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

Regarding Modified Laparoscopic Cornual Resection for Cornual Pregnancy. 关于改良腹腔镜角膜切除术治疗角妊娠的探讨。

IF 2.1

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2026-05-19 eCollection Date: 2026-04-01 DOI: 10.4103/gmit.GMIT-D-25-00193

Mariam Obaid, Ibrahim A Abdelazim, Mohannad Abu-Faza

引用次数: 0

From Incision to Precision: The Rise of Focused Ultrasound Surgery in Minimally Invasive Gynecology. 从切口到精准：聚焦超声手术在微创妇科中的兴起。

IF 2.1

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2026-05-19 eCollection Date: 2026-04-01 DOI: 10.4103/gmit.GMIT-D-25-00159

Zhibiao Wang, Lian Zhang, H Rosie Xing, Chyi-Long Lee

引用次数: 0

Delayed Hemorrhage Revealing a Common Iliac Vein Injury During Laparoscopic Lymphadenectomy Using a Vessel-sealing System. 应用血管密封系统进行腹腔镜淋巴结切除术时发现常见髂静脉损伤的迟发性出血。

IF 2.1

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2026-05-19 eCollection Date: 2026-04-01 DOI: 10.4103/gmit.GMIT-D-25-00046

Kota Yamauchi, Kentaro Sekiyama, Akihito Horie, Haruka Mieda, Miki Otsuki, Shihori Nakamura, Eri Kawai, Natsumi Iwai, Machiko Kojima, Yuki Kozono, Akiko Okuda, Yumiko Yoshioka, Toshihiro Higuchi

引用次数: 0

Surgical Outcomes and Complications of Total Laparoscopic Hysterectomy in Patients with a Surgical History of Cesarean Section. 有剖宫产手术史的全腹腔镜子宫切除术的手术效果及并发症。

IF 2.1

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2026-05-19 eCollection Date: 2026-04-01 DOI: 10.4103/gmit.GMIT-D-25-00012

Hiroyuki Yazawa, Tsukasa Sanpei Ojima, Riho Yazawa, Kazuki Anjo

{"title":"Surgical Outcomes and Complications of Total Laparoscopic Hysterectomy in Patients with a Surgical History of Cesarean Section.","authors":"Hiroyuki Yazawa, Tsukasa Sanpei Ojima, Riho Yazawa, Kazuki Anjo","doi":"10.4103/gmit.GMIT-D-25-00012","DOIUrl":"10.4103/gmit.GMIT-D-25-00012","url":null,"abstract":"Objectives: With the recent spread of laparoscopic hysterectomy (LH) and the rising rate of cesarean sections (CSs), increasing number of patients with a previous CS are undergoing total LH (TLH). Here, we retrospectively compared the surgical outcomes of TLH in patients with and without a history of CS.Materials and methods: We analyzed the surgical outcomes and complications of 609 TLHs performed from 2013 to 2023, according to the presence or absence of previous CSs.Results: Of the 609 patients who underwent TLH, 92 (15.1%) had a history of CS, and by the number of CSs, 58 patients had 1 CS, 27 had 2 CSs, 6 had 3 CSs, and 1 had 4 CSs. There was no significant difference in surgical outcomes between the non-CS and CS groups. The main complication was bladder injury in one patient with 3 previous CSs; the incidence of bladder injury in the ≥3 CS group was significantly higher than that in the non-CS group. There were four cases of vaginal cuff dehiscence (2 each in the CS and non-CS groups, indicating no significant difference).Conclusion: It is important to be aware that the risk of bladder injury is increased in patients with previous CSs, especially in those with 3 or more. In addition, care should be taken intraoperatively to avoid such injuries, and sufficient information about their risk should be obtained preoperatively.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 2","pages":"153-158"},"PeriodicalIF":2.1,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13299088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346750","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

Transvaginal Ultrasound and Laparoscopy-guided Microwave Ablation for Uterine Myoma and Adenomyosis: Preliminary Results. 经阴道超声和腹腔镜引导下微波消融治疗子宫肌瘤和子宫腺肌症的初步结果。

IF 2.1

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2026-05-19 eCollection Date: 2026-04-01 DOI: 10.4103/gmit.GMIT-D-25-00003

Chieh-Yu Chang, Jian-Lin Yeh, Cherng-Jye Jeng, Zi-Xi Loo, Kun-Ling Lin, Cheng-Yu Long

