{"title":"Effectiveness of Laparoscopic Adenomyomectomy on Perinatal Outcomes.","authors":"Yosuke Ono, Hajime Ota, Yoshiyuki Fukushi, Hikaru Tagaya, Yasuhiko Okuda, Osamu Yoshino, Hideto Yamada, Shuji Hirata, Shinichiro Wada","doi":"10.4103/gmit.gmit_45_22","DOIUrl":"10.4103/gmit.gmit_45_22","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to observe the influence of laparoscopic adenomyomectomy on perinatal outcomes.</p><p><strong>Materials and methods: </strong>The retrospective cohort study included 43 pregnant cases with adenomyosis who did not undergo laparoscopic surgery before pregnancy (nonsurgery group; 26 cases) and did (surgery group; 17 cases). To evaluate the impact of surgery on perinatal outcomes, nine obstetric complications including preterm delivery, hypertensive disorder of pregnancy, placental malposition, oligohydramnios, gestational diabetes mellitus, uterine rupture, abruptio placentae, and postpartum hemorrhage were selected. One obstetric complication was counted as one point (Maximum 9 points for one person). The obstetrical morbidity was compared by adding up the number of relevant events (0-9) between the two groups. Apgar score, umbilical artery pH (UApH), neonatal intensive care unit (NICU) admission, and neonatal death were also examined.</p><p><strong>Results: </strong>The surgery group had a significantly lower prevalence of fetal growth restriction compared to the nonsurgery group (nonsurgery vs. surgery; 26.9%, 7/26 vs. 0%, 0/17: <i>P</i> = 0.031). No differences were found in the morbidity of the nine obstetric complications (19.2%, 45/234 vs. 13.7%, 21/153), gestational weeks (mean ± standard deviation, 37.2 ± 2.4 vs. 36.4 ± 3.2), birth weight (2573.6 ± 557.9 vs. 2555.4 ± 680.8 g), Apgar score (1, 5 min; 8.0 ± 0.7 vs. 7.7 ± 1.2, 8.9 ± 0.6 vs. 8.5 ± 1.8), UApH (7.28 ± 0.08 vs. 7.28 ± 0.06), NICU admission (26.9%, 7/26 vs. 41.2%, 7/17), and neonatal death (0%, 0%) between both groups.</p><p><strong>Conclusion: </strong>Laparoscopic adenomyomectomy may not increase obstetric complications, although attention must be paid to uterine rupture during pregnancy.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 1","pages":"211-217"},"PeriodicalIF":1.2,"publicationDate":"2023-01-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10683966/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46782263","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":"From Radical Hysterectomy to Radical Surgery for Deep Endometriosis.","authors":"Chyi-Long Lee, Boom Ping Khoo, Kuan-Gen Huang","doi":"10.4103/gmit.gmit_140_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_140_22","url":null,"abstract":"Pelvic surgery is a study and art of the basic human anatomy; besides removing pathological organs and parts, it allows the study of pelvic anatomy through careful dissection of its structures. Radical pelvic surgery started about 120 years ago; it has progressively improved and evolved techniques to provide the best outcome for gynecological cancers. It started initially with a laparotomy approach of radical and debulking surgeries with complete systematic pelvic lymph node dissection, para-aortic lymph node dissection, and omentectomy. Since the 1990s with the introduction of minimally invasive surgery for gynecology diseases, the management of gynecological cancer has evolved into individualized treatment. It has made Minimally Invasive Surgery (MIS) the gold standard treatment for endometrial cancer. [1-5] Many doctors and researchers worldwide have a positive opinion regarding the MIS approach in treating cervical cancer;[6] it benefits fertility preservation, lower morbidity, and quicker recovery compared to open surgery.[7-10] The current trend for gynecological cancer is shifting toward the MIS approach; in developed countries, MIS for endometrial cancers has increased from 10% to more than 80%.[11]","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 1","pages":"1-3"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/46/5f/GMIT-12-1.PMC10071867.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9270712","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}
Antonio Pellegrino, Mario Villa, Maria Cristina Cesana, Anna Myriam Perrone, Antonio Malvasi, Vera Loizzi, Pierluigi Giampaolino, Ettore Cicinelli, Pierandrea De Iaco, Gianluca Raffaello Damiani
