Journal of minimally invasive gynecology最新文献

{"title":"Transvaginal Radiofrequency Ablation for Symptomatic Uterine Fibroids: A Systematic Review and Meta-analysis of Effectiveness, Safety, and Reproductive Outcomes.","authors":"Gabriela Dalla Giacomassa Rocha Thomaz, Luma Girardi Kautz, Gabriela Pereira Macelaro, Manuela Morales Borges, Bruna Luiza Garmatz, Amanda Cometti de Andrade, Rafaela Soares Rech, Airton Tetelbom Stein, Carla Maria de Martini Vanin, Raquel Papandreus Dibi","doi":"10.1016/j.jmig.2026.04.006","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.04.006","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the efficacy, safety, and reproductive outcomes of transvaginal radiofrequency ablation (TV-RFA) for the treatment of symptomatic uterine fibroids.</p><p><strong>Data sources: </strong>We selected articles published between January 2020 and August 2025 from PubMed/MEDLINE, Embase, Scopus, Cochrane Library, LILACS, and SciELO databases.</p><p><strong>Methods of study selection: </strong>This systematic review followed the PRISMA 2020 guidelines and was registered in PROSPERO (CRD420251174700). We included observational studies reporting clinical, radiological, or reproductive outcomes following TV-RFA. Data extraction was performed by two independent reviewers. Risk of bias was assessed using ROBINS-I and the Newcastle-Ottawa Scale.</p><p><strong>Tabulation, integration, and results: </strong>Seven studies (n=616) were included. Analyses utilized random-effects models (REML) with Hartung-Knapp adjustment. The pooled volumetric reduction at 12 months was 72.4% (95% CI, 58.1-86.7%). Improvement in the Symptom Severity Score (SSS) showed a mean reduction of 9.8 points. The reintervention rate was 15% (95% CI, 5.2-19.8%). Major complications were rare. Meta-regression showed no association between baseline fibroid volume and response magnitude. Although scarce, reproductive data indicated a favorable safety profile, with successful pregnancies and no cases of uterine rupture reported.</p><p><strong>Conclusion: </strong>TV-RFA appears to be an effective, minimally invasive, uterine-sparing option, demonstrating significant volumetric reduction, consistent symptomatic improvement, and a low complication rate. While initial reproductive results are encouraging, robust prospective studies are needed to strengthen evidence regarding safety and fertility.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147717105","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":"Prospective multicentre registry study on sacropexy using the semitendinosus tendon for apical prolapse repair: an interim analysis.","authors":"Dr Med C Schröder, Prof Dr Med A Hornemann, Dr Med V Engler, Dr Ir M Bosserhoff, Dr Medic L Coltan, Dr Med J Rüger, Dr Med Dr Gb M Voss, Dr Med S Özer, K Panczak, Univ Prof DDr P Widschwendter, Dr J Stephan, DDr To Andraschofsky, Dr Med B Holthaus, Dr Med H Olberding, Dr Med N Rickovski, Prof Dr Med R Rothmund, Dr Med Mk Sajjadi, Dr Med L Tascón Padrón, Pd Dr Med Dj Ralser, Pd Dr Med Ek Egger, Dr Med LA Otten, Univ Prof Dr Med Dr H C A Mustea, Prof Dr Med D Koensgen","doi":"10.1016/j.jmig.2026.04.007","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.04.007","url":null,"abstract":"<p><strong>Study objective: </strong>Pelvic organ prolapse (POP) affects more than 40% of parous women. This registry study evaluates clinical and patient-reported outcomes of minimally invasive sacropexy using the autologous semitendinosus tendon for apical prolapse repair.</p><p><strong>Design: </strong>Prospective multicentre registry interim analysis.</p><p><strong>Setting: </strong>Six centres for minimally invasive pelvic floor surgery in Germany, Austria, and Switzerland.</p><p><strong>Participants: </strong>Patients with symptomatic apical POP (POP-Q ≥1) undergoing laparoscopic or robotic-assisted sacropexy between March 2023 and September 2025 (n=514).</p><p><strong>Interventions: </strong>Sacropexy was performed using an autologous semitendinosus tendon graft.</p><p><strong>Measurements: </strong>Outcomes were assessed at discharge, 3 months (FU3), and 12 months (FU12) using POP-Q staging and the validated German Pelvic Floor Questionnaire (GPFQ). Anatomical correction (POP-Q points Ba, Bp, C), complication rates, reoperation for POP, and patient-reported pelvic floor symptoms (GPFQ).