Gynecology and Minimally Invasive Therapy-GMIT最新文献

{"title":"Laparoscopic Appendectomy for Gynecologists in Five Steps.","authors":"Diego Raimondo, Giulia Borghese, Laura Cocchi, Antonio Raffone, Paolo Casadio, Antonio Mollo, Renato Seracchioli","doi":"10.4103/gmit.gmit_115_22","DOIUrl":"10.4103/gmit.gmit_115_22","url":null,"abstract":"objectIve Appendectomy is one of the most common surgical procedures performed globally, and the laparoscopic technique has the advantage of a minimally invasive approach.[1-4] Competency in laparoscopic appendectomy from gynecologists is essential and necessary to fully address the treatment of some gynecologic conditions and diseases. The standardization and description of the technique for gynecologists are the main objectives of this video [Figures 1 and 2].","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 3","pages":"183-184"},"PeriodicalIF":1.2,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/22/65/GMIT-12-183.PMC10553604.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41165325","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":"Endometrial Osseous Metaplasia: An Hysteroscopic Incidental Finding - An Overview.","authors":"Gianluca Raffaello Damiani, Daniele Di Gennaro, Antonio Malvasi, Antonella Vimercati, Vera Loizzi, Maria Gaetani, Tommaso Di Fonzo, Miriam Dellino, Gerardo Cazzato, Ettore Cicinelli, Giuseppe Trojano","doi":"10.4103/gmit.gmit_89_22","DOIUrl":"10.4103/gmit.gmit_89_22","url":null,"abstract":"<p><p>Endometrial osseous metaplasia (EOM) is an uncommon clinical entity with the presence of bone in the endometrium which requires clinical and therapeutic framework. It is also described by various other names such as endometrial ossification, ectopic intrauterine bone, and heterotopic intrauterine bone. Ossification could have various locations as the cervix the ovary, and the vagina. This overview highlights the attention on the actual pivotal points of EOM.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 1","pages":"243-245"},"PeriodicalIF":1.2,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683954/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44471451","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":"Treatment of Iatrogenic Pneumothorax during Resection of Diaphragmatic Endometriosis using a Laparoscopic Suction Irrigator: A Simple Approach.","authors":"Manpreet K Singh, Menbere A Dejenie, Sadikah Behbehani, Samar Nahas, Stephanie Handler, Mallory A Stuparich","doi":"10.4103/gmit.gmit_125_22","DOIUrl":"10.4103/gmit.gmit_125_22","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 1","pages":"253-254"},"PeriodicalIF":1.2,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683965/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44171377","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":"Easy and Standardized Technique for the Dissection of Severe Pouch of Douglas Obliteration Mainly by Blunt Dissection in Total Laparoscopic Hysterectomy for Deep Infiltrating Endometriosis.","authors":"Kenro Chikazawa,&nbsp;Ken Imai,&nbsp;Naoki Ichi,&nbsp;Tomoyuki Kuwata","doi":"10.4103/gmit.gmit_123_22","DOIUrl":"10.4103/gmit.gmit_123_22","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 3","pages":"179-180"},"PeriodicalIF":1.2,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/ac/c3/GMIT-12-179.PMC10553602.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41133189","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":"Postoperative Pregnancy Outcomes Following Laparoscopic Surgical Management in Women with Stage III/IV Endometriosis: A Single-Center Follow-Up Study.","authors":"Maya Fujii,&nbsp;Akemi Koshiba,&nbsp;Fumitake Ito,&nbsp;Izumi Kusuki,&nbsp;Jo Kitawaki,&nbsp;Taisuke Mori","doi":"10.4103/gmit.gmit_132_22","DOIUrl":"10.4103/gmit.gmit_132_22","url":null,"abstract":"<p><strong>Objectives: </strong>The effects of laparoscopic surgical management in women with stage III/IV endometriosis remain controversial. The standard extent of resection for stage III/IV endometriosis with deep endometriosis to treat endometriosis-associated infertility is debatable. This study aimed to assess the postoperative pregnancy outcomes following a routine surgical intervention for stage III/IV endometriosis patients.</p><p><strong>Materials and methods: </strong>Patients with stage III/IV endometriosis who underwent conservative laparoscopic surgery at our hospital between January 2010 and December 2018 were retrospectively analyzed. Statistical analyses were performed to determine the correlations between endometriosis features and postoperative pregnancy outcomes.