{"title":"Robotic Lateral Pelvic Organ Prolapse Suspension of Multicompartment Vaginal Prolapse.","authors":"Antonio Pellegrino, Mario Villa, Maria Cristina Cesana, Anna Myriam Perrone, Antonio Malvasi, Vera Loizzi, Pierluigi Giampaolino, Ettore Cicinelli, Pierandrea De Iaco, Gianluca Raffaello Damiani","doi":"10.4103/gmit.gmit_97_21","DOIUrl":"https://doi.org/10.4103/gmit.gmit_97_21","url":null,"abstract":"InteRventIons The procedure uses a titanized propylene prosthesis shaped in T that gives it maneuverability and elasticity proper to native tissues. The positioning technique involves a first phase of removing peritoneum from the vaginal dome and then the disconnect of the vescicovaginal band to delimit the mesh anchoring plans. The lateral trajectory of it consists to insert in a retrograde manner the side arm of the prothesis in the context of the lateral abdominal wall with a posterior projection to the anterior-upper iliac crest in a space which is free of major complications [Figures 1 and 2]. Procedure started with dissection of the cervicovesical pouch. The vesicovaginal space was then identified between the bladder and the anterior vaginal wall. A mesh (Endolas® 41.5 cm × 5 cm × 15 cm) with two lateral arms was tailored and fixed to the vagina, by six sutures of 2-0 polyglactin 910. The","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 1","pages":"44-45"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3f/85/GMIT-12-44.PMC10071865.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9270714","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}
Kenro Chikazawa, Ken Imai, Masahiro Misawa, Tomoyuki Kuwata
{"title":"A Safe and Standardized Strategy for Laparoscopic Hysterectomy in Patients with a History of Cesarean Section.","authors":"Kenro Chikazawa, Ken Imai, Masahiro Misawa, Tomoyuki Kuwata","doi":"10.4103/gmit.gmit_80_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_80_22","url":null,"abstract":"1. Dissecting the ureter, ligating the cut round ligament, posterior layer of the broad ligament, uterosacral ligament, and infundibulopelvic ligament/ligamentum ovarii proprium 2. Dissection under the bladder pillar bilaterally, followed by dissection under the bladder caudal to the adhesion from the cesarean section 3. If we could not dissect the bladder using step 2, it implied that the adhesions were widespread and we thus would perform dissection more caudally. Therefore, we ligated the uterine artery and the ureteric branches of the uterine artery and dissected the ureter laterally. To reach the vesicouterine pouch from a more caudal and dorsal direction, a dissection under the layer of the uterine artery and superior vesical artery was performed.[3,4] In other words, we reached the vesicouterine pouch under the ureteric tunnel, as is the case during uterine cancer surgery.[5] Thereafter, we approached an area which was more caudal to the adhesion area. This area is usually dissected in a modified radical hysterectomy.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 1","pages":"46-47"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3e/e5/GMIT-12-46.PMC10071868.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9614240","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":"Periureteral Liposarcoma Causes of Hydroureter and Hydronephrosis: An Unpredictable Diagnosis.","authors":"Tzu-En Lin, Kuo-Chang Wen, Hung-Cheng Lai, Ling-Hui Chu","doi":"10.4103/gmit.gmit_29_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_29_22","url":null,"abstract":"<p><p>When obstructive lesions from the uterus or ovaries are suspected, patients with hydronephrosis are usually referred to a gynecologist. Here, a case of suspected endometriosis-related hydroureteronephrosis is reported. A 43-year-old woman with hydronephrosis was found to have a left distal periureteral tumor on the computerized tomography scan. Before the operation, the hydroureteronephrosis was suspected caused by the obstruction of ureter, related with ureteral endometriosis; however, the postoperative pathology revealed the diagnosis of retroperitoneal well-differentiated liposarcoma. When female patients have hydronephrosis, gynecologic causes should be considered. Both benign and malignant causes are needed to include when making differential diagnosis. Therefore, robot-assisted surgery is a feasible option because of its lower morbidity rate and more precise dissection of soft tissue than laparotomy in both benign and malignant retroperitoneal tumors.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 1","pages":"51-54"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/45/01/GMIT-12-51.PMC10071875.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9628590","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":"Medium-Term Risk of Recurrent Pelvic Organ Prolapse within 2-Year Follow-Up after Laparoscopic Sacrocolpopexy.","authors":"Hirotaka Sato, Shota Otsuka, Hirokazu Abe, Tomoaki Miyagawa","doi":"10.4103/gmit.gmit_59_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_59_22","url":null,"abstract":"<p><strong>Objective: </strong>The present study was performed to determine the risk of recurrent pelvic organ prolapse (POP) within 2 years after laparoscopic sacrocolpopexy (LSC) in patients with uterovaginal prolapse.