</p><p><strong>Main results: </strong>Median age was 62 years and median BMI 24.2 kg/m²; 8.9% had previous POP surgery. Mean tendon harvesting time was 7 minutes and mean hospital stay 4 days. Intraoperative complications occurred in 3.5% and postoperative complications in 5.3%. POP-Q points Ba, Bp, and C improved significantly at all follow-ups (all p<0.05). Reoperation for POP occurred in 3.9% by FU12 without clinically relevant apical recurrence. All GPFQ domains improved significantly (total score 12.3 preoperatively vs. 4.5 at FU3 and 5.4 at FU12; p<0.001). Stress urinary incontinence symptoms decreased significantly.</p><p><strong>Conclusions: </strong>Autologous semitendinosus sacropexy is a safe minimally invasive alternative to mesh-based repair, providing excellent anatomical outcomes and significant quality-of-life improvement at mid-term follow-up.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147717052","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 Wandering Fibroid's Journey: A Primary Parasitic Myoma.","authors":"Mayuri Patel, Anna Najor, Tamatha Fenster","doi":"10.1016/j.jmig.2026.04.003","DOIUrl":"10.1016/j.jmig.2026.04.003","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147674357","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, Barbara Bortolani, Elisabetta Pia Bilancia, Lucia Genovesi, Lorenza Freyrie, Laura Cercenelli, Pierandrea De Iaco, Emanuela Marcelli, Anna Myriam Perrone","doi":"10.1016/j.jmig.2026.04.005","DOIUrl":"10.1016/j.jmig.2026.04.005","url":null,"abstract":"<p><strong>Study objective: </strong>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.</p><p><strong>Design: </strong>Prospective and observational feasibility study.</p><p><strong>Setting: </strong>Academic tertiary care center with integrated biomedical engineering support.</p><p><strong>Patients: </strong>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.</p><p><strong>Interventions: </strong>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.</p><p><strong>Measurements and main results: </strong>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 preoperative 3D models. No unplanned injuries or postoperative complications were observed. Intraoperative decision-making was positively influenced by the use of the model in all cases.</p><p><strong>Conclusion: </strong>Static digital twins are feasible and effective tools for surgical planning in complex gynecologic cancer recurrences. Their use supports anatomical understanding, interdisciplinary coordination, and intraoperative safety. Further research is needed to validate their impact on surgical outcomes and workflow efficiency.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-09","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":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"T-shaped uterus metroplasty is associated with increased live birth rate in women with recurrent pregnancy loss: evidence form a matched case-control study.","authors":"Andrea Busnelli, Ursula Catena, Annalisa Inversetti, Greta Barbaro, Emma Bonetti Palermo, Nicoletta DI Simone","doi":"10.1016/j.jmig.2026.03.035","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.03.035","url":null,"abstract":"<p><strong>Study objective: </strong>To investigate the effect of hysteroscopic metroplasty on spontaneous reproductive outcomes in women with a T-shaped uterus and recurrent pregnancy loss (RPL).</p><p><strong>Design: </strong>Matched case-control study conducted between January 2014 and December 2024.</p><p><strong>Setting: </strong>Two Italian university hospitals.</p><p><strong>Patients: </strong>Women aged 25-42 years with primary RPL (≥ 2 first-trimester intrauterine pregnancy losses) and a diagnosis of T-shaped uterus based on Q AZthe Congenital Uterine Malformation by Experts (CUME) criteria. Exclusion criteria included prior uterine surgery, identifiable causes of RPL, or use of assisted reproductive technologies (ART).</p><p><strong>Interventions: </strong>Cases were women who underwent hysteroscopic metroplasty using a standardized surgical protocol combining 3D transvaginal ultrasound and hysteroscopy; controls were matched by age (±1 year) and did not undergo surgery. The primary outcome was the live birth rate (LBR) within 12 months of spontaneous conception attempts. Secondary outcomes were the clinical pregnancy rate (CPR) and the first trimester pregnancy loss rate (PLR).