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

Scope and Suction: Hysteroscopic-guided Suction Evacuation of Cesarean Scar Pregnancy - A Safe and Efficacious Treatment for Selected Patients. 范围和吸引:宫腔镜引导下疤痕妊娠剖宫产抽吸术-一种安全有效的治疗方法。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-04-01 DOI: 10.4103/gmit.gmit_87_22

Mohamed Siraj Shahul Hameed, Ann Wright, Bernard Su Min Chern

{"title":"Scope and Suction: Hysteroscopic-guided Suction Evacuation of Cesarean Scar Pregnancy - A Safe and Efficacious Treatment for Selected Patients.","authors":"Mohamed Siraj Shahul Hameed, Ann Wright, Bernard Su Min Chern","doi":"10.4103/gmit.gmit_87_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_87_22","url":null,"abstract":"Objectives: This study aimed to evaluate hysteroscopic-guided suction evacuation for the treatment of cesarean scar pregnancy (CSP).Materials and methods: This was a retrospective analysis of CSP over 2 years. This study was conducted at KK Women's and Children's Hospital (KKH), Singapore, thirty-seven patients with a CSP. Hysteroscopic-guided suction evacuation to treat CSP used alone or in combination with laparoscopy depending on residual myometrial thickness (RMT) and future fertility requirements.Results: The majority of women (29) were diagnosed under 9-week gestation. Just over a third (13) had an RMT of more than 3 mm. Women with an RMT <3 mm had added laparoscopy. In total, 22 women had hysteroscopic-guided suction evacuation with 9 having it performed under laparoscopic guidance because the RMT was under 3 mm. The remaining patients underwent either laparoscopic repair (5 cases) or vaginal repair (1 case) done under laparoscopic guidance.Conclusion: Hysteroscopic-guided suction evacuation of CSP has the potential to become part of the routine management for uncomplicated cases of CSP in women with an RMT of greater than 3 mm who do not wish for future pregnancy. Its use, in combination with other minimally invasive techniques, can be extended to more complex cases where the RMT is <3 mm and future fertility is desired.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 2","pages":"72-76"},"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/c7/51/GMIT-12-72.PMC10321336.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10164073","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

Segmentation of In vitro Fertilization with High-intensity Focused Ultrasound in Repeated Implantation Failure with Adenomyosis. 高强度聚焦超声在子宫腺肌症反复着床失败中的分割研究。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-04-01 DOI: 10.4103/gmit.gmit_95_22

Pei-Hsiu Yu, Yu-Hsien Wu, Ta-Sheng Chen, Tsung-Cheng Kuo, Meng-Hsing Wu

{"title":"Segmentation of In vitro Fertilization with High-intensity Focused Ultrasound in Repeated Implantation Failure with Adenomyosis.","authors":"Pei-Hsiu Yu, Yu-Hsien Wu, Ta-Sheng Chen, Tsung-Cheng Kuo, Meng-Hsing Wu","doi":"10.4103/gmit.gmit_95_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_95_22","url":null,"abstract":"Adenomyosis is a complex issue in reproductive-age women not only on worsening of quality of life due to severe dysmenorrhea or heavy menstrual bleeding but also on the impact of infertility. A 39-year-old female, gravida 0 para 0, with a history of bilateral ovarian endometrioma post laparoscopic surgery presented to our hospital due to suspected deep infiltrative endometriosis (DIE), adenomyosis, and repeated implantation failure. Initially, gonadotropin-releasing hormone analog treatment for DIE with progestin-primed ovarian stimulation protocol was arranged. Four D5 blastocysts were obtained and freezed. Two frozen embryo transfer were performed after ultrasound-guided high-intensity focused ultrasound (USgHIFU) treatment of adenomyosis. She later had a dichorionic diamniotic twin pregnancy, and two healthy newborns were delivered by Cesarean section at gestational age of 35 weeks due to antepartum hemorrhage with placenta previa and preeclampsia. In conclusion, USgHIFU can be a potential treatment option in segmented in vitro fertilization in future.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 2","pages":"109-112"},"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/0a/a5/GMIT-12-109.PMC10321343.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10164074","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: 1