</p><p><strong>Materials and methods: </strong>A retrospective comparative study was performed in a population of 204 patients over a 2-year follow-up period following LSC with concomitant supracervical hysterectomy or uterine preservation at a single urological clinic between 2015 and 2019. The primary outcome was surgical failure following LSC in cases of POP, focusing on failures occurring before the 2<sup>nd</sup>year of follow-up. Logistic regression analysis was used to determine the odds ratios (ORs) for surgical failure.</p><p><strong>Results: </strong>The primary outcome, surgical failure in cases of POP, occurred 2 years after the initial surgery in 19 of the 204 patients (9.3%) (95% confidence interval [CI], 5.7% - 14.2%). Surgical failure was most common in the anterior compartment (<i>n</i> = 10, 4.9%), and further surgery was performed in seven of the patients with surgical failure (3.4%). The poor primary outcome was predicted by lysis of adhesions (OR, 7.5, 95% CI, 1.6-33.8, <i>P</i> = 0.008) and preoperative POP stage IV (OR, 3.5; 95% CI, 1.1-10.8, <i>P</i> = 0.03) on multivariable logistic regression analysis.</p><p><strong>Conclusion: </strong>The overall rate of surgical failure following LSC in our cohort was 9.3% over the 2-year follow-up period after surgery, and preoperative prolapse stage IV was associated with a higher risk of recurrence.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 1","pages":"38-43"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/91/2a/GMIT-12-38.PMC10071876.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9270720","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":"Risk Factors for Abscess Development in Patients with Endometrioma Who Present with an Acute Abdomen.","authors":"Hanako Kaseki, Masao Ichikawa, Masafumi Toyoshima, Shigeru Matsuda, Kimihiko Nakao, Kenichiro Watanabe, Shuichi Ono, Toshiyuki Takeshita, Shigeo Akira, Shunji Suzuki","doi":"10.4103/gmit.gmit_36_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_36_22","url":null,"abstract":"<p><strong>Objectives: </strong>The objective of this study was to assess the potential risk factors for abscess development in patients with endometrioma who present with an acute abdomen.</p><p><strong>Materials and methods: </strong>We retrospectively reviewed the records of 51 patients who underwent emergency surgery for acute abdomen involving an endometrioma at our hospital between April 2011 and August 2021. The patients were divided into an infected group (<i>n</i> = 22) and a control group (<i>n</i> = 29). We analyzed patient characteristics; imaging findings; clinical data, including bacterial cultures; and perioperative outcomes to assess for differences between groups.</p><p><strong>Results: </strong>Patients in the infected group were significantly older than those in the control group (<i>P</i> = 0.03). They were more likely to have a history of endometriosis surgery (<i>P</i> = 0.04) and more likely to have undergone transvaginal manipulation within 3 months of presentation (<i>P</i> = 0.01). Body temperature on the day of admission was significantly higher in the infected group (<i>P</i> = 0.007), as were C-reactive protein levels on the day of admission and before surgery (<i>P</i> < 0.001; <i>P</i> = 0.018) and the white blood cell count on the day of admission (<i>P</i> = 0.016). Preoperative imaging showed significant thickening of the tumor wall (<i>P</i> < 0.001) and an enhanced contrast effect (<i>P</i> < 0.001) in the infected group.</p><p><strong>Conclusion: </strong>We identified several factors that suggest abscess in patients with an acute abdomen who have a complication of pathologically confirmed endometriosis. A recent vaginal procedure is a particular risk factor for abscess development in patients with endometriomas.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 1","pages":"26-31"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/a4/e6/GMIT-12-26.PMC10071873.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9264596","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}
Sanah Alani, Jessica Wang, Eva Suarthana, Togas Tulandi
{"title":"Complications Associated with Cervical Cerclage: A Systematic Review.","authors":"Sanah Alani, Jessica Wang, Eva Suarthana, Togas Tulandi","doi":"10.4103/gmit.gmit_61_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_61_22","url":null,"abstract":"<p><p>Cervical cerclages are associated with improved live birth rates and have low short- and long-term risks. However, there have been reports of fistula formation or erosion of cerclage into the surrounding tissue. Those complications are uncommon and yet are serious. The risk factors associated with its development are still unclear. The purpose of our study was to evaluate the incidence of fistula formation or erosion following transvaginal cervical cerclage and the associated clinical and sociodemographic factors. We conducted a systematic search of PubMed, Medline, and Embase databases to retrieve articles related to transvaginal or transabdominal cervical cerclage. Databases were searched up to July 2021. The study protocol was registered (PROSPERO ID 243542). A total of 82 articles were