PURPOSE Urologic injuries occur frequently during surgery in the pelvic cavity. Inadequate diagnosis and treatment may lead to severe complications and side effects. This investigation examined the clinical features of urologic complications following obstetric and gynecologic surgery. MATERIALS AND METHODS We accumulated 47,318 obstetric and gynecologic surgery cases from 2007 to 2011. Ninet...

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...

Endometriosis, defined as growth of endometrial stroma and glands outside the uterine cavity, is a chronic and recurrent disease that affects patients' quality of life. Ectopic endometrial tissue can proliferate at any location in the body, but the pelvic organs and peritoneum are the most frequent implantation sites. Among extrapelvic endometriosis, inguinal endometriosis is a very rare gyneco...

OBJECTIVE To present the results of Maylard incisionfor gynecologic surgery in Thammasat University Hospital during the past four years. MATERIAL AND METHOD A retrospective study of gynecologic surgery performed via the Maylard muscle cutting incision compare to Pfannenstiel muscle splitting and midline incision. Data came from subjects who underwent gynecologic surgey at Thammasat University...

The latest rendition of Nezhat’s Operative Gynecologic Laparoscopy and Hysteroscopy builds upon the success of the previous works with a comprehensive review of minimally invasive gynecologic procedures. In this third edition, the Nezhat family has assembled an impressive list of contributors to cover the full spectrum of minimally invasive gynecologic surgery. The book begins with forewords by...

We retrospectively examined prophylactic antibiotic use and documentation of wound classification in patients having gynecologic surgery at a tertiary hospital. Of the 326 cases reviewed, 175 (54%) received prophylactic antibiotics when not indicated according to guidelines of the American College of Obstetricians and Gynecologists. Antibiotic administration varied significantly (P < 0.02) amon...

This study investigated the cost of propofol versus thiopental anesthesia in 243 patients who underwent outpatient laparoscopic gynecologic surgery. Patients records were analyzed for medication use, duration of surgery, anesthesia, recovery room stay, and associated costs. Despite the higher drug cost for propofol, the total mean cost was $273.00 less per patient for patients receiving propofo...

Up until 20 years ago, laparotomy was the single method of surgical treatment for endometrial cancer. Wider acceptance for the laparoscopic approach has been gained by gynecologic surgeons as an alternative surgical method. Clinical application of laparoscopic surgery has grown rapidly, yet it remains to be proven if this technique has brought great benefits. The location of minimal-access surg...

The development of surgical site infection (SSI) remains the most common complication of gynecologic surgical procedures and results in significant patient morbidity. Gynecologic procedures pose a unique challenge in that potential pathogenic microorganisms from the skin or vagina and endocervix may migrate to operative sites and can result in vaginal cuff cellulitis, pelvic cellulitis, and pel...