Gynecology and Minimally Invasive Therapy-GMIT最新文献

{"title":"Corrigendum: Endometrial Osseous Metaplasia: A Hysteroscopic Incidental Finding - An Overview.","authors":"","doi":"10.4103/GMIT.Corrigendum_gmit_89_22","DOIUrl":"10.4103/GMIT.Corrigendum_gmit_89_22","url":null,"abstract":"<p><p>[This corrects the article on p. 243 in vol. 12, PMID: 38034103.].</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 1","pages":"101"},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936388/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721813","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":"Expert Consensus on the Management of Adenomyosis: A Modified Delphi Method Approach by the Taiwan Endometriosis Society.","authors":"Chih-Wei Lin, Huang-Tz Ou, Meng-Hsing Wu, Chih-Feng Yen","doi":"10.4103/gmit.GMIT-D-24-00055","DOIUrl":"10.4103/gmit.GMIT-D-24-00055","url":null,"abstract":"<p><strong>Objectives: </strong>To establish the expert opinions and consensus recommendations from the Taiwanese Endometriosis Society on managing adenomyosis.</p><p><strong>Materials and methods: </strong>This study employed a two-round modified Delphi method incorporating a national panel of expert gynecologists to form the consensus on managing adenomyosis. The first round of the Delphi procedure involved an expert panel from the board members to evaluate the relevance of each item. In the subsequent round of votes, gynecologists affiliated with the Taiwan Endometriosis Society participated and used a 5-point Likert scale to cast votes and approve each statement. The rating scales for each item of the key recommendations were analyzed for the distribution of degrees of agreement.</p><p><strong>Results: </strong>The consensus for managing adenomyosis was developed, encompassing various aspects including imaging diagnosis, hormonal treatment, surgical treatment, noninvasive/minimally invasive treatment, infertility concerns, and obstetric considerations. In the first round of voting, all 25 recommendations received approval from the board members, advancing them to the second round. During the second round of voting, the majority of recommendations received either a \"strongly agree\" or \"agree\" response. There was divergence regarding the similarity of effectiveness in alleviating adenomyosis-related pain by either laparotomic or laparoscopic approaches (55% strongly agree or agree vs. 21% disagree or strongly disagree).</p><p><strong>Conclusion: </strong>The Taiwan Endometriosis Society expert panel has established a set of consensus guidelines for the management of adenomyosis. There are diverging opinions among experts regarding the optimal surgical approaches for resection of adenomyosis.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 1","pages":"24-32"},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936390/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721901","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 Enucleation of a Cervical Myoma and Reconstruction of Cervical Canal.","authors":"Ning-Shiuan Ting, Dah-Ching Ding","doi":"10.4103/gmit.gmit_34_24","DOIUrl":"10.4103/gmit.gmit_34_24","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 1","pages":"96-97"},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936389/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721917","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":"Comprehensive Overview of Surgical Skill Training Strategies in the APAGE International Gynecologic Endoscopy Fellowship.","authors":"Gillian Patrick Cruz Gonzalez, Kuan-Gen Huang, Mary Evangeline Villa Mercado, Jhanice Sangda-An Paredes, Chyi-Long Lee","doi":"10.4103/gmit.gmit_52_24","DOIUrl":"10.4103/gmit.gmit_52_24","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 1","pages":"3-7"},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936392/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721812","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":"Development of a Personalized and Simplified Ovarian Cystectomy Practice Tool.","authors":"Hisanori Komatsu, Kenro Chikazawa, Akina Matsumoto, Issei Kagami","doi":"10.4103/gmit.gmit_12_24","DOIUrl":"10.4103/gmit.gmit_12_24","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 1","pages":"94-95"},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936397/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721814","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":"Improvement of Prognostic Outcome in Minimally Invasive Surgery for Stage I Epithelial Ovarian Cancer.","authors":"Kohei Omatsu, Chyi-Long Lee, Kuan-Gen Huang","doi":"10.4103/gmit.gmit_77_24","DOIUrl":"10.4103/gmit.gmit_77_24","url":null,"abstract":"<p><strong>Objectives: </strong>Minimally invasive surgery (MIS) is a limited treatment option for early-stage ovarian cancer. The National Comprehensive Cancer Network^® guidelines that salpingo-oophorectomy should be performed with every effort to keep an encapsulated mass intact during removal. We aimed to investigate whether, if tumor rupture was controlled, patients' oncological outcomes for Stage I ovarian cancer would not be worse in MIS. An endobag was prepared and used to prevent the ovarian cancer cells from spilling into the peritoneal cavity. We report a recent 10-year clinical outcome of MIS for ovarian cancer by oncological endoscopists in gynecology.