Article
Oncology
Nina Zhang, Xiangshu Jin, Wen Yang, Chenglei Gu, Li'an Li, Jia Xu, Qiting Tang, Wensheng Fan, Yuanguang Meng
Summary: This study compared the survival outcomes of different surgical approaches for early-stage cervical cancer and found that abdominal radical hysterectomy (ARH) and robot-assisted radical hysterectomy (RRH) achieved higher 5-year overall survival rates than laparoscopic radical hysterectomy (LRH).
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2023)
Review
Medicine, General & Internal
Apiwat Aue-aungkul, Chumnan Kietpeerakool, Siwanon Rattanakanokchai, Khadra Galaal, Teerayut Temtanakitpaisan, Chetta Ngamjarus, Pisake Lumbiganon
Summary: Bladder dysfunction is a common complication following radical hysterectomy that can negatively impact patient quality of life. Existing studies suggest that Bethanechol may help reduce the risk of postoperative bladder dysfunction, but the evidence is of very low certainty. The effectiveness of different types of postoperative urinary catheterisation (suprapubic and intermittent self-catheterisation) remains inconclusive.
COCHRANE DATABASE OF SYSTEMATIC REVIEWS
(2021)
Article
Psychology, Multidisciplinary
Lin Zhang, Li-Jun Hao, Xiao-Lai Hou, Ya-Ling Wu, Lu-Shi Jing, Ruo-Nan Sun
Summary: This study found that preoperative anxiety in patients undergoing laparoscopic hysterectomy is influenced by occupation and surgical experience, with patients experiencing higher preoperative anxiety also reporting greater postoperative pain. Dexmedetomidine combined with sufentanil can improve postoperative analgesia management.
FRONTIERS IN PSYCHOLOGY
(2021)
Article
Oncology
Xuqing Li, Xueting Pei, Hongyan Li, Yan Wang, Youwei Zhou, Zhaolian Wei, Zongzhi Yin
Summary: This study retrospectively analyzed the efficacy of modified laparoscopic radical hysterectomy (MLRH) in the treatment of early-stage cervical cancer. The results showed that MLRH had comparable survival rates to open surgery, and even demonstrated a survival advantage in certain patients.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2022)
Article
Medicine, General & Internal
Hye-Yon Cho, Min Sun Kyung
Summary: This prospective study compared serum AMH changes following laparoscopic hysterectomy (LH) and laparoscopic myomectomy (LM), finding that LH may have adverse effects on ovarian reserve, although mid-term follow-up suggests partial restoration of ovarian reserve in women who underwent LH within 6 months.
JOURNAL OF CLINICAL MEDICINE
(2021)
Article
Urology & Nephrology
Dries Develtere, Giuseppe Rosiello, Pietro Piazza, Carlo Andrea Bravi, Abhishek Pandey, Camille Berquin, Celine Sinatti, Hannah Van Puyvelde, Stefano Puliatti, Marco Amato, Rui Farinha, Elisabeth Pauwels, Ruben De Groote, Peter Schatteman, Geert De Naeyer, Frederiek D'Hondt, Alexandre Mottrie
Summary: This study confirms the feasibility and safety of very early catheter removal on postoperative day 2 after robot-assisted radical prostatectomy (RARP) and supports its adoption for selected patients.
EUROPEAN UROLOGY FOCUS
(2022)
Article
Surgery
Chenlian Quan, Shanhui Liang, Zheng Feng, Jun Zhu, Meiqin Zhang, Yan Huang
Summary: This study compared the surgical and survival outcomes between laparoscopic radical hysterectomy (LRH) and radical abdominal hysterectomy (RAH). There were no significant differences between LRH and RAH groups except for deep stromal invasion, operating time, blood loss, and lymph node counts. The LRH group displayed poorer disease-free survival (DFS) and overall survival (OS) compared to the RAH group. LRH was identified as an independent risk factor for DFS and OS. Additionally, LRH affected the survival of cervical cancer patients with tumor size >2 cm, and adjuvant therapy could not improve the prognosis of laparoscopic patients.
ASIAN JOURNAL OF SURGERY
(2023)
Article
Oncology
Zhiqiang Li, Chunlin Chen, Ping Liu, Hui Duan, Mubiao Liu, Yan Xu, Pengfei Li, Wenling Zhang, Haixia Jiang, Xiaonong Bin, Jinghe Lang
Summary: The study found no significant difference in oncological outcomes between laparoscopic radical hysterectomy (LRH) and abdominal radical hysterectomy (ARH) for stage IB1 cervical cancer patients with a tumor size less than 2 cm. However, LRH had higher rates of complications, especially ureteral injury and uterovaginal fistula, compared to ARH.
