Journal of minimally invasive gynecology最新文献

{"title":"Calcified Intrauterine Device in Bladder: Diagnosis and Management.","authors":"Ali Fathollahi, Sanjay Razdan, Fausto Andrade, Shirin Razdan","doi":"10.1016/j.jmig.2025.06.014","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.06.014","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475631","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regarding: Symptomatic Lymphocele After Robot-Assisted Pelvic Lymphadenectomy as Part of the Primary Surgical Treatment for Cervical and Endometrial Cancer: A Retrospective Cohort Study.","authors":"Guoying Wen, Qiaoyan Yang, Ziqiang Cui","doi":"10.1016/j.jmig.2025.05.020","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.05.020","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144475632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-Term Anatomical and Functional Outcomes Following Laparoscopic Repair of Severe Cesarean Scar Defect.","authors":"Nuria Barbany-Freixa, Yannick Hurni, María Pellisé-Tintoré, Betlem Graupera, Silvia Cabrera, Pere N Barri-Soldevila","doi":"10.1016/j.jmig.2025.06.011","DOIUrl":"10.1016/j.jmig.2025.06.011","url":null,"abstract":"<p><strong>Study objective: </strong>To assess the long-term anatomical and functional effectiveness of laparoscopic repair for severe cesarean scar defect (CSD), focusing on residual myometrial thickness (RMT), symptom resolution, recurrence rates, and reproductive outcomes.</p><p><strong>Design: </strong>Retrospective observational study.</p><p><strong>Setting: </strong>Single-center tertiary hospital.</p><p><strong>Patients: </strong>Thirty-three women diagnosed with severe CSD, defined as RMT < 2.5 mm, who underwent laparoscopic surgical repair between November 2008 and January 2021.</p><p><strong>Interventions: </strong>Laparoscopic repair of severe CSD with the aim of restoring uterine integrity and improving clinical and reproductive outcomes.</p><p><strong>Measurements and main results: </strong>RMT was assessed preoperatively, at three months post-surgery, and then annually via transvaginal ultrasound. Primary and secondary outcomes included postoperative RMT changes, CSD repair failure rate, severe CSD recurrence, symptom resolution, and reproductive outcomes. Postoperative RMT significantly increased from a median of 1.0 mm (0 - 2.3) preoperatively to 5.0 mm (1.0 - 9.0) at three months (p<.00001) and remained stable during follow-up (median: 6.4 years, range: 2.0 - 14.2). Symptom resolution rates were 90.9% for abnormal bleeding and 100% for pelvic pain within one year. One patient (3.0%) experienced CSD repair failure. Severe CSD recurrence was observed in one case (3.0%). Among 24 patients attempting pregnancy, 79.2% conceived, with 62.5% achieving live births. No cases of uterine rupture or severe obstetric complications occurred. Severe CSD recurrence after a subsequent cesarean delivery was noted in 6.7% (1/15).</p><p><strong>Conclusion: </strong>Laparoscopic repair of severe CSD provides durable anatomical restoration, significant symptom relief, and favorable reproductive outcomes with low recurrence rates over long-term follow-up.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340207","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Title: Female Sexual Desire, Arousal, and Orgasmic Dysfunctions: A Systematic Review and Meta-analysis of Treatment Options.","authors":"Rafaela Germano Toledo, William D Winkelman, Daniela Reyes-Gonzalez, Sophie Bergeron, Anne Fladger, Michele R Hacker, Mallika Anand","doi":"10.1016/j.jmig.2025.06.004","DOIUrl":"10.1016/j.jmig.2025.06.004","url":null,"abstract":"<p><strong>Objective: </strong>To conduct a systematic review and meta-analysis of treatments for female sexual desire, arousal, and orgasmic dysfunction in patients without sexual pain conditions.</p><p><strong>Data source: </strong>MEDLINE, Embase, Web of Science, Cochrane Library, PsycINFO, and ClinicalTrials.gov.</p><p><strong>Methods of study selection: </strong>Following the initial search in December 2024, a total of 8,994 abstracts were screened, 278 full-text articles were reviewed, and 36 studies met criteria for data abstraction including a patient population with female sexual dysfunction (FSD) of desire, arousal, and/or orgasm (DAO) and outcome measures including the Female Sexual Function Index (FSFI), its DAO subscales, and the Female Sexual Distress Scale (FSDS). Studies including patients with sexual pain conditions were excluded. Two reviewers independently conducted each phase.</p><p><strong>Tabulation, integration, and results: </strong>Of the 36 studies, 26 were RCTs and 10 were single-arm trials. Ten studies evaluated cognitive behavioral therapy (CBT), 24 investigated medication therapy, and 2 investigated devices. Meta-analyses were conducted for mindfulness-based CBT, flibanserin, and bremelanotide. Mindfulness-based CBT significantly improved total FSFI and subscales of desire, arousal, and orgasm. Conversely, flibanserin improved total FSFI and desire while bremelanotide improved total FSFI and its desire and arousal subscales. No studies directly compared CBT to pharmacotherapy.