Journal of minimally invasive gynecology最新文献

{"title":"Excision of Atypical Endometrioma from the Myometrium.","authors":"Maria-Camila Ochoa, Olga M Fajardo","doi":"10.1016/j.jmig.2025.09.522","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.09.522","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145186209","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 \"Endometrial biopsy versus no endometrial biopsy with a normal appearing cavity during in-office hysteroscopy for postmenopausal bleeding: A randomized controlled trial\".","authors":"Lei Zhang, Taipeng Tan","doi":"10.1016/j.jmig.2025.09.521","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.09.521","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145176117","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":"Intraoperative Visualization of Pelvic Nerves. Highlighting the road during nerve-sparing endoscopic procedures.","authors":"Menocal-Tavernier Armando, Ovando Alvaro, Patryk Piekos, Jose Carugno","doi":"10.1016/j.jmig.2025.09.520","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.09.520","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145102915","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":"Laparoscopic Transabdominal Cerclage—A Gold Standard for Cervical Insufficiency in Complex Obstetric Histories?","authors":"Afchine Fazel MD, PhD","doi":"10.1016/j.jmig.2025.08.010","DOIUrl":"10.1016/j.jmig.2025.08.010","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 10","pages":"Pages 843-844"},"PeriodicalIF":3.3,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145091582","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":"Board Of Directors-Ed Calendar","authors":"","doi":"10.1016/S1553-4650(25)00324-3","DOIUrl":"10.1016/S1553-4650(25)00324-3","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 10","pages":"Page A1"},"PeriodicalIF":3.3,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108610","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":"International Societies","authors":"","doi":"10.1016/S1553-4650(25)00325-5","DOIUrl":"10.1016/S1553-4650(25)00325-5","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 10","pages":"Page A2"},"PeriodicalIF":3.3,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108218","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":"TOC","authors":"","doi":"10.1016/S1553-4650(25)00327-9","DOIUrl":"10.1016/S1553-4650(25)00327-9","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 10","pages":"Pages A4-A6"},"PeriodicalIF":3.3,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108612","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":"Trends in Endometriosis Management: A 10-Year US Claims Analysis.","authors":"Hannah Lewis, V K Parisa-Fatemeh Asad Zadeh, Luba Soskin, Jared Worful, Georgine Lamvu","doi":"10.1016/j.jmig.2025.09.519","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.09.519","url":null,"abstract":"<p><strong>Study objective: </strong>To examine real-world treatment patterns for endometriosis and their alignment with clinical best-practice recommendations.</p><p><strong>Design: </strong>Observational, retrospective study from 2009 to 2022.</p><p><strong>Setting: </strong>Two large US health insurance claims databases, MarketScan® and OPTUM®.</p><p><strong>Patients: </strong>Women aged 16-45 years with continuous enrollment in OPTUM® and MarketScan® and at least 2 diagnoses of endometriosis. Hysterectomy, menopause or active treatment of malignancy were exclusion criteria.</p><p><strong>Interventions: </strong>Pharmacological therapy (including OCPs, POPs, GnRH analogs, opioids), and surgical management (including laparoscopy and hysterectomy).</p><p><strong>Measurements: </strong>Frequencies, means, Time-to-event Kaplan-Meier curves, and Sankey diagrams were used to examine treatment initiation, frequencies and sequences.</p><p><strong>Main results: </strong>A total of 22,317 participants from OPTUM® and 54,630 from MarketScan® were included. Most of these patients (71.0% OPTUM®, 72.1% MarketScan®) received surgery after diagnosis of endometriosis, whereas medications were prescribed in 42.1% (OPTUM®) and 44.9% (MarketScan®). Surgery was performed as a first-line intervention in 37.6% (n=8,395, including 4,481 laparoscopies and 3,914 hysterectomies in OPTUM®) and 41.8% (n=22,858, including 13,175 laparoscopies and 9,683 hysterectomies in MarketScan®). Among first-line surgeries (n=8,395 OPTUM®, n=22,858 MarketScan®), laparoscopies accounted for over half (53.4%, n=4,481 OPTUM®; 57.6%, n=13,175 MarketScan®), while hysterectomies comprised nearly half (46.6%, n=3,914 OPTUM®; 42.4%, n=9,683 MarketScan®). Pharmacotherapy was used first-line in 49.9% (n=11,135) of OPTUM® and 45.5% (n=24,840) of MarketScan®. Opioids were used first-line in 12.5% (n=2,787) OPTUM® and 12.7% (n=6,932) MarketScan®. Pharmacological therapies were started as first-line intervention within 15-23 weeks, and surgeries were performed within 16-18 weeks after diagnosis. Those with gynecologic comorbidities had a shorter diagnosis-to-treatment interval than those with mental health and pain comorbidities.</p><p><strong>Conclusion: </strong>Therapies for endometriosis are generally started within 4-6 months of diagnosis. Surgery is used more frequently than medical management, and in the majority of cases, surgery was first-line intervention. Opioids are still frequently prescribed despite strong guidelines recommending against their use.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145085967","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 \"Comparative efficacy of different therapeutic modalities in the management of cesarean scar pregnancy based on its different classifications\".","authors":"Hongmei Zuo, Xuefang Liu","doi":"10.1016/j.jmig.2025.08.033","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.08.033","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-09-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145069703","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":"Optimizing New Urogynecology Consultations: Advanced Practice Providers are Key.","authors":"Kristina A Burger, Joseph B Rigdon, Terra L Schmitt, Erinn M Myers, Kevin J Stepp, Kelley A Kaczmarski, Megan E Tarr","doi":"10.1016/j.jmig.2025.09.511","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.09.511","url":null,"abstract":"<p><strong>Objective: </strong>Advanced practice providers (APPs) are commonplace in urogynecology, but there is a lack of research evaluating their integration into outpatient care. This study evaluated an outpatient model wherein APPs functioned as new patient consultants. To evaluate feasibility, we determined the concordance (agreement) between the APP's recommended plan for operative intervention at initial consultation and the surgeon's plan at subsequent consultation hypothesizing ≥ 90% concordance.</p><p><strong>Design: </strong>Prospective, feasibility study.</p><p><strong>Setting: </strong>Single institution in an urban outpatient urogynecology setting.</p><p><strong>Participants: </strong>Women ≥ 18 years seeking new urogynecology consultation.</p><p><strong>Interventions: </strong>Patients who received a recommended care plan from the APP that included an operative intervention were subsequently scheduled for a consultation with a surgeon. The primary outcome was concordance for operative intervention by the APP and surgeon. Secondary outcomes included concordance of specific operative approach, wait time to initial consultation, and patient satisfaction. A confidence interval approach was used to estimate a sample size of 100 participants, a priori.</p><p><strong>Results: </strong>In a sample of 100 patients, the concordance between the APP and surgeon for operative intervention was 95% (one-sided 95% CI = 0.90 - 1.00). For 29 of 30 treatment plans that included a specific operative approach, concordance was 97% (95% CI = 0.85 - 1.00). Median time to initial consultation was 49 days (IQR 40 - 77). Eighty-one percent of women completed patient satisfaction surveys and reported high satisfaction with the initial APP consultation.</p><p><strong>Conclusion: </strong>For women undergoing new urogynecology consultation, high concordance of 95% between the APP and surgeon suggests this model can be feasible. This outpatient model, which allowed APPs to function as new patient consultants, provided a practical approach to address our growing need for urogynecology care.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145064883","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}