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Journal articles on the topic 'Uterine-Sparing Procedures'

Author: Grafiati

Published: 7 June 2025

Last updated: 2 August 2025

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1

Sathe, Nila A., Frances E. Likis, Jessica L. Young, Alicia Morgans, Daphne Carlson-Bremer, and Jeff Andrews. "Procedures and Uterine-Sparing Surgeries for Managing Postpartum Hemorrhage." Obstetrical & Gynecological Survey 71, no. 2 (2016): 99–113. http://dx.doi.org/10.1097/ogx.0000000000000273.

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Chen, Joseph, Anne E. Porter, and Kimberly A. Kho. "Current and Future Surgical and Interventional Management Options for Adenomyosis." Seminars in Reproductive Medicine 38, no. 02/03 (2020): 157–67. http://dx.doi.org/10.1055/s-0040-1718921.

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AbstractHistorically, hysterectomy has been the recommended treatment for patients with adenomyosis. However, in the past two decades, various uterine-sparing treatment methods have emerged. These range from excisional techniques such as adenomyomectomy or wedge resection to uterine artery embolization, radiofrequency thermal ablation, hysteroscopic excision, endometrial ablation, and high-intensity focused ultrasound. While largely investigative for the treatment of adenomyosis, these procedures have demonstrated improvement in symptoms including abnormal uterine bleeding, dysmenorrhea, pelvi

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SIEUNARINE, K., P. MOXEY, D. C. M. BOYLE, et al. "Selective vessel ligation in the pelvis: an invaluable tool in certain surgical procedures." International Journal of Gynecologic Cancer 15, no. 5 (2005): 967–73. http://dx.doi.org/10.1136/ijgc-00009577-200509000-00040.

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While developing the technique of abdominal radical trachelectomy for conservative cervical cancer management, the vascular supply of the uterus was thoroughly examined. The question of how many vessels the uterus requires to ensure its viability arose. Following an abdominal radical trachelectomy for stage IB cervical carcinoma, blood supply of the body of the uterus is successfully maintained by only the two infundibulopelvic vessels (n= 34). Pregnancy has resulted following this technique (n= 2). Selective ligation of the pelvic vasculature has been utilized in the abdominal radical trachel

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Thanatsis, N., M. Ben Zvi, A. S. Kupelian, and A. Vashisht. "Laparoscopic suture sacrohysteropexy: A meshless uterinesparing technique for surgical management of uterine prolapse." Facts, Views and Vision in ObGyn 15, no. 2 (2023): 171–73. http://dx.doi.org/10.52054/fvvo.15.2.075.

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Background: Laparoscopic mesh sacrohysteropexy has been established as an effective, safe, and popular technique to treat uterine prolapse. Nevertheless, recent controversies regarding the role of synthetic mesh in pelvic reconstructive surgery have triggered a trend towards meshless procedures. Other laparoscopic native tissue prolapses techniques such as uterosacral ligament plication and sacral suture hysteropexy have been previously described in literature. Objectives: To describe a meshless minimally invasive technique with uterine preservation, which incorporates steps from the above-men

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Researcher. "EFFICACY AND SAFETY OF UTERINE-SPARING TECHNIQUES INCLUDING HYSTEROSCOPIC RESECTION, ENDOMETRIAL ABLATION, AND UTERINE ARTERY EMBOLIZATION IN THE MANAGEMENT OF CHRONIC ABNORMAL UTERINE BLEEDING." International Journal of Obstetrics and Gynaecology (IJOG) 3, no. 1 (2025): 1–8. https://doi.org/10.5281/zenodo.14793893.

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Chronic abnormal uterine bleeding (AUB) is a prevalent gynecological condition that significantly impacts the quality of life of affected individuals. Traditional management often included hysterectomy, but uterine-sparing techniques such as hysteroscopic resection, endometrial ablation, and uterine artery embolization (UAE) are now widely adopted. This paper explores the efficacy and safety of these interventions, evaluating their effectiveness in symptom relief, recurrence rates, patient satisfaction, and complications. The findings indicate that these techniques provide effective symptom co

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Liger Guerra, Claudia, Lorena Sabonet Morente, Juan Manuel Hidalgo Fernandez, Manuel Navarro Romero, Cristina Espada Gonzalez, and Jesus S. Jimenez-Lopez. "The Manchester Procedure as a Uterine-Preserving Alternative for Uterine Prolapse Due to Cervical Elongation: A Short- and Mid-Term Clinical Analysis." Medicina 61, no. 7 (2025): 1183. https://doi.org/10.3390/medicina61071183.

