Archive for the ‘Koninckx’s Blog’ Category

Intraperitoneal pressure and adhesions

Tuesday, October 9th, 2012

From: “AAGL-ENDO-EXCHANGE automatic digest system” < LISTSERV@listserv.brown.edu> Date: Jun 20, 2012 6:01 AM Subject: AAGL-ENDO-EXCHANGE Digest – 18 Jun 2012 to 19 Jun 2012 (#2012-112) To: Date: Tue, 19 Jun 2012 18:33:03 -0400 From: Philippe R Koninckx and Anastasia Ussia Subject: Ideal intraabdominal pressure at laparoscopy to minimize adhesion In animal models the mesothelial hypoxic [...]

Robotic surgery in gynaecology and endometriosis

Monday, January 9th, 2012

The discussion on robotic assisted surgery is continuing . Following our opinion statement on www.endometriosis.org John F Dulemba posted in World Endometriosis Research Foundation 7 January 07:43 PEOPLE. THE ROBOT IS JUST LAPAROSCOPY!!!!!!!!!!!!! PLEASE WATCH THIS MINUTE VIDEO….TO THE VERY END. YOU WILL SEE HOW PRECISE THE INSTRUMENTS CAN BE, AND I DO NOT THINK [...]

Chronic hydronephrosis surgical management

Tuesday, August 9th, 2011

In response to a question : how to treat silent hydronefrosis (without pain) and a marked reduction in kidney function ? AAGL-ENDO-EXCHANGE Digest – 7 Aug 2011 to 8 Aug 2011 Date:    Mon, 8 Aug 2011 15:50:26 -0400 From:    Philippe Koninckx and Anastasia Ussia <Gary_Frishman@BROWN.EDU> Subject: Chronic hydronephrosis surgical management In all cases [...]

Diagnostic tests of endometriosis : speculation and misleading information is harmful for patients.

Monday, August 8th, 2011

Methylene blue painting of the peritoneum for the diagnosis of endometriosis – Eshre 2011. For insiders the diagnosis of endometriosis seems well established. The public and recently  also contaminating the scientific debate ,however, is  fueled by correct but maliciously misleading “scientific” information. That this harmful to patients, emphasised by several recent emails by patients triggered [...]

Small bowel herniation in trocar sites and early repeat laparoscopy

Monday, May 16th, 2011

Small bowel herniation in trocar sites and early repeat laparoscopy RCTs have not been performed, nor will be performed , in order to document the incidence and the prevention of small bowel herniation in trocar sites. Indeed it is a rare complication and for obvious ethical reasons trials will not be performed. The evidence therefore can only [...]

hydronefrosis, unnecessary bowel resections and a rectovaginal nodule

Wednesday, December 29th, 2010

avoid unnecessary bowel resections for endometriosis

endometriosis risk and dietary fat consumption

Wednesday, December 22nd, 2010

Endometriosis risk and dietary fat consumption Risks factors for developing “endometriosis” are discussed since 30 years while this is a frequent topic at meetings and factors as heredity, age, menstrual flow etc seem to be common knowledge if judged from the literature and from endometriosis websites. We even suggested 30 years ago that typical endometriosis [...]

Surgical mistakes and surgical quality

Sunday, December 19th, 2010

Surgical mistakes and surgical quality. Recently, surgical mistakes have been highlighted in the Belgian press because of surgical instruments left behind in the abdomen of patients. Fortunately this occurs very rarely. However, it has been said that more people die every year because of surgical mistakes than by car accidents Google ‘surgical mistakes’ and the [...]

Insufflators for laparoscopic surgery – loss of pneumoperitoneum

Thursday, December 16th, 2010

Published at the AAGL listserv. : Date: Fri, 17 Dec 2010 08:42:22 -0500 From: “Philippe R. Koninckx, Carlo De Cicco, Jasper Verguts, Roberta Corona and Anastasia Ussia” Subject: Loss of pneumoperitoneum through trocar Reading the comments regarding loss of pneumoperitoneum I do have the impression that many try to reinvent the wheel, or simply do [...]

Medicolegal exposure and informed consent

Tuesday, November 30th, 2010

Published on AAGL listserv Date: Mon, 29 Nov 2010 20:59:15 -0500 From: “Philippe R. Koninckx and Anastasia Ussia” Subject:Informed consent and medicolegal exposure . Reading the last exchange of ideas, it seems important not to mix several issues. 1. Open hysterectomy versus laparoscopic hysterectomy. This is difficult to understand, given the legal obligation to obtain [...]