</p><p><strong>Conclusion: </strong>In this systematic review of treatments of females with sexual DAO dysfunctions without pain, we found that CBT improves DAO; flibanserin improves desire; and bremelanotide improves both desire and arousal; and all three treatments reduce distress. Our findings align with previous literature and expand upon it to include multiple treatment modalities. This broader perspective offers a starting point for clinicians, including gynecologists, who frequently serve as the first point of care for female sexual dysfunction. Conclusions regarding most other treatments could not be drawn due to limited numbers of studies of FSD excluding pain, heterogeneous terminology for DAO disorders, and varying outcome measures across studies.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144340208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Author's Reply.","authors":"Anthony D Nguyen, Hannah L Marshall, Meg W Sidle, Veronica D Galaviz, Peter L Sticco, Keith T Downing","doi":"10.1016/j.jmig.2025.06.007","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.06.007","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144326062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bilateral endometrioid adenofibromas in ovarian endometriosis: A rare occurrence.","authors":"Dr Latika Chawla, Dr Sharda Arvind, Dr Maria Alina DeSouza","doi":"10.1016/j.jmig.2025.06.005","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.06.005","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317148","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spontaneous disseminated peritoneal leiomyomatosis: An unexpected finding.","authors":"Abigail Hartmann, Courtney Pfeuti, Sarah Swartz, Michelle Pacis","doi":"10.1016/j.jmig.2025.06.006","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.06.006","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317150","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regarding: \"Factors Associated with Spontaneous Conception Leading to Live Birth in Infertility Patients After Endometriosis Surgery\".","authors":"Huan Luo, Liqiu Kou, Zongyu Yang","doi":"10.1016/j.jmig.2025.04.020","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.04.020","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144317149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robot-Assisted Laparoscopic Hysterectomy with Artificial Intelligence-Analyzed Imaging: Robot-Assisted Laparoscopic Hysterectomy with AI Imaging.","authors":"Naoyuki Yoshiki, Noriko Oshima, Naoyuki Miyasaka","doi":"10.1016/j.jmig.2025.06.002","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.06.002","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293898","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk of Surgical Site Infection after Clean Laparoscopy for Endometriosis.","authors":"Kelsey A Stewart, Dan S Ubl, Elizabeth B Habermann, Zaraq Khan, Tatnai L Burnett, Adela G Cope","doi":"10.1016/j.jmig.2025.06.001","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.06.001","url":null,"abstract":"<p><strong>Study objective: </strong>Assess surgical site infection (SSI) risk for clean benign gynecologic laparoscopy for endometriosis.</p><p><strong>Design: </strong>Retrospective cohort SETTING: National Surgical Quality Improvement Project (NSQIP) hospitals, 2019-2022.</p><p><strong>Patients: </strong>Patients aged 16-55 undergoing gynecologic laparoscopy. Cases for endometriosis were compared to other indications (ovarian cyst, tubal ligation, or prophylaxis for hereditary cancer). Procedures with entry into any visceral tract, malignancy, myomectomy, prolapse repair, or laparotomy were excluded.</p><p><strong>Interventions: </strong>The primary outcome was 30-day SSI. Multivariable regression adjusted for demographic and clinical factors.</p><p><strong>Measurements and main results: </strong>There were 5,684 (18.9%) patients who underwent clean gynecologic laparoscopy for endometriosis, 24,428 (81.1%) for other benign indications. Patients with endometriosis were younger, had lower BMI (p<0.001), and longer procedures (15.7%,3.0% ≥120 min,p<0.0001). SSI occured in 1.8% of patients; 1.5% superficial, 0.2% organ space. Endometriosis cases had higher SSI (2.3%,1.6%,p=0.0005), including superficial (1.9%,1.5%,p=0.0217) and organ/space (0.4%,0.2%,p=0.0003). The highest SSI rates occurred with endometriosis adnexal surgery (3.1%), non-endometrioma cystectomy (2.6%), and endometriosis excision (2.2%)(p<0.0001). Readmission for endometriosis was more frequent (1.2%,0.6%, p=0.0001), but not reoperation (0.4%,0.3%,p=0.087). Operating time for endometriosis was longer (76.3 vs. 44.8 min, p<0.0001), though infection rate increased with duration in both groups (p<0.001, p=0.013).The association between endometriosis and SSI remained significant after adjustment for age, race, BMI, comorbidities, operating time, year, and concurrent procedures (aOR 1.31; 95% CI 1.04-1.64).</p><p><strong>Conclusion: </strong>Clean gynecologic laparoscopy for endometriosis carries higher SSI and readmission risk, especially for adnexal surgery or prolonged procedures. Future research should evaluate the effect of antibiotic prophylaxis in this group.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293897","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}