Geburtshilfe Und Frauenheilkunde最新文献

{"title":"Overview: Nutrition, Physical Activity and Other Health Aspects Before and During Pregnancy - Recommendations by the Nationwide \"Healthy Start Network\" (Netzwerk Gesund ins Leben) 2026.","authors":"Felizitas Alaze-Hagemann, Katharina Reiss, Michael Abou-Dakn, Karim Abu-Omar, Ute Alexy, Kirsten Beyer, Christina Breidenassel, Anna-Kristin Brettschneider, Monika Cremer, Regina Ensenauer, Marischa Fast, Nina Ferrari, Maria Flothkötter, Claudia Hellmers, Christine Joisten, Berthold Koletzko, Christel Rademacher, Ulrich Schiffner, Irene Somm, Melanie Speck, Ute Thyen, Anke Weißenborn, Achim Wöckel, Anna-Lena Zietlow, Constance Rybak","doi":"10.1055/a-2831-1172","DOIUrl":"10.1055/a-2831-1172","url":null,"abstract":"","PeriodicalId":12481,"journal":{"name":"Geburtshilfe Und Frauenheilkunde","volume":"86 10","pages":"889-896"},"PeriodicalIF":2.6,"publicationDate":"2026-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645446/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dogmas in Obstetrics: Evidence-Based Standards, Clinical Judgement and Patient-Centred Care.","authors":"Holger Maul, Werner Rath","doi":"10.1055/a-2941-0776","DOIUrl":"10.1055/a-2941-0776","url":null,"abstract":"<p><p>Obstetrics requires standards, guidelines and established pathways to support physiological birth and to manage rare emergencies reliably. Standards become problematic, however, when they are detached from their evidentiary basis, original indication or individual clinical context and are applied as dogmas. This narrative review and conceptual analysis examines typical mechanisms of dogmatic decision-making in obstetrics: routine interventions without individual indication, seemingly precise thresholds, medico-legal safety routines, inconsistent definitions of obstetric complications, psychological norms of 'correct' birth, and reservations towards digital innovation. Selected examples include foetal monitoring in low-risk labour, amniotomy and episiotomy, shoulder dystocia, timing of cord clamping, induction of labour, antenatal corticosteroid administration, maternal autonomy and patient-reported outcome and experience measures. The analysis argues that modern obstetrics can be neither dogma-free nor rule-free. Instead, it requires a reflective balance of standardisation, clinical judgement, team competence, transparent communication and organisational learning. Less dogmatic obstetrics does not imply arbitrariness; it means consistently linking each routine to evidence, plausibility, context, resources and the informed preferences of the patient.</p>","PeriodicalId":12481,"journal":{"name":"Geburtshilfe Und Frauenheilkunde","volume":"86 10","pages":"897-906"},"PeriodicalIF":2.6,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645441/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135805","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recommendation on \"Planned Out-of-Hospital Childbirth\": the Position of the Austrian Society of Gynecology and Obstetrics (OEGGG).","authors":"Thorsten Fischer, Thomas Aigmüller, Birgit Volgger, Patrick Stelzl, Bettina Toth, Maximilian Brandstetter","doi":"10.1055/a-2941-0854","DOIUrl":"10.1055/a-2941-0854","url":null,"abstract":"<p><p>The debate regarding the role of out-of-hospital childbirth (home births) remains controversial in many countries, including Austria; consequently, the Executive Board of the OEGGG, acting on behalf of our professional society, has decided to issue an updated recommendation concerning planned out-of-hospital births. This recommendation aims to articulate our position within the context of the forensic and clinical requirements of modern obstetric care and to support a revision of legislation governing out-of-hospital childbirth. It was unanimously approved by the entire OEGGG Executive Board following constructive discussion. We consider out-of-hospital childbirth (home birth) to be untenable, as it contravenes established obstetric quality standards-thereby violating the forensic rights of mothers and, even more significantly, the clear safety interests of the child (as a legal entity) during the birth process. Virtually all established clinical diagnostic and treatment methods cannot be employed in a home birth setting and are thus deliberately withheld from the child. Citing proven risks, the OEGGG opposes home birth and-like other professional societies-classifies it as unsafe. Given the elevated risks involved, our primary duty of care is directed toward the child during the birth process.