1.Performing Hinh-Minh incision in gynecological operations
Journal of Medical Research 2005;33(1):78-82
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
2.Early experience of gynecologic robotic surgery in a tertiary government hospital
Efren J. Domingo ; Patrick Jose D. Padilla
Philippine Journal of Obstetrics and Gynecology 2020;44(6):12-16
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
3.Discharge criteria should be validated in patients who undergo ambulatory gynecologic surgery.
Kidong KIM ; Beob Jong KIM ; Moon Hong KIM ; Seok Cheol CHOI ; Sang Young RYU
Journal of Gynecologic Oncology 2011;22(2):140-141
No abstract available.
Female
;
Gynecologic Surgical Procedures
;
Humans
4.Minilaparotomy for gynecologic surgery.
Soo Nyung KIM ; Chang Hyuk OH ; In Jae CHO ; Doo Ho KIM
Korean Journal of Obstetrics and Gynecology 1991;34(9):1242-1246
No abstract available.
Female
;
Gynecologic Surgical Procedures*
;
Laparotomy*
5.Effect of preventive treatment of cefuroxim (zinacef) made in India and England in gynecological surgery
Journal of Practical Medicine 2005;0(12):29-32
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
6.Single port laparoscopic surgery in gynecologic field.
Jung Ryeol LEE ; Ji Hyun KIM ; Chang Suk SUH ; Seok Hyun KIM
Korean Journal of Gynecologic Endoscopy and Minimally Invasive Surgery 2012;24(1):1-13
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
7.Laparoscopic repair of vesicovaginal fistula.
Bo Youn KIM ; Jung Bo YANG ; Min A LEE ; Young Bok KO ; Ki Hwan LEE
Korean Journal of Obstetrics and Gynecology 2009;52(2):278-284
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
8.Clinical application of serum CA 125 and CA 19-9 in Endometriosis.
Kyong Wook YI ; Il Hae PARK ; Min Koo YEO ; Seung Hun SONG ; Jae Kwan LEE ; Min Jung OH ; Ho Suk SAW ; Yong Kyun PARK ; Jun Yong HUR
Korean Journal of Obstetrics and Gynecology 2005;48(9):2172-2180
OBJECTIVE: The aim of the present study was to investigate the clinical usefulness of serum CA 125 and CA 19-9 levels for diagnosing and determining the severity of endometriosis. METHODS: A total of 112 women who underwent gynecologic surgery between January 1998 and August 2004 were selected in this study. 81 patients had histologically confirmed endometriosis and the remaining 31 had benign ovarian tumor but no obvious evidence of endometriosis. Blood samples were collected in all patients before the operation and the mean values and standard deviations of both serum CA 125 and CA 19-9 levels were measured in various stages of disease. Both tumor markers were also measured in the control group. The results were compared to determine the usefulness of CA 125 and CA 19-9 in diagnosing and predicting the severity of endometriosis. As a results, new cutoff values of serum CA 125 and CA 19-9 in endometriosis were obtained. RESULTS: The mean levels of serum CA 125 and CA 19-9 in patients at stage III and IV of endometriosis were significantly higher than in patients without endometriosis, and increased in accordance with the advancement of the clinical stage. Statistically appropriate cutoff values of CA 125 and CA 19-9 were calculated to be 20 IU/mL and 10 IU/mL, respectively. The sensitivity and specificity of CA 125 at this cutoff value for endometriosis were 72% and 71%, respectively. The sensitivity and specificity were 59% and 55% respectively in the case of CA 19-9. CONCLUSION: CA 125 is a useful marker for diagnosing and determining the severity of endometriosis. CA 19-9 shows limitation in diagnosing endometriosis, but is indeed a potential marker in predicting the severity of disease.
Endometriosis*
;
Female
;
Gynecologic Surgical Procedures
;
Humans
;
Sensitivity and Specificity
;
Biomarkers, Tumor
9.Nutritional assessment to predict postoperative complications in patients with gynecologic surgery.
Gee Hyung KIM ; Young Tae KIM ; Eun Mi JO ; Eun Gyung CHOI ; Jae Wook KIM ; Sang Won PARK ; Gyung Joo LEE
Korean Journal of Obstetrics and Gynecology 2000;43(12):2185-2190
No abstract available.
Female
;
Gynecologic Surgical Procedures*
;
Humans
;
Nutrition Assessment*
;
Postoperative Complications*
10.Adhesions after Gynecologic Surgery in Postmenopausal Women.
The Journal of Korean Society of Menopause 2010;16(3):134-141
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