Gynecology and Minimally Invasive Therapy-GMIT最新文献_第3页

Laparoscopic Cornuostomy: A Conservative Surgical Approach to Interstitial Pregnancy - A Case Report. 腹腔镜角膜造口术：一种治疗间质性妊娠的保守手术方法- 1例报告。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_23_24

Vinod Nair, Gunjan Rai, Roshni Abichandani, Abhijeet Kumar, Eshwarya Jessy Kaur

引用次数: 0

Evaluation of Postoperative Adhesions in a Subsequent Cesarean Section Following the Use of Dextrin Hydrogel Spray as Adhesion Barrier for Laparoscopic Myomectomy. 应用糊精水凝胶喷雾作为粘连屏障对腹腔镜子宫肌瘤切除术后剖宫产术后粘连的评价。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_2_24

Shinichiro Wada, Yoshiyuki Fukushi, Tomono Shimabukuro, Sachiko Matsumoto, Mai Nishimura, Makiko Nakatani, Ayako Nakajima

{"title":"Evaluation of Postoperative Adhesions in a Subsequent Cesarean Section Following the Use of Dextrin Hydrogel Spray as Adhesion Barrier for Laparoscopic Myomectomy.","authors":"Shinichiro Wada, Yoshiyuki Fukushi, Tomono Shimabukuro, Sachiko Matsumoto, Mai Nishimura, Makiko Nakatani, Ayako Nakajima","doi":"10.4103/gmit.gmit_2_24","DOIUrl":"10.4103/gmit.gmit_2_24","url":null,"abstract":"Objectives: Laparoscopic myomectomy (LM) is a procedure with a high rate of postoperative adhesions, which can lead to complications such as bowel obstruction and subsequent surgical problems, making anti-adhesion measures important. Various anti-adhesion materials are already on the market and have shown efficacy, but dextrin hydrogel spray (AdSpray™), an anti-adhesion material launched in 2017, has not yet been reported in the field of gynecology, although there are papers showing its usefulness in the surgical field such as repeat hepatectomy and ileostomy closure. Thereby, we investigated the postoperative status of AdSpray™ in LM.Materials and methods: We report 24 cases in which AdSpray™ was used at Teine Keijinkai Hospital from 2018 to 2021 for LM, followed by cesarean section (CS) from 2019 to 2022. Adverse effects related to AdSpray™ and the presence of uterine adhesions in CS were examined.Results: Adhesions were observed in 4 (16.7%) cases, none of which resulted in significant adverse effects of AdSpray™.Conclusion: AdSpray™ was effective in preventing adhesion and may be an option as an anti-adhesion material in LM.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 4","pages":"228-231"},"PeriodicalIF":1.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626899/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808270","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

Successful Microablative Fractional Carbon Dioxide Laser Therapy for Vulvar Lichen Sclerosus: A Case Report and Mini-review. 微消融二氧化碳激光成功治疗外阴硬化地衣1例报告及回顾。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_71_24

Wen-Lin Hsieh, Dah-Ching Ding

{"title":"Successful Microablative Fractional Carbon Dioxide Laser Therapy for Vulvar Lichen Sclerosus: A Case Report and Mini-review.","authors":"Wen-Lin Hsieh, Dah-Ching Ding","doi":"10.4103/gmit.gmit_71_24","DOIUrl":"10.4103/gmit.gmit_71_24","url":null,"abstract":"Vulvar lichen sclerosus (VLS) is a chronic inflammatory skin disorder affecting the vulvar region. VLS predominantly affects women, and most cases occur after menopause. Common symptoms include itching, skin-whitening, pain, discomfort, fissures, and scarring. Treatment options include topical steroids, emollients, lifestyle modifications, regular follow-up, and surgical interventions. Carbon dioxide (CO2) laser treatment is a therapeutic option for managing lichen sclerosus. We report a case of VLS successfully treated with a fractional microablative CO2 laser. A 72-year-old female presented with a dry vagina and vulvar itching for 6 months. She visited a local medical clinic, and oral anti-itching medication and topical anti-itching ointment were administered. However, the condition did not improve, and she felt itching. She visited our outpatient department, and a pelvic examination showed bilateral labia minor, revealing a white skin color change and a hardening sensation. The patient was diagnosed with VLS. Microablative fractional CO2 laser therapy was subsequently administered. The treatment course comprised three laser therapy sessions (treatment day, 1 month, and 2 months after the first therapy). The vulvovaginal symptoms questionnaire-21 scores were 14, 6, and 2 for the first, second, and third courses of treatment, respectively. Vulvar itching improved significantly after laser treatment - no more steroid treatment needed. After 10 months of follow-up, the condition of the vulva was maintained well. Although the treatment protocol requires further exploration, CO2 laser treatment could be considered for VLS if topical steroids are ineffective.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 4","pages":"272-275"},"PeriodicalIF":1.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807718","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

