Journal of Minimally Invasive Gynecology

Tubulovillous adenomas are colonic polyps with relatively high potential for malignancy that are typically identified on colonoscopy. We present a case of colonic tubulovillous adenoma first discovered on gynecologic transvaginal ultrasound (TVUS). The patient was a 42-year-old gravida 2 para 2 female with symptoms suggestive of endometriosis, including left lower quadrant pain, heavy menstrual bleeding, urinary urgency, and dyschezia. The patient underwent TVUS following the International Deep Endometriosis Analysis (IDEA) protocol that identified an intermediate echogenicity, vascular solid mass of the rectosigmoid lumen...

OBJECTIVE: To calculate the predictive value, and thus the clinical usefulness of transvaginal ultrasound imaging (TV-US) for the management of deep endometriosis, knowing that the positive predictive value (PPV) value varies with the prevalence and probably with the volume and location of the disease. DATA SOURCES: After registration on Prospero (CRD42022366323) Pubmed was searched for all reports describing the diagnostic accuracy of ultrasound imaging for deep endometriosis published between 1/1/2000 and 20/10/2022...

OBJECTIVE: We aim to review the incidence, location, and management of bowel endometriosis, as well as demonstrate relevant surgical principles and emphasize anatomical considerations for minimally invasive resection of ileocolic lesions. DESIGN: This video briefly reviews the background of bowel endometriosis and indications for surgical excision. We present a case of a patient diagnosed with symptomatic terminal ileum endometriosis and review the preoperative imaging...

OBJECTIVE: To show laparoscopic management of Disseminated Peritoneal Leiomyomatisis. DESIGN: Stepwise demonstration of the technique with narrated video footage. SETTING: Disseminated Peritoneal Leiomyomatosis (DPL) is characterized by dissemination and proliferation of peritoneal and sub-peritoneal lesions primarily originating from smooth muscle cells.(1) Generally considered benign, cases of malignant transformation to leiomyosarcoma have been reported...

STUDY OBJECTIVE: To present and evaluate the feasibility of a new technique of lead-electrode stimulation to the genital nerves using a 2-step, double-passage retropubic/retrograde approach. DESIGN AND INTERVENTIONS: The procedure was initiated in the retropubic passage by placing the electrode from below through a paravulvar/testicular small incision toward the urogenital diaphragm, guided through the retropubic space along the backside of the pubic bone. Through a second passage along the frontside of the pubic bone, the lead-electrode was placed finally at the genital nerves...

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STUDY OBJECTIVE: To analyze hysterectomy trends and vaginal cuff dehiscence (VCD) rates by mode of surgery at a tertiary care medical center, and to describe characteristics of VCD cases. DESIGN: Observational retrospective cohort study SETTING: Large academic hospital and affiliated community hospital PATIENTS: 4722 patients who underwent hysterectomy at Columbia University Irving Medical Center between January 2010 and August 2021. INTERVENTIONS: CPT and ICD codes identified hysterectomies and VCD cases...

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Most bowel endometriotic lesions are ill-defined serosal and subserosal nodules and no case of cystic bowel endometriosis has been reported in the literature. This is the first report of an unexpected presentation of bowel endometriosis as a primary cyst located inside the posterior rectal wall. The patient was a 26-year-old nulliparous woman with progressive lower abdominal pain for 6 days, difficult defaecation for 1 day. Colorectal surgeons recommended bowel resection due to the giant rectal mass. However, the patient refused to undergo surgery...

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No abstract text is available yet for this article.

OBJECTIVE: To investigate the efficacy and safety of high-intensity focused ultrasound (HIFU) compared with uterine artery embolization (UAE) in caesarean section pregnancy (CSP), and to calculate the success rate of HIFU. DATA SOURCES: We searched PubMed, Cochrane, Scopus, Web of Science, and Embase on September 30, 2022, and the related studies were independently reviewed by two researchers. METHODS OF STUDY SELECTION: Medical subject headings and relevant terms from other articles were used for the database search...

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STUDY OBJECTIVE: To identify the clinical risk factors for symptomatic recurrence of adenomyosis after laparoscopic adenomyomectomy with three-year follow-up. DESIGN: Retrospective study. SETTING: University-affiliated hospital. PATIENTS: A total of 149 patients were included in this study, including 52 patients with symptomatic recurrence and 97 without recurrence. INTERVENTION: Laparoscopic adenomyomectomy was performed first...

Transcervical, ultrasound-guided radiofrequency ablation with the Sonataࣨ System was performed on a patient with symptomatic localized adenomyosis. Six-month postoperative follow-up demonstrated subjective improvement of heavy and painful menstrual bleeding and objective decreases in the volume of the adenomyosis lesion (66.3%) and the uterine corpus (40.8%) as determined by magnetic resonance imaging. This is the first known case of successful use of the Sonataࣨ System for treating adenomyosis.

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No abstract text is available yet for this article.

OBJECTIVE: To demonstrate our hysteroscopic technique using the miniresectoscope for the treatment of complete uterine septum with or without cervical anomalies. DESIGN: A step-by-step video demonstration of the technique with the use of an educational video. SETTINGS: We present 3 patients diagnosed with complete uterine septum (U2b according to ESHRE/ESGE classification) with or without cervical anomalies (C0: normal cervix; C1: septate cervix; C2: double "normal" cervix") two of them with a longitudinal vaginal septum (V1)...

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