International Journal of Gynecological Endoscopy

Transcription

1 January-March 2017 Volume 1 Number 1 International Editors Liselotte Mettler Ibrahim Alkatout Indian Editors Parul Kotdawala Nutan Jain Meenu Agarwal Rajendra Sankpal International Journal of Gynecological Endoscopy An Official Publication of Kiel School of Gynecological Endoscopy

2 1. Aims and Scope (IJGE) founded in 2017, is the first Indo-German peer-reviewed scientific journal on Endoscopic Surgery and Training as well as to all aspects of Micro-invasive Gynecology from the Kiel School of Gynecological Endoscopy in Germany together with the Indian Publishing House, Jaypee. (IJGE) provides platform for members to have access to scientific and peer-reviewed guidelines for practice and professional updating in field of Minimaly Invasive techniques. The scope of (IJGE) is to cover the continuously changing field of endoscopic surgery based on robotics, imaging and other interventional procedures. International journal of Gynecological Endoscopy (IJGE) is also expanding and now encompasses all surgical interventions pertaining to women s health, including oncology, urogynecology, perinatology and fetal and vaginal surgery. The journal accepts different types of articles including Editorials (on request only), Opinions, Review articles, Original articles, Techniques and Instrumentation, Short communications and encourages Case Reports with pictures. Submissions of images and video clips as supplementary files are also encouraged. The journal further provides a forum for education and discussions on broader issues, such as training in minimally invasive surgical technologies. We therefore consider reports and comments on teaching and training programs in surgery with relevance to women s health. 2. Ethical Considerations Manuscripts submitted for publication must comply with the following ethical considerations: Informed Consent International Journal of Gynecological Endoscopy Informed consent of the patients must be taken before they are considered for participation in the study. Patient identifying information, such as names, initials, hospital numbers, or photographs should not be included in the written descriptions. Patient consent should be obtained in written and archived with the authors. Protection of Human Subjects and Animals in Research When conducting experiments on human subjects, appropriate approval must have been obtained by the relevant ethics committees. All the procedures must be performed in accordance with the ethical standards of the responsible ethics committee both (institutional and national) on human experimentation and the Helsinki Declaration of 1964 (as revised in 2008). When reporting experiments on animals, authors must follow the institutional and national guidelines for the care and use of laboratory animals. 3. Copyright Following guidelines must be followed before submission of the manuscript: The articles must represent original research material, should not have been published before, and should not be under consideration of publication elsewhere. This, however, does not include previous publication in form of an abstract or as part of published literature (review or thesis). It is the duty of the author to obtain the necessary permissions for extensive quotations, tables, illustrations or any other copyrighted material they are using in the paper before a paper can be considered for publication. Copyright of the article gets transferred to Jaypee Brothers Medical Publishers (P) Ltd., once the article has been accepted for publication. The author would be asked to sign the Copyright Transfer Form before his/her article is considered for publication. Once the Copyright Transfer statement has been signed by the corres ponding author, no change in authorship or in the order of the authors listed on the article would be accepted by Jaypee Brothers Medical Publishers (P) Ltd. Also by signing the above-mentioned form, the author reassigns the rights of copublishing, or translation if considered necessary in future to the publisher. In the advent of occurrence of any dispute, the matter would be resolved within the jurisdiction of New Delhi court. While all care has been taken to provide accu rate and correct information in accordance with the date of publication, neither the authors/ editors nor the publisher takes any legal responsibility for any unintentional omission or error. The publisher makes no expressed or implied warranty with respect to the information contained herein. The published material cannot be photocopied for the following purposes: general distribution, promotion, new works or resale. If this is required, specific written permission requires to be obtained from the publisher. Exclusive rights to reproduce and distribute the articles in this journal have been protected by copyright. This also covers the rights to reproduce or distribute the article as well as the translation rights. No material published in this journal can be reproduced in digital format or stored in form of electronic databases, video disks, etc. Both the conflict of interests and financial dis closure need to be handled well while conducting the research study. Disclosure of such relationships is also important in connection with all articles submitted for publication. Both of these have also been included in the copyright transfer form. Authors should give due acknowledgment to the individuals who provide writing or other assistance while conducting the research study and also disclose the funding source for the research study. 4. Subscription Information Subscription rates For information on subscription rates and the other journal-related enquiries, please contact: subscriptions@jaypeejournals.com Orders Journals Department Jaypee Brothers Medical Publishers (P) Ltd. 4838/24, Ansari Road, Daryaganj New Delhi , India Phone: Fax: subscriptions@jaypeejournals.com 5. Electronic Media An electronic edition of this journal is available at Manuscripts can be submitted online at 6. Advertisement For advertisement queries, please contact: Journals Department Jaypee Brothers Medical Publishers (P) Ltd. advertisements@jaypeejournals.com For any queries regarding online submission, please us at: help-desk@jaypeejournals.com For editorial queries, please contact: chetna.malhotra@jaypeebrothers.com The journal is printed on acid-free paper. Copyright Jaypee Brothers Medical Publishers (P) Ltd. ii

