Facts Views and Vision in ObGyn最新文献

{"title":"Artificial Intelligence, the ChatGPT Large Language Model: Assessing the Accuracy of Responses to the Gynaecological Endoscopic Surgical Education and Assessment (GESEA) Level 1-2 knowledge tests.","authors":"M Pavone, L Palmieri, N Bizzarri, A Rosati, F Campolo, C Innocenzi, C Taliento, S Restaino, U Catena, G Vizzielli, C Akladios, M M Ianieri, J Marescaux, R Campo, F Fanfani, G Scambia","doi":"10.52054/FVVO.16.4.052","DOIUrl":"10.52054/FVVO.16.4.052","url":null,"abstract":"<p><strong>Background: </strong>In 2022, OpenAI launched ChatGPT 3.5, which is now widely used in medical education, training, and research. Despite its valuable use for the generation of information, concerns persist about its authenticity and accuracy. Its undisclosed information source and outdated dataset pose risks of misinformation. Although it is widely used, AI-generated text inaccuracies raise doubts about its reliability. The ethical use of such technologies is crucial to uphold scientific accuracy in research.</p><p><strong>Objective: </strong>This study aimed to assess the accuracy of ChatGPT in doing GESEA tests 1 and 2.</p><p><strong>Materials and methods: </strong>The 100 multiple-choice theoretical questions from GESEA certifications 1 and 2 were presented to ChatGPT, requesting the selection of the correct answer along with an explanation. Expert gynaecologists evaluated and graded the explanations for accuracy.</p><p><strong>Main outcome measures: </strong>ChatGPT showed a 59% accuracy in responses, with 64% providing comprehensive explanations. It performed better in GESEA Level 1 (64% accuracy) than in GESEA Level 2 (54% accuracy) questions.</p><p><strong>Conclusions: </strong>ChatGPT is a versatile tool in medicine and research, offering knowledge, information, and promoting evidence-based practice. Despite its widespread use, its accuracy has not been validated yet. This study found a 59% correct response rate, highlighting the need for accuracy validation and ethical use considerations. Future research should investigate ChatGPT's truthfulness in subspecialty fields such as gynaecologic oncology and compare different versions of chatbot for continuous improvement.</p><p><strong>What is new?: </strong>Artificial intelligence (AI) has a great potential in scientific research. However, the validity of outputs remains unverified. This study aims to evaluate the accuracy of responses generated by ChatGPT to enhance the critical use of this tool.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"16 4","pages":"449-456"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819790/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883293","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 training should be equitable for all: the impact of a mandatory, cost-neutral simulation training programme incorporating a free take-home box trainer.","authors":"N Harvey, L Beard, N Abdulkader, C Goumalatsou, M Adamczyk, R Mallick","doi":"10.52054/FVVO.16.4.045","DOIUrl":"10.52054/FVVO.16.4.045","url":null,"abstract":"<p><strong>Background: </strong>The quality of gynaecological surgical training has faced mounting criticism internationally with multiple countries publishing potential remedies for improvement. Simulation has the indisputable ability to mitigate against training deficiencies, however, access to and the quality of simulation varies across regions, never mind nations.</p><p><strong>Objectives: </strong>To assess the effect on surgical skills by the introduction of a structured and integrated simulation programme with the unique aspect of being completely free of cost with the provision of a take-home laparoscopy box trainer (LBT).</p><p><strong>Materials and methods: </strong>The course was mandatory in attendance and was divided into basic, intermediate and advanced streams. Each stream had a bespoke curriculum based on RCOG training. It was delivered through a combination of lectures and a mixture of dry/wet lab training sessions with the LBT provided for home use.</p><p><strong>Main outcome measures: </strong>All participants completed a pre- and post-course questionnaire with objective laparoscopic skill metrics assessed using the Inovus LapAR system at the beginning and end of the course.</p><p><strong>Results: </strong>100% of trainees demonstrated a statistically significant (p=<0.05) improvement in smoothness, time and speed. Furthermore, 100% reported the course improved their surgical skills which were further developed by LBT practice.