Journal of minimally invasive gynecology最新文献

{"title":"\"Gynecologic Findings in Hereditary Leiomyomatosis and Renal Cell Carcinoma Syndrome (HLRCC)\".","authors":"María T Ortiz-Fullana, Courtney Poston, Mariana Gonzalez, Katrin Arnolds","doi":"10.1016/j.jmig.2025.03.004","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.004","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143670193","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":"Impact of surgeon characteristics on endometriosis surgery outcomes.","authors":"Olga Bougie, Ally Murji, Maria P Velez, Jessica Pudwell, Jonas Shellenberger, Jamie Kroft","doi":"10.1016/j.jmig.2025.03.003","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.003","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to evaluate the association between surgeon characteristics and postoperative surgical outcomes, including rates of complications, recurrence of symptoms, fertility outcomes, and need for reoperation for individuals undergoing surgical management of endometriosis.</p><p><strong>Design: </strong>Population cohort study.</p><p><strong>Setting: </strong>Ontario, Canada PATIENTS: 83,787 Ontario patients, who are biologically identified as women, aged 18-50 who had an initial diagnosis of endometriosis (ICD-9-617 or ICD-10-N80) between April 1, 2002, and March 31, 2018.</p><p><strong>Interventions: </strong>Surgeon volume of endometriosis cases, grouped into four categories: 6 or fewer in the prior year (low volume), 7 - 11 (moderate volume), 12 - 23 (high volume), and 24 or more (highest volume). A modified exposure variable defined by surgeon's volume of complex endometriosis surgery (based on OHIP billing code) in the year prior to the index surgery was also used.</p><p><strong>Measurements: </strong>The primary outcome was the rate of re-operation within 30 days of index surgery and over the duration of follow-up in the study. Secondary outcomes were postoperative complications, the rate of infertility consults, and live birth rate following endometriosis surgery.</p><p><strong>Main results: </strong>The majority of patients (80.3%) underwent surgery with a low volume surgeon. In the 30-day post-operative period, the lowest rate of postoperative complication was noted amongst the highest volume surgeons (5.5%). There was a significantly reduced risk of complications amongst high volume surgeons compared to low volume surgeons (aHR 0.84, 95% CI 0.74 - 0.96). Higher volume surgeons tended to refer patients for fertility assessment and these patients also had higher chance of achieving a livebirth postoperatively. Patients who underwent surgery with a high volume of complex endometriosis surgeon, were less likely to undergo repeat surgery (17.8% vs. 32.9%, aHR 0.80 (0.72 - 0.88)), including all the surgery types examined.</p><p><strong>Conclusion: </strong>Our study suggests the majority of patients undergoing surgery for endometriosis have surgery with a low volume surgeon. Postoperative outcomes were impacted by surgeon volume, suggesting that there is a need to define criteria for surgical competency. Ongoing work to define surgeon characteristics and skills required to perform different types of endometriosis surgery is encouraged.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649281","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":"Prolapsing Ureterocele Presenting as Benign Vulvar Mass in Nulliparous Female.","authors":"Mark Xu, Benjamin M Daniel, Randy Casals, Amr El Haraki","doi":"10.1016/j.jmig.2025.03.006","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.006","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649284","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":"Vaginal Erosion of a Prior Transabdominal Cerclage.","authors":"Ana-Maria Iancu, Herbert Wong, Grace Liu","doi":"10.1016/j.jmig.2025.03.005","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.005","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143649299","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":"Posterior cervical outpouching: an iatrogenic complication of dilatation and curettage?","authors":"Christina Antinora, Emily Liu, Ahmad Hasan, Nigel Pereira","doi":"10.1016/j.jmig.2025.03.002","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.03.002","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143634286","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":"Outcome and Surgical Technique of Robot-assisted Living Donor Hysterectomy for Uterus Transplantation.","authors":"Masato Tamate, Giuliano Testa, Laura Divine, Liza