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Background and Objectives: Pelvic organ prolapse (POP) is a prevalent condition that negatively impacts women’s quality of life. Uterine-preserving procedures are increasingly demanded by patients with uterine prolapse, particularly when associated with true cervical elongation. The Manchester procedure, historically used for uterine preservation, has regained interest due to its effectiveness and low morbidity. This study aims to evaluate the anatomical and functional outcomes of the Manchester procedure in women with uterine prolapse due to cervical elongation, assessing patient satisfaction

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Kong, Choi Wah, and William Wing Kee To. "The Discriminant Use of Intrauterine Balloon Tamponade and Compression Sutures for Management of Major Postpartum Hemorrhage: Comparison of Patient Characteristics and Clinical Outcome." BioMed Research International 2021 (January 2, 2021): 1–9. http://dx.doi.org/10.1155/2021/6648829.

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Background. Intrauterine balloon tamponade (IUBT) and compression sutures have been widely used in recent years in the management of postpartum hemorrhage (PPH). However, there is scant literature directly comparing the clinical scenarios that led to the discriminant selection of these management modalities and the direct clinical outcomes. The purpose of this study is to compare the patient characteristics and clinical risk factors that led to the use of IUBT and compression sutures in the management of major PPH as well as the immediate outcome in a retrospective cohort. Methods. Patients wh

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Hudeček, Robert, Jaroslav Klát, Karel Pohl, et al. "Relugolix combination therapy and symptoms of uterine myomatosis – selected case reports of indication spectrum and treatment outcomes." Česká gynekologie 88, no. 5 (2023): 359–70. http://dx.doi.org/10.48095/cccg2023359.

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Summary: Objective: An illustrative review of the indications for relugolix combination therapy (RCT) in the management of symptoms associated with uterine myomatosis. Methods: A set of annotated case reports from outpatient and clinical practice. Results: The fi le includes a non-invasive methodology for defining excessive menstrual bleeding using the pictorial bleeding assessment chart (PBAC). It also presents the use of RCT as a fertility-sparing procedure prior to elective myomectomy and the management of isthmic fibroids as an uterine factor of infertility. Cases of RCT of adenomyosis in

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Kremer, Thaysa Guglieri, Isadora Bueloni Ghiorzi, and Raquel Papandreus Dibi. "Isthmocele: an overview of diagnosis and treatment." Revista da Associação Médica Brasileira 65, no. 5 (2019): 714–21. http://dx.doi.org/10.1590/1806-9282.65.5.714.

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SUMMARY An isthmocele, a cesarean scar defect or uterine niche, is any indentation representing myometrial discontinuity or a triangular anechoic defect in the anterior uterine wall, with the base communicating to the uterine cavity, at the site of a previous cesarean section scar. It can be classified as a small or large defect, depending on the wall thickness of the myometrial deficiency. Although usually asymptomatic, its primary symptom is abnormal or postmenstrual bleeding, and chronic pelvic pain may also occur. Infertility, placenta accrete or praevia, scar dehiscence, uterine rupture,

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Chopra, K., R. Yadav, and A. Kulshreshtha. "Successful pregnancy outcome following selective uterine artery embolization in a case of perforating gestational trophoblastic neoplasia." Sri Lanka Journal of Obstetrics and Gynaecology 46, no. 3 (2024): 87–89. http://dx.doi.org/10.4038/sljog.v46i3.8138.

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Gestational trophoblastic neoplasia (GTN) includes a range of premalignant and malignant disorders of trophoblastic tissue. Invasive mole can present as a surgical emergency with rapidly progressive and highly vascular trophoblasts causing uterine perforation. Often hysterectomy is resorted to as a life-saving measure but in women desirous of future fertility, other options should be considered. We present the case of a nulliparous woman who presented with hemoperitoneum following perforating GTN. She was pale with stable vitals. Serum beta hCG at presentation was 98,156IU/L. Ultrasound pelvis

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Dokić, Milan, Svetlana Milenković, Ljubiša Jovanović, et al. "Curious Case of Superfitial Spreading Cervical Squamocellular Carcinoma with Adnexal Involvement." Medicina 58, no. 11 (2022): 1655. http://dx.doi.org/10.3390/medicina58111655.

