Facts Views and Vision in ObGyn最新文献

{"title":"Postoperative and long-term outcomes of nerve-sparing segmental rectal resection and complete nodular resection of rectal endometriosis.","authors":"Harald Krentel, Antoine Naem, Argyrios Andrikos, Katharina Otto, Simon Schimmack, Rudy Leon De Wilde, Jörg Keckstein, Petya Tanovska, Dimitrios Andrikos","doi":"10.52054/FVVO.2026.268","DOIUrl":"10.52054/FVVO.2026.268","url":null,"abstract":"<p><strong>Background: </strong>Rectal endometriosis is a severe form of deep endometriosis affecting up to 12% of patients, causing significant pain and bowel dysfunction. The optimal surgical approach can be individually tailored based on lesion size and localization as assessed by preoperative imaging.</p><p><strong>Objectives: </strong>To compare the postoperative and long-term clinical results of two alternative surgical approaches to symptomatic rectal endometriosis.</p><p><strong>Methods: </strong>A retrospective single-centre study of 115 patients who had surgical resection of rectal endometriosis either by complete nodular resection (CNR) (n=55) or segmental rectal resection (SRR) (n=60). The surgical approach was indicated based on #Enzian related presurgical transvaginal sonography. #Enzian C1-2 lesions were planned for CNR, and #Enzian C3 lesion for SRR. Postoperative pain and satisfaction data were collected.</p><p><strong>Main outcome measures: </strong>Satisfaction and change in pre-operative and post-operative pain symptoms and overall improvement in symptoms, urinary and bowel dysfunction measured at follow-up and complications following surgery.</p><p><strong>Results: </strong>68/115 (59%) women provided follow up data. There were significant reductions in dysmenorrhoea, dyspareunia and dyschezia following surgical resection compared to pre-operative levels in both groups (<i>P</i>≤0.001). Patients treated with CNR had significantly lower postoperative defecation dysfunction compared to SRR (12.1% vs. 42.9%, <i>P</i>=0.007) and lower postoperative C-reactive protein (CRP) levels (<i>P</i><0.001), but satisfaction and complication rates were comparable between the two surgical approaches. One case of leakage occurred following SRR and no cases of fistulisation or bowel stenosis were observed.</p><p><strong>Conclusions: </strong>CNR and SRR are both safe and effective in treating symptomatic rectal endometriosis. CNR may be associated with lower postoperative defecation dysfunction rates and lower postoperative CRP levels.</p><p><strong>What is new?: </strong>Complete nodular mucosa-sparing resection of rectal endometriosis seems to be feasible and potentially efficacious in lesions up to 3 cm. Compared to SRR, CNR may be associated with less post-operative defecation dysfunction.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 2","pages":"94-103"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13285358/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296846","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":"Racial disparities and risk factors for blood transfusion in patients undergoing myomectomy for uterine fibroids: insights from a national surgical database.","authors":"Abdelrahman Yousif, Mohanad Elchouemi","doi":"10.52054/FVVO.2026.202","DOIUrl":"10.52054/FVVO.2026.202","url":null,"abstract":"<p><strong>Background: </strong>Uterine fibroids are common among reproductive-aged women, with notable racial disparities in disease burden and outcomes. Myomectomy is a fertility-sparing surgical treatment associated with variable transfusion risk.</p><p><strong>Objectives: </strong>To evaluate racial disparities and identify risk factors for blood transfusion in patients undergoing myomectomy, and to develop a predictive model for high-risk patients.</p><p><strong>Methods: </strong>This retrospective cohort study used the American College of Surgeons National Surgical Quality Improvement Project (2018-2022) to identify women aged 18-55 years who underwent myomectomy. Patients with malignancy or bleeding disorders were excluded. Multivariable logistic regression was used to assess transfusion predictors and racial disparities.</p><p><strong>Main outcome measures: </strong>Incidence and predictors of perioperative blood transfusion; model performance for transfusion prediction.</p><p><strong>Results: </strong>Among 6,154 patients, 604 (9.8%) required transfusion. Non-Hispanic Black patients accounted for 74.3% of transfusion cases (vs. 52.0%, <i>P</i><0.001) and had over twice the adjusted odds of transfusion compared to Non-Hispanic White patients [adjusted odds ratio (aOR): 2.1, 95% confidence interval: 1.6-2.7]. Preoperative anaemia (aOR: 8.5), abdominal approach (aOR: 4.7), and fibroid burden (>250 grams) (aOR: 2.0) were also significant. The predictive model demonstrated excellent discrimination (area under the receiver operating characteristic curve: 0.79).</p><p><strong>Conclusions: </strong>Non-Hispanic Black patients face higher transfusion risks during myomectomy, even after adjusting for clinical factors. Interventions targeting anaemia and prioritising minimally invasive approaches may reduce these disparities.</p><p><strong>What is new?: </strong>This study explores recent racial disparities in blood transfusion among myomectomy patients and assesses how these patterns have evolved in recent years using a nationally representative surgical dataset.