Gynecology and Minimally Invasive Therapy-GMIT最新文献_第8页

Weight-Loss Interventions and Levonorgestrel Intrauterine System Implantation for Early-Stage Endometrial Cancer and Atypical Endometrial Hyperplasia to Reduce Perioperative Risk of Severely Obese Patients. 早期癌症和非典型子宫内膜增生症的重量损失干预和左诺孕酮宫内系统植入，以降低重度肥胖患者的围手术期风险。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-08-10 eCollection Date: 2023-07-01 DOI: 10.4103/gmit.gmit_98_22

Roze Isono-Taniguchi, Hiroshi Tsubamoto, Kayo Inoue, Tomoko Ueda, Shinichiro Saeki, Yumi Takimoto, Yu Wakimoto, Hiroaki Shibahara

{"title":"Weight-Loss Interventions and Levonorgestrel Intrauterine System Implantation for Early-Stage Endometrial Cancer and Atypical Endometrial Hyperplasia to Reduce Perioperative Risk of Severely Obese Patients.","authors":"Roze Isono-Taniguchi, Hiroshi Tsubamoto, Kayo Inoue, Tomoko Ueda, Shinichiro Saeki, Yumi Takimoto, Yu Wakimoto, Hiroaki Shibahara","doi":"10.4103/gmit.gmit_98_22","DOIUrl":"10.4103/gmit.gmit_98_22","url":null,"abstract":"Endometrial cancer (EC) and atypical endometrial hyperplasia (AEH) are associated with obesity, which increases the perioperative morbidity and surgical difficulties in laparoscopic and robotic surgery. Weight-loss interventions (WLIs) are likely to reduce morbidity; however, delayed surgery may cause cancer progression. To minimize the tumor progression, levonorgestrel intrauterine system (LNG-IUS) with minimal side effects was used until the planned surgery. During 2016 and 2021, we conducted preoperative management of WLI using LNG-IUS for seven highly obese women with a body mass index (BMI) ≥35 kg/m2 who had AEH and EC with Grade 1 and no myometrial invasion on magnetic resonance imaging. In three of the seven patients, the BMI decreased by more than 5. Two patients with AEH achieved remission after LNG-IUS placement and requested conservative management. Five patients with EC underwent laparoscopic hysterectomy, without perioperative complications.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 3","pages":"175-178"},"PeriodicalIF":1.2,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/2e/cf/GMIT-12-175.PMC10553596.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41147738","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

Blunt Tipped Forceps Guided Bag Placement when Contained Power Morcellation is Performed for Laparoscopic and Robotic Surgery. 在腹腔镜和机器人手术中进行包含动力粉碎时，钝头钳引导袋放置。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-08-10 eCollection Date: 2023-07-01 DOI: 10.4103/gmit.gmit_27_23

Rikiya Sano, Mitsuru Shiota, Takahito Miyake, Yasunari Miyagi

引用次数: 0

Surgical Morbidity of Laparoscopic Hysterectomy versus Abdominal Hysterectomy: A Retrospective Overview. 腹腔镜子宫切除术与腹式子宫切除术的手术发病率：回顾性综述。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-08-10 eCollection Date: 2023-07-01 DOI: 10.4103/gmit.gmit_30_23

Mukta Agarwal, Shivangni Sinha, Smita Singh, H Haripriya, Ishita Roy

{"title":"Surgical Morbidity of Laparoscopic Hysterectomy versus Abdominal Hysterectomy: A Retrospective Overview.","authors":"Mukta Agarwal, Shivangni Sinha, Smita Singh, H Haripriya, Ishita Roy","doi":"10.4103/gmit.gmit_30_23","DOIUrl":"10.4103/gmit.gmit_30_23","url":null,"abstract":"Objectives: Laparoscopic skills are not an innate behavior, nor can they be easily mimicked, and can only be acquired through hands-on training. The need for reliable training and its assessment is becoming increasingly important with the course of time.Materials and methods: A retrospective comparative study was done in a tertiary care center where all patients undergoing hysterectomy by laparoscopic and abdominal route were included in the study.Objectives: Our study aims to compare the operative and postoperative complications of laparoscopic hysterectomy with abdominal hysterectomy. The study was conducted from June 2016 to October 2022.Results: The mean operative time for uteri size lesser than 12 weeks was found significant in the total laparoscopic hysterectomy (TLH) group (75 ± 25 min) to total abdominal hysterectomy (TAH) (117 ± 28 min, P < 0.001). The mean blood loss in the TLH group was significant (110 ± 30 ml vs. 160 ± 116 ml, P < 0.002). The mean hospital stay was significantly shorter in TLH (4 ± 2.4 days vs. 7 ± 2.41 days, P < 0.002). The operative and postoperative complications observed were 3.1% in the TLH group and 11.7% in the TAH group.Conclusion: TLH when performed efficiently has proved to be a preferable route over other conventional hysterectomies.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 3","pages":"161-165"},"PeriodicalIF":1.2,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/5d/d9/GMIT-12-161.PMC10553594.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41147737","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

