November/December 2015 • Volume 22 Number 7
SURGICAL ANATOMY
1137 Fascial Anatomy and Its Relevance in Safe Laparoscopic Hysterectomy
MANAGEMENT OF ABNORMAL UTERINE BLEEDING 1153 Treatment of Women With an Endometrial Polyp and
Heavy Menstrual Bleeding: A Levonorgestrel-Releasing Intrauterine Device or Hysteroscopic Polypectomy?
1203 Combined Endometrial Ablation and Levonorgestrel Intrauterine System Use in Women With Dysmenorrhea and Heavy Menstrual Bleeding: Novel Approach for Challenging Cases
1225 Endometrial Ablation in Women With Abnormal Uterine Bleeding Related to Ovulatory Dysfunction:
A Cohort Study
1237 Removal of Endometrial Polyps: Hysteroscopic Morcellation Versus Bipolar Resectoscopy, a Randomized Trial
HYSTERECTOMY AND MORCELLATION
1142 Morcellation in Canada: Perspectives on Current Practices and Future Implications
1244 Vaginal Uterine Morcellation Within a Specimen Containment System: A Study of Bag Integrity PATIENT OUTCOMES: QUALITY OF LIFE AND INJURY 1124 Improving Patient Outcomes in Gynecology: The Role
of Large Data Registries and Big Data Analytics 1208 Change in Pain and Quality of Life Among Women
Enrolled in a Trial Examining the Use of Narrow Band Imaging During Laparoscopic Surgery for Suspected Endometriosis
1252 Comprehensive Assessment of the Impact of Laparoscopic Ovarian Cystectomy on Ovarian Reserve
1278 Laparoscopic Hysterectomy and Urinary Tract Injury:
Experience in a Health Maintenance Organization
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EDITOR-IN-CHIEF Tommaso Falcone, M.D.
Cleveland Clinic Foundation Cleveland, Ohio
ASSOCIATE EDITO R Rosanne M. Kho, M.D.
Columbia University Medical Center New York, New York
DEPUTY EDITO R Gary N. Frishman, M.D.
The Warren Alpert Medical School of Brown University Providence, Rhode Island
ASSOCIATE EDITO R Pedro T. Ramirez, M.D.
MD Anderson Cancer Center Houston, Texas
M EDIA EDITO R António Setúbal, M.D.
Hospital da Luz Lisbon, Portugal
STATISTICAL ASSOCIATE EDITO R Jeffrey R. W ilson, Ph.D.
Arizona State University Tempe, Arizona
Jason A. Abbott, Ph.D., f r a n z c o g,
St. Paul's, NSW, Australia Mauricio Simoes Abräo, M.D.
Sao Paulo SP, Brazil Nadeem Abu-Rustum, M.D.
New York, New York Arnold P. Advincula, M.D.
New York, New York Ted L. Anderson, M.D.
Nashville, Tennessee Danielle D. Antosh, M.D.
Houston, Texas Sawsan As-Sanie, M.D., MPH
Ann Arbor, Michigan Krisztina I. Bajzak, M.D.
St. John's, NL, Canada Jay M. Berman, M.D.
Southfield, Michigan David M. Boruta, II, M.D.
Boston, Massachusetts Andrew I. Brill, M.D.
San Francisco, California William M. Burke, M.D.
New York, New York Scott G. Chudnoff, M.D.
Bronx, New York Ettore Cicinelli, M.D.
Bari, Italy
Viviane F. Connor, M.D., FACOG
West Palm Beach, Florida
Jeffrey L. Cornella, M.D.
Scottsdale, Arizona Patrick Culligan, M.D.
Morristown, New Jersey Michael P. Diamond, M.D.
Augusta, Georgia Jon Ivar Einarsson, M.D., MPH
Boston, Massachusetts Pedro F. Escobar, M.D.
San Juan, Puerto Rico Abimbola O. Famuyide, M.D.
Rochester, Minnesota Martin Farrugia, M.D., MRCOG
London, United Kingdom Afshin Fazel, M.D.
Paris, France
Emilo O. Fernandez, M.D., Santiago, Chile
David A. Forstein, D.O.
Greenville, South Carolina Antonio R. Gargiulo, M.D.