identified describing cervical cerclage and erosion or fistula formation. A total of 9 full-text articles were included. There were seven case reports and series that described 11 patients who experienced late complications following cervical cerclage. Many of the cerclage procedures were done electively (66.7%). The most common type of cerclage was McDonald (80%). While all cases reported fistula formation, the main location was vesicovaginal fistulas (63.6%). One patient (9.1%) had erosion of their cerclage and another (9.1%) had bladder calculi. Of 75 patients who underwent cerclage in two retrospective case reviews, the overall incidence of fistula was 1.3% and abscess was also 1.3%. Although rare, the most common long-term complication of cervical cerclage placement is fistula formation, particularly vesicovaginal fistulas.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 1","pages":"4-9"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/3f/56/GMIT-12-4.PMC10071866.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9270716","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 Case of Cornual Pregnancy after Ipsilateral Salpingectomy for Isthmic Pregnancy.","authors":"Chiaki Banzai, Akina Matsumoto, Daisuke Higeta, Yu Shinozaki, Tomomi Murata, Junji Mitsushita, Masayuki Soda","doi":"10.4103/gmit.gmit_11_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_11_22","url":null,"abstract":"<p><p>The patient was a 32-year-old woman, gravida three, para one with one prior cesarean section. She became pregnant spontaneously, but the pregnancy implanted in the isthmus of the right fallopian tube, and therefore, she underwent laparoscopic right salpingectomy. Eight months later, another spontaneous pregnancy occurred. the patient experienced abdominal pain and an ultrasound examination revealed a hematoma around the right cornual region. A wedge-shaped incision was made in the cornual pregnancy using monopolar cauterization, and the myometrium was sutured with a single nodule suture. We report a case of spontaneous cornual pregnancy after ipsilateral salpingectomy for an isthmic pregnancy.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 1","pages":"48-50"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/75/4f/GMIT-12-48.PMC10071872.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9270715","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}
Smita Jindal, Jacqueline Jung, KeenWhye Lee, Bernard Chern
{"title":"High-intensity Focused Ultrasound for the Treatment of Fibroids: A Single-center Experience in Singapore.","authors":"Smita Jindal, Jacqueline Jung, KeenWhye Lee, Bernard Chern","doi":"10.4103/gmit.gmit_102_22","DOIUrl":"https://doi.org/10.4103/gmit.gmit_102_22","url":null,"abstract":"<p><strong>Objectives: </strong>Uterine fibroids and adenomyosis are common gynecological conditions that often require surgical treatment. Minimally invasive interventions such as ultrasound-guided high-intensity focused ultrasound (USgHIFU) are gaining popularity as they avoid surgical morbidity and conserve the uterus. We present a single-center experience on the use of USgHIFU for the treatment of fibroids and adenomyosis.</p><p><strong>Materials and methods: </strong>This was a retrospective study of 167 patients who underwent USgHIFU for uterine fibroids and adenomyosis between July 2018 and December 2020. Relevant demographic data and pre- and post-intervention fibroid volume, symptom severity scores (SSS), and health-related quality of life (QOL) scores were collected and compared. The paired <i>t</i>-test or Wilcoxon signed-rank test was used to compare the difference before and after treatment. <i>P</i> < 0.001 was considered statistically significant.</p><p><strong>Results: </strong>One hundred and sixty-seven patients with fibroids or adenomyosis were included in this study. The mean age of the cohort was 42-year-old. USgHIFU treatment led to a reduction in mean fibroid volume, improvement in SSS, and health-related QOL scores. The average reduction in mean fibroid volume was 68% and 75% at 6 and 12 months, respectively. There was a significant reduction in SSS (46.9 [pre] vs. 15.6 [post], <i>P</i> < 0.001) and improvement in health-related QOL scores at 6 months (58 [pre] vs. 86 [post], <i>P</i> < 0.001). The re-intervention rate following USgHIFU was 7.7% and successful pregnancy post USgHIFU was reported in 6 patients.</p><p><strong>Conclusion: </strong>USgHIFU is safe and effective. In women who desire fertility or are not suitable for surgery, it is a good alternative option. It should be included in the armamentarium for the treatment of uterine fibroids and adenomyosis.</p>","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 1","pages":"15-25"},"PeriodicalIF":1.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e0/5d/GMIT-12-15.PMC10071864.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9264595","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}