10/Jun/2025
Uretero-fallopian fistula after gynecological surgery for endometriosis: a case report
DOI: 10.31744/einstein_journal/2025RC1294
ABSTRACT The increasing use of videolaparoscopy for the complete excision of endometriotic lesions and restoration of pelvic anatomy has helped improve long-term outcomes. However, risks remain, including rare but significant complications such as salpingoureteral fistulas. Early diagnosis using imaging methods enables adequate treatment and reduces the risk of new complications. In this report, we present a case of uretero-fallopian fistula following gynecological surgery for the resection of endometriotic lesions, with intraoperative inadvertent ureteral injury. This case report aimed to highlight […]
Keywords: Fallopian tubes; Gynecologic surgical procedures; Laparoscopy; Magnetic resonance imaging; Postoperative complications; Tomography, x-ray computed; Urinary fistula; Video recording; Wounds and injuries
20/Aug/2024
Current status of laparoscopy teaching in gynecology and obstetrics medical residency in Brazil
DOI: 10.31744/einstein_journal/2024AO0458
Highlights Only 20% of the medical residency programs have laparoscopic teaching. Preceptors of the residency programs have advanced experience. Most programs have no plan to set up a training center. Resideny programs are concentrated in the Southeast region and in capitals. ABSTRACT Objective: To characterize laparoscopy teaching in Medical Residency Programs in Gynecology and Obstetrics in Brazil, and to evaluate preceptors’ characteristics in laparoscopy programs and map laparoscopic training practice scenarios. Methods: This descriptive cross-sectional study evaluated questionnaire responses from […]
Keywords: Brazil; Education, medical; Health Knowledge, Attitudes, Practice; Internship and residency; Laparoscopy; Minimally invasive surgical procedures; Surveys and questionnaires
30/Jan/2024
Littoral cell angioma of the spleen: case report and literature review
DOI: 10.31744/einstein_journal/2024RC0267
ABSTRACT Littoral cell angioma is an extremely rare splenic vascular tumor originating from the cells lining the splenic red pulp sinuses. Approximately 150 cases of littoral cell angioma have been reported since 1991. Its clinical manifestation is usually asymptomatic and is mostly diagnosed as an incidental finding through abdominal imaging. Herein, we present a case of littoral cell angioma in a 41-year-old woman with no previous comorbidities, which initially presented as a nonspecific splenic lesion diagnosed on imaging in the […]
Keywords: Hemangioma; Incidental findings; Laparoscopy; Splenectomy; Splenic neoplasms; Tomography; X-ray computed
30/Mar/2023
Comparative study of the levonorgestrel intrauterine system and laparoscopic hysterectomy for the treatment of heavy menstrual bleeding in enlarged uteri
einstein (São Paulo). 30/Mar/2023;21:eAO0033.
View Article30/Mar/2023
Comparative study of the levonorgestrel intrauterine system and laparoscopic hysterectomy for the treatment of heavy menstrual bleeding in enlarged uteri
DOI: 10.31744/einstein_journal/2023AO0033
Highlights The levonorgestrel intrauterine system treatment prevents 67.7% of surgeries in patients with heavy menstrual bleeding and enlarged uteri. ABSTRACT Objective To evaluate the effectiveness of the levonorgestrel intrauterine system in the treatment of patients with heavy menstrual bleeding and an enlarged uterus and to compare satisfaction and its complications with hysterectomy. Methods This was a comparative cross-sectional observational study of women with heavy menstrual bleeding and an enlarged uterus. Sixty-two women were treated and followed up for four […]
Keywords: Hysterectomy; Intrauterine devices; Laparoscopy; Levonorgestrel; Menorrhagia; Therapeutics; Uterine hemorrhage
27/Jan/2023
Intestinal intussusception of Meckel’s diverticulum, a case report and literature review of the last five years
DOI: 10.31744/einstein_journal/2023RC0173
ABSTRACT Meckel’s diverticulum is the most common gastrointestinal tract anomaly. It arises from the incomplete closure of the omphalomesenteric conduit, which is a true diverticulum at the antimesenteric border of the ileum. Although the majority of patients are asymptomatic, they can present with inflammation, hemorrhage, intussusception, intestinal obstruction, and perforation, among others; this constitutes an important differential diagnosis for acute abdomen. A 19-year-old female sought medical attention because of intermittent diffuse abdominal pain for two months, nausea, and diarrhea. In […]
Keywords: Diverticulum; Ileal diseases; Intestine, small; Intussusception; Laparoscopy; Meckel diverticulum
09/Nov/2022
Evaluation of laparoscopic skills in medical students
DOI: 10.31744/einstein_journal/2022AO0091
ABSTRACT Objective To evaluate the laparoscopic skills of medical students and identify personal characteristics in terms of greater easiness in performing laparoscopic surgical procedures. Methods This study included medical students in the 6th semester of a Medical School in Brazil who answered 10 questions concerning their habits and characteristics. A laparoscopic platform and an abdominal synthetic model were used to assess surgical skills comprising the three following surgical steps: to pass the needle through the trocar and to place it […]
Keywords: General surgery; Laparoscopy; Learning; Motor skills; Teaching
21/Oct/2020
During which period should we avoid cholecystectomy in patients who underwent endoscopic retrograde cholangiopancreatography?
