Gynecology and Minimally Invasive Therapy-GMIT最新文献

{"title":"Early Postoperative Intestinal Obstruction from Retained Myoma Fragment After Laparoscopic Myomectomy- A Case Report.","authors":"K J Singh, Shikha Sharma, Vikram Trehan, Amarinder Singh, Sandeep Singh","doi":"10.4103/gmit.GMIT-D-25-00101","DOIUrl":"10.4103/gmit.GMIT-D-25-00101","url":null,"abstract":"<p><p>Laparoscopic myomectomy is increasingly used for uterine fibroid excision in women needing fertility preservation. However, as complex laparoscopic procedures become common and widespread, new and novel complications are being reported. Retained fibroid pieces are an uncommon but possibly dangerous consequence. We describe a case of laparoscopic myomectomy involving multiple fibroids of varying sizes which were enucleated and electrosurgically cut into smaller pieces. This case is unique because a residual fibroid fragment got buried in the mesentery causing early postoperative intestinal obstruction. The diagnosis was confirmed by a follow-up laparoscopy, and full healing resulted from surgically removing that fibroid segment. In order to prevent such difficulties, this article highlights how crucial it is to carefully remove all myoma fragments during laparoscopy.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 3","pages":"283-286"},"PeriodicalIF":2.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427201/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654233","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}

{"title":"Laparoscopic Surgery in Recipients of Intra-abdominal Solid Organ Transplants: A Systematic Review.","authors":"Eva Suarthana, Lynn Doan, Neda Mohammadi Danesh, Togas Tulandi","doi":"10.4103/gmit.GMIT-D-25-00133","DOIUrl":"10.4103/gmit.GMIT-D-25-00133","url":null,"abstract":"<p><strong>Objectives: </strong>Laparoscopy is a minimally invasive surgical approach that can reduce morbidity compared with open surgery in appropriately selected patients. However, patients with a history of intra-abdominal solid organ transplantation may have postoperative adhesions and altered anatomy, leading to more complex and variable anatomy. It remains unclear whether prior transplantation increases the risk of complications during laparoscopy. This study aimed to evaluate the incidence of complications in patients undergoing laparoscopy following intra-abdominal solid organ transplantation.</p><p><strong>Materials and methods: </strong>A systematic search of PubMed, EMBASE, and Google Scholar was conducted through October 2023 to identify studies on laparoscopy in postintra-abdominal solid organ transplant recipients. Two independent reviewers identified 30 relevant articles, of which 19 (including case reports, case-control, and cohort studies) met the inclusion criteria. Risk of bias was assessed using the Newcastle-Ottawa scale by two independent reviewers. The study protocol was registered with PROSPERO (CRD42023477254).</p><p><strong>Results: </strong>Four studies included direct comparisons between transplant and nontransplant patients. The mean postoperative length of stay was 3.5 days among 1402 transplant patients, compared with 2.3 days among 2,640,340 nontransplant patients. Two studies reported a lower rate of wound infection in nontransplant patients compared with posttransplant patients (1.7% vs. 4.8%). Rates of other infections, seroma formation, ileus, and disease recurrence were comparable between groups, although each was reported by only one small study. Two of the four studies were assessed as having a low risk of bias.</p><p><strong>Conclusion: </strong>Direct comparisons between patients with and without a history of intra-abdominal solid organ transplantation suggest that laparoscopy is generally safe, with a modest increase in hospital stay and wound infection risk in posttransplant patients.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 3","pages":"261-268"},"PeriodicalIF":2.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427291/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654608","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}

