Journal of minimally invasive gynecology最新文献

{"title":"International Societies","authors":"","doi":"10.1016/S1553-4650(25)00143-8","DOIUrl":"10.1016/S1553-4650(25)00143-8","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 6","pages":"Page A2"},"PeriodicalIF":3.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144125081","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)00142-6","DOIUrl":"10.1016/S1553-4650(25)00142-6","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 6","pages":"Page A1"},"PeriodicalIF":3.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144125008","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)00145-1","DOIUrl":"10.1016/S1553-4650(25)00145-1","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 6","pages":"Pages A4-A6"},"PeriodicalIF":3.5,"publicationDate":"2025-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144124978","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":"Does Concurrent Burch Colposuspension Reduce Postoperative Stress Urinary Incontinence in Laparoscopic Sacrocolpopexy? An Interim Analysis.","authors":"Keisuke Oyama, Shoko Ikeda, Makiko Yuda","doi":"10.1016/j.jmig.2025.05.009","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.05.009","url":null,"abstract":"<p><strong>Study objective: </strong>This study aimed to evaluate whether performing Burch colposuspension (BC) concurrently with laparoscopic sacrocolpopexy (LSC) reduces the incidence of postoperative de novo stress urinary incontinence (SUI) and other urinary dysfunctions in patients with pelvic organ prolapse (POP).</p><p><strong>Design: </strong>A prospective cohort study conducted at a single center.</p><p><strong>Setting: </strong>The study was performed at a regional hospital specializing in gynecologic surgery.</p><p><strong>Patients: </strong>Twenty patients with ≥stage II POP scheduled for LSC (July 2023-June 2024), without prior prolapse/incontinence treatment, were included regardless of preoperative urinary incontinence status. Patients chose their preferred procedure after comprehensive counseling on risks and benefits; randomization was not performed.</p><p><strong>Interventions: </strong>The LSC group underwent LSC alone, while the LSC+BC group received BC concurrently with LSC. Subjective symptoms were assessed using standardized questionnaires, including the International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF) and the King's Health Questionnaire (KHQ), as well as a cough stress test, preoperatively and at three months postoperatively.</p><p><strong>Measurements and main results: </strong>Interim analysis showed a median [interquartile range] ICIQ-SF change of -3 [-6, 0] in the LSC group versus 0 [-5, 3] in the LSC+BC group (P=.360). The KHQ Incontinence Impact scale changed by -17 [-33, 25] for LSC versus 0 [-33, 0] for LSC+BC (P=1.000), and severity scores were -17 [-32, 5] versus 0 [-5, 22] (P=.305). Although LSC tended to yield better scores, the differences were not statistically significant. The median operative time was prolonged 52 minutes in the LSC+BC group (P<.001), and one bladder injury occurred in this group.</p><p><strong>Conclusion: </strong>This preliminary study suggests that adding BC to LSC did not significantly improve postoperative de novo SUI but increased operative time and complication risks. These findings suggest that routine use of BC in minimally invasive sacrocolpopexy may not be beneficial.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142776","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":"Perioperative Complications Following Vaginal Hysterectomy: Are we Getting Better at Laparoscopy or, Worse at Vaginal Surgery?","authors":"Siddhi Mathur","doi":"10.1016/j.jmig.2025.05.008","DOIUrl":"10.1016/j.jmig.2025.05.008","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144142777","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":"Utilizing Artificial Intelligence: Machine Learning Algorithms to Develop a Preoperative Endometriosis Prediction Model.","authors":"Danielle L Snyder, Silvana Sidhom, Corinne E Chatham, Sophie G Tillotson, Ruben D Zapata, François Modave, Miranda Solly, Amira Quevedo, Nash S Moawad","doi":"10.1016/j.jmig.2025.05.003","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.05.003","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the predictive value of clinical features in the diagnosis of endometriosis by utilizing machine learning algorithms (MLAs), aiming to develop an accurate, explainable prediction model.</p><p><strong>Design: </strong>Retrospective case-control study from 2011 to 2022.</p><p><strong>Setting: </strong>Tertiary referral center specializing in pelvic pain and minimally invasive gynecologic surgery.</p><p><strong>Participants: </strong>All women aged 18-55 undergoing laparoscopic or robot-assisted excision of lesions of the ovary, pelvic viscera, or peritoneal surface by a single surgeon from 2011-2022. Exclusion criteria included women who required emergent surgery, as well as those lacking surgical specimens submitted for pathological analysis or a documented pre-operative pelvic examination.</p><p><strong>Interventions: </strong>209 clinical features, including demographics, presenting symptoms, gynecologic/obstetric history, and physical exam findings, were analyzed as predictors of endometriosis. The primary outcome was model performance in predicting endometriosis, evaluated using accuracy, sensitivity, specificity, and area under the receiver operating characteristic curve (ROC-AUC). Feature importance was assessed using SHAP values.</p><p><strong>Results: </strong>Among 788 participants, 654 (83%) had pathology-confirmed endometriosis. The MLA, XGBoost, achieved an accuracy of 83%, sensitivity of 96%, and ROC-AUC of 0.81. SHAP analysis identified key predictors, including emesis (141 [21.56%] vs 10 [7.46%], p<.001), crampy pain (325 [49.69%] vs 38 [28.36%], p<.001), regular periods (429 [65.60%] vs 60 [44.78%], p<.001), severity of dysmenorrhea (0-3 Likert scale) (3 [2,3] vs 3 [2,3], p=.02), and retrocervical tenderness on rectovaginal exam (126 [19.27%] vs 7 [5.22%], p<.001).</p><p><strong>Conclusion: </strong>This study demonstrates that MLAs have potential to predict endometriosis preoperatively utilizing clinical features. Identified predictors, such as retrocervical tenderness, crampy pain, and regular periods, can aid primary care providers in early recognition and referral. Further validation in diverse populations is necessary to develop a widely applicable clinical prediction tool.