einstein (São Paulo). 21/Oct/2020;18:eAO5393.
View Article21/Oct/2020
During which period should we avoid cholecystectomy in patients who underwent endoscopic retrograde cholangiopancreatography?
DOI: 10.31744/einstein_journal/2020AO5393
ABSTRACT Objective: To determine the period during which we should avoid cholecystectomy after endoscopic retrograde cholangiopancreatography. Methods: A retrospective analysis of electronic medical charts of 532 patients undergoing endoscopic retrograde cholangiopancreatography, between March 2013 and December 2017. Results: Approximately one-third of patients underwent the procedure between 4 and 30 days after endoscopic retrograde cholangiopancreatography. The conversion rate was 3.8%. The need for abdominal drainage and the finding of biliary tract injury after surgery were observed in 15.1% and 1.9% of […]
Keywords: Cholangiopancreatography, endoscopic retrograde; Cholecystectomy; Cholelithiasis; Laparoscopy
04/Sep/2017
Giant esophageal epiphrenic diverticulum: presentation and treatment
DOI: 10.1590/S1679-45082017RC3954
ABSTRACT Epiphrenic diverticulum is a rare disease associated with esophageal motor disorders that is usually asymptomatic and has a well-established surgical indication. We report a case of giant epiphrenic diverticulum in a 59-year-old symptomatic woman who was diagnosed after underwent complementary exams. Because of her symptoms, the surgical treatment was chosen, and esophageal diverticulectomy was performed along with laparoscopic cardiomyotomy and anterior partial fundoplication.
Keywords: Case reports; Diverticulum; Diverticulum, esophageal; Esophageal diseases; Fundoplication; Laparoscopy
01/Oct/2016
Assessment of laparoscopic skills of Gynecology and Obstetrics residents after a training program
einstein (São Paulo). 01/Oct/2016;14(4):468-72.
View Article01/Oct/2016
Assessment of laparoscopic skills of Gynecology and Obstetrics residents after a training program
DOI: 10.1590/S1679-45082016AO3752
ABSTRACT Objective To evaluate laparoscopic skills of third-year Gynecology and Obstetrics residents after training at a training and surgical experimentation center. Methods Use of a prospective questionnaire analyzing demographic data, medical residency, skills, competences, and training in a box trainer and in pigs. Results After the training, there was significant improvement in laparoscopic skills according to the residents (before 1.3/after 2.7; p=0.000) and preceptors (before 2.1/after 4.8; p=0.000). There was also significant improvement in the feeling of competence in surgeries […]
Keywords: Education, medical; Gynecology; Internship and residency; Laparoscopy; Obstetrics and Gynecology department, hospital/manpower; Surveys and questionnaires; Training
01/Oct/2014
Development of laparoscopic skills in Medical students naive to surgical training
einstein (São Paulo). 01/Oct/2014;12(4):467-72.
View Article01/Oct/2014
Development of laparoscopic skills in Medical students naive to surgical training
DOI: 10.1590/S1679-45082014AO3237
Objective To assess the acquisition of basic laparoscopic skills of Medical students trained on a surgical simulator. Methods First- and second-year Medical students participated on a laparoscopic training program on simulators. None of the students had previous classes of surgical technique, exposure to surgical practice nor training prior to the enrollment in to the study. Students´ time were collected before and after the 150-minute training. Skill acquisition was measured comparing time and scores of students and senior instructors of laparoscopic […]
Keywords: Laparoscopy; Models, educational; Students, medical; Surgical procedures, operative/education