Gynecology and Minimally Invasive Therapy-GMIT最新文献_第7页

Successful Microablative Fractional Carbon Dioxide Laser Therapy for Vulvar Lichen Sclerosus: A Case Report and Mini-review. 微消融二氧化碳激光成功治疗外阴硬化地衣1例报告及回顾。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_71_24

Wen-Lin Hsieh, Dah-Ching Ding

{"title":"Successful Microablative Fractional Carbon Dioxide Laser Therapy for Vulvar Lichen Sclerosus: A Case Report and Mini-review.","authors":"Wen-Lin Hsieh, Dah-Ching Ding","doi":"10.4103/gmit.gmit_71_24","DOIUrl":"10.4103/gmit.gmit_71_24","url":null,"abstract":"Vulvar lichen sclerosus (VLS) is a chronic inflammatory skin disorder affecting the vulvar region. VLS predominantly affects women, and most cases occur after menopause. Common symptoms include itching, skin-whitening, pain, discomfort, fissures, and scarring. Treatment options include topical steroids, emollients, lifestyle modifications, regular follow-up, and surgical interventions. Carbon dioxide (CO2) laser treatment is a therapeutic option for managing lichen sclerosus. We report a case of VLS successfully treated with a fractional microablative CO2 laser. A 72-year-old female presented with a dry vagina and vulvar itching for 6 months. She visited a local medical clinic, and oral anti-itching medication and topical anti-itching ointment were administered. However, the condition did not improve, and she felt itching. She visited our outpatient department, and a pelvic examination showed bilateral labia minor, revealing a white skin color change and a hardening sensation. The patient was diagnosed with VLS. Microablative fractional CO2 laser therapy was subsequently administered. The treatment course comprised three laser therapy sessions (treatment day, 1 month, and 2 months after the first therapy). The vulvovaginal symptoms questionnaire-21 scores were 14, 6, and 2 for the first, second, and third courses of treatment, respectively. Vulvar itching improved significantly after laser treatment - no more steroid treatment needed. After 10 months of follow-up, the condition of the vulva was maintained well. Although the treatment protocol requires further exploration, CO2 laser treatment could be considered for VLS if topical steroids are ineffective.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 4","pages":"272-275"},"PeriodicalIF":1.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626895/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807718","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

Laparoscopic Cesarean Scar Defect Repair in Six Steps. 腹腔镜剖宫产瘢痕缺损六步修复。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_78_24

Mary Evangeline Villa Mercado, Gillian Patrick Cruz Gonzalez, Chyi-Long Lee, Kuan-Gen Huang

引用次数: 0

The Art of Managing Infertile Patients with Adenomyosis. 管理b子宫腺肌症不孕患者的艺术。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_53_24

Angel Hsin-Yu Pai, Liang-Hsuan Chen, Shang-Yu Huang, Hsien-Ming Wu, Chia-Lin Chang, Hong-Yuan Huang, Yung-Kuei Soong, Chyi-Long Lee

引用次数: 0

Challenges in the Management of a Morbidly Obese Patient Undergoing Robotic Hysterectomy. 一名接受机器人子宫切除术的病态肥胖患者的管理挑战。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_84_24

Anupama Bahadur, Rajlaxmi Mundhra, Ayush Heda, Sakshi Heda

引用次数: 0

Spontaneous Parasitic Pedunculated Myoma Presenting the Absence of Uterine Smooth Muscle Cells in the Stalk - A Case Report. 自发性寄生带蒂肌瘤，表现为子宫平滑肌细胞缺失1例。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_151_23

Naoki Shibata, Michihisa Shiro, Noriyoshi Oki, Takahiro Watanabe, Hitomi Futaki, Shigeki Yoshida