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120025","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":"Primary diffuse large B-cell lymphoma of cervix in a postmenopausal woman.","authors":"Xuejian Li, Tianyi Wei, Boqiong Wu, Yu Chen","doi":"10.1016/j.jmig.2025.05.007","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.05.007","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101980","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":"Polypoid Endometriosis Mimicking Peritoneal Carcinomatosis.","authors":"Richard Hsu, Jeenal Shah, Christopher Kliethermes","doi":"10.1016/j.jmig.2025.05.006","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.05.006","url":null,"abstract":"<p><p>A 36 year-old female, gravida 0, presented with pelvic pain and bulk symptoms attributed to a fibroid uterus. Her medical history was significant for two prior myomectomies and a laparoscopically-confirmed endometriosis that was aborted due to severe anatomic distortion complicated by bowel adhesions. She had been on GnRH antagonist for 3-years for suspected endometriosis. The patient was consented and a diagnostic laparoscopy, excision of peritoneal lesions, and total laparoscopic hysterectomy with bilateral salpingectomy. Upon laparoscopic entry, diffuse nodules were noted throughout the abdomen, mimicking peritoneal carcinomatosis [Figure 1A]. Gynecologic Oncology was consulted intraoperatively, and a biopsy was taken. Frozen section analysis returned as benign tissue, consistent with endometriosis. The previously diagnosed \"dense bowel adhesions\" were evaluated at it was noted an approximate 9-cm degenerating FIGO Grade 6 leiomyoma had omental and minimal bowel adhesions. As a patient-centered discussion was held with the patient preoperatively, the decision was made to proceed with hysterectomy. The minimally invasive approach allowed for systematic evaluation of the pelvis. Multiple polypoid lesions were observed studding the peritoneum, pelvic sidewalls, and posterior cul-de-sac [Figure 1B]. Ovaries appeared normal without evidence of endometrioma [Fig. 2]. Visible polypoid endometriotic lesions on non-vital structures were excised using monopolar scissors, employing electrosurgical desiccation to ensure precise removal while minimizing damage to surrounding tissues. [Fig. 3A & 3B]. During the dissection, it became evident that the endometriosis was not superficial, highlighting the importance of excisional techniques for optimal removal. Careful dissection was performed to avoid injury to underlying structures. Postoperatively at her 6-week follow up, the patient reported significant improvement in her pain; GnRH antagonist therapy was discontinued. Final pathology confirmed polypoid endometriosis with no evidence of malignancy. This case highlights the importance of perioperative planning-including advanced imaging, surgeon expertise, biopsy, and multidisciplinary team involvement-when encountering peritoneal lesions mimicking carcinomatosis.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144101978","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":"Use of the Frailty \"timed up and go\" Test to Predict Perioperative Complications in Patients Undergoing Gynecologic Cancer Surgery.","authors":"Mary Katherine Anastasio, Allison Schwalb, Katherine Penvose, Donna Niedzwiecki, Gloria Broadwater, Leah McNally","doi":"10.1016/j.jmig.2025.05.002","DOIUrl":"10.1016/j.jmig.2025.05.002","url":null,"abstract":"<p><strong>Study objective: </strong>To assess the predictive value of frailty measured by the timed up and go (TUG) test on perioperative outcomes versus other perioperative screening methods.</p><p><strong>Design: </strong>Retrospective cohort study SETTING: Duke University Hospital and Duke Raleigh Hospital PATIENTS: Patients who underwent surgery with gynecologic oncologists at our institution from October 2019 to October 2023 with a preoperative TUG time recorded were included.</p><p><strong>Intervention(s): </strong>TUG times were recorded preoperatively. TUG time >12 seconds was considered frail. American Society of Anesthesiologists scores were extracted from the medical record. Modified frailty index (mFI) was calculated using 11 variables extracted from the medical record.</p><p><strong>Measurements and main results: </strong>Outcomes included postoperative complications, length of stay, and postoperative disposition. Comparisons between TUG times dichotomized at 8 and 12 seconds were made using Wilcoxon rank sum or chi-square; logistic regression was used to predict TUG time using these dichotomizations. Overall, 174 patients were included; 39 (22.4%) underwent laparotomy, 123 (70.6%) underwent laparoscopy, and 12 (6.9%) underwent other minor surgeries. Frail patients (TUG time > 12 seconds) were older and had higher mFI scores and lower preoperative albumin than nonfrail patients. There were no differences in major or minor complication rates after laparoscopic surgery between frail and nonfrail patients. American Society of Anesthesiologists and mFI were not associated with the need for transfusion (p > .05). Frail patients were more likely to receive a perioperative blood transfusion compared to nonfrail patients in the overall cohort (19.2% vs 4.1%, p = .0034). TUG time did not predict length of stay or postoperative disposition.</p><p><strong>Conclusion: </strong>Slower TUG times were associated with comorbidities, older age, and malnutrition. Frailty was not associated with complications in those who underwent laparoscopic surgery. Our findings support the use of this easy-to-administer practical frailty screening tool compared to more traditional methods.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094015","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":"A Large Prolapsed Submucous Leiomyoma Treated by Myomatous Twisting Followed by Hysteroscopic Pedicle Resection.","authors":"Yuanwei Liu, Wenchao Sun, Saiying Zhang","doi":"10.1016/j.jmig.2025.05.005","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.05.005","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144094012","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}