Evaluation of Positioning Devices for Optimization of Outcomes in Laparoscopic and Robotic-Assisted Gynecologic Surgery.

In this review, we evaluate techniques, devices, and equipment for patient positioning and their effect on patient outcomes, such as cephalad slide and neuropathy, in laparoscopic and robotic-assisted gynecologic surgery. We conducted a systematic review by searching MEDLINE, Embase, and Cochrane Library for relevant articles published over a 15-year period. Study selection, data extraction, and quality assessment were performed by 2 reviewers independently.

Operative Outcomes of Opportunistic Bilateral Salpingectomy at the Time of Benign Hysterectomy in Low-Risk Premenopausal Women: A Systematic Review.

Opportunistic bilateral salpingectomy (OBS) is gaining momentum as a potential strategy for preventing epithelial ovarian cancer (EOC). OBS has been associated with a 40% to 65% decrease in the incidence of EOC when performed at the time of benign hysterectomy in patients at population-level risk for EOC. Current data suggest minimal disadvantage or "cost" to the patient and system from this practice in terms of estimated blood loss (EBL), operative time, length of hospital stay, ovarian reserve depletion, and complications attributable to OBS.

Complications in robotic-assisted gynecologic surgery according to case type: a 6-year retrospective cohort study using Clavien-Dindo classification.

Study Objective: To estimate the risk of postoperative complications in robotic-assisted gynecologic surgery according to case type.

Study Design: Retrospective cohort study (Canadian Task Force classification II-2).

Setting: Mayo Clinic Arizona.

Preventing slide in Trendelenburg position: randomized trial comparing foam and gel pads.

To compare patient slide in Trendelenburg position using egg-crate foam or gel pad. This randomized trial compared slide on friction pads during Trendelenburg position for robotic and laparoscopic gynecologic procedures in 61 patients at the Mayo Clinic Florida between March 11, 2010 and May 31, 2011. Data was analyzed using Student's t test with significance defined as p ≤ 0.

Leiomyoma-related hospitalization and surgery: prevalence and predicted growth based on population trends.

Objective: To estimate leiomyoma-related inpatient care in the United States for 2007 with predictions for the ensuing 40 years.

Study Design: We used the 2007 Nationwide Inpatient Sample to estimate hospitalizations and inpatient surgeries for uterine leiomyoma in US women 15 to 54 years. We used the US Census Bureau population projections to predict leiomyoma-related inpatient care through 2050.

Incidence and characteristics of patients with vaginal cuff dehiscence after robotic procedures.

Objective: To estimate the incidence and characteristics of patients with vaginal cuff dehiscence after robotic cuff closure.

Methods: We reviewed medical records from March 2004 to December 2008 of all patients with vaginal cuff dehiscence after a robotic simple and radical hysterectomy, trachelectomy, and upper vaginectomy using the robotic da Vinci Surgical System.

Results: Twenty-one of 510 patients were identified with vaginal cuff dehiscence (incidence 4.

Management of Bartholin duct cysts and abscesses: a systematic review.

Objective: To review systematically the literature, published in English, on recurrence and healing after treatment of Bartholin duct cysts and abscesses.

Data Sources: We searched PubMed, EMBASE, CINAHL, LILACS, Web-of-science, the Cochrane database, and POPLINE from 1982 until May 2008. We searched the internet, hand-searched reference lists, and contacted experts and authors of relevant papers to detect all published and unpublished studies.

Hysterectomy rates in the United States, 2003.

Objective: To estimate hysterectomy rates by type of hysterectomy and to compare age, length of stay, and regional variation in type of hysterectomy performed for benign indications.

Methods: We conducted a cross-sectional analysis of national discharge data using the 2003 Nationwide Inpatient Sample. These data represent a 20% stratified sample of U.

Cesarean delivery on maternal request.

Objectives: The RTI International-University of North Carolina at Chapel Hill Evidence-based Practice Center (RTI-UNC EPC) systematically reviewed the evidence on the trend and incidence of cesarean delivery (CD) in the United States and in other developed countries, maternal and infant outcomes of cesarean delivery on maternal request (CDMR) compared with planned vaginal delivery (PVD), factors affecting the magnitude of the benefits and harms of CDMR, and future research directions.

Data Sources: We searched MEDLINE, Cochrane Collaboration resources, and Embase and identified 1,406 articles to examine against a priori inclusion criteria. We included studies published from 1990 to the present, written in English.

Cesarean delivery on maternal request: maternal and neonatal outcomes.

Objective: To review systematically the evidence about maternal and infant outcomes of cesarean delivery on maternal request and planned vaginal delivery.

Data Sources: We searched MEDLINE, Cochrane Collaboration resources, and Embase and identified 1,406 articles through dual review using a priori inclusion criteria.

Methods Of Study Selection: We included English language studies published from 1990 to June 2005 that compared the key reference group (cesarean delivery on maternal request or proxies) and planned vaginal delivery.

Teaching residents coding and documentation: effectiveness of a problem-oriented approach.

Objective: We sought to assess the effectiveness of a problem-oriented approach to teaching residents accurate coding and documentation of ambulatory gynecology visits.

Study Design: This was a pilot before-and-after study. Nine resident volunteers underwent 4 individual instructional sessions on coding and documentation with a trained faculty member over 6 weeks.

Reclosure of the disrupted laparotomy wound: a systematic review.

Objective: To review systematically all prospective, randomized trials published in English quantifying the success of reclosure of the disrupted laparotomy wound.

Data Sources: The MEDLINE/PubMed, EMBASE, CINAHL, and Cochrane databases were searched from 1966 to 2004. References were hand-searched and their authors contacted to identify all published and unpublished eligible studies.

Vulvar melanoma: review of diagnosis, staging, and therapy.

Objectives: To update, assimilate, and bridge the contemporary literature on vulvar and cutaneous melanoma regarding diagnosis, staging, and therapy to provide a useful clinical reference for managing and counseling for affected patients.

Materials And Methods: A computerized search for reports in the literature up to June 2003 was carried out using PubMed and MEDLINE databases. Multidisciplinary involvement was used in evaluating the available data and formulating conclusions.

Vulvar melanoma: a report of 20 cases and review of the literature.

Background: Vulvar melanoma is the second most common vulvar malignancy and represents a significant women's health issue.

Objective: To report experience with 21 cases of vulvar melanoma in 20 patients and to review the literature about the condition.

Methods: Parameters retrospectively reviewed included age at diagnosis, family history of melanoma, location on the vulva, atypical nevi, Breslow depth, ulceration status, histologic pattern, presenting signs and symptoms, and the results of sentinel lymph node biopsy.