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OBJECTIVES To describe three steps: (1) the initial Veress pressure (VIP-Pressure), (2) transient high-pressure pneumoperitoneum (HIP-Entry) prior to trocar/cannula insertion, and (3) visual entry with a trocarless cannula during closed laparoscopic entry, which may reduce major injuries. DESIGN Prospective observational cohort study (Canadian Task Force(More)
STUDY OBJECTIVE To estimate the feasibility, reproducibility, and safety of laparoscopic port establishment using a trocarless and externally threaded visual cannula (TVC). DESIGN Multicentre, prospective, observational study (Canadian Task Force classification II-2). SETTING Three university-affiliated teaching hospitals. PATIENTS Four thousand seven(More)
BACKGROUND Surveys indicate that up to 90% of general surgeons and gynecologists use monopolar radiofrequency during laparoscopy and 18% have experienced visceral burns. Monopolar electrosurgery compared with other energy sources is associated with unique characteristics and inherent risks and complications caused by inadvertent direct or capacitive(More)
BACKGROUND To evaluate the efficacy and post-procedural pain associated with uterine artery embolization (UAE) using Gelfoam alone versus Embospheres plus Gelfoam in women with symptomatic uterine fibroids. METHOD We conducted a prospective, non-randomized pilot study. Fluoroscopy-guided trans-femoral artery UAE was performed using Gelfoam pledgets alone(More)
Morphologically, there exist variants of uterine smooth muscle tumors that cannot be clearly interpreted and classified as benign or malignant. Because their behavior and clinical prognosis is also uncertain, the World Health Organization has termed these "smooth muscle tumors of uncertain malignant potential" (STUMP). Herein we describe 2 cases, present a(More)
Laparoscopy was performed in 259 women. Under general anesthesia, after administering muscle relaxants, and with the patient in stirrups and horizontal position, a nondisposable Veress needle was inserted at the umbilicus or left upper quadrant site with carbon dioxide (CO2) flowing at 1 L/minute. We measured initial intraabdominal pressure in the first 52(More)
STUDY OBJECTIVE To determine height, weight, body mass index (BMI), parity, and age effect on the volume of CO2 pneumoperitoneum during laparoscopic access in women. DESIGN Prospective observational cohort study (Canadian Task Force classification II-1). SETTING University-affiliated teaching hospital. PATIENTS From January through June 2004, 100(More)
STUDY OBJECTIVE To determine hemodynamic and pulmonary compliance changes during laparoscopic entry using transient hyperinsufflated pneumoperitoneum. DESIGN Prospective observational cohort study (Canadian Task Force classification II-1). SETTING University-affiliated teaching hospital. SUBJECTS From January through June 2004 one hundred healthy(More)
OBJECTIVE Due to variability in size, number, and location of uterine fibroids (UFs), symptoms can range widely among women. We sought to characterize burden of illness and quality of life (QoL) among women with symptomatic UFs. RESEARCH DESIGN AND METHODS An online survey queried the gynecologic health and menstrual cycle of Canadian women aged 20 to 49.(More)
BACKGROUND Transvaginal ultrasound guided oocyte retrieval during in vitro fertilization is performed routinely around the world and has reduced the occurrence of intra-abdominal injury considerably over laparoscopic procedures. Despite this, injuries do occur. CASE We report a case of a 37-year-old patient who underwent IVF and encountered a ureteric(More)