2020
Laparoscopic Posterior Versus Lateral Transversus Abdominis Plane Block in Gynecology
Benabou K, Kim S, Tierney CH, Messom JE, Kyriakides TC, Kashani SM, Silasi DA, Azodi M, Seifi F. Laparoscopic Posterior Versus Lateral Transversus Abdominis Plane Block in Gynecology. JSLS Journal Of The Society Of Laparoscopic & Robotic Surgeons 2020, 24: e2020.00032. PMID: 32831540, PMCID: PMC7434395, DOI: 10.4293/jsls.2020.00032.Peer-Reviewed Original ResearchConceptsTransversus abdominis plane blockPostoperative pain scoresLaparoscopic gynecologic surgeryTAP blockPain scoresGynecologic surgeryPlane blockLateral transversus abdominis plane blockLateral TAP blockPosterior TAP blockTAP block groupBody mass indexDemographic characteristicsPre-operative diagnosisLength of stayRegional anesthesia techniquesDifferent operative proceduresInvasive gynecologic surgeryLaparoscopic posteriorNarcotic intakeOpioid consumptionAnesthesiologists classificationNarcotic usagePostoperative painAnalgesic effect
2019
A Novel Approach to Combined Vaginal and Laparoscopic Gynecological Surgery
Tierney C, Chung SH, Feinberg J, Haines K, Yadav G, Azodi M, Menderes G. A Novel Approach to Combined Vaginal and Laparoscopic Gynecological Surgery. JSLS Journal Of The Society Of Laparoscopic & Robotic Surgeons 2019, 23: ejsls.2019.00006. PMID: 31097905, PMCID: PMC6464071, DOI: 10.4293/jsls.2019.00006.Peer-Reviewed Original ResearchConceptsLaparoscopic gynecological surgeryGynecological surgeryCombined vaginalPostoperative complicationsAdnexal surgerySurgical candidatesLaparoscopic surgeryMinor postoperative complicationsPrior abdominal surgeryBenign gynecological surgeryNulliparous patientsPrior laparotomyPostoperative dataTotal hysterectomyAbdominal surgeryLaparoscopic approachMajor complicationsSingle surgeonBenign indicationsCase seriesPelvic abscessAbdominal incisionGynecological proceduresPosterior colpotomyVaginal infections
2018
Laparoscopic Ligation of Uterine Vasculature for Fertility-Sparing Management of Postabortal Hemorrhage
Menderes G, Leon-Martinez D, Azodi M. Laparoscopic Ligation of Uterine Vasculature for Fertility-Sparing Management of Postabortal Hemorrhage. Journal Of Minimally Invasive Gynecology 2018, 26: 36-37. PMID: 29609031, DOI: 10.1016/j.jmig.2018.03.020.Peer-Reviewed Original ResearchConceptsUterine artery embolizationLaparoscopic ligationUterine vasculaturePostabortal hemorrhageArtery embolizationBlood lossUterine vesselsMedical managementPelvic sidewallBilateral uterine artery embolizationApproximate blood lossFamily planning guidelinesFertility sparing managementIntrauterine tamponade balloonLeft pelvic sidewallRight pelvic sidewallTertiary referral centerIntrauterine balloon tamponadeUneventful postoperative courseWeeks of pregnancyPlacenta accretaUterine massageVaginal bleedingBalloon tamponadeHemodynamic instability
2017
Minimally invasive abdominal cerclage compared to laparotomy: a comparison of surgical and obstetric outcomes
Kim S, Hill A, Menderes G, Cross S, Azodi M, Bahtiyar MO. Minimally invasive abdominal cerclage compared to laparotomy: a comparison of surgical and obstetric outcomes. Journal Of Robotic Surgery 2017, 12: 295-301. PMID: 28721634, DOI: 10.1007/s11701-017-0726-9.Peer-Reviewed Original ResearchConceptsAbdominal cerclage placementAbdominal cerclageObstetric outcomesCerclage placementInvasive groupLive birthsYale-New Haven HospitalSubsequent obstetric outcomesRetrospective cohort studyAverage operative timeHigh-risk pregnanciesCohort of womenElectronic medical chartsRobotic-assisted laparoscopyInvasive gynecologic surgeryNew Haven HospitalElectronic medical recordsObstetric informationHospital stayCohort studyReferral centerBlood lossMedical chartsOperative timeGynecologic surgeryNatural Orifice–Assisted Laparoscopic Meckel Diverticulectomy Incidentally Found During Para-Aortic Mass Resection