</p>","PeriodicalId":12481,"journal":{"name":"Geburtshilfe Und Frauenheilkunde","volume":"86 10","pages":"885-888"},"PeriodicalIF":2.6,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645443/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135792","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lichen sclerosus. Part 1. Guideline of the DGG, DGGG, OEGGG and SGGG (S3-Level, AWMF Registry No. 013-105, July 2025.","authors":"Gudula Kirtschig, Andreas Günthert, Maria Kinberger, Karl Becker, Alexandra Ciresa-König, Bettina Fischer, Susanne Fricke-Otto, Claudia Günther, Christine Hirchenhain, Narayani Helga Köllmann, Alexander Kreuter, Bartosz Malisiewicz, Felix Neis, Dan Mon OʼDey, Hagen Ott, Martin Promm, Regina Renner, Anne-Rose Schardt, Ines Schweizer, Raimund Stein, Jan Ter-Nedden, Gerda Trutnovsky, Agnes Wand, Gerhard Weyandt, Ricardo N Werner, Linn Woelber","doi":"10.1055/a-2871-3377","DOIUrl":"10.1055/a-2871-3377","url":null,"abstract":"<p><p><b>Objective</b> The aim of the German-language S3 guideline on lichen sclerosus (LS) is to provide an evidence- and consensus-based foundation for the diagnosis and management of this disease. The present publication offers a concise summary of the relevant content, focusing on genital LS in girls and women. This first part addresses, among other aspects, the definition, symptomatology, and diagnosis of LS, as well as its management during pregnancy. The separately published second part focuses on the treatment of LS. <b>Methods</b> The German-language, evidence- and consensus-based S3 guideline on LS was developed under the leadership of the German Society of Gynecology and Obstetrics (DGGG) and the German Dermatological Society (DDG), based on the European \"EuroGuiDerm Guideline on Lichen Sclerosus.\" The interdisciplinary guideline panel included 24 experts from 16 professional societies and actively involved patient representatives in the development process. <b>Recommendations</b> LS is a chronic inflammatory skin disease with predominant manifestation in the anogenital region. It may be associated with pruritus, pain, sexual dysfunction, urinary symptoms, and constipation, although it can occasionally remain asymptomatic. Awareness of the broad spectrum of symptoms, as well as reversible and irreversible clinical signs, is essential to enable early diagnosis and appropriate treatment. Early and adequate therapy can not only alleviate symptoms but also reduce the risk of permanent damage and the development of associated carcinomas. During pregnancy, treatment with topical glucocorticoids should be continued as needed to control disease activity and prevent complications.</p>","PeriodicalId":12481,"journal":{"name":"Geburtshilfe Und Frauenheilkunde","volume":"86 8","pages":"693-719"},"PeriodicalIF":2.6,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13467286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Lichen sclerosus. Part 2. Guideline of the DGG, DGGG, OEGGG and SGGG (S3-Level, AWMF Registry No. 013-105, July 2025.","authors":"Gudula Kirtschig, Linn Woelber, Maria Kinberger, Karl Becker, Alexandra Ciresa-König, Bettina Fischer, Susanne Fricke-Otto, Claudia Günther, Christine Hirchenhain, Narayani Helga Köllmann, Alexander Kreuter, Bartosz Malisiewicz, Felix Neis, Dan Mon O'Dey, Hagen Ott, Martin Promm, Regina Renner, Anne-Rose Schardt, Ines Schweizer, Raimund Stein, Jan Ter-Nedden, Gerda Trutnovsky, Agnes Wand, Gerhard Weyandt, Ricardo N Werner, Andreas Günthert","doi":"10.1055/a-2880-1997","DOIUrl":"10.1055/a-2880-1997","url":null,"abstract":"<p><p><b>Objective</b> The aim of the German-language S3 guideline on lichen sclerosus (LS) is to provide an evidence- and consensus-based foundation for the diagnosis and management of this disease. This publication presents a concise summary of the relevant content focusing on genital LS in girls and women. This second part addresses the treatment of LS. The separately published first part covers the definition of the disease, its diagnosis, and the management of LS during pregnancy. <b>Methods</b> The German-language, evidence- and consensus-based S3 guideline on LS was developed under the leadership of the German Society of Gynecology and Obstetrics (DGGG) and the German Dermatological Society (DDG), based on the European \"EuroGuiDerm Guideline on Lichen Sclerosus.