Gynecology and Minimally Invasive Therapy-GMIT最新文献

Laparoscopic Posterior Pelvic Exenteration with Radical Vulvectomy for Intestinal-type Vulvar Adenocarcinoma. 腹腔镜盆腔后外展联合外阴根治术治疗肠型外阴腺癌

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-05-13 eCollection Date: 2024-04-01 DOI: 10.4103/gmit.gmit_103_23

Takashi Natsume, Mayumi Kobayashi-Kato, Yasuhito Tanase, Masaya Uno, Hiroshi Yoshida, Konosuke Moritani, Yukihide Kanemitsu, Mitsuya Ishikawa

{"title":"Laparoscopic Posterior Pelvic Exenteration with Radical Vulvectomy for Intestinal-type Vulvar Adenocarcinoma.","authors":"Takashi Natsume, Mayumi Kobayashi-Kato, Yasuhito Tanase, Masaya Uno, Hiroshi Yoshida, Konosuke Moritani, Yukihide Kanemitsu, Mitsuya Ishikawa","doi":"10.4103/gmit.gmit_103_23","DOIUrl":"10.4103/gmit.gmit_103_23","url":null,"abstract":"Vulvar intestinal adenocarcinoma is a rare malignancy. The most significant predictor of advanced vulvar cancer is achieving complete resection, although determining the optimal treatment for this rare histologic type remains uncertain. We report the case of a 63-year-old woman with a primary vulvar tumor suspected of having rectal invasion and inguinal lymph node metastases based on preoperative magnetic resonance imaging and computed tomography scans. To achieve complete resection of stage IIIC intestinal-type vulvar adenocarcinoma, we performed a laparoscopic posterior pelvic exenteration (PPE) and radical vulvectomy, along with bilateral inguinal lymph node dissection. This case report highlights the use of a novel hybrid procedure that combines laparoscopic PPE with radical vulvectomy and bilateral inguinal lymph node dissection for vulvar adenocarcinoma of the intestinal type. Laparoscopic PPE can be considered a minimally invasive approach for vulvar tumor when complete resection is achievable with an appropriate safety margin.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 2","pages":"126-129"},"PeriodicalIF":1.4,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11192278/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Novel Technique of Laparoscopic Transabdominal Cerclage after a Mersilene Tape Erosion in a Prior Laparoscopic Radical Trachelectomy and Transvaginal Cerclage Patient. 曾接受过腹腔镜根治性气管切除术和经阴道瓣膜缝合术的患者发生梅西林胶带腐蚀后的腹腔镜经腹瓣膜缝合术新技术。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-05-13 eCollection Date: 2024-04-01 DOI: 10.4103/gmit.gmit_108_23

Jhanice Paredes, Kuan-Gen Huang, Chyi-Long Lee, Gillian Patrick Gonzalez, Mary Evangeline Mercado, Zin Mar Lay

引用次数: 0

The Era of 4K Three-dimensional Imaging is Coming. 4K 三维成像时代即将到来。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-05-13 eCollection Date: 2024-04-01 DOI: 10.4103/GMIT.GMIT_4_24

Mary Evangeline Villa Mercado, Chyi-Long Lee

引用次数: 0

Where Microsurgical Tubal Reanastomosis Stands in the In vitro Fertilization Era. 显微外科输卵管再吻合术在体外受精时代的地位。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-05-13 eCollection Date: 2024-04-01 DOI: 10.4103/gmit.gmit_43_23

Hwa Sook Moon, Bo Sun Joo, Sang Gap Kim, Kyung Il Nam, Ja Seong Koo

{"title":"Where Microsurgical Tubal Reanastomosis Stands in the In vitro Fertilization Era.","authors":"Hwa Sook Moon, Bo Sun Joo, Sang Gap Kim, Kyung Il Nam, Ja Seong Koo","doi":"10.4103/gmit.gmit_43_23","DOIUrl":"10.4103/gmit.gmit_43_23","url":null,"abstract":"Among various options of contraception, bilateral tubal ligation (BTL) remains the most frequently used method for women worldwide even at present. However, up to 30% of those who undergo BTL eventually change their minds and wish to conceive again for a variety of reasons, such as a change in marital status or simply wanting more children. In this case, we can either approach it surgically with tubal re-anastomosis (TA) or by in vitro fertilization (IVF)-embryo transfer. Despite the many advantages of TA which lead the American Society of Reproductive Medicine Committee Opinion to recommend it as the primary choice of treatment in posttubal ligation infertility in 2012, IVF is widely being chosen as the first-line treatment nowadays. This study will review the efficacy of TA in various aspects, including pregnancy rate, cost-effectiveness, feasibility, and accessibility, based on review of the literature and our experience. Through this study, we intend to provide a basis for gynecologists to consider TA as the first option in women who wish to conceive again after BTL in this day and age of IVF.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 2","pages":"71-78"},"PeriodicalIF":1.4,"publicationDate":"2024-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11192280/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443509","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Comment on "Evaluation of the success of hysteroscopic uterine septum resection". 就 "评估宫腔镜子宫中隔切除术的成功率 "发表评论。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-05-13 eCollection Date: 2024-04-01 DOI: 10.4103/gmit.gmit_134_23

Hinpetch Daungsupawong, Viroj Wiwanitkit

引用次数: 0

Laparoscopic Excision of Cesarean Scar Ectopic Pregnancy: An Optimum Management Option. 剖宫产瘢痕宫外孕的腹腔镜切除术：最佳治疗方案。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-05-13 eCollection Date: 2024-04-01 DOI: 10.4103/gmit.gmit_83_23

