Gynecology and Minimally Invasive Therapy-GMIT最新文献

{"title":"Three-step Procedure to Reduce Hemorrhage in Laparoscopic Myomectomy: Selectively Incising the Connective Bridges.","authors":"Yusuke Sako, Tetsuya Hirata","doi":"10.4103/gmit.GMIT-D-25-00029","DOIUrl":"10.4103/gmit.GMIT-D-25-00029","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 4","pages":"363-364"},"PeriodicalIF":1.7,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626170/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557987","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":"Cervical Chaos: The Unexpected Amebic Guest.","authors":"Seema Rao, Md Ali Osama, Poojan Agarwal, Deepika Gupta, Sonia Badwal","doi":"10.4103/gmit.GMIT-D-25-00066","DOIUrl":"10.4103/gmit.GMIT-D-25-00066","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 4","pages":"371-372"},"PeriodicalIF":1.7,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626189/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557963","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":"Surgical Fertility Preservation Before Pelvic Radiation: Time to Replace Oophoropexy with Uterine Transposition?","authors":"Reitan Ribeiro, Togas Tulandi","doi":"10.4103/gmit.GMIT-D-25-00052","DOIUrl":"10.4103/gmit.GMIT-D-25-00052","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 4","pages":"287-288"},"PeriodicalIF":1.7,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626140/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557892","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":"Surgical Results and Current Status of Adnexal Torsion Management, with a Comparison of Entire Adnexal Torsion and Isolated Fallopian Tube Torsion: A Single-center Study.","authors":"Tsukasa Ojima, Hiroyuki Yazawa, Riho Yazawa, Kazuki Anjo","doi":"10.4103/gmit.GMIT-D-25-00011","DOIUrl":"10.4103/gmit.GMIT-D-25-00011","url":null,"abstract":"<p><strong>Objectives: </strong>We aimed to evaluate the results of surgery for adnexal torsion at Fukushima Red Cross Hospital over the 10-year period from 2013 to 2023.</p><p><strong>Materials and methods: </strong>In cases of adnexal torsion, we evaluated the incidence, torsion site, symptoms, and presence or absence of necrosis and bleeding.</p><p><strong>Results: </strong>Among 1243 surgeries for ovarian tumor performed during the study period, there were 43 cases (3.5%) of adnexal torsion. Of these, 39 cases (91%) were entire ovarian torsion (ovarian and fallopian tube torsion [OFTT]) and 4 cases (9%) were isolated fallopian tube torsion (IFTT). The incidence of ovarian tumors was higher with OFTT, while paraovarian cysts and hydrosalpinx were more common with IFTT. Compared with IFTT, OFTT was associated with more frequent abdominal pain, emergency surgery, and necrosis on pathological diagnosis. Furthermore, in 53% (10/19) of cases with no necrosis on postoperative pathological examination, there was a change in color to dark purple or black that was suspected to represent necrosis during surgery.</p><p><strong>Conclusion: </strong>Adnexal torsion can lead to necrosis of the ovary or fallopian tube; thus, it is important to make an accurate diagnosis and provide appropriate treatment as soon as possible. When selecting a surgical procedure in reproductive-aged women, it is recommended that ovarian function - sparing procedures be actively considered, except in cases of advanced necrosis, with the understanding that there is often a discrepancy between intraoperative macroscopic necrosis findings and pathological necrosis that identified by postoperative pathological examination (discrepancy rate was 31% in this study).</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 4","pages":"304-310"},"PeriodicalIF":1.7,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626144/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557934","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 Role of Artificial Intelligence and Robotics in Transforming Modern Health Care.","authors":"Yi-Yu Hsu, Chyi-Long Lee","doi":"10.4103/gmit.GMIT-D-25-00113","DOIUrl":"10.4103/gmit.GMIT-D-25-00113","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 4","pages":"285-286"},"PeriodicalIF":1.7,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626147/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558053","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 Effect of Postoperative Modified Trendelenburg Position to Decrease Shoulder Pain after Laparoscopic Hysterectomy: A Randomized Controlled Trial.","authors":"Boonyanit Silarin, Kamaitorn Tientong","doi":"10.4103/gmit.GMIT-D-24-00025","DOIUrl":"10.4103/gmit.GMIT-D-24-00025","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to investigate the impact of postoperative modified Trendelenburg posture on shoulder pain after laparoscopic hysterectomy (TLH).</p><p><strong>Materials and methods: </strong>Forty-six patients undergoing TLH for benign gynecologic conditions were prospectively enrolled in a randomized controlled trial with a 1:1 allocation ratio. At the postoperative ward, patients in the intervention group were placed in a modified Trendelenburg posture with a 20° inclination for 6 h, while those in the control group were maintained supine. Shoulder pain was evaluating using a Numerical Rating Scale (NRS) at intervals of 0, 6, 12, and 24 h postoperatively upon admission to the postoperative ward. Additionally, scores for upper abdominal pain, lower abdominal pain, nausea/vomiting, as well as the total consumption of rescue analgesia and antiemetic drugs within the first 24 h following surgery were recorded.</p><p><strong>Results: </strong>The baseline characteristics exhibited no significant differences between the two groups. Furthermore, when evaluating the NRS of shoulder pain, no statistically significant difference was observed between the two groups (<i>P</i> = 0.363). Additionally, no notable distinctions emerged in the scores associated with upper abdominal pain, lower abdominal pain, nausea/vomiting, or the overall usage of rescue analgesics and antiemetic medications within the initial 24 h following the surgical procedure.</p><p><strong>Conclusion: </strong>Implementing a modified Trendelenburg posture for a duration of 6 h after TLH did not have a significant impact on reducing shoulder discomfort.