\" The interdisciplinary guideline panel comprised 24 experts from 16 professional societies and actively involved patient representatives in the development process. <b>Recommendations</b> Ultrapotent or potent topical glucocorticoids in combination with emollients remain the standard therapy. Due to the frequently chronic-relapsing course of the disease, continuous, long-term follow-up of patients is essential. Topical calcineurin inhibitors may be used as second-line therapy. Monotherapy with topical hormonal preparations is not recommended for the treatment of LS.</p>","PeriodicalId":12481,"journal":{"name":"Geburtshilfe Und Frauenheilkunde","volume":"86 8","pages":"720-745"},"PeriodicalIF":2.6,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13467283/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148720390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Congenital Uterine Malformations and Pregnancy Outcomes: A Retrospective Observational Study to Inform Reproductive Counseling.","authors":"Julia Lastinger, Laura Gruber, Teresa Eichinger, Stephanie Kiblboeck, Simon-Hermann Enzelsberger, Peter Oppelt, Natalia Anna Kaufmann","doi":"10.1055/a-2919-2404","DOIUrl":"https://doi.org/10.1055/a-2919-2404","url":null,"abstract":"<p><strong>Introduction: </strong>Congenital uterine malformations are often associated with uncertainty regarding pregnancy outcomes and reproductive counseling. Data on obstetric outcomes stratified by detailed anatomical classification remain limited.</p><p><strong>Materials and methods: </strong>In this retrospective observational case series, pregnancy and delivery outcomes were analyzed in women with congenital uterine malformations classified according to the VCUAM system. The cohort included 95 deliveries in women with septate (U1, n = 49), bicornuate (U2, n = 40), or unicornuate (U4a, n = 6) uterus managed at a tertiary perinatal referral center. Pregnancy complications, mode of delivery, peripartum complications, and neonatal outcomes were assessed descriptively.</p><p><strong>Results: </strong>Overall, 68.8% of pregnancies (64/93; 95% CI 58.7-77.4) occurred without documented complications. Cervical insufficiency was observed in 12.9% (12/93; 95% CI 7.6-21.2) and preterm labor in 7.5% (7/93; 95% CI 3.7-14.7). Severe obstetric complications were rare. Cesarean delivery was common. However, vaginal delivery was achieved in all uterine subtypes. Neonatal condition at birth was generally reassuring across groups.</p><p><strong>Conclusion: </strong>In this cohort of deliveries among women with congenital uterine malformations reaching viable pregnancy, most pregnancies progressed without documented major complications and neonatal outcomes were generally favorable. These findings support individualized reproductive counseling and structured obstetric surveillance while avoiding assumptions based solely on uterine anatomy.</p>","PeriodicalId":12481,"journal":{"name":"Geburtshilfe Und Frauenheilkunde","volume":"86 9","pages":"837-846"},"PeriodicalIF":2.6,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13581416/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148989011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction: Registry Study of the Working Group on Cervical Pathology and Colposcopy (AGCPC) on the Diagnostic Algorithm for the New Cervical Cancer Screening - Persistent HPV Infections and Squamous Cell Lesions: Evaluation of over 10000 Patients.","authors":"Melanie Henes, Ellen Mann, Christine Hirchenhain, Alexander Kentner, Christina Selgrad, Monika Hampl, Mignon-Denise Keyver-Paik, Jens Quaas, Julia Gallwas, Christopher Koßagk, Martina Helbig, Paul Gaß, Farnaz Jakubek, Maximilian Klar, Leon Henes, Volkmar Küppers","doi":"10.1055/a-2916-9318","DOIUrl":"https://doi.org/10.1055/a-2916-9318","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1055/a-2800-5139.].