Current Women's Health Reviews - Volume 14, Issue 1, 2018

Background: Important innovations in laparoscopy have come in the form of technological advances and improvements in best practice for patients in need of minimally invasive gynecologic surgery. Objective: To review recent advancements in laparoscopic instrumentation and emerging best practices around gynecologic laparoscopy. Results: New instrumentation reviewed include sub-5 mm instruments, three- Read More

Simulation in minimally invasive surgery has quickly evolved from early box trainers to high tech computer-based virtual reality systems that allow trainees to practice complete surgical procedures. Simulation provides a safe introduction to advanced laparoscopic and robotic skills in an age of decreasing surgical numbers and work hours. This article reviews the evidence in support of simulation, reviews simulators available for Read More

Background: Robotic-assisted laparoscopy can be safely utilized to surgically treat multiple gynecological conditions. Few studies have evaluated its role in performing adnexal surgeries. Objective: To identify which adnexal surgeries are more commonly being performed robotically and review safety and efficacy outcomes. Method: A literature search was performed using electronic databases using keywords robotic, adnexal su Read More

Objective: The objective of this article is to review the current literature on laparo-endoscopic single-site (LESS) surgery in gynecology, discuss recent developments, and what is on the horizon for LESS surgery. Design: Appraisal of articles published on the use of laparo-endoscopic single-site surgery in gynecology from 2008 to the present. PubMed, Medline, and the Cochrane Central Register of Controlled Trials were syste Read More

Objective: The minimally invasive surgical treatment options for many chronic pelvic pain disorders are reviewed, including treatments for endometriosis, ovarian remnant syndrome, pelvic congestion, post-ablation pain, pelvic adhesions, and uterine retroversion. Design: A systematic review of the literature referring to surgical treatments of chronic pelvic pain, with emphasis on articles published after 1990. Data Sour Read More

Background: In an effort to mitigate the risks associated with power morcellation, gynecologic surgeons have developed alternative methods for tissue extraction and the surgical treatment of uterine fibroids. Containment systems have allowed surgeons to continue performing minimally invasive myomectomies while minimizing the risk of intraperitoneal dissemination of tissue. In order to properly synthesize the available Read More

Background: Ovulation induction plays an important role in the pregnancy outcome of assisted reproduction. Individualized controlled ovarian hyper-stimulation (COH) based on the prediction of the ovarian response for each individual is regarded as the treatment of choice. Objective: This review summarizes the various protocols available at present and then examines the use of COH protocols for different causes of infertil Read More

Background: Premenstrual Dysphoric Disorder (PMDD) is a newly recognized diagnostic entity in the DSM-5, characterized by intense mood and cognitive fluctuations accompanied by distressing physical symptoms. PMDD symptoms typically arise after ovulation and gradually resolve after the onset of menstruation. With an estimated prevalence of 3-8% in the general female population, PMDD is a chronic and impairing dis Read More

Background: Primary ovarian insufficiency (POI) or premature ovarian failure (POF) is defined by spontaneous amenorrhea with elevated serum gonadotropin levels and reduced estradiol level. POI frequently leads to reduced fertility and a number of clinical symptoms or signs related to premature menopause. The etiologies of POI include genetic or chromosomal defects, autoimmune factors, environmental factors, and Read More

Background: Hypersensitivity to human seminal fluid is a rare condition that mainly affects younger women although reports have also demonstrated it occurring in postmenopausal women. The clinical features of this condition may occur soon after intercourse or at a later stage and vary from weak local reactions to life threatening anaphylactic reactions. Objective: The main objective of this article to share our e Read More