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 2","pages":"85-93"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13285366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296784","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":"Music and oral premedication for pain management during outpatient hysteroscopy: results from a randomised controlled trial.","authors":"Alessandro Loddo, Stefano Di Michele, Gianmarco D'Ancona, Stefano Angioni","doi":"10.52054/FVVO.2026.343","DOIUrl":"10.52054/FVVO.2026.343","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Outpatient hysteroscopy is a common procedure, but pain can lead to failure and poor patient experience, especially in women without previous vaginal delivery and postmenopausal women.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objectives: &lt;/strong&gt;To compare the use of music during outpatient hysteroscopy with oral pre-procedural analgesia or no pain control intervention on perioperative and postoperative pain.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;A randomised controlled trial was conducted at the outpatient hysteroscopy service of the University of Cagliari between December 2024 and June 2025. Women undergoing outpatient hysteroscopy were allocated to a music group (pre-defined instrumental relaxing music without lyrics, delivered through a Bluetooth speaker throughout the procedure), an oral premedication analgesia group (ibuprofen 200 mg + paracetamol 1000 mg, 90 min pre-procedure), or a control group (no pre-pharmacological or music-based analgesic support). A 5-mm hysteroscope and standardised vaginoscopic \"no-touch\" technique were used.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Main outcome measures: &lt;/strong&gt;The primary outcome was maximum pain on a 0-10 visual analogue scale (VAS) intraoperatively (T0) and 30 minutes post-procedure (T1). Secondary outcomes included operative time, successful procedural completion, and complications. A pre-specified subgroup analysis was performed to explore potential treatment-by-previous vaginal delivery status (no previous vaginal delivery vs. women with a previous vaginal delivery) and menopausal status (reproductive age vs. menopause) interactions.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Two hundred sixty-four women were randomised; 88 to intraprocedural music, 89 to pre-operative analgesia, and 87 to no pain control intervention. Peak intraoperative pain did not differ across groups (VAS mean ± standard deviation: 3.4±1.0 in the music group, 3.5±1.45 in the oral premedication group, and 3.6±0.9 in the control group; &lt;i&gt;P&lt;/i&gt;=0.35). Post-procedural pain at 30 minutes was also similar across groups (1.5±1.4, 1.5±1.5, and 1.7±1.1, respectively; &lt;i&gt;P&lt;/i&gt;=0.24). Operative time was comparable across groups (mean: 3.2, 3.1, and 3.2 minutes; &lt;i&gt;P&lt;/i&gt;=0.13). Procedure completion rates did not differ between groups (&lt;i&gt;P&lt;/i&gt;=0.62), and no complication rates or drug-related adverse events were observed. In exploratory analyses across the overall cohort, women with no previous vaginal delivery (n=82) reported higher intra-procedural pain scores than women with a previous vaginal delivery (n=182) (VAS 4.1±0.9 vs 3.2±0.9; &lt;i&gt;P&lt;/i&gt;=0.032). Similarly, postmenopausal women (n=76) reported higher pain scores than women of reproductive age (n=188) (VAS 4.0±0.9 vs. 3.4±0.9; &lt;i&gt;P&lt;/i&gt;=0.023).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusions: &lt;/strong&gt;The use of intraoperative music or pre-procedural analgesia with oral ibuprofen-paracetamol does not reduce pain compared with standard outpatient hysteroscopy.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;What is new?: &lt;/strong&gt;Intraoperative music and oral analge","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 2","pages":"113-121"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13285356/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296796","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 cervical cerclage at 10 weeks gestation in a patient with an adverse obstetric history following fertility-sparing surgery for cervical cancer.","authors":"Stefano Ferla, Valeria De Gobbi, Renato Seracchioli, Diego Raimondo","doi":"10.52054/FVVO.2026.231","DOIUrl":"10.52054/FVVO.2026.231","url":null,"abstract":"<p><strong>Background: </strong>For women who undergo fertility-sparing treatment for early cervical cancer, transabdominal cerclage (TAC) may be considered to prevent adverse obstetric outcomes due to cervical insufficiency. Laparoscopic-TAC (LPS-TAC) is now preferred over conventional transabdominal approaches because of decreased pain and bleeding, shorter hospitalisation and quicker recovery. However, a systematic, precise approach to performing LPS-TAC during pregnancy is necessary to overcome the lack of uterine manipulation and minimise complications such as bleeding and pregnancy loss.</p><p><strong>Objectives: </strong>To demonstrate the surgical technique of post-conceptional LPS-TAC.