Facts Views and Vision in ObGyn最新文献

{"title":"Letter to the Editor: Research and audit are essential to improving women's experience of outpatient hysteroscopy.","authors":"Valerie Humphreys","doi":"10.52054/FVVO.2026.531","DOIUrl":"10.52054/FVVO.2026.531","url":null,"abstract":"","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 3","pages":"273-274"},"PeriodicalIF":1.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575363/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971680","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":"Letter to the Editor: \"Conventional laparoscopic segmental bowel resection with mini-laparotomy specimen extraction compared with Natural Orifice Specimen Extraction (NOSE) procedures in patients with colorectal endometriosis\".","authors":"Ayesha Jabbar Jakhro, Heer Jokhio, Amarah Khaskheli, Syed Hassan Ali","doi":"10.52054/FVVO.2026.544","DOIUrl":"10.52054/FVVO.2026.544","url":null,"abstract":"","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 3","pages":"281-282"},"PeriodicalIF":1.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575360/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971651","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":"Letter to the Editor: \"Music and oral premedication for pain management during outpatient hysteroscopy: results from a randomised controlled trial\".","authors":"Areeba Murtaza","doi":"10.52054/FVVO.2026.559","DOIUrl":"10.52054/FVVO.2026.559","url":null,"abstract":"","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 3","pages":"277-278"},"PeriodicalIF":1.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971682","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":"Aetiology of pelvic neuropathies in women: a narrative review.","authors":"Robert de Leeuw, Freek A Groenman, Gernot Hudelist, Emma E Don, Ralph de Vries, Judith Af Huirne","doi":"10.52054/FVVO.2026.363","DOIUrl":"10.52054/FVVO.2026.363","url":null,"abstract":"<p><p>Pelvic neuropathy is an under-recognised contributor to chronic pelvic pain in women, yet a structured overview of its identifiable causes has been lacking. In this narrative review we searched PubMed, Embase and Web of Science from inception to 1 March 2024 for clinical studies describing pelvic neuropathy in women with a defined or inferable aetiology, and synthesised them thematically. We included 306 studies (215 case reports, 53 case series, 24 retrospective and 14 prospective cohort studies) describing 2,413 women. Five recurring aetiological categories emerged: iatrogenic injury (the most frequent), nerve invasion or traction by disease processes (notably endometriosis and tumours), pregnancy- and childbirth-related injury, external trauma, and compression by muscular, vascular, benign or malignant structures. Aetiologies of particular relevance to gynaecological practice included nerve-invasive endometriosis, which characteristically produces cyclical (catamenial) symptoms, and obstetric neuropathies, which are usually self-limiting. Specific neuropathic syndromes-piriformis, May-Thurner, pelvic congestion and Alcock's canal (pudendal) syndrome-were inconsistently defined across studies. Diagnostic strategies and reporting quality varied widely, neuropathy was frequently recognised late, and the evidence base was dominated by case reports and small series; the overall certainty of evidence is therefore low and no randomised controlled trials were identified. Greater awareness of nerve-specific injury mechanisms-particularly endometriosis-related and obstetric neuropathies-together with standardised diagnostic pathways, is needed to improve recognition and outcomes for women with neuropathic pelvic pain.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 3","pages":"222-234"},"PeriodicalIF":1.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575366/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971626","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":"Poor knot security when closing running sutures with three threads.","authors":"Armondo Romeo, Maurizio Giarola, William Kondo, Bedayah Amro, Anastasia Ussia, Leila Adamyan, Arnaud Wattiez, Philippe R Koninckx","doi":"10.52054/FVVO.2026.284","DOIUrl":"10.52054/FVVO.2026.284","url":null,"abstract":"<p><strong>Background: </strong>Knot security varies with half-knot and half-hitch sequences, rotation sense, and the type and diameter of sutures.</p><p><strong>Objectives: </strong>To evaluate the security of knots with three threads, as used for tying off running sutures.</p><p><strong>Methods: </strong>Three-way randomised experiments, with a factorial design and 10 knots/cell. The first experiment evaluated the knot security of a surgical knot (H2H1sH1s) for single stitches (2 threads) or running sutures (3 threads), using polyglactin 910 or polydioxanone, of 2-0 or 1 diameter. The second experiment evaluated the knot security of a running suture with 4 or 5 half-hitch sequences and 2 or 3 blocking knots, using polyglactin 910 or polydioxanone, and with diameters of 2-0 or 1.