Boston, Massachusetts Mark H. Glasser, M.D.
San Rafael, California Fred M. Howard, M.D.
Rochester, New York Cheryl B. Iglesia, M.D.
Washington, DC Keith B. Isaacson, M.D.
Newton, Massachusetts Olav Istre, M.D., Ph.D.
Soeborg, Copenhagen, Denmark
EDITORIAL BOARD
Volker R. Jacobs, M.D., Ph.D., Amanda Nickles Fader, M.D. John F. Steege, M.D.
MBA Baltimore, Maryland Chapel Hill, North Carolina Salzburg, Austria
David Marc Kushner, M.D.
Madison, Wisconsin Ted T.M. Lee, M.D., FACOG Pittsburgh, Pennsylvania Chyi-Long Lee, M.D., Ph.D.
Taoyuan County, Taiwan, ROC Barbara S. Levy, M.D.
Washington, DC
Anthony A. Luciano, M.D.
Southington, Connecticut Stephen D. Lyons, M.D.
Sydney, NSW, Australia Javier F. Magrina, M.D.
Phoenix, Arizona Suketu Mansuria, M.D.
Pittsburgh, Pennsylvania Charles E. Miller, M.D.
Naperville, Illinois Jose M. Mojarra-Estrada, M.D.
Hermosillo Sonora, Mexico Malcolm G. Munro, M.D.
Los Angeles, California Ludovico Muzii, M.D.
Rome, Italy
Mona E. Orady, M.D.
Rocky Riber, Ohio
Marie Fidela R. Paraiso, M.D.
Cleveland, Ohio Amy J. Park, M.D.
Washington, D.C.
William H. Parker, M.D.
Santa Monica, California Marco Pinho de Oliveira, M.D.
Rio de Janeiro, Brazil Peter L. Rosenblatt, M.D.
Cambridge, Massachusetts Jim W. Ross, M.D.
Salinas, California Joseph S. Sanfilippo, M.D.
Pittsburgh, Pennsylvania Bert Scoccia, M.D.
Chicago, Illinois Fatih Sendag, M.D.
Izmir, Turkey
James M. Shwayder, M.D., JD
Jackson, Mississippi Eugene Skalnyi, M.D.
Hillsborough, California Andrew I. Sokol, M.D.
Washington, DC
Kevin James Edward Stepp, M.D.
Charlotte, North Carolina John A. Thiel, M.D., FRCSC Regina SK, Canada Togas Tulandi, M.D., MHCM
Beaconsfield, Quebec, Canada
Paul K. Tulikangas, M.D.
Hartford, Connecticut Andrew J. Walter, M.D.
Roseville, California Johan van der Wat, Jr., M.D., Houghton, South Africa Mary Ellen Wechter, M.D., M.P.H.
Jacksonville, Florida Morris Wortman, M.D.
Rochester, New York Chih-Feng Yen, M.D.
Tao-Yuan, Taiwan Fulvio Zullo, M.D.
Napoli, Italy Errico Zupi, M.D.
Rome, Italy
Camran R. Nezhat, M.D.
Palo Alto, California
Eric R. Sokol, M.D.
Stanford, California Ceana H. Nezhat, M.D. Eugenio Solima, M.D.
AtlantA Georgia Milan, Italy
Farr R. Nezhat, M.D. Meir Jonathon Solnik, M.D.
New York, New York Los Angeles, California
MANAGING EDITO R Linda M ichels Cypress, California
FORM ER ED ITO RS EDITORIAL STAFF
Jordan M. Phillips, M .D., Julie Nash, Editorial Manager
Table of Contents
Fig. 1. External iliac vein aneu
rysm during laparoscopic pel
vic node dissection.
Fig. 2. External iliac vein aneu
rysm during laparoscopic pel
vic node dissection.
