Journal of minimally invasive gynecology最新文献

{"title":"Who is in the OR Today?","authors":"Meenal Misal MD , Gary N. Frishman MD","doi":"10.1016/j.jmig.2025.06.003","DOIUrl":"10.1016/j.jmig.2025.06.003","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 8","pages":"Pages 655-656"},"PeriodicalIF":3.5,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679928","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)00227-4","DOIUrl":"10.1016/S1553-4650(25)00227-4","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 8","pages":"Page A1"},"PeriodicalIF":3.5,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679924","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":"TOC","authors":"","doi":"10.1016/S1553-4650(25)00230-4","DOIUrl":"10.1016/S1553-4650(25)00230-4","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 8","pages":"Pages A4-A6"},"PeriodicalIF":3.5,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679927","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":"Obstructive mullerian anomaly: uterus didelphys with cervical and vaginal agenesis.","authors":"Itana Passos, Ednei Chagas, Renata Britto","doi":"10.1016/j.jmig.2025.07.009","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.07.009","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675001","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 Regarding: \"Risk Factors and Prediction Nomogram of Local Regeneration after Ultrasound-Guided Microwave Ablation of Uterine Fibroids\".","authors":"Sainan Guan, Yongyan He, Xiaotong Li, Erjiao Xu","doi":"10.1016/j.jmig.2025.07.011","DOIUrl":"10.1016/j.jmig.2025.07.011","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144674999","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":"Comparative Efficacy of Different Therapeutic Modalities in the Management of Cesarean Scar Pregnancy Based on Classification.","authors":"Haiying Sun, Juan Wang, Ting Zhou, Ronghua Liu","doi":"10.1016/j.jmig.2025.07.012","DOIUrl":"10.1016/j.jmig.2025.07.012","url":null,"abstract":"<p><strong>Objective: </strong>This study seeks to investigate tailored treatment approaches and conduct a comprehensive analysis of the effectiveness of various treatment strategies for different subtypes of CSP. The primary objective is to compare the clinical outcomes associated with each subtype across the 2 existing classification methods and the novel classification method we propose, thereby identifying the most appropriate CSP classification method for developing personalized treatment strategies.</p><p><strong>Design: </strong>A retrospective study.</p><p><strong>Setting: </strong>A tertiary medical center.</p><p><strong>Participants: </strong>A cohort of 1248 patients diagnosed with CSP.</p><p><strong>Interventions: </strong>The treatment approaches and clinical outcomes of each subtype were examined using different classification methods.</p><p><strong>Measurements and main results: </strong>The study examined the treatment approaches and clinical outcomes of each subtype using 3 classification methods and analyzed the rationale for employing multiple treatment options. Additionally, a comparative analysis of 3 vascular pretreatment methods was conducted to assess their necessity. The results revealed a success rate of 95.5% across different treatment protocols. Statistical analysis revealed significant differences in the management of different CSP subtypes according to their classification system (p <.001). Compared to the other 2 CSP classifications, the Liu classification enables doctors to adopt more appropriate treatment strategies based on the specific subtypes. Furthermore, there were notable variations in the vascular pretreatment methods employed across the 5 patient subgroups (p <.001). UAE was predominantly utilized for patients undergoing suction curettage (SC) and hysteroscopy, whereas permanent vascular ligation or temporary vascular occlusion were the primary methods for patients undergoing laparoscopic surgery.</p><p><strong>Conclusions: </strong>In comparison to the 2 existing CSP classification methods, the treatment strategies derived from our newly proposed CSP classification demonstrate greater appropriateness. For type ⅠCSP, ultrasound-guided SC is the standard surgical intervention. Type Ⅱa CSP is frequently addressed through hysteroscopic procedures, whereas type Ⅱb and Ⅲ CSP often necessitates laparoscopic intervention.