Journal of Yeungnam Medical Science

Case reports

Laparoscopic excision and repair of a cesarean scar pregnancy in a woman with uterine didelphys: a case report: Seong-Eon Park, Ji-Eun Ryu, Tae-Kyu Jang; J Yeungnam Med Sci. 2023;40(2):202-206. Published online May 16, 2022; DOI: https://doi.org/10.12701/jyms.2022.00115

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Abstract PDF: Cesarean scar pregnancy (CSP) is a rare complication that occurs in less than 1% of ectopic pregnancies, and uterine didelphys is one of the rarest uterine forms. We report a successful laparoscopic excision and repair of CSP in a woman with uterine didelphys and a double vagina. A 34-year-old gravida one, para one woman with a history of low transverse cesarean section presented to our hospital with a suspected CSP. She was confirmed to have uterine didelphys with a double vagina during an infertility examination 7 years earlier. Magnetic resonance imaging showed a 2.5-cm gestational sac-like cystic lesion in the lower segment of the right uterus at the cesarean scar. We decided to perform a laparoscopic approach after informing the patient of the surgical procedure. The lower segment of the previous cesarean site was excised with monopolar diathermy to minimize bleeding. We identified the gestational sac in the lower segment of the right uterus, which was evacuated using spoon forceps. The myometrium and serosa of the uterus were sutured layer-by-layer using synthetic absorbable sutures. No remnant gestational tissue was visible on follow-up ultrasonography one month after the surgery. This laparoscopic approach to CSP in a woman with uterine didelphys is an effective and safe method of treatment. In women with uterine anomalies, it is important to confirm the exact location of the gestational sac by preoperative imaging for successful surgery.

Successful laparoscopic surgery of accessory cavitated uterine mass in young women with severe dysmenorrhea: Joon Cheol Park, Dong Ja Kim; Yeungnam Univ J Med. 2021;38(3):235-239. Published online September 18, 2020; DOI: https://doi.org/10.12701/yujm.2020.00696

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Accessory cavitated uterine mass (ACUM) is a rare and unique condition seen in young women. We report cases of ACUMs in two patients, a 14-year-old girl and a 25-year-old woman, both with complaints of severe dysmenorrhea that had started at menarche and had progressively worsened since. A large cystic lesion was localized in the anterolateral wall of the myometrium separate from the endometrium, which was difficult to distinguish from congenital uterine anomalies. Laparoscopic excision of the ACUMs was successful and completely resolved the dysmenorrhea. Early investigation of severe dysmenorrhea in young women can provide appropriate management and relieve symptoms.

Citations

Citations to this article as recorded by

Accessory and cavitated uterine masses: a case series and review of the literature
S. Dekkiche, E. Dubruc, M. Kanbar, A. Feki, M. Mueller, J-Y. Meuwly, P. Mathevet
Frontiers in Reproductive Health.2023;[Epub] CrossRef
Accessory cavitated uterine malformation: Enhancing awareness about this unexplored perpetrator of dysmenorrhea
Rana Mondal, Priya Bhave
International Journal of Gynecology & Obstetrics.2023; 162(2): 409. CrossRef
Large uterine juvenile cystic adenomyoma in an adolescent
Zlatan Zvizdic, Irmina Sefic-Pasic, Nermina Ibisevic, Senad Murtezic, Semir Vranic
Journal of Pediatric Surgery Case Reports.2022; 81: 102258. CrossRef
Laparoscopic Approach to Accessory and Cavitatory Uterine Mass(ACUM): A Report of Four Patients in a Year
Kavitha Yogini Duraisamy, S. Saidarshini, Devi Balasubramaniam, Pradeepa, Divya Gnanasekaran
The Journal of Obstetrics and Gynecology of India.2022; 72(S2): 466. CrossRef

Review Article

Recent advances in minimally invasive surgery for gynecologic indications: Yu-Jin Koo; Yeungnam Univ J Med. 2018;35(2):150-155. Published online December 31, 2018; DOI: https://doi.org/10.12701/yujm.2018.35.2.150

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Abstract PDF

Recently, an increasing interest in less invasive surgery has led to the advent of laparoendoscopic singlesite surgery (LESS) and natural orifice transluminal endoscopic surgery (NOTES). LESS and NOTES could be technically challenging, but available literature has demonstrated the feasibility and safety of LESS for benign gynecologic diseases. However, the evidence is not strong enough to recommend the use of LESS over that of conventional multiport laparoscopic surgery (MLS). As per the results of the most recently published meta-analysis, the majority of surgical outcomes are equivalent between LESS and MLS, except for the longer operative time in LESS for both adnexal surgery and hysterectomy. Although an increasing number of studies have reported on robotic LESS, NOTES, and LESS for gynecologic malignancy, definite conclusions have not been drawn owing to the lack of sufficient information.

