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Cureus 2022 May 22;14(5):e25227. Epub 2022 May 22.

Anaesthesiology, Uttar Pradesh University of Medical Sciences, Etawah, IND.

Introduction: Ultrasound-guided erector spinae plane (ESP) block has emerged as an effective and safe analgesic regional technique and it also provides visceral pain relief. Our aim was to compare the analgesic efficacy of ESP block over transversus abdominis plane (TAP) block under ultrasound guidance following a total abdominal hysterectomy.

Methods: This was a prospective, randomized, comparative study. Read More

Gynecol Minim Invasive Ther 2022 Apr-Jun;11(2):88-93. Epub 2022 May 4.

Department of Obstetrics and Gynecology, Osaka Rosai Hospital, Sakai, Osaka, Japan.

Objectives: The objective of the study was to investigate the association between perioperative serum creatinine change and delayed urologic complications following total laparoscopic hysterectomy (TLH) for benign indications.

Materials And Methods: A total of 510 cases (503 cases without delayed urologic injuries and 7 cases with delayed urologic injuries) in which TLH was performed for benign indications were retrospectively reviewed. The patient characteristics and surgical outcomes were compared between patients with and without delayed urologic injuries. Read More

Gynecol Minim Invasive Ther 2022 Apr-Jun;11(2):105-109. Epub 2022 May 4.

Department of Obstetrics and Gynaecology, Sir Ganga Ram Hospital, New Delhi, India.

Objectives: Quick and effective hemostasis is essential for a successful laparoscopic surgery. Hence, it is of utmost importance for laparoscopic surgeons to understand the various available and emerging energy sources to tailor their use according to their properties and surgical requirement. The aim of this study was to compare LigaSure, an advanced bipolar versus conventional bipolar in total laparoscopic hysterectomy, with respect to operating time, mean blood loss, mean reduction in hemoglobin, intraoperative, and postoperative complications, and duration of prospective hospital stay. Read More

Gynecol Minim Invasive Ther 2022 Apr-Jun;11(2):127-130. Epub 2022 May 4.

Department of Gynecologic Oncology, Kawasaki Medical School, Okayama, Japan.

We presented a case of uncontrolled genital bleeding caused by subserosal fibroid and treated by robotic-assisted hysterectomy during the coronavirus disease 2019 (COVID-19) pandemic. A 49-year-old woman had severe anemia with hypermenorrhea due to submucosal fibroid. Hysterectomy was deemed necessary to control genital bleeding. Read More

Medicina (Kaunas) 2022 Jun 13;58(6). Epub 2022 Jun 13.

Gynecology and Obstetrics Unit, Department of Medicine, Surgery and Dentistry Schola Medica Salernitana, University of Salerno, 84081 Baronissi, Italy.

: To assess the use of near infrared radiation imaging after injection of indocyanine green (NIR-ICG) during laparoscopic treatment of benign gynecologic conditions. : A systematic review of the literature was performed searching 7 electronic databases from their inception to March 2022 for all studies which assessed the use of NIR-ICG during laparoscopic treatment of benign gynecological conditions. : 16 studies (1 randomized within subject clinical trial and 15 observational studies) with 416 women were included. Read More

Medicina (Kaunas) 2022 May 26;58(6). Epub 2022 May 26.

Department of Obstetrics and Gynaecology, Medical Academy, Lithuanian University of Health Sciences, LT-44307 Kaunas, Lithuania.

Systematic pelvic lymphadenectomy (LND) is an essential part of lymph-node status evaluation in endometrial cancer (EC) patients to tailor the adjuvant treatment. However, it is associated with the post-operative lymphatic complications and does not improve the outcomes of the disease. Indocyanine green (ICG) mapped sentinel lymph-node biopsy (SLB) has recently been introduced into the clinical practice as an alternative for the surgical lymph-node evaluation in EC patients with the potential to decrease LND related complications. Read More

Life (Basel) 2022 Jun 15;12(6). Epub 2022 Jun 15.

Department of Obstetrics and Gynecology, University Hospital of Bern, 3010 Bern, Switzerland.

Management of severe postpartum hemorrhage (PPH) includes transcatheter pelvic arterial embolization (TAE). Data regarding subsequent fertility and obstetrical outcomes is limited, as most fertility outcomes derive from TAE in uterine fibroma. The purpose of our study was to evaluate the long-term outcomes of patients undergoing TAE, particularly concerning subsequent fertility and following pregnancies. Read More

J Pers Med 2022 May 26;12(6). Epub 2022 May 26.

Gynecologic Cancer Center, Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul 06351, Korea.

