Journal of minimally invasive gynecology最新文献

{"title":"Spontaneous Uterine Rupture in the Third Trimester of Pregnancy After Radiofrequency Ablation for Diffuse Adenomyosis","authors":"Stefano Scarperi MD, Enrico Pazzaglia MD, Stefano Uccella MD, PhD, Diego Raimondo MD, PhD","doi":"10.1016/j.jmig.2026.02.035","DOIUrl":"10.1016/j.jmig.2026.02.035","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Pages 1393-1395"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147306529","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":"Static Digital Twins for Surgical Planning in Complex Gynecologic Cancer Recurrence: A Proof-of-Concept Feasibility Study","authors":"Francesco Mezzapesa MD, Barbara Bortolani PhD, Elisabetta Pia Bilancia MD, Lucia Genovesi MD, Lorenza Freyrie MD, Laura Cercenelli PhD, Pierandrea De Iaco MD, Emanuela Marcelli PhD, Anna Myriam Perrone MD, PhD","doi":"10.1016/j.jmig.2026.04.005","DOIUrl":"10.1016/j.jmig.2026.04.005","url":null,"abstract":"<div><h3>Study Objective</h3><div>To evaluate the feasibility and surgical impact of static digital twin reconstructions in patients undergoing resection for complex pelvic or abdominal recurrences of gynecologic cancers.</div></div><div>To evaluate the feasibility and surgical impact of static digital twin reconstructions in patients undergoing resection for complex pelvic or abdominal recurrences of gynecologic cancers.</div><div><h3>Design</h3><div>Prospective and observational feasibility study.</div></div><div>Prospective and observational feasibility study.</div><div><h3>Setting</h3><div>Academic tertiary care center with integrated biomedical engineering support.</div></div><div>Academic tertiary care center with integrated biomedical engineering support.</div><div><h3>Patients</h3><div>Four patients with suspected oligometastatic recurrence of gynecologic malignancy involving vascular, urinary, nervous, or skeletal structures, deemed eligible for curative-intent surgery and 8 historical controls with recurrent leiomyosarcoma selected for exploratory comparison.</div></div><div>Four patients with suspected oligometastatic recurrence of gynecologic malignancy involving vascular, urinary, nervous, or skeletal structures, deemed eligible for curative-intent surgery and 8 historical controls with recurrent leiomyosarcoma selected for exploratory comparison.</div><div><h3>Interventions</h3><div>Included patients underwent high-resolution cross-sectional imaging followed by semiautomated 3D segmentation and static digital twin reconstruction using Mimics Medical software (Materialise, Leuven, Belgium). Virtual models were co-reviewed by surgeons and engineers for surgical planning. During surgery, the digital twin was available for intraoperative navigation. Postoperative concordance between the model and intraoperative findings was evaluated by a multidisciplinary team (surgeon, radiologist, and clinical engineer) using an internally developed 1–5 rating scale.</div></div><div>Included patients underwent high-resolution cross-sectional imaging followed by semiautomated 3D segmentation and static digital twin reconstruction using Mimics Medical software (Materialise, Leuven, Belgium). Virtual models were co-reviewed by surgeons and engineers for surgical planning. During surgery, the digital twin was available for intraoperative navigation. Postoperative concordance between the model and intraoperative findings was evaluated by a multidisciplinary team (surgeon, radiologist, and clinical engineer) using an internally developed 1–5 rating scale.</div><div><h3>Measurements and Main Results</h3><div>All procedures were completed without intraoperative complications. The mean operative time was 191.5 minutes (range 120–270). In each case, the static digital twin allowed enhanced preoperative planning, identification of anatomical variants (e.g., duplicated ureter), and optimized team coordination. Surgical findings were highly concordant with the pr","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Pages 1533-1540.e1"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Regarding “Stepwise REsectoscopic DIscoid SHaping (REDISH) followed by ultrasound-guided forceps traction for safe and effective one-step removal of large and deep submucous myomas”","authors":"Sangameshwar Manikya BDS, Varshini Vadhithala MBBS, Rajnish Kumar PhD, Pankaj Nainwal PhD","doi":"10.1016/j.jmig.2026.03.038","DOIUrl":"10.1016/j.jmig.2026.03.038","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Page 