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Advances in Gynecological Laparoscopic Surgery
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Advances in Gynecological Laparoscopic Surgery

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 (15 September 2024) | Viewed by 5396

Special Issue Editor

Dr. Stamatios N. Petousis

E-Mail Website
Guest Editor
2nd Department of Obstetrics & Gynecology, Medical Faculty, Aristotle University of Thessaloniki, Hippokration General Hospital, Thessaloniki, Greece
Interests: gynecologic oncology; advance laparoscopic surgery; clinical research
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Laparoscopic gynecological surgery is characterized by rapid progress and implementation in all subspecialties of modern gynecology. Gynecologic oncology, urogynecology as well as reproductive surgery have greatly benefitted, in many aspects, from the growing performance of laparoscopic techniques. However, there have also been recent publications demonstrating detrimental effects in certain cases and diseases, such as cervical cancer. Therefore, the discussion on the advantages and disadvantages of laparoscopy in gynecologic surgery is always of great scientific merit and clinical impact. For the present Special Issue, this is a call for papers, either original or reviews, aiming to highlight modern advances, comparative advantages, potential harms, fields for further research, and dilemmas and controversies of implications of laparoscopy in all spectra of gynecological surgery, from infertility to oncology, and from urogynecology to benign gynecology and even to hysteroscopy treatment. We aim not only to receive high-quality publications, but to provide a place for an “open-access conversation” around hot modern issues. The role of laparoscopy in endometriosis; infertility treatment; endometrial, ovarian, and cervical cancer; prolapse of the uterus; suspicious uterine masses; and even emergencies during pregnancy may be some of the main issues of interest. However, no restrictions are made a priori to any relative submission. We guarantee authors an objective peer-review process not based on the a priori reputation of researchers of institutions, but rather on the novelty and interest of authors to contribute actively to the modern conversation about the role of laparoscopic surgery.

Dr. Stamatios N. Petousis
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Journal of Clinical Medicine is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • endometrial cancer
  • ovarian cancer
  • cervical cancer
  • infertility
  • myomas
  • hysteroscopy
  • endometriosis
  • postoperative outcomes and advantages
  • cost-effectiveness
  • uterus prolapse
  • obstetric-related emergencies

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Published Papers (4 papers)

