Gynecologic Minimally Invasive Surgery: State of the Art

A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Obstetrics & Gynecology".

Deadline for manuscript submissions: closed (31 May 2021) | Viewed by 7057

Special Issue Editor


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Guest Editor
Obstetrics and Gynecological Department, Santa Chiara Hospital, Trento, Italy
Interests: laparoscopy; robotics; minimally invasive surgery
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Special Issue Information

Minimally invasive surgery provides many advantages to our patients. In recent decades, we have observed a gradual evolution of abdominal surgery toward mininvasiveness. Thanks to the development of new instruments and technology, surgery has become less invasive, reducing the number and the dimension of abdominal scars, as well as the indication of radicality.

The aim of the present Special Issue is to present the state of the art for the minimally invasive treatment of benign and malignant gynecologic pathologies.

Dr. Liliana Mereu
Guest Editor

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Keywords

  • laparoscopy
  • hysteroscopy
  • vaginal surgery
  • single-site laparoscopy
  • minilaparoscopy
  • natural orifice endoscopic surgery

Published Papers (2 papers)

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Research

9 pages, 796 KiB  
Article
Symptoms and Quality of Life Changes after Hysteroscopic Treatment in Patients with Symptomatic Isthmocele—Preliminary Results
by Monika Szafarowska, Magdalena Biela, Joanna Wichowska, Kamil Sobociński, Agnieszka Segiet-Święcicka, Jacek Doniec and Paweł Kamiński
J. Clin. Med. 2021, 10(13), 2928; https://doi.org/10.3390/jcm10132928 - 30 Jun 2021
Cited by 8 | Viewed by 4296
Abstract
Due to an increasing number of cesarean section deliveries, the common consequences of that surgery are observed more often in the population. One of them is the uterine cesarean scar defect known as niche or isthmocele. Most patients with that aliment are asymptomatic, [...] Read more.
Due to an increasing number of cesarean section deliveries, the common consequences of that surgery are observed more often in the population. One of them is the uterine cesarean scar defect known as niche or isthmocele. Most patients with that aliment are asymptomatic, but some of them can report abnormal uterine bleeding, pelvic pain, subfertility which can be the reason for reduced quality of life (QoL) of the patients. In our study, we analyzed the subjective feelings of changes in the severity of symptoms and quality of life of women with niche after diagnostic and operative hysteroscopy. The patients n = 85 included in the study group completed a follow up questionnaire six months after the procedure. Patients after operative hysteroscopy in comparison to patients after diagnostic procedure reported statistically significant reduction in post-menstruation bleeding/spotting and improvement in the quality of sexual activity. We have also noticed a higher pregnancy rate in the operative group, however, the difference was not statistically significant. According to our study, most women reported a positive effect of hysteroscopy on their QoL in social, psychological, environmental, and health domains. Full article
(This article belongs to the Special Issue Gynecologic Minimally Invasive Surgery: State of the Art)
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9 pages, 600 KiB  
Communication
Laparoendoscopic Single Site Hysterectomy: Literature Review and Procedure Description
by Liliana Mereu, Francesca Dalprà and Saverio Tateo
J. Clin. Med. 2021, 10(10), 2073; https://doi.org/10.3390/jcm10102073 - 12 May 2021
Cited by 6 | Viewed by 2285
Abstract
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 [...] Read more.
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. Full article
(This article belongs to the Special Issue Gynecologic Minimally Invasive Surgery: State of the Art)
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