3 IJGE January-March 2017 Vol. 1 No. 1 International Editors Liselotte Mettler Ibrahim Alkatout Indian Editors Parul Kotdawala Nutan Jain Meenu Agarwal Rajendra Sankpal International Journal of Gynecological Endoscopy Editorial and Review Board Members Alexander Popov (Russia) Alberto Vazquez (Spain) Roberto Tozzi (GB) Giuseppe Bigatti (Italy) Ertan Kubilay (Germany) Rupinder Ruprai (UAE) Rainer Kimmig (Germany) Mauricio S Abrao (Brazil) Thomas L Lyons (USA) Publishing Center Publisher Jitendar P Vij Associate Director Chetna Malhotra Vohra Managing Editor Kiran Gupta Rafael F Valle (USA) Peter Maher (Australia) Alan Lam (Australia) Wael Sammur (UAE) Charles Edward Miller (USA) Ceana H Nezhat (USA) kiyohiko yamada (Japan) Production Office Jaypee Brothers Medical Publishers (P) Ltd. 4838/24, Ansari Road, Daryaganj New Delhi , India Phone: Fax: journals@jaypeebrothers.com Marcelo Kolam (USA) Hugo Christian Verhoeven (Germany) Rudy Leon De Vilde (Germany) Neeraj Kohli (USA) Editorial Office Journals Department Jaypee Brothers Medical Publishers (P) Ltd. 4838/24, Ansari Road, Daryaganj New Delhi , India Phone: Fax: journals@jaypeebrothers.com Advertisements Rakesh Sheoran Phone: advertisements@jaypeejournals.com rakesh.sheoran@jaypeebrothers.com Subscriptions/Reprints Abhinav Kumar Phone: subscriptions@jaypeejournals.com abhinav.kumar@jaypeebrothers.com For Website Queries Phone: contact@jaypeejournals.com iii

4 Editorial 1 Prof Liselotte Mettler Dr Ibrahim Alkatout Dear colleagues, With great pleasure, we are introducing the first issue of (IJGE), an official publication of Kiel School of Gynecological Endoscopy. In cooperation with our Indian Editors and Jaypee Brothers Medical Publishers (P) Limited, we come out with a new clinical Journal covering medical and surgical procedures focusing on comprehensive care for women with conditions such as, abnormal uterine bleedings, pelvic pain, cervical incompetence, and ovarian cysts. In addition to these, the journal also covers procedures followed for uterine fibroids, adhesions, hysterectomies, different types of cancer surgeries; combined gynecological, general surgical and urological procedures along with related cosmetic and uro-gynecological procedures. We particularly invite young researchers to present their topics. Do not be shy but express what you are thinking and put it out for discussion. For successful production of a paper while submitting it for a peer-reviewed scientific journal, requires an effort. Let us give you a few suggestions on what forms the basis for reviewers to accept a manuscript for publication. 1. The paper has to be well-written, easy to follow, logical and straightforward. 2. The report should be important, relevant and address a specific feature. 3. The study design has to be rigorous and comprehensive. 4. Conclusions can only be drawn from a large enough sample. 5. The literature review has to be focused and up-to-date. 6. Statistics have to be sufficient and complete. 7. Results must not be over interpreted. 8. Populations or instruments have to be appropriate and sufficient. 9. The text has to be in good English and must be well-written. The Kiel School of Gynecological Endoscopy dates back to the early 1970s where Dr Kurt Semm initiated and further developed gynecological endoscopic surgery worldwide. However, this is the first worldwide journal in the field that is edited by the Kiel School, Germany and their friends. The editors represent the Indo-German friendship which started decades ago. This issue is dedicated to our teachers and friends who are no longer with us especially Drs Kurt Semm ( ), Thoralf Schollmeyer ( ) and Rakesh Sinha ( ) but have added their lifetime abandoned effort, time, and love into the field of minimally invasive gynecological surgery. Kurt Semm iv Thoralf Schollmeyer Rakesh Sinha