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13 pages, 263 KiB  
Article
Pain Severity During Hysteroscopy by GUBBINI System in Local Anesthesia: Covariance Analysis of Treatment and Effects, Including Patient Emotional State
by Karolina Chmaj-Wierzchowska, Aleksandra Jasielska, Katarzyna Wszołek, Katarzyna Tomczyk, Agnieszka Lach, Adrian Mruczyński, Martyna Niegłos, Aleksandra Wilczyńska, Kinga Bednarek and Maciej Wilczak
J. Clin. Med. 2024, 13(20), 6217; https://doi.org/10.3390/jcm13206217 - 18 Oct 2024
Viewed by 547
Abstract
Pain accompanying medical procedures can be considered in the “mind-body” problem of accounting for and describing the relationship between mental and physical processes (psyche and soma). Background/Objectives: The purpose of this study is to evaluate the severity of pain among patients undergoing [...] Read more.
Pain accompanying medical procedures can be considered in the “mind-body” problem of accounting for and describing the relationship between mental and physical processes (psyche and soma). Background/Objectives: The purpose of this study is to evaluate the severity of pain among patients undergoing a minihysteroscopy procedure under local anesthesia using the “GUBBINI SYSTEM” (GUBBINI Mini Hystero-Resectoscope; Tontarra Medizintechnik, Tuttlingen, Germany) and to assess the association of various covariates with pain during the procedure, including patient emotional state. Methods: This study included 171 patients admitted to the Center for Hysteroscopy under Local Anesthesia at the Heliodor Święcicki Gynecological and Obstetrical Clinical Hospital of the Karol Marcinkowski Medical University in Poznań, Poland, for hysteroscopic treatment under local anesthesia (paracervical, using lignocaine). The Center for Hysteroscopy is the first certified “CENTER OF EXCELLENCE” of The International Society for Gynecologic Endoscopy (ISGE) in Poland. Results: A positive relationship was observed between alexithymia and its trait of difficulty identifying emotions and pain, as well as between perceived pain and one of the deficits of emotional processing—signs of unprocessed emotion. Conclusions: In conclusion, before the hysteroscopy, adequate information and counseling related to the procedure can effectively reduce the pain and anxiety levels of the women, and nurses can navigate this stressful process. Providing education and counseling to all women undergoing hysteroscopy, and explaining the procedure in detail, should be the preferred approach. Full article
(This article belongs to the Special Issue Advances in Gynecological Laparoscopic Surgery)
10 pages, 2975 KiB  
Article
Efficacy, Safety and Outcomes of the Laparoscopic Management of Cesarean Scar Ectopic Pregnancy as a Single Therapeutic Approach: A Case Series
by Georges Salem Wehbe, Inesse Ait Amara, Michelle Nisolle, Dominique A. Badr, Marie Timmermans and Stavros Karampelas
J. Clin. Med. 2023, 12(24), 7673; https://doi.org/10.3390/jcm12247673 - 14 Dec 2023
Viewed by 1433
Abstract
A standardized consensus for the management of cesarean scar pregnancy (CSP) is lacking. The study objective is to evaluate the efficacy, safety and outcomes of the laparoscopic management of CSP as a single therapeutic surgical approach without being preceded by vascular pretreatment or [...] Read more.
A standardized consensus for the management of cesarean scar pregnancy (CSP) is lacking. The study objective is to evaluate the efficacy, safety and outcomes of the laparoscopic management of CSP as a single therapeutic surgical approach without being preceded by vascular pretreatment or vasoconstrictors injection. This is a retrospective bi-centric study, a case series. Eight patients with a future desire to conceive underwent the laparoscopic treatment of unruptured CSPs. Surgery consisted of “en bloc” excision of the deficient uterine scar with the adherent tissue of conception, followed by immediate uterine repair. The data collected for each patient was age, gestity, parity, number of previous c-sections, pre-pregnancy isthmocele-related symptoms, gestational age, fetal cardiac activity, initial β-human chorionic gonadotropin levels, intra-operative blood loss, blood transfusion, operative time and the postoperative complications, evaluated according to Clavien–Dindo classification. The CSP was successfully removed in all patients by laparoscopy. The surgical outcomes were favorable. All patients with histories of isthmocele-related symptoms reported postoperative resolution of symptoms. The median residual myometrium thickness increased significantly from 1.2 mm pre-operatively to 8 mm 3 to 6 months after surgery. The laparoscopic management seems to be an appropriate treatment of CSP when performed by skilled laparoscopic surgeons. It can be safely proposed as a single surgical therapeutic approach. Larger series and further prospective studies are needed to confirm this observation and to affirm the long-term gynecological and obstetrical outcomes of this management. Full article
(This article belongs to the Special Issue Advances in Gynecological Laparoscopic Surgery)
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9 pages, 266 KiB  
Brief Report
Efficacy between Conventional Laparoscopy and Robotic Surgery in Mexican Patients with Endometriosis: A Comparative Study
