Journal of minimally invasive gynecology最新文献

{"title":"Factors Associated with Spontaneous Conception Leading to Live Birth in Infertility Patients After Endometriosis Surgery.","authors":"Anthony D Nguyen, Hannah L Marshall, Meg W Sidle, Veronica D Galaviz, Peter L Sticco, Keith T Downing","doi":"10.1016/j.jmig.2025.03.010","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.010","url":null,"abstract":"<p><strong>Study objective: </strong>To determine factors associated with spontaneous conception leading to live birth in infertility patients after endometriosis surgery.</p><p><strong>Design: </strong>Retrospective cohort study.</p><p><strong>Setting: </strong>Multi-hospital health system of Catholic Health in Long Island, NY.</p><p><strong>Participants: </strong>Infertility patients, between ages 18 and 45, who underwent endometriosis surgery with complete excision or ablation with or without excision and continued follow-up care for at least one year between January 1^st, 2016 and March 31^st 2022.</p><p><strong>Main results: </strong>Of the 100 patients, 50 achieved spontaneous conception and 40 achieved live birth within one year of surgery. Age less than 35 at the time of surgery was found to have an increased likelihood of live birth (RR 3.1, 95% CI 1.3-7.2). Being overweight (RR 1.0, 95% CI 0.4-2.2) or obese (RR 1.2, 95% CI 0.4-3.1) did not affect the likelihood of live birth. Surgery within 24 months of infertility diagnosis did not increase the likelihood of a successful delivery (RR 2.0, 95% CI 0.9-4.5). The pregnancy rate for AAGL Stage I, II, III, IV endometriosis were 42% (18/32), 32% (8/25), 46% (6/13), 42% (8/19) respectively. The logistic regression model indicated that live birth after spontaneous conception was significantly associated with younger age at the time of surgery and complete excision of endometriosis. Patients were 3.2 times (95% CI 1.3-7.8) more likely of having a live birth if they were less than 35 years old at the time of surgery. Complete excision of endometriosis conferred a 4.1-fold (95% CI 1.1-14.9) increased likelihood of a live birth.</p><p><strong>Conclusion: </strong>Two factors increased the likelihood of live birth after endometriosis surgery: age at the time of surgery and complete excision of endometriosis. We cautiously recommend patients attempting spontaneous conception find an endometriosis surgeon proficient in excisional techniques. If they are under 35, there may be additional benefit from surgery.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143700738","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":"Non-Communicating Rudimentary Horn Pregnancy.","authors":"Giuliana Rivera Casul, Thomas Gallant","doi":"10.1016/j.jmig.2025.03.008","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.008","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143692384","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":"\"Gynecologic Findings in Hereditary Leiomyomatosis and Renal Cell Carcinoma Syndrome (HLRCC)\".","authors":"María T Ortiz-Fullana, Courtney Poston, Mariana Gonzalez, Katrin Arnolds","doi":"10.1016/j.jmig.2025.03.004","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.004","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670193","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":"Impact of surgeon characteristics on endometriosis surgery outcomes.","authors":"Olga Bougie, Ally Murji, Maria P Velez, Jessica Pudwell, Jonas Shellenberger, Jamie Kroft","doi":"10.1016/j.jmig.2025.03.003","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.003","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the association between surgeon characteristics and postoperative surgical outcomes, including rates of complications, recurrence of symptoms, fertility outcomes, and need for reoperation for individuals undergoing surgical management of endometriosis.</p><p><strong>Design: </strong>Population cohort study.</p><p><strong>Setting: </strong>Ontario, Canada PATIENTS: 83,787 Ontario patients, who are biologically identified as women, aged 18-50 who had an initial diagnosis of endometriosis (ICD-9-617 or ICD-10-N80) between April 1, 2002, and March 31, 2018.</p><p><strong>Interventions: </strong>Surgeon volume of endometriosis cases, grouped into four categories: 6 or fewer in the prior year (low volume), 7 - 11 (moderate volume), 12 - 23 (high volume), and 24 or more (highest volume). A modified exposure variable defined by surgeon's volume of complex endometriosis surgery (based on OHIP billing code) in the year prior to the index surgery was also used.</p><p><strong>Measurements: </strong>The primary outcome was the rate of re-operation within 30 days of index surgery and over the duration of follow-up in the study. Secondary outcomes were postoperative complications, the rate of infertility consults, and live birth rate following endometriosis surgery.</p><p><strong>Main results: </strong>The majority of patients (80.3%) underwent surgery with a low volume surgeon. In the 30-day post-operative period, the lowest rate of postoperative complication was noted amongst the highest volume surgeons (5.5%). There was a significantly reduced risk of complications amongst high volume surgeons compared to low volume surgeons (aHR 0.84, 95% CI 0.74 - 0.96). Higher volume surgeons tended to refer patients for fertility assessment and these patients also had higher chance of achieving a livebirth postoperatively. Patients who underwent surgery with a high volume of complex endometriosis surgeon, were less likely to undergo repeat surgery (17.8% vs. 32.9%, aHR 0.80 (0.72 - 0.88)), including all the surgery types examined.</p><p><strong>Conclusion: </strong>Our study suggests the majority of patients undergoing surgery for endometriosis have surgery with a low volume surgeon. Postoperative outcomes were impacted by surgeon volume, suggesting that there is a need to define criteria for surgical competency. Ongoing work to define surgeon characteristics and skills required to perform different types of endometriosis surgery is encouraged.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649281","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":"Prolapsing Ureterocele Presenting as Benign Vulvar Mass in Nulliparous Female.","authors":"Mark Xu, Benjamin M Daniel, Randy Casals, Amr El Haraki","doi":"10.1016/j.jmig.2025.03.006","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.006","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649284","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":"Vaginal Erosion of a Prior Transabdominal Cerclage.","authors":"Ana-Maria Iancu, Herbert Wong, Grace Liu","doi":"10.1016/j.jmig.2025.03.005","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.005","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649299","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":"Posterior cervical outpouching: an iatrogenic complication of dilatation and curettage?","authors":"Christina Antinora, Emily Liu, Ahmad Hasan, Nigel Pereira","doi":"10.1016/j.jmig.2025.03.002","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.002","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634286","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":"Outcome and Surgical Technique of Robot-assisted Living Donor Hysterectomy for Uterus Transplantation.","authors":"Masato Tamate, Giuliano Testa, Laura Divine, Liza Johannesson","doi":"10.1016/j.jmig.2025.02.013","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.02.013","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585945","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 \"Comparison of Recurrence and Survival Between Patients with Pathological Stage I Epithelial Ovarian Cancer after Laparoscopic or Laparotomic Surgery: Retrospective Analysis of a Propensity-Matched Cohort\".","authors":"Min Du","doi":"10.1016/j.jmig.2025.02.016","DOIUrl":"10.1016/j.jmig.2025.02.016","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585947","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)00042-1","DOIUrl":"10.1016/S1553-4650(25)00042-1","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 3","pages":"Page A1"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578731","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}