Minimally Invasive Gynecologic Surgery for Benign Conditions

Abstract

Although huge advances have been made in minimally invasive gynecologic surgery, high-quality evidence from well-designed clinical trials is lacking for many of the new technologies. Accurate estimates regarding the risk of occult leiomyosarcoma are also lacking. Additional research is urgently needed to address these deficiencies.

Comparing Hysteroscopic Morcellation with Bipolar Resectoscope for Treating leiomyoma

“…Chips from uterine lesions can be cut and suctioned using the cutting window on the new hysteroscopic morcellator system. All tissue fragments removed from the uterus cavity are captured and subjected to a histopathologic evaluation after being confined and delivered by the morcellation system into a trap or collecting pouch (13).…”

"The Changes of Paradigm in the Gynecology of the 21st Century"

“…Finally, at least for now, while our specialty is the true queen and pioneer of minimally invasive and endoscopic surgery at all levels (abdominal, perineal, even breast...) [11], while witnessing the unstoppable development of surgery to distance and robotized [12], turns over time from a primitive and fundamentally surgical perspective, to increasingly less invasive, less surgical extremes, more on the side of internal medicine with the approach of healthy aging as a banner in a continuously older population that assumes regenerative medicine and repair of senility [13] in a classic medical-surgical specialty, less and less surgical and more and more medical. In this order of things, the gynecologist becomes a true "internist for women", with new diseases for him such as climacteric care and aging with hormonal decline, osteoporosis or sarcopenia that cause so much disability in a world that honors even the puerile adoration of the increasingly immature youth, while socially despising the "sexalescence" [14] and the creativity of the (previously misnamed) "third age" and the "silver economy"…”

Publicar en español, más que una necesidad, una obligación y oportunidad que beneficia a la comunidad

“…algunas [12][13][14][15]. Independiente de ello, queda mucho por mejorar, por aprender, por descubrir y comunicar.…”