by Cindy Bandala, Juan Pablo Cifuentes-Chacón, Alfredo Cortes-Vázquez, Rodrigo Ruz-Barros, Leonardo Garrocho-Hernández and Alfredo Cortes-Algara
J. Clin. Med. 2024, 13(12), 3576; https://doi.org/10.3390/jcm13123576 - 18 Jun 2024
Cited by 1 | Viewed by 1233
Abstract
Background. Surgical management of endometriosis is essential, and deep endometriosis involves the invasion of endometrial tissue into other organs such as the bladder, ureters, and rectum. In Latin American countries, significant expertise has been achieved in conventional laparoscopy (CL); however, there is [...] Read more.
Background. Surgical management of endometriosis is essential, and deep endometriosis involves the invasion of endometrial tissue into other organs such as the bladder, ureters, and rectum. In Latin American countries, significant expertise has been achieved in conventional laparoscopy (CL); however, there is less experience in robot-assisted laparoscopy (RAL) because of the high cost of this technique. For this reason, studies comparing CL and RAL for the treatment of deep endometriosis in patients are scarce, making this study the first to share the experience of Mexican patients. Aim. The efficacy of CL vs. RAL in the management of deep endometriosis in Mexican patients was compared. Materials and Methods. We performed a retrospective and comparative study. We considered all patients treated with minimally invasive surgery for deep endometriosis between 2015 and 2023. Results. A total of 93 patients were included; 56 patients were treated with CL, and 37 patients were treated with RAL. A significant difference (p < 0.05) was observed in the postoperative length of stay, which was longer in patients treated with CL compared with those treated with RAL. Additionally, postoperative pain was less frequent in patients treated with RAL than in those treated with CL (p < 0.05). We did not observe a significant difference in operative time, blood loss, or perioperative complications between the two surgical techniques (p < 0.05). Conclusions. CL and RAL are effective methods for managing endometriosis in Mexican patients; however, RAL is beneficial for the treatment of deep endometriosis because patients experience postoperative pain less frequently than CL patients and have a shorter postoperative length of stay. Full article
(This article belongs to the Special Issue Advances in Gynecological Laparoscopic Surgery)
17 pages, 3455 KiB  
Systematic Review
Effects of Postoperative Gum Chewing on Recovery of Gastrointestinal Function Following Laparoscopic Gynecologic Surgery: Systematic Review and Meta-Analysis of Randomized Controlled Trials
by Thunwipa Tuscharoenporn, Kittithat Uruwankul and Kittipat Charoenkwan
J. Clin. Med. 2024, 13(10), 2851; https://doi.org/10.3390/jcm13102851 - 12 May 2024
Cited by 1 | Viewed by 1508
Abstract
Background: Chewing gum, considered a form of sham feeding, has been shown to improve intestinal motor and secretory function in various types of abdominal surgery. We conducted this systematic review to evaluate the effects of postoperative gum chewing on the recovery of gastrointestinal [...] Read more.
Background: Chewing gum, considered a form of sham feeding, has been shown to improve intestinal motor and secretory function in various types of abdominal surgery. We conducted this systematic review to evaluate the effects of postoperative gum chewing on the recovery of gastrointestinal function after laparoscopic gynecologic surgery. Methods: We performed a comprehensive literature review of all randomized controlled trials (RCTs) in PubMed, Embase, and a reference list of relevant studies from the inception to 11 March 2024, comparing postoperative gum chewing versus no gum chewing following laparoscopic gynecologic surgery regardless of indications and setting without language restriction. The primary outcome was the time to the presence of bowel sounds and the time to the first passage of flatus. Cochrane’s risk of bias tool was used to assess the risk of bias in included studies. Results: Nine RCTs with a total of 1011 patients were included. Overall, three studies were categorized as having a low risk of bias, three had some concerns, and three exhibited a high risk of bias. The time to the presence of bowel sounds (mean difference [MD] −2.66 h, 95% confidence interval [CI] −3.68 to −1.64, p < 0.00001) and time to the first passage of flatus (MD −4.20 h, 95% CI −5.79 to −2.61, p < 0.00001) was significantly shorter in the gum-chewing group. There was no statistical difference between the two groups with regard to the time to the first defecation (MD −6.52 h, 95% CI −15.70 to 2.66, p = 0.16), time to the first postoperative mobilization (MD 24.05 min, 95% CI −38.16 to 86.26, p = 0.45), postoperative ileus (MD 0.68, 95% CI 0.39 to 1.19, p = 0.17), and length of hospital stay (MD −0.05 day, 95% CI −0.14 to 0.04, p = 0.28). Conclusions: Gum chewing following laparoscopic gynecologic surgery appears to promote the recovery of gastrointestinal function, as evidenced by a reduced time to the presence of bowel sounds and the first passage of flatus. Full article
(This article belongs to the Special Issue Advances in Gynecological Laparoscopic Surgery)
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