Menderes G, Dugan K, Klein MJ, Azodi M. Natural Orifice–Assisted Laparoscopic Meckel Diverticulectomy Incidentally Found During Para-Aortic Mass Resection. Journal Of Minimally Invasive Gynecology 2017, 25: 19-20. PMID: 28478192, DOI: 10.1016/j.jmig.2017.04.015.Peer-Reviewed Original ResearchConceptsPara-aortic massLeft para-aortic massStage IV choriocarcinomaMeckel's diverticulumRetroperitoneal schwannomaPosterior colpotomyLaparoscopic resectionLaparoscopic approachAbdominal incisionExcellent clinical responseForm of etoposideIncidental Meckel's diverticulumLaparoscopic Meckel's diverticulectomyPostoperative day 0Tertiary referral centerUneventful postoperative courseCompletion of surgeryPara-aortic areaAbdominal portsMeckel's diverticulectomyRetroperitoneal attachmentsMass resectionPostoperative courseClinical responseMetastatic disease
2016
The Effect of Vertical Versus Horizontal Vaginal Cuff Closure on Vaginal Length After Laparoscopic Hysterectomy
Hill AM, Davis KM, Clark-Donat L, Hammons LM, Azodi M, Silasi DA. The Effect of Vertical Versus Horizontal Vaginal Cuff Closure on Vaginal Length After Laparoscopic Hysterectomy. Journal Of Minimally Invasive Gynecology 2016, 24: 108-113. PMID: 27702701, DOI: 10.1016/j.jmig.2016.09.015.Peer-Reviewed Original ResearchConceptsVaginal cuff closureLaparoscopic hysterectomyVaginal lengthCuff closureVaginal cuffTotal hysterectomyUniversity-affiliated community hospitalLaparoscopic total hysterectomyPOP-Q evaluationPostoperative vaginal lengthTotal laparoscopic hysterectomyPOP-Q scoresPOP-Q measurementsPelvic organ prolapseTraditional laparoscopic techniquePelvic floor proceduresRadical hysterectomyIntraoperative complicationsClosure groupLaparoscopic techniqueMalignant diseaseOrgan prolapseUterine manipulatorLaparoscopic closureCommunity hospital
2015
External Iliac Vein Injury and Repair During Robotic-assisted Pelvic Lymphadenectomy
Menderes G, Clark M, Tower A, Azodi M. External Iliac Vein Injury and Repair During Robotic-assisted Pelvic Lymphadenectomy. Journal Of Minimally Invasive Gynecology 2015, 22: 718. PMID: 25888352, DOI: 10.1016/j.jmig.2015.04.007.Peer-Reviewed Original ResearchConceptsExternal iliac vein injuryIliac vein injuryExternal iliac veinVein injuryPelvic lymphadenectomyIliac veinInsufflation pressureLeft external iliac veinPara-aortic lymphadenectomyPelvic lymphadenectomy proceduresMajor vascular injuryFallopian tube carcinomaBilateral adnexal massesExperienced laparoscopic surgeonsHigh mortality rateBilateral adnexectomySurgical stagingRetroperitoneal lymphadenopathyAbdominal girthImmediate clampingMonopolar scissorsPrimary repairSurgical videosCardiopulmonary statusRobotic hysterectomyA Technique for Vascular Control During Robotic-assisted Laparoscopic Myomectomy
