Gynecology and minimally invasive therapy

OBJECTIVES: Endometriosis (EM) is a chronic gynecological condition characterized by the growth of endometrial-like tissue outside the uterus. Diagnosis has traditionally been challenging due to nonspecific symptoms and reliance on invasive…

OBJECTIVES: The objective of this study was to evaluate the synergistic efficacy and safety of focused ultrasound ablation therapy (FUAS) combined with thermal balloon endometrial ablation (TBEA) in treating adenomyosis. MATERIALS AND METH…

Dear Editor, Barbed sutures have gained wide acceptance in minimally invasive gynecologic surgery due to their ability to eliminate knot tying and maintain uniform tension, thereby improving operative efficiency and surgical ergonomics. How…

Abstract Objectives: The objectives of this study were to determine if radical laparoscopic excision of endometriosis (RLEE) improves long-term outcomes in the quality of life (QOL) and symptomatology experienced by women with the disease. …

Objectives: To establish the expert opinions and consensus recommendations from the Taiwanese Endometriosis Society on managing adenomyosis. Materials and Methods: This study employed a two-round modified Delphi method incorporating a natio…

Endometriosis, adenomyosis, and uterine adenomyomas prevail most frequently in reproductive-age women. However, about 2%-4% of postmenopausal women may suffer from endometriosis symptoms, while adenomyosis does not occur frequently after me…

Objectives: The objective of this study was to quantify the time to diagnosis of endometriosis by laparoscopy for patients of varying body mass index (BMI), as well as the safety of laparoscopy for endometriosis by BMI. Materials and Method…

INTRODUCTION Within the myometrium, the ectopic endometrial tissues, which often migrate from the basalis layer and clonally expand,[1] express diffuse epigenic defects that result in altered responses of estrogens, resistances to progester…

Abstract Objectives: This study aims to determine the impact of oxidized regenerated cellulose (ORC) during cystectomy and drainage on recurrence and ovarian reserve. Materials and Methods: Women aged 18–45 years with endometrioma (patholog…

OBJECTIVE The objective of this surgical tutorial is to present a 10 step systematic approach for transvaginal natural orifice specimen extraction (NOSE) approach in cases of deep infiltrating endometriosis of the rectosigmoid [Figure 1].[1…

Uterine fibroids and adenomyosis are benign tumors commonly seen in gynecology clinics, more than cancers of the cervix or uterine cancers. Surgical methods for adenomyosis are often unsatisfactory, difficult, and not reproducible. Ultrasou…

Cornual pregnancy (CP) is a subtype of ectopic pregnancy that is implanted in the interstitial segment of the fallopian tube which is defined as the tubal section crossing uterine muscular tissue. Widely recognized risk factors for CP are e…

Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Center, Saitama, Japan Address for correspondence: Dr. Kenro Chikazawa, Department of Obstetrics and Gynecology, Jichi Medical University, Saitama Medical Ce…

Objectives: The objective of this study was to observe the influence of laparoscopic adenomyomectomy on perinatal outcomes. Materials and Methods: The retrospective cohort study included 43 pregnant cases with adenomyosis who did not underg…

Objectives: Before endometriosis surgery, it is important to identify deep infiltrating endometriosis (DIE) to assess the surgical difficulty. Preoperative magnetic resonance imaging (MRI) was used to determine which findings are useful in …

Objectives: Uterine fibroids and adenomyosis are common gynecological conditions that often require surgical treatment. Minimally invasive interventions such as ultrasound-guided high-intensity focused ultrasound (USgHIFU) are gaining popul…

High-intensity focused ultrasound (HIFU) is commonly used to treat uterine fibroids and adenomyosis, but there is no evidence using metadata to compare fertility outcomes between conventional laparoscopic procedures and HIFU. The purpose of…

OBJECTIVES: Although atypical endometrial hyperplasia (AEH) is considered a precancerous disease, the frequency with which AEH and endometrial cancer (EC) coexist is not low. Broadly, total laparoscopic hysterectomy (TLH) is performed for t…

When obstructive lesions from the uterus or ovaries are suspected, patients with hydronephrosis are usually referred to a gynecologist. Here, a case of suspected endometriosis-related hydroureteronephrosis is reported. A 43-year-old woman w…

Objectives: The effects of laparoscopic surgical management in women with stage III/IV endometriosis remain controversial. The standard extent of resection for stage III/IV endometriosis with deep endometriosis to treat endometriosis-associ…

Adenomyosis is a complex issue in reproductive-age women not only on worsening of quality of life due to severe dysmenorrhea or heavy menstrual bleeding but also on the impact of infertility. A 39-year-old female, gravida 0 para 0, with a h…

Singh, Manpreet K.; Dejenie, Menbere A.; Behbehani, Sadikah; Nahas, Samar; Handler, Stephanie; Stuparich, Mallory A. Author Information

OBJECTIVES: We aim to assess the postoperative analgesic effect of intraoperative levobupivacaine local infiltration anesthesia (LA) and transversus abdominis plane (TAP) block in gynecologic laparoscopy. MATERIALS AND METHODS: We conducte…