IMAGES IN GYNECOLOGIC SURGERIES
External Iliac Vein Aneurysm Pedro F. Escobar, MD, Jesus Manuel Salgueiro-Bravo, MD, Luis G. Del Pilar Rodriguez, MD, and Annie Vaillant, MD (See page 1132)
November/December 2015 • Volume 22 Number 7
EDITORIAL
The Importance of Transparency in Data Reporting 1123 Keith Isaacson, MD, and Stephen L. Corson, MD
SPECIAL ARTICLE
Improving Patient Outcomes in Gynecology: The Role of Large Data
Registries and Big Data Analytics 1124
Elisabeth A. Erekson, MD, MPH, and Cheryl B. Iglesia, MD IMAGES IN GYNECOLOGIC SURGERIES
An Unusual Uterine Cavity Phenomenon 1130
Eran Meir Segev, MD, Yael Goldberg, MD, and Ofer Lavie, MD
External Iliac Vein Aneurysm 1132
Pedro F. Escobar, MD, Jesus Manuel Salgueiro-Bravo, MD, Luis G. Del Pilar Rodriguez, MD, and Annie Vaillant, MD
Uterus-Like Mass: Issues on Pathogenesis 1133
Jennifer K. Y. Ko, MBBS, MRCOG, and Vincent Y. T. Cheung, MBBS, FRCOG, FRCSC ф VIDEO ARTICLES
Robotic-assisted Laparoscopic Repair of a Cesarean Section Scar Defect 1135 Mohamad S. Mahmoud, MD, FACOG, and
Farr R. Nezhat, MD, FACOG, FACS
Fascial Anatomy and Its Relevance in Safe Laparoscopic Hysterectomy 1137 Shailesh P. Puntambekar, MS, Seema P. Puntambekar, MS,
Yamini Gadkari, DNB, and Suyash Naval, DNB
Lumbo-Aortic Lymph Nodes Dissection in Ten Steps 1138 Maria Artola, MD, Pauline Chauvet, PhD, Benoit Rabischong, MD, PhD,
Revaz Botchorishvili, MD, Michel Canis, PhD, and Nicolas Bourdel, MD PERSPECTIVES
Neuropelveology: New Groundbreaking Discipline in Medicine 1140 Marc Possover, MD, PhD, Axel Forman, MD, PhD,
Benoit Rabischong, MD, PhD, Nucelio Lemos, MD, PhD, and Vito Chiantera, MD, PhD
Morcellation in Canada: Perspectives on Current Practices
and Future Implications 1142
Sukhbir S. Singh, MD, FRCSC, Olga Bougie, MD, FRCSC, Kristina Arendas, MD, FRCSC,
George Vilos, MD, FRCSC, FACOG, FSOGC,
Catherine Allaire, MD, FRCSC, Philippe Y. Laberge, MD, FRCSC, ACGE, Nicholas Leyland, MD, MHCM, FRCSC, Innie Chen, MD, FRCSC, and Ally Murji, MD, MPH, FRCSC
Table of Contents:
(continued)
November/December 2015 • Volume 22 Number 7
REVIEW ARTICLES
Should Cesarean Scar Defect Be Treated Laparoscopically? A Case
Report and Review of the Literature 1145
Murat Api, MD, PhD, Aysen Boza, MD, Husnu Gorgen, MD, and Olus Api, MD
Treatment of Women With an Endometrial Polyp and Heavy Menstrual Bleeding: A Levonorgestrel-Releasing Intrauterine Device or
Hysteroscopic Polypectomy? 1153
Myrthe M. van Dijk, MD, Nehalennia van Hanegem, MD, Maria E. de Lange, and Anne Timmermans, MD, PhD
Lesions of the Broad Ligament: A Review 1163
Debra S. Heller, MD ORIGINAL ARTICLES
One-Year Follow-Up Results of a Multicenter, Single-Arm, Objective Performance Criteria-Controlled International Clinical Study of the
Safety and Efficacy of the Minerva Endometrial Ablation System 1169 Philippe Laberge, MD, FRCSC, ACGE, Jose Garza-Leal, MD,
Claude Fortin, MD, FRCSC, Robert Sabbah, MD, FRCSC,
Tamas Fulop, MD, Norbert Pásztor, MD, and Gy orgy Bacsko, MD One-Year follow-up results of the Minerva Endometrial Ablation demonstrate that the system/procedure is safe, with efficacy being statistically significantly superior when compared to an Objective Performance Criteria control.