</p>","PeriodicalId":12481,"journal":{"name":"Geburtshilfe Und Frauenheilkunde","volume":"86 7","pages":"e2"},"PeriodicalIF":2.6,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13391216/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148561212","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparison of Ex-House and In-House Cytology for the New Cervical Cancer Screening Assessment.","authors":"Lena Sophia Nieberle, Anna Katharina Dietl, Anja Seibold, Lena Brückner, Oliver Schleicher, Carla Schulmeyer, Julius Emons, Annika Sophie Behrens, Sebastian Trnovec, Arndt Hartmann, Matthias W Beckmann, Antje Knöll, Grit Mehlhorn, Werner Adler, Carol Geppert, Frederik Alexander Stübs","doi":"10.1055/a-2900-6511","DOIUrl":"10.1055/a-2900-6511","url":null,"abstract":"<p><strong>Purpose: </strong>The introduction of an organized cervical cancer screening program in Germany in 2020 changed screening algorithms and referral patterns, increasing the number of patients referred to specialized centers. This study examines the concordance between ex-house Pap smear findings and in-house colposcopy-guided cytology and relates both to colposcopy-guided biopsy and histopathological outcomes within the new screening program.</p><p><strong>Methods: </strong>In this retrospective study, data from 3161 patients referred for colposcopy to a certified university dysplasia unit between January 2020 and May 2024 were analyzed. All patients underwent standardized assessment including Pap smear, HPV testing, colposcopy, and colposcopy-guided biopsy, with surgical treatment when indicated.</p><p><strong>Results: </strong>Concordance between ex-house and in-house cytology was moderate (Spearman's ρ = 0.453, p < 0.001; weighted Cohen's κ = 0.581). Compared with histology, ex-house cytology showed overdiagnosis in 252 cases (14.29%), underdiagnosis in 631 cases (35.79%), and concordant findings in 880 cases (49.91%). In contrast, in-house cytology demonstrated lower rates of overdiagnosis (183 cases, 9.48%) and underdiagnosis (495 cases, 25.65%), with agreement in 1252 cases (64.87%). HPV positivity increased with cytological severity, with HPV16 being the most prevalent genotype in high-grade lesions. Among low-grade cytological findings, CIN3+ yield differed markedly according to HPV status.</p><p><strong>Conclusion: </strong>In the setting of the cervical cancer screening program, in-house cytology performed in a specialized dysplasia unit demonstrated closer agreement with histology than ex-house cytology. HPV status emerged as a key modifier of risk within low-grade cytological categories, highlighting the importance of risk-adapted triage and reassessment colposcopy in contemporary screening practice.</p>","PeriodicalId":12481,"journal":{"name":"Geburtshilfe Und Frauenheilkunde","volume":"86 8","pages":"766-776"},"PeriodicalIF":2.6,"publicationDate":"2026-07-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13467287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148721899","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Consequences of Maternal Antidepressant and Anticonvulsant Use During Pregnancy: Is Postnatal Inpatient Monitoring Required? - A Retrospective Cohort Study.","authors":"Antonia Hell, Steven Hébert, Linda Mulzer, Gregor Hanslik, Joachim Woefle, Michael O Schneider, Matthias W Beckmann, Heiko Reutter, Patrick Morhart","doi":"10.1055/a-2900-2594","DOIUrl":"10.1055/a-2900-2594","url":null,"abstract":"<p><strong>Introduction: </strong>Prenatal exposure to antidepressants and anticonvulsants is steadily increasing in parallel with rising prescription rates. Our study focused on potential postnatal adjustment disorders in newborns and their appropriate monitoring after birth.</p><p><strong>Objective: </strong>To descriptively assess clinically relevant complications in neonates after intrauterine exposure to antidepressants and/or anticonvulsants and to evaluate the need for routine postnatal monitoring.