</p><p><strong>Results: </strong>Of 256 patients enrolled, 94 wished to conceive. Exclusion criteria: ≥40 years, adenomyosis, partners with infertility issues. Finally, 71 women were included. The overall postoperative pregnancy rate was 76.1% (<i>n</i> = 54): 49 and five from non-assisted reproductive technology (ART) and ART, respectively. The postoperative pregnancy rate in patients diagnosed with infertility presurgery (40/71) was 70.0% (<i>n</i> = 28): 24 (non-ART) and four (ART). The endometriosis fertility index (EFI) score was higher in the pregnant than in the nonpregnant group (<i>P</i> = 0.03). The EFI score and surgical score of EFI were higher in the non-ART than in the ART group (<i>P</i> = 0.04; <i>P</i> = 0.02); in the infertile group, they were higher in the pregnant than in the nonpregnant group (<i>P</i> = 0.018; <i>P</i> = 0.027).</p><p><strong>Conclusion: </strong>Our postoperative pregnancy rate after conservative laparoscopic surgery for patients with stage III/IV endometriosis compared favorably with previous reports. EFI was a significant predictor of postoperative pregnancy. Our surgical approach to maintain a high surgical score of EFI might help treat endometriosis-associated infertility.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 3","pages":"153-160"},"PeriodicalIF":1.2,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/71/f4/GMIT-12-153.PMC10553597.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41157749","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":"A Comparison of Conventional Pap Smear and Liquid-Based Cytology for Cervical Cancer Screening.","authors":"Nirali Patel, Rupali Bavikar, Archana Buch, Mayuri Kulkarni, Arpana Dharwadkar, Vidya Viswanathan","doi":"10.4103/gmit.gmit_118_22","DOIUrl":"10.4103/gmit.gmit_118_22","url":null,"abstract":"<p><strong>Objectives: </strong>Early diagnosis and treatment of preinvasive lesions have made cervical cytology one of the most effective methods of cancer screening in industrialized nations, which have seen a sharp decline in the incidence and death of invasive cancer. The aim of this study is to compare liquid-based cytology (LBC) and conventional Pap on cervical smears.</p><p><strong>Materials and methods: </strong>From July 2018 to June 2022, 600 patients were included in this cross-sectional study, which was done at the Pathology Department of a Tertiary Care Facility in Western Maharashtra.</p><p><strong>Results: </strong>Of the 600 patients, 570 (95%) had good conventional Pap smear (CPS), whereas 30 (5%) had poor ones. Five hundred and ninety-two (98.6%) LBC smears were satisfactory, whereas 8 (1.4%) were unsatisfactory. Endocervical cells were seen in 294 (49%) CPS, whereas 360 (60%) LBC smears showed endocervical cells. The morphology of inflammatory cells was similar in both techniques. Hemorrhagic background was seen in 212 (35%) CPS and 76 (12.6%) LBC smears. Only two samples showed diathetic background, which was seen on both CPS and smear. Out of the satisfactory smears in the case of CPS, 512 (85%) cases were reported as negative for intraepithelial lesion or malignancy (NILM), whereas 58 (9.7%) cases were reported as epithelial cell abnormality. In LBC smears, 526 (87.3%) were reported as NILM, whereas 66 (11%) were reported as epithelial cell abnormality. Organisms were detected in 208 (34%) CPS and 162 (27%) LBC smears. Screening time was 5 ± 1 min for CPS, whereas it was 3 ± 1 min for LBC smear.</p><p><strong>Conclusion: </strong>Mortality will be decreased using LBC on a bigger scale in nations where many smears can be made and screened in a short amount of time, with the provision of doing human papillomavirus-based testing on the remaining sample.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 2","pages":"77-82"},"PeriodicalIF":1.2,"publicationDate":"2023-05-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/fa/09/GMIT-12-77.PMC10321340.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10182979","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":"Desmoid Tumor Mimicking Port Site Metastasis after Laparoscopic Surgery for Endometrial Cancer.","authors":"Daiki Hiratsuka,&nbsp;Akira Tsuchiya,&nbsp;Reiko Matsuyama,&nbsp;Hiroko Tsuchiya,&nbsp;Akihisa Fujimoto,&nbsp;Osamu Nishii","doi":"10.4103/gmit.gmit_94_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_94_22","url":null,"abstract":"<p><p>Desmoid tumors are rare; however, they sometimes form in the abdominal wall after surgery or trauma. We report a case of desmoid tumors in the abdominal wall mimicking port-site metastasis after laparoscopic surgery for endometrial cancer. A 53-year-old woman with familial adenomatous polyposis presented to our hospital with vaginal bleeding and was diagnosed with endometrial cancer. We performed a total laparoscopic hysterectomy and began observation. Two years after surgery, follow-up computed tomography revealed three nodules with a size of approximately 15 mm in the abdominal wall at the trocar sites. Tumorectomy was performed because endometrial cancer recurrence was suspected, but desmoid fibromatosis was finally diagnosed. This is the first report of desmoid tumors at the trocar site after laparoscopic surgery for uterine endometrial cancer. Gynecologists should be aware of this disease because differentiating it from metastatic recurrence is challenging.