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Gynecological Surgery (Browse Results)
  • Acknowledgement to reviewers

    Acknowledgement to reviewers

    • Content Type Journal Article
    • Pages 1-1
    • DOI 10.1007/s10397-012-0730-z


  • Vaginal relapse after laparoscopic hysterectomy in early endometrial carcinoma: does the intrauterine manipulator affect the results?

    Vaginal relapse after laparoscopic hysterectomy in early endometrial carcinoma: does the intrauterine manipulator affect the results?

    • Content Type Journal Article
    • Category Case report
    • Pages 1-3
    • DOI 10.1007/s10397-012-0727-7
    • Authors
      • Santiago Domingo, Department of Obstetrics and Gynaecology, Hospital Universitario La Fe, Bulevar Sur, s/n, 46026 Valencia, Spain
      • Alfredo Perales-Puchalt, Department of Obstetrics and Gynaecology, Hospital Universitario La Fe, Bulevar Sur, s/n, 46026 Valencia, Spain
      • Jose María Vila-Vives, Department of Obstetrics and Gynaecology, Hospital Universitario La Fe, Bulevar Sur, s/n, 46026 Valencia, Spain
      • Marta Gurrea, Department of Obstetrics and Gynaecology, Hospital Universitario La Fe, Bulevar Sur, s/n, 46026 Valencia, Spain
      • Antonio Pellicer, Department of Obstetrics and Gynaecology, Hospital Universitario La Fe, Bulevar Sur, s/n, 46026 Valencia, Spain


  • From the desk of the Editor-in-Chief

    From the desk of the Editor-in-Chief

    • Content Type Journal Article
    • Category Editorial
    • Pages 1-2
    • DOI 10.1007/s10397-012-0726-8
    • Authors
      • Ivo Brosens, Leuven Institute of Fertility and Embryology, Tiensevest 168, 3000 Leuven, Belgium


  • Robot-assisted laparoscopic cervical cerclage as an interval procedure

    Robot-assisted laparoscopic cervical cerclage as an interval procedure

    • Content Type Journal Article
    • Category Case report
    • Pages 1-5
    • DOI 10.1007/s10397-012-0725-9
    • Authors
      • C. Cronin, Department of Obstetrics and Gynaecology, Cork University Maternity Hospital, Cork, Ireland
      • M. Hewitt, Department of Obstetrics and Gynaecology, Cork University Maternity Hospital, Cork, Ireland
      • I. Harley, Department of Obstetrics and Gynaecology, Belfast Health and Social Care Trust, Belfast, Northern Ireland, UK
      • K. O’Donoghue, Department of Obstetrics and Gynaecology, Cork University Maternity Hospital, Cork, Ireland
      • B. A. O’Reilly, Department of Obstetrics and Gynaecology, Cork University Maternity Hospital, Cork, Ireland


  • Global–local anaesthesia: combining paracervical block with intramyometrial prilocaine in the fundus significantly reduces patients' perception of pain during radio-frequency endometrial ablation (Novasure®) in an office setting

    Abstract  
    The aim of this study was to investigate the effectiveness of combining a paracervical block with an intramyometrial block of the uterine fundus on women's perception of pain during Novasure® radio-frequency impedance-controlled endometrial ablation. The study design was a case–control study. The study was conducted in private practice/office setting. The patients were 83 premenopausal women undergoing endometrial ablation due to heavy menstrual periods. The intervention used was hysteroscopic injection of local anaesthetic into the myometrium of the uterine fundus in addition to a paracervical block. There were no adverse events as a consequence of either the anaesthesia or the ablation procedure. All women were asked 60 s into the active ablation procedure to estimate their perception of pain on a scale from 0 to 10. Fifty-seven women (69%) scored a 0, and 77 (92%) scored 2 or less. None needed to use recovery room facilities after the procedure, and none made use of the access to performing surgeon the evening and night after the procedure. Combining a traditional paracervical block with a transhysteroscopic injection of local anaesthesia into the subendometrial myometrium of the fundus of the uterus significantly reduces women's perception of pain during radio-frequency impedance-controlled endometrial ablation.

    • Content Type Journal Article
    • Category Original Article
    • Pages 1-6
    • DOI 10.1007/s10397-011-0709-1
    • Authors
      • Henrik Skensved, Frederiksgade 2 A, 3400 Hillerod, Denmark


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