{"title":"Urine Epidermal Growth Factor/Creatinine Ratio in Female Patients with Overactive Bladder and Recurrent Lower Urinary Tract Infection.","authors":"Tsai-Hwa Yang, Chih-Cheng Chen, Yu-Min Chou, Jyh-Ming Liu, Kuan-Hui Huang, Fei-Chi Chuang","doi":"10.4103/gmit.GMIT-D-25-00075","DOIUrl":"10.4103/gmit.GMIT-D-25-00075","url":null,"abstract":"<p><strong>Objectives: </strong>The purpose of this study was to determine if urine epidermal growth factor (EGF) levels can be used to distinguish between overactive bladder (OAB) and recurrent lower urinary tract infection (UTI).</p><p><strong>Materials and methods: </strong>This was a prospective study conducted at a single tertiary medical center, using medical records and biospecimens collected from premenopausal women with OAB, recurrent lower UTI, and healthy controls without urinary tract conditions. Patients with OAB were treated with either mirabegron (Betmiga®) or solifenacin succinate (Vesicare®) for 3 months. Urinary EGF and creatinine levels were measured at baseline and posttreatment. Symptom changes were assessed using voiding diaries and the OAB Symptom Score (OABSS) questionnaire.</p><p><strong>Results: </strong>A total of 61 women were included in the study: 21 with OAB, 20 with recurrent lower UTI, and 20 healthy control women. There was no significant difference in the urine EGF/creatinine ratio between the OAB, recurrent lower UTI, and control groups (3212.7 [2592.2, 3909.6] and 3362.3 [2374.7, 4632.3] vs. 3402.3 [2700.1, 4568.9], <i>P</i> = 0.895). Both medications were effective in relieving symptoms of OAB, but solifenacin was associated with a significantly higher rate of dry mouth (60% vs. 0%, <i>P</i> = 0.045).</p><p><strong>Conclusion: </strong>No significant difference in urine EGF/creatinine ratio was observed between control subjects and patients with OAB or recurrent lower UTI. Thus, urine EGF is not likely a useful marker for distinguishing between OAB and recurrent lower UTI.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 3","pages":"240-246"},"PeriodicalIF":2.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427146/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654683","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}

{"title":"Management of Urinary Tract Injuries by Laparoscopy: Our Experience.","authors":"Pandit Palaskar, Arun Sanap, Nandan Nagaonkar, F Vimala Preethi","doi":"10.4103/gmit.GMIT-D-24-00031","DOIUrl":"10.4103/gmit.GMIT-D-24-00031","url":null,"abstract":"<p><strong>Objectives: </strong>To investigate the underlying risk factors, clinical value, usefulness, and outcome of laparoscopic management of urinary tract injuries.</p><p><strong>Materials and methods: </strong>A retrospective cohort study including 25 patients of a case of urinary tract injuries in duration from January 1, 2015 to May 31, 2023 was conducted at tertiary care hospital from Central India after the approval from the institutional ethics committee was obtained. All the cases were managed by laparoscopic route by a single surgeon with more than 15 years of experience.</p><p><strong>Results: </strong>A total of 25 patients were operated for urinary tract injuries at our hospital during the study period. All cases were managed laparoscopically. All patients showed complete recovery. The major risk factors for injury were adhesions, previous lower segment cesarean section, and endometriosis. The most of injuries occurred during hysterectomy, with few of them during cesarean section. Ten cases of bladder injuries were identified intraoperatively and managed by bladder repair in two layers. Four cases with ureteric injuries were managed by ureteric catheterization. In ureterovaginal fistula group, 5 cases were managed by ureteric re-implantation uretero-neocystotomy whereas, 1 case was managed by ureteric catheterization. Five cases with vesicovaginal fistula (VVF) were managed by VVF repair.</p><p><strong>Conclusion: </strong>The sound anatomical knowledge of pelvic anatomy, risk factors associated with urinary tract injury, and meticulous operative procedure is important for the prevention and early identification of the injuries if any to minimize the morbidity postoperatively. With technical advances and surgical expertise urinary tract injuries can be managed by laparoscopy with excellent outcome.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 3","pages":"220-226"},"PeriodicalIF":2.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427158/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654636","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}

{"title":"Utero-cutaneous Fistula: Laparoscopic Management of a Rarity - A Case Report.","authors":"Amarinder Singh, Santhanam Sampath, Soumen Das Poddar, Mohammad Rasheed, Shiv Kumar, Shikha Sharma","doi":"10.4103/gmit.GMIT-D-25-00047","DOIUrl":"10.4103/gmit.GMIT-D-25-00047","url":null,"abstract":"<p><p>Utero-cutaneous fistula (UCF) is a rare complication after a cesarean section which is mostly managed surgically. There is only one reported case of laparoscopic management of UCF. Our patient, a para one lady, presented after cesarean section with bloody discharge from the cesarean wound ever since her surgery, which, on contrast-enhanced computed tomography was confirmed to be a UCF. She was managed successfully with laparoscopic fistula tract excision followed by debridement of the necrotic uterine wall and repair of both uterine and bladder defects. This case highlights that minimally invasive route is a feasible and reasonable option for a UCF repair. UCF may be difficult to suspect and diagnose leading to a delay in the diagnosis in most cases. Nevertheless, it warrants an arduous work up and meticulous management, whether medical or surgical to ensure the good quality of life to the patient.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 3","pages":"280-282"},"PeriodicalIF":2.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427155/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654652","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}