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 2","pages":"105-108"},"PeriodicalIF":1.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/98/9c/GMIT-12-105.PMC10321339.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9805804","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":"Postoperative Ovarian Vein Thrombosis and Treatment with Direct Oral Anticoagulant.","authors":"Ghadear Shukr,&nbsp;Madeleine R Gonte,&nbsp;Victoria E Webber,&nbsp;Joelle A Abood,&nbsp;Samah Arsanious,&nbsp;David Eisenstein","doi":"10.4103/gmit.gmit_62_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_62_22","url":null,"abstract":"<p><p>Postoperative ovarian vein thrombosis (OVT) is a rare complication following hysterectomy. Due to its ambiguous presentation, most frequently presenting as a fever with no known source and lower quadrant abdominal pain, OVTs are commonly diagnosed incidentally on computed tomography as a low-attenuation thrombus in place of the ovarian vein. The cornerstones of OVT treatment include anticoagulation and antibiotic therapy; however, there are no current guidelines to inform provider decision-making regarding specific anticoagulant agents, dosing, or length of therapy. We present a patient with a history of deep-vein thrombosis, who presented to the emergency department with OVT following a laparoscopic hysterectomy. She was treated with apixaban, a direct oral anticoagulant (DOAC), and experienced repeated episodes of vaginal bleeding and hematoma expansion. We present this case to instill a high index of suspicion for OVT after laparoscopic hysterectomy, and to discuss the role of DOACs in patients with thromboembolic disease and concurrent bleeding.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 2","pages":"113-115"},"PeriodicalIF":1.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b3/2e/GMIT-12-113.PMC10321344.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9805807","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 Surgical Management of an Iatrogenic Tubo-ovarian Abscess Following Hysteroscopy in a Sexually Inexperienced Female.","authors":"Zin Mar Lay,&nbsp;Gillian Patrick C Gonzalez,&nbsp;Jhanice S Paredes,&nbsp;Kuan-Gen Huang,&nbsp;Chyi-Long Lee","doi":"10.4103/gmit.gmit_41_23","DOIUrl":"https://doi.org/10.4103/gmit.gmit_41_23","url":null,"abstract":"interventionS A 42-year-old, nulligravid, with no coital experience, developed sudden-onset lower abdominal pain accompanied by fever, 1 week following a hysteroscopic procedure. She endured the symptoms for 6 weeks until finally deciding to seek a consult. A magnetic resonance scan showed a thick-walled left adnexal cyst with marked diffusion restriction and fat stranding. This was signed out as pelvic inflammatory disease (PID) with a left TOA. A broad-spectrum course of antibiotics was given, without any improvement in her symptoms. A sonographic follow-up scan showed no decrease in the lesion size, hence surgical intervention was performed.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 2","pages":"103-104"},"PeriodicalIF":1.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/c2/24/GMIT-12-103.PMC10321347.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9805809","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":"Modified Laparoscopic Cornual Resection for Cornual Pregnancy.","authors":"Kouki Samejima,&nbsp;Sachiho Netsu,&nbsp;Junji Mitsushita,&nbsp;Kenro Chikazawa,&nbsp;Tomoyuki Kuwata","doi":"10.4103/gmit.gmit_16_23","DOIUrl":"https://doi.org/10.4103/gmit.gmit_16_23","url":null,"abstract":"Setting Cornual pregnancy accounts for 2%–4% of all ectopic pregnancies.[1] Conventional laparoscopic management includes cornuostomy, cornual resection, and wedge resection.[2,3] Possible issues with these procedures are disruption of the fetal capsule, injury to the myometrium accompanied by bleeding, and persistence of trophoblastic tissue.[1-3] Our modified cornual resection method can avoid the issues mentioned above.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 2","pages":"101-102"},"PeriodicalIF":1.2,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/58/81/GMIT-12-101.PMC10321346.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9805808","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}