Intraperitoneal instillation of bupivacaine for reduction of postoperative pain after laparoscopic hysterectomy: a double-blind randomized controlled trial.

Study Objective: To evaluate the effect on postoperative pain of intraperitoneal instillation of dilute bupivacaine at the conclusion of laparoscopic hysterectomy.

Design: Prospective, randomized, double-blind, placebo-controlled trial (Canadian Task Force classification I).

Setting: Tertiary care, urban, academic teaching hospital.

Angiogenic factors and pregnant woman with new onset seizures.

Background: In patients with new onset seizures during pregnancy, it can be challenging to differentiate between eclampsia and other etiologies. Soluble fms-like tyrosine kinase (sFlt1) is an antiangiogenic protein that is elevated in preeclampsia and eclampsia.

Case: A multiparous woman presented at 22 weeks gestation with seizures.

Fundamentals of laparoscopic surgery: a surgical skills assessment tool in gynecology.

Objective: To describe our experience with the Fundamentals of Laparoscopic Surgery (FLS) program as a teaching and assessment tool for basic laparoscopic competency among gynecology residents.

Methods: A prospective observational study was conducted at a single academic institution. Before the FLS program was introduced, baseline FLS testing was offered to residents and gynecology division directors.

Laparoscopic excision of ovarian remnants: retrospective cohort study with long-term follow-up.

Study Objective: To review the clinical presentation, surgical and pathologic findings, and long-term outcomes after excision of ovarian remnants using a predominantly laparoscopic approach.

Design: Retrospective medical record review and long-term follow-up via telephone interview (Canadian Task Force classification II-3).

Setting: Large academic medical institution.

Mechanical bowel preparation for gynecologic laparoscopy: a prospective randomized trial of oral sodium phosphate solution vs single sodium phosphate enema.

Study Objective: To compare the effect of mechanical bowel preparation using oral sodium phosphate (NaP) solution vs single NaP enema on the quality of the surgical field in patients undergoing advanced gynecologic laparoscopic procedures.

Design: Single-blind randomized controlled trial (Canadian Task Force classification I).

Setting: Academic teaching hospital.

Description and validation of the Pelv-Sim: a training model designed to improve gynecologic minimally invasive suturing skills.

Study Objective: To describe and validate the Pelv-Sim trainer, an innovative training model for gynecologic laparoscopic suturing with 4 laparoscopic exercises: closing an open vaginal cuff, transposing an ovary to the pelvic sidewall, ligating an infundibulopelvic ligament, and closing a port-site fascial incision.

Design: Randomized controlled trial (Canadian Task Force classification I).

Setting: Academic medical center.