{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,4]],"date-time":"2025-10-04T08:20:22Z","timestamp":1759566022501},"reference-count":22,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2016,12,2]],"date-time":"2016-12-02T00:00:00Z","timestamp":1480636800000},"content-version":"vor","delay-in-days":2254,"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":[[2010,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>To evaluate the feasibility of laparoscopic management of women with gynecologic emergencies by the residents and the chief resident in an organized resident training program.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A retrospective study of patients with gynecologic emergencies who underwent laparoscopic surgery between January 1, 1999, and May 31, 2006 was done.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>For the 369 patients included, the mean operative time of 74 \u00b1 31.35 minutes was significantly increased by advanced patient age (<jats:italic>P<\/jats:italic> &lt; 0.001), pelvic inflammatory disease with or without tubo\u2010ovarian abscess (PID \u00b1 TOA) (<jats:italic>P<\/jats:italic> &lt; 0.050), the first semester of chief residency (<jats:italic>P<\/jats:italic> &lt; 0.050), and conversion to laparotomy (<jats:italic>P<\/jats:italic> &lt; 0.001). Mean length of hospital stay was 40 \u00b1 24 hours. Factors such as advanced patient age (<jats:italic>P<\/jats:italic> &lt; 0.001), prolonged length of surgery (<jats:italic>P<\/jats:italic> &lt; 0.001), PID \u00b1 TOA (<jats:italic>P<\/jats:italic> &lt; 0.001), first semester of chief residency (<jats:italic>P<\/jats:italic> &lt; 0.050), conversion to laparotomy (<jats:italic>P<\/jats:italic> &lt; 0.001), and blood transfusion (<jats:italic>P<\/jats:italic> &lt; 0.050) significantly increased the length of hospital stay. The conversion rate to laparotomy was 4.6% (n = 17), and it was significantly associated with advanced women age (OR 1.11; 95% CI, 1.05\u20131.17, <jats:italic>P<\/jats:italic> &lt; 0.001) and PID \u00b1 TOA (OR 6.04; 95%CI, 2.17\u201316.62, <jats:italic>P &lt;<\/jats:italic> 0.001). Postoperative complications were recorded in 3 (0.81%) patients.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Laparoscopic management of gynecologic emergencies by senior residents and a chief resident within an organized resident training program is feasible. These results reinforce the relevance of a well\u2010structured residency endoscopic training program.<\/jats:p><\/jats:sec>","DOI":"10.1016\/j.ijgo.2010.05.006","type":"journal-article","created":{"date-parts":[[2010,7,2]],"date-time":"2010-07-02T08:23:48Z","timestamp":1278059028000},"page":"62-67","source":"Crossref","is-referenced-by-count":3,"title":["Evaluation of laparoscopic management of gynecologic emergencies by residents"],"prefix":"10.1002","volume":"111","author":[{"given":"Lucas","family":"Minig","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrea","family":"Velazco","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marina","family":"Lamm","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jorge Iv\u00e1n","family":"Velez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nadia Caroppo","family":"Venturini","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roberto","family":"Testa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2016,12,2]]},"reference":[{"key":"e_1_2_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)60146-6"},{"issue":"11","key":"e_1_2_6_3_2","first-page":"854","article-title":"Laparoscopic treatment of ectopic pregnancy","volume":"39","author":"Yeko T.","year":"1994","journal-title":"J Reprod Med"},{"key":"e_1_2_6_4_2","doi-asserted-by":"publisher","DOI":"10.1089\/end.2006.20.776"},{"key":"e_1_2_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0029-7844(97)00428-6"},{"key":"e_1_2_6_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)60150-8"},{"key":"e_1_2_6_7_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-005-0008-z"},{"key":"e_1_2_6_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/jpsu.2003.50192"},{"issue":"3","key":"e_1_2_6_9_2","first-page":"327","article-title":"Predicting Risk of Complications With Gynecologic Laparoscopic Surgery","volume":"92","author":"Mirhashemi R.","year":"1998","journal-title":"Obstet Gynecol"},{"issue":"5","key":"e_1_2_6_10_2","first-page":"365","article-title":"Comprehensive gynecologic endoscopic hospital credentialing program: implementation and assessment","volume":"45","author":"Milad M.P.","year":"2000","journal-title":"J Reprod Med"},{"key":"e_1_2_6_11_2","doi-asserted-by":"publisher","DOI":"10.1109\/TAC.1974.1100705"},{"key":"e_1_2_6_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2005.09.100"},{"key":"e_1_2_6_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00404-007-0501-7"},{"key":"e_1_2_6_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9378(94)90393-X"},{"key":"e_1_2_6_15_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0301-2115(00)00555-8"},{"key":"e_1_2_6_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)60147-8"},{"key":"e_1_2_6_17_2","doi-asserted-by":"publisher","DOI":"10.1007\/s004640000249"},{"issue":"1","key":"e_1_2_6_18_2","first-page":"11","article-title":"Laparoscopy Training in United States Obstetric and Gynecology Residency Programs","volume":"10","author":"Stovall D.","year":"2006","journal-title":"JSLS"},{"key":"e_1_2_6_19_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0291-6"},{"key":"e_1_2_6_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1015-9584(09)60123-8"},{"key":"e_1_2_6_21_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00464-005-0564-0"},{"key":"e_1_2_6_22_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.suc.2007.12.007"},{"key":"e_1_2_6_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1074-3804(05)60615-9"}],"container-title":["International Journal of Gynecology &amp; 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