Pooja Sheladiya, Sarah Simko, Golnaz Namazi, Mallory Stuparich
{"title":"Resection of an Inguinal Canal Fibroid with Concurrent Endometriosis in a Patient Status Post Hysterectomy.","authors":"Pooja Sheladiya, Sarah Simko, Golnaz Namazi, Mallory Stuparich","doi":"10.1016/j.jmig.2025.03.023","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.023","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143803638","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":"Is there a role for TXA in elective gynecologic surgery?","authors":"Amanda Yunker","doi":"10.1016/j.jmig.2025.04.001","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.04.001","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795714","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":"Pneumovaginal Resection of a Vaginal Septum in Obstructed Hemi Vagina and Ipsilateral Renal Anomaly (OHVIRA) Syndrome.","authors":"Taryn Wassmer, Krista Childress, Lesley Breech","doi":"10.1016/j.jmig.2025.03.017","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.017","url":null,"abstract":"<p><p>Objective To demonstrate surgical excision of a high obstructing vaginal septum using a pneumovaginal approach with the GelPOINT Path Transanal Access Platform. Setting OHVIRA Syndrome is defined by a Müllerian anomaly with a unilateral obstructed hemivagina and associated renal anomaly (1, 2). Resection of a high vaginal septum can be technically challenging from the transvaginal approach, limited by instrument length and introital size in recently menarchal patients, which can result in poor outcomes such as incomplete septum resection and stenosis. Pneumovaginal endoscopic surgery has been performed in 18 previously reported cases, most to treat vaginal erosions of synthetic mesh used for pelvic organ prolapse, with two reported resections of longitudinal vaginal septa described (3-5). Participants An 11-year-old post-menarchal patient presented with uncontrolled abdominal pain due to hematometrocolpos in the setting of OHVIRA syndrome. Interventions The distal aspect of the obstructive vaginal septum was noted to be greater than 5 cm superior to the introitus. She underwent pneumovaginal resection of an obstructing vaginal septum. Conclusion Pneumovaginal resection of an obstructing vaginal septum is a minimally invasive, feasible approach in a young patient with OHVIRA. Application of this surgical technique may result in improved visualization and has potential to result in more complete excision of the vaginal septum in challenging cases.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143788354","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":"Uterine Artery Embolization Before Myomectomy: Is It Worth the Trouble?","authors":"Diane Bula Ibula MD , Ambre Balestra MD , Panayiotis Tanos MD , Michelle Nisolle MD, PhD , Stavros Karampelas MD","doi":"10.1016/j.jmig.2024.11.009","DOIUrl":"10.1016/j.jmig.2024.11.009","url":null,"abstract":"<div><h3>Objectives</h3><div>This study compared patients who underwent myomectomy with preoperative uterine artery embolization (UAE) to those who underwent surgery without UAE. The primary objective was to analyze whether preoperative embolization reduces perioperative blood loss and other related complications. The secondary objective was to analyze the long-term outcomes of the 2 techniques in terms of fertility and obstetrical complications.</div></div><div><h3>Design</h3><div>Observational cohort retrospective study approved by the Brugmann University Hospital's ethics committee (CE2023/79).</div></div><div><h3>Setting</h3><div>The department of gynecology database was used to extract all myomectomy cases between January 2011 and December 2021. Hysteroscopic myomectomies were excluded.</div></div><div><h3>Patients</h3><div>192 patients were included.</div></div><div><h3>Interventions</h3><div>The population was divided according to the presence or absence of preoperative UAE. The UAE and myomectomy group comprised 95 cases between 2011 and 2020, while the myomectomy-only group consisted of 97 cases between 2014 and 2021.</div></div><div><h3>Measurements and Main Results</h3><div>Blood loss was significantly lower when preoperative UAE was performed (175.9 [308.5] mL versus 623.3 [697.5] mL, p-value <.0001). However, there was no significant difference in postoperative haemoglobin, blood transfusion rate or emergent hysterectomy conversions compared to myomectomy as the only treatment. UAE was associated with complications that may result in infertility, such as adhesions (15.3% UAE group vs. 2.2% non-UAE group, p-value .02) and an increased incidence of miscarriage in pregnancies (53.5% UAE group vs. 22.3% non-UAE group, p-value = .01). Furthermore, in cases where a pregnancy did progress following UAE, later obstetrical complications such as abnormal placentation or uterine rupture were common in the series (21.7% UAE group vs. 0% non-UAE group, p-value = .03).</div></div><div><h3>Conclusion</h3><div>The findings of our study indicate that, other than a lower estimated blood loss (EBL), preoperative UAE does not appear to improve the outcome of myomectomies, while potentially increasing the risk of fertility and pregnancy related complications.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 4","pages":"Pages 386-394"},"PeriodicalIF":3.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142668120","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}