</p><p><strong>Main outcome measures: </strong>Knot security in Newton, measured with a digital dynamometer. With increasing forces, the knot either slipped open or blocked, causing the suture to break.</p><p><strong>Results: </strong>In the first experiment, the knot security of surgical knots was less with monofilament (<i>P</i>=0.0004) and running sutures (<i>P</i><0.0001), but not with suture diameter (three-way analysis of variance). Variability in outcome was greater with running sutures, especially with monofilament sutures of larger diameter. The second experiment demonstrated that half-hitch sequences occasionally opened with low forces, especially with larger monofilament sutures.</p><p><strong>Conclusions: </strong>Compared to knots tied with two threads, knots with three threads have a lower and more variable knot security, especially with larger monofilament sutures.</p><p><strong>What is new?: </strong>Knots with 3 threads should be avoided, as they may occasionally open with forces below 30 or 10 Newton.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 3","pages":"178-183"},"PeriodicalIF":1.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971640","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":"Authors' reply to: \"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.2026.578","DOIUrl":"10.52054/FVVO.2026.578","url":null,"abstract":"","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 3","pages":"279-280"},"PeriodicalIF":1.5,"publicationDate":"2026-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13575370/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148971672","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":"Robotic ureteral reimplantation for endometriosis: the Lich-Gregoir technique. A step-by-step approach.","authors":"Diego Raimondo, Gabriele Centini, Daniele Neola, Matteo Giorgi, Roberto Palermo, Enrico Pazzaglia, Errico Zupi, Renato Seracchioli","doi":"10.52054/FVVO.2026.334","DOIUrl":"10.52054/FVVO.2026.334","url":null,"abstract":"<p><strong>Background: </strong>Urinary tract endometriosis affects fewer than 6% of patients with endometriosis, with ureteral involvement representing the second most common site of disease (9-23%). The condition is often asymptomatic, which may result in silent loss of renal function. Surgical intervention is required in cases of ureteral obstruction. Ureteroneocystostomy is indicated for distal ureteral disease, particularly when ureterolysis is insufficient or vascular compromise is present. The Lich-Gregoir technique is an extravesical approach to ureteral reimplantation into the bladder.</p><p><strong>Objectives: </strong>To present a step-by-step demonstration of robot-assisted ureteral reimplantation using the Lich-Gregoir technique following excision of a parametrial and vaginal endometriosis nodule.</p><p><strong>Participant: </strong>A 47-year-old nulliparous woman presented with dysuria, deep dyspareunia, and dyschezia. Imaging revealed a left parametrial endometriosis nodule extending to the vagina, causing distal ureteral obstruction and grade III hydronephrosis.</p><p><strong>Intervention: </strong>This narrated video demonstrates the surgical management of severe ureteral endometriosis, including ureterolysis, safe nodule excision, and ureteral reimplantation using the Lich-Gregoir technique. Reimplantation was preferred to segmental resection or ureterolysis due to distal stenosis, proximity to the bladder, and the depth of disease infiltration. The patient remained asymptomatic at follow-up visits at 1 and 6 months. Retrograde cystography performed 3 weeks postoperatively showed no leakage.</p><p><strong>Conclusions: </strong>Robot-assisted Lich-Gregoir ureteral reimplantation represents a feasible and reproducible option for distal ureteral endometriosis. The robotic platform may facilitate precise and complex reconstructive procedures.</p><p><strong>What is new?: </strong>The case illustrates the role of robotic surgery in complex pelvic endometriosis, demonstrates the feasibility of integrating ureteroneocystostomy with simultaneous excision of parametrial and vaginal endometriosis.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":" ","pages":"151-152"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13285350/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976369","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":"Buddy operating in gynaecological endoscopy: what should this model of surgical practice look like?","authors":"Lina Antoun, T Justin Clark","doi":"10.52054/FVVO.2026.414","DOIUrl":"10.52054/FVVO.2026.414","url":null,"abstract":"<p><p>\"Buddy operating\" is a subtype of dual operating described in the Clark model, where two surgeons of comparable proficiency collaborate during complex procedures. Potential benefits include improved surgical efficacy and safety, shared intraoperative decision making, enhanced skill development, and improved surgeon wellbeing. However, implementation must be justified given resource constraints and potential impacts on surgical training. We propose that buddy operating should be selectively applied to clearly defined complex cases, supported by governance frameworks, structured protocols, and outcome monitoring. Importantly, buddy operating must be distinguished from supervisory training. Future research should evaluate its effects on clinical outcomes, cost-effectiveness, surgeon health, and access to training opportunities.