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Background and Objectives: Cervical squamous cell carcinoma (SCC) usually showed an infiltrative growth pattern into endocervical stroma. In rare cases, SCC spreads superficially as an intraepithelial lesion to proximal uterine segments, and more rarely, involves invasive and more aggressive behavior on secondary sites. Materials and Methods: In this study, we present the case of an interesting form of cervical SCC growth and we discuss the possible reasons for that presentation. Results: After clinical examination and repeated histomorphological analysis, we found remarkable cervical epitheli

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Pradnyana, I. Wayan Agus Surya, and Kadek Agus Wijaya. "A Meta-Analysis Comparing the Effectiveness of Uterine-Sparing Procedures versus Hysterectomy for Adenomyosis: Patient-Reported Outcomes and Fertility Preservation." Bioscientia Medicina : Journal of Biomedicine and Translational Research 9, no. 2 (2024): 6249–63. http://dx.doi.org/10.37275/bsm.v9i2.1189.

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Background: Adenomyosis is a benign gynecological condition that can cause significant morbidity, including dysmenorrhea, menorrhagia, and pelvic pain. Hysterectomy has been the traditional treatment for adenomyosis, but uterine-sparing procedures (USPs) are increasingly being considered, especially for women who desire fertility preservation. This meta-analysis compared the effectiveness of USPs versus hysterectomy for adenomyosis, focusing on patient-reported outcomes (PROs) and fertility preservation. Methods: A systematic search of PubMed, Embase, and Cochrane Library databases was conduct

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Sakko, Yesbolat, Gulzhanat Aimagambetova, Milan Terzic, et al. "The Prevalence, Indications, Outcomes of the Most Common Major Gynecological Surgeries in Kazakhstan and Recommendations for Potential Improvements into Public Health and Clinical Practice: Analysis of the National Electronic Healthcare System (2014–2019)." International Journal of Environmental Research and Public Health 19, no. 22 (2022): 14679. http://dx.doi.org/10.3390/ijerph192214679.

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Objectives: Major gynecological surgeries are indicated for the treatment of female genital pathologies. It is key to examine trends in gynecologic surgical procedures and updated recommendations by international gynecological societies to find opportunities for improvement of local guidelines. To date, a very limited number of reports have been published on the epidemiology of gynecological surgeries in Kazakhstan. Moreover, some local guidelines for gynecological conditions do not comply with the international recommendations. Thus, this study aims to investigate the prevalence, indications,

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ALBU, Andreea Ruxandra, Delia Maria GRADINARU, Diana SECARA, et al. "Ultrasound in Obstetrical and Gynecologic Emergencies." Medicina Moderna - Modern Medicine 29, no. 4 (2022): 279–88. http://dx.doi.org/10.31689/rmm.2022.29.4.279.

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In Bucharest University Emergency Hospital every day we deal with difficult cases either presented per primam in our setting or, even more difficult situations, cases that were intended to be treated in other hospitals but due to lack of infrastructure are sent towards our multidisciplinary hospital, as a final stop. Conditions that our teams have to deal in a very restricted amount of time in the Emergency Room are: submucous myoma with heavy bleeding acquired uterine arteriovenous fistulae, ovarian ruptured cyst , ovarian hyperstimulation syndrome, adnexal torsion, tuboovarian abscess, class

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Schuurman, Teska, Sanne Zilver, Sanne Samuels, et al. "Fertility-Sparing Surgery in Gynecologic Cancer: A Systematic Review." Cancers 13, no. 5 (2021): 1008. http://dx.doi.org/10.3390/cancers13051008.

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Fertility-sparing surgery (FSS) is increasingly being offered to women with a gynecological malignancy who wish to preserve fertility. In this systematic review, we evaluate the best evidence currently available on oncological and reproductive outcome after FSS for early stage cervical cancer, epithelial ovarian cancer, and endometrial cancer. An extensive literature search was conducted using the electronic databases Medline (OVID), Embase, and Cochrane Library to identify eligible studies published up to December 2020. In total, 153 studies were included with 7544, 3944, and 1229 patients wh

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Wong, H. F., J. J. H. Low, Y. Chua, I. Busmanis, E. H. Tay, and T. H. Ho. "Ovarian tumors of borderline malignancy: a review of 247 patients from 1991 to 2004." International Journal of Gynecologic Cancer 17, no. 2 (2007): 342–49. http://dx.doi.org/10.1111/j.1525-1438.2007.00864.x.

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Borderline ovarian tumors account for 15% of epithelial ovarian cancers and are different from invasive malignant carcinoma. Majority are early stage, occurring in women in the reproductive age group, where fertility is important. We reviewed retrospectively 247 such cases treated at the Gynaecological-Oncology Unit, KK Women's and Children's Hospital, between January 1991 and December 2004. The mean age was 38 years (16–89 years). Majority of the cases (92%) were FIGO stage I (Ia, 75%; Ib, 1%; and Ic, 16%). Seven (3.5%) patients were diagnosed as having stage II disease, six (2.5%) as stage I

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Kramer, Katherine J., Sarah Ottum, Damla Gonullu, et al. "Reoperation rates for recurrence of fibroids after abdominal myomectomy in women with large uterus." PLOS ONE 16, no. 12 (2021): e0261085. http://dx.doi.org/10.1371/journal.pone.0261085.