Article
Oncology
Huimin Wang, Dianzhen Li, Chunyan Wang, Xiaobin Wang, Mingxin Yu, Xin Zhang, Liankun Li, Qingdong Zeng, Zaiqiu Long, Wei Zheng, Guangcong Liu, Danbo Wang
Summary: This study compared the survival outcomes of ARH, LRH, and VALRH in cervical cancer patients. The results showed that LRH had significantly higher local pelvic recurrence rates and overall recurrence rates compared to ARH. VALRH could achieve the same tumor prognosis as open surgery by avoiding tumor intraperitoneal exposure.
ANNALS OF TRANSLATIONAL MEDICINE
(2022)
Review
Obstetrics & Gynecology
Greg Marchand, Ahmed Taher Masoud, Ahmed Abdelsattar, Alexa King, Giovanna Brazil, Hollie Ulibarri, Julia Parise, Amanda Arroyo, Catherine Coriell, Sydnee Goetz, Carmen Moir, Geneva Baruelo, Malini Govindan
Summary: This systematic review compared the complications and outcomes of laparoscopic radical hysterectomy (LRH) and robotic radical hysterectomy (RRH). The analysis of 33 studies showed that RRH was associated with a shorter hospital stay compared to LRH, but there were no significant differences in other outcomes.
EUROPEAN JOURNAL OF OBSTETRICS & GYNECOLOGY AND REPRODUCTIVE BIOLOGY
(2023)
Review
Nursing
Jeanne-Marie Nollen, Laury Pijnappel, Jan W. Schoones, Wilco C. Peul, Wouter R. Van Furth, Anja H. Brunsveld-Reinders
Summary: This study aimed to evaluate the effect of different removal times on the development of complications in hospitalized patients. The results showed that earlier removal time can reduce the ambulation time and length of hospital stay without increasing the incidence of urinary tract infections. Further research is needed to investigate the effects of specific removal times and flexible removal time.
JOURNAL OF CLINICAL NURSING
(2023)
Article
Medicine, General & Internal
Sang Il Kim, Ji Geun Yoo, Sung Jong Lee, Dong Choon Park, Joo Hee Yoon
Summary: This study aimed to compare the survival outcomes of robot-assisted laparoscopic radical hysterectomy (RRH) and conventional laparoscopic radical hysterectomy (LRH) in cervical cancer. The results showed that there were no significant differences in recurrence rate, disease-free survival (DFS), and overall survival (OS) between the RRH and LRH groups.
INTERNATIONAL JOURNAL OF MEDICAL SCIENCES
(2023)
Article
Obstetrics & Gynecology
Lalla McCormack, Sophia Song, Aaron Budden, Christine Ma, Kimberly Nguyen, Fiona G. Li, Claire Y. Lim, Sarah Maheux-Lacroix, Amy Arnold, Rebecca Deans, Ha Ryun Won, Blake Knapman, Erin Nesbitt-Hawes, Jason A. Abbott
Summary: This randomized clinical trial compared rates of urinary retention and postoperative urinary tract infection between women who had immediate versus delayed removal of indwelling catheter following benign non-hysterectomy gynaecological laparoscopic surgery. The results showed a higher rate of urinary retention with immediate removal of the catheter, but no significant difference in urinary tract infection rate.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2023)
Review
Pharmacology & Pharmacy
Youyi Lu, Qi Li, Yunqiang Wang, Zhongbao Zhou, Dongxu Zhang, Yiping Bao, Jitao Wu, Yuanshan Cui
Summary: The meta-analysis showed that ketamine significantly reduced the incidence and severity of postoperative catheter-related bladder discomfort (CRBD) without causing evident side effects. The administration of a sub-hypnotic dose of ketamine can effectively alleviate symptoms in patients with CRBD. There were no significant differences in adverse events between the ketamine group and control group.