1549"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147622873","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":"Authors' Reply","authors":"João Sequeira Alves MD, Tânia Meneses MD, Mafalda Mariano MD, Sofia Silvério Serra MD, Teresa Costa PhD, João Paulo Martins PhD, Benoit Rabishong MD, PhD, Jorge Lima MD, PhD, On behalf of the authors","doi":"10.1016/j.jmig.2026.03.029","DOIUrl":"10.1016/j.jmig.2026.03.029","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Page 1553"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574297","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":"Authors' Reply","authors":"Michela Dell’Aquila MD, Fabrizio Schonauer PhD, Giuseppe Bifulco PhD, Pierluigi Giampaolino PhD","doi":"10.1016/j.jmig.2026.03.027","DOIUrl":"10.1016/j.jmig.2026.03.027","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Pages 1551-1552"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147530039","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 “Is Endometriosis Staging Related to the Type and Intensity of Patients' Complaints? A Systematic Review and Meta-Analysis”: Toward a Symptom-Oriented Framework in Endometriosis","authors":"Masao Ichikawa MD, PhD, Osamu Wada-Hiraike MD, PhD, Shunji Suzuki MD, PhD","doi":"10.1016/j.jmig.2026.03.030","DOIUrl":"10.1016/j.jmig.2026.03.030","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Pages 1552-1553"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574370","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":"Three-Year Changes in Health-Related Quality of Life after Laparoscopic Hysterectomy: A Registry-Based Cohort Study","authors":"Silje Eilertsen Denstad MD,&nbsp;Ingrid Volløyhaug MD, PhD,&nbsp;Marit Lieng MD, PhD,&nbsp;Øyvind Salvesen PhD,&nbsp;Risa Anna Margaretha Lonnee-Hoffmann MD, PhD","doi":"10.1016/j.jmig.2026.03.036","DOIUrl":"10.1016/j.jmig.2026.03.036","url":null,"abstract":"<div><h3>Study Objective</h3><div>To evaluate changes in health-related quality of life (HRQoL) 3 years after laparoscopic hysterectomy (LH) for benign, prophylactic, and malignant indications, and to identify baseline factors associated with these changes.</div></div><div><h3>Design</h3><div>Registry-based observational cohort study with longitudinal patient-reported outcomes.</div></div><div><h3>Setting and Participants</h3><div>Women undergoing LH at 5 Norwegian hospitals between 2019 and 2020.</div></div><div><h3>Interventions</h3><div>LH for benign, prophylactic, or malignant indications.</div></div><div><h3>Measurements</h3><div>HRQoL was assessed preoperatively and at 3 years using the RAND-36 across 8 domains (0–100; higher scores indicating better health).</div></div><div><h3>Main Results</h3><div>Of 939 eligible women, 575 (61%) responded at 3 years. Indications were benign disease (n = 445, 77.4%), prophylactic surgery (n = 71, 12.3%), and malignancy (n = 59, 10.3%).</div><div>Women with benign conditions showed significant improvements in bodily pain (mean difference (MD): 12.1, 95% confidence interval (CI): 9.3, 14.9) and physical role limitations (MD: 10.9, CI: 6.3, 15.5) (both p ≤ .001), with consistent effects across subgroups. Prophylactic surgery showed no significant changes. Malignant indications had mixed outcomes: physical functioning declined (MD: 9.5, CI: −14.9, −4.1, p ≤ .001), while mental health improved (MD: 7.2, CI: 1.8, 12.5, p = .009). Among benign cases, higher baseline HRQoL predicted less improvement (regression coefficient β = −8.0 to −4.6, p &lt;.001).</div></div><div><h3>Conclusion</h3><div>Three years after LH, changes in HRQoL outcomes varied by indication. Women with benign conditions showed significant improvements, while prophylactic surgery showed no significant change and malignant indications yielded mixed effects. Baseline HRQoL was the strongest predictor of long-term change, highlighting its importance in preoperative counseling.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Pages 1488-1496"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147838966","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pain Severity and Magnetic Resonance Imaging as Key Factors in the Management of Accessory Cavitated Uterine Malformation","authors":"François Golfier MD, PhD,&nbsp;Marianne Fedaoui MD,&nbsp;Mojgan Devouassoux-Shisheboran MD, PhD,&nbsp;Emilie NGuyen-Ba MD,&nbsp;Sophie Warembourg MD,&nbsp;Camille Bouit MD,&nbsp;Pierre-Adrien Bolze MD, PhD,&nbsp;Pascal Rousset MD, PhD","doi":"10.1016/j.jmig.2026.03.022","DOIUrl":"10.1016/j.jmig.2026.03.022","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Study Objective&lt;/h3&gt;&lt;div&gt;To describe surgical and non-surgical management strategies for accessory cavitated uterine malformation (ACUM), according to clinical symptoms and magnetic resonance imaging (MRI).