Vaginal Vault Infiltration with Bupivacaine for Postoperative Pain Control after Total Laparoscopic Hysterectomy: A Randomized control trial. 阴道穹窿浸润布比卡因用于腹腔镜子宫全切除术后疼痛控制:一项随机对照试验。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-04-01 DOI: 10.4103/gmit.gmit_125_21

Kallol Kumar Roy, Poojitha Kalyani Kanikaram, Nilanchali Singh, Vimi Riwari, Rinchen Zangmo, Jyoti Meena, Anamika Das, Deepika Kashyap, Archana Minz

{"title":"Vaginal Vault Infiltration with Bupivacaine for Postoperative Pain Control after Total Laparoscopic Hysterectomy: A Randomized control trial.","authors":"Kallol Kumar Roy, Poojitha Kalyani Kanikaram, Nilanchali Singh, Vimi Riwari, Rinchen Zangmo, Jyoti Meena, Anamika Das, Deepika Kashyap, Archana Minz","doi":"10.4103/gmit.gmit_125_21","DOIUrl":"https://doi.org/10.4103/gmit.gmit_125_21","url":null,"abstract":"Objectives: The objective of this study was to assess the effect of local infiltration of anesthetic to the vaginal vault on postoperative pain after total laparoscopic hysterectomy.Materials and methods: This was a single-center, randomized trial. Women assigned to laparoscopic hysterectomy were randomly divided into two groups. In the intervention group (n = 30), the vaginal cuff was infiltrated with 10 ml of bupivacaine, whereas the control group (n = 30) did not receive local anesthetic infiltration to vaginal vault. The primary outcome measure was to analyze the efficacy of bupivacaine infiltration in the study group by comparing the postoperative pain in both the groups at 1, 3, 6, 12, and 24 h using pain visual analog scale (VAS). The secondary outcome was to measure the need for rescue opioid analgesia.Results: Group I (intervention group) had lesser mean VAS score at 1st, 3rd, 6th, 12th, and 24 h compared to Group II (control group). There was an additional requirement of opioid analgesia for postoperative pain in Group II than in Group I, which was statistically significant (P < 0.05).Conclusion: Injection of local anesthetic into the vaginal cuff increased the number of women experiencing only minor pain after laparoscopic hysterectomy and decreased postoperative opioid usage and its side effects. Local anesthesia of the vaginal cuff is safe and feasible.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 2","pages":"90-95"},"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/bd/f6/GMIT-12-90.PMC10321338.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10182978","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

Reconsideration of Sharp Dissection in Gynecological Surgery. 妇科手术中尖锐解剖的再思考。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-04-01 DOI: 10.4103/gmit.gmit_3_23

Yasuhito Tanase, Muneaki Shimada, Mayumi Kobayashi Kato, Masaya Uno, Mitsuya Ishikawa, Tomoyasu Kato

{"title":"Reconsideration of Sharp Dissection in Gynecological Surgery.","authors":"Yasuhito Tanase, Muneaki Shimada, Mayumi Kobayashi Kato, Masaya Uno, Mitsuya Ishikawa, Tomoyasu Kato","doi":"10.4103/gmit.gmit_3_23","DOIUrl":"https://doi.org/10.4103/gmit.gmit_3_23","url":null,"abstract":"In surgical fields, sharp dissection is a basic surgical technique, and the prognosis and oncological outcomes are known to be affected by the technique of dissection. Even in gynecologic surgery, we believe that the basic surgical technique is sharp dissection. We herein present our technique and discuss its significance. Sharp dissection should entail the removal of a single thin line between the residual tissue and the excised tissue. If this line becomes multiple or thicker, it is not sharp dissection but blunt dissection. The accumulation of this thin line of sharp dissection can form surgical layers. What is important is moderate tissue tension and how to use monopolar. One can sharply cut the loose connective tissue assisted by moderate tissue tension. With regard to the use of monopolar, it is essential that it not be applied directly to the tissue, but rather be used with or without touching the tissue. Inadvertent blunt dissection should be minimized, as most surgical procedures can be performed with sharp dissection. We usually perform sharp dissection for open surgery as well as minimally invasive surgery. We obstetricians and gynecologists should reconsider the significance of sharp dissection and practice it in gynecological surgery.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 2","pages":"96-98"},"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/35/4c/GMIT-12-96.PMC10321337.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10182985","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

