Journal of minimally invasive gynecology最新文献

{"title":"Ultrasound and Surgical Correlation of Extreme Myometrial Hypervascularity in an Atypical Myometrial Lesion","authors":"Kristýna Hlinecká MD, PhD, Veronika Vaisová MD, Zdeňka Lisá MD, Michal Mára MD, PhD","doi":"10.1016/j.jmig.2026.02.044","DOIUrl":"10.1016/j.jmig.2026.02.044","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Pages 1381-1383"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147344432","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":"Comparison of Indocyanine Green as a Standalone Tracer Versus Technetium-99m Combined With Blue Dye for Sentinel Lymph Node Detection in Vulvar Cancer","authors":"Balázs Vida MD, PhD, Pál Sebok, Lotti Lúcia Lőczi MD, PhD, Barbara Sebők Msc, Petra Merkely MD, PhD, Hanna Sára Márkus, Balázs Lintner MD, PhD, Ferenc Bánhidy MD, PhD, Richárd Tóth MD, PhD, Márton Keszthelyi MD, PhD","doi":"10.1016/j.jmig.2026.04.002","DOIUrl":"10.1016/j.jmig.2026.04.002","url":null,"abstract":"<div><h3>Study Objective</h3><div>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.</div></div><div>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.</div><div><h3>Design</h3><div>Retrospective, single-centre, parallel-cohort study.</div></div><div>Retrospective, single-centre, parallel-cohort study.</div><div><h3>Setting</h3><div>Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary.</div></div><div>Department of Obstetrics and Gynecology, Semmelweis University, Budapest, Hungary.</div><div><h3>Patients</h3><div>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.</div></div><div>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.</div><div><h3>Interventions</h3><div>SLN mapping using either ICG with near-infrared fluorescence imaging or Tc99m with BD and gamma-probe guidance, according to institutional practice.</div></div><div>SLN mapping using either ICG with near-infrared fluorescence imaging or Tc99m with BD and gamma-probe guidance, according to institutional practice.</div><div><h3>Measurements and Main Results</h3><div>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.</div></div><div>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.</div><div><h3>Conclusion</h3><div>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 c","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Pages 1519-1525"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","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":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Major Complications After Deep Endometriosis Surgery: The Case for Centralized, Expert-Driven Care","authors":"Ashley Tshala MD, Siddhi Mathur MSc, MD, MS","doi":"10.1016/j.jmig.2026.08.011","DOIUrl":"10.1016/j.jmig.2026.08.011","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Pages 1379-1380"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148761181","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(26)00473-5","DOIUrl":"10.1016/S1553-4650(26)00473-5","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Page A1"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149125199","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":"Laparoscopic Surgery for a Ruptured Tubal Pregnancy at 13 Weeks of Gestation: A Case Report","authors":"JiaWei Zhu MD, Huali Fei MD","doi":"10.1016/j.jmig.2026.02.018","DOIUrl":"10.1016/j.jmig.2026.02.018","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Pages 1390-1392"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146157357","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":"Simultaneous Robotic Sacrocolpopexy and Female Artificial Urinary Sphincter Implantation: Single-Session Surgical Approach","authors":"David Carracedo Calvo MD,&nbsp;Miguel Toledo Jiménez MD,&nbsp;Tamara Jerez Izquierdo MD,&nbsp;Miguel Sánchez Encinas MD","doi":"10.1016/j.jmig.2026.02.033","DOIUrl":"10.1016/j.jmig.2026.02.033","url":null,"abstract":"<div><h3>Objective</h3><div>Severe female stress urinary incontinence (SUI), particularly in the context of intrinsic sphincter deficiency, remains a challenging condition, for which the artificial urinary sphincter (AUS) is considered the most effective therapeutic option [<span><span>1</span></span>] as well as sacrocolpopexy represents the gold standard for durable anatomical correction and functional improvement in patients with pelvic organ prolapse (POP) [<span><span>2</span></span>]. Robotic surgery has expanded the possibilities of complex pelvic reconstruction by improving visualization, precision, and ergonomics [<span><span>3</span></span>]. The objective of this video is to demonstrate the feasibility and effectiveness of a simultaneous robotic approach combining AUS implantation and sacrocolpopexy in a single operative session.</div></div><div><h3>Setting</h3><div>Single-hospital experience in a robotic urology and pelvic reconstructive surgery unit.</div></div><div><h3>Participants</h3><div>A 62-year-old woman with severe stress urinary incontinence secondary to intrinsic sphincter deficiency confirmed by videourodynamic study and symptomatic apical pelvic organ prolapse.