Spontaneous Abdominal Wall Endometriosis: Minimally Invasive Surgery for Excision and Repair
A 35 year-old gravida 2 para 1 female with a pacemaker in situ due to congenital cardiac heart disease and biopsy-proven stage IV endometriosis presented with chronic pain and a “bulge” in the right lower quadrant. Per the operative report of her initial surgery, an adherent, firm nodule was palpable in the right lower anterior abdominal wall and left in situ because etiology and extent of the disease was unclear. Physical exam revealed a palpable 4cm abdominal wall mas s. Her pacemaker was MRI-incompatible, so abdominal ultrasound and CT abdomen/pelvis were obtained but revealed inconclusive findings. (Source: The Jou...
Source: The Journal of Minimally Invasive Gynecology - May 3, 2024 Category: OBGYN Authors: Pooja S Vyas, Prashanth Sreeramoju, Chuonyong Lu, Kari Plewniak Tags: Images in Gynecologic Surgery Source Type: research

Feasibility and Perioperative Outcomes of Minimally Invasive Higher Order Myomectomy
To investigate perioperative outcomes of minimally invasive higher order myomectomy as defined by removal of ten or more fibroids. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - May 3, 2024 Category: OBGYN Authors: Marie-Claire LEAF, Alexandra LOMBARDO, Julia J WAINGER, Mostafa A. BORAHAY, Anja FROST, Kristin PATZKOWSKY, Karen C. WANG, Harold WU, Khara SIMPSON Tags: Original Article Source Type: research

Long-term costs of minimally-invasive sacral colpopexy compared to native tissue vaginal repair with concomitant hysterectomy
To determine the long-term costs of hysterectomy with minimally-invasive sacrocolpopexy (MISCP) versus uterosacral ligament suspension (USLS) for primary uterovaginal prolapse repair. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - May 3, 2024 Category: OBGYN Authors: Amr S El Haraki, Jonathan P Shepherd, Catherine A Matthews, Lauren A Cadish Tags: Original Article Source Type: research

Successful Transvaginal Oocyte Retrieval following Laparoscopic Management of Tubal Pregnancy
A 28-year-old female with primary infertility, had a history of unilateral fallopian tube infection with tuberculosis had a first IVF cycle with poor ovarian response. In a second cycle, a progestin-primed ovarian stimulation (PPOS) protocol was chosen. On day 13, she experienced lower abdominal distension, with serology showing an estradiol of 4495.1 pg/ml, progesterone of 2.3 ng/ml, TVUS identified 12 follicles> 14 mm. Additionally, an echoic mass 3.2 ×2.3×2.5 cm adjacent to the right ovary, was demonstrated, raising suspicion of ectopic pregnancy, confirmed by an hCG levels of 81.9 mIU/ml. (Source: The Journal of Mini...
Source: The Journal of Minimally Invasive Gynecology - May 3, 2024 Category: OBGYN Authors: Sha-Wei Sa, Xiao-Yong Qiao, Jin-cheng Zhang, Qian-Hong Ma Tags: Images in Gynecologic Surgery Source Type: research

Comparison of the Outcomes of Enhanced Recovery after Surgery and Traditional Recovery Pathway in Robotic Hysterectomy for Benign Indications: A Randomised Controlled Trial
The present study aimed to evaluate the impact of implementation of the ERAS program in patients undergoing robotic hysterectomy for benign indications in comparison with conventional management (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 30, 2024 Category: OBGYN Authors: Anupama Bahadur, Bhawana Kumari Mallick, Ayush Heda, Anjali Pathak, Sakshi Heda, Rajlaxmi Mundhra Tags: Original Article Source Type: research

Demographic Correlates of Endometriosis Diagnosis Among United States Women Aged 15-50
To compare demographic characteristics for women with and without a diagnosis of endometriosis. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 30, 2024 Category: OBGYN Authors: Patricia GiglioAyers, Ogechukwu Ezike, Christine E Foley, Benjamin P Brown Tags: Original Article Source Type: research

A 24-months Follow-up Study of Individuals with Endometriosis using Transvaginal Ultrasound
To investigate the progression of deep infiltrating endometriosis using transvaginal ultrasound surveillance of patients undergoing conservative management. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 29, 2024 Category: OBGYN Authors: Nyasha Gwata, Ally Hui, Lufee Wong, Li Jing Thee, Jim Tsaltas, Ben Mol Tags: Original Article Source Type: research

A 24-months follow up study of individuals with endometriosis using transvaginal ultrasound
To investigate the progression of deep infiltrating endometriosis (DIE) using transvaginal ultrasound surveillance of patients undergoing conservative management. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 29, 2024 Category: OBGYN Authors: Nyasha Gwata, Ally Hui, Lufee Wong, Li Jing Thee, Jim Tsaltas, Ben Mol Tags: Original Article Source Type: research