Donat LC, Menderes G, Tower AM, Azodi M. A Technique for Vascular Control During Robotic-assisted Laparoscopic Myomectomy. Journal Of Minimally Invasive Gynecology 2015, 22: 543. PMID: 25680685, DOI: 10.1016/j.jmig.2015.02.003.Peer-Reviewed Original ResearchConceptsRobotic-assisted myomectomyBlood lossVascular controlUterine vesselsVascular clipsUtero-ovarian vesselsUterine artery occlusionJehovah's Witness patientsExperienced laparoscopic surgeonsRobotic-assisted approachesArtery occlusionUterine arteriesBlood transfusionPeritoneal windowSurgical morbidityLaparoscopic myomectomyFertility preservationSymptomatic leiomyomasSubserosal injectionBulldog clampsMyomectomyRobotic myomectomyTemporary occlusionLaparoscopic surgeonsRobotic approachA Simple Approach to Specimen Retrieval via Posterior Colpotomy Incision
Clark LE, Menderes G, Tower AM, Silasi DA, Azodi M. A Simple Approach to Specimen Retrieval via Posterior Colpotomy Incision. JSLS Journal Of The Society Of Laparoscopic & Robotic Surgeons 2015, 19: e2015.00222. PMID: 25901107, PMCID: PMC4396057, DOI: 10.4293/jsls.2014.00222.Peer-Reviewed Original ResearchMeSH KeywordsAdnexa UteriAdolescentAdultAgedAged, 80 and overColpotomyFemaleHumansLaparoscopyMiddle AgedYoung AdultConceptsPosterior colpotomy incisionColpotomy incisionSpecimen retrievalAdnexal surgeryPostoperative outcomesPrior vaginal deliveryGynecologic laparoscopic surgeryPosterior vaginal fornixMean time patientsPosterior culPelvic painConcomitant hysterectomyOperative complicationsPelvic infectionVaginal deliveryPrimary preventionAdnexal massesLaparoscopic bagTime patientsLaparoscopic surgeryVaginal fornixLaparoscopic trocarMost womenSurgeon's armamentariumSurgery
2014
Needleless Laparoscopic Abdominal Cerclage Placement
Menderes G, Clark LE, Azodi M. Needleless Laparoscopic Abdominal Cerclage Placement. Journal Of Minimally Invasive Gynecology 2014, 22: 321. PMID: 25489676, DOI: 10.1016/j.jmig.2014.11.011.Peer-Reviewed Original ResearchMeSH KeywordsAbdomenAdultCerclage, CervicalFemaleHumansLaparoscopyPregnancyUterine Cervical IncompetenceConceptsAbdominal cerclage placementCerclage placementUterine vesselsMersilene tapeLaparoscopic abdominal cerclageThird-trimester lossesTransabdominal cerclage placementRisk of bleedingMultiple case seriesFetal survival rateAbdominal cerclageCervical insufficiencyShort cervixTransabdominal cerclageLaparoscopic approachPeritoneal windowSurgical morbidityCase seriesMeticulous dissectionTransvaginal procedureInvasive approachTransvaginal approachSurvival rateAbdominal methodCerclageIncidental Ureteral Injury and Repair during Robotic-assisted Total Laparoscopic Hysterectomy
Menderes G, Clark LE, Azodi M. Incidental Ureteral Injury and Repair during Robotic-assisted Total Laparoscopic Hysterectomy. Journal Of Minimally Invasive Gynecology 2014, 22: 320. PMID: 25461686, DOI: 10.1016/j.jmig.2014.11.006.Peer-Reviewed Original ResearchMeSH KeywordsCystoscopyFemaleHumansHysterectomyIntraoperative ComplicationsLaparoscopyRoboticsUreterConceptsUreteral injuryTotal hysterectomyLaparoscopic hysterectomyRobotic-assisted total hysterectomyRobotic total hysterectomyUrinary tract injuryTotal laparoscopic hysterectomyEnd anastomosis techniqueBladder injuryTract injurySignificant morbidityIntraoperative cystoscopyOpen surgeryGynecologic surgeryIntraoperative recognitionLarge uterusStent placementAnastomosis techniqueBetter outcomesHysterectomyRobotic repairInjuryMedicolegal implicationsEducational videoImmediate repair
2013
Robotic Versus Abdominal Hysterectomy for Very Large Uteri
