Recent advances in minimally invasive surgery for gynecologic indications

Koo, Yu-Jin

doi:10.12701/yujm.2018.35.2.150

Cited by 18 publications

(12 citation statements)

References 32 publications

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“…[ 1 ] In no other field of medicine are the benefits of catheter‐based approaches more obvious than in cardiovascular disease treatment, where surgeries are accomplished quicker, with faster postoperative recovery times and improved clinical outcomes, compared to traditional sternotomy procedures. [ 1,2 ] However, catheter‐based interventions come with a major disadvantage, namely the required use of X‐ray or fluoroscopic imaging, which exposes the patients to harmful ionizing radiation and contrast agents. They are particularly harmful to use during the neonatal period, such as umbilical catheterization, which is typically required for preterm infants.…”

Section: Introductionmentioning

confidence: 99%

A Facile Magnetic System for Tracking of Medical Devices

Swanepoel

Alsharif

Przybysz

et al. 2021

Adv Materials Technologies

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The largest disadvantage of modern day minimally invasive surgery is the required use of X‐ray or fluoroscopic imaging for locating or tracking medical catheters and tubes. The implications are increased costs and effort, limited availability for instance in less developed countries, and the cumulative exposure to contrast dyes and ionizing radiation are detrimental to health, especially in young patients and neonates with increased sensitivity. In order to reduce the use of X‐ray imaging and provide a wider accessibility, a facile magnetic system is proposed for subcutaneous medical device localization. It consists of a lightweight and flexible, biocompatible, and permanent magnet at the tip of the subcutaneous device and a sensing device to scan the dermal surface and locate the magnetic tip. The mechanical and magnetic properties of the magnetic tip are tailored to fit the requirements of the delicate catheter application. Evaluation of the tracking system using a 5 Fr magnetic tip resulted in a depth‐dependent position and orientation error of 0.75 mm and 3.7°. Additionally, a maximum placement depth error of 0.96 mm is achieved. Evaluation of the system in vivo revealed its practicality and accuracy as well as the influence of potential user errors.

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Section: Introductionmentioning

confidence: 99%

A Facile Magnetic System for Tracking of Medical Devices

Swanepoel

Alsharif

Przybysz

et al. 2021

Adv Materials Technologies

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“…Hysterectomy may require a higher level of surgical skill that adnexal surgery does; nevertheless, LESS is now widely applied for not only laparoscopic-assisted vaginal hysterectomy (LAVH) but also total laparoscopic hysterectomy (TLH) [ 5 , 6 , 7 ]. In 2015, a retrospective study reported that 80% of hysterectomies in a single hospital in Korea were performed via LESS [ 8 ].…”

Section: Discussionmentioning

confidence: 99%

“…In terms of learning curve, the most difficult procedure is vaginal cuff suture and proficiency can be achieved after 14 cases. In general, large uterus and previous abdominal surgery are considered limitations of R-LESS hysterectomy and may require a longer learning curve [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Laparoendoscopic Single Site Hysterectomy: Literature Review and Procedure Description

Mereu

Dalprà

Tateo

2021

JCM

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Laparoendoscopic single site surgery (LESS) refers to a spectrum of surgical techniques that allow the performance of laparoscopic surgery through consolidation of all ports into one surgical incision. LESS has emerged as a potentially less invasive alternative to multiport laparoscopy and in the last year in gynecology; hence, this approach has been largely applied for selective indications to perform total hysterectomy. We performed a literature review on single site hysterectomy and described indications and technique, highlighting practical problems, pointers, limitations and recent technical development as robotic assistance.

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“…Therefore, the implementation of 5mm-mini-incision LESS has higher requirements. It is better to be prepared fully and well-trained to reduce the risk of surgery effectively and ensure the success of the operation [15].…”

Section: Discussionmentioning

confidence: 99%

Application of Micro-single-hole Laparoscopy Combined with Hysteroscopy in Diagnosis and Treatment of Complex Uterine Cavity Diseases

Sun¹,

Chen²,

Chen³

et al. 2021

JGO

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Object: To investigate the feasibility and safety of hysteroscopic surgery for diagnosis and treatment of complex uterine cavity diseases under the monitor of 5mm-mini-incision micro-single-hole laparoscopic surgery. Methods: A retrospective analysis of 15 patients with complex uterine cavity diseases undergoing hysteroscopic surgery underwent 5mm-mini-incision micro-single-hole laparoscopic surgery was performed in the Department of Obstetrics and Gynecology, the Affiliated Changzhou NO. 2 People's Hospital of Nanjing Medical University from April 2018 to March 2019. Among them, 8 cases were intrauterine adhesion, 3 cases were uterine submucosal fibroid, 3 cases were uterine septum, 1 case was post-cesarean scar pregnancy, ages from 23 to 45 years old, BMI 17.65-25.48kg/m 2 . The operation was performed through a 5mm-mini-incision from the midline of the umbilicus. The 40/50 small abdominal retractor was used to expand the incision approach. A 3-mm small lens (A cystoscope or a hysteroscope was used for some patients) was placed into the single-port approach to perform the laparoscopic surgery; hysteroscopic surgery was performed by hysteroscopy through the cervix. Results: All the 15 patients were successfully operated. One patient with severe intrauterine adhesion had uterine perforation during operation. The uterus was repaired and sutured under micro-single-hole laparoscopy perfectly. No other channels were added during operation, and no laparotomy was performed. The operation time was 20-125 min, in which the surgical path establishment time was 5-10 min, the umbilical reconstruction time was 3-5 min; the intraoperative blood loss was 5-10 ml, and the postoperative hospital stay was 3-7 days. The postoperative umbilical incision healed well, and there was no surgical scar in the abdomen after surgery. No postoperative umbilical hernia and other serious complications occurred. Conclusion: Under the premise of mature umbilical single-port laparoscopy, it is safe and effective to use 5mm-mini-incision micro-single-hole laparoscopic surgery as a monitor during hysteroscopy for the diagnosis and treatment of complex uterine cavity diseases. It will achieve a better cosmetic result than traditional laparoscopy.

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Recent advances in minimally invasive surgery for gynecologic indications

Cited by 18 publications

References 32 publications

A Facile Magnetic System for Tracking of Medical Devices

A Facile Magnetic System for Tracking of Medical Devices

Laparoendoscopic Single Site Hysterectomy: Literature Review and Procedure Description

Application of Micro-single-hole Laparoscopy Combined with Hysteroscopy in Diagnosis and Treatment of Complex Uterine Cavity Diseases

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