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  1. Book: Nezhat's video-assisted and robotic-assisted laparoscopy and hysteroscopy

    Nezhat, Camran / Nezhat, Farr R. / Nezhat, Ceana

    2013  

    Title variant Video-assisted and robotic-assisted laparoscopy and hysteroscopy
    Author's details ed. by Camran Nezhat ; Farr Nezhat ; Ceana Nezhat
    Keywords Genital Diseases, Female / surgery ; Laparoscopy / methods ; Hysteroscopy / methods ; Video-Assisted Surgery / methods
    Language English
    Size XX, 708 S. : zahlr. Ill., graph. Darst.
    Edition 4. ed.
    Publisher Cambridge Univ. Press
    Publishing place Cambridge u.a.
    Publishing country Great Britain
    Document type Book
    Note Includes bibliographical references and index
    Accompanying material 1 CD-ROM (12 cm)
    HBZ-ID HT017673209
    ISBN 978-1-107-62367-5 ; 978-1-107-01160-1 ; 1-107-01160-4 ; 1-107-62367-7
    Database Catalogue ZB MED Medicine, Health

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  2. Book: Endometriosis: ancient disease, ancient treatments

    Nezhat, Camran / Nezhat, Farr R. / Nezhat, Ceana

    (Fertility and sterility ; 98,6S = Suppl.)

    2012  

    Author's details Camran Nezhat, Farr Nezhat and Ceana Nezhat
    Series title Fertility and sterility ; 98,6S = Suppl.
    Collection
    Language English
    Size S62 S. : zahlr. Ill.
    Publisher Elsevier
    Publishing place S.l.
    Publishing country United States
    Document type Book
    HBZ-ID HT017516052
    Database Catalogue ZB MED Medicine, Health

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  3. Article ; Online: Pathophysiology and Clinical Implications of Ovarian Endometriomas.

    Nezhat, Farr R / Cathcart, Ann M / Nezhat, Ceana H / Nezhat, Camran R

    Obstetrics and gynecology

    2024  Volume 143, Issue 6, Page(s) 759–766

    Abstract: Ovarian endometriomas affect many patients with endometriosis and have significant effects on quality of life, fertility, and risk of malignancy. Endometriomas range from small (1-3 cm), densely fibrotic cysts to large (20 cm or greater) cysts with ... ...

    Abstract Ovarian endometriomas affect many patients with endometriosis and have significant effects on quality of life, fertility, and risk of malignancy. Endometriomas range from small (1-3 cm), densely fibrotic cysts to large (20 cm or greater) cysts with varying degrees of fibrosis. Endometriomas are hypothesized to form from endometriotic invasion or metaplasia of functional cysts or alternatively from ovarian surface endometriosis that bleeds into the ovarian cortex. Different mechanisms of endometrioma formation may help explain the phenotypic variability observed among endometriomas. Laparoscopic surgery is the preferred first-line modality of diagnosis and treatment of endometriomas. Ovarian cystectomy is preferred over cyst ablation or sclerotherapy for enabling pathologic diagnosis, improving symptoms, preventing recurrence, and optimizing fertility outcomes. Cystectomy for small, densely adherent endometriomas is made challenging by dense fibrosis of the cyst capsule obliterating the plane with normal ovarian cortex, whereas cystectomy for large endometriomas can carry unique challenges as a result of adhesions between the cyst and pelvic structures. Preoperative and postoperative hormonal suppression can improve operative outcomes and decrease the risk of endometrioma recurrence. Whether the optimal management, fertility consequences, and malignant potential of endometriomas vary on the basis of size and phenotype remains to be fully explored.
    MeSH term(s) Humans ; Female ; Endometriosis/therapy ; Endometriosis/pathology ; Endometriosis/physiopathology ; Endometriosis/complications ; Endometriosis/surgery ; Ovarian Diseases/surgery ; Ovarian Diseases/pathology ; Ovarian Diseases/therapy ; Laparoscopy ; Ovarian Cysts/surgery ; Ovarian Cysts/therapy
    Language English
    Publishing date 2024-04-16
    Publishing country United States
    Document type Journal Article ; Review
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000005587
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article ; Online: Laparoscopic Diagnosis and Treatment of an Isolated Cervical Diverticulum.

    Nezhat, Farr / Demirel, Esra / Mesbah, Michael / Hill, Kaitlyn

    Obstetrics and gynecology

    2023  Volume 141, Issue 5, Page(s) 1011–1013

    Abstract: Background: Congenital müllerian anomalies are found in 8.0% of women with infertility and up to 5.5% of women in a general population. Cervical diverticulum is a type of cervical malformation that can be congenital or acquired, with only select cases ... ...

