Gynecology and Minimally Invasive Therapy

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…

Dear Editor, Here, we report a rare case of recurrent serous borderline ovarian tumor (BOT) occurring 20 years after initial diagnosis, surgery, and chemotherapy. BOTs (also known as atypical proliferative tumor) are characterized by growth…

OBJECTIVES: The aim of this study was to assess the clinical outcomes of ultrasound (US)-guided high-intensity focused ultrasound (HIFU) in patients with breast fibroadenoma (FA) of different sizes. MATERIALS AND METHODS: A total of 88 pat…

OBJECTIVES: Robot-assisted surgery has become popular in Japan, especially with the introduction of the da Vinci SP® surgical system, which is a significant advancement in minimally invasive surgery. The da Vinci SP® surgical system, which …

OBJECTIVES: Adolescents represent a significant demographic in hospital outpatient visits, and it is important to give them special consideration and conduct a thorough examination for any adnexal pathology. The research aimed to study adne…

OBJECTIVES: Chronic pelvic pain (CPP) is defined as intermittent or constant pain in the lower abdomen or pelvis for a duration of 6 months that is not exclusively associated with menstruation or sexual intercourse. Laparoscopic ablation of…

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. Secondary…

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 nati…

OBJECTIVE The aim of the study was to demonstrate how to identify and preserve the inferior hypogastric nerve (IHN) during gynecological laparoscopic surgeries, in cases where the nerve is not infiltrated by pathological processes such as d…

OBJECTIVES: This study aimed to demonstrate the utility of origami crane training in enhancing laparoscopic skills. MATERIALS AND METHODS: This retrospective study was conducted at our hospital and involved a single participant: a gynecolo…

We report a case of a pedunculated adenomyoma with osseous metaplasia, which mimics a dermoid cyst on magnetic resonance imaging (MRI) making it a considerable differential diagnosis. A 40-year-old female presented with chronic lower abdome…

Congenital cervical and vaginal atresia in the presence of a functioning endometrium is an extremely rare disease. Cervicovaginal reconstruction preserves fertility for these patients. We present the case of a 20-year-old patient who had ce…

Ectopic pregnancy can be mistakenly reported as a ruptured corpus luteum. A 22-year-old woman was initially misdiagnosed with a ruptured corpus luteum and treated with analgesics at a local clinic. Persistent symptoms led her to our hospita…

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 initial learning curve is a barrier to introducing robotic surgery. Evidence regarding appropriate simulation programs that allow for a smooth introduction of gynecological robotic surgery remains limited. MATERIALS AND MET…

OBJECTIVES: To analyze clinical outcomes and the factors that influence the therapeutic outcomes of high-intensity focused ultrasound (HIFU) ablation for different types of submucosal uterine fibroids. MATERIALS AND METHODS: A total of 626…

ObjectivesTo delineate the hysteroscopic findings of placental site nodule and plaque (PSNP) and determine its association with secondary infertility and chronic endometritis (CE).Materials and methodsWe performed a retrospective cohort stu…

OBJECTIVES: The objective of this study was to investigate the impact of postoperative modified Trendelenburg posture on shoulder pain after laparoscopic hysterectomy (TLH). MATERIALS AND METHODS: Forty-six patients undergoing TLH for beni…

Pregnancy in a noncommunicating uterine horn (NCUH) is extremely rare and torsion of the pregnant horn is even rarer. Only a few cases have been reported so far. Diagnosis of such extraordinary pathologies can be challenging, and this often…

OBJECTIVES: Vaginal natural orifice transluminal endoscopic surgery (vNOTES) is a novel surgical approach that confers on surgeons the dual advantages of vaginal and laparoscopic surgeries. There is a lack of literature comparing the vNOTES…

OBJECTIVES: On the first line of polycystic ovary syndrome (PCOS) treatment, ovulation with clomiphene citrate (CC) is induced. However, 25% of patients need alternative therapy. Laparoscopic ovarian drilling (LOD) can result in successive …