Hysteroscopic Resection in Fertility-Sparing Surgery for Atypical
Hyperplasia and Endometrial Cancer: Safety and Efficacy 1178 Patrizia De Marzi, MD, Alice Bergamini, MD, Stefania Luchini, MD,
Micaela Petrone, MD, Gian Luca Taccagni, MD, Giorgia Mangili, MD, Gabriella Colombo, MD, and Massimo Candiani, MD
Hysteroscopic resection of hyperplastic/cancer areas followed by high dosage progestin therapy is a safe and effective approach in the management o f ACH and early EC patients wishing to preserve fertility.
Flexible Carbon Dioxide Laser Fiber Versus Ultrasonic Scalpel
in Robot-Assisted Laparoscopic Myomectomy 1183
Souzana Choussein, MD, Serene S. Srouji, MD, Leslie V. Farland, MSc, and Antonio R. Gargiulo, MD
In robot-assisted laparoscopic myomectomy, the flexible CO2 laser fiber is a safe alternative to the ultrasonic scalpel and allows the full range of motion o f wristed robotic instruments.
Timing for a Laparoscopic Myomectomy During the Menstrual Cycle 1191 Jun Hyeok Kang, MD, Woo Young Kim, MD, Kyo Won Lee, MD, PhD,
Kye Hyun Kim, MD, PhD, and Taejong Song, MD, PhD
We evaluated whether the different phases (follicular phase, luteal phase, or menstruation) o f the menstrual cycle could affect the operative blood loss at the time of a laparoscopic myomectomy.
Table of Contents:
(continued)
November/December 2015 • Volume 22 Number 7
Hysteroscopic Myomectomy of Large Submucous Myomas in a 1-Step
Procedure Using Multiple Slicing Sessions Technique 1196 Mohamed Zayed, MD, PhD, Usama M. Fouda, MD, PhD,
Shereef M. Zayed, MD, Khaled A. Elsetohy, MD, PhD, and Ahmed T. Hashem, MD, PhD
Our technique of hysteroscopic myomectomy (manual massage and hydromassage) is a safe and effective management for submucous myomas up to 6 cm in diameter.
Combined Endometrial Ablation and Levonorgestrel Intrauterine System Use in Women With Dysmenorrhea and Heavy Menstrual
Bleeding: Novel Approach for Challenging Cases 1203 Efstathios P. Papadakis, MD, Sherif A. El-Nashar, MBBCh,
Shannon K. Laughlin-Tommaso, MD, MPH, Sherif A. M. Shazly, MBBCh, Matthew R. Hopkins, MD, Daniel M. Breitkopf, MD, and
Abimbola O. Famuyide, MBBS
In women with heavy menstrual bleeding and dysmenorrhea, levonorgestrel intrauterine system following endometrial ablation was feasible and can provide additional benefit to endometrial ablation alone.
Change in Pain and Quality of Life Among Women Enrolled in a Trial Examining the Use of Narrow Band Imaging During Laparoscopic
Surgery for Suspected Endometriosis 1208
Lisa Gallicchio, PhD, Kathy J. Helzlsouer, MD, MHS,
Kevin M. Audlin, MD, Charles Miller, MD, Ryan MacDonald, PhD, Mary Johnston, RNFA, BSN, CNOR, and Fermin F. Barrueto, MD Improvements in pain and QOL are similar among patients with endometriosis undergoing surgery with narrow band imaging and white light compared to white light alone.
Structured Hysteroscopic Evaluation of Endometrium in Women With
Postmenopausal Bleeding 1215
Margit Dueholm, MD, Ina Marie D. Hjorth, BS, Peter Secher, MD, Annemette Jprgensen, MD, and Gitte 0rtoft, MD
Structured hysteroscopic evaluation of visual endometrial pattern terms increase diagnostic accuracy o f hysteroscopy for diagnosis o f malignancy in women with postmenopausal bleeding.
Endometrial Ablation in Women With Abnormal Uterine Bleeding
Related to Ovulatory Dysfunction: A Cohort Study 1225 Alexis N. Hokenstad, MD, Sherif A. El-Nashar, MBBCh,
Zaraq Khan, MBBS, Matthew R. Hopkins, MD, and Abimbola O. Famuyide, MBBS
Endometrial ablation is an effective and safe treatment for abnormal uterine bleeding related to ovulatory dysfunction.
