{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,10,5]],"date-time":"2023-10-05T06:45:17Z","timestamp":1696488317370},"reference-count":25,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2017,3,16]],"date-time":"2017-03-16T00:00:00Z","timestamp":1489622400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2017,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To investigate the temporal trends in minimally invasive myomectomy at one reproductive medicine center before and after the <jats:styled-content style=\"fixed-case\">US<\/jats:styled-content> Food and Drug Administration (<jats:styled-content style=\"fixed-case\">FDA<\/jats:styled-content>) recommendation against electric morcellation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective chart review was undertaken of patients undergoing minimally invasive myomectomy between April 1, 2012, and April 30, 2016, at a center in New York. Temporal trends in laparoscopic myomectomy (<jats:styled-content style=\"fixed-case\">LM<\/jats:styled-content>), robot\u2010assisted laparoscopic myomectomy (<jats:styled-content style=\"fixed-case\">RAM<\/jats:styled-content>), and laparoscopically assisted myomectomy (<jats:styled-content style=\"fixed-case\">LAM<\/jats:styled-content>), and intraoperative and postoperative outcomes before and after the April 2014 recommendation were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Minimally invasive myomectomy was performed in 73 patients. No difference was noted in the rates of minimally invasive myomectomy 2\u00a0years before (35\/74 [47.3%]) and after (38\/79 [48.1%]) the <jats:styled-content style=\"fixed-case\">FDA<\/jats:styled-content>'s recommendation. The ratio of abdominal to minimally invasive myomectomy remained relatively constant before (68\/59=1.15) and during the study period (80\/73=1.10). There was a significant decrease in <jats:styled-content style=\"fixed-case\">LM<\/jats:styled-content> and <jats:styled-content style=\"fixed-case\">RAM<\/jats:styled-content> and a corresponding rise in <jats:styled-content style=\"fixed-case\">LAM<\/jats:styled-content> immediately after the recommendation (<jats:italic>P&lt;<\/jats:italic>0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>The rates of minimally invasive myomectomy before and after the <jats:styled-content style=\"fixed-case\">FDA<\/jats:styled-content>'s recommendation did not differ, indicating that technical modifications to laparoscopic technique can allow surgeons to offer minimally invasive myomectomy to patients with symptomatic leiomyomas.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ijgo.12128","type":"journal-article","created":{"date-parts":[[2017,2,21]],"date-time":"2017-02-21T16:37:21Z","timestamp":1487695041000},"page":"295-300","source":"Crossref","is-referenced-by-count":3,"title":["Temporal trends in minimally invasive myomectomy before and after the <scp>US<\/scp> Food and Drug Administration recommendation against electric morcellation"],"prefix":"10.1002","volume":"137","author":[{"given":"Nigel","family":"Pereira","sequence":"first","affiliation":[{"name":"Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine Weill Cornell Medical Center  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"William C.","family":"Frankel","sequence":"additional","affiliation":[{"name":"Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine Weill Cornell Medical Center  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne P.","family":"Hutchinson","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Weill Cornell Medical College  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hency H.","family":"Patel","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Weill Cornell Medical College  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cheri","family":"Mostisser","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Weill Cornell Medical College  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rony T.","family":"Elias","sequence":"additional","affiliation":[{"name":"Ronald O. Perelman and Claudia Cohen Center for Reproductive Medicine Weill Cornell Medical Center  New York NY USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,3,16]]},"reference":[{"issue":"2","key":"e_1_2_7_2_1","doi-asserted-by":"crossref","first-page":"387","DOI":"10.1097\/AOG.0b013e318183fbab","article-title":"ACOG practice bulletin. Alternatives to hysterectomy in the management of leiomyomas","volume":"112","author":"American College of Obstetricians and Gynecologists","year":"2008","journal-title":"Obstet Gynecol"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000001157"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2012.12.010"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2014.09.006"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1097\/GRF.0000000000000150"},{"key":"e_1_2_7_7_1","unstructured":"U.S. Food and Drug Administration.Laparoscopic uterine power morcellation in hysterectomy and myomectomy: FDA safety communication.http:\/\/www.fda.gov\/MedicalDevices\/Safety\/AlertsandNotices\/ucm393576.htm. 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