A 24-Months Follow-Up Study of Individuals With Endometriosis Using Transvaginal Ultrasound.

Study Objective: To investigate the progression of deep infiltrating endometriosis using transvaginal ultrasound surveillance of patients undergoing conservative management.

Design: Retrospective single cohort.

Setting: Australian tertiary university hospital PATIENTS: One hundred twenty two women with endometriosis proven on transvaginal ultrasound who had not undergone surgical management.

Recent advances in benign gynecological laparoscopic surgery.

Minimally invasive surgery continues to transform the field of gynecological surgery and is now the standard of care for the surgical treatment of many diseases in gynecology. Owing to minimally invasive surgery's clear advantages, new advances in technology are being employed rapidly and enabling even the most complicated procedures to be performed less invasively. We examine recent literature on minimally invasive surgical innovations, advances, and common practices in benign gynecology that, from our point of view, made an impact on the way laparoscopic surgery is performed and managed in the last decade.

Yoga, cognitive-behavioural therapy versus education to improve quality of life and reduce healthcare costs in people with endometriosis: a randomised controlled trial.

Introduction: Endometriosis is a debilitating chronic inflammatory condition highly burdensome to the healthcare system. The present trial will establish the efficacy of (1) yoga and (2) cognitive-behavioural therapy (CBT), above (3) education, on quality of life, biopsychosocial outcomes and cost-effectiveness.

Methods And Analysis: This study is a parallel randomised controlled trial.

Endometrial stem/progenitor cells in menstrual blood and peritoneal fluid of women with and without endometriosis.

Research Question: Are endometrial stem/progenitor cells shed into uterine menstrual blood (UMB) and the peritoneal cavity in women with and without endometriosis during menstruation?

Design: Women with (n = 32) and without endometriosis (n = 29) at laparoscopy (total 61), carried out during the menstrual (n = 41) and non-menstrual phase (n = 20) were recruited. The UMB, peritoneal fluid and peripheral blood were analysed by clonogenicity assay and flow cytometry to quantify the concentrations of endometrial clonogenic cells, SUSD2 mesenchymal stem cells (eMSC) and N-cadherin epithelial progenitor cells (eEPC).

Results: Clonogenic endometrial cells, eMSC and eEPC were found in most UMB samples at similar concentrations in women with and without endometriosis.

Can anyone screen for deep infiltrating endometriosis with transvaginal ultrasound?

Background: Surgical treatment of deep infiltrating endometriosis (DIE) is complex, and preoperative diagnosis benefits both surgeon and patient. Studies in expert centres have reported high accuracy for transvaginal ultrasound (TVUS) diagnosis of DIE. External validation of these findings has been limited, and no information is available on how quickly these skills can be acquired.

Comparison of ultrasonic shears and traditional suture ligature for vaginal hysterectomy: randomized controlled trial.

Study Objective: To compare operating time, intraoperative blood loss, postoperative analgesia, and length of hospital stay using ultrasonic shears vs traditional suture ligature in vaginal hysterectomy.

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

Setting: Gynecology units within a single health network, university hospital.

Reliability of visual diagnosis of endometriosis.

Objective: To determine whether accuracy of visual diagnosis of endometriosis at laparoscopy is determined by stage of disease.

Design: Prospective longitudinal cohort study (Canadian Task Force classification II-2).

Setting: Tertiary referral centers in three Australian states.

Bowel resection for severe endometriosis: an Australian series of 177 cases.

Background: Colorectal resection for severe endometriosis has been increasingly described in the literature over the last 20 years.

Aims: To describe the experiences of three gynaecological surgeons who perform radical surgery for colorectal endometriosis.

Methods: The records of three surgeons were reviewed.

Evolution of the complications of laparoscopic hysterectomy after a decade: a follow up of the Monash experience.

A retrospective review of medical records was performed to assess the incidence and types of significant complications encountered during laparoscopic hysterectomy which would affect the use of a laparoscopic approach versus other routes of hysterectomy. A total of 526 consecutive patients' medical data between January 1994 and August 2007 were reviewed. Two hundred and thirty-two laparoscopic-assisted vaginal hysterectomies and 294 total laparoscopic hysterectomies were performed at Monash Medical Centre, a Melbourne tertiary public hospital, and three Melbourne private hospitals, by or under the supervision of three surgeons.

Ignorance of electrosurgery among obstetricians and gynaecologists.

Objective: The purpose of this study was to assess the level of skill of laparoscopic surgeons in electrosurgery.

Design: Subjects were asked to complete a practical diathermy station and a written test of electrosurgical knowledge.

Setting: Tests were held in teaching and non-teaching hospitals.

Reliability and validity of an objective assessment instrument of laparoscopic skill.

A novel objective assessment method in reproductive endoscopic surgery could advance surgical education.

Safer laparoscopic trocar entry: it's all about pressure.

This prospective observational study aimed to assess the feasibility of adapting peritoneal hyperdistention to 25 mmHg during laparoscopy in an Australian hospital environment. A total of 1150 consecutive diagnostic or operative laparoscopies were performed. All cases were monitored for early detection of untoward physiological changes.

Rectal surgery for endometriosis--should we be aggressive?

Study Objective: To assess the outcome of aggressive but conservative laparoscopic surgery in the treatment of severe endometriosis involving the rectum.

Design: Retrospective study (Canadian Task Force classification III).

Setting: Endosurgery unit of a tertiary referral center.

Laparoscopic diagnosis of endometriosis.

Objective: To consider and explain the possibility of difficulties in diagnosis of endometriosis at previous laparoscopy

Design: Retrospective patient record review.

Setting: The Endometriosis Care Centre of Australia and the private practices of authors.

Sample: Two hundred and fifteen patients with clinical evidence of endometriosis examined laparoscopically between March 1999 and May 2001.