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;To describe surgical and non-surgical management strategies for accessory cavitated uterine malformation (ACUM), according to clinical symptoms and magnetic resonance imaging (MRI).&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;Retrospective multicenter observational cohort study including consecutive patients diagnosed with ACUM.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Retrospective multicenter observational cohort study including consecutive patients diagnosed with ACUM.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Setting&lt;/h3&gt;&lt;div&gt;Three university-affiliated tertiary referral centers.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Three university-affiliated tertiary referral centers.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Patients&lt;/h3&gt;&lt;div&gt;Thirty-two consecutive patients diagnosed with ACUM based on MRI criteria.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Thirty-two consecutive patients diagnosed with ACUM based on MRI criteria.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Intervention(s)&lt;/h3&gt;&lt;div&gt;Patients meeting diagnostic criteria for ACUM were managed with surgery, sclerotherapy, or expectant observation after evaluation of lesion characteristics and symptom severity.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Patients meeting diagnostic criteria for ACUM were managed with surgery, sclerotherapy, or expectant observation after evaluation of lesion characteristics and symptom severity.&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Measurements and Main Results&lt;/h3&gt;&lt;div&gt;Evolution of pelvic symptoms according to management decision. Severe pelvic symptoms were reported in 79% of patients and 72% of lesions were predominantly extra-myometrial (FIGO type-6, 7, or 8) on MRI. Surgical management—predominantly minimally invasive excision of the accessory cavity with preservation of uterine integrity—was performed in 27 patients (84%). Among surgically treated patients, median visual analog scale (VAS) dysmenorrhea decreased from 8.5 (IQR 8–9) preoperatively to 1 (IQR 0–3) at follow-up, and median VAS chronic pelvic pain decreased from 8 (IQR 6–9) to 0 (IQR 0–3). No specific treatment was administered in 4 asymptomatic patients who remained symptom-free during follow-up. One patient underwent ethanol sclerotherapy with radiologic lesion regression and clinical symptom relief at follow-up MRI.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;Evolution of pelvic symptoms according to management decision. Severe pelvic symptoms were reported in 79% of patients and 72% of lesions were predominantly extra-myometrial (FIGO type-6, 7, or 8) on MRI. Surgical management—predominantly minimally invasive excision of the accessory cavity with preservation of uterine integrity—was performed in 27 patients (84%). Among surgically treated patients, median visual analog scale (VAS) dysmenorrhea decreased from 8.5 (IQR 8–9) preoperatively to 1 (IQR 0–3) at follow-up, and median VAS chronic pelvic pain decreased from 8 (IQR 6–9) to 0 (IQR 0–3). No specific treatment was administered in 4 asymptomatic patients","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Pages 1465-1472.e1"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147512581","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Corrigendum to Impact of Uterine Scar on Pain Experienced During Outpatient Hysteroscopy: A Prospective Blinded Comparative Study","authors":"Amr H. Wahba MD, MRCOG,&nbsp;AbdelGany M. Hassan MD, MRCOG,&nbsp;Mohamed Kotb MD,&nbsp;Hossam ElShenoufy MD, MRCOG,&nbsp;Hisham M. Haggag MD","doi":"10.1016/j.jmig.2026.07.017","DOIUrl":"10.1016/j.jmig.2026.07.017","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Page 1557"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148678951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"International Societies","authors":"","doi":"10.1016/S1553-4650(26)00474-7","DOIUrl":"10.1016/S1553-4650(26)00474-7","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Page A2"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149125198","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}