Kavita Khoiwal, Deepika Sheoran, Ramya Mishra, Akanksha Deshwali, Jaya Chaturvedi

引用次数: 0

Hysteroscopic Uterine Septum Resection: Is it a Successful Treatment for Infertile Patients? 宫腔镜子宫隔膜切除术：不孕患者的成功治疗方法？

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-05-13 eCollection Date: 2024-04-01 DOI: 10.4103/gmit.gmit_143_23

Sule Atalay Mert

引用次数: 0

Regarding Cornual Pregnancy: An Eccentric Pregnancy. 关于冠状妊娠：古怪的怀孕

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-05-13 eCollection Date: 2024-04-01 DOI: 10.4103/gmit.gmit_163_23

Gianluca Raffaello Damiani, Amerigo Vitagliano

引用次数: 0

Surgical Outcomes and Trends in Incidence of Ectopic Pregnancy. 宫外孕的手术结果和发病率趋势。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-04-17 eCollection Date: 2024-04-01 DOI: 10.4103/gmit.gmit_53_23

Hiroyuki Yazawa, Riho Yazawa, Ryo Matsuoka, Miki Ohara

{"title":"Surgical Outcomes and Trends in Incidence of Ectopic Pregnancy.","authors":"Hiroyuki Yazawa, Riho Yazawa, Ryo Matsuoka, Miki Ohara","doi":"10.4103/gmit.gmit_53_23","DOIUrl":"10.4103/gmit.gmit_53_23","url":null,"abstract":"Objectives: We aimed to evaluate the surgical results for ectopic pregnancy (EP) treated at Fukushima Red Cross Hospital for over a 20-year period from 2002 to 2021.Materials and methods: We evaluated the incidence, surgical procedures, site of implantation, amount of hemoperitoneum, and the proportion of cases with risk factors of EP.Results: Two hundred and fifty-nine cases of EP were treated surgically. The incidence of EP seemed to be gradually decreasing in recent years. By pregnancy site, 235 (90.7%) of EPs were tubal pregnancies (TPs), 13 in interstitial pregnancies (IPs), 7 in ovarian pregnancies, and 4 in peritoneal pregnancies. For IPs, human chorionic gonadotropin (hCG) levels were statistically higher than with TP and intraperitoneal bleeding was less than with other EP sites. Thirty-nine patients (15.0%) were with massive hemoperitoneum (>500 mL), and laparoscopic surgery was performed in all patients with massive hemoperitoneum except in two patients. The proportion of cases with risk factors for EP such as Chlamydia trachomatis infection or history of smoking was 5.4% and 40.6%, respectively. Epidemiological research shows that the number of patients with chlamydia infection, rates of smokers, or the occurrence of EP with assisted reproductive technology has been decreasing in recent years in Japan.Conclusion: Appropriate surgical intervention should be selected while considering such as facility capabilities, context, and surgeon skill, especially in critical cases, such as cases involving massive hemoperitoneum and hemorrhagic shock. The recent presumed decrease in the occurrence of EP may partly be associated with the decrease in the occurrence of risk factors.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 2","pages":"111-118"},"PeriodicalIF":1.4,"publicationDate":"2024-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11192286/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443506","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A Safe Laparoscopic Approach for Ovarian Tumors during Pregnancy. 妊娠期卵巢肿瘤的安全腹腔镜方法

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-02-23 eCollection Date: 2024-01-01 DOI: 10.4103/gmit.gmit_119_22

Junki Imaizumi, Kanako Yoshida, Hiroki Noguchi, Takaaki Maeda, Takeshi Kato, Takeshi Iwasa

{"title":"A Safe Laparoscopic Approach for Ovarian Tumors during Pregnancy.","authors":"Junki Imaizumi, Kanako Yoshida, Hiroki Noguchi, Takaaki Maeda, Takeshi Kato, Takeshi Iwasa","doi":"10.4103/gmit.gmit_119_22","DOIUrl":"10.4103/gmit.gmit_119_22","url":null,"abstract":"Objectives: Surgery for pregnant women with ovarian tumors poses the risk of uterine irritation. We aimed to demonstrate the superiority of our laparoscopic technique over conventional methods and to compare the outcomes of laparoscopy with those of laparotomy for ovarian tumors during pregnancy.Materials and methods: This retrospective study included 50 patients undergoing procedures for ovarian tumors during pregnancy at the Tokushima University Hospital between January 2005 and December 2021. We compared surgical outcomes between laparoscopic procedures and laparotomy, along with complications. In addition, we compared the frequency of uterine stimulation with the conventional trocar position to that with the currently used trocar position in laparoscopic surgery.Results: Forty patients in the laparoscopy group and 10 in the laparotomy group underwent procedures. The laparoscopy group had less bleeding (16.4 ± 28.8 vs. 58 ± 72.2 mL, P < 0.05) and shorter hospital stays (7.6 ± 1.7 vs. 12.8 ± 13.1 days, P < 0.05) compared with those of the laparotomy group. The outcomes showed no significant differences between groups. All laparoscopies and laparotomies were successful and without complications. Furthermore, the current trocar position tended to stimulate the uterus less frequently.Conclusion: The results suggested that, compared to laparotomy, laparoscopy for ovarian tumors during pregnancy had better outcomes. The trocar position in our technique allows for easy operation of ovarian tumors without interference by forceps or cameras, resulting in minimal irritation of the uterus. Our original laparoscopic method may be safer with superior outcomes over the conventional method.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 1","pages":"19-24"},"PeriodicalIF":1.2,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10936729/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132830","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0