Surgical variance between postconceptional and preconceptional minimally invasive transabdominal cerclage placement.

Recent data show that transabdominal cerclage placement via laparoscopy carries better obstetrical outcomes in comparison to transabdominal cerclage placement via laparotomy. In this surgical tutorial, we review the technique for minimally invasive abdominal cerclage and highlight the surgical differences between preconceptional and conceptional cerclage.

Correction to: Two-port robotic hysterectomy: a novel approach.

The objective of the study was to demonstrate a novel technique for two-port robotic hysterectomy with a particular focus on the challenging portions of the procedure. The study is designed as a technical video, showing step-by-step a two-port robotic hysterectomy approach.

Two-port robotic hysterectomy: a novel approach.

The objective of the study was to demonstrate a novel technique for two-port robotic hysterectomy with a particular focus on the challenging portions of the procedure. The study is designed as a technical video, showing step-by-step a two-port robotic hysterectomy approach (Canadian Task Force classification level III). IRB approval was not required for this study.

Multidisciplinary Resection of Deeply Infiltrative Endometriosis.

Study Objective: To describe a multidisciplinary approach for the resection of deeply infiltrative endometriosis using the robotic platform.

Design: A technical video showing a step-by-step approach for the resection of deeply infiltrative endometriosis (Canadian Task Force classification level III). Institutional review board approval was not required for this study.

Systematic Review of Transabdominal Cerclage Placed via Laparoscopy for the Prevention of Preterm Birth.

Preterm birth is the leading cause of neonatal mortality and morbidity. Multiple interventions are available to minimize this occurrence; however, despite current recommendations including medical management, cervical length screening, and transvaginal cerclage, a substantial number of women still experience preterm birth. For those patients, experts recommend transabdominal cerclage (TAC).

Determining the Effect of External Stressors on Laparoscopic Skills and Performance Between Obstetrics and Gynecology Residents.

Study Objective: To evaluate the effect of stress on laparoscopic skills between obstetrics and gynecology residents.

Design: Observational prospective cohort study.

Design Classification: Prospective cohort.

Comparison of cost and operative outcomes of robotic hysterectomy compared to laparoscopic hysterectomy across different uterine weights.

Operative cost and outcomes between robotic and laparoscopic hysterectomy across different uterine weights. Retrospective cohort study including patients undergoing robotic and laparoscopic hysterectomy for benign disease at an Academic university hospital. One hundred and ninety six hysterectomies were identified (101 robotic versus 95 laparoscopic).

Magnetic resonance imaging correlation to intraoperative findings of deeply infiltrative endometriosis.

Objective: To show characteristics of deeply infiltrative endometriosis (DIE) on magnetic resonance imaging (MRI) and how they correlate with intraoperative findings.

Design: Overview of still and dynamic MRI images of four different patients with DIE. We then used videos from their surgeries to highlight the appearance of endometriosis corresponding to these images (educational video).

Abdominal Approaches to Tissue Containment and Extraction in Minimally Invasive Gynecologic Surgery.

Study Objective: To show different abdominal methods of tissue containment and specimen extraction techniques as an alternative to electromechanical morcellation (EMM).

Design: A stepwise surgical tutorial using a narrated video (Canadian Task Force classification III).

Setting: An academic tertiary care hospital.

Robotic Cerclage in Advanced-stage Endometriosis.

Study Objective: To show a stepwise surgical technique of robotic-assisted transabdominal cerclage placement in a patient with deeply infiltrative endometriosis.

Design: A step-by-step surgical tutorial using narrated video.

Setting: The George Washington University Hospital.

Urethral Solitary Fibrous Tumor: A Rare Pathologic Diagnosis of a Periurethral Mass.

Solitary fibrous tumors (SFTs) may occur at any site in the body. SFTs can only be conclusively diagnosed based on histopathologic and immunohistochemical characteristics of the tumor. The presence of SFTs in the abdomen and pelvis is extremely rare.

Spontaneous Bilateral Ectopic Pregnancy: A Case-Report.

Background: Bilateral tubal pregnancies in the absence of preceding induction of ovulation are rare. They are usually diagnosed at the time of surgery.

Case: We report a case of spontaneous bilateral tubal pregnancies diagnosed intraoperatively.

Tips and Tricks: Single-Site Robotic-Assisted Myomectomy.

Study Objective: To describe some tips and tricks that facilitate a single-site robotic- assisted (RA) myomectomy.

Design: Stepwise surgical tutorial using a narrated video (Canadian Task Force classification III).

Setting: Academic tertiary care hospital.

A Case of Recurrent Rudimentary Horn Ectopic Pregnancies Managed by Methotrexate Therapy and Laparoscopic Excision of the Rudimentary Horn.

This report presents a case of a 31-year-old woman successfully treated medically for a noncommunicating rudimentary horn ectopic pregnancy who presented with a second, successive rudimentary horn pregnancy. Patient underwent laparoscopic excision of right rudimentary horn and right salpingectomy after failed methotrexate therapy. Given the potential for rupture and recurrence, serious efforts should be made to excise a uterine rudimentary horn.

Comparison of methods of morcellation: manual versus power.

Introduction: With the growing controversy surrounding power morcellation (PM), other approaches must be examined so that women may still benefit from minimally invasive gynecologic surgeries. In this study we sought to compare power morcellation to manual morcellation through mini-laparotomy or vaginally.

Materials And Methods: Retrospective cohort study carried out at an urban teaching hospital including 274 women who underwent a minimally invasive myomectomy or hysterectomy, requiring morcellation for tissue extraction.