Gynecology and pelvic medicine最新文献

{"title":"Review on endometriosis surgery","authors":"P. Koninckx, A. Ussia, J. Keckstein, M. Malzoni, L. Adamyan, A. Wattiez","doi":"10.21037/GPM-21-17","DOIUrl":"https://doi.org/10.21037/GPM-21-17","url":null,"abstract":"The indication and technique of endometriosis surgery changed rapidly over the last 50 years since better understanding the disease and an improved diagnosis. This review will therefore include a short discussion of the importance and limits of evidence-based medicine (EBM), the clinical importance and diagnostic value of imaging and the alternative medical treatments. Surgery is the cornerstone of infiltrating and fibrotic endometriosis and useful for minor endometriosis. We suggest redefining the aim of surgery, as the elimination of all endometrium like cells with genetic or epigenetic (G-E) endometriotic changes. Microscopic endometriosis in the peritoneum, in the bowel wall and in lymph nodes at distance from a deep endometriosis nodule does not need surgery since there is no evidence that it causes pain, infertility or progression into more severe forms of endometriosis. Subtle and typical lesions need excision or destruction since some of them might progress because of G-E changes. Excision of cystic ovarian endometriosis is associated with fewer recurrences, probably since more complete, but with more ovarian damage than superficial destruction of the lining of the cyst. However, since endometriotic infiltration in the cyst wall is less than 2 mm deep, the rest of the capsule being fibrosis, chemical superficial destruction might combine completeness with superficial treatment. For the surgery of deep endometriosis, the authors have reached consensus on many aspects. This comprises the prevention of nerve damage, the complete excision from the vaginal fornix, the complete excision from the bladder preserving the intramural ureter, ureter excision and anastomosis for fibrotic stenosis, short instead of large bowel resections when necessary and the liberal use of sigmoid resections. Other aspects remain debated, such as the excision of fibrotic endometriosis surrounding and extending below the ureter risking to damage the inferior hypogastric plexus, the exact indication of rectum resections versus complete excision with eventual suture of muscularis or mucosa versus limited excision completed by discoid excision with a circular stapler. The concept of completeness of excision will be discussed since the outer layers might be metaplastic cells without G-E changes. Also, the treatment of macroscopically fibrotic lesions without endometriosis is not clear.","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42468386","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":"Real-world study of 191 cases with cervical cancer who were diagnosed by loop electrosurgical excision procedure","authors":"Mengpei Zhang, Jinghong Chen, Kemin Li, Yan Luo, R. Yin","doi":"10.21037/gpm-21-13","DOIUrl":"https://doi.org/10.21037/gpm-21-13","url":null,"abstract":"","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45425418","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 challenges and opportunities in ovarian cancer relapse—the role of second and third-line chemotherapy: literature review","authors":"S. Greening, N. Sood, S. Nicum","doi":"10.21037/gpm-21-29","DOIUrl":"https://doi.org/10.21037/gpm-21-29","url":null,"abstract":"","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42022944","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":"Mature cystic teratoma in Douglas’ pouch: a case report","authors":"Jingde Deng, Yangmei Shen, Jing Chen, Xiu-jing Guo, Chuan Xie","doi":"10.21037/gpm-22-3","DOIUrl":"https://doi.org/10.21037/gpm-22-3","url":null,"abstract":"","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42121595","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":"A method for removing cysts from the left ovary by using laparoendoscopic single-site surgery accompanied by an umbilical incision plastic surgery","authors":"X. Shu, S. Xia","doi":"10.21037/GPM-20-75","DOIUrl":"https://doi.org/10.21037/GPM-20-75","url":null,"abstract":": In this video, we share the treatment of a 36-year-old woman of childbearing age. After a routine gynecological examination, this woman was found to have cervical poisoning, accompanied with bleeding. Meanwhile, her uterine body was in a horizontal position, of normal size, without feeling of pain. During color ultrasound screening, a mixed echo mass with a size of 6.7 