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

“Pelvic neuro-visualization: an anatomical illustration of the autonomic pelvic nervous network in gynecologic surgery”
During radical pelvic surgeries fibers of the autonomic pelvic nervous network can be accidentally damaged leading to significant visceral sequelae, which dramatically affect women's quality of life because of urinary, anorectal, and sexual postoperative dysfunctions.1,2 Direct visualization is one way to preserve hypogastric nerves(HNs), pelvic splanchnic nerves(PSNs), and the bladder branches from the inferior hypogastric plexus(IHP). However, the literature lacks critical photos and/or illustrations that are necessary to understand the precise anatomy needed to preserve the pelvic autonomic fibers. (Source: The Journal ...
Source: The Journal of Minimally Invasive Gynecology - April 18, 2024 Category: OBGYN Authors: Antonino DITTO, Stefano FERLA, Fabio MARTINELLI, Giorgio BOGANI, Umberto LEONE ROBERTI MAGGIORE, Francesco RASPAGLIESI Tags: Video Article Source Type: research

vNOTES Radical Hysterectomy: A New Approach To Cervical Cancer
To demonstrate how a radical hysterectomy with sentinel node resection for cervical cancer can be performed via vaginal Natural Orifice Transluminal Endoscopic Surgery (vNOTES). (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 18, 2024 Category: OBGYN Authors: Jan Baekelandt Tags: Video Article Source Type: research

A Retrospective Cohort Study of vNOTES Extraperitoneal Versus Laparoscopic Sacral Hysteropexy with Uterine Preserving Regarding Surgical Outcomes and Two Year Follow-up Results
To explore the effectiveness of transvaginal natural orifice transluminal endoscopic surgery extraperitoneal sacral hysteropexy (vNOTES-ESH) in women with symptomatic uterine prolapse over a two year follow-up. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 17, 2024 Category: OBGYN Authors: Yuya Dou, Li Deng, Xiaolong Liang, Feng Cao, Bingyu Chen, Shuai Tang, Yanzhou Wang Tags: Original Artic Source Type: research

Answering Dr Lee about the future role of phenome
We thank Dr Lee for his interest in our call for new theories on the pathogenesis and pathophysiology of endometriosis (1). In the face of enigmatic endometriosis, Dr Lee offers to put phenome first into future investigative lenses. He views understanding the phemone as the key to advancing endometriosis research Phenomics is an interdisciplinary effort to correlate complex traits to variability not only in genome, but also in proteome, metabolome, immunome, microbiome, and environmental impacts (2). (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 17, 2024 Category: OBGYN Authors: Jason Abbott, Mauricio Abrao, Moamar Al-Jefout, Mohamed Bedaiwy, Giuseppe Benagiano, Katherine A. Burns, Michel Canis, Francisco Carmona, Charles Chapron, Hilary O.D. Critchley, Dominique de Ziegler, Tommaso Falcone, Asgerally Fazleabas, Simone Ferrero, J Tags: Letter to the Editor Source Type: research

Comment on: Patients' Use of Virtual Reality Technology for Pain Reduction during Outpatient Hysteroscopy: A Meta-analysis of Randomized Controlled Trials
Dear editor, (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 17, 2024 Category: OBGYN Authors: Yuan Fang Tags: Letter to the Editor Source Type: research

Authors ’ reply.
Dear editor, (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 17, 2024 Category: OBGYN Authors: Amerigo Vitagliano, Pierpaolo Nicoli ’, Gianluca Raffaello Damiani, Miriam Dellino, Ettore Cicinelli, Antonio D’ Amato Tags: Letter to the Editor Source Type: research

Prostaglandin Injection for Myoma Expulsion (PRIME): Case series of a novel approach to hysteroscopic resection of FIGO type 2 myomas
To evaluate the use of dilute carboprost tromethamine injection at the endometrium/myoma junction during hysteroscopy to facilitate myoma expulsion and removal in a single procedure. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 9, 2024 Category: OBGYN Authors: Sarah C Cromack, Lulu Yu, Magdy P Milad Tags: Invited Article Source Type: research

A rare case of typical and unforgettable cervical malignant melanoma
A 67-year-old women, gravida 2 para 2, presented with a 1-year history of vaginal bleeding. Upon examination, extensive dermatological and mucosal inspections failed to reveal any signs of primary melanoma. A gynecological examination revealed a cervix with a normal size and a completely purplish-blue appearance, devoid of ulcers, polypoid masses, or flower-like growths. The vaginal walls exhibited scattered, flaky, purple-blue changes. Suspicion of vaginal melanoma invasion was raised. HPV testing was negative, and cytological examination indicated the presence of atypical squamous cells of undetermined significance. (Sou...
Source: The Journal of Minimally Invasive Gynecology - April 5, 2024 Category: OBGYN Authors: Xue Dong, Huixian zheng, Yi Luo, Tao Guo Tags: Images in Gynecologic Surgery Source Type: research

Assessment of Urinary Dysfunction After Midurethral Sling Placement: A Comparison of Two Voiding Trial Methods
This study aimed to compare postoperative voiding trial (VT) success after active vs passive VT in women undergoing MUS surgery. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 4, 2024 Category: OBGYN Authors: Angela Leffelman, Henry H. Chill, Ayesha Kar, Sonia Gilani, Cecilia Chang, Roger P. Goldberg, Ghazaleh Rostaminia Tags: Original Article Source Type: research

Congenital absence of fallopian tubes with malpositioned ovary seen at time of endometriosis surgery
20-year-old presented with pelvic pain and dysmenorrhea. Prior treatment included oral contraceptives and laparoscopic adhesiolysis Findings from prior surgery revealed absent left fallopian tube and “left ovarian remnant” adhesed to pelvic sidewall. Outside pelvic magnetic resonance imaging and ultrasound revealed uterus in the left hemi-pelvis, right ovary in the posterior cul-de-sac, and left ovary medial to the internal iliac near the sigmoid No deep infiltrating endometriosis was noted. (Source: The Journal of Minimally Invasive Gynecology)
Source: The Journal of Minimally Invasive Gynecology - April 4, 2024 Category: OBGYN Authors: Gina Ranieri, Mark Sugi, Megan Wasson Tags: Images in Gynecologic Surgery Source Type: research

Disseminated peritoneal leiomyomatosis (DPL)
A 40 year old woman presented with heavy menstrual bleeding, dysmenorrhoea, bloating and lower abdominal fullness. She had previous myomas removed by laparoscopic myomectomy using a power morcellator without containment for specimen extraction 2 years ago. She had an enlarged uterus clinically with an MRI demonstrating multiple fibroids up to about 14 cm and a right adnexal mass. She underwent a laparoscopic hysterectomy, bilateral salpingectomy and right oophorectomy. At surgery, disseminated peritoneal leiomyomatosis (DPL) was suspected with the entire peritoneal, greater omentum, rectal serosa studded with multiple tiny...
Source: The Journal of Minimally Invasive Gynecology - April 4, 2024 Category: OBGYN Authors: Dr Chirag Wagh, Dr Shinjini Pande, Dr Vivek Salunke Tags: Images in Gynecologic Surgery Source Type: research