Safety of Laparoscopic Cholecystectomy for Cholecystitis during Pregnancy. 腹腔镜胆囊切除术治疗妊娠期胆囊炎的安全性。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-08-10 eCollection Date: 2023-07-01 DOI: 10.4103/gmit.gmit_57_22

Ahmed Itaimi, Imed Abbassi, Oussama Baraket, Ahmed Kotti, Wissem Triki, Sami Bouchoucha

{"title":"Safety of Laparoscopic Cholecystectomy for Cholecystitis during Pregnancy.","authors":"Ahmed Itaimi, Imed Abbassi, Oussama Baraket, Ahmed Kotti, Wissem Triki, Sami Bouchoucha","doi":"10.4103/gmit.gmit_57_22","DOIUrl":"10.4103/gmit.gmit_57_22","url":null,"abstract":"Objectives: The aim of this study is to evaluate the safety of laparoscopic cholecystectomy to treat acute cholecystitis during pregnancy.Materials and methods: We conducted a retrospective multicenter study including pregnant women with acute cholecystitis managed in surgery departments in Tunisia from January 1, 2015, to December 31, 2019.Results: Seventeen centers of surgery department participated in this study including 107 cases of acute cholecystitis. The average maternal age was 30.5 years. Nonoperative management was performed in eight patients, whereas 99 other patients had surgery. Postoperative follow-up was uneventful in 93.8% of cases and eventful in 6.2% of cases. There was no mortality as far. A medical complication occurred in two patients with a medical morbidity rate of 1.7%. It was about thromboembolic disease. A surgical complication occurred in two other patients with a surgical morbidity rate of 1.7%. It was about intraperitoneal infection in one case and biliary collection in the other case. In univariate analysis, variables related significantly to maternal complication were: age equal or over 35 years old (P = 0.001), jaundice (P = 0.024), C-reactive protein value equal or over 20 mg/L (P = 0.05), and biliary peritonitis (P = 0.05). In multivariate analysis, independent variable predictive of maternal complications was age equal or over 35 years old (P = 0.003), jaundice (P = 0.003), and biliary peritonitis (P = 0.011).Conclusion: Laparoscopic cholecystectomy for cholecystitis can be safely achieved in pregnant women with low rates of morbidity and mortality. This study showed that independent variable predictive of maternal complications was age equal or over 35 years old, jaundice, and biliary peritonitis.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 3","pages":"166-169"},"PeriodicalIF":1.2,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b4/8a/GMIT-12-166.PMC10553592.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41146967","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

Timely Laparoscopic Intervention for Ovarian Tumor-related Autoimmune Encephalitis: A Challenging Pathology at Tu Du Hospital in Vietnam and Literature Review. 及时腹腔镜介入治疗卵巢肿瘤相关自身免疫性脑炎：越南屠都医院的一项挑战性病理学和文献综述。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-08-10 eCollection Date: 2023-07-01 DOI: 10.4103/gmit.gmit_36_23

Thanh Hai Pham, Phuc Nhon Nguyen, Quang Nhat Ho

引用次数: 0

Hysterectomy through Minimally Invasive Surgery for Cervical High-grade Intraepithelial Neoplasia: Reassessment of the Specimens' Eligibility for Histological Examination. 子宫颈高级别上皮内肿瘤的微创手术切除术：对标本组织学检查合格性的重新评估。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-08-10 eCollection Date: 2023-07-01 DOI: 10.4103/gmit.gmit_68_22

Shuichi Kurihara, Yoichiro Hamasaki, Sachiko Onjo, Kenichi Nishiyama, Makoto Nishida