{"title":"Multifocal Endometriosis with Atypical Papillary Fragments: Appendiceal and Tubal Involvement in an Infertility Patient.","authors":"Teresa Tam, Christopher Mabini, Carlos M Fernandez, Elliot M Levine","doi":"10.4103/gmit.GMIT-D-25-00217","DOIUrl":"10.4103/gmit.GMIT-D-25-00217","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 3","pages":"297-299"},"PeriodicalIF":2.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427203/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654708","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}

{"title":"Robotic Transvaginal Sacrocolpopexy via SHURUI Single-port Snake-arm System.","authors":"Chunhua Zhang, Qian Huang, Mundhir S Basinda, Xiaoming Guan","doi":"10.4103/gmit.GMIT-D-25-00093","DOIUrl":"10.4103/gmit.GMIT-D-25-00093","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 3","pages":"292-293"},"PeriodicalIF":2.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654711","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}

{"title":"Evaluation of Safety and Effectiveness for Hysteroscopically Assisted Falloposcopic Tuboplasty in Women with Proximal Tubal Infertility.","authors":"Atsushi Fukui, Ayano Yamaya, Rie Fukuhara, Seiji Mabuchi, Yoshihito Yokoyama","doi":"10.4103/gmit.GMIT-D-25-00036","DOIUrl":"10.4103/gmit.GMIT-D-25-00036","url":null,"abstract":"<p><strong>Objectives: </strong>Tubal infertility accounts for approximately 30% of infertility cases in women. Falloposcopic tuboplasty (FT) is used in women with proximal tubal obstruction. However, it is technically challenging because of difficulties in locating the tubal ostium and confirming success. To address these challenges, we developed a hysteroscopically assisted FT (HA-FT). This study aimed to evaluate the efficacy of HA-FT in women with tubal infertility.</p><p><strong>Materials and methods: </strong>This prospective unblinded study included infertile women with proximal tubal obstruction who desired a natural conception. HA-FT was performed under either intravenous or general anesthesia. Postoperative hysterosalpingography was performed in an operating room to confirm success. Success and pregnancy rates of HA-FT were compared with those of regular FT (Reg-FT).</p><p><strong>Results: </strong>Regular FT (<i>n</i> = 73; 119 tubes) was performed before 2013, and HA-FT (<i>n</i> = 72; 136 tubes) was introduced thereafter. Patient characteristics were similar between the two groups. Operative time was not significantly different (Reg-FT: 37.7 ± 18.7 min vs. HA-FT: 44.3 ± 18.2 min). The success rate per patient was significantly higher in a HA-FT group (72/72,100%) than that in a Reg-FT group (63/73, 86.3%, <i>P</i> < 0.05). Similarly, success rate per tube was significantly higher for HA-FT (135/136, 99.3%) than that for Reg-FT (95/119, 79.8%; <i>P</i> < 0.01). Natural pregnancy rates were similar between the groups (HA-FT: 20/58, 34.4%; Reg-FT: 20/61, 32.7%).</p><p><strong>Conclusion: </strong>HA-FT is a safe, effective, and reliable method for the treatment of proximal tubal obstruction. Its natural pregnancy rates are acceptable, making it a promising option for women with tubal infertility.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 3","pages":"247-253"},"PeriodicalIF":2.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427157/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654313","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}

{"title":"Restoring the Uterine Cavity: A Case of Asherman Syndrome Treated with Hysteroscopy Adhesiolysis.","authors":"Mohammad Haekal, Caroline Gladys Puspita, Indra, Riyana Kadarsari","doi":"10.4103/gmit.GMIT-D-25-00170","DOIUrl":"10.4103/gmit.GMIT-D-25-00170","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 3","pages":"294-296"},"PeriodicalIF":2.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427153/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680329","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}

{"title":"Comment on \"Dienogest Therapy against the Combined Oral Contraceptive Pill in Deep Infiltrating Endometriosis Cases: A Systematic Review and Meta-Analysis\".","authors":"Peng-Hsuan Huang, Hsin-Fen Lu","doi":"10.4103/gmit.GMIT-D-25-00221","DOIUrl":"10.4103/gmit.GMIT-D-25-00221","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 3","pages":"300-301"},"PeriodicalIF":2.1,"publicationDate":"2026-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427156/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654253","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}