{"title":"Hysteroscopic Surgery for Intrauterine Scar Adhesions after Laparoscopic Metroplasty in a Patient with a Unicornuate Uterus and a Functional Noncommunicating Rudimentary Horn","authors":"Xiao-tian Liu, Xuyin Zhang, K. Hua","doi":"10.4103/gmit.gmit_120_23","DOIUrl":"https://doi.org/10.4103/gmit.gmit_120_23","url":null,"abstract":"","PeriodicalId":505791,"journal":{"name":"Gynecology and Minimally Invasive Therapy","volume":"7 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141845325","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}
Hoang The Dinh, Nhan Trong Nguyen, An Nguyen Phuong Tran
{"title":"Pregnancy in Infertile Patient after Intrauterine Adhesiolysis by Multitherapeutic Strategy: A Case Report and Mini-review","authors":"Hoang The Dinh, Nhan Trong Nguyen, An Nguyen Phuong Tran","doi":"10.4103/gmit.gmit_5_24","DOIUrl":"https://doi.org/10.4103/gmit.gmit_5_24","url":null,"abstract":"\u0000 Asherman’s syndrome, characterized by intrauterine adhesions (IUAs), represents a significant challenge in the field of female infertility. Hysteroscopic adhesiolysis has emerged as the gold standard for both the diagnosis and treatment of Asherman’s syndrome. Understanding the intricate relationship between Asherman’s syndrome, uterine adhesiolysis, and infertility is crucial for guiding comprehensive and effective management strategies. The success of the treatment is contingent upon preventing adhesion recurrence, particularly in cases of severe IUAs. This is the first case, in which we employed a multifaceted preventive approach, utilizing hyaluronic gel, Foley balloon, hormonal therapy, and platelet-rich plasma, achieving successful pregnancy following embryo transfer despite the presence of severe IUAs. The patient, a 35-year-old female, underwent one cesarean section following in vitro fertilization and required dilation and curettage due to retained products of conception. The patient presented with oligohemorrhage, and the uterine lining was thin while using hormones for endometrial preparation. The diagnosis of severe IUAs was confirmed through ultrasound and hysteroscopic examination of the uterine cavity. The patient underwent hysteroscopic adhesiolysis with a preventive approach using a combination of methods. Subsequently, the patient underwent a second-look hysteroscopy to assess the uterine cavity and achieved successful embryo transfer. The patient carried the pregnancy to 38 weeks and underwent repeated cesarean section due to the vertex-vertex presentation of the twins.","PeriodicalId":505791,"journal":{"name":"Gynecology and Minimally Invasive Therapy","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851153","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":"Trends in the Surgical Treatment of Benign Uterine Tumors: Conservative vs. Radical Approaches","authors":"Chyi-Long Lee","doi":"10.4103/gmit.gmit_40_24","DOIUrl":"https://doi.org/10.4103/gmit.gmit_40_24","url":null,"abstract":"","PeriodicalId":505791,"journal":{"name":"Gynecology and Minimally Invasive Therapy","volume":"118 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141842277","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":"Hysteroscopic Removal of a First-trimester Angular Pregnancy","authors":"Huan-Ka Chiung, A. H. Pai, Chih-Feng Yen","doi":"10.4103/gmit.gmit_27_24","DOIUrl":"https://doi.org/10.4103/gmit.gmit_27_24","url":null,"abstract":"","PeriodicalId":505791,"journal":{"name":"Gynecology and Minimally Invasive Therapy","volume":"37 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851312","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":"The Progression and Prospects of the Gene Expression Profiling in Ovarian Epithelial Cancer","authors":"B. Srinivasamurthy, Subhashini Ramamoorthi","doi":"10.4103/gmit.gmit_13_23","DOIUrl":"https://doi.org/10.4103/gmit.gmit_13_23","url":null,"abstract":"\u0000 Ovarian cancer is one of the most common cancers with a high mortality rate among females worldwide. The understanding of the pathogenesis of the disease is highly important to provide personalized therapy to the patients. Ovarian cancer is as heterogeneous as colon and breast cancer which makes it difficult to treat. The development of gene signature is the only hope in providing targeted therapy to improve the survival of ovarian cancer patients. Malignant epithelial carcinomas are the most common cancers of the ovary with different histological and molecular subtypes and clinical behavior. The development of precursor lesions of ovarian carcinoma in the tubes and endometrium has provided a new dimension to the origin of ovarian cancers. The clinical utility of various gene signatures may not be logical unless validated. Validated gene signatures can aid the clinician in deciding the appropriate line of treatment.","PeriodicalId":505791,"journal":{"name":"Gynecology and Minimally Invasive Therapy","volume":"2016 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141851729","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}
K. Khoiwal, K. C. Dash, Polaki Manisha, J. Chaturvedi