Single-port access (SPA) laparoscopic surgery and vaginal natural orifice transluminal endoscopic surgery (vNOTES) have many advantages. The objective of the present study is to compare patient characteristics, operative details, and postoperative outcomes between the two surgical methods. Patients who were planned to undergo vNOTES or SPA laparoscopic surgery between April 2020 and June 2021 were prospectively enrolled. Read More

Int J Environ Res Public Health 2022 Jun 17;19(12). Epub 2022 Jun 17.

Brandenburg Medical School (Theodor Fontane), 16816 Neuruppin, Germany.

A new Second Opinion Directive (SOD) was introduced in Germany in December 2018 for hysterectomy, tonsillotomy, and tonsillectomy to support shared decision making and to avoid unnecessary surgeries. Owing to its recent implementation, evidence and insights regarding outcomes and challenges encountered with the SOD are lacking, notably from the physicians' perspective. To assess this, we undertook an exploratory sequential mixed-methods design with an initial qualitative phase followed by a quantitative evaluation. Read More

Healthcare (Basel) 2022 May 27;10(6). Epub 2022 May 27.

Department of Obstetrics and Gynecology, Korea University Ansan Hospital, Ansan 15355, Korea.

Hysterectomy remains a frequent gynecologic surgery, although its rates have been decreasing. The aim of this study was to investigate whether socioeconomic status affected the risk of hysterectomy in Korean women. This prospective cohort study used epidemiologic data from 2001 to 2016, from the Korean Genomic and Epidemiology Study (KoGES). Read More

Diagnostics (Basel) 2022 May 29;12(6). Epub 2022 May 29.

Department of Surgical Oncology, Institut Curie, University of Paris, 26 Rue d'Ulm, CEDEX 05, 75248 Paris, France.

Uterine sarcomas are rare, aggressive tumors with poor prognosis that can be further negatively affected by inadequate surgical approaches such as morcellation. There are no clinical and radiologic criteria for differentiating leiomyoma from malignant uterine tumors. However, some ultrasonography and magnetic resonance imaging findings may be informative. Read More

Am J Perinatol 2022 Jun 23. Epub 2022 Jun 23.

Department of Obstetrics, Gynecology and Reproductive Sciences, University of Texas McGovern Medical School, Houston, United States.

Objective: To determine the relation between education and adverse outcomes in individuals with pregestational or gestational diabetes.

Study Design: This population-based cohort study, using the U.S. Read More

Int Urogynecol J 2022 Jun 23. Epub 2022 Jun 23.

Department of Obstetrics and Gynecology, Antalya Training and Research Hospital, Varlık Mah, Kazım Karabekir Cd., Muratpaşa/Antalya, 07100, Antalya, Turkey.

Introduction And Hypothesis: We compared the outcomes of women who underwent laparoscopic lateral suspension with concurrent total laparoscopic hysterectomy (LLS-TLH) with those of women who underwent laparoscopic sacrocolpopexy with concurrent total laparoscopic hysterectomy (LSC-TLH) for apical and/or anterior vaginal wall prolapse.

Methods: Eighty women underwent LLS-TLH or LSC-TLH operations. According to the Pelvic Organ Prolapse Quantification System (POP-Q), women with symptomatic pelvic organ prolapse of stage 2 or higher apical and/or anterior compartment prolapse were enrolled in the study. Read More

Harefuah 2022 Jun;161(6):342-348

Department of Obstetrics and Gynecology, Carmel Lady Davis Medical Center, Rappaport Faculty of Medicine, Technion University, Haifa, Israel.

Introduction: Transvaginal repair of advanced pelvic organ prolapse (POP) often involves vaginal hysterectomy (VH) followed by fixation of the vaginal vault to either the sacrospinous or the uterosacral ligaments. To date, only a few studies have compared the results of these two vaginal vault fixation techniques.

Objectives: To compare short and medium-term results and complications of sacrospinous versus high uterosacral ligament fixation of the vaginal vault after vaginal hysterectomy for the treatment of advanced POP. Read More

Ann Med Surg (Lond) 2022 Jun 24;78:103852. Epub 2022 May 24.

Department of Obstetrics and Gynecology, School of Medicine, Jeju National University, Jeju Self-Governing Province, South Korea.

Introduction: Pelvic organ prolapse (POP) is a progressive herniation of the pelvic organs through the urogenital diaphragm and commonly leads to vaginal bulge. Sacrocolpopexy is a procedure that surgically corrects POP and can be performed as open abdominal surgery or laparoscopic surgery. This study was performed to compare the therapeutic efficacies of laparoscopic and abdominal sacrocolpopexy with hysterectomy. Read More

Ann Med Surg (Lond) 2022 Jun 23;78:103809. Epub 2022 May 23.