    Abstract Background: Congenital müllerian anomalies are found in 8.0% of women with infertility and up to 5.5% of women in a general population. Cervical diverticulum is a type of cervical malformation that can be congenital or acquired, with only select cases documented in the literature. Cervical diverticulum can be asymptomatic or present with abnormal uterine bleeding, pelvic pain, or infertility. Previously described management options are largely limited to observation or exploratory laparotomy.
    Case: A 35-year-old woman, gravida 2 para 2, presented with persistent menorrhagia, pelvic pain, and abdominal bloating and was found to have an 8-cm right adnexal mass on pelvic ultrasonography. Magnetic resonance imaging showed a hemorrhagic cervical mass communicating with the uterine cavity. The mass was resected laparoscopically, and pathology revealed fibromuscular tissue with endocervical epithelium consistent with a cervical diverticulum.
    Conclusion: Isolated cervical diverticula are rare but should be considered in the differential diagnosis of adnexal masses. Laparoscopic surgery is a safe, minimally invasive approach for evaluation and repair of cervical diverticula.
    MeSH term(s) Humans ; Female ; Adult ; Cervix Uteri/surgery ; Cervix Uteri/pathology ; Laparoscopy/methods ; Pelvic Pain ; Infertility/surgery ; Diverticulum/diagnostic imaging ; Diverticulum/surgery
    Language English
    Publishing date 2023-04-05
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 207330-4
    ISSN 1873-233X ; 0029-7844
    ISSN (online) 1873-233X
    ISSN 0029-7844
    DOI 10.1097/AOG.0000000000005156
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article ; Online: Forward We Go!

    Nezhat, Farr R / Kavic, Michael / Nezhat, Ceana H / Nezhat, Camran

    JSLS : Journal of the Society of Laparoendoscopic Surgeons

    2023  Volume 27, Issue 1

    MeSH term(s) Humans ; Robotic Surgical Procedures ; Robotics ; Laparoscopy ; Minimally Invasive Surgical Procedures
    Language English
    Publishing date 2023-02-06
    Publishing country United States
    Document type Journal Article
    ZDB-ID 2011211-7
    ISSN 1938-3797 ; 1086-8089
    ISSN (online) 1938-3797
    ISSN 1086-8089
    DOI 10.4293/JSLS.2022.00073
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article: A systematic review of the reproductive and oncologic outcomes of fertility-sparing surgery for early-stage cervical cancer

    Nezhat, Farr / Erfani, Hadi / Nezhat, Camran

    Journal of the Turkish German Gynecological Association

    2022  Volume 23, Issue 4, Page(s) 287–313

    Abstract: In this review, we aim to evaluate the current literature on reproductive and oncologic outcomes after fertility-sparing surgery for early-stage cervical cancer (stage IA1-IB1). This is a systematic review of the existing literature using the Preferred ... ...

    Abstract In this review, we aim to evaluate the current literature on reproductive and oncologic outcomes after fertility-sparing surgery for early-stage cervical cancer (stage IA1-IB1). This is a systematic review of the existing literature using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) checklist to report on fertility-sparing surgery and its outcomes in early-stage cervical cancer. Outcomes of interest were subsequent clinical pregnancy rate, reproductive outcomes, and cancer recurrence outcomes. Included in this systematic review were 68 studies encompassing 3,592 patients who underwent fertility-sparing surgery. Of these, reproductive outcomes were reported in 1096 pregnancies. The mean clinical pregnancy rate was 53.2%. Those who underwent vaginal radical trachelectomy had the highest clinical pregnancy rate (67.5%). The mean live birth rate was 67.8% in our study. Twenty-one percent of pregnancies after fertility-sparing surgery required assisted reproductive technology. The mean cancer recurrence rate was 3.2%, and the cancer death rate was 0.6% after a median follow-up period of 40.1 months with no statistically significant difference across surgical approaches. Offering fertility-sparing surgery in early-stage cervical cancer is reasonable. Highest clinical pregnancy rate is associated with vaginal radical trachelectomy. Moreover oncologic outcomes of minimally invasive approaches were comparable with abdominal approaches. We encourage detailed preoperative counseling and multidisciplinary approach to achieve best outcomes.
    Language English
    Publishing date 2022-12-08
    Publishing country Turkey
    Document type Journal Article
    ZDB-ID 2425806-4
    ISSN 1309-0380 ; 1303-9695 ; 1309-0399
    ISSN (online) 1309-0380 ; 1303-9695
    ISSN 1309-0399
    DOI 10.4274/jtgga.galenos.2022.2022-9-7
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article: Endometrial Carcinoma and its Precursors.

    Javadian, Pouya / Nezhat, Farr

    Advances in experimental medicine and biology

    2020  Volume 1242, Page(s) 59–72

    Abstract: This chapter focuses on premalignant and malignant diseases of the endometrium (lining of the uterus). Endometrial carcinoma is the most common gynecologic cancer in the United States. Women have a 1 in 40 lifetime risk of being diagnosed with ... ...