</p><p><strong>Materials and methods: </strong>We retrospectively collected clinical data from an electric chart. Collective clinical data included age, body mass index (BMI), operative time (OT), estimated blood loss (EBL), intraoperative rupture (IR), duration of hospital stay (HS), time from the operation date to the first infusion of chemotherapy (TOFC), disease-free survival (DFS), and overall survival (OS) at 5 years. The data were statistically analyzed using EZR.</p><p><strong>Results: </strong>The median age, BMI, OT, EBL, IR, HS, TOFC, and DFS were 50 years, 23.9 kg/m², 363 min, 100 mL, 65 (98%) patients, 7 days, 15 days, and 43.4 months, respectively. The OS was 98%. The data were consistent with those from the past 10 years, except for a tendency toward an increasing trend in the proportion of ruptured tumors during surgery.</p><p><strong>Conclusion: </strong>Tumor rupture within the prepared endobag during MIS did not affect the oncological outcomes of early-stage ovarian cancer.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 1","pages":"66-71"},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936402/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721915","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":"Successful Pregnancy after Fertility-sparing Surgery and Treatment for Metachronous Multiple Primary Malignancies - A Case Report.","authors":"Mary Evangeline Villa Mercado, Kuan-Gen Huang, Zin Mar Lay, Shih-Yin Huang","doi":"10.4103/gmit.gmit_20_24","DOIUrl":"10.4103/gmit.gmit_20_24","url":null,"abstract":"<p><p>The occurrence of metachronous multiple primary malignancies remains relatively rare; however, its incidence is notably rising. We present the case of a 25-year-old woman who underwent fertility-sparing surgery, followed by chemotherapy for ovarian yolk sac tumor. Three years later, the patient was diagnosed with a large B-cell lymphoma in the cecum. She underwent bowel surgery and received chemotherapy postoperatively. Despite her condition, she was able to conceive spontaneously and had a successful pregnancy after treatment. This report highlights the importance of considering fertility-preserving treatment strategies in young patients and the possibility of spontaneous conception and successful pregnancy even in patients diagnosed with metachronous multiple primary malignancies who underwent extensive surgical procedures and heavily treated with chemotherapy.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 1","pages":"89-93"},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936391/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721942","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":"Clinical Efficacy of Ultrasound-guided High-intensity Focused Ultrasound Ablation for Treating Breast Fibroadenoma of Different Sizes: A Retrospective Study.","authors":"Xiuying Wu, Lei Yang, Zi Li, Heng Yin, Wenzhi Chen, Cai Zhang","doi":"10.4103/gmit.GMIT-D-24-00035","DOIUrl":"10.4103/gmit.GMIT-D-24-00035","url":null,"abstract":"<p><strong>Objectives: </strong>The aim of this study was to assess the clinical outcomes of ultrasound (US)-guided high-intensity focused ultrasound (HIFU) in patients with breast fibroadenoma (FA) of different sizes.</p><p><strong>Materials and methods: </strong>A total of 88 patients with 245 lesions diagnosed with FA by core needle biopsy from January 2021 to November 2023 were included in this study. US-guided HIFU was performed under local anesthesia. Baseline and treatment characteristics were recorded and analyzed. FAs were divided into three groups according to the longest diameter for further analysis. After the treatment, follow-up with volume evaluation and physical examination was performed at 3, 6, and 12 months.</p><p><strong>Results: </strong>There were 56 FAs ≤10 mm (group 1), 144 FAs with a diameter of 10-20 mm (Group 2), and 45 FAs of 20-30 mm (Group 3). The sonication time of the three groups was 22.5 s, 45.0 s, and 83.0 s (<i>P</i> < 0.05). Based on contrast-enhanced ultrasound evaluation, the median nonperfused volume ratio of the three groups was 74.1%, 87.6%, and 79.2% (<i>P</i> > 0.05), respectively. The volume reduction rates (VRR) of the three groups were 47.3%, 77.0%, and 82.0% at 12 months after HIFU, showing statistical differences. All patients were tolerated well and there were no adverse events after HIFU.