Journal of minimally invasive gynecology最新文献

{"title":"Robot-Assisted Laparoscopic Hysterectomy with Artificial Intelligence-Analyzed Imaging.","authors":"Naoyuki Yoshiki, Noriko Oshima, Naoyuki Miyasaka","doi":"10.1016/j.jmig.2025.06.002","DOIUrl":"10.1016/j.jmig.2025.06.002","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144293898","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":"Clinical Outcomes of Combined Medical and Surgical Treatment for Infected Retained Products of Conception.","authors":"Nati Bor, Gil Zeevi, Adi Litmanovich, Ido Givon, Ran Matot, Adi Borovich, Natav Hendin, Haim Krissi","doi":"10.1016/j.jmig.2025.08.028","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.08.028","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the clinical outcomes of a combined treatment strategy, referred to as the \"Cooling Down Protocol,\" involving medical management with antibiotics followed by elective hysteroscopy for infected retained products of conception (RPOC).</p><p><strong>Design: </strong>Retrospective case series.</p><p><strong>Setting: </strong>Single tertiary university-affiliated medical center.</p><p><strong>Patients: </strong>32 patients treated between 2012 and 2023 with a diagnosis of infected retained products of conception.</p><p><strong>Interventions: </strong>Initial treatment involved antibiotic therapy as part of the Cooling Down Protocol, with elective hysteroscopy performed to ensure complete removal of retained tissue.</p><p><strong>Results: </strong>97% of patients achieved infection resolution. Only one case required urgent surgical intervention due to clinical deterioration. Elective hysteroscopy was performed in 20% of cases, and the overall complication rate was 9.4%, including minor infections, hemorrhage, and pelvic pain. Importantly, the \"minor infections\" referred to post-procedural infections, as all patients initially presented with active infection. No major complications like sepsis or thromboembolic events were observed. The incidence of intrauterine adhesions was 10%, lower than rates for traditional D&C.</p><p><strong>Conclusion: </strong>The study supports the Cooling Down Protocol as a reasonable treatment alternative to more invasive methods, minimizing risks and optimizing patient outcomes.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957677","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 \"Endometrial Biopsy Versus no Endometrial Biopsy with a Normal Appearing Cavity during In-office Hysteroscopy for Postmenopausal Bleeding: A Randomized Controlled Trial\".","authors":"Jose Carugno, Patryk Piekos","doi":"10.1016/j.jmig.2025.08.025","DOIUrl":"10.1016/j.jmig.2025.08.025","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957675","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 to \"Regarding: Evidence-Based Practice for Minimization of Blood Loss During Laparoscopic Myomectomy: An AAGL Practice Guideline\".","authors":"Julian A Gingold, Loren Hackett, Kimberly A Kho, Rosanne M Kho, Ari P Sanders, M Jonathon Solnik, Xiao Xu","doi":"10.1016/j.jmig.2025.08.013","DOIUrl":"10.1016/j.jmig.2025.08.013","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957609","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":"Video Endoscopic Inguinal Lymphadenectomy Via the Vulva Single Incision (VEIL-V).","authors":"Chang Liu, Xuehan Bi, Zhenkun Guan, Xiao Lv","doi":"10.1016/j.jmig.2025.08.023","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.08.023","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957630","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 Single Port Retroperitoneal Para-aortic Lymphadenectomy, Staging for Advanced Squamous Cell Carcinoma of the Cervix.","authors":"Celine Chauleur, Tiphaine Bourrely","doi":"10.1016/j.jmig.2025.08.024","DOIUrl":"10.1016/j.jmig.2025.08.024","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this video is to show the feasibility and added value of using a single-port robot-assisted approach for para-aortic lymphadenectomy.</p><p><strong>Design: </strong>Stepwise demonstration of the technique with narrated video footage.</p><p><strong>Setting: </strong>This intervention was realised in Gynecology and Obstetrics Department, Saint-Etienne University Hospital Center. We received institutional review board approval under the number #2024-GYN-0703.</p><p><strong>Participant: </strong>A 47-year-old female patient with advanced squamous cell carcinoma of the cervix, dimension of the lesion 6 × 4.5 × 4.5 cm, International Federation of Gynecology and Obstetrics stage IIIC1 disease, based on pelvic lymph node fixation on positron emission tomography-computed tomography. Large loop excision of the transformation zone. Body mass index: 20 INTERVENTIONS: According to current guidelines, the multidisciplinary tumor board approved lymph node staging via infra-mesenteric para-aortic lymphadenectomy. A diagnostic laparoscopy was not required by the multidisciplinary tumor board given the recent positron emission tomography-computed tomography and pelvic magnetic resonance imaging, which showed no evidence of peritoneal carcinomatosis or upper abdominal metastasis. The procedure was performed with the Da Vinci SP system. 