Silasi DA, Gallo T, Silasi M, Menderes G, Azodi M. Robotic Versus Abdominal Hysterectomy for Very Large Uteri. JSLS Journal Of The Society Of Laparoscopic & Robotic Surgeons 2013, 17: 400-406. PMID: 24018076, PMCID: PMC3771758, DOI: 10.4293/108680813x13693422521755.Peer-Reviewed Original ResearchConceptsBody mass indexLaparotomy groupUteri weighingRobotic groupBlood lossUterine weightOperative timeMass indexMedian body mass indexRobotic surgeryLaparotomy control groupLarge myomatous uterusMedian blood lossMedian uterine weightIntraoperative blood lossMedian operating timeMorbidly obese patientsOutcomes of patientsPostoperative day 1Shorter hospital stayRetrospective chart reviewUnderwent hysterectomyAbdominal hysterectomyHospital stayMedian hospital
2012
Vaginal Cuff Dehiscence in Robotic-Assisted Total Hysterectomy
Kashani S, Gallo T, Sargent A, ElSahwi K, Silasi DA, Azodi M. Vaginal Cuff Dehiscence in Robotic-Assisted Total Hysterectomy. JSLS Journal Of The Society Of Laparoscopic & Robotic Surgeons 2012, 16: 530-536. PMID: 23484559, PMCID: PMC3558887, DOI: 10.4293/108680812x13462882736817.Peer-Reviewed Original ResearchConceptsRobotic-assisted total laparoscopic hysterectomyVaginal cuff dehiscenceTotal laparoscopic hysterectomyRobotic-assisted total hysterectomyCuff dehiscenceLaparoscopic hysterectomyTotal hysterectomyCumulative incidenceDehiscence rateCanadian Task Force Classification IIVaginal cuff suturingObservational case seriesCommunity teaching hospitalDa Vinci Surgical SystemVinci Surgical SystemVaginal hysterectomyCase seriesSingle surgeonPatient educationTeaching hospitalBenign reasonsHysterectomyClassification IIDehiscenceIncidenceRobotic-Assisted Laparoscopic Hysterectomy: Outcomes in Obese and Morbidly Obese Patients
Gallo T, Kashani S, Patel DA, Elsahwi K, Silasi DA, Azodi M. Robotic-Assisted Laparoscopic Hysterectomy: Outcomes in Obese and Morbidly Obese Patients. JSLS Journal Of The Society Of Laparoscopic & Robotic Surgeons 2012, 16: 421-427. PMID: 23318068, PMCID: PMC3535794, DOI: 10.4293/108680812x13462882735890.Peer-Reviewed Original ResearchConceptsBody mass indexObese patientsLaparoscopic hysterectomyBMI groupsRobotic-assisted laparoscopic hysterectomyCommunity teaching hospitalLength of stayAssisted Laparoscopic HysterectomyNonobese patientsPerioperative outcomesPatient characteristicsPatient demographicsBlood lossOperative outcomesSurgical indicationsOperative timeRetrospective reviewMass indexRobotic hysterectomySurgical outcomesMalignant conditionsTeaching hospitalCase of womenHysterectomyPatients
2011
Comparison between 155 cases of robotic vs. 150 cases of open surgical staging for endometrial cancer
ElSahwi KS, Hooper C, De Leon MC, Gallo TN, Ratner E, Silasi DA, Santin AD, Schwartz PE, Rutherford TJ, Azodi M. Comparison between 155 cases of robotic vs. 150 cases of open surgical staging for endometrial cancer. Gynecologic Oncology 2011, 124: 260-264. PMID: 22036203, DOI: 10.1016/j.ygyno.2011.09.038.Peer-Reviewed Original ResearchConceptsOpen armsEndometrial cancerSurgical stagingOperative timePara-aortic lymph node dissectionMean lymph node countPre-existing cardiac conditionsRobot-assisted surgical stagingOpen surgical stagingRobotic-assisted stagingLymph node countLymph node dissectionMean hospital stayRetrospective chart reviewBody mass indexPostoperative ileusCardiopulmonary complicationsHospital stayNode dissectionChart reviewBlood lossMass indexMean ageCardiac conditionsRobotic cases