Clinic of Gynecology, Obstetrics and Gynecological Oncology, University Hospital for Gynecology, Pius-Hospital Oldenburg, Medical Campus University of Oldenburg, Germany.

Background: Adenomyosis can cause symptoms like dysmenorrhea, dyspareunia, pelvic pain and bleeding disorders and is related to subfertility and obstetrical complications. The disease is probably underestimated and underdiagnosed because of difficulties in reliable clinical examination and imaging results. The age-related prevalence of adenomyosis still remains unclear. Read More

Acta Clin Croat 2021 Dec;60(4):675-682

1Inonu University Medicine Faculty, Obstetrics and Gynecology Department, Malatya, Turkey; 2Inonu University Medicine Faculty, Pathology Department, Malatya, Turkey; 3Inonu University Medicine Faculty, Radiology Department, Malatya, Turkey.

We aimed to evaluate the depth of myometrial invasion preoperatively with transvaginal ultrasound, magnetic resonance imaging, and frozen section examination techniques in patients diagnosed with endometrial cancer. Our study included 65 patients. Transvaginal ultrasound and magnetic resonance imaging were performed in study patients in the preoperative period. Read More

Contraception 2022 Jun 19. Epub 2022 Jun 19.

Department of Obstetrics and Gynecology, University of Colorado Anschutz Medical Center, 12631 East 17(th) Avenue B198-6, Aurora, CO 80045, USA. Electronic address:

This case report highlights serious permanent sequelae of a malpositioned levonorgestrel intrauterine device. Initial cervical injury resulted in fistula formation and large hematoma eventually requiring hysterectomy. Uterine depth less than 5. Read More

Appl Immunohistochem Mol Morphol 2022 Jun 23. Epub 2022 Jun 23.

Department of Pathology, Kahramanmaraş Sütçü İmam University School of Medicine, Kahramanmaraş, Turkey.

Objective: Microvessel density (MVD) measuring angiogenesis can influence clinicopathologic variables in endometrial carcinoma (EC). MVD is usually assessed in the densest vascular area the tumor, but the distinction between intratumoral and extratumoral MVD is not reported, and tumor-dominated area is not examined for MVD in the EC in the literature.

Materials And Methods: A total of 151 cases with EC, which had hysterectomy from 2005 to 2020, were included. Read More

BMC Pregnancy Childbirth 2022 Jun 17;22(1):496. Epub 2022 Jun 17.

Department of Gynecology and Obstetrics, Kyoto University, 54 Shogoin Kawahara-cho, Sakyo, Kyoto, 606-8507, Japan.

Background: The Japan Society of Obstetrics and Gynecology and the Japan Association of Obstetricians and Gynecologists have issued the guidelines and recommendations on postpartum hemorrhage since 2010 and have been conducted widespread educational activities from 2012. The aim of this study was to investigate the impact of these efforts by the Societies to prevent maternal deaths due to obstetric hemorrhage on trends in epidemiology and management of severe postpartum hemorrhage in Japan.

Methods: A national retrospective cohort study was conducted using the national database of health insurance claims for the period 2012 and 2018. Read More

F S Sci 2022 Apr 30. Epub 2022 Apr 30.

Department of Obstetrics and Gynecology, Harbor-UCLA Medical Center and The Lundquist Institute, Torrance, California. Electronic address:

Objective: To determine the expression of enzymes in tryptophan (Trp) catabolism in fibroids and matched myometrium and determine the effects of race and mediator complex subunit 12 gene (MED12) mutation on their expression.

Design: Experimental laboratory study.

Setting: Academic research laboratory. Read More

Eur J Surg Oncol 2022 Jun 9. Epub 2022 Jun 9.

Department of Medical Sciences, Institute of Obstetrics and Gynecology, University of Ferrara, Italy.

Aim: The endoscopic approach for early-stage endometrial cancer (EC) treatment is considered gold standard. Some authors expressed their concern regarding uterine manipulator (UM) as a risk factor for tumor spillage and dissemination allowing peritoneal or lympho-vascular spaces invasion (LVSI). This meta-analysis aimed to evaluate the effect of UM on the presence of LVSI, recurrence rate and presence of atypical or malignant peritoneal cytology in patients with endometrial cancer. Read More

BMC Pregnancy Childbirth 2022 Jun 20;22(1):502. Epub 2022 Jun 20.