Laparoscopic Cesarean Scar Defect Repair in Six Steps. 腹腔镜剖宫产瘢痕缺损六步修复。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_78_24

Mary Evangeline Villa Mercado, Gillian Patrick Cruz Gonzalez, Chyi-Long Lee, Kuan-Gen Huang

引用次数: 0

The Art of Managing Infertile Patients with Adenomyosis. 管理b子宫腺肌症不孕患者的艺术。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_53_24

Angel Hsin-Yu Pai, Liang-Hsuan Chen, Shang-Yu Huang, Hsien-Ming Wu, Chia-Lin Chang, Hong-Yuan Huang, Yung-Kuei Soong, Chyi-Long Lee

引用次数: 0

Challenges in the Management of a Morbidly Obese Patient Undergoing Robotic Hysterectomy. 一名接受机器人子宫切除术的病态肥胖患者的管理挑战。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_84_24

Anupama Bahadur, Rajlaxmi Mundhra, Ayush Heda, Sakshi Heda

引用次数: 0

Usefulness and Safety of Hybrid Uterine Septal Dissection. 混合式子宫间隔分离术的有效性和安全性。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_25_24

Shinichiro Saeki, Atsushi Fukui, Ayano Yamaya, Hiroaki Shibahara

{"title":"Usefulness and Safety of Hybrid Uterine Septal Dissection.","authors":"Shinichiro Saeki, Atsushi Fukui, Ayano Yamaya, Hiroaki Shibahara","doi":"10.4103/gmit.gmit_25_24","DOIUrl":"10.4103/gmit.gmit_25_24","url":null,"abstract":"Objectives: The objective of this study was to investigate the safety and utility of hybrid uterine septal resection.Materials and methods: This retrospective cohort trial included 16 patients who underwent hybrid uterine septal resection at Hyogo Medical University Hospital between January 2017 and September 2021. Hysteroscopic uterine septum resection was performed in 16 patients, whereas 5 patients with vaginal septal complications underwent an additional vaginal septectomy under supervision by thin laparoscopy and fluoroscopy. The main outcome measures were pregnancy success rate and procedure safety.Results: The results showed that the median operative time was 77 (46-114) min, and no cases of intraoperative or postoperative adverse events were identified. The postoperative pregnancy rate was 100.0% (7/7) and the live birth rate was 71% (5/7) in women with recurrent pregnancy loss. Among women with infertility, the postoperative pregnancy rate was 55.5% (5/9), and the live birth rate was 20% (1/5).Conclusion: These findings indicate that our hybrid septal resection technique reduces patient burden and ensures safe and reliable surgery, with good results in terms of postoperative complications, pregnancy, and miscarriage rates.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 4","pages":"241-246"},"PeriodicalIF":1.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807966","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

Spontaneous Parasitic Pedunculated Myoma Presenting the Absence of Uterine Smooth Muscle Cells in the Stalk - A Case Report. 自发性寄生带蒂肌瘤，表现为子宫平滑肌细胞缺失1例。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_151_23

Naoki Shibata, Michihisa Shiro, Noriyoshi Oki, Takahiro Watanabe, Hitomi Futaki, Shigeki Yoshida

{"title":"Spontaneous Parasitic Pedunculated Myoma Presenting the Absence of Uterine Smooth Muscle Cells in the Stalk - A Case Report.","authors":"Naoki Shibata, Michihisa Shiro, Noriyoshi Oki, Takahiro Watanabe, Hitomi Futaki, Shigeki Yoshida","doi":"10.4103/gmit.gmit_151_23","DOIUrl":"10.4103/gmit.gmit_151_23","url":null,"abstract":"A few cases of spontaneous parasitic myoma have been reported. However, its cause remains unidentified. We report a case of spontaneous parasitic pedunculated subserosal myoma with pathological findings presenting with the absence of uterine smooth muscle cells in the stalk observed during robotic-assisted laparoscopic hysterectomy. A 51-year-old patient (G1P0) with no prior surgical history underwent a robotic-assisted laparoscopic hysterectomy. An approximately 3 cm-pedunculated subserosal myoma was found attached to the retroperitoneum. The stalk was sealed and separated and the myoma with retroperitoneal adipose tissue was resected. The stalk was pathologically identified to lack uterine smooth muscle cells and contain only muscular arteries and fibrous connective tissues. Thus, it might be hypothesized that after the myoma received collateral parasitic blood flow from the attached retroperitoneum, the stalk degenerated, and uterine smooth muscle cells were lost through an unknown mechanism, possibly underlying the development of spontaneous parasitic myomas.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 4","pages":"265-268"},"PeriodicalIF":1.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807629","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

