Archive for the ‘Uncategorized’ Category

Where endometriosis patients find surgeons and solutions

Monday, February 25th, 2013

The list  on Endozone.org  “Where endometriosis patients find surgeons & solutions”   is misleading and not helpful for patients, at least for Belgium. . First since solutions and surgeons are mixed,  it does not help the patient to find a surgeon.  This is clearly so for Belgium since it lists at least 2 gynecologists,  1  who [...]

Bowel prep for endometriosis surgery : why february 2013 we stopped MBP

Wednesday, February 6th, 2013

Bowel prep for endometriosis surgery remains a debated topic. Date: Sun, 27 Jan 2013 07:41:06 -0500 Larry R Glazerman wrote There was an interesting paper in Fertility and Sterility in 2006 (Muzii et al. Bowel preparation before laparoscopy, Fertility and Sterility Vol. 85, No. 3, March 2006) that assessed visualization of the surgical field as [...]

MIS privileges and videoregistration on AAGL-ENDO-EXCHANGE Digest

Wednesday, February 6th, 2013

MIS privileges, training and  and videoregistration remains a debated subject. Maurice K Chung started the discussion by asking : I have some questions. I am in the process of recommending the Delineation of Privileges of MIS in my institution. I want to know what are CCBL requirement for Robotics &/or advanced laparoscopic procedures?  What is [...]

Vaginal closure after hysterectomy

Tuesday, December 18th, 2012

The AAGL listserv has an ongoing discussion on techniques of cuff closure during hysterectomy. The main conclusion is that we have several opinions but no data Below a comment written by the Gruppo Italo Belga. Date: Mon, 17 Dec 2012 18:38:49 -0500 From: Philippe R Koninckx and Anastasia Ussia Subject: Recurrent prolapse following LSH/cervicosacropexy Vaginal [...]

How does a digital operating room improve quality of surgery ?

Tuesday, October 16th, 2012

“Digital Operating Room” is used to suggest better surgery through a better surgical environment. In a recent article we discussed this in detail . -The basic “Digital operating room” integrates 1 operating room. This generally indicates that in 1 operating room endoscopic images can be shown to the surgeon on any screen in that room [...]

Is there a role for robotic surgery in endometriosis?

Tuesday, October 9th, 2012

Robotic surgery has no proven advantages but is much more expensive. This is something that should be considered in these times of crisis. It is unfair that the tax payer has to pay for robotic surgery, for the only reason that some gynecologists cannot do the surgery by laparoscopy. In addition as written before a [...]

Are meshes dangerous for pelvic floor repair ? Why FDA recommendations are unsatisfactory.

Tuesday, October 9th, 2012

Are meshes dangerous for pelvic floor repair ? Why FDA recommendations are insufficient. SUMMARY OF RECOMMENDATIONS (for full data see article ) click to read full article For surgeons who do not currently perform transvaginal placement of surgical mesh for pelvic organ prolapse, but wish to begin performing this procedure: a. General knowledge should be [...]

Belgium faces a problem to perform deep endometriosis surgery without bowel resection.

Monday, September 24th, 2012

Belgium faces a problem to perform deep endometriosis surgery without bowel resection. Summary of presentations on 10/9/12 in Ircad Straatsburg, on 12/9/12 as a debate with Prof Keckstein at the yearly ESGE meeting and on 20-9-12 in Brussels when prof Donnez became emeritus. click to start   The full presentations and the article written are [...]

Medical politics and endometriosis

Tuesday, April 20th, 2010

Endometriosis is apparently a hot topic with many scientifical controversies. In addition to the numerous and well organised patient organisations, political action and lobbying has become more prominent over the last years. As a consequence of this Endometriosis has been recognised as a social disease in Italy, while also in the EU endometriosis has been [...]

A diagnostic test for endometriosis ?

Sunday, October 11th, 2009

20-8-2009 Since 2 days we have a a series of comments concerning the observation that women with (mild and superficial endometriosis have more nerve fibers in the endometrium. A lot of speculation of a new diagnostic test followed Our Comments This is another example (as I discussed in http://www.gynsurgery.be and http://www.mondoginecologico.it) that interpretation of research [...]