{"title":"Hysterectomy through Minimally Invasive Surgery for Cervical High-grade Intraepithelial Neoplasia: Reassessment of the Specimens' Eligibility for Histological Examination.","authors":"Shuichi Kurihara, Yoichiro Hamasaki, Sachiko Onjo, Kenichi Nishiyama, Makoto Nishida","doi":"10.4103/gmit.gmit_68_22","DOIUrl":"10.4103/gmit.gmit_68_22","url":null,"abstract":"Objectives: The objective was to investigate the microscopic artifacts made in the uterus of cervical high-grade squamous intraepithelial lesion (HSIL) resected by hysterectomy through minimally invasive (H-MI) procedures and to verify whether these specimens are suitable for histopathological assessment.Materials and methods: This single-center retrospective study analyzed 28 patients with cervical HSIL, consisting of 21 premenopausal and seven postmenopausal women, who underwent H-MI. The proportion of the cervical mucosa covered by intact surface epithelium (residual ratio [RR]) was measured on microscopically. Surgical margin's status was also verified.Results: All cases developed detachment of the cervical surface epithelium to a varying extent. The RR was significantly higher in the premenopausal patients (median: 75.5%) than in the postmenopausal patients (median: 37.6%). Among the premenopausal patients, the RR was lower in the cases on whom uterine manipulator (UM) was used (median: 70.5%) than in the cases without UM use (median 92.7%). Among the 21 cases whose resected uterus contained HSIL, the vaginal resection margin was not assessable in three (14.2%) of the seven postmenopausal cases due to the artifact.Conclusion: Although transvaginal manipulation of the uterus causes detachment of the cervical surface epithelium, H-MI for cervical HSIL provides an acceptable specimen for histological assessment in premenopausal patients, even if UM is used. In postmenopausal women, H-MI easily develops artifactual loss of cervical surface epithelium, sometimes providing an unfavorable specimen for microscopic assessment.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 3","pages":"148-152"},"PeriodicalIF":1.2,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/14/7a/GMIT-12-148.PMC10553598.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41151743","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

Obstructed Hemivagina and Ipsilateral Renal Anomaly Syndrome: A Systematic Review about Diagnosis and Surgical Management. 半阴道梗阻和同侧肾异常综合征：诊断和手术治疗的系统综述。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-08-10 eCollection Date: 2023-07-01 DOI: 10.4103/gmit.gmit_103_22

Graziella Moufawad, Andrea Giannini, Ottavia D'Oria, Antonio Simone Laganà, Vito Chiantera, Aline Khazzaka, Ghida Maziad, Elena Nasr, Vanessa Geagea, Marwa Al Jardali, Zaki Sleiman

{"title":"Obstructed Hemivagina and Ipsilateral Renal Anomaly Syndrome: A Systematic Review about Diagnosis and Surgical Management.","authors":"Graziella Moufawad, Andrea Giannini, Ottavia D'Oria, Antonio Simone Laganà, Vito Chiantera, Aline Khazzaka, Ghida Maziad, Elena Nasr, Vanessa Geagea, Marwa Al Jardali, Zaki Sleiman","doi":"10.4103/gmit.gmit_103_22","DOIUrl":"10.4103/gmit.gmit_103_22","url":null,"abstract":"Obstructed hemivagina and ipsilateral renal agenesis (OHVIRA) syndrome is a rare congenital defect of the Müllerian ducts characterized by uterus didelphys, unilateral obstructed hemivagina, and ipsilateral renal agenesis. The aim of this systematic review is to summarize the main symptoms and presentation of the OHVIRA syndrome, as well as the different types of management, fertility, and obstetrical outcomes. A comprehensive search was performed in PubMed, EMBASE, SCOPUS, and Web of Science databases since inception to May 1, 2022, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement. After duplicate records removed, the search strategy retrieved 103 articles. The full texts of 73 articles further were assessed for eligibility, and 44 studies were finally included in the systematic review. The mainstay surgical treatment of OHVIRA syndrome is usually a minimally invasive vaginal approach to remove the septum. Ultrasound-guided hysteroscopic resection and laparoscopic resection of the septum have been described as alternatives. Considering the feasibility of minimally invasive approach for the management of the syndrome, laparotomy should be avoided as much as possible and considered only in selected cases.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 3","pages":"123-129"},"PeriodicalIF":1.2,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/37/7d/GMIT-12-123.PMC10553600.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41165561","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

The Effectiveness of Combined Local and Systemic Methotrexate Treatment in Cesarean Scar Pregnancy Weeks 8 to 14. 局部和全身甲氨蝶呤联合治疗剖宫产瘢痕妊娠8-14周的疗效。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-08-10 eCollection Date: 2023-07-01 DOI: 10.4103/gmit.gmit_135_22