{"title":"Spontaneous Parasitic Pedunculated Myoma Presenting the Absence of Uterine Smooth Muscle Cells in the Stalk - A Case Report.","authors":"Naoki Shibata, Michihisa Shiro, Noriyoshi Oki, Takahiro Watanabe, Hitomi Futaki, Shigeki Yoshida","doi":"10.4103/gmit.gmit_151_23","DOIUrl":"10.4103/gmit.gmit_151_23","url":null,"abstract":"A few cases of spontaneous parasitic myoma have been reported. However, its cause remains unidentified. We report a case of spontaneous parasitic pedunculated subserosal myoma with pathological findings presenting with the absence of uterine smooth muscle cells in the stalk observed during robotic-assisted laparoscopic hysterectomy. A 51-year-old patient (G1P0) with no prior surgical history underwent a robotic-assisted laparoscopic hysterectomy. An approximately 3 cm-pedunculated subserosal myoma was found attached to the retroperitoneum. The stalk was sealed and separated and the myoma with retroperitoneal adipose tissue was resected. The stalk was pathologically identified to lack uterine smooth muscle cells and contain only muscular arteries and fibrous connective tissues. Thus, it might be hypothesized that after the myoma received collateral parasitic blood flow from the attached retroperitoneum, the stalk degenerated, and uterine smooth muscle cells were lost through an unknown mechanism, possibly underlying the development of spontaneous parasitic myomas.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 4","pages":"265-268"},"PeriodicalIF":1.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626902/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807629","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

Usefulness and Safety of Hybrid Uterine Septal Dissection. 混合式子宫间隔分离术的有效性和安全性。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-10-21 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_25_24

Shinichiro Saeki, Atsushi Fukui, Ayano Yamaya, Hiroaki Shibahara

{"title":"Usefulness and Safety of Hybrid Uterine Septal Dissection.","authors":"Shinichiro Saeki, Atsushi Fukui, Ayano Yamaya, Hiroaki Shibahara","doi":"10.4103/gmit.gmit_25_24","DOIUrl":"10.4103/gmit.gmit_25_24","url":null,"abstract":"Objectives: The objective of this study was to investigate the safety and utility of hybrid uterine septal resection.Materials and methods: This retrospective cohort trial included 16 patients who underwent hybrid uterine septal resection at Hyogo Medical University Hospital between January 2017 and September 2021. Hysteroscopic uterine septum resection was performed in 16 patients, whereas 5 patients with vaginal septal complications underwent an additional vaginal septectomy under supervision by thin laparoscopy and fluoroscopy. The main outcome measures were pregnancy success rate and procedure safety.Results: The results showed that the median operative time was 77 (46-114) min, and no cases of intraoperative or postoperative adverse events were identified. The postoperative pregnancy rate was 100.0% (7/7) and the live birth rate was 71% (5/7) in women with recurrent pregnancy loss. Among women with infertility, the postoperative pregnancy rate was 55.5% (5/9), and the live birth rate was 20% (1/5).Conclusion: These findings indicate that our hybrid septal resection technique reduces patient burden and ensures safe and reliable surgery, with good results in terms of postoperative complications, pregnancy, and miscarriage rates.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 4","pages":"241-246"},"PeriodicalIF":1.4,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626889/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807966","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

Emergent Hysteroscopic Removal of Retained Products of Conception Following Laparoscopic Temporary Uterine Artery Ligation. 腹腔镜临时子宫动脉结扎术后紧急宫腔镜下妊娠残留物清除。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-09-07 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_11_24

Akihisa Fujimoto, Asuka Okamura, Michiko Honda, Hiroko Tsuchiya, Reiko Matsuyama, Osamu Nishii