cm × 4.9 cm ×5.1 cm was found in her left adnexal area, which was suspected to be a teratoma. Upon on further consultation, it was diagnosed as a left accessory tumor. It is also most likely to be a teratoma in the left ovary. After communication, the patient agreed to perform surgery to remove the tumor. In this study, we performed single-port laparoscopic surgery to treat patients. Intraoperatively, an endoscopic cyst was found in the patient’s left ovary. After the cyst was removed, the laboratory results showed that it was indeed a mature teratoma, which was consistent with color ultrasound and outpatient results. After the removal of the tumor, we performed plastic surgery on the patient’s belly button. This video captures and describes how the process works. The success of this operation not only eliminates the patients’ physical pain, but also greatly reduces the patients’ psychological burden. After all, the advantages and disadvantages of this operation and its future development trend are analyzed, too.","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43221315","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":"Retroperitoneal malignant perivascular epithelioid cell tumor: a rare case report and literature review","authors":"Xi Zeng, Jin-ke Li","doi":"10.21037/gpm-21-44","DOIUrl":"https://doi.org/10.21037/gpm-21-44","url":null,"abstract":"Perivasuclar epithelioid cell tumor (PEComa) is a rare group of mesenchymal tumors with unique histological and immunophenotypes, which was first proposed by Zamboni in 1996 (1). PEComa can be occured in any ages, mostly in the middle-age. The lesions can involve in various parts of bodies, and uterus is the most common organ (2,3). Retroperitoneal PEComas are extremely rarely seen and almost all benign lesions (2,3). Herein, we present a case of malignant retroperitoneal PEComa with literature review to draw attention to this disease. Based on a literature review in PubMed and Web of Science with the terms of (“malignant perivascular epithelioid cell tumor” or “malignant PEComa”) and (“Post-peritoneal” or “retroperitoneal”), similar report of retroperitoneal malignant PEComa in this paper was rare reported before, especially the one from China (4,5). Compared with former cases, we focused on histological and immunohistochemical Case Report","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48204296","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":"Prospective cohort study of the treatment of non-neoplastic epithelial disorders of the vulva with a fractional Carbon Dioxide laser","authors":"Dongmei Wei, Yueyue Chen, Jie Yang, Yue Hu, Xiaoyu Niu","doi":"10.21037/gpm-20-40","DOIUrl":"https://doi.org/10.21037/gpm-20-40","url":null,"abstract":"Dongmei Wei West China Women's and Children's Hospital: Sichuan University West China Second University Hospital Yueyue Chen West China Women's and Children's Hospital: Sichuan University West China Second University Hospital Jie Yang West China Women's and Children's Hospital: Sichuan University West China Second University Hospital Yue Hu West China Women's and Children's Hospital: Sichuan University West China Second University Hospital Xiaoyu Niu (  hxfeynxy@163.com ) West China Women's and Children's Hospital: Sichuan University West China Second University Hospital","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49606910","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":"Special series on uterine sarcomas","authors":"A. Perrone, P. De Iaco","doi":"10.21037/gpm-21-58","DOIUrl":"https://doi.org/10.21037/gpm-21-58","url":null,"abstract":"","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44877266","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 #Enzian classification for the diagnosis and surgery of endometriosis: a narrative review","authors":"J. Keckstein, G. Hudelist, P. Koninckx, Sigrid Keckstein, S. Keckstein","doi":"10.21037/gpm-21-38","DOIUrl":"https://doi.org/10.21037/gpm-21-38","url":null,"abstract":"","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44779947","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 impact of surgical start time on complications in gynaecological surgery: a retrospective cohort study","authors":"Hillary Hu, Amy Goh","doi":"10.21037/gpm-22-5","DOIUrl":"https://doi.org/10.21037/gpm-22-5","url":null,"abstract":"","PeriodicalId":92781,"journal":{"name":"Gynecology and pelvic medicine","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42305559","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}