</p><p><strong>Conclusion: </strong>This demonstrated improvement in surgical skills and confidence solidifies the hope that such a programme could be implemented as an international gynaecological standard. If implemented from the initial specialist years of training, a strong foundation can be instilled to ensure that each future gynaecologist has strong surgical skills built from a high level of laparoscopic simulation.</p><p><strong>What is new?: </strong>Our study is the first of its kind to describe an equitable and fair approach to laparoscopic surgery training; for the many rather than the select few.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"16 4","pages":"465-471"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819793/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883300","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":"Is there a future for hysteroscopic sterilisation?","authors":"G Chene","doi":"10.52054/FVVO.16.4.053","DOIUrl":"10.52054/FVVO.16.4.053","url":null,"abstract":"","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"16 4","pages":"379-381"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819792/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883299","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-assisted treatment of obturator nerve entrapment 5 years after retropubic tension-free vaginal tape insertion.","authors":"H Krentel, C D Alt, D Andrikos, A Naem, K Otto, P Tanovska, A S Constantin, R L De Wilde","doi":"10.52054/FVVO.16.4.043","DOIUrl":"10.52054/FVVO.16.4.043","url":null,"abstract":"<p><strong>Background: </strong>Stress urinary incontinence is a frequent condition in female patients. Surgical treatment with tension-free vaginal tape (TVT) insertion is a minimally invasive option with immediate improvement of symptoms. Different possible complications have been described in the literature. Obturator nerve entrapment is a very rare complication of retropubic (rp) TVT insertion.</p><p><strong>Objectives: </strong>To show the feasibility of robotic-assisted laparoscopic mesh removal in a case of rpTVT-related entrapment of the left obturator nerve.</p><p><strong>Materials and methods: </strong>We present the case of a 55-year-old patient who suffered from left obturator nerve dysfunction with adductor muscle atony and neuralgia after insertion of rpTVT five years earlier in an external hospital for urinary stress incontinence. We show the safety and feasibility of robotic-assisted nerve-sparing mesh removal.</p><p><strong>Main outcome measures: </strong>Post-interventional pain release and nerve and muscle function recovery.</p><p><strong>Results: </strong>Immediately after the surgical removal of the mesh and release of the left obturator nerve, the patient reported pain release and improvement of motoric function.</p><p><strong>Conclusions: </strong>Robotic-assisted surgery is a feasible minimally invasive alternative in the treatment of rpTVT-related obturator nerve entrapment.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"16 4","pages":"485-487"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819791/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883302","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":"Sexual function after surgically corrected menstrual outflow obstruction due to congenital anomalies.","authors":"L Martens, M A Spath, M A van Beek, W N P Willemsen, K B Kluivers","doi":"10.52054/FVVO.16.4.049","DOIUrl":"10.52054/FVVO.16.4.049","url":null,"abstract":"<p><strong>Objectives: </strong>To enhance evidence-based knowledge about sexual function and the prevalence of sexual dysfunction after surgical therapy for congenital anomalies with menstrual outflow obstruction.</p><p><strong>Materials and methods: </strong>In this long-term case-control study, all patients underwent surgical correction of an obstructive Müllerian anomaly between 1980 and 2013. At the start of the case-control study, patients were at least 18 years old and were two years post their initial operation. The control group were women without current gynaecological problems. 38 patients (response rate 48.7%) and 54 controls were included. Chi-square test linear-by-linear Association, Fisher's Exact Test, Mann-Whitney U test and the unpaired sample t-test were used for statistical analysis.</p><p><strong>Main outcome measures: </strong>The following questionnaires were used: the Female Sexual Function Index (FSFI), the Body Exposure during Sexual Activities Questionnaire (BESAQ), and the Endometriosis Health Profile Questionnaire (EHP-30).