</p><p><strong>Participant: </strong>A 33-year-old woman with a history of FIGO stage IA1 squamous cervical cancer treated with fertility-sparing surgery. She had suffered a foetal loss after an emergency Caesarean section at 28 weeks because of uterine rupture. In her next pregnancy she presented at 10 weeks gestation with an ultrasound diagnosis of cervical shortening (14 mm).</p><p><strong>Intervention: </strong>The patient underwent LPS-TAC at a tertiary referral center. The operating time was 51 minutes, and blood loss was minimal. Intraoperative transvaginal ultrasound was used to guide the cerclage placement. No perioperative complications occurred; the hospital stay was two days. Elective C-section was performed at 34+6 weeks with hysterotomy above the tape, which was left <i>in situ</i>.</p><p><strong>Conclusions: </strong>LPS-TAC during pregnancy represents a feasible minimally invasive option for selected patients with cervical insufficiency, particularly those with a history of prior cervical surgery. Intraoperative ultrasound may assist in identifying the internal cervical os, facilitating safe tape placement and minimising the risk of membrane injury during pregnancy.</p><p><strong>What is new?: </strong>Intraoperative ultrasound guidance may support safe identification of the internal cervical os and optimal tape placement when performing LPS-TAC during pregnancy in patients with previous fertility-sparing treatment for cervical cancer.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":" ","pages":"149-150"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13285352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148139265","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":"Stephan Gordts (1947-2026).","authors":"Rudi Campo","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 2","pages":"74"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Inside the obturator canal: robotic ganglion cyst decompression.","authors":"Oscar Barnick, Florence Britton, Marco Sinisi, Shaheen Khazali","doi":"10.52054/FVVO.2026.70","DOIUrl":"10.52054/FVVO.2026.70","url":null,"abstract":"<p><strong>Background: </strong>Obturator nerve compression is an uncommon cause of groin and medial thigh pain. Ganglion cysts extending into the obturator foramen are rare and usually managed via open or orthopaedic approaches. Robotic neuropelveology offers high-definition access to pelvic neurovascular structures and may facilitate nerve-preserving excision.</p><p><strong>Objectives: </strong>To demonstrate a robotic pelvic approach to the obturator foramen for excision of a ganglion cyst inseparable from the obturator nerve, and to highlight multidisciplinary (MDT) planning in atypical neuropathic pelvic pain.</p><p><strong>Participant: </strong>A 47-year-old woman presented with left groin/medial thigh pain and impaired leg function. MRI showed a 16-mm lobulated ganglion cyst arising from the undersurface of the left hip joint and extending into the left obturator foramen, inseparable from the obturator nerve with neurogenic oedema in obturator externus/adductor muscles.</p><p><strong>Intervention: </strong>After MDT planning with radiology, neurosurgeon, neuropelveology and gynaecology surgeon, a joint robotic procedure was performed. Key steps: develop an avascular pelvic sidewall plane via the lumbosacral space; dissect caudally to the obturator canal with minimal traction; identify the obturator nerve and vein and perform nerve-sparing neurolysis; perform controlled cystotomy and evacuate gelatinous contents for decompression; deroof the ganglion and remove the cyst wall to reduce recurrence.</p><p><strong>Conclusions: </strong>Robotic access to the obturator foramen can enable minimally invasive, nerve-preserving decompression and excision of selected pelvic nerve compression lesions, supported by MDT planning, with symptomatic and motor improvement.</p><p><strong>What is new?: </strong>A stepwise robotic route to the obturator canal for a ganglion cyst inseparable from the obturator nerve, demonstrating MDT-enabled management of rare neuropathic pelvic pain.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":" ","pages":"155-156"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13285349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148145025","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":"Toumai robotic system in uterine cancer surgery: first report of sentinel lymph node dissection in ten steps.","authors":"Matteo Pavone, Maria Consiglia Giuliano, Chiara Innocenzi, Marco D'Indinosante, Nicolò Bizzarri, Jacques Marescaux, Denis Querleu, Anna Fagotti, Francesco Fanfani, Angelica Naldini","doi":"10.52054/FVVO.2026.303","DOIUrl":"10.52054/FVVO.2026.303","url":null,"abstract":"<p><strong>Background: </strong>In recent years, robotic surgery has gained traction across multiple disciplines, establishing a new minimally invasive paradigm. After the Da Vinci® (Intuitive, Sunnyvale, California) patent expired, several platforms with increasingly digital interfaces entered the market. Robotic surgery may represent a bridge between laparoscopy and digital surgery through interfaces that enable integration with emerging technologies. Among platforms, the Toumai robotic system (Medbot-Microport, Shanghai, China) features a single-arm cart with four arms, a three-dimensional console, and a split-view \"picture-in-picture\" function enabling communication with image-guided surgical technologies. This functionality is particularly valuable for indocyanine green (ICG)-guided sentinel lymph node (SLN) mapping in gynaecologic oncology.