Journal of minimally invasive gynecology最新文献

{"title":"Board Of Directors-Ed Calendar","authors":"","doi":"10.1016/S1553-4650(25)00108-6","DOIUrl":"10.1016/S1553-4650(25)00108-6","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 5","pages":"Page A1"},"PeriodicalIF":3.5,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843407","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":"Office Hysteroscopic Removal of Embedded IUD in Early Pregnancy.","authors":"Youssef Youssef, Justin To, Scott Chudnoff","doi":"10.1016/j.jmig.2025.04.005","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.04.005","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030412","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":"Author's Reply.","authors":"Malcolm Mackenzie","doi":"10.1016/j.jmig.2025.04.004","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.04.004","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986953","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":"Enhanced recovery after surgery vs traditional recovery pathway after minimally invasive hysterectomy for benign indications: A systematic review and meta-analysis.","authors":"Chukwudi Isaac Ayogu, Ayesha Javed, Amanda Freitas Pompeu Dos Santos","doi":"10.1016/j.jmig.2025.04.003","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.04.003","url":null,"abstract":"<p><strong>Objective: </strong>We aim to perform a meta-analysis comparing enhanced recovery after surgery (ERAS) and traditional recovery pathway (TRP) after minimally invasive hysterectomy (MIH) for benign conditions.</p><p><strong>Data sources: </strong>A systematic search was conducted in June 2024 without date restrictions in PubMed, Embase, and Cochrane Central databases.</p><p><strong>Method of study selection: </strong>This study included studies that compared ERAS and TRP in patients undergoing MIH for benign indications. The primary outcome was the length of hospital stay (LOHS). Sensitivity analysis was performed with a leave-one-out analysis, a trial sequential analysis, and a meta-regression to explore high heterogeneity.</p><p><strong>Tabulation, integration, and results: </strong>The initial search identified 1,462 results, of which 8 studies met the inclusion criteria, comprising 948 patients. 5 studies were randomized controlled trials (RCTs). ERAS was associated with a significant reduction in LOHS (SMD -1.89 days; 95% CI -2.77 to -1.00; p<0.001), supported by a subgroup analysis of RCTs (SMD -1.59 days; 95% CI -2.69 to -0.49; p=0.005). ERAS was also associated with significant decrease for the overall complication rate (RR 0.64; 95% CI 0.41 to 0.99; p=0.04), postoperative pain score (MD -1.02; 95% CI -1.76 to -0.29; p=0.007), postoperative nausea and vomiting (PONV) (RR 0.40; 95% CI 0.28 to 0.56; p<0.001), and time to passage of flatus (MD -10.37; 95% CI -17.95 to -2.79; p=0.007). There was no difference in re-admission rate or operation duration. Trial sequential analysis confirmed no type 1 error, and meta-regression attributed high heterogeneity to different types of procedures between studies.</p><p><strong>Conclusion: </strong>In conclusion, ERAS protocols for patients undergoing MIH for benign conditions were associated with reduction in LOHS, PONV, and postoperative pain. These improvements are achieved probably without an increase in complication or re-admission rates, highlighting the importance of broader adoption of ERAS for a better patient experience.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143971941","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":"Robotic Assisted Paraurethral Fibroid Excisions via Retropubic Space Dissection.","authors":"Paulette E Coombs, Olivia O Cardenas-Trowers","doi":"10.1016/j.jmig.2025.03.019","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.019","url":null,"abstract":"<p><strong>Objective: </strong>To demonstrate surgical treatment of a paraurethral fibroid utilizing robotic dissection of the retropubic space and to highlight key anatomical structures associated with this space.</p><p><strong>Setting: </strong>This is a video demonstration and description of a surgical procedure to treat paraurethral fibroids which took place at a tertiary academic center. Paraurethral fibroids are rare with a reported incidence of 5% of urethral masses. They are often asymptomatic, but may present with urinary retention, vaginal bulge and dyspareunia. The recommended treatment is surgical excision, which may be performed with a vaginal or abdominal approach. We utilize robotically assisted retropubic space dissection and highlight important structures within this region.</p><p><strong>Participants: </strong>In this video we describe a case of a 47 yo with symptomatic proximal paraurethral fibroid.</p><p><strong>Interventions: </strong>Robotic assisted retropubic space dissection was utilized for paraurethral fibroid excision. We highlight techniques for entering the retropubic space and safely identifying all borders and vasculature. The borders of the retropubic space are highlighted, including the pubic symphysis ventrally, the bladder dorsally, the urethra and pubocervical fascia caudally and the arcus tendinous fascia laterally. Knowledge of these structures is important when working within this space to avoid important vasculature, such as the dorsal vein of the clitoris, internal obturator vessels, and the paravaginal venous plexus known as the veins of Santorini. We identify the fibroid mass and review surgical technique for safe excision.</p><p><strong>Conclusion: </strong>Surgical excision is the recommended treatment of paraurethral urethral fibroids. In this video we demonstrate a safe and successful approach utilizing robotic assisted retropubic space dissection.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022747","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":"Unusual Case of an Indirect Inguinal Hernia Caused by a Round Ligament Cyst.","authors":"Ismet Hortu, Hazal Deniz Yavuz","doi":"10.1016/j.jmig.2025.04.002","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.04.002","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144007113","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":"Ureteroneocystostomy for ureteral endometriosis using the da Vinci SP.","authors":"Kiyoshi Kanno, Masaaki Andou, Mari Sawada, Tsutomu Hoshiba","doi":"10.1016/j.jmig.2025.03.024","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.024","url":null,"abstract":"<p><strong>Objective: </strong>Ureteroneocystostomy should be considered in cases of severe ureteral endometriosis when ureteral lesions are near the bladder insertion, or the lesions involve the ureteral wall along a large extent of the pelvic ureter, making end-to-end anastomosis is not feasible [1,2]. The objective of this video is to demonstrate the technical and anatomical highlights of ureteroneocystostomy for the ureteral endometriosis using the da Vinci SP (SP).</p><p><strong>Setting: </strong>An urban general hospital. Stepwise demonstration of the technique with narrated video footage.</p><p><strong>Participants: </strong>A 49-year-old woman presented with chronic pelvic and back pain. Magnetic resonance imaging and urography revealed uterine fibroids, left hydroureter, and grade 4 hydronephrosis with ureteral endometriosis. Although serum creatinine levels were within the normal range (0.76 mg/dL), a renogram confirmed residual left kidney function of only 20%.</p><p><strong>Interventions: </strong>We performed robot-assisted ureteroneocystostomy with hysterectomy using SP. The surgical steps were completely identical to conventional multiport laparoscopic robotic surgery [3,4]. Meticulous dissection, suturing and knot-tying have been challenges in conventional single-port laparoscopic surgery, but with this new robot, such procedures become easy with the articulating instruments. The surgery was completed without any complications. The total operative time was 165 min, and the estimated blood loss was 10 ml. The postoperative course was uneventful. Intrinsic-type ureteral endometriosis was confirmed pathologically. Follow-up computed tomography at 6 months postoperatively revealed no hydronephrosis or hydroureter. The patient did not require any further surgery and was very satisfied with the invisible operative scar. The patient is still under observation for renal function and recurrence.</p><p><strong>Conclusion: </strong>Ureteroneocystostomy for ureteral endometriosis using SP is technically feasible with good cosmesis. To the best of our knowledge, this is the first report of single-port laparoscopic surgery for ureteroneocystostomy in the field of gynecology.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-04-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015926","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":"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":"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}