Ovarian Fibrothecoma Masquerading as Heterotopic Pregnancy. 卵巢纤维囊肿伪装成异位妊娠。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-04-01 DOI: 10.4103/gmit.gmit_78_22

Karima Mekni, Cherifa Bensethom, Khouloud Ben Saad, Chiraz ElFekih

引用次数: 0

Cesarean Scar Pregnancy: Current Understanding and Treatment Including Role of Minimally Invasive Surgical Techniques. 剖宫产疤痕妊娠:目前的认识和治疗，包括微创手术技术的作用。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-04-01 DOI: 10.4103/gmit.gmit_116_22

Mohamed Siraj Shahul Hameed, Ann Wright, Bernard Su Min Chern

{"title":"Cesarean Scar Pregnancy: Current Understanding and Treatment Including Role of Minimally Invasive Surgical Techniques.","authors":"Mohamed Siraj Shahul Hameed, Ann Wright, Bernard Su Min Chern","doi":"10.4103/gmit.gmit_116_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_116_22","url":null,"abstract":"The incidence of cesarean scar pregnancy (CSP) is increasing reflecting the global increase in cesarean section (CS) rate which has almost doubled since 2000. CSP differs from other types of ectopic pregnancy in its ability to progress while still carrying a significant risk of maternal morbidity. Little is known about precise etiology or natural history although current interest in the pathology of placenta accretes spectrum disorders might be enlightening. Early detection and treatment of CSP are challenging. Once diagnosed, the recommendation is to offer early termination of pregnancy because of the potential risks of continuing the pregnancy. However, as the likelihood of future pregnancy complications for any CSP varies depending on its individual characteristics, this might not always be necessary nor might it be the patient's preferred choice if she is asymptomatic, hemodynamically stable, and wants a baby. The literature supports an interventional rather than a medical approach but the safest and most efficient clinical approach to CSP in terms of treatment modality and service delivery has yet to be determined. This review aims to provide an overview of CSP etiology, natural history, and clinical implications. Treatment options and methods of CSP repair are discussed. We describe our experience in a large tertiary center in Singapore with around 16 cases/year where most treatment modalities are available as well as an \"accreta service\" for continuing pregnancies. We present a simple algorithm for approach to management including a method of triaging for those CSPs suitable for minimally invasive surgery.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 2","pages":"64-71"},"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/97/96/GMIT-12-64.PMC10321345.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10164075","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: 1

Vaginal Natural Orifice Transluminal Endoscopic Surgery in a Second-trimester Pregnant Woman with an Ovarian Teratoma. 阴道自然口腔内内镜手术治疗妊娠中期卵巢畸胎瘤1例。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-04-01 DOI: 10.4103/gmit.gmit_107_22