Hand-Assisted Laparoscopic Hysterectomy for Large Uteri 1231 Teresa M. Walsh, MD, Haleh Sangi-Haghpeykar, PhD, Vicky Ng, MD,
Robert Zurawin, MD, and Xiaoming Guan, MD, PhD
Hand-assist laparoscopic hysterectomy for large uteri had similar low rates of complications as compared to open hysterectomy, with shorter hospital stays but longer operative time.
Table of Contents:
(continued)
November/December 2015 • Volume 22 Number 7
Removal of Endometrial Polyps: Hysteroscopic Morcellation versus
Bipolar Resectoscopy, A Randomized Trial 1237
Tjalina W. O. Hamerlynck, MD, Benedictus C. Schoot, MD, PhD, Huib A. A. M. van Vliet, MD, PhD, and Steven Weyers, MD, PhD Hysteroscopic morcellation is a fast, effective and safe alternative to bipolar resectoscopy for removal of endometrial polyps in day surgery.
Vaginal Uterine Morcellation Within a Specimen Containment System:
A Study of Bag Integrity 1244
Eugenio Solima, MD, Giuseppe Scagnelli, MD, Veronica Austoni, MD, Andrea Natale, MD, Carlo Bertulessi, MD, Mauro Busacca, MD, and Michele Vignali, MD
We have evaluated the integrity of endoscopic bag after transvaginal in-bag morcellation o f uteri requiring vaginal morcellation to be removed during total laparoscopic hysterectomy.
Exposure of Surgeons to Magnetic Fields during Laparoscopic and
Robotic Gynecologic Surgeries 1247
Jee Soo Park, BS, Jai Won Chung, BS, Soo Beom Choi, MS, Deok Won Kim, PhD, Young Tae Kim, MD, PhD,
Sang Wun Kim, MD, PhD, Eun Ji Nam, MD, PhD, and Hee Young Cho, MD
This is the first study to measure and report on levels of exposure to extremely low-frequency magnetic fields to surgeons during laparoscopic and robotic gynecologic surgeries.
Comprehensive Assessment of the Impact of Laparoscopic Ovarian
Cystectomy on Ovarian Reserve 1252
Yan Ding, MD, Ying Yuan, MD, Jingxin Ding, MD, PhD, Yisong Chen, MD, PhD, Xuyin Zhang, MD, PhD, and Keqin Hua, MD, PhD
Although acute damage to the ovarian reserve was evident in the first
postoperative month following laparoscopic ovarian cystectomy of endometrioma, it had recovered by the sixth postoperative month.
Effect of Intraperitoneal Bupivacaine on Postoperative Pain in the
Gynecologic Oncology Patient 1260
Colleen Rivard, MD, Rachel Isaksson Vogel, MS, and Deanna Teoh, MD The use of an intraperitoneal local anesthetic was associated with improved pain control in patients undergoing laparoscopic surgery with a gynecologic oncologist.
Routine Monitoring of Liver, Renal, and Hematologic Tests After Single- or Double-Dose Methotrexate Treatment for Ectopic Pregnancies
After In Vitro Fertilization 1266
Nigel Pereira, MD, Jennifer L. Bender, BS, Kolbe Hancock, MD, Jovana P. Lekovich, MD, Rony T. Elias, MD, Isaac Kligman, MD, and Zev Rosenwaks, MD
Our findings suggest that repeating liver/renal function tests or a complete blood count on day 7 after single or double dose methotrexate treatment for ectopic pregnancies may not be necessary in patients with normal baseline testing on day 1.
Table of Contents:
(continued)
November/December 2015 • Volume 22 Number 7
Validation of the VBLaST: A Virtual Peg Transfer Task in
Gynecologic Surgeons 1271
Christopher Awtrey, MD, Amine Chellali, PhD, Steven Schwaitzberg, MD, Suvranu De, ScD, Daniel Jones, MD, and Caroline Cao, PhD
A virtual reality peg transfer task, (VBLaST) was validated in gynecologic surgeons and trainees.