</p><p><strong>Results: </strong>The mean FSFI score in patients was 27.8 (SD5.4) versus 27.4 (SD6.8) in controls (p=0.858). A total FSFI score ≥26.55, indicating no sexual dysfunction was present in 70.6% of patients and 69.2% of controls (p=1.000). The mean BESAQ score in patients was 30.4 (18.5), compared to 38.3 (SD21.4) in controls (p=0.261), where lower scores denote better body image during intimate sessions. In the EHP-30, a statistically significant difference between patients and controls was found in all items on sexual intercourse. The subscale score of patients was 31.1 (SD26.2) versus 7.0 (SD11.1) in controls (p=<0.001), indicating better sexual functioning in controls.</p><p><strong>What is new?: </strong>The study showed that a history of menstrual outflow obstruction had a negative influence on several domains of sexual function, yet the patients total scores on sexual function remained in the normal range. The FSFI score of patients' post-surgical treatment of obstructive congenital anomalies is similar to the control group.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"16 4","pages":"457-464"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883304","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":"Complications of electrosurgery: mechanisms and prevention strategies.","authors":"S M El-Sayed, E Saridogan, M M El-Sayed","doi":"10.52054/FVVO.16.4.048","DOIUrl":"10.52054/FVVO.16.4.048","url":null,"abstract":"<p><strong>Background: </strong>Electrosurgery is widely used in all surgical specialities. There is evidence that surgeons in different disciplines and with different experience levels have an inadequate understanding of the basics of electrosurgery and its complications. This can increase the risk of electrosurgical complications. Despite its improved safety technology, electrosurgery is still associated with serious morbidity and mortality. In addition, such adverse outcomes will incur financial losses to our health system due to the costs of repeated operations, prolonged hospital stays, and litigation.</p><p><strong>Objectives: </strong>To identify the various mechanisms of electrosurgical complications and to highlight the recommended actions to prevent such complications.</p><p><strong>Materials and methods: </strong>Narrative review based on a literature search of the Medline database using the following search terms: \"electrosurgery\", \"complications\", \"risks\", and \"adverse effects\", with further citation searching for related articles.</p><p><strong>Main outcome measures and results: </strong>The paper does not address specific research questions but addresses common knowledge gaps in the mechanisms of electrosurgical complications among surgeons.</p><p><strong>Conclusions: </strong>Electrosurgical devices can cause severe complications such as unintended tissue burns, surgical fires, smoke hazards, and interference with implantable devices. Although such energy devices are designed with increasingly improving safety features, an adequate understanding of the circumstances, mechanisms, and prevention of these complications by the surgical team is the cornerstone in mitigating such risks.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"16 4","pages":"473-484"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819786/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883296","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":"Role of macronutrients, dairy products, fruits and vegetables in occurrence and progression of endometriosis: A summary of current evidence in a systematic review.","authors":"N Akgun, N Sofiyeva, P B Yalcın, A S Laganà, E Oral","doi":"10.52054/FVVO.16.4.046","DOIUrl":"10.52054/FVVO.16.4.046","url":null,"abstract":"<p><strong>Background: </strong>Current evidence on the role of macro- and micronutrients in the aetiopathogenesis of endometriosis is controversial.</p><p><strong>Objectives: </strong>In this systematic review, we aimed to investigate the effect of macronutrients, dairy products, fruits, and vegetables on the occurrence and progression of endometriosis.</p><p><strong>Materials and methods: </strong>A systematic literature review of eligible articles retrieved from medical databases, including PubMed, Cochrane, and Academic Search, was performed from inception to May 2023.</p><p><strong>Main outcome measures: </strong>The role of nutritional diet effects in endometriosis.