Comparison of prone with lithotomy position in removal of posterior myoma in transvaginal natural orifice endoscopic surgery: a prospective cohort study
Vaginal natural orifice transluminal endoscopic surgery (vNOTES) is considered to have the advantages of completely scarless, less postoperative pain, earlier flatus, and faster postoperative recovery. However, posterior myoma are relatively difficult to operate through vNOTES in the conventional lithotomy position. Thus, we innovated the application of prone position in removal of posterior myoma in vNOTES. The aim of this study is the comparison of myomectomy outcomes of patient for single posterior myoma in prone and lithotomy position. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 29, 2024 Category: OBGYN Authors: Xin Li, Tianjiao Liu, Qiannan Hou, Xiaoyan Zeng, Ying Xiong, Yang Yang, Zhongzhi Li, Yalan Li, Yonghong Lin, Li He Tags: Original Article Source Type: research

Intraoperative findings of duplicated Inferior Vena Cava during laparoscopic para-aortic lymphadenectomy
A 57-year-old patient with a diagnosis of ovarian clear cell carcinoma after bilateral adnexectomy underwent surgical staging at our gynecologic oncologic center. During laparoscopic para-aortic lymphadenectomy, we identified and exposed the double infrarenal vena cava (Edwards ’ Classification [1]), with the left inferior vena cava terminating in the left renal vein (Figure 1). No paracaval or interaortocaval lymph nodes were found on the left side. Surgery was performed without intraoperative or postoperative complications. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 26, 2024 Category: OBGYN Authors: Stefano Uccella, Andrea Caraffini, Pier Carlo Zorzato, Simone Garzon Tags: Images in Gynecologic Surgery Source Type: research

Natural Orifice Specimen Extraction as a Promising Alternative for Minilaparotomy in Bowel Resection due to Endometriosis: A Systematic Review and Meta-Analysis
This study focuses on evaluating the effectiveness, safety and efficacy of two surgical tissue extraction methods for treating bowel endometriosis: natural orifice specimen extraction (NOSE) and minilaparotomy. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 26, 2024 Category: OBGYN Authors: Emre KAR, Chris Elizabeth PHILIP, Karine ESKANDAR, Ibrahim POLAT, Ercan BASTU Tags: Review Article Source Type: research

Patient Experiences with a Multidisciplinary Fibroid Program
Although medical, interventional, and surgical treatment options for fibroids have expanded over the last decade, many patients are not thoroughly counseled about all available therapies. Patients desire a more comprehensive approach with shared decision-making tailored to their health goals. The aim of this study is to assess patient knowledge regarding treatment options before and after consultation with a multidisciplinary fibroid center. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 25, 2024 Category: OBGYN Authors: Kelsey Musselman, Ja Hyun Shin, Nicole Lamparello, Muhammad Danyal Ahsan, Yelena Havryliuk, Marc Schiffman, Tamatha Fenster, Kristen Pepin Tags: Original Article Source Type: research

Complex Benign Gynecology: Shaping the Future Beyond a Name Change through Training and Leadership
While data from the recent study on the demographics and characteristics of US-based Minimally Invasive Gynecologic Surgery Fellowship Program Directors only provides a cross-section of a whole narrative, it certainly offers perspective and insight on the evolving landscape of “MIGS” as a subspecialty with respect to the experience of trainees and their preceptors1. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 24, 2024 Category: OBGYN Authors: Mireille Truong, Arnold Advincula Tags: Editorial Source Type: research

Regarding “A call for new theories on the pathogenesis and pathophysiology of Endometriosis”
I read the opinion article by Abott and the Endometriosis Initiative Group with interest [1]. Grand challenges in endometriosis remain – why is developing new drugs for endometriosis sometimes elusive? Why are fertility and pain outcomes different depending on the patient's race, ethnicity or within the same group [2]? (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 20, 2024 Category: OBGYN Authors: Yie Hou Lee Tags: Letter to the Editor Source Type: research

“Robot-assisted partial cystectomy for deep infiltrating endometriosis of the bladder with the Hugo RAS system”.
Involvement of the lower urinary tract is found in 0.2-2.5% of all deep infiltrating endometriosis (DIE)1,2. The bladder is the most affected organ with a prevalence of up to 80% of cases3. Patients with bladder endometriosis are often symptomatic (dysuria, hyperactive bladder, recurrent urinary tract infections and hematuria). Surgery is the gold standard treatment for this condition when medical therapy fails1,2. Several studies have shown the feasibility, effectiveness, and safety of the laparoscopic approach4 but data about robotic-assisted approach are missing in literature. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 18, 2024 Category: OBGYN Authors: Renato SERACCHIOLI, Stefano FERLA, Pierandrea DE BENEDETTI, Agnese VIRGILIO, Antonio RAFFONE, Diego RAIMONDO Tags: Video Article Source Type: research