{"title":"Transvaginal Ultrasound and Laparoscopy-guided Microwave Ablation for Uterine Myoma and Adenomyosis: Preliminary Results.","authors":"Chieh-Yu Chang, Jian-Lin Yeh, Cherng-Jye Jeng, Zi-Xi Loo, Kun-Ling Lin, Cheng-Yu Long","doi":"10.4103/gmit.GMIT-D-25-00003","DOIUrl":"10.4103/gmit.GMIT-D-25-00003","url":null,"abstract":"Objectives: The objective of the study was to evaluate the effectiveness of microwave ablation (MWA) in treating uterine myoma and adenomyosis.Materials and methods: Twenty premenopausal women aged 30-45 years, diagnosed with symptomatic uterine fibroids (n = 13) or adenomyosis (n = 7), were prospectively enrolled between November 2021 and March 2022 at Kaohsiung Medical University Hospital. All participants underwent percutaneous MWA under combined transvaginal ultrasound and laparoscopic guidance using a 13-gauge antenna and the Emprint™ Ablation Generator with Thermosphere™ technology. Contrast-enhanced MRI was used to assess lesion volume at baseline and 3 months postprocedure. Symptom severity and quality of life (QOL) were evaluated using the Visual Analogue Scale (VAS) for pain, Pictorial Blood Assessment Chart (PBAC) for menstrual bleeding, and the Uterine Fibroid Symptom and Quality of Life (UFS-QOL) questionnaire at baseline and at 1, 3, and 6 months posttreatment.Results: Follow-up showed significant reductions in pain, bleeding, and symptom severity. VAS, PBAC, and UFS-QOL scores all improved significantly. Myoma volume decreased by 33.4%, whereas adenomyosis showed meaningful symptom improvement despite nonsignificant volume change. No major complications occurred.Conclusion: Transvaginal ultrasound- and laparoscopy-guided MWA is a safe, effective, and minimally invasive treatment for uterine fibroids and adenomyosis, providing rapid symptom relief and improved QOL with uterine preservation.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 2","pages":"139-144"},"PeriodicalIF":2.1,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13299103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346745","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

Diagnosis and Management of Intrauterine Pathology. 宫内病理的诊断与处理。

IF 2.1

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2026-05-19 eCollection Date: 2026-04-01 DOI: 10.4103/gmit.GMIT-D-25-00038

Arun Sanap, Anita Yadav, Neha Gangane, Anusha Kamath

引用次数: 0

Chondroid and Osseous Metaplasia of the Endometrium: A Tale of Two Rare Mesenchymal Metaplasia. 子宫内膜软骨样和骨性化生：两个罕见间质化生的故事。

IF 2.1

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2026-05-19 eCollection Date: 2026-04-01 DOI: 10.4103/gmit.GMIT-D-25-00019

Mukta Pujani, Minakshi Bhardwaj, Aniruna Dey, Varsha Chauhan, Vasundhara Singh, Taru Gupta, Charu Jandial, Priyanka Sharma, Sunita Malik

{"title":"Chondroid and Osseous Metaplasia of the Endometrium: A Tale of Two Rare Mesenchymal Metaplasia.","authors":"Mukta Pujani, Minakshi Bhardwaj, Aniruna Dey, Varsha Chauhan, Vasundhara Singh, Taru Gupta, Charu Jandial, Priyanka Sharma, Sunita Malik","doi":"10.4103/gmit.GMIT-D-25-00019","DOIUrl":"10.4103/gmit.GMIT-D-25-00019","url":null,"abstract":"Mesenchymal metaplasia of the endometrium is a rare phenomenon, characterized by the nonneoplastic cytomorphologic transformation of the uterine endometrial lining to ectopic bone/cartilage/fat/smooth muscle tissue/synovial tissue in the endometrium. Osseous metaplasia has an estimated incidence of 3/10,000, with around 100 cases documented in the literature. Most of the cases, it occurs following a pregnancy/abortion. The two most acceptable theories to account for its origin are first, bone metaplasia occurs from fetal bones that continue to develop leading to ossification, and second, multipotent stromal cells developing into chondroblasts/osteoblasts. Several factors play a role in the pathogenesis namely chronic endometritis, pyometra, tuberculosis, hyperkalcemia, etc., An accurate diagnosis of this lesion is crucial for surgical pathologists, as potential misdiagnosis as a malignant mixed Müllerian tumor, could result in overzealous treatment for a completely benign entity.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 2","pages":"184-186"},"PeriodicalIF":2.1,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13299009/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346813","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

Right Ovarian Pregnancy Following Embryo Transfer with Right Tubal Obstruction. 右输卵管梗阻胚胎移植后右卵巢妊娠。

IF 2.1

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2026-05-19 eCollection Date: 2026-04-01 DOI: 10.4103/gmit.GMIT-D-25-00063

Binarwan Halim, Sutan Chandra, Edward Muljadi

引用次数: 0

Cold Scissors and Small Myotomy: A Laparoscopic Intracapsular Myomectomy Method for Women in Reproductive Age. 冷剪子和小肌瘤切开术：腹腔镜育龄妇女子宫肌瘤切除术方法。

IF 2.1

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2026-05-19 eCollection Date: 2026-04-01 DOI: 10.4103/gmit.GMIT-D-25-00025

Eleni-Markella Chalkia-Prapa, Andrea Tinelli, Giovanni Pecorella, Panayotis Xiromeritis, Apostolos Mamopoulos, Nikos Prapas, Yannis Prapas