</div></div><div><h3>Intervention</h3><div>The video presents a step-by-step robotic technique in which AUS implantation and sacrocolpopexy are performed sequentially during the same surgical procedure. Particular emphasis is placed on the intercalation of key surgical steps to optimize exposure, minimize operative time, and safely address both conditions within a single session.</div></div><div><h3>Conclusion</h3><div>In carefully selected patients, the combination of robotic sacrocolpopexy and AUS implantation offers a comprehensive solution for the simultaneous management of apical POP and severe SUI. At 12-month follow-up, this approach resulted in complete continence and durable anatomical correction, with low morbidity and satisfactory functional outcomes. Given the established efficacy of AUS for severe female SUI [<span><span>1</span></span>], the durability of sacrocolpopexy for apical prolapse [<span><span>2</span></span>], and the technical advantages of robotic surgery in complex pelvic reconstruction [<span><span>3</span></span>], this single-session strategy appears to be a safe and efficient option, despite its limited representation in the current literature [<span><span>4</span></span>].</div></div><div><h3>Video Abstract</h3><div><span><span><span><span><video><source></source></video></span><span><span>Download: <span>Download video (182MB)</span></span></span></span></span></span></div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Page 1404"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147306534","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":"Accessory Cavitated Uterine Malformation With Incomplete Septate Uterus","authors":"Zhao Tian MD,&nbsp;Na Su MD,&nbsp;Zhijing Sun MD","doi":"10.1016/j.jmig.2026.02.015","DOIUrl":"10.1016/j.jmig.2026.02.015","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Pages 1388-1389"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146194791","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":"Glow and Behold: Indocyanine Green Fluorescence for Identification of Non-palpable Abdominal Wall Endometriomas.","authors":"Felicia Gordon, Shadae K Beale, Wesley Nilsson","doi":"10.1016/j.jmig.2026.09.015","DOIUrl":"10.1016/j.jmig.2026.09.015","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149110637","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":"Intravenous Tranexamic Acid Combined With Intramyometrial Desmopressin During Laparoscopic Myomectomy: A Randomized Double-Blind Placebo-Controlled Trial","authors":"Esra Ozbasli MD,&nbsp;Gozde Unsal MD,&nbsp;Faruk Suat Dede MD,&nbsp;Mete Gungor MD","doi":"10.1016/j.jmig.2026.03.032","DOIUrl":"10.1016/j.jmig.2026.03.032","url":null,"abstract":"<div><h3>Objective</h3><div>To evaluate whether intravenous tranexamic acid combined with intramyometrial desmopressin reduces perioperative blood loss during laparoscopic myomectomy.</div></div><div><h3>Design</h3><div>A prospective, randomized, double-blind, placebo-controlled trial.</div></div><div><h3>Setting</h3><div>A tertiary university hospital.</div></div><div><h3>Patients</h3><div>One hundred women undergoing laparoscopic myomectomy for symptomatic uterine fibroids were included in the study. Patients with suspected malignancy, thromboembolic disease, significant systemic illness, abnormal coagulation, anticoagulant use, body mass index ≥30 kg/m², or concomitant surgical procedures were excluded.</div></div><div><h3>Interventions</h3><div>Participants were randomized to receive intravenous tranexamic acid 1 g (n = 50) or placebo (normal saline; n = 50). All patients received intramyometrial desmopressin (30 mcg diluted in 100 mL normal saline).</div></div><div><h3>Measurements and Main Results</h3><div>Median estimated blood loss did not differ significantly between the tranexamic acid and placebo groups (150 mL vs 100 mL; p = .269). Transfusion rates were similar (10% vs 6%; p = .715). Postoperative hemoglobin levels were comparable between groups (p = .505). Surgeon-rated operative difficulty scores were significantly higher in Group I than in Group II (median score: 6 vs 5, p = .016). Multivariable regression identified myoma number (B = 19.09 mL per myoma; 95% CI: 8.31–29.86; p = .001) and myoma diameter (B = 2.02 mL per cm; 95% CI: 0.18–3.85; p = .032) as independent predictors of blood loss. Increasing age was independently associated with blood transfusion risk (odds ratio 1.18; 95% CI: 1.00–1.38; p = .044).</div></div><div><h3>Conclusion</h3><div>Tranexamic acid was safe but did not significantly reduce estimated blood loss or the need for transfusion compared with the placebo. Routine combined use is not supported; however, further evaluation in patients with a higher myoma burden may be warranted.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Pages 1473-1480"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147616182","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":"Ashley Huynh BS,&nbsp;Olivia H. Chang MD, MPH","doi":"10.1016/j.jmig.2026.05.001","DOIUrl":"10.1016/j.jmig.2026.05.001","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"33 10","pages":"Pages 1555-1556"},"PeriodicalIF":2.9,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147864044","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}