Too big to bag? - Technique for bagging very large adnexal masses via vNOTES.

J Gynecol Obstet Hum Reprod

Institution of Clinical Sciences Lund, Dept of Obstetrics and Gynaecology, Lund University, Lund, Sweden; Department of Obstetrics and Gynaecology, Helsingborg Central Hospital, Helsingborg, Sweden. Electronic address:

Published: November 2024

The technique to perform adnexectomy for adnexal masses has shifted over the last decades, from open surgery towards minimally invasive approaches. At the same time caution is warranted to prevent perioperative intra-abdominal spilling of cyst content which can be a challenge especially for very large masses. vNOTES (vaginal Natural Orifice Transluminal Endoscopic Surgery) combines a vaginal approach with endoscopic overview in performing gynaecological surgery without abdominal scarring. The aim of the video is to demonstrate a vNOTES technique for safely bagging very large adnexal masses.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.jogoh.2024.102857DOI Listing

Publication Analysis

Top Keywords

adnexal masses
12
bagging large
8
large adnexal
8
masses vnotes
8
vnotes technique
8
big bag?
4
bag? technique
4
technique bagging
4
masses
4
technique perform
4

Similar Publications

Robotic Surgery for Benign Hysterectomy: A Real-World Study From India.

Cureus

December 2024

Department of Gynecology and Obstetrics, Zydus Hospitals, Ahmedabad, IND.

Background In gynecology, hysterectomy is a common surgical procedure for benign conditions. This study was conducted to assess the short-term clinical outcomes of robotic-assisted hysterectomy in the Indian population. Methods We performed a retrospective chart review of patients who underwent robotic-assisted benign hysterectomy procedures between December 2021 and July 2024.

View Article and Find Full Text PDF

Diagnostic Value of the Ovarian-Adnexal Reporting and Data System Ultrasound in Ovarian Masses: A Two-Center Study.

Br J Radiol

December 2024

Ultrasound Department, Fourth Affifiliated Hospital of Harbin Medical University, Surgeon's Hall, No. 37, Yiyuan Road, Nangang District, Harbin City, Heilongjiang prov, China.

Objective: This study aimed to assess the diagnostic efficacy of the Ovarian-Adnexal Reporting and Data System (O-RADS) and Ultrasound (US) and its sub-classification system for distinguishing ovarian masses.

Methods: O-RADS US was used for the retrospective analysis of 606 ovarian masses of Chinese from two medical centers by two gynecologic sonographers with varying experience. The O-RADS 4 categories masses were further sub-classified into O-RADS 4a and O-RADS 4 b through three different approaches(O-RADS A1/A2/A3).

View Article and Find Full Text PDF

Characterisation of an indeterminate ovarian mass is important as it guides management and clinical outcomes. Ultrasound is the first-line modality in the assessment of ovarian tumours. When ovarian masses are indeterminate on ultrasound, MRI provides excellent resolution in tissue characterisation and enhancement patterns.

View Article and Find Full Text PDF

Ultrasound-based ADNEX model for differentiating between benign, borderline, and malignant epithelial ovarian tumours.

Clin Radiol

November 2024

Department of Ultrasound, Clinical Oncology School of Fujian Medical University, Fujian Cancer Hospital, Fuzhou 350014, Fujian Province, China. Electronic address:

Background: The purpose of this study was to evaluate the ability of the International Ovarian Tumor Analysis-Assessment of Different NEoplasias in the adneXa (IOTA-ADNEX) model to distinguish among benign, borderline, and malignant epithelial ovarian tumours (BeEOTs, BEOTs, and MEOTs, respectively).

Methods: The study included 813 patients with BeEOTs, BEOTs, and MEOTs who underwent ultrasound examinations and pelvic operations. Comparisons were made between the clinical information and ultrasonographic features of the three patient groups, and the histopathological diagnosis was the gold standard.

View Article and Find Full Text PDF

Kaposi sarcoma is a low-grade vascular neoplasm linked to the human herpesvirus 8, with the AIDS-associated epidemic variant being the most common and aggressive. Although Kaposi sarcoma more commonly affects the cutaneous tissues, lymph nodes, and visceral organs, it can also be present in ocular and ocular adnexal tissues. We report a case of a 58-year-old Indo-Caribbean woman living with AIDS who presented with a large upper eyelid mass that was clinically diagnosed as Kaposi sarcoma.

View Article and Find Full Text PDF

Want AI Summaries of new PubMed Abstracts delivered to your In-box?

Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!