</p><p><strong>Objectives: </strong>We present for the first time, a step-by-step video demonstration of SLN dissection for endometrial malignancies using the Toumai robotic system.</p><p><strong>Participant: </strong>A postmenopausal patient with uterine-confined endometrial carcinoma undergoing total hysterectomy, bilateral salpingo-oophorectomy, and bilateral SLN biopsy.</p><p><strong>Intervention: </strong>The technique includes: 1) ICG injection; 2) robotic trocar placement; 3) docking; 4) pelvic retroperitoneal access; 5) switch to split-view mode; 6) identification of the SLN critical view of safety by developing pararectal and paravesical spaces; 7) introduction of an ICG-capable camera through an accessory trocar; 8) activation of near-infrared visualisation after switching off the robotic light source; 9) SLN identification and dissection; 10) safe extraction.</p><p><strong>Conclusions: </strong>The digital interface of the Toumai system integrates adjunctive technologies, illustrating how next-generation robotics expand the feasibility of SLN dissection in endometrial cancers.</p><p><strong>What is new?: </strong>The Toumai platform enables SLN dissection even in the absence of an in-house integrated ICG endoscopic camera.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":" ","pages":"147-148"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13285326/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976347","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":"Conventional laparoscopic segmental bowel resection with mini-laparotomy specimen extraction compared with Natural Orifice Specimen Extraction (NOSE) procedures in patients with colorectal endometriosis.","authors":"Alexander Popov, Solmaz Mamedova, Anton Fedorov, Ivan Kliushnikov, Timur Glebov, Julia Sopova, Renata Izmailova, Vlada Troshina","doi":"10.52054/FVVO.2026.299","DOIUrl":"10.52054/FVVO.2026.299","url":null,"abstract":"<p><strong>Background: </strong>In patients with colorectal endometriosis the optimal surgical approach for excising disease remains unknown.</p><p><strong>Objectives: </strong>To compare the safety and efficacy of classic colorectal resection with mini-laparotomy and extracorporeal specimen removal and anastomosis formation (CLS) and colorectal resection with natural orifice specimen (bowel segment) extraction (NOSE), which is performed entirely in the abdominal cavity.</p><p><strong>Methods: </strong>This is a single centre, retrospective observational study of 161 cases of colorectal endometriosis. Women underwent laparoscopic excision of deep endometriosis with segmental bowel resection between 2015 and 2023.</p><p><strong>Main outcome measures: </strong>Hospital stay, complication rate, infectious issues, pain measured on a 10 cm visual analogue scale (VAS) and quality of life [derived from Knowles-Eccersley-Scott-Symptom (KESS)] questionnaire were the outcomes of interest.</p><p><strong>Results: </strong>No differences in post-operative pain or bowel quality of life at 3 months were observed between CLS and NOSE surgical treatment of colorectal endometriosis (mean VAS score 2 vs. 1, (<i>P</i>=0.62) and mean KESS score 12.3 vs. 10.7 (<i>P</i>=0.28). No clinically significant differences between techniques for intra-abdominal sepsis were seen as judged by C-reactive protein elevation and bacterial contamination from peri-operative cultures.</p><p><strong>Conclusions: </strong>NOSE and CLS procedures appear comparable in safety and efficacy for removing colorectal endometriosis. Randomised trials are needed to compare these techniques.</p><p><strong>What is new?: </strong>The NOSE technique for removing colorectal endometriosis is not associated with poorer safety, inflammatory, infective or efficacy outcomes compared to the classical CLS approach. Randomised controlled trials are needed to compare these techniques.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 2","pages":"104-112"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13285338/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296746","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":"Research and audit are essential for improving women's experience of outpatient hysteroscopy.","authors":"Prathiba M de Silva, T Justin Clark","doi":"10.52054/FVVO.2026.488","DOIUrl":"10.52054/FVVO.2026.488","url":null,"abstract":"","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 2","pages":"78-80"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13285339/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296866","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":"Following the NOSE: when surgical evolution outpaces the evidence.","authors":"Shaheen Khazali, Ahmed Karim","doi":"10.52054/FVVO.2026.473","DOIUrl":"10.52054/FVVO.2026.473","url":null,"abstract":"","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 2","pages":"75-77"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13285355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296828","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}