Li-Yeh Chen, Dah-Ching Ding

{"title":"Vaginal Natural Orifice Transluminal Endoscopic Surgery in a Second-trimester Pregnant Woman with an Ovarian Teratoma.","authors":"Li-Yeh Chen, Dah-Ching Ding","doi":"10.4103/gmit.gmit_107_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_107_22","url":null,"abstract":"We present the first case of a pregnant woman with teratoma, who underwent vaginal natural orifice transluminal endoscopic surgery (vNOTES). Mature ovarian cystic teratomas compromise 20%-30% of all ovarian tumors. The best surgical management is still unclear, especially during pregnancy. A 21-year-old pregnant woman (gravida 1, para 0) at 14 weeks and 3 days of gestational age was admitted with an intermittent mild sharp and dull pain in her right lower abdomen when walking or moving lower limbs. Pelvic ultrasonography revealed a 5.9 cm × 5.4 cm heterogeneous mass that was suspected as a teratoma in the right adnexa. Initially, laparoendoscopic single-site ovarian cystectomy (OC) was arranged. However, the ovarian tumor was impeded by the enlarged uterus. The OC procedure was changed to vNOTES OC. The vNOTES OC was performed smoothly and the pathology confirmed the mass to be a teratoma. After the operation, she recovered well and was discharged 2 days after the operation without any complication. In conclusion, the application of vNOTES in the second-trimester pregnancy might be considered safe and effective. The vNOTES can be performed safely in selected patients and by an experienced surgeon.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 2","pages":"116-119"},"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/f7/ca/GMIT-12-116.PMC10321348.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10182982","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

Comparison of Laparoscopy and Laparotomy in the Management of Early-stage Ovarian Cancer. 腹腔镜与开腹手术治疗早期卵巢癌的比较。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-04-01 DOI: 10.4103/gmit.gmit_99_22

Nuria Ginjaume Garcia, Cristina Soler Moreno, Natalia Teixeira, Pia Español Lloret, Rocío Luna Guibourg, Ramon Rovira Negre

{"title":"Comparison of Laparoscopy and Laparotomy in the Management of Early-stage Ovarian Cancer.","authors":"Nuria Ginjaume Garcia, Cristina Soler Moreno, Natalia Teixeira, Pia Español Lloret, Rocío Luna Guibourg, Ramon Rovira Negre","doi":"10.4103/gmit.gmit_99_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_99_22","url":null,"abstract":"Objectives: The objective of this study was to assess the feasibility of minimally invasive surgery for early-stage ovarian cancer (EOC) by comparing the surgical and survival outcomes between laparoscopy and laparotomy.Materials and methods: This was a retrospective, single-center observational study that included all patients who underwent surgical staging for EOC by laparoscopy or laparotomy between 2010 and 2019.Results: Forty-nine patients were included; of which 20 underwent laparoscopy, 26 laparotomy, and three conversion from laparoscopy to laparotomy. No significant differences were observed between the two groups regarding operative time, number of lymph nodes dissected, or intraoperative tumor rupture rate, while estimated blood loss and transfusion requirements were lower in the laparoscopy group. The complication rate tended to be higher in the laparotomy group. Patients in the laparoscopy group had a faster recovery, with earlier urinary catheter and abdominal drain removal, shorter hospital stay, and a trend toward earlier tolerance of oral diet and mobilization. At a mean follow-up of 45.7 months, 14 patients had disease recurrence, with no differences in the mean progression-free survival between the two groups (36 months for laparoscopy vs. 35.5 months for laparotomy, P = 0.22).Conclusion: Laparoscopic surgery performed by a trained gynecological oncologist is a safe and effective surgical approach for comprehensive staging of EOC, with the additional benefits of a faster recovery compared to laparotomy.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 2","pages":"83-89"},"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/a1/1c/GMIT-12-83.PMC10321349.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9805810","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

Three-dimensional Laparoscopic Hemihysterectomy in a Case of Herlyn-Werner-Wunderlich Syndrome. 三维腹腔镜半子宫切除术一例Herlyn-Werner-Wunderlich综合征。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-04-01 DOI: 10.4103/gmit.gmit_40_23

Zin Mar Lay, Gillian Patrick C Gonzalez, Jhanice S Paredes, Kuan-Gen Huang, Chyi-Long Lee

引用次数: 0

An Alternative Treatment for Uterine Fibroids and Adenomyosis: High-intensity Focused Ultrasound. 子宫肌瘤和子宫腺肌病的另一种治疗方法:高强度聚焦超声。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-04-01 DOI: 10.4103/gmit.gmit_20_23

Keen Whye Lee, Chyi-Long Lee

引用次数: 0