{"title":"Cold Scissors and Small Myotomy: A Laparoscopic Intracapsular Myomectomy Method for Women in Reproductive Age.","authors":"Eleni-Markella Chalkia-Prapa, Andrea Tinelli, Giovanni Pecorella, Panayotis Xiromeritis, Apostolos Mamopoulos, Nikos Prapas, Yannis Prapas","doi":"10.4103/gmit.GMIT-D-25-00025","DOIUrl":"10.4103/gmit.GMIT-D-25-00025","url":null,"abstract":"Objectives: Authors evaluated the surgical outcomes of the \"cold scissors\" technique, focusing on minimal myotomy, during laparoscopic intracapsular myomectomies. The primary endpoints included the initial and final lengths of the uterine incision, as well as the duration of wound healing.Materials and methods: The prospective observational cohort study was conducted from May 2017 to June 2022 on patients diagnosed with intramural fibroids (FIGO classifications 4-6), with fibroid sizes ranging from 4 to 10 cm in diameter. The mean initial uterine incision length was compared to that at the conclusion of the procedure, while the healing duration and factors related to the reduction of blood loss and postoperative recovery were also evaluated.Results: A total of 112 female participants were included in the study. The mean initial uterine incision measured 3.6 ± 0.6 cm, and by the conclusion of the procedure, it had reduced to 2.5 ± 0.4 cm. The average blood loss was 115 ± 22.3 mL. The healing period ranged from 30 to 50 days. Postoperatively, 45 clinical pregnancies were recorded, with 5 cases of miscarriage. No instances of uterine rupture were observed, and no adhesions were found in patients who underwent cesarean sections following the procedure.Conclusion: The laparoscopic approach utilizing \"cold scissors\" appears to be a reliable and feasible surgical option for intracapsular myomectomies, especially for women of reproductive age who may pursue postoperative conception. This technique is characterized by minimal incisions into the myometrium, leading to reduced myometrial injury, reduced bleeding, and a faster recovery period.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 2","pages":"132-138"},"PeriodicalIF":2.1,"publicationDate":"2026-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13299105/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148346732","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

Levonorgestrel Intrauterine Device versus Combined Transcervical Resection of the Endometrium in the Management of Adenomyosis: A Randomized Clinical Trial. 左炔诺孕酮宫内节育器与联合经宫颈子宫内膜切除术治疗子宫腺肌症的随机临床试验

IF 2.1

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2026-05-13 eCollection Date: 2026-07-01 DOI: 10.4103/gmit.GMIT-D-25-00021

Murali Subbaiah, Yavana Suriya, Nevetha Selvarajan

{"title":"Levonorgestrel Intrauterine Device versus Combined Transcervical Resection of the Endometrium in the Management of Adenomyosis: A Randomized Clinical Trial.","authors":"Murali Subbaiah, Yavana Suriya, Nevetha Selvarajan","doi":"10.4103/gmit.GMIT-D-25-00021","DOIUrl":"10.4103/gmit.GMIT-D-25-00021","url":null,"abstract":"Objectives: To compare the treatment failure rates in patients with adenomyosis who underwent transcervical resection of the endometrium (TCRE) and levonorgestrel intrauterine device (LNG-IUD) insertion versus those with LNG-IUD insertion alone.Materials and methods: One hundred and forty-six women with adenomyosis and heavy menstrual bleeding (HMB) or dysmenorrhea were enrolled in this randomized controlled clinical trial (CTRI/2020/09/027592). One group had TCRE with LNG-IUD insertion and the other group had only LNG-IUD insertion. Baseline assessment included quality of life score (World Health Organisation quality of life-BREF [WHO QOL-BREF]), and menorrhagia multi-attribute scale (MMAS) score. The patients in both the treatment arms were followed up for 12 months. The scores were reassessed at 12 months along with LNG-IUD expulsion rates and treatment failure, which included any of the following: hysterectomy for adenomyosis, persistent HMB, or persistent dysmenorrhea.Results: The primary outcome of treatment failure was significantly lower in the TCRE + LNG-IUD group (7.14% vs. 25%, P = 0.01; Risk ratio 3.45, 95% Confidence interval (1.35-8.83). The quality-of-life (WHO QOL-BREF) and MMAS scores at 12 months were also significantly better in the TCRE + LNG-IUD arm. None of the women in the combined TCRE and LNG-IUD group had LNG-IUD expulsion at 12 months compared to the LNG-IUD expulsion rate of 8.8% in the LNG-IUD alone group (P = 0.013).Conclusion: A combination of TCRE with LNG-IUD had a lower failure rate at 12 months in women with adenomyosis compared to LNG-IUD alone. This combination also resulted in better quality of life and lowered the chance of LNG-IUD expulsion at 12 months.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"15 3","pages":"227-231"},"PeriodicalIF":2.1,"publicationDate":"2026-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13427150/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654591","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