5 Editorial 1 An extended Editorial Board was established and we thank all members that have accepted to work with us on the Editorial Board of IJGE in advance for their cooperation. The field of endoscopic or minimally invasive surgery, in parallel with modern technical and industrial development, is continuously changing. The International Journal of Gynecological Endoscopy (IJGE) encompasses all surgical interventions pertaining to women s health. We want to publish editorials on request only, opinions, review articles, original articles, techniques and instrumentation, short communications and case reports with pictures. The journal further provides a forum or education and discussion on related issues such as training, minimal invasive technologies, welcoming particularly the new fields of robotic and single-port surgery, experience with suturing courses, discussions on tissue extraction and handling. We intend to appear quarterly and will publish all articles online first. These articles are fully citable prior to the print version. We wish our journal good success and welcome any comment and suggestion from our readers. Sincerely Prof Dr Liselotte Mettler and Priv Doz Dr Ibrahim Alkatout Editors-in-Chief v

6 The idea of bringing forth this journal is to fulfil the need of meaningful research articles in the field of minimally invasive surgery. As the surgical trends now weighs heavily toward smaller incision, it is imperative to bring out this journal updating the readers about the latest trends. Minimal access surgery with its obvious benefits of low morbidity, faster recovery, and early return to routine normal activity is now well established. Gone are the days when it was a struggle to find a reputed place. We can still recall instances when in early 90s, how patients used to make sure that a complete surgery to be conducted only by the open route. The initial era was strucked by lack of comprehensive good equipment coupled with lack of awareness amongst patients. Increased complication rate in the early era was another hindrance to its fast propagation. As the learning curve settled and patients found the early recovery more attractive, hence, minimal invasive surgery grew by leaps and bounds. Its progress in gynecology was more as the concept of early resumption of routine normal activities appealed more to females as they had to manage home as well as workplace. Worldwide, in different continents at same time stalwarts developed techniques which were unique and highly acceptable. The Total Laparoscopic Hysterectomy in 1989, by Harry Reich, USA, heralded the dawn of a New Era. The most commonly done gynecology surgery could now be done by 5 mm keyhole incision. As the technique grew in safety and standardization, the ridicule attached to it died off. We, the ones, who started in early nineties, are happy to pass the baton to younger colleagues to carry forth this unique modality of gynae surgery. At the same time, vaginal surgery, which is virtually a natural orifice, no stitch surgery also, was revisited, the aim being to obviate the use of Big Incision/Open Abdominal surgery. Endeavor is to finish the surgery either purely laparoscopically or assisted with minilap or vaginal route. As we have practiced and nurtured this modality for over 25 years, we have found continuous advancements in our journey. Single Port Surgery and Robotic Surgery have emerged very strongly in well equipped center, is becoming the main route of Laparoscopic Surgery. Robotics with its unique capability of reducing hand tremor, surgeon fatigue and enhanced precision is fast taking place of straight stick laparoscopy. It has the capability of transferring an average surgeon to a Laparoscopic wizard. With the paucity of gifted surgeons, major hospitals are resorting to Robotic Armamentarium. Parallely, progressing single port surgery found great favor with cosmoses conscious patients. Over and above the cosmoses angle single port gave unique advantages in gallbladder removal and bariatric surgery and simpler less complex gynae procedures. It also has found several indications. So, in the coming issues, we shall focus on articles concerning this modality of single port surgery. In this issue, we are bringing out several interesting case reports and original articles by well renowned authors. Myoma bed closure is always an enigma so we bring forth an original article on it. Laparoscopic management of ovarian masses and laparoscopy and hysteroscopy for infertile couples has been discussed in two separate original papers. Ectopic pregnancy in an isthomocele and ovarian ectopic pregnancy after tubal ligation have separate case reports. Several interesting case reports and original and review articles will follow in the next issue of our new Journal. These are exciting times, when your work and ideas can be shared and discussed with medical society around the world. As a health professional, you all belong to a large and diverse community of clinicians and teachers. There is a plethora of medical literature which you are engaged with researching, writing, teaching, delivering, debating, and conversing. It is good to record your conversations with medical literature so that your work becomes your scholarship. So let s engage in the medical conversation. Publication in a peer-reviewed indexed medical journey is still considered to be the ultimate scholarly achievement. It will be our endeavor to have this journal indexed with worthwhile indexing agencies very soon. The journal invites authors to submit scholarly and practical articles related to medical research and allied sciences. Now is the right time drop the inertia and start writing. This journal is your palette fill it with all your colors. Beginnings are always difficult but, well begun is half done!!! So, looking forward to it. vi Editorial 2 Regards Nutan Jain Indian Editor