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.3,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144675000","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":"Combined vaginal and laparoscopic approach for the creation of neovagina in a patient affected by Mayer-Rokitansky-Küster-Hauser syndrome: an innovative surgical treatment.","authors":"Pierluigi Giampaolino, Michela Dell'Aquila, Giuseppe Bifulco, Fabrizio Schonauer","doi":"10.1016/j.jmig.2025.07.008","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.07.008","url":null,"abstract":"<p><strong>Objective: </strong>To describe the step-by-step simultaneous vaginal and laparoscopic approach for the creation and reconstruction of a neovagina using a skin graft, in a woman affected by Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome [1]. To date, no data are available in the literature comparing our technique with other validated approaches such as McIndoe and Davydov, as our process is a newly developed one.</p><p><strong>Setting: </strong>Tertiary-referral center PARTICIPANT: An eighteen-year-old woman affected by type 1 MRKH syndrome previously treated with vaginal dilators without success came to our attention because of her desire to treat her vaginal agenesis. The patient referred primary amenorrhea and appeared with normal secondary sexual characteristics. Blind vaginal pouch was confirmed via imaging [2]. After having an accurate counselling with the patient, using drawings on the tight, informing her about the postoperative course and showing aesthetic outcomes, an innovative surgery, resulting from a combination of vaginal and laparoscopic approach, was proposed.</p><p><strong>Intervention: </strong>The surgical procedure consisted of two phases. The vaginal step involved the creation of the lower part of the neovagina using the Fortunoff technique, while the laparoscopic step enabled the creation of the upper part under direct visual control. The neovagina was reconstructed using a skin graft, harvested from the patient's thigh. The combination of techniques enabled the development of a functional vaginal canal with excellent anatomical and clinical outcomes. At three-month follow-up, the neovagina appeared fully epithelialized, with a total length of 8 cm and satisfactory anatomical and functional results [3-5].</p><p><strong>Conclusions: </strong>In conclusion, this is the first reported case of a technique combining a vaginal approach for creating the lower canal of the neovagina with a laparoscopic approach for the upper part. We are committed to increasing our case series so that our surgical approach may be considered a viable option to offer to surgeons in the future.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667744","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":"Cesarean scar niche and pelvic pain: A systematic review and meta-analysis.","authors":"Naomi Min, Peter Thiel, Meghan McGrattan, Emiel Post Uiterweer, John Matelski, Chris Walsh, Judith Huirne, Ally Murji","doi":"10.1016/j.jmig.2025.07.006","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.07.006","url":null,"abstract":"<p><strong>Objective: </strong>Pain is a long-accepted but inadequately explored symptom of cesarean scar niche (CSN) and it is important to systematic assess the prevalence and features of pelvic pain associated with CSN, also referred to as cesarean scar defect or isthmocele. The purpose of this study is to evaluate the association between CSN and pelvic pain.</p><p><strong>Data sources: </strong>A comprehensive strategy was used to search MEDLINE, EMBASE, Pub Med, Cochrane CENTRAL, and CINAHL from database inception to February 20^th, 2025 .</p><p><strong>Methods of study selection: </strong>We included randomized controlled trials, prospective and retrospective cohorts, and case series involving symptomatic patients with a radiological diagnosis of CSN that evaluated pain as an outcome. Risk of bias was assessed with the Robins-I tool. The protocol was registered in PROSPERO (CRD42022346443).