Laparoscopic Hysterectomy and Urinary Tract Injury: Experience
in a Health Maintenance Organization 1278
Jasmine Tan-Kim, MD, Shawn A. Menefee, MD, Caryl S. Reinsch, MD, Cristina H. O'Day, MD, Judith Bebchuk, ScD, John S. Kennedy, MD, and Emily L. Whitcomb, MD
Urinary tract injury occurred in 1.3% o f laparoscopic hysterectomies, with ureteral injuries being almost as common as bladder injuries.
INSTRUMENTS AND TECHNIQUES
Robotic Shaving Technique in 25 Patients Affected by Deep Infiltrating
Endometriosis of the Rectovaginal Space 1287
Antonio Pellegrino, MD, Gianluca Raffaello Damiani, MD, Claudia Trio, MD, Paolo Faccioli, MD, Paolo Croce, MD, Fulvio Tagliabue, MD, and Emanuele Dainese, MD
Removal of endometriotic nodules with rectal shaving by robotic approach.
Low Pain Score After Total Laparoscopic Hysterectomy and Same-Day Discharge Within Less Than 5 Hours: Results of a Prospective
Observational Study 1293
Olivier Donnez, MD, PhD, Jacques Donnez, MD, PhD, Marie-Madeleine Dolmans, MD, PhD, Alice Dethy, MD, Marie Baeyens, MD, and John Mitchell, MD
Laparoscopic hysterectomy with same-day discharge is feasible, with low levels of pain and hospital stay o f less than 5 hours.
CASE REPORTS
Accessory Cavitated Uterine Mass: A Rare Cause of Severe
Dysmenorrhea in Young Women 1300
P. G. Paul, MBBS, DGO, Gaurav Chopade, MBBS, MS, DNB, Tanuka Das, MBBS, MS, DNB, N. Dhivya, MBBS, MS, Saurabh Patil, MBBS, MS, and Manju Thomas, MBBS, MS
Describing three case reports of rare Mullerian anomaly called accessory cavitated uterine mass (ACUM) seen in young women less than 30 yrs of age presenting with severe dysmenorrhea.
Indocyanine Green Fluorescence Imaging in the Surgical Management
of an Iatrogenic Lymphatic Fistula: Description of a Surgical Technique 1304 Andrea Papadia, MD, PhD, Sara Imboden, MD, Stefan Mohr, MD,
Susanne Lanz, MD, Konstantinos Nirgianakis, MD, and Michael D. Mueller, MD
A technique of Indocyanine Green Fluorescence imaging guided laparoscopic management o f a iatrogenic lymphatic fistula not responding to conservative treatment is presented.
Table of Contents:
(continued)
November/December 2015 • Volume 22 Number 7
Acute Colonic Pseudo-Obstruction (Ogilvie's Syndrome) Following
Total Laparoscopic Hysterectomy 1307
Monique Cebola, BMED, FRANZCOG,
Eliza Eddy, BSci(Med), MBBS, MRANZCOG, Suzanne Davis, MBBS, and Laura Chin-Lenn, MBBS, FRACS
This case report describes Acute Colonic Pseudo-Obstruction (Ogilvie's Syndrome) following total laparoscopic hysterectomy, and a brief discussion in light o f current literature.
A Case of Extragonadal Teratoma in the Pouch of Douglas and
Literature Review 1311
Mamoru Kakuda, MD, Shinya Matsuzaki, PhD, MD, Eiji Kobayashi, MD, Kiyoshi Yoshino, PhD, MD, Eiichi Morii, PhD, MD, and
Tadashi Kimura, PhD, MD
A rare case of extragonadal teratoma in the pouch of Douglas that appeared to be a parasitic dermoid cyst, and a literature review on the parasitic cyst located in the pouch of Douglas.
LETTERS TO THE EDITOR
Hysteroscopic Resection in Fertility-Sparing Surgery for Atypical Hyperplasia and Endometrial Cancer: How Important Are Intrauterine Adhesions?
Tarek Shokeir, MD
Reply to "Hysteroscopic Resection in Fertility-Sparing Surgery for Atypical Hyperplasia and Endometrial Cancer: How Important are Intrauterine Adhesions?"
Patrizia De Marzi, MD, Alice Bergamini, MD, Stefania Luchini, MD, Micaela Petrone, MD, Gianluca Taccagni, MD, Giorgia Mangili, MD, Gabriella Colombo, MD, and Massimo Candiani, MD
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