Citations

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Optimizing Hysterectomy: A Prospective Comparative Analysis of Surgical Techniques and Their Impact on Women’s Lives
Aslihan Yurtkal, Mujde Canday
Journal of Personalized Medicine.2024; 14(3): 265. CrossRef
Comparative study to determine the proper sequence of simulation training, pelvic trainer versus virtual reality simulator: a pilot study
Ngima Yangji Sherpa, Ahmed El Minawi, Ahmed N Askalany, Marwa Abdalla
Middle East Fertility Society Journal.2024;[Epub] CrossRef
Magnetic Catheter Placement in Neonates: A Handheld Solution to Radiation Exposure and Operational Delays
Liam Swanepoel, Alexander Przybysz, Pieter Fourie, Jurgen Kosel
Advanced Sensor Research.2023;[Epub] CrossRef
Surgical Microgrippers: A Survey and Analysis
Liseth V. Pasaguayo, Zeina Al Masry, Sergio Lescano, Noureddine Zerhouni
Journal of Medical Devices.2023;[Epub] CrossRef
Teres lift-up technique: a retrospective comparative study for an alternative route for laparoscopic entry in gynecologic and oncologic surgery
Selim Afsar, Ceyda Sancaklı Usta, Akın Usta, Duygu Lafcı, Izel Gunay, Can Berk Karabudak
Archives of Gynecology and Obstetrics.2023; 308(5): 1549. CrossRef
Serosal injury to a distended stomach during open entry for laparoendoscopic single-site surgery
Pei-Chen Chen, Pei-Chen Li, Hsuan Chen, Dah-Ching Ding
Gynecology and Minimally Invasive Therapy.2022; 11(2): 121. CrossRef
Laparoscopic single site versus conventional laparoscopic surgery for benign ovarian masses
Xiaoping Jia, Jing Zhou, Yanyan Fu, Hui Wang, Cailing Ma
Journal of Radiation Research and Applied Sciences.2022; 15(3): 255. CrossRef
A Facile Magnetic System for Tracking of Medical Devices
Liam Swanepoel, Nouf Alsharif, Alexander Przybysz, Pieter Fourie, Pierre Goussard, Mohammad Asadullah Khan, Abdullah Almansouri, Jurgen Kosel
Advanced Materials Technologies.2021;[Epub] CrossRef
Laparoendoscopic Single Site Hysterectomy: Literature Review and Procedure Description
Liliana Mereu, Francesca Dalprà, Saverio Tateo
Journal of Clinical Medicine.2021; 10(10): 2073. CrossRef
Cervicovaginal reconstruction with small intestinal submucosa graft in congenital cervicovaginal atresia: A report of 38 cases
Yan Ding, Xuyin Zhang, Ying Zhang, Fang Shen, Jingxin Ding, Keqin Hua
European Journal of Obstetrics & Gynecology and Reproductive Biology.2021; 267: 49. CrossRef
Benefícios relacionados à cirurgia minimamente invasiva na ginecologia
Isys Holanda Albuquerque de Vasconcelos, Renata Nogueira Andrade, Beatriz Amâncio Rodrigues, Beatriz Leite Assis, Lorenna da Silva Santos, Luana Lemos Alves, Marlon José dos Santos Rosa, Monica Aparecida Miranda Carvalho, Renata Correia Freire, Scanagatt
Revista Científica Multidisciplinar Núcleo do Conhecimento.2020; : 28. CrossRef

Original Article

Changes of Hemodynamic Parameters, Plasma Catecholamines and Vasopressin Level During Laparoscopic Cholecystectomy and in Recovery Period: Heung Dae Kim; Yeungnam Univ J Med. 2007;24(2 Suppl):S527-537. Published online December 31, 2007; DOI: https://doi.org/10.12701/yujm.2007.24.2S.S527