7 Obituary The Kiel School of Gynecological Endoscopy remembers one of our great International fellows: Dr Rakesh Sinha ( ) Dr. Rakesh Sinha A renowned Laparoscopic Surgeon, Past president of the Indian Association of Gynecological Endoscopy (IAGE) and a board member of the International Society for Gynaecological Endoscopists started his endoscopy career having trained at Kiel with Prof. Semm followed by a post doctorate fellowship at the Royal Free Hospital, London with Adam Magos. Two Time Guinness World Record Holder one, for having removed the largest fibroid weighing 3.4 kgs laparoscopically and second for having taken out the largest uterus weighing 4.1 kgs laparoscopically. Dr Sinha was a pioneer in 3D Laparoscopy and made Womens Hospital the worlds first 3D Laparoscopy Centre. Four times International Marathon runner having completed kms. Dr. Sinha a teacher par excellence started training fellow gynecologists at Ethicon Institute of Surgical Education (EISE) in 1995 and was an esteemed faculty and course director at CeMAST (Centre of Excellence for minimal access surgery training) since its inception. He has trained thousands of Gynaecological Endoscopic Surgeons globally. He has conducted workshops and training programs in 12 countries and over 60 cities in India. He was invited to speak, train, conduct workshops and demonstrate surgeries in UK, USA, Holland, Kenya, Singapore, Germany, Italy, Malaysia, Canada, Vietnam, France and Australia. He has innumerable scientific publications in international indexed journals and has been a contributor for several chapters in many books. He hosted and organized 11 national conferences with focused topics like Just Fibroids, Just Hysterectomy, Just Safety, Just Innovations, and Just Complications. Laparoscopic Suturing was his signature skill and he conducted masterclasses on suturing to train other surgeons in this skill. Dr. Sinha was a motivational speaker and mind management expert. With his background in medicine he gave a totally new dimension to the science of success. He was the only Indian featured in Success Profiles by Jack Canfield (co-creator of Chicken Soup of the Souls series) and was interviewed on the Anatomy of Success. He also completed Jack Canfield s Train the Trainer program in California where he became a certified Motivational Trainer. He was a licentiate practitioner for Neuro Linguistic Programming (NLP). Dr Rakesh Sinha took management lectures and motivational speeches for several corporates, senior police officers, CBI officers and management institutes. Past President of the Rotary Club of Bombay, Bandra, he has been the District Chairman of Rotary International in various capacities. Most recently he launched his book The Anatomy of Success which went on to be a National Bestseller. In his book he spoke about his journey garnering success in the field of medicine as well as living up to the human potential. The book which is published by Harper Collins is now available in bookstores across the world and on and Dr. Sinha believed, It takes One Dream, One Idea and One Thought to Change your Life. Nutan Jain MS (Obs. & Gynae) Vardhman Trauma and Laparoscopy Centre Pvt. Ltd A-36, South Civil Lines, Mahavir Chowk, Muzaffarnagar (UP) India vii

8 International Journal of Gynecological Endoscopy January-March 2017 Volume 1 Number 1 Contents ORIGINAL ARTICLES Tissue Extraction and Morcellation: The Menace of Unexpected Malignancy Liselotte Mettler, Khulkar Abdusattarova Study of Combined Laparoscopic and Hysteroscopic Findings in 100 Cases of Infertility BS Jodha, Preeti Chawla A Randomized Controlled Trial of Extra-amniotic Saline Infusion vs Intracervical Dinoprostone Gel for Induction of Labor Steffi V Rodrigues, MK Swamy, Namrata Jadhav Laparoscopic Management of Large Ovarian Cysts CS Beeresh, Divyasree Doopadapalli, KR Vimala, Krishna Lingegowda Multiple-layer Closure of Myoma Bed in Laparoscopic Myomectomy Nutan Jain, Sonam Singh CASE REPORTS A Case of Laparoscopically Managed Myometrial Scar Ectopic Pregnancy Meenu Agarwal, Madhuri Kashyap, Sandhya Meshram Bartholin Gland Endometriosis Nutan Jain, Sonam Singh Invasive Pre- and Postnatal Genetic Evaluation reduces the Reproductive Risk in the Era of Noninvasive or Minimally Invasive Prenatal Screening Method Puspal De, Sudipa Chakravarty, Amit Chakravarty Ectopic Pregnancy in Isthmocele: A Report of Unrecognized Case Nutan Jain, Swati Varshney Ruptured Ovarian Ectopic Pregnancy after Interval of Tubal Ligation Poonam Raikwar, Vijeta Jain, Ramsharan Raikwar Cystic Degeneration of Fibroid following Mifepristone Nutan Jain, Mohsina Hakim Leiomyosarcoma in a Posthysterectomy Patient Meenu Agarwal, Sujay Hegde, Naina Sawapure Ovary in Inguinal Hernia Sonal Kotdawala, Utkrant Patel, Balkrishna Tanna, Parul Kotdawala viii