1. We first describe the patient positioning followed by the robotic system setup [1]. 2. We then detail the access to the retroperitoneal space. 3. Finally, we demonstrate the dissection of the preaortic node, lateroaortic node, interaorticocave node, precave node. From a technical standpoint, the complete dissection was performed in 58 minutes.</p><p><strong>Conclusion: </strong>The technical challenges of para-aortic lymphadenectomy, particularly the risk of bleeding in case of difficult dissection, have been previously described [2]. The single-port robotic system might help overcome these issues by enhancing precision and access compared to conventional laparoscopy. The space is created by a flexible balloon, which limits traction on the abdominal wall. It differs from a rigid trocar. In this case, an accessory trocar was introduced to assist with peritoneal retraction and smoke evacuation. This was our first case, and the accessory trocar was barely used. It has not been needed in subsequent procedures and does not seem essential. From the patient's perspective, this approach allowed for same-day discharge in this case, with limited visible scarring and low levels of postoperative pain. However, further studies are needed to confirm the benefits of a single-site access across a larger population. By facilitating accurate staging while aiming to reduce surgical morbidity, this technique may help support early recovery and timely initiation of adjuvant radiotherapy. VIDEO ABSTRACT.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957650","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":"Endometriosis among Transgender and Gender Diverse Patients Imaging Study (ETRIS).","authors":"Maddalena Giacomozzi, Donna Ruumpol, Robert de Leeuw, Norah van Mello, Maciej Krasinski, Rufus Cartwrigh, Richard Flint, Laura Spinnewijn, Petra Verdonk, Annemiek Nap","doi":"10.1016/j.jmig.2025.08.021","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.08.021","url":null,"abstract":"<p><strong>Objective: </strong>to assess the prevalence of surgically confirmed endometriosis among assigned-female-at-birth (AFAB) transgender and gender diverse (TGD) individuals undergoing laparoscopic pelvic surgery.</p><p><strong>Design: </strong>retrospective multicenter cohort study from 2021 to 2024.</p><p><strong>Setting: </strong>three academic medical centers in the Netherlands and the United Kingdom.</p><p><strong>Participants: </strong>Eligible participants were AFAB TGD individuals aged ≥18 years who underwent pelvic laparoscopic surgery for any indication, including gender incongruence/dysphoria.</p><p><strong>Interventions: </strong>Data on demographics, medical history, and diagnostic imaging were analyzed using descriptive statistics. Surgical confirmation of endometriosis was the primary outcome.</p><p><strong>Results: </strong>Among 325 participants, endometriosis prevalence was 3.1% (n=10). The mean age of participants was 27.2 years and the mean body mass index (BMI) 24.9. Testosterone was predominantly used before surgery (95.4%), and among these users, 38.5% had been on testosterone for five or more years at the time of surgery. Overall, 6% of the sample reported dysmenorrhea, and among those with endometriosis, 30% experienced dysmenorrhea.</p><p><strong>Conclusion: </strong>Endometriosis was present in 3.1% of the sample. This finding differs from previous literature as it reports a lower prevalence compared to cisgender women and to other studies on TGD people. This is potentially due to prolonged use of testosterone and early initiation of gender-affirming care (GAC).</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957617","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\"Endometrial biopsy versus no endometrial biopsy with a normal appearing cavity during in-office hysteroscopy for postmenopausal bleeding: A randomized controlled trial\".","authors":"Mei Zhao, Xiaolan Liu, Fuhua Zhou","doi":"10.1016/j.jmig.2025.07.027","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.07.027","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957601","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 \"Evidence-Based Practice for Minimization of Blood Loss During Laparoscopic Myomectomy: An AAGL Practice Guideline.\"","authors":"Jiawen Wu, Ziyun Liao, Zhenbo OuYang","doi":"10.1016/j.jmig.2025.06.028","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.06.028","url":null,"abstract":"<p><p>N/A.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957652","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 laparoscopic ultrasound in ovarian-sparing surgery to treat anti-NMDAR encephalitis.","authors":"Shweta Hosakoppal, Y Frances Fei","doi":"10.1016/j.jmig.2025.08.014","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.08.014","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144957587","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}