Sarah Choi's research while affiliated with St George Hospital and other places

Publications (9)

Article
Full-text available
Objective: To assess the efficacy of a superior hypogastric plexus nerve block in reducing opioid requirements in the first 24 hours after minimally invasive gynecological surgery. Design: patient-blinded randomised controlled trial SETTING: Single-center academic institution, Sydney Women's Endosurgery Centre (SWEC). Two surgeons administering...
Article
Full-text available
Over the last few years, there is an apparent growing concern amongst O&G trainees of the inadequacy in exposure to minimally invasive gynaecology surgical training, which has been inadvertently compounded by the more stringent working hour regulations and disproportionately increasing number of trainees relative to surgical volume. Therefore, it i...
Article
Study Objective To evaluate the diagnostic accuracy of transvaginal ultrasound in predicting a laparoscopic surgically assigned revised American Society of Reproductive Medicine (ASRM) endometriosis stage. Design Multicenter retrospective diagnostic accuracy study. Setting Patients attended one of two academic gynecologic ultrasound units and und...
Article
Full-text available
Objective: Knowledge of rectouterine cul-de-sac state and consistent classification among surgeons are important in the surgical management of women with endometriosis. The objective of this study was to determine the diagnostic accuracy and interobserver and intraobserver agreement among general gynaecologists (GGs) and minimally invasive gynaeco...
Article
Study Objectives To demonstrate a new technique of contained in bag morcellation of a fibroid after laparosocpic myomectomy. Design Step-by-step explanation of the technique with a narrated video Setting Recent controversy regarding the risk of disseminating occult leiomyosarcomatous tissue during morcellation means we need to revise our current...
Article
Study Objective To demonstrate a modification of Shibley’s single port technique suitable for morcellation of large fibroid uteri, after total laparoscopic hysterectomy, in a contained environment, within the abdominal cavity (1). Design Step by step explanation of the technique using a descriptive text and educational video. Setting In light of...

Citations

... Studies have demonstrated that up to 75% of bariatric patients are discharged from the postoperative recovery room with moderate to severe pain [5]. VP substantially impacts patients' quality of life, recovery time, nursing time allocation, and resultant risk of opioid abuse [1,5,6,19]. PONV remains a problem in LSG patients, with groups describing a high prevalence (65%) 24 h after surgery despite adequate prophylaxis [7,20]. ...
... The first classification scheme for endometriosis was published by the American Fertility Society in 1979 [64], and was revised in 1996 as rASRM [65]. It remains the most commonly used classification system, and, although it generally relies on an invasive assessment of the pelvis, TVS has a high accuracy in predicting mild, moderate, and severe rASRM stages of endometriosis [66]. ...
... These conditions can be associated with accidental bowel and vascular injuries. Laparoscopic recognition of the POD obliteration by gynecologists and surgeons is not more than 90% sensitive [3]. It is beneficial to have an intraoperative tool to assess the patency of the POD in high-risk populations. ...
... Rabischong [48] described one case with atypical endometrial hyperplasia as an initial pathology without this atypia. Methods to avoid these iatrogenic complications may include laparoscopic morcellation in a bag, as suggested by Kanade et al. [49], or culdotomy or mini-laparotomy with manual morcellation within a specimen bag [50]. There are no limitations of in-bag morcellation, with the possibility of use even with single-site access. ...
... To avoid this, containment systems have been developed. Initial experience of this technique was described since 2014 and was also shown useful in terms of avoiding spillage of tissue or cells during extraction [5]. Especially in cases such as myomectomy and supracervical hysterectomy, the only way to extract the specimen, especially when it is larger, is dividing it into smaller pieces. ...