JSLS : Journal of the Society of Laparoendoscopic Surgeons

BACKGROUND AND OBJECTIVES: The benefits of minimally invasive hysterectomy are widely recognized. However, laparoscopic hysterectomy is more technically difficult in patients with enlarged uteri. In this study, we sought to compare surgical…

The introduction of modern-day minimally invasive surgery (MIS) marked a turning point in the history of medicine, driving one of the sharpest declines in surgical mortality and morbidity ever recorded-standing alongside antisepsis and anti…

BACKGROUND AND OBJECTIVES: Office hysteroscopy is a versatile minimally invasive procedure. However, there are limited data reporting long-term follow-up of patients undergoing these procedures. The objectives of this study were to evaluate…

BACKGROUND: Ruptured tubal ectopic pregnancy continues to pose a critical challenge in gynecologic emergencies. While conventional laparoscopy (CL) has long been the preferred operative method, transvaginal natural orifice transluminal endo…

OBJECTIVE: This study evaluated the impact of uterine size on surgical outcomes in vaginal natural orifice transluminal endoscopic surgery (vNOTES) hysterectomy and compared perioperative outcomes with conventional laparoscopic hysterectomy…

STUDY DESIGN: Retrospective descriptive cohort. POPULATION: Patients who underwent endometriosis resection with colorectal intervention between January 2019 and December 2023. A total of 36 patients met the inclusion criteria at San José H…

BACKGROUND AND OBJECTIVES: This study characterized the peritoneal surface of the posterior cervix and vaginal fornix. Transvaginal ultrasonography (TVUS) was performed during laparoscopic surgery to visualize structures beyond the muscular…

Three cases of atypical ectopic pregnancies requiring surgical evaluation are presented. The first case represents an undiagnosed heterotopic pregnancy who initially presented with a 1st trimester spontaneous abortion and subsequently a rup…

INTRODUCTION: Vaginal natural orifice transluminal endoscopic surgery (vNOTES) is a novel minimally invasive technique that eliminates the need for abdominal incisions. Compared to conventional laparoscopy (CL), vNOTES may offer reduced pos…

OBJECTIVE: Determine whether the quadratus lumborum block (QLB) is an effective adjunct to control postoperative pain during the first 24 hours after minimally invasive hysterectomy. METHODS: Prospective cohort observational study of patie…

OBJECTIVE: This study evaluates emergency department (ED) visits within the first 30 days following hysterectomy for benign gynecologic conditions, identifying risk factors and strategies for prevention. METHODS: A retrospective cohort ana…

BACKGROUND AND OBJECTIVES: This study aimed to compare the efficiency and diagnostic performance of carbon dioxide (CO2) versus saline as a distension medium during routine cystoscopy performed after laparoscopic gynecologic surgery. METHO…

BACKGROUND AND OBJECTIVES: Many patients with uterine fibroids turn to social media for information, where fibroid-related content has grown substantially. To effectively address misconceptions and deliver high-quality, patient-centered car…

BACKGROUND AND AIMS: Laparoscopic cholecystectomy (LC) often causes significant postoperative pain. While low-pressure pneumoperitoneum (8 mmHg) may reduce pain, optimal patient selection remains unclear. This trial compared pain outcomes b…

BACKGROUND: Peritoneal endometriosis is the most common form of endometriosis and often overlooked due to its variable and nonpigmented appearance. Despite advances, identifying occult lesions remains challenging. The Aqua Blue Contrast Tec…

BACKGROUND AND OBJECTIVES: Endometriosis affects 10% of reproductive-age women globally, with bowel endometriosis in 3.8%-37% of cases, primarily involving the rectum and sigmoid. Surgical excision is the gold-standard treatment for deep in…

BACKGROUND AND OBJECTIVES: Minimizing intraoperative bleeding is pivotal in myomectomy, and blockage of uterine arteries has been reported as an effective approach. We developed a novel technique to temporary occlude bilateral uterine arter…

OBJECTIVE: Retrospective clinical report to demonstrate the use of abdominal wall elevation device with closed technique direct entry with 3-mm port. DESIGN: An abdominal wall elevation device (LevaLap 1.0) was used during abdominal entry …

BACKGROUND AND OBJECTIVE: Minimally invasive endometriosis surgery can be done laparoscopically or with robotic assistance. The choice of modality of this procedure could impact postprocedure pain levels and the need for opioids to manage p…

BACKGROUND AND OBJECTIVE: To evaluate the perioperative and long-term outcomes of surgical management of patients with endometriosis at a community hospital in a low socioeconomic district. METHODS: A total of 39 patients underwent surgica…

BACKGROUND AND OBJECTIVES: After hysterectomy, patients are counseled on behavioral limitation, such as avoiding vaginal intercourse and heavy lifting, to try to optimize healing. There are limited data on the benefits of these restrictions…

BACKGROUND AND OBJECTIVES: The LevaLap 1.0 (Core Access Surgical Technologies, Atlanta, GA) was designed to promote safer, more stable, and more predictable abdominal access when using the Veress needle for insufflation. We report on the fi…