</p><p><strong>Methods: </strong>We conducted a retrospective single-center cohort study at the University Hospital Erlangen (01/2021-12/2023). The study included 120 neonates whose mothers received antidepressants, anticonvulsants, or both during pregnancy. The primary endpoint was a clinically relevant respiratory event (apnea, dyspnea/desaturation, or need for ventilatory support). An exploratory multivariable logistic regression with the primary endpoint as the outcome was performed (main analysis: gestational age, maternal age, cesarean delivery; sensitivity analysis additionally including exposure group).</p><p><strong>Results: </strong>The primary endpoint occurred in 31/120 neonates (25.8%). In the main multivariable analysis, gestational age, maternal age, and cesarean delivery showed no statistically significant association with the primary endpoint; in a sensitivity analysis additionally including exposure group, no significant between-group differences were observed. Numeric time-to-event data were available for 22 respiratory events (median 32.5 h; mean 42.0 h); 16/22 (72.7%) occurred within 48 h and 6/22 (27.3%) after 48 h. Hypoglycemia was documented in 15/120 neonates (12.5%) without significant differences between exposure groups.</p><p><strong>Conclusion: </strong>Clinically relevant respiratory events were observed in this monitored cohort of exposed neonates. An initial monitoring period of at least 48 h appears to represent a pragmatic minimum standard. In the presence of clinical abnormalities, risk-adapted prolonged monitoring may be appropriate.</p>","PeriodicalId":12481,"journal":{"name":"Geburtshilfe Und Frauenheilkunde","volume":"86 10","pages":"915-924"},"PeriodicalIF":2.6,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13645442/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149135784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-Term Outcomes, Morbidity and Quality of Life in Node-Negative Early-Stage Vulvar Cancer: Sentinel Node Biopsy versus Inguinofemoral Lymphadenectomy.","authors":"Sarah Tanskanen, Björn Lampe, Peter Mallmann, Fabinshy Thangarajah, Pierce Heiden, Dirk M Forner","doi":"10.1055/a-2893-8951","DOIUrl":"10.1055/a-2893-8951","url":null,"abstract":"<p><strong>Objective: </strong>To compare recurrence, survival, morbidity, and quality of life in early-stage vulvar cancer patients with tumour-free lymph nodes undergoing sentinel lymph node biopsy (SNB) versus inguinofemoral lymphadenectomy (IFL).</p><p><strong>Study design: </strong>A total of 74 vulvar cancer patients (SNB: n = 58; IFL: n = 16) with a tumour size of < 4 cm and tumour-free lymph nodes were included. Endpoints were overall survival (OS), disease-specific survival (DSS), and disease-free survival (DFS). DFS was further divided into local, inguinal, or distant recurrence. Additionally, morbidity and quality of life were analysed.</p><p><strong>Results: </strong>No significant differences in survival outcomes were observed after a median follow-up of 58.0 months for OS, 59.1 months for DSS, and 40.0 months for DFS. Inguinal recurrences occurred in two patients in the SNB group (3.77%) and in none of the patients in the IFL group (0%). However, DFS related to isolated inguinal recurrence did not differ significantly between the groups (96.2% vs. 100%, p = 0.374). Complications were less frequent following SNB, with a significant difference observed only for lymphocele formation (13.8% vs. 50%; p = 0.02). Quality of life scores did not differ significantly between the groups.</p><p><strong>Conclusion: </strong>This study confirms SNB as an oncologically safe procedure. Although inguinal recurrences were slightly more frequent after SNB, there was no significant difference in DSS, DFS, or OS. Lymphocele was significantly more common after IFL, without impacting self-reported quality of life.</p>","PeriodicalId":12481,"journal":{"name":"Geburtshilfe Und Frauenheilkunde","volume":"86 8","pages":"746-753"},"PeriodicalIF":2.6,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13467282/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148722395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}