</p><p><strong>Results: </strong>Our search yielded 12 studies, including five prospective cohort trials and seven case-control studies. The analysis of this literature supports the idea that processed and unprocessed red meat increases the risk of endometriosis, while no conclusive evidence exists about the effects of other protein sources on the disease. Studies on total fat consumption, including monounsaturated, polyunsaturated, saturated, and trans-unsaturated fats, do not suggest a definitive association with endometriosis. Green leafy vegetables and fresh fruit consumption may reduce the risk of endometriosis. Furthermore, the evidence regarding fibre consumption is not conclusive. Dairy products were found to have a risk-reducing effect on the disease. However, there was no consensus about the role of vitamin D in endometriosis.</p><p><strong>Conclusions: </strong>The certainty of the relationship between endometriosis and outcomes of nutritional factors was \"very low\" to \"low,\" which limits current literature from being applied for conclusive interpretations. Further large-scale randomised trials and consequent meta-analyses are recommended for high-level evidence.</p><p><strong>What is new?: </strong>This article presents an overview of evidence-based studies on the relationship between endometriosis and macronutrients. In addition, the possible influence of other nutritional variables on the development of endometriosis and the limitations of nutritional studies.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"16 4","pages":"409-428"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819788/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883303","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":"Visual-Numeric Endometriosis Scoring System (VNESS) for mapping surgical findings: A validation study.","authors":"S Khazali, B Mondelli, K Fleischer, A Bachi, M Adamczyk, N Lemos, H Krentel, A Vashisht, A Abdalla, A Mohazzab, G Delanerolle, M Possover, R Padmehr, K Shadjoo, G Moawad, T Lee, E Saridogan","doi":"10.52054/FVVO.16.4.051","DOIUrl":"10.52054/FVVO.16.4.051","url":null,"abstract":"<p><strong>Background: </strong>Several endometriosis classification systems have been proposed and published but the search for a universal language that communicates the complexity, laterality and severity of this disease continues. The authors introduce the Visual-Numeric Endometriosis Scoring System. VNESS is a novel system for describing surgical findings in each compartment of the pelvis in a way that is simple to use, visually intuitive and mirrors a laparoscopic image of the pelvis.</p><p><strong>Objective: </strong>The aim of this study was to assess inter-rater reliability for components of VNESS.</p><p><strong>Materials and methods: </strong>The project took the format of a validation study using short surgical laparoscopic video clips. Anonymised video clips of endometriosis procedures were scored by 50 Gynaecologists of varying levels of experience from 12 different countries. The clips were collated from a series of procedures performed between 2012 and 2022. Each participant scored 93 short surgical clips using VNESS. 4650 scores were compared against a reference score and analysis was performed to assess inter-rater reliability.</p><p><strong>Main outcome measures: </strong>The outcome measures were percentage agreement between given and reference scores, as well as intra-class correlation coefficients (ICC), Cohen Kappa and Quadratic Weighted Kappa Coefficients calculated to evaluate inter-rater reliability.</p><p><strong>Results: </strong>The highest and lowest percentage agreement with the reference score was seen in VNESS 4 (full thickness disease, 97% perfect agreement) and VNESS 1 (superficial disease, 53% perfect agreement) respectively. The intraclass correlation coefficient showed strong inter-rater reliability for all VNESS compartments except the vagina.</p><p><strong>Conclusions: </strong>This study suggests that VNESS has excellent reliability between observers. Correlation is stronger with more severe disease.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"16 4","pages":"429-439"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883316","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":"Comparison between learning curves of robot-assisted and laparoscopic surgery in gynaecology: a systematic review.","authors":"D Raimondo, A Raffone, D Neola, L de Landsheere, R A de Leeuw, L Mereu, T Badotti, E Pazzaglia, R Seracchioli, G Scambia, F Fanfani","doi":"10.52054/FVVO.16.4.047","DOIUrl":"10.52054/FVVO.16.4.047","url":null,"abstract":"<p><strong>Background: </strong>The advantages and disadvantages of Robotic Laparoscopic Surgery (RLS) compared to other minimally invasive surgical approaches are debated in the literature.</p><p><strong>Objective: </strong>To evaluate the learning curves (LC) and their assessment methods for Robotic Laparoscopic Surgery (RLS) and Laparoscopic Surgery (LPS) in gynaecologic procedures.