Purpose: For many gynecologic surgeries, laparoscopy is well established and widely performed. In Japan, the board certification program ensures surgical quality safety. our department, fellows experience laparoscopic surgeries. To improve educational program, we performed a questionnaire survey for laparoscopists to obtain detailed opinions.

In this paper, we discuss the present situation of laparoscopy in gynecology. There is no doubt that hospital stay, postoperative pain and convalescence are less when it is possible to treat gynecologic disease via laparoscopy. However, for reaching the final conclusion about the other effects of this kind of surgery, e.g., adhesion fonnation after operation, pregnancy rate, etc., a series of p...

Leiomyoma of the fallopian tube is extremely rare. Most cases are asymptomatic and found incidentally at autopsy or unrelated operation. These leiomyomas tend to be singular, small, and unilateral, with a resultant rare preoperative diagnosis. They are often managed with laparotomy, as seen in the literature review. Therefore, preoperative imaging is never reported. We describe a case of leiomy...

BACKGROUND The optimal intraperitoneal pressure during laparoscopy is not known. Recent literature found benefits of using lower pressures, but the safety of doing abdominal surgery with low peritoneal pressures needs to be assessed. This systematic review compares low with standard pneumoperitoneum during gynecologic laparoscopy. DATABASE We searched Medline, Embase, and the Cochrane Library...

Background: Uterine perforation is the most serious complication associated with an intrauterine contracep­ tive device (IUD). Minimally invasive techniques, such as hysteroscopy and advanced laparoscopy, are ideally suited to the diagnosis and surgical management of the perforated IUD. Case Reports: Three cases of uterine perforation caused by an IUD and treated with endoscopic surgery are pre...

OBJECTIVES To determine the feasibility of using a simple procedure, a bilateral tubal ligation, as a transition procedure when adopting robotic laparoscopy for gynecologic surgery. METHOD To obtain robotic credentialing and gain experience with the robotic system, the surgeons first went through robotic training, then 4 women desiring permanent sterilization had robotically assisted laparosc...

BACKGROUND AND OBJECTIVE The aim of this study is to evaluate the prevalence of intraabdominal adhesions to the umbilicus following gynecologic laparoscopy through an umbilical incision. METHODS A retrospective review was performed of all gynecologic laparoscopic procedures in a private practice setting to identify patients with a repeat laparoscopy who had a history of a previous laparoscopy...

Background: Laboratory blood testing incurs financial costs and the blood draws can increase discomfort, yet minimal data exists regarding routine testing in gynecologic oncology surgical patients. Additionally, an increasing number of gynecologic oncology surgeries are performed via a laparoscopic approach. Thus, further investigation into perioperative laboratory testing for gynecologic oncol...

Laparoscopy has many advantages over open surgery including less post-operative pain, earlier return of normal bowel function, shorter hospital stay, and recovery. Bowel injury is a serious complication gynecological laparoscopy. The most common site the small bowel, followed by large stomach. This in agreement with recent systematic review which shown that incidence gynecologic laparoscopy 1 7...