Publications by authors named "Levin Gabriel"

Research Question: We aimed to assess the impact of Body Mass Index (BMI) on 30-day postoperative complications in patients undergoing minimally invasive hysterectomy (MIH) for fibroids.

Design: Using data from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP) database (2012-2020), we analyzed major and minor 30-day postoperative complications, stratified by BMI, in patients with uterine fibroids who underwent MIH. Complications were stratified according to the Clavien-Dindo classification.

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Background: Ovarian cancer accounts for 3% of all malignancies in women and kills about 140,000 women worldwide each year, representing the fifth leading cause of cancer-related death in women. At diagnosis, 70% of patients with ovarian cancer are already at stage III or IV disease, with a 5-year survival rate of less than 45%. Studies have found that solute carrier family 1 member 3 () is highly expressed in various cancers and is associated with the poor prognosis of these cancers.

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Objective:  Placenta accreta spectrum (PAS) is a term used to describe trophoblast invasion into the uterine wall. The condition can be FATAL: at labor due to a lack of spontaneous separation of the placenta from the uterine wall, leading to severe hemorrhage. In this study, we aim to evaluate preoperative risk factors for unplanned immediate hysterectomy in PAS uterine-preserving surgeries.

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Objective: We aim to study association of BMI of EC patients, with the level of agreement between preoperative and postoperative tumor grade.

Methods: A retrospective study. We included patients with EC diagnosed in an outpatient clinic which had surgical staging as in our division.

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Article Synopsis
  • * This research aimed to investigate the link between BMI and short-term postoperative complications following myomectomy, analyzing data from the American College of Surgeons database from 2012 to 2020 and excluding vaginal myomectomy cases.
  • * The study found that 11.4% of the 27,387 patients experienced complications, with rates varying by BMI category, where patients with obesity class 1 had fewer major complications, while those in obesity class 2 and 3 had more complications compared to
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Article Synopsis
  • The study investigates predictors of postoperative complications in women undergoing pelvic exenteration surgery for gynecologic cancers, based on data from the National Surgical Quality Improvement Program registry from 2012 to 2022.
  • Out of 794 pelvic exenterations analyzed, minor complications occurred in 72.5% of cases, while major complications affected 31.5%, with organ/space infections and sepsis being the most common severe issues.
  • Key factors linked to higher risks of major complications include higher BMI, diabetes, low serum albumin levels, and elevated serum creatinine levels.
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Background: Uterine fibroids are the most common indication for benign hysterectomy in the United States, but data regarding the association between hysterectomy type and outcomes for this indication are lacking.

Objective: This study aimed to describe the rate and odds of short-term (30 days) postoperative complications between patients who underwent minimally invasive total laparoscopic hysterectomy and those who underwent laparoscopic supracervical hysterectomy for uterine fibroids.

Study Design: This was a cohort study of prospectively collected data from the American College of Surgeons National Surgical Quality Improvement Program database from 2012 to 2020.

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Purpose: To study the rate and odds of 30 day postoperative complications among patients undergoing minimally invasive total (TLH) compared to supracervical (LSCH) hysterectomy for endometriosis.

Study Design: A cohort study of patients with a diagnosis of endometriosis undergoing hysterectomy. We used prospectively collected data from the American College of Surgeons National Surgical Quality Improvement Program database from 2012 to 2020.

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Objective: Gangliosides GD2 and GD3 have been proposed to be of significance in diagnosis of ovarian masses. We aim to study serum GD2 and GD3 gangliosides as predictors of oncological outcomes among high grade serous (HGS) ovarian cancer (OC).

Materials And Methods: A retrospective study including biobanked serum samples of HGS OC treated between 2005 and 2016.

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Article Synopsis
  • The study aimed to compare surgical outcomes, specifically the incidence of complications, among patients undergoing minimally invasive hysterectomy performed by different types of surgeons: MIGS subspecialists, gynecologic oncologists, and general OB/GYNs.
  • Results showed that MIGS surgeons had significantly lower rates of intra- and postoperative complications (11.7%) compared to gynecologic oncologists (22.9%) and OB/GYNs (25.9%).
  • Additionally, MIGS surgeons experienced fewer conversions to laparotomy and had lower estimated blood loss and surgery times compared to their counterparts, indicating they may provide safer surgical outcomes for patients.
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Article Synopsis
  • * A case study describes a 65-year-old woman with stage 1B LMS who initially underwent surgery and chemotherapy but faced multiple recurrences over 9 years, leading to a second-line treatment with doxorubicin and trabectedin.
  • * The patient responded well to the second-line therapy, achieving partial remission after 6 cycles and maintaining stable disease for a total of 16 months of progression-free
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Background: The Laparoscopic Approach to Cervical Cancer study results revolutionized our understanding of the best surgical management for this disease. After its publication, the guidelines state that the standard and recommended approach for radical hysterectomy is an open abdominal approach. Nevertheless, the effect of the Laparoscopic Approach to Cervical Cancer trial on real-world changes in the surgical approach to radical hysterectomy remains elusive.

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Background: Data regarding the management of adnexal torsion (AT) during the coronavirus disease 2019 (COVID-19) pandemic are scarce.

Objectives: To study the effects of actions to limit the spread of COVID-19 on AT management.

Methods: We conducted a retrospective cohort study of all women who underwent laparoscopy for suspected AT between March 2011 and February 2021.

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Study Objective: To characterize robotic surgery publications in gynecologic oncology, and to identify factors associated with high citation metrics.

Design: A cross-sectional study SETTING: Original articles on robotic surgery in gynecologic oncology.

Patients: No patients involved.

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Introduction: Dysgerminoma is a histologic subtype of malignant ovarian germ cell tumor (MOGCT). Most publications describing dysgerminoma are of small cohorts. Large cohorts usually describe MOGCT as a group, and therefore, drawing specific conclusions regarding dysgerminomas is challenging.

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Objectives: To explore the obstetric, maternal and neonatal outcome in the subsequent pregnancy after a pregnancy with an accidental uterine extension (AUE) during cesarean delivery (CD), as well as the relationship between the different types of AUE (inferior, lateral and superior).

Methods: A retrospective cohort study of all CD with AUE in a tertiary medical center between 01/2011-01/2022. Women with a prior CD with AUE were compared to a 1:3 ratio matched control group of women with a prior CD without AUE.

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