</p><p><strong>Measurements and main results: </strong>A total of 86 women (43 cases and 43 controls) were included. The CPR was similar between cases and controls (67% (95% confidence interval (CI): 53%, 79.5%) vs 77% (95% CI: 62%, 87%) p=0.34; crude odds ratio (OR) 1.59, 95% CI: 0.62, 4.13). The first-trimester PLR was significantly lower (31% (95% CI: 17.3%, 49.2%) vs 70% (95% CI: 52.7%, 82.6%), p = 0.005; crude OR 0.20, 95% CI: 0.07-0.58), and the LBR significantly higher (47% (95% CI: 33%, 61%) vs 21 % (95% CI: 10%, 36%), p = 0.012; crude OR 3.29, 95% CI: 1.27, 8.48) in the metroplasty group compared to the unoperated group. Adjusted analyses controlling for smoking status and education level confirmed these findings.</p><p><strong>Conclusions: </strong>Hysteroscopic metroplasty may increase the LBR in women with T-shaped uterus and unexplained RPL by reducing the PLR. Randomized controlled trials (RCTs) are needed to confirm causality.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147662782","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":"Comparison of Indocyanine Green as a Standalone Tracer vs Technetium-99m Combined with Blue Dye for Sentinel Lymph Node Detection in Vulvar Cancer.","authors":"Balázs Vida, Pál Sebok, Lotti Lúcia Lőczi, Barbara Sebők, Petra Merkely, Hanna Sára Márkus, Balázs Lintner, Ferenc Bánhidy, Richárd Tóth, Márton Keszthelyi","doi":"10.1016/j.jmig.2026.04.002","DOIUrl":"10.1016/j.jmig.2026.04.002","url":null,"abstract":"<p><strong>Study objective: </strong>To compare the sentinel lymph node (SLN) detection rate of indocyanine green (ICG) as a standalone mapping technique with that of technetium-99m combined with blue dye (Tc99m + BD) in early-stage vulvar cancer.</p><p><strong>Design: </strong>Retrospective, single-centre, parallel-cohort study.</p><p><strong>Setting: </strong>Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary.</p><p><strong>Patients: </strong>Fifty patients with unifocal squamous cell vulvar carcinoma meeting criteria for SLN biopsy (clinical FIGO stage I to II; tumor size <4 cm; stromal invasion >1 mm; clinically and radiologically negative groins). Twenty-four patients underwent SLN mapping with ICG and 26 with Tc99m + BD.</p><p><strong>Interventions: </strong>SLN mapping using either ICG with near-infrared fluorescence imaging or Tc99m with BD and gamma-probe guidance, according to institutional practice.</p><p><strong>Measurements and main results: </strong>Per-patient SLN detection was achieved in all patients in both groups. Per-groin detection was 95.3% (41/43 groins) with ICG and 87.0% (40/46 groins) with Tc99m plus BD, corresponding to an absolute difference of 8.3% (95% CI -0.3% to 21.7%), which did not reach statistical significance (p = .07). The number of SLNs detected per patient did not differ significantly between the ICG and Tc99m + BD groups.</p><p><strong>Conclusion: </strong>In this retrospective, single-centre cohort, ICG-based SLN mapping achieved per-patient and per-groin detection rates comparable to those obtained with Tc99m combined with BD. These findings support the technical feasibility of ICG for SLN mapping in vulvar cancer; however, as this study was not designed as a noninferiority trial, no conclusions can be drawn regarding oncologic safety or equivalence between the two techniques.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147633504","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":"Hysteroscopy contribution in unlocated pregnancy localization diagnosis and management.","authors":"Elodie Meiranesio, Anne Pinton, Richard Paul-Dehlinger, Omar Hafez, Guillaume Legendre, Félicia Joinau-Zoulovits","doi":"10.1016/j.jmig.2026.04.001","DOIUrl":"https://doi.org/10.1016/j.jmig.2026.04.001","url":null,"abstract":"<p><strong>Objective: </strong>Evaluate diagnostic hysteroscopy contribution in early unlocated pregnancy localization.</p><p><strong>Design: </strong>A retrospective, observational study.</p><p><strong>Setting: </strong>A single tertiary hospital center.</p><p><strong>Participants: </strong>Patients with early non-viable pregnancies, abnormal plasma β-hCG kinetics (at least three measurements), inconclusive ultrasound concerning pregnancy localization and hemodynamic stability were included. Between May 2023 and July 2024, a total of 31 consecutive patients were eligible, of whom 27 were included in statistical analysis as they strictly met the inclusion criteria for non-viable pregnancy (β-hCG increase of ≤ 15% within 48 hours).</p><p><strong>Intervention: </strong>Outpatient diagnostic hysteroscopy for early non-viable unlocated pregnancy. Diagnostic hysteroscopy was performed by vaginoscopy using a rigid hysteroscope under physiological saline, in an outpatient visit, without anesthesia.