Obstetrics Department, Obstetrics and Gynecology Hospital of Fudan University, 419 Fangxie Rd, Shanghai, People's Republic of China.

Background: Placenta previa accreta is a life-threatening pregnancy complication, and reducing blood loss during operative treatment remains a major challenge. The aim of our study was to investigate the effect of prophylactic abdominal aortic balloon occlusion (AABO) during caesarean section in women with placenta previa accreta.

Methods: A retrospective study of women with placenta previa accreta was conducted in a tertiary hospital from January 1, 2015, to December 31, 2020. Read More

J Obstet Gynaecol 2022 Jun 20:1-8. Epub 2022 Jun 20.

Department of Obstetrics and Gynecology, Division of Obstetrics and Gynecological Ultrasound, New York University School of Medicine, New York City, NY, USA.

Placenta accreta spectrum (PAS) disorders involve an abnormality in the implantation of the placenta, being rarely diagnosed in the first trimester. To conduct a systematic review of the risk factors, clinical and imaging features, and outcomes of histopathologically confirmed cases of PAS disorders in the first trimester of pregnancy. Different databases including PubMed, MEDLINE Complete, Scopus, Web of Science, EMBASE, SciELO, LILACS, and Ovid were reviewed up to November 2018. Read More

Int J Circumpolar Health 2022 Dec;81(1):2090066

St. John's, Newfoundland and Labrador, Health Sciences Library, Canada.

We conducted a scoping review to determine incidence and risk factors for postpartum haemorrhage (PPH) in rural Indigenous women. We systematically searched PubMed (Medline), EMBASE, and CINAHL for all peer-reviewed articles and grey literature regarding Indigenous ethnicity, rural settings, and PPH incidence, risk factors, or maternal outcomes published from inception to 11 January 2021. Eleven articles were deemed relevant after screening and quality assessment using the National Institutes of Health scoring system for mixed study reviews. Read More

J Taibah Univ Med Sci 2022 Jun 14;17(3):523-528. Epub 2021 Nov 14.

Department of Obstetrics and Gynecology, Federal Medical Center, Lokoja, Nigeria.

Sarcomas arising from the cervix are rare, and the reported prevalence is 0.20-0.55%. Read More

Front Oncol 2022 3;12:804242. Epub 2022 Jun 3.

School of Medical Imaging, Bengbu Medical College, Bengbu, China.

Background: Evidence suggests that the risk of recurrence and death in patients with early cervical cancer (ECC) undergoing minimally invasive surgery is significantly higher than that in patients undergoing open surgery. However, the mechanisms underlying such a difference remain unclear. Heart rate variability (HRV) represents autonomic nerve activity, which is related to tumorgenesis and can be used as a prognostic indicator for various cancers. Read More

Cureus 2022 May 16;14(5):e25044. Epub 2022 May 16.

Anaesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, IND.

Introduction: Adding adjuvant drugs to intrathecal local anesthetics improves the quality and duration of the sensory blockade and prolongs postoperative analgesia. Intrathecal opioids are synergistic with local anesthetics, thereby intensifying the sensory block without increasing the sympathetic block. This study was designed to comparatively evaluate the two different dosages of nalbuphine as intrathecal adjuvants on subarachnoid block (SAB) characteristics of 0. Read More

Cureus 2022 May 17;14(5):e25062. Epub 2022 May 17.

First Department of Obstetrics and Gynecology, Alexandra Hospital, National & Kapodistrian University of Athens, Athens, GRC.

Background Although peripartum hysterectomy (PH) is a life-saving procedure in cases of abnormal placentation and postpartum hemorrhage, it can be associated with major obstetric and anesthetic complications. This retrospective study aimed to evaluate the incidence, etiology, perioperative anesthetic and obstetric management, complications, and fetal outcomes in women undergoing PH in a single tertiary referral hospital in Greece. Methodology This was a retrospective analysis of medical records of women who underwent emergency or elective PH in our hospital between January 2015 and December 2018. Read More

Int Urogynecol J 2022 Jun 19. Epub 2022 Jun 19.

Division of Urogynecology, Department of OB/GYN, Mass General Brigham, 500 Brookline Ave, Suite E, Boston, MA, 02215, USA.

Introduction And Hypothesis: This study aims to determine whether the use of preoperative transdermal scopolamine is associated with an increased risk of postoperative urinary retention in urogynecologic surgeries.

Methods: This is a retrospective chart review study of women who underwent surgery between January 1, 2018, and December 31, 2020. Patients who received a scopolamine patch versus those who did not were compared using demographic and perioperative variables utilizing Pearson's chi-squared test and t-test of Wilcoxon rank-sum. Read More