JSLS : Journal of the Society of Laparoendoscopic Surgeons

Background and objectivesThe 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 o…

Background and objectivesOffice 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 t…

BackgroundRuptured 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 endosc…

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…

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…

IntroductionVaginal 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 posto…

ObjectiveDetermine whether the quadratus lumborum block (QLB) is an effective adjunct to control postoperative pain during the first 24 hours after minimally invasive hysterectomy.MethodsProspective cohort observational study of patients wh…

ObjectiveThis study evaluates emergency department (ED) visits within the first 30 days following hysterectomy for benign gynecologic conditions, identifying risk factors and strategies for prevention.MethodsA retrospective cohort analysis …

Background and objectivesThis 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.MethodsWe…

Background and objectivesMany 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 care,…

Background and aimsLaparoscopic 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 bet…

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 objectivesMinimizing 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 arterie…

ObjectiveRetrospective clinical report to demonstrate the use of abdominal wall elevation device with closed technique direct entry with 3-mm port.DesignAn abdominal wall elevation device (LevaLap 1.0) was used during abdominal entry for la…

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 objectivesThe 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 firs…

OBJECTIVE: To assess the impact of laparoscopic treatment of endometriosis on pregnancy outcomes in women with infertility, performed either before or after failed fertility enhancement technology (FET). Secondary aims included evaluating t…

BACKGROUND: The levonorgestrel-releasing intrauterine system (LNG-IUS) is a widely recognized method for contraception and the management of various gynecological conditions. However, the placement of LNG-IUS can be particularly challenging…

Background and objectivesIn 2009, we designed the sutureless "Slim-Mesh" laparoscopic technique to facilitate and promote repair of ventral hernias in the obese/superobese populations, including cases with large-giant/massive and multiple w…

BackgroundMorcellation has allowed patients with enlarged uteri to obtain a minimally invasive hysterectomy with improved outcomes; however, there is little information regarding postoperative pain. Our study aims to compare pain scores and…