{"title":"Emergent Hysteroscopic Removal of Retained Products of Conception Following Laparoscopic Temporary Uterine Artery Ligation.","authors":"Akihisa Fujimoto, Asuka Okamura, Michiko Honda, Hiroko Tsuchiya, Reiko Matsuyama, Osamu Nishii","doi":"10.4103/gmit.gmit_11_24","DOIUrl":"10.4103/gmit.gmit_11_24","url":null,"abstract":"Here, we describe two cases of retained products of conception (RPOC) that were successfully managed with hysteroscopic resection after laparoscopic temporary uterine artery ligation. Both patients were diagnosed with RPOC after early miscarriages. Case 1 was urgently admitted due to massive bleeding and underwent surgery following a blood transfusion. After laparoscopic temporary bilateral uterine artery ligation, the mass was hysteroscopically removed, and the ligation was subsequently released. The patient subsequently achieved an ongoing pregnancy. Case 2 underwent semi-emergency surgery due to intermittent bleeding. Initially, hysteroscopic surgery was planned. However, bleeding resulted in poor visualization of the operative field, and laparoscopic surgery was performed. In many previous reports of RPOC with heavy bleeding, uterine artery embolization was performed. However, there are concerns regarding the effect of a long-term reduction in uterine blood flow on fertility. Our method is not expected to decrease fertility because the ischemic effect is very short.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 4","pages":"260-264"},"PeriodicalIF":1.4,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626896/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808265","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

Recurrence Rate and Associated Factors of Primary Fallopian Tube Carcinoma in the South of Vietnam. 越南南部地区原发性输卵管癌复发率及相关因素分析。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-09-07 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_110_23

Tuan Vo, Duy Nguyen, Thang Ho, Hoang Tran, Dat Nguyen, Thuong Bui, Thinh Cao, Brian Vo

{"title":"Recurrence Rate and Associated Factors of Primary Fallopian Tube Carcinoma in the South of Vietnam.","authors":"Tuan Vo, Duy Nguyen, Thang Ho, Hoang Tran, Dat Nguyen, Thuong Bui, Thinh Cao, Brian Vo","doi":"10.4103/gmit.gmit_110_23","DOIUrl":"10.4103/gmit.gmit_110_23","url":null,"abstract":"Objectives: This study aimed to determine the recurrence rate and related risk factors of primary fallopian tube cancer (PFTC).Materials and methods: We conducted a retrospective study of 47 patients with histopathological diagnosis of PFTC treated at Tu Du Hospital between January 1, 2015, and July 31, 2022. The cumulative recurrence rate was estimated using the life table method, and recurrence-associated factors were determined using the Log-rank test and Cox proportional hazard model.Results: The median follow-up period was 40 months (range, 7-96 months). Eight patients (17.0%) experienced recurrence. The cumulative recurrence rate of PFTC patients at 12 months was 4.4% (95% confidence interval [95% CI]: 1.12-16.45), at 24 months was 9.1% (95% CI: 3.52-22.5), at 36 months was 14.9% (95% CI: 6.92-30.41), at 48 months was 19.3% (95% CI: 9.35-37.24), and at 60 months was 25.7% (95% CI: 12.68-47.88). A higher recurrence rate was significantly associated with elevated pretreatment CA 125 level (<35 U/mL vs. ≥35 U/mL, hazards ratio [HR] = 36.9, 95% CI: 1.47-921.37), advanced FIGO stages (Stage I-II vs. stages III, HR = 6.61, 95% CI: 1.18-36.93), and suboptimal debulking surgery (residual disease ≤1 cm vs. residual disease >1 cm, HR = 7.52, 95% CI: 1.47-38.49).Conclusion: The overall recurrence rate of PFTC patients in Southern Vietnam was 17.0%. Appropriate follow-up strategies for patients with high-risk factors are needed for early detection and management of recurrence.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 4","pages":"247-252"},"PeriodicalIF":1.4,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626892/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807363","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

Management of Large Ovarian Tumors in Elderly Patients Using the Aron Alpha Method and Principles of Enhanced Recovery after Surgery. Aron - Alpha法治疗老年大卵巢肿瘤及术后增强恢复原则。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-09-07 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_77_23

Kaoru Kakinuma, Toshiyuki Kakinuma, Ayaka Kaneko, Nobuhiro Takeshima, Kaoru Yanagida, Michitaka Ohwada