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Abstract PDF: Background
：Laparoscopic cholecystectomy produces less tissue trauma than conventional open procedure does. But, during this procedure, the deliberate pneumoperioneum with carbon dioxide(CO₂) gas insufflation may cause some problems, such as hypercarbia, hypertension, tachycardia, and other changes of cardiovascular function. We analyze the physiologic mechanism of these hemodynamic effects under laparoscopic surgery with CO₂ gas insufflation during inhalation general anesthesia. Materials and Methods：We studied randomly selected 5 healthy patients undergoing laparoscopic cholecystectomy with CO₂ gas insufflation. Each patient inhaled sevoflurane and nitrous oxide gas(50%). The blood pressure, heart rate, end-tidal carbon dioxide level were measured during all the anesthetic procedures. We collected venous blood samples to determine the plasma level of epinephrine, norepinephrine and vasopressin, at 10 minutes after insufflation of CO₂ gas into peritoneal cavity, and at 10 minutes after patient arrived in recovery room. We measured the plasma level of epinephrine and norepinephrine using double antibody method, and vasopressin level using radioimmunoassay method.
Results
：Mean arterial pressure and heart rate was significantly increased, after intraperitoneal insufflation of CO₂ gas(19.3%, 44.7% respectively), and in recovery period(15.8%, 28.6% respectively). The plasma concentration of epinephine was 47.1 ± 30.3 pg/ml(reference intervals, less than 100 pg/ml) at 10 minutes after insufflation of CO₂ gas, and 53.1 ± 25.8 pg/ml at 10 minutes in recovery room. The plasma concentration of norepinephine was 125.7 ± 44.8 pg/ml (reference intervals, less than 600 pg/ml) after insufflation, and 179.1 ± 42.1 pg/ml in recovery room. The plasma concentration of vasopressin was 43.3 ± 34.5 pg/ml(reference intervals, less than 6.7 pg/ml) after insufflation, and 25.3 ± 16.7 pg/ml in recovery room.
Conclusion
：The laparoscopic cholecystectomy with CO₂ gas insufflation in general anesthesia with sevoflurane and in recovery room results in increased mean arterial pressure, heart rate, and decreased plasma concentration of epinephine and norepinephine and increased plasma concentration of vasopressin.

Case Reports

Two Cases of Extrapelvic endometriosis following Laparoscopy-assisted vaginal hysterectomy and Cesarean section.: Jei Jun Bae, Mi Sun Lim, Min Whan Koh, Tae Hyung Lee, Mi Jin Kim; Yeungnam Univ J Med. 2007;24(1):91-96. Published online June 30, 2007; DOI: https://doi.org/10.12701/yujm.2007.24.1.91

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Abstract PDF

Extrapelvic endometriosis is a rare disease. The majority of extrapelvic endometriosis cases involve scar tissue following obstetric and gynecologic procedures. We have treated two cases of extrapelvic incisional endometriosis. A 39 year old female patient with cyclic vaginal spotting after laparoscopic assisted vaginal hysterectomy due to uterine myoma and a 35 year old female patient with a painful palpable abdominal mass after cesarean section. Both underwent complete excision and were proven to have endometriosis by pathology. Here we report on both cases and review the medical literatures.

Citations

Citations to this article as recorded by

A Case of Pleural Endometriosis Presented as Right Sided Hemothorax in a Patient Who Underwent Kidney Transplantation
Eun-Hye Shin, Bo-Mi Shin, Yeon-Jung Ha, Il-Young Jang, Ji-Won Jung, Hyung-Jin Cho, Su-Kil Park
Yeungnam University Journal of Medicine.2013; 30(2): 145. CrossRef

Laparoscopic Extirpation of the Term Sized Huge Ovarian Cyst.: Min Whan Koh, Hyun Cheol Choo, Oh Jin Kwon, Jeong Sook Kim; Yeungnam Univ J Med. 2004;21(1):108-113. Published online June 30, 2004; DOI: https://doi.org/10.12701/yujm.2004.21.1.108

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Abstract PDF: A 23 years old single nulligravida woman underwent laparoscopic removal of a huge cystic adnexal mass that occupied her entire abdomen, giving the appearance of a full term pregnancy. After anesthesia, a vertical infra-umbilical incision, 1 cm long, was made and a telescope was introduced through the port to determine the status of the intra-abdomen and the surface contour of the mass. A needle tipped with a laparoscopic suction apparatus was inserted into the cyst through the infra-umbilical port, directly under the mass. Subsequently, 3, 200 ml of cystic fluid was aspirated without spillage. A huge cyst, reaching to the level of the xyphoid process was effectively excised through the operative laparoscopy after prelaparoscopic drainage. Operation time was 140 minutes and hospital stay was 2 days. There were no complications during hospital stay and after discharge. It seems the size of the cyst is not a criteria for the contraindication of laparoscopic surgery.

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