Xuyen Van, Thuong Bui, Hoang The Dinh, Thong Van, Anh Tran

{"title":"The Effectiveness of Combined Local and Systemic Methotrexate Treatment in Cesarean Scar Pregnancy Weeks 8 to 14.","authors":"Xuyen Van, Thuong Bui, Hoang The Dinh, Thong Van, Anh Tran","doi":"10.4103/gmit.gmit_135_22","DOIUrl":"10.4103/gmit.gmit_135_22","url":null,"abstract":"Objectives: This study aims to identify the success rate and correlated factors of combined local and systemic methotrexate (MTX) injection treatment in cesarean scar pregnancy (CSP).Materials and methods: The combined local and systemic MTX administration has been used for CSP weeks 8-14 at Tu Du Maternal Hospital; however, its effectiveness and correlated factors have not been closely investigated. This is a retrospective case series of 123 CSP patients between 8 and 14 weeks of gestation who were treated at Tu Du Hospital from the year 2016 to 2020.Results: The success rate, uterine-sparing rate, and side effects of MTX treatment are 50.4%, 95%, and 17.2%, respectively. The factors related to treatment failure with statistical significance included gestational age (odds ratio [OR] = 3.99), residual myometrial thickness >3 mm (OR = 0.37), and postprocedure gestational sac diameter (OR = 1.09).Conclusion: Combined local and systemic MTX injection is minimally invasive and effective in CSP weeks 8-14. Therefore, it should be utilized routinely.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 3","pages":"170-174"},"PeriodicalIF":1.2,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/69/1f/GMIT-12-170.PMC10553595.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41178767","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

Cornual Pregnancy. 角膜妊娠。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-08-10 eCollection Date: 2023-07-01 DOI: 10.4103/gmit.gmit_10_23

Maria Gaetani, Daniele Di Gennaro, Antonella Vimercati, Amerigo Vitagliano, Miriam Dellino, Antonio Malvasi, Vera Loizzi, Vincenzo Pinto, Ettore Cicinelli, Edoardo Di Naro, Angelo Lacalandra, Gianluca Raffaello Damiani

{"title":"Cornual Pregnancy.","authors":"Maria Gaetani, Daniele Di Gennaro, Antonella Vimercati, Amerigo Vitagliano, Miriam Dellino, Antonio Malvasi, Vera Loizzi, Vincenzo Pinto, Ettore Cicinelli, Edoardo Di Naro, Angelo Lacalandra, Gianluca Raffaello Damiani","doi":"10.4103/gmit.gmit_10_23","DOIUrl":"10.4103/gmit.gmit_10_23","url":null,"abstract":"Cornual pregnancy (CP) is a subtype of ectopic pregnancy that is implanted in the interstitial segment of the fallopian tube which is defined as the tubal section crossing uterine muscular tissue. Widely recognized risk factors for CP are endometriosis, uterine leiomyomata, or pelvic inflammatory disease; all these diseases can cause tubal anatomic changes and consequently alter embryo physiological implant process. Many treatment options are available for this condition each one must be tailored according to patient and operating scenario. The incidence of uterine ruptures in the scarred uterus appears to be low, but the fear of it remains and therefore medical treatment might be favored over cornual wedge resection. The actual risk of uterine rupture after medical treatment is unknown. Multiple testing strategies exist to diagnose CP, but caution needs to be used to avoid a false diagnosis.","PeriodicalId":45272,"journal":{"name":"Gynecology and Minimally Invasive Therapy-GMIT","volume":"12 3","pages":"130-134"},"PeriodicalIF":1.2,"publicationDate":"2023-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/e4/d2/GMIT-12-130.PMC10553601.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41153466","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

Prepregnancy Hysteroscopic Image in a Patient in whom Spontaneous Uterine Rupture Occurred in the 27^th Week of Pregnancy after Adenomyomectomy. 妊娠27周子宫腺肌瘤切除术后自发性子宫破裂患者的孕前宫腔镜图像。

IF 1.2

Gynecology and Minimally Invasive Therapy-GMIT Pub Date : 2023-08-10 eCollection Date: 2023-07-01 DOI: 10.4103/gmit.gmit_136_22

Takashi Matsushima, Mutsumi Kuroki

引用次数: 0