</p><p><strong>Conclusion: </strong>The current evidence indicated HIFU was effective and safe in treating breast FA of different sizes, and the VRR of FA >1 cm at 12 months post-HIFU was greater than that of FA <1 cm.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 1","pages":"72-80"},"PeriodicalIF":1.4,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936401/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721849","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":"The Strategy of Robot-assisted Hysterectomy in Patients with Morbid Obesity.","authors":"Junji Mitsushita, Chiaki Banzai, Akina Matsumoto, Emi Motegi, Katsuya Imai, Shuhei Watanabe, Tomomi Murata, Masayuki Soda","doi":"10.4103/gmit.gmit_147_23","DOIUrl":"10.4103/gmit.gmit_147_23","url":null,"abstract":"<p><p>Robotic hysterectomy has emerged as a superior surgical approach for patients with obesity, providing significant benefits including reduced incidence of myocardial infarction, peripheral nerve injury, wound infections, and urinary tract infections. However, these unique considerations require careful attention when managing such cases. Therefore, this study aimed to propose several key strategies for achieving optimal outcomes, including maintaining a mild Trendelenburg position (12°), ensuring the patient's secure positioning, avoiding the lithotomy position, considering a slightly higher pneumoperitoneum insufflation pressure (12 mmHg), and using a 30° endoscope for improved visualization rather than a 0° endoscope. We present three cases of stage IA atypical endometrial hyperplasia and carcinoma. All three patients underwent robotic hysterectomy and bilateral salpingo-oophorectomy, with body mass indices of 53.3, 43.8, and 43.7 kg/m².</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 1","pages":"81-84"},"PeriodicalIF":1.4,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936405/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721885","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":"Endometriosis Quality of Life Cohort Study: Long-term Impact of Radical Laparoscopic Excision of Endometriosis.","authors":"Rose McDonnell, Jessica Gollow, Elizabeth Nathan, Dorota Doherty, Kingshuk Majumder, Eden Wilkinson, Bernadette McElhinney, Krishnan Karthigasu, Roger Hart","doi":"10.4103/gmit.gmit_156_23","DOIUrl":"10.4103/gmit.gmit_156_23","url":null,"abstract":"<p><strong>Objectives: </strong>The objectives of this study were to determine if radical laparoscopic excision of endometriosis (RLEE) improves long-term outcomes in the quality of life (QOL) and symptomatology experienced by women with the disease. Secondary objectives include recurrence and reoperation rates and impact on fertility.</p><p><strong>Materials and methods: </strong>Prospective observational cohort study Patients who underwent surgical management of histologically confirmed endometriosis completed pre- and postoperative QOL questionnaires.</p><p><strong>Results: </strong>Baseline preoperative scores on QOL questionnaires were lower than the population norms. Overall, 63.0% of patients improved their global health scores, and 57.5% of patients improved their health state scores from baseline to the most recent follow-up. On the Short Form-12 questionnaire, 63% of patients improved their physical and/or mental scores. Overall improvement was shown in Visual Analog Scale pain scores in menstrual pain (79.2% improved, median improvement 3, <i>P</i> < 0.001, <i>n</i> = 72), noncyclical pelvic pain (64.4% improved, median improvement 2, <i>P</i> < 0.001, <i>n</i> = 73), dyschezia (63.9% improved, median improvement 2, <i>P</i> < 0.001, <i>n</i> = 72), and dyspareunia (65.6% improved, median improvement 1, <i>P</i> = 0.002, <i>n</i> = 64 pairs). There was a significant reduction in discomfort 1-2 years after primary surgery among sexually active patients (<i>n</i> = 23, pre- vs. postmedian score 4 vs. 2, <i>P</i> = 0.005). Repeat surgery was required in 36% of patients and 77.1% of those wishing to, achieved a successful pregnancy.</p><p><strong>Conclusion: </strong>RLEE significantly improves global health scores, with this improvement lasting up to 10 years following index surgery. It is also suggested that this management option has the capability of improving fertility outcomes in women with endometriosis.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 1","pages":"57-65"},"PeriodicalIF":1.4,"publicationDate":"2025-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11936395/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143721900","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}