FRONTIERS IN PHARMACOLOGY
(2022)
Article
Obstetrics & Gynecology
Alyssa J. Mercadel, Steven B. Holloway, Monica Saripella, Jayanthi S. Lea
Summary: This study aimed to determine the rate of catheter-associated urinary tract infections after radical hysterectomy for cervical cancer and identify additional risk factors. The results showed significant associations between urinary tract infections and smoking history, minimally invasive surgery, surgical blood loss, operative time, and duration of catheterization. Adjusted analysis identified smoking history and catheterization for over 7 days as independent risk factors for catheter-associated urinary tract infections.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2023)
Article
Medicine, General & Internal
Amanda Ali, Susan Addley, Stephen Ong
IRISH JOURNAL OF MEDICAL SCIENCE
(2019)
Editorial Material
Obstetrics & Gynecology
Susan Addley, Daniele Vinti, Hooman Soleymani Majd
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY
(2021)
Article
Obstetrics & Gynecology
Hooman Soleymani Majd, Sally L. Collins, Susan Addley, Esme Weeks, Sujay Chakravarti, Sunil Halder, Moiad Alazzam
Summary: The study described a stepwise technique for radical cesarean hysterectomy for placenta accreta spectrum, which resulted in reduced blood loss, more transverse incisions, and fewer intensive care unit admissions for patients. This technique showed significant improvement in outcomes for women with severe placenta accreta spectrum without increasing surgical time.
AMERICAN JOURNAL OF OBSTETRICS AND GYNECOLOGY
(2021)
Review
Obstetrics & Gynecology
Susan Addley, Radu Mihai, Moiad Alazzam, Sunanda Dhar, Hooman Soleymani Majd
Summary: Malignant struma ovarii is a rare ovarian tumor with potential malignant transformation into papillary thyroid carcinoma. This study reviewed the management of 11 cases in the Oxford Cancer Centre over a decade, highlighting surgical treatment and risk-stratification for adjuvant thyroid-targeting therapies. Early detection and multidisciplinary team input are crucial for successful outcomes in patients with malignant struma ovarii.
ARCHIVES OF GYNECOLOGY AND OBSTETRICS
(2021)
Review
Obstetrics & Gynecology
S. Addley, J. C. McMullan, S. Scott, H. Soleymani Majd
Summary: 'Well-leg' compartment syndrome is a rare but potentially devastating postoperative complication associated with prolonged patient positioning for abdomino-pelvic surgery. Gynaecologists share the responsibility to raise awareness and implement standardized approaches to prevent and manage this condition.
BJOG-AN INTERNATIONAL JOURNAL OF OBSTETRICS AND GYNAECOLOGY
(2021)
Editorial Material
Obstetrics & Gynecology
Susan Addley, Matteo Morotti, Ciro Pinelli, Hooman Soleymani Majd
GYNECOLOGIC ONCOLOGY REPORTS
(2021)
Article
Oncology
Susan Addley, Viren Asher, Rathy Kirke, Anish Bali, Summi Abdul, Andrew Phillips
Summary: This study evaluated the relationship between radiologically abnormal cardiophrenic lymph nodes in advanced ovarian cancer patients and found that suspicious CPLN may represent higher tumor volume and complexity in surgery, as well as being associated with same-site recurrence, but does not affect overall survival.
Article
Medicine, General & Internal
Andreas Zouridis, Kianoush Zarrindej, Joshua Rencher, Christina Pappa, Ammara Kashif, Sarah Louise Smyth, Negin Sadeghi, Alisha Sattar, Stephen Damato, Federico Ferrari, Antonio Simone Lagana, Mostafa Abdalla, Sean Kehoe, Susan Addley, Hooman Soleymani Majd
Summary: High grade endometrioid endometrial cancer (HGEEC) is a heterogeneous group of tumors with unclear prognostic features. Cervical stromal involvement is independently related to recurrence and cancer-related death. The recurrence pattern suggests the potential use of patient-initiated follow-up (PIFU) for HGEEC survivors, especially for patients without cervical involvement and after two years from treatment.
JOURNAL OF CLINICAL MEDICINE
(2023)
Article
Obstetrics & Gynecology
Susan Addley, Mojca Persic, Rathy Kirke, Summi Abdul
Summary: Locally advanced cervical cancer is treated with combined chemoradiation. The development of stenosis after radiation treatment can make inserting brachytherapy applicators challenging and high risk. We present a novel technique using a combination of real-time ultrasound and direct hysteroscopic guidance to successfully insert brachytherapy applicators in a patient with stage IIa1 SCC cervix. Our case highlights the importance of a collaborative approach and innovative techniques in gynecological cancer treatment.
GYNECOLOGIC ONCOLOGY REPORTS
(2023)
Article
Medicine, General & Internal
Susan Addley, Moiad Alazzam, Catherine Johnson, Hooman Soleymani Majd
Summary: RV-EGIST is a rare tumor that presents a diagnostic challenge, requiring differentiation through immunohistopathology and cytogenetics. Primary surgery is the preferred treatment, with adjuvant TKI therapy for high-risk patients to reduce recurrence rates.