    Abstract This chapter focuses on premalignant and malignant diseases of the endometrium (lining of the uterus). Endometrial carcinoma is the most common gynecologic cancer in the United States. Women have a 1 in 40 lifetime risk of being diagnosed with endometrial cancer, the fourth most common malignancy among women. An estimated 61,880 new diagnoses of uterine cancer and 12,160 deaths from the disease occurred in 2019 in the United States (American Cancer Society, Facts & Figures, https://www.cdc.gov/cancer/uterine/statistics/index.htm , 2019).
    MeSH term(s) Endometrial Neoplasms/epidemiology ; Endometrial Neoplasms/pathology ; Endometrium/pathology ; Female ; Humans ; Precancerous Conditions ; United States/epidemiology
    Language English
    Publishing date 2020-05-13
    Publishing country United States
    Document type Journal Article ; Review
    ISSN 2214-8019 ; 0065-2598
    ISSN (online) 2214-8019
    ISSN 0065-2598
    DOI 10.1007/978-3-030-38474-6_4
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article: Outcomes of Laparoscopic Cesarean Scar Defect Repair: Retrospective and Observational Study.

    Nezhat, Camran / Zaghi, Benjamin / Baek, Kelly / Nezhat, Azadeh / Nezhat, Farr / Lindheim, Steven / Nezhat, Ceana

    Journal of clinical medicine

    2023  Volume 12, Issue 11

    Abstract: Cesarean scar defect, also known as niche, isthmocele, uteroperitoneal fistula and uterine diverticulum, is a known complication after cesarean delivery. Due to the rising cesarean delivery rates, niche has become more common and can present as irregular ...

    Abstract Cesarean scar defect, also known as niche, isthmocele, uteroperitoneal fistula and uterine diverticulum, is a known complication after cesarean delivery. Due to the rising cesarean delivery rates, niche has become more common and can present as irregular bleeding, pelvic pain, infertility, cesarean scar pregnancy and uterine rupture. Treatments for symptomatic cesarean scar defect vary and include hormonal therapy, hysteroscopic resection, vaginal or laparoscopic repair, and hysterectomy. We report on the safety and efficacy of our method of repairing cesarean scar defects in 27 patients without adverse outcomes: two-layer repair where the suture does not enter the uterine cavity. Our method of laparoscopic niche repair improves symptoms in nearly 77% of patients, restores fertility in 73% of patients, and decreases the time to conception.
    Language English
    Publishing date 2023-05-28
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 2662592-1
    ISSN 2077-0383
    ISSN 2077-0383
    DOI 10.3390/jcm12113720
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Multidisciplinary Management of Cutaneous Gluteus Vaginal Fistula After Sacrospinous Ligament Fixation.

    Kim, Veronica / Seraji, Shadi / Grigorescu, Bogdan A / Hon, Man / Hunt, Daniel H / Nezhat, Farr R

    CRSLS : MIS case reports from SLS

    2023  Volume 10, Issue 1

    Abstract: Introduction: Cutaneous gluteal vaginal fistula is a rare but significant postoperative complication which may present years after sacrospinous ligament fixation (SSLF) surgery There is limited data on the management of cutaneous vaginal fistula ... ...

    Abstract Introduction: Cutaneous gluteal vaginal fistula is a rare but significant postoperative complication which may present years after sacrospinous ligament fixation (SSLF) surgery There is limited data on the management of cutaneous vaginal fistula following SSLF.
    Case description: This case report describes a 77-year-old who presents twenty years after SSLF with cutaneous gluteal vaginal abscess and fistula. She underwent successful management with CT-guided percutaneous drainage of gluteal abscess and placement of guiding cutaneous vaginal catheter, laparoscopic pelvic wall dissection and evaluation, and transvaginal localization and removal of the infected permanent suture.
    Discussion: Multi-disciplinary approach should be considered in the treatment of chronic fistula status post SSLF, including interventional radiology, urogynecology, and minimally invasive gynecologic surgery.
    MeSH term(s) Female ; Humans ; Aged ; Pelvic Organ Prolapse/surgery ; Gynecologic Surgical Procedures ; Abscess/diagnostic imaging ; Ligaments, Articular ; Vaginal Fistula
    Language English
    Publishing date 2023-03-31
    Publishing country United States
    Document type Case Reports
    ISSN 2376-9254
    ISSN (online) 2376-9254
    DOI 10.4293/CRSLS.2022.00085
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Opportunistic salpingectomy: an appropriate procedure during all pelvic surgeries.

    Nezhat, Farr R / Martinelli, Vanessa T

    American journal of obstetrics and gynecology

    2018  Volume 220, Issue 1, Page(s) 10–11

    MeSH term(s) Cesarean Section ; Cost-Benefit Analysis ; Female ; Humans ; Pregnancy ; Salpingectomy ; Sterilization, Tubal
    Language English
    Publishing date 2018-12-25
    Publishing country United States
    Document type Editorial ; Comment
    ZDB-ID 80016-8
    ISSN 1097-6868 ; 0002-9378
    ISSN (online) 1097-6868
    ISSN 0002-9378
    DOI 10.1016/j.ajog.2018.11.1096
    Database MEDical Literature Analysis and Retrieval System OnLINE

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