe that this method provides excellent results and may result in lower morbidity, shorter hospital stay, and quicker recovery than the abdominal or transvaginal approaches.
Female ; Gynecologic Surgical Procedures ; Hysterectomy ; Laparoscopy ; Length of Stay ; Vesicovaginal Fistula

Adhesions represent a significant cause of morbidity for post-operative patients. Most gynecologic surgical procedures are associated with pelvic adhesions that may cause small bowel obstruction, infertility, chronic pelvic pain, and difficulties in post-operative treatment. Gynecologic surgical procedures in elderly women are more risky because of post-operative morbidity and mortality due to pre-existing diseases. Menopause marks the onset of the senile stage. After menopause, hormonal changes occur. This article will review the current issues about adjunctive methods to prevent post-operative adhesion formation and the correlation between hormone changes and adhesion formation.
Aged ; Female ; Gynecologic Surgical Procedures ; Humans ; Infertility ; Menopause ; Pelvic Pain

BACKGROUND: Bispectrum and bicoherence analysis that is the frequency domain methods of EEG analysis was examined to elucidate the correlation with the depth of anesthesia. METHODS: 25 patients under the gynecological surgery were studied. EEG was surveyed by PhysioLab 400. Analysis of EEG was done according to the progress of anesthesia, normal state before anesthesia, before incision of skin, operation 1, operation 2, awake and post-anesthesia. EEG is applied to filtering of signal, base line correction, linear detrend removal to get more reliable analysis. The appearance rate of bispectrum peaks are calculated by bispectrum operation. And bicoherences are calculated by bispectrum and power spectrum of AR model. RESULTS: In awaking state of patient in pre-anesthesia and post anesthesia, appearance rate of bispectral coupling was observed that a strong appearance rate was represented in all area (0-35 Hz). During the anesthesia, the low frequency area (3-15 Hz) revealed a strong appearance. Also the 2D map of a appearance rate is divided into four sections for more objectivity. Of four sections Bipara#4 is considered that the best parameter which showed progress of anesthesia (P < 0.01). In bicoherence study, in awake state which patient is in pre-anesthesia and post anesthesia, appearance rate of bicoherence value was observed that a strong appearance rate was represented in high frequency range (15-30 Hz). However, under the anesthesia of patients, the low frequency area (0-10 Hz) revealed a strong appearance. And, of four sections Bicpara#2 and Bicpara#4 are considered that the best parameter which showed progress of anesthesia effectively (P < 0.01). CONCLUSIONS: The analysis of the peak appearance of bispectrum and bicoherence is useful monitoring for the depth of anesthesia.
Anesthesia ; Electroencephalography ; Female ; Gynecologic Surgical Procedures ; Humans ; Skin

No abstract available.
Female ; Gynecologic Surgical Procedures* ; Humans ; Nutrition Assessment* ; Postoperative Complications*