{"title":"Management of Large Ovarian Tumors in Elderly Patients Using the Aron Alpha Method and Principles of Enhanced Recovery after Surgery.","authors":"Kaoru Kakinuma, Toshiyuki Kakinuma, Ayaka Kaneko, Nobuhiro Takeshima, Kaoru Yanagida, Michitaka Ohwada","doi":"10.4103/gmit.gmit_77_23","DOIUrl":"10.4103/gmit.gmit_77_23","url":null,"abstract":"Objectives: We performed preoperative evaluations of giant ovarian tumors in older adult patients using the comprehensive geriatric assessment (CGA) and estimation of physiologic ability and surgical stress (E-PASS) scoring systems. We report a case in which the Aron Alpha method was performed, and perioperative management was performed using enhanced recovery after surgery (ERAS).Materials and methods: We performed preoperative evaluations using the E-PASS scoring system and CGA on older adult patients with giant ovarian tumors, followed by the minimally invasive Aron Alpha method and perioperative management using ERAS.Results: The mean patient age was 75.8 ± 8.8 years; comorbidities included hypertension in three patients, hyperlipidemia in two, angina pectoris in one, cholecystitis in one, and lower extremity varicose veins in one. The mean tumor size was 21.0 ± 5.4 cm. The E-PASS scoring system showed a preoperative risk score of 0.7 ± 0.4, a surgical stress score of 0, and a comprehensive risk score of 0.3 ± 0.3. CGA showed that two patients had problems with activities of daily living and cognitive function. The mean duration of surgery was 89.0 ± 16.6 min, and the mean blood loss was 56.0 ± 65.4 mL. No surgery-associated complications were observed. No patients had prolonged hospitalization or a decline in activities of daily living.Conclusion: We showed the usefulness of performing detailed preoperative evaluations using CGA and the E-PASS system, followed by the minimally invasive Aron Alpha surgical method and perioperative management using ERAS in improving surgical outcomes in older adult patients with giant ovarian tumors.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 4","pages":"215-220"},"PeriodicalIF":1.4,"publicationDate":"2024-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142807417","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

Association of Gene Polymorphisms with Polycystic Ovary Syndrome: A Meta-analysis. 基因多态性与多囊卵巢综合征的关联：一项荟萃分析。

IF 1.4

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2024-09-06 eCollection Date: 2024-10-01 DOI: 10.4103/gmit.gmit_106_23

G P Abinaya, B K Iyshwarya, Ramakrishnan Veerabathiran

{"title":"Association of Gene Polymorphisms with Polycystic Ovary Syndrome: A Meta-analysis.","authors":"G P Abinaya, B K Iyshwarya, Ramakrishnan Veerabathiran","doi":"10.4103/gmit.gmit_106_23","DOIUrl":"10.4103/gmit.gmit_106_23","url":null,"abstract":"Objectives: Polycystic ovary syndrome (PCOS) is a prevalent endocrine-metabolic disorder affecting reproductive-aged women. Genetic factors play a significant role in its development. This meta-analysis assesses the associations between specific gene polymorphisms (Vitamin D receptor [VDR] and adiponectin [ADIPOQ]) and PCOS susceptibility.Materials and methods: We conducted a systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines, Collecting data from published articles between 2013 to 2013. Eligible studies were selected based on inclusion and exclusion criteria, with quality assessment performed using the Newcastle-Ottawa scale. Data were extracted, and statistical analyses included odds ratios with 95% confidence intervals for gene polymorphisms. Heterogeneity was evaluated using I 2 tests, and publication bias was assessed using Begg's and Egger's tests.Results: A total of 33 articles involving 5677 cases and 5257 controls were included in the analysis. Significant associations were observed for VDR TaqI rs731236 polymorphism in the dominant and recessive models and VDR BsmI rs1544410 polymorphism in the dominant and recessive models. For ADIPOQ T45G rs2241766, a significant association was found in the heterozygous model. The results did not reveal any significant associations for ADIPOQ G276T rs1501299.Conclusion: This meta-analysis suggests associations between specific gene polymorphisms (VDR and ADIPOQ) and PCOS susceptibility. Further research is needed to validate these findings and unravel the complex genetic factors contributing to PCOS, potentially leading to improved diagnostic and therapeutic strategies.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"13 4","pages":"232-240"},"PeriodicalIF":1.4,"publicationDate":"2024-09-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11626897/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142808249","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