Johannesson","doi":"10.1016/j.jmig.2025.02.013","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.02.013","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585945","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 “Comparison of Recurrence and Survival Between Patients With Pathological Stage I Epithelial Ovarian Cancer After Laparoscopic or Laparotomic Surgery: Retrospective Analysis of a Propensity-Matched Cohort”","authors":"Min Du BD","doi":"10.1016/j.jmig.2025.02.016","DOIUrl":"10.1016/j.jmig.2025.02.016","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 5","pages":"Page 483"},"PeriodicalIF":3.5,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143585947","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)00042-1","DOIUrl":"10.1016/S1553-4650(25)00042-1","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 3","pages":"Page A1"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143578731","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":"Cystic Leiomyoma Mimicking Complex Adnexal Mass","authors":"Amanda Tower MD,&nbsp;Rebecca Rohrer MD, LCDR MC (FS) US Navy,&nbsp;Rupal Parmar MD","doi":"10.1016/j.jmig.2024.09.001","DOIUrl":"10.1016/j.jmig.2024.09.001","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 3","pages":"Pages 215-216"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142202297","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":"Patient Perception and Experience of Laparoscopic Excision Versus Ablation of Endometriosis: A Crowd-Sourced Comparative Evaluation of Symptom and Quality of Life Outcomes","authors":"Amital Isaac MA ,&nbsp;Theodoros Kapetanakis MD ,&nbsp;Erica Thibeault PA-C ,&nbsp;Luke Chatburn MD ,&nbsp;Malcolm Mackenzie MD","doi":"10.1016/j.jmig.2024.10.014","DOIUrl":"10.1016/j.jmig.2024.10.014","url":null,"abstract":"<div><h3>Study Objective</h3><div>To compare laparoscopic Ablation and Excision in terms of symptom and Quality of Life outcomes as perceived by endometriosis patients.</div></div><div><h3>Design</h3><div>A Cohort, Method comparison Questionnaire-based study.</div></div><div><h3>Setting</h3><div>Endometriosis-focused Social Media site.</div></div><div><h3>Patients</h3><div>Endometriosis patients with history of Laparoscopic Ablation and Excision.</div></div><div><h3>Interventions</h3><div>On-line questionnaire focused on pre and post procedure (ablation and excision) outcomes across 63 measures in 5 realms: Physical Symptoms, Functional Impact, Psycho-emotional Impact, Social/Sexual Impact, Economic/Educational Impact.</div></div><div><h3>Measurements and Main Results</h3><div>Two hundred and thirty-two respondents with surgical history that included laparoscopic ablation and excision (without concomitant or interposed hysterectomy) identified for ablation only physical symptom improvement of 11.3% and 8.5% for dysmenorrhea and menorrhagia respectively. Ablation provided no significant improvement in any other physical symptom measure. Excision was identified as providing improvements across all symptoms, ranging from 28% to 46%. In terms of functional Impact, ablation provided non-significant improvements or worsening of status. Excision demonstrated significant improvement for patients across most measures of Functional Impact. In terms of Psycho-emotional Impact, a worsening of quality of life status is identified in 23 of 24 measures following ablation. Excision demonstrated improvement in 22 of 24 measures. For Social-Sexual Impact, ablation resulted in worsened status across all measures, with excision demonstrating improvements in all measures, significantly so in most. For Economic/Educational Impact, significant worsening of measures or insignificant improvements were demonstrated following ablation. Excision demonstrated significant improvement in most measures. In all realms, pre-Excision status was worse than pre-Ablation. Allowing for a more focused comparison of ablation and excision, 113 respondents with a surgical history of ablation sequentially followed by excision demonstrated outcomes similar to the larger group: overall worsening of status resulting from ablation and overall improvement in status following excision with pre-Excision morbidity higher than pre-Ablation.</div></div><div><h3>Conclusion</h3><div>In this cohort of patients undergoing laparoscopic endometriosis excision after having undergone endometriosis ablation, the former demonstrated greater beneficial effects over a broad spectrum of symptoms and quality of life measures.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 3","pages":"Pages 248-257"},"PeriodicalIF":3.5,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142568954","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}