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":" ","pages":"81-84"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13285324/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148212701","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":"Immediate volume reduction following transvaginal ultrasound-guided thermal ablation (interstitial myolysis) of a symptomatic uterine fibroid.","authors":"Antonio La Marca, Christian Battipaglia, Nunzia Del Villano, Sara Verra, Maria Longo","doi":"10.52054/FVVO.2026.361","DOIUrl":"10.52054/FVVO.2026.361","url":null,"abstract":"<p><strong>Background: </strong>Interstitial thermal ablation represents a uterine-sparing alternative for symptomatic fibroid management. Transvaginal ultrasound-guided myolysis enables precise targeting and real-time monitoring of the ablation zone.</p><p><strong>Objectives: </strong>To illustrate the feasibility and immediate intraoperative response of transvaginal ultrasound-guided interstitial myolysis for the treatment of uterine fibroids.</p><p><strong>Participant: </strong>A 36-year-old multiparous woman with persistent abnormal uterine bleeding and pelvic pain related to a known uterine fibroid seeking a uterus-preserving treatment. Previous treatments, including levonorgestrel-releasing intrauterine system and oral therapy with relugolix, estradiol, and norethisterone had failed.</p><p><strong>Intervention: </strong>Transvaginal ultrasound revealed a retroverted, enlarged uterus with a posterior type 2-5 fibroid measuring 45×37×49 mm (volume: 42.4 cm³). Under conscious sedation, a 16G-27 cm microwave antenna was transvaginally inserted and repositioned within the fibroid under continuous ultrasound guidance. Ablation was delivered in four cycles at 20 W for a total duration of 194 seconds, with a cumulative net energy delivered of 3.3 kJ calculated by the device, while continuously assessing safety margins and tissue response. Immediate ultrasound evaluation showed a 42.7% volume reduction (from 42.4 to 24.3 cm³), loss of fibroid definition, and partial collapse, consistent with effective devascularisation. No complications occurred, and the patient was discharged the same day. At 4-month follow-up, fibroid volume reduction was sustained (41.7%), with complete symptom control under the previously ineffective hormonal therapy.</p><p><strong>Conclusions: </strong>Transvaginal interstitial myolysis offers a minimally invasive, uterine-sparing treatment option for selected patients with symptomatic fibroids. Real-time ultrasound monitoring enables precise ablation and immediate confirmation of treatment efficacy.</p><p><strong>What is new?: </strong>This video documents the immediate volumetric response of a uterine fibroid following transvaginal ultrasound-guided myolysis.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 2","pages":"153-154"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13285325/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296793","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":"Retained intrauterine devices and abdominal actinomycosis, diagnostic challenges from a case series.","authors":"Nadica Nakev Nikolova, Guldzhan Vorona, Ismail El-Kharbotly, Chetan Parmar, Manikandan Kathirvel","doi":"10.52054/FVVO.2026.329","DOIUrl":"10.52054/FVVO.2026.329","url":null,"abstract":"<p><p>Abdominal actinomycosis is an uncommon infection that may mimic malignancy or inflammatory bowel disease, leading to delayed diagnosis. Retained intrauterine devices (IUDs) have been associated with pelvic and abdominal actinomycosis. We report four women with prolonged IUD use presenting with non-specific abdominal symptoms and varied radiological findings, including abdominal wall, pelvic and hepatic abscesses. Diagnosis was supported by microbiological and/or histopathological findings. Management included IUD removal, prolonged antibiotic therapy and, in one case, surgery. These cases highlight the diagnostic challenges of abdominal actinomycosis and the importance of considering the diagnosis in women with long-term IUD use.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"18 2","pages":"135-140"},"PeriodicalIF":1.5,"publicationDate":"2026-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13285359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148296826","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}