</p><p><strong>Tabulation, integration and results: </strong>The primary outcome was prevalence of pelvic pain in patients with confirmed CSN. Other outcomes included the risk of pain in patients with CSN compared those without, and changes in pain symptoms following medical or surgical management of niche. Sixty-four studies reported on pain (dysmenorrhea, dyspareunia, chronic pelvic pain (CPP), suprapubic pain (SPP)) in patients with CSN. Patients with a CSN were at increased risk of dysmenorrhea (RR 2.25, 95%CI 0.90-5.63), dyspareunia (RR 2.06 95%CI 1.42-2.99), and CPP (2.72, 95%CI 1.63-4.54) compared to those without. In patients with confirmed niche, the prevalence of dysmenorrhea was 38.2% (95%CI 28.8-48.6); dyspareunia 28.2% (95%CI 15.3-46.0); CPP 26.8% (95%CI 18.6-36.9) and SPP 32.5% (95%CI 18.6-36.9). Both medical and surgical treatment of CSN significantly reduced pain symptoms (OR 0.13, 95%CI 0.08-0.23). Most studies were high risk for measurement bias due to lack of standardization for outcome measures.</p><p><strong>Conclusion: </strong>There is a strong association between CSN and various pelvic pain symptoms. Future studies require standardization of nomenclature and reporting for pain in this context.</p>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144667743","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":"Endometrial Biopsy Versus No Endometrial Biopsy with a Normal-Appearing Cavity During In-office Hysteroscopy for Postmenopausal Bleeding: A Randomized Controlled Trial","authors":"Dr Elizabeth Tunney MRCPI ,&nbsp;Dr Sahr Yambasu MRCPI ,&nbsp;Dr Icchya Gyawali MRCPI ,&nbsp;Dr Eve Gaughan MD, MRCPI ,&nbsp;Dr Vicky O’Dwyer MD, MRCPI ,&nbsp;Dr Conor Harrity MD, MRCPI ,&nbsp;Dr Fiona Reidy MD, MRCPI ,&nbsp;Dr Rawia Ahmed MRCPI ,&nbsp;Dr Zara Molphy PhD ,&nbsp;Denisa Asandei ,&nbsp;Dr Fadi Salameh MRCPI, JBOG ,&nbsp;Dr Naomi Burke MD, FRCOG","doi":"10.1016/j.jmig.2025.07.007","DOIUrl":"10.1016/j.jmig.2025.07.007","url":null,"abstract":"<div><h3>Study Objective</h3><div>The objective of this study was to evaluate pain scores in patients with postmenopausal bleeding (PMB) and an atrophic cavity who underwent an endometrial biopsy compared to those who did not at office hysteroscopy.</div></div><div><h3>Design</h3><div>Single-center, single-blinded randomized control trial. The trial was registered prospectively (ClinicalTrials.gov ID NCT05378152).</div></div><div><h3>Setting</h3><div>The office hysteroscopy service in an academic and tertiary referral hospital in Dublin, Ireland.</div></div><div><h3>Patients</h3><div>Women with PMB who attended an office hysteroscopy and had an atrophic cavity on a hysteroscopic evaluation were included. A sample size of 76 was determined to show a 2-point difference in pain scores (Visual Analog Scale [VAS]), assuming 90% statistical power and a 5% level of significance.</div></div><div><h3>Interventions</h3><div>Women were randomized to either endometrial biopsy (group 1) or a sham procedure (group 2). The primary outcome was to compare pain scores after the intervention using a 100 mm VAS. Secondary outcomes included differences in follow-up patterns between groups.</div></div><div><h3>Measurements and Main Results</h3><div>A total of 169 women with PMB were recruited over an 18-month period; 87 were excluded on the basis of hysteroscopic findings during the procedure. There were 44 patients in group 1 (biopsy) and 38 patients in group 2 (sham). A significant difference in pain scores after the intervention was noted with a mean VAS score of 54 mm (±3 mm) in group 1 and 30 mm (±5 mm) in group 2 (p &lt;.0001). There was no significant difference noted in follow-up patterns between either group.</div></div><div><h3>Conclusions</h3><div>The performance of routine endometrial biopsy after a normal hysteroscopy with atrophic findings, in women referred with PMB, has been shown to result in higher pain scores. Further studies are needed to consider the role of endometrial biopsy in this context.</div></div>","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":"32 10","pages":"Pages 914-920"},"PeriodicalIF":3.3,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144649629","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":"Selective Fluorescence Imaging of Myoma Pseudocapsule by Uterine Cavitary Indocyanine Green instillation and Washout.","authors":"Akiko Yoshida-Ueno, Takayuki Sato, Kazutoshi Hayashi","doi":"10.1016/j.jmig.2025.07.004","DOIUrl":"https://doi.org/10.1016/j.jmig.2025.07.004","url":null,"abstract":"","PeriodicalId":16397,"journal":{"name":"Journal of minimally invasive gynecology","volume":" ","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144618598","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}