Gynecology and Minimally Invasive Therapy-GMIT最新文献_第5页

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

Erratum: A Comparison of Conventional Pap Smear and Liquid-Based Cytology for Cervical Cancer Screening. 勘误：宫颈癌筛查中传统子宫颈抹片检查和液基细胞学检查的比较。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-02-23 eCollection Date: 2024-01-01 DOI: 10.4103/gmit.gmit_21_24

引用次数: 0

Regarding Cornual Pregnancy. 关于双角妊娠。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-02-23 eCollection Date: 2024-01-01 DOI: 10.4103/gmit.gmit_141_23

Ibrahim A Abdelazim, Ainur Donayeva, Ainur Amanzholkyzy

引用次数: 0

Satisfactory Outcome of Various Novel Modified Laparoscopic Neovaginoplasty Using Autologous Peritoneal Graft. 使用自体腹膜移植的各种新型改良腹腔镜新阴道成形术的满意结果

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-02-23 eCollection Date: 2024-01-01 DOI: 10.4103/gmit.gmit_33_23

Alfa Putri Meutia, Yudhistya Ksyatria, Tyas Priyatini, Surahman Hakim, Suskhan Djusad, Fernandi Moegni, Gita Nurul Hidayah, Achmad Kemal Harzif

{"title":"Satisfactory Outcome of Various Novel Modified Laparoscopic Neovaginoplasty Using Autologous Peritoneal Graft.","authors":"Alfa Putri Meutia, Yudhistya Ksyatria, Tyas Priyatini, Surahman Hakim, Suskhan Djusad, Fernandi Moegni, Gita Nurul Hidayah, Achmad Kemal Harzif","doi":"10.4103/gmit.gmit_33_23","DOIUrl":"10.4103/gmit.gmit_33_23","url":null,"abstract":"Management of vaginal agenesis in Mayer-Rokitansky-Küster-Hauser syndrome patients is by creating functional neovagina through surgical or nonsurgical route. Surgical repair using minimally invasive technique is a favorable option in creating neovagina. In this study, the patients underwent neovaginoplasty. Clinical follow-ups were done at 3, 6, and 12 months postoperatively. The primary outcomes were anatomic and functional successes; anatomical success was defined as a ≥6 cm-long neovagina that allows for easy introduction of two fingers, and functional success was defined with Female Sexual Function Index FSFI-6 questionnaire score above 19. Modified neovaginoplasty using autologous peritoneal graft was performed on the patients (n = 6). Follow-up showed mean vaginal lengths of 8.16 cm, mean surgery time of 175 min, mean blood loss of 59.17 ml, and mean duration of hospital stay of 2 days, with an average FSFI-6 score of 25,2. Therefore, we concluded that laparoscopic approach using modified technique of autologous peritoneal graft provides satisfactory result.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 1","pages":"48-52"},"PeriodicalIF":1.2,"publicationDate":"2024-02-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10936726/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140132835","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

V-NOTES Hysterectomy: Surgery in 10 Steps. V-NOTES 子宫切除术：手术 10 个步骤。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-02-23 eCollection Date: 2024-01-01 DOI: 10.4103/gmit.gmit_47_23

Francoise Futcher, Pascale George, Nassir Habib

引用次数: 0

Transvaginal Natural Orifice Specimen Extraction: A 10-step Approach for Laparoscopic Excision of Deep Endometriosis Infiltrating the Rectosigmoid. 经阴道自然孔标本提取术：直肠乙状结肠深部子宫内膜异位症腹腔镜切除术的 10 步法。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-02-23 eCollection Date: 2024-01-01 DOI: 10.4103/gmit.gmit_52_23

Abhishek Mangeshikar, Youssef Youssef, Harsh Sheth, Prashant Mangeshikar, Gaby Moawad

引用次数: 0

Discordance in Histopathological versus Clinical Diagnosis of a Paracolpium Endometrioma - A Diagnostic Challenge. 子宫内膜副瘤组织病理学诊断与临床诊断不一致--诊断难题。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-01-12 eCollection Date: 2024-01-01 DOI: 10.4103/gmit.gmit_48_22

Masahiro Watanabe

引用次数: 0

Evaluation of Deeply Infiltrating Endometriosis by Preoperative Magnetic Resonance Imaging in Patients with Adenomyosis. 通过术前磁共振成像评估子宫腺肌症患者的深层浸润性子宫内膜异位症

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-12-28 eCollection Date: 2024-04-01 DOI: 10.4103/gmit.gmit_59_23

Kanako Yoshida, Takeshi Kato, Riyo Kinochi, Hikari Sasada, Takashi Kaji, Takeshi Iwasa

{"title":"Evaluation of Deeply Infiltrating Endometriosis by Preoperative Magnetic Resonance Imaging in Patients with Adenomyosis.","authors":"Kanako Yoshida, Takeshi Kato, Riyo Kinochi, Hikari Sasada, Takashi Kaji, Takeshi Iwasa","doi":"10.4103/gmit.gmit_59_23","DOIUrl":"10.4103/gmit.gmit_59_23","url":null,"abstract":"Objectives: Before endometriosis surgery, it is important to identify deep infiltrating endometriosis (DIE) to assess the surgical difficulty. Preoperative magnetic resonance imaging (MRI) was used to determine which findings are useful in predicting DIE.Materials and methods: Between 2008 and 2016, 54 patients with adenomyosis underwent total laparoscopic hysterectomy at our hospital. We retrospectively evaluated the intraoperative findings and magnetic resonance imaging (MR) images. The MR images were scored based on the presence of five findings: retroflexed uterus, elevated posterior vaginal fornix, intestinal tethering in the direction of the uterus, faint strands between the uterus and intestine, and fibrotic nodules covering the serosal surface of the uterus.Results: Of the five findings, intestinal tethering and faint strands between the uterus and intestine showed a sensitivity of 73% and a specificity of 91%-100%, indicating the usefulness of these findings for detecting deep endometriosis lesions. However, finding a retroflexed uterus did not contribute to DIE lesion detection. The sensitivities of an elevated posterior fornix and fibrotic nodules covering the surface of the uterus were as low as 46%-59%, and their specificities were as high as 84%-91%.Conclusion: Preoperative preparation is essential for patients with intestinal tethering or faint strands between the uterus and intestine on preoperative MRI after obtaining appropriate informed consent.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 2","pages":"105-110"},"PeriodicalIF":1.4,"publicationDate":"2023-12-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11192287/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141443499","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