Emergent Hysteroscopic Removal of Retained Products of Conception Following Laparoscopic Temporary Uterine Artery Ligation. 腹腔镜临时子宫动脉结扎术后紧急宫腔镜下妊娠残留物清除。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-09-07 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_11_24

Akihisa Fujimoto, Asuka Okamura, Michiko Honda, Hiroko Tsuchiya, Reiko Matsuyama, Osamu Nishii

{"title":"Emergent Hysteroscopic Removal of Retained Products of Conception Following Laparoscopic Temporary Uterine Artery Ligation.","authors":"Akihisa Fujimoto, Asuka Okamura, Michiko Honda, Hiroko Tsuchiya, Reiko Matsuyama, Osamu Nishii","doi":"10.4103/gmit.gmit_11_24","DOIUrl":"10.4103/gmit.gmit_11_24","url":null,"abstract":"Here, we describe two cases of retained products of conception (RPOC) that were successfully managed with hysteroscopic resection after laparoscopic temporary uterine artery ligation. Both patients were diagnosed with RPOC after early miscarriages. Case 1 was urgently admitted due to massive bleeding and underwent surgery following a blood transfusion. After laparoscopic temporary bilateral uterine artery ligation, the mass was hysteroscopically removed, and the ligation was subsequently released. The patient subsequently achieved an ongoing pregnancy. Case 2 underwent semi-emergency surgery due to intermittent bleeding. Initially, hysteroscopic surgery was planned. However, bleeding resulted in poor visualization of the operative field, and laparoscopic surgery was performed. In many previous reports of RPOC with heavy bleeding, uterine artery embolization was performed. However, there are concerns regarding the effect of a long-term reduction in uterine blood flow on fertility. Our method is not expected to decrease fertility because the ischemic effect is very short.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 4","pages":"260-264"},"PeriodicalIF":1.4,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808265","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

Recurrence Rate and Associated Factors of Primary Fallopian Tube Carcinoma in the South of Vietnam. 越南南部地区原发性输卵管癌复发率及相关因素分析。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-09-07 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_110_23

Tuan Vo, Duy Nguyen, Thang Ho, Hoang Tran, Dat Nguyen, Thuong Bui, Thinh Cao, Brian Vo

{"title":"Recurrence Rate and Associated Factors of Primary Fallopian Tube Carcinoma in the South of Vietnam.","authors":"Tuan Vo, Duy Nguyen, Thang Ho, Hoang Tran, Dat Nguyen, Thuong Bui, Thinh Cao, Brian Vo","doi":"10.4103/gmit.gmit_110_23","DOIUrl":"10.4103/gmit.gmit_110_23","url":null,"abstract":"Objectives: This study aimed to determine the recurrence rate and related risk factors of primary fallopian tube cancer (PFTC).Materials and methods: We conducted a retrospective study of 47 patients with histopathological diagnosis of PFTC treated at Tu Du Hospital between January 1, 2015, and July 31, 2022. The cumulative recurrence rate was estimated using the life table method, and recurrence-associated factors were determined using the Log-rank test and Cox proportional hazard model.Results: The median follow-up period was 40 months (range, 7-96 months). Eight patients (17.0%) experienced recurrence. The cumulative recurrence rate of PFTC patients at 12 months was 4.4% (95% confidence interval [95% CI]: 1.12-16.45), at 24 months was 9.1% (95% CI: 3.52-22.5), at 36 months was 14.9% (95% CI: 6.92-30.41), at 48 months was 19.3% (95% CI: 9.35-37.24), and at 60 months was 25.7% (95% CI: 12.68-47.88). A higher recurrence rate was significantly associated with elevated pretreatment CA 125 level (<35 U/mL vs. ≥35 U/mL, hazards ratio [HR] = 36.9, 95% CI: 1.47-921.37), advanced FIGO stages (Stage I-II vs. stages III, HR = 6.61, 95% CI: 1.18-36.93), and suboptimal debulking surgery (residual disease ≤1 cm vs. residual disease >1 cm, HR = 7.52, 95% CI: 1.47-38.49).Conclusion: The overall recurrence rate of PFTC patients in Southern Vietnam was 17.0%. Appropriate follow-up strategies for patients with high-risk factors are needed for early detection and management of recurrence.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 4","pages":"247-252"},"PeriodicalIF":1.4,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807363","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