{"title":"Hysteroscopic Management of Retained Fetal Bones In utero","authors":"K. Khoiwal, K. C. Dash, Polaki Manisha, J. Chaturvedi","doi":"10.4103/gmit.gmit_75_23","DOIUrl":"https://doi.org/10.4103/gmit.gmit_75_23","url":null,"abstract":"","PeriodicalId":505791,"journal":{"name":"Gynecology and Minimally Invasive Therapy","volume":"2 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139183187","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}
Mukta Agarwal, S. Sinha, H. Haripriya, P. Kokkayil, Shruti Singh
{"title":"Surgical Site Infection in Laparoscopic Hysterectomy Versus Abdominal Hysterectomy in Gynecological Disease(s): An Overview","authors":"Mukta Agarwal, S. Sinha, H. Haripriya, P. Kokkayil, Shruti Singh","doi":"10.4103/gmit.gmit_56_23","DOIUrl":"https://doi.org/10.4103/gmit.gmit_56_23","url":null,"abstract":"Surgical site infection (SSI) is an unsettled complication seen in any surgery. The aim of this study is to assess the rate of postoperative SSIs between total laparoscopic hysterectomy (TLH) and total abdominal hysterectomy (TAH). Can the rate of SSI be reduced with the use of a laparoscopic mode of hysterectomy over abdominal? It was a retrospective comparative study. The study was conducted in the obstetrics and gynecology department at a tertiary care center from June 2016 to March 2020. A total of 300 patients who underwent hysterectomy either via laparoscopic or abdominal route were included in the study. They were subdivided into two groups: a total of 167 underwent TLH (Group 1) and 133 had TAH (Group 2). The results were compared. It included the age and body mass index of the patient, indication of surgery, size of the uterus, intraoperative blood loss, postoperative SSIs, duration of hospital stay, and readmission rates. It was found a high rate of SSI in TAH (82.4% vs. 17.6%, P < 0.001, Cramer’s V-0.18), the operative time taken (75 ± 25 min vs. 128 ± 52 min, P < 0.001), and the mean blood loss during TLH (110 ± 30 ml vs. 160 ± 116 ml, P < 0.001) was found significant for patients. The hospital stay after TLH was found to be significantly shorter (4 ± 2.47 days vs. 7 ± 2.43, P < 0.001). TLH has improved the psychological, physical, and financial burden on the health care department. Thus, it has proved a preferred route over TAH.","PeriodicalId":505791,"journal":{"name":"Gynecology and Minimally Invasive Therapy","volume":"27 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139183201","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}
Kaijing Wan*, Mohamed Siraj Shahul Hameed, Ann Wright, Bernard Su Min Chern
{"title":"Uterine Manipulation May Not Influence Ongoing Pregnancy: Case Report and Literature Review","authors":"Kaijing Wan*, Mohamed Siraj Shahul Hameed, Ann Wright, Bernard Su Min Chern","doi":"10.4103/gmit.gmit_81_23","DOIUrl":"https://doi.org/10.4103/gmit.gmit_81_23","url":null,"abstract":"Abdominal pain is a very common presentation in early pregnancy. Its cause may be gynecological or totally nonpregnancy related. While acute appendicitis is the most common nonobstetric cause of pain in pregnant women, diagnosis and differentiation from other causes, including ectopic pregnancy, remain challenging. In clinical situations of uncertainty, laparoscopy is a useful diagnostic tool, but uterine manipulation should be avoided if an intrauterine pregnancy is a possibility. In this report, we describe a case of complicated appendicitis in very early pregnancy where the patient ended with a full-term healthy pregnancy despite undergoing a diagnostic laparoscopy with inadvertent uterine manipulation.","PeriodicalId":505791,"journal":{"name":"Gynecology and Minimally Invasive Therapy","volume":"99 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139183098","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":"Recurrent Postpartum Hemorrhage: A Case of Uterine Artery Pseudoaneurysm Probably Induced by Anticoagulants","authors":"Sangam Jha*, Sharda Jha, Pammy Praveena, Jafeesha Brightsingh","doi":"10.4103/gmit.gmit_78_23","DOIUrl":"https://doi.org/10.4103/gmit.gmit_78_23","url":null,"abstract":"Pseudoaneurysm formation often occurs when there is inadequate sealing at an arterial puncture site. We present the case of a 27-year-old primigravida with rheumatic heart disease and a history of mitral valve replacement on anticoagulants who experienced recurrent episodes of postpartum hemorrhage (PPH). Despite conservative management and adjustments to anticoagulant therapy, the bleeding persisted. Further investigations revealed a small pseudoaneurysm originating from the left uterine artery. Bilateral uterine artery embolization (UAE) using polyvinyl alcohol particles was successfully performed. The patient’s condition improved, and she was discharged on a carefully regulated medication regimen. This case highlights the importance of considering rare causes of PPH in high-risk patients, such as uterine artery pseudoaneurysm. Anticoagulants could be a potential contributor of its spontaneous rupture. Prompt diagnosis and appropriate intervention, such as UAE, can effectively manage PPH and prevent adverse outcomes.","PeriodicalId":505791,"journal":{"name":"Gynecology and Minimally Invasive Therapy","volume":"92 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139183337","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}