</p><p><strong>Results: </strong>Diagnostic hysteroscopy localized pregnancy in 66.7% of cases (17 intrauterine, 1 cornual) via direct visualization of trophoblastic material. For plasma β-hCG ≥198 IU/L, HSC detected intrauterine material in 78.3% of cases. Below this threshold, results were inconclusive either with uterine vacuity or hematometria.</p><p><strong>Conclusion: </strong>Diagnostic hysteroscopy appears to be a useful, feasible tool for unlocated pregnancy management, allowing the pregnancy localization in about two-thirds of cases. In our study, a β-hCG threshold of 198 IU/L was associated with the detection of retained pregnancy tissue. However, further studies are needed to confirm its role, benefits, and the reliable β-hCG threshold for the interpretation of hysteroscopy results.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147627988","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 \"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, Varshini Vadhithala, Rajnish Kumar, Pankaj Nainwal","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":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-03","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":"Major Postoperative Complications After Endometriosis Surgery: Incidence and Outcomes From a Multicenter French Cohort.","authors":"Houda Ouafdi, Yohann Dabi, Cyril Touboul, Antoine Elies, Horace Roman, Nicolas Bourdel, Chrystèle Rubod, François Golfier, Arnaud Fauconnier, Pascal Rousset, Isabelle Thomassin-Naggara, Adrien Crestani","doi":"10.1016/j.jmig.2026.03.040","DOIUrl":"10.1016/j.jmig.2026.03.040","url":null,"abstract":"<p><strong>Objective: </strong>Surgery is a therapeutic option for patients with deep endometriosis presenting with infertility and/or pain refractory to medical treatment. Major postoperative complications may impair quality of life and delay the initiation of assisted reproductive techniques. However, data on their incidence and outcomes remain limited. The aim of this study is to estimate the incidence and outcomes of major postoperative complications (Clavien-Dindo grade ≥III) following surgery for deep endometriosis in referral centers.</p><p><strong>Design: </strong>Retrospective multicenter cohort analysis.</p><p><strong>Setting: </strong>Seven French referral centers participating in the ENDOVALIRM cohort.</p><p><strong>Participants: </strong>A total of 605 women undergoing surgery for deep endometriosis between 2019 and 2020 were included.</p><p><strong>Interventions: </strong>Surgical management of deep endometriosis, including gynecologic, digestive, and urinary tract procedures.</p><p><strong>Results: </strong>The incidence of Clavien-Dindo grade ≥III postoperative complications across all surgical procedures was 4.5% (27/605). Digestive and urinary fistulas were the most common complications (9/27, 33.3%), followed by anastomotic leakages (5/27, 18.5%) and pelvic abscesses (4/27, 14.8%). Multivariate analysis identified no individual surgical procedure significantly and independently associated with the occurrence of major complications. However, findings should be interpreted cautiously, given the limited number of events. Overall, 6.8% of patients (41/605) experienced a hospital stay longer than 7 days. Surgical procedures independently associated with prolonged hospitalization were: parametrectomy (OR = 2.0; 95% CI, 1.1-3.7; p = .02), disc resection (OR = 8.3; 95% CI, 2.6-25.9; p < .001), colorectal resection (OR = 5.9; 95% CI, 2.2-16.3; p < .001), and ileocecal or small bowel resection (OR = 4.6; 95% CI, 1.3-16.4; p = .02).</p><p><strong>Conclusion: </strong>In this multicenter cohort from referral centers, the incidence of major postoperative complications (Clavien-Dindo ≥ III) was 4.5%. These findings provide descriptive data to inform preoperative counseling regarding major surgical morbidity. Functional postoperative outcomes were not systematically evaluated and should be considered when interpreting these results.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147622948","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":"Ettore Cicinelli, Pierpaolo Nicolì, Amerigo Vitagliano","doi":"10.1016/j.jmig.2026.03.037","DOIUrl":"10.1016/j.jmig.2026.03.037","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2026-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147618716","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}