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 4","pages":"318-325"},"PeriodicalIF":1.7,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626141/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557941","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":"Management of Obesity in Menopausal Women: Implications for Metabolic Health and Minimally Invasive Surgery.","authors":"Hsuan-Wei Huang, Yu-Che Ou, Chia Yun Lin, Kuo-Chung Lan","doi":"10.4103/gmit.GMIT-D-25-00082","DOIUrl":"10.4103/gmit.GMIT-D-25-00082","url":null,"abstract":"<p><p>Menopause and obesity are interrelated conditions that collectively increase the risk of cardiometabolic diseases, impair quality of life, and pose challenges to gynecologic care. In menopausal women, hormonal decline facilitates fat accumulation, while obesity exacerbates menopausal symptoms and surgical complications. This review synthesizes current evidence on the pathophysiological interplay between menopause and obesity, evaluates behavioral, pharmacological, and surgical strategies for weight management, and discusses the implications for gynecologic minimally invasive surgery (MIS). A comprehensive literature review was conducted, focusing on clinical guidelines, randomized trials, and meta-analyses concerning obesity management in midlife women. Lifestyle interventions form the cornerstone of obesity treatment, but pharmacologic agents-particularly glucagon-like peptide-1 receptor agonists and dual incretin therapies-have demonstrated superior efficacy in achieving weight loss and cardiometabolic improvements. Bariatric surgery remains the most effective long.term option for severe obesity. Minimally invasive gynecologic procedures, although technically more challenging in obese patients, remain preferable when preoperative weight optimization and multidisciplinary care are applied. A multidimensional, personalized approach to obesity management in menopausal women is critical for improving metabolic outcomes and optimizing surgical safety. Importantly, preoperative optimization of obese menopausal women enhances the feasibility and outcomes of gynecologic MIS, thereby directly addressing a core concern of gynecologic practice. The emergence of novel injectable pharmacotherapies shows great promise and warrants further investigation in this population.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 4","pages":"289-296"},"PeriodicalIF":1.7,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626142/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557905","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":"Transvaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES) Hysterectomy in Overweight and Obese Patients: Pearls and Pitfalls.","authors":"Ryo Chee Ann Tan, Qiu Ju Ng, Maili Qi, Jiah Min Lee, Caleb Lim, Kazila Bhutia","doi":"10.4103/gmit.gmit_31_24","DOIUrl":"10.4103/gmit.gmit_31_24","url":null,"abstract":"<p><strong>Objectives: </strong>Vaginal natural orifice transluminal endoscopic surgery (vNOTES) is a novel surgical approach that confers on surgeons the dual advantages of vaginal and laparoscopic surgeries. There is a lack of literature comparing the vNOTES hysterectomy in obese and nonobese patients, especially in the Asian population. We aim to compare the surgical outcomes of vNOTES in patients with body mass index (BMI) <25 kg/m² and ≥25 kg/m².</p><p><strong>Materials and methods: </strong>This study involved a retrospective comparative study of 159 overweight and nonoverweight women who underwent vNOTES hysterectomy in a single tertiary care center between April 2021 and January 2024. Patients were stratified based on their BMI (<25 kg/m² or ≥25 kg/m²). Demographics, preoperative findings, intraoperative findings, and postoperative outcomes between the two groups were then compared.</p><p><strong>Results: </strong>Ninety-four women had normal BMI and 65 were overweight. No conversion to laparoscopic surgery or open surgery was needed. The mean age and parity were 52.3 (±10.1) and 1.9 (±1.1), respectively. Operative time was significantly shorter in the nonoverweight group compared to the overweight group (99.1 ± 37.8 min vs. 115.2 ± 46.8 min, <i>P</i> < 0.01). There was significantly higher estimated blood loss (189.2 ± 207.5 mL vs. 129.6 ± 146.5 mL, <i>P</i> = 0.02) and longer hospitalization stay (1.75 ± 0.90 days vs. 1.46 ± 0.60 days, <i>P</i> < 0.01) for overweight patients compared to nonoverweight patients. There was no significant difference in pain scores using a numeric rating scale (<i>P</i> = 0.27).</p><p><strong>Conclusion: </strong>This study contributes valuable insights into the outcomes of vNOTES in Asian patients and demonstrates that vNOTES is a safe and effective surgical technique for overweight or obese patients. Overweight or obese patients scheduled for vNOTES procedures must be informed about the increased risk of blood loss and expected longer postoperative hospitalization as compared to nonobese patients.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 4","pages":"297-303"},"PeriodicalIF":1.7,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626145/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145558028","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 Identification of the Inferior Hypogastric Nerve for the Gynecologist.","authors":"Georgios Grigoriadis, Anna Pitsillidi, Maria Apostolidou, Angelos Daniilidis","doi":"10.4103/gmit.GMIT-D-25-00002","DOIUrl":"10.4103/gmit.GMIT-D-25-00002","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 4","pages":"361-362"},"PeriodicalIF":1.7,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626187/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557938","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":"Ensuring Adequate Traction and Avoiding Uterine Manipulator Use During Robotic Hysterectomy for Uterine Cancer Surgery.","authors":"Kenro Chikazawa, Shigenori Hayashi, Shingo Miyamoto, Tomoyuki Kuwata","doi":"10.4103/gmit.GMIT-D-25-00017","DOIUrl":"10.4103/gmit.GMIT-D-25-00017","url":null,"abstract":"","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"14 4","pages":"365-366"},"PeriodicalIF":1.7,"publicationDate":"2025-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12626188/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145557971","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}