Journal of minimally invasive gynecology
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J Minim Invasive Gynecol · Jul 2005
ReviewTrocar-associated injuries and fatalities: an analysis of 1399 reports to the FDA.
Laparoscopic trocars, medical devices used to gain access into the abdominal cavity, are the most common device named in malpractice injury claims associated with laparoscopic procedures. As part of its ongoing adverse event reporting program, the U. S. ⋯ Further study is needed to evaluate the high proportion of reports associated with laparoscopic cholecystectomy. Laparoscopists should retain for evaluation any devices implicated in patient injuries and should ensure that detailed information on adverse events is provided in adverse event reports to the FDA. The FDA's Manufacturer and User Facility Device Experience (MAUDE) database can be a valuable source for information on adverse outcomes associated with medical devices and, given an understanding of its limitation, provides researchers with a viable adjunct to published literature and litigation surveys for obtaining this information.
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J Minim Invasive Gynecol · Jul 2005
Comparative StudyOffice hysteroscopic sterilization compared with laparoscopic sterilization: a critical cost analysis.
To evaluate the actual cost difference in performing Essure hysteroscopic sterilization in the office compared with ambulatory surgery using laparoscopic sterilization in the operating room. ⋯ In our institution and in our experience, office-hysteroscopic placement of the Essure device is a more cost-effective method than laparoscopic tubal ligation.
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J Minim Invasive Gynecol · May 2005
Randomized Controlled Trial Multicenter Study Clinical TrialPreemptive port site local anesthesia in gynecologic laparoscopy: a randomized, controlled trial.
To assess the impact of preemptive infiltration of port site with local anesthetic on postlaparoscopy pain. ⋯ Preemptive infiltration of trocar sites with ropivacaine is not effective in postoperative pain relief.
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J Minim Invasive Gynecol · Mar 2005
Comparative StudyOperative management of deeply infiltrating endometriosis: results on pelvic pain symptoms according to a surgical classification.
To assess the results of complete surgical excision for patients with painful functional symptoms in a context of histologically proven deeply infiltrating endometriosis (DIE). ⋯ Complete surgical excision of DIE lesions results in a statistically significant reduction in painful functional symptoms. These results are observed whatever the main location of DIE lesions. The patients' preoperative characteristics have no significant influence on the result.
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J Minim Invasive Gynecol · Mar 2005
Comparative StudyTotal laparoscopic radical hysterectomy (type II-III) with pelvic lymphadenectomy in early invasive cervical cancer.
To describe the feasibility and outcome of total laparoscopic radical hysterectomy with pelvic lymphadenectomy in early cervical cancer. ⋯ Radical hysterectomy can be successfully completed by laparoscopy in patients with early cervical cancer. This procedure may reduce the morbidity associated with abdominal or transvaginal radical hysterectomy.