</p><p><strong>Materials and methods: </strong>A systematic review of the literature was performed including the English language observational or interventional studies reporting the absolute number of procedures needed to achieve competency in RLS and LPS gynaecologic procedures, along with an objective and reproducible LC assessment method.</p><p><strong>Main outcome measures: </strong>Number of procedures needed to achieve competency in RLS and LPS and LC assessment methods were extracted from included studies.</p><p><strong>Results: </strong>Six studies with a total of 545 women were included. Several surgical procedures and methods for LC assessment were assessed in the included studies. For radical hysterectomy, bilateral salpingo-oophorectomy and lymph node dissection, the minimum number of procedures required to reach the LC was smaller in RLS than LPS in two studies out of four. For sacrocolpopexy, the number of procedures required to reach the LC was lower in RLS and LPS in one study out of two.</p><p><strong>Conclusion: </strong>RLS learning curve was reported to be quicker than that of LPS for radical hysterectomy, bilateral salpingo-oophorectomy and lymph node dissection. However, a standardised and widely accepted method for LC assessment in endoscopic surgery is needed, as well as further randomised clinical trials, especially involving inexperienced surgeons.</p><p><strong>What is new?: </strong>This study may be the first systematic review to evaluate the LCs and their assessment methods for RLS and LPS in gynaecologic procedures.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"16 4","pages":"399-407"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819794/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883294","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":"Procedural and clinical outcomes of Adiana® hysteroscopic tubal occlusion in the Netherlands.","authors":"D M van Gastel, L W Maassen, M A J M Van Erp, A L W M Coolen, A L Thurkow, C A M Koks, S Veersema, M Y Bongers","doi":"10.52054/FVVO.16.4.050","DOIUrl":"10.52054/FVVO.16.4.050","url":null,"abstract":"<p><strong>Background: </strong>The Adiana® Permanent Contraception System was a hysteroscopic tubal occlusion device but was withdrawn from the market in 2012.</p><p><strong>Objective: </strong>To evaluate the safety, feasibility and efficacy of the Adiana hysteroscopic tubal occlusion.</p><p><strong>Materials and methods: </strong>A prospective observational multicentre cohort study of 300 women undergoing hysteroscopic sterilisation using the Adiana® was conducted in the Netherlands between 2009 and 2012. All procedures were performed using the same study protocol. Three months after bilateral placement a hysterosalpingography (HSG) was performed to confirm tubal occlusion. In 2018-2020 follow-up questionnaires were sent to all women.</p><p><strong>Main outcome measures: </strong>The primary outcome was the success rate of the Adiana tubal occlusion technique. Successful tubal occlusion was defined as an uneventful procedure with occluded fallopian tubes according to the HSG after 3 months. Secondary outcomes were the success rate of the device placement, the number of complications during placement and the pregnancy rate.</p><p><strong>Results: </strong>Bilateral placement of Adiana devices was achieved in 93.5% of cases. Bilateral confirmed occlusion by HSG was accomplished in 87.9% of cases with successful Adiana placement. This was 77.1% in the intention-to-treat group. Complications and side effects were reported in 4.4% of women. The pregnancy rate was 3.6% in women with proven bilateral tubal occlusion.</p><p><strong>Conclusion: </strong>Hysteroscopic tubal occlusion using the Adiana technology is associated with a pregnancy rate of 3.6%. Although this technology was removed from the commercial market, this evaluation of the Adiana technology could provide useful information for the development of potential new, more effective hysteroscopic tubal occlusion devices.</p><p><strong>What’s new?: </strong>Hysteroscopic tubal occlusion techniques are no longer available on the market. This evaluation of Adiana could provide useful information for the development of potential new hysteroscopic tubal occlusion devices.</p>","PeriodicalId":46400,"journal":{"name":"Facts Views and Vision in ObGyn","volume":"16 4","pages":"441-447"},"PeriodicalIF":1.7,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11819784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142883301","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}