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Background The population of women undergoing abdominal myomectomy for symptomatic large fibroid uterus is unique. We seek to characterize the timing, risk factors as well as the presenting symptoms which led patients to undergo repeat surgery in this patient population. Methods and findings We followed 592 patients who underwent an abdominal myomectomy from March 1998 to June 2010 at St. Vincent’s Catholic Medical Center and presented later during the study period with a recurrence of symptoms attributable to a reemergence of fibroids and who chose to undergo repeat surgical management. Twelv

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Zhu, J. C., T. D. Yan, K. Ng, D. Glenn, and D. L. Morris. "Percutaneous radiofrequency ablation of lung tumours: Results in first 100 consecutive patients." Journal of Clinical Oncology 25, no. 18_suppl (2007): 7714. http://dx.doi.org/10.1200/jco.2007.25.18_suppl.7714.

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7714 Background: Treatment modalities for patients with primary and secondary lung malignancies who are not surgical candidates are limited. Radiofrequency ablation is a minimally invasive, lung sparing therapeutic alternative that may provide local disease control for these patients. The study reported our experience with first 100 consecutive patients who underwent radiofrequency ablation of their lung tumours. Methods: From November 2000 to December 2006, the clinical and treatment-related information regarding the 100 consecutive patients (58 males, mean age of 65 years) with 240 lung tumo

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Briedite, Ieva, Gunta Ancane, Irena Rogovska, and Nellija Lietuviete. "Quality of Female Sexual Function After Conventional Abdominal Hysterectomy - Three Month' Observation." Acta Chirurgica Latviensis 14, no. 1 (2014): 26–31. http://dx.doi.org/10.2478/chilat-2014-0105.

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Summary Introduction. Many medical and conservative surgical treatment options are available but still hysterectomy remains the most common gynecological procedure performed worldwide. These procedures are performed because of actual and possible malignant diseases, and benign conditions including pelvic pain, dyspareunia, uterine myomas, adenomyosis, endometriosis, and menometrorrhagia. The impact of hysterectomy on sexual function has always been a great concern to women and is a major source of preoperative anxiety. Data regarding the impact of hysterectomy on women's sexual functioning are

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Biyik, Ismail, Fatih Keskin, and Elif Keskin. "Conservative Surgical Treatment of a Case of Placenta Accreta." Revista Brasileira de Ginecologia e Obstetrícia / RBGO Gynecology and Obstetrics 40, no. 08 (2018): 494–96. http://dx.doi.org/10.1055/s-0038-1668528.

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AbstractPlacenta accreta syndromes are associated with increased maternal mortality and morbidity. Cesarean hysterectomy is usually performed in cases of placenta accreta syndrome. Fertility sparing methods can be applied. In the present study, we report a successful segmental uterine resection method for placenta accreta in the anterior uterine wall in a cesarean section case. A 39-year-old woman underwent an elective cesarean section at 38 + 2 weeks. A placental tissue with an area of 10 cm was observed extending from the anterior uterine wall to the serosa, 2 cm above the uterine incision l

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Szubert, Sebastian, Magdalena Nadolna, Paweł Wawrzynowicz, et al. "Surgical Techniques for Radical Trachelectomy." Cancers 17, no. 6 (2025): 985. https://doi.org/10.3390/cancers17060985.

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Background/Objectives: The primary aim of this systematic review was to evaluate fertility outcomes and the oncological safety of different surgical techniques of radical trachelectomy (RT). Methods: The systematic review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A systematic literature search on PubMed, Embase, and Google Scholar was performed between 1 November 2023 and 31 March 2024 with no limits for the time of publication. Results: In total, 56 studies met the inclusion criteria: 22 for abdominal RT (1712

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Sakuragi, N., Y. Todo, M. Kudo, R. Yamamoto, and T. Sato. "A systematic nerve-sparing radical hysterectomy technique in invasive cervical cancer for preserving postsurgical bladder function." International Journal of Gynecologic Cancer 15, no. 2 (2005): 389–97. http://dx.doi.org/10.1136/ijgc-00009577-200503000-00035.

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The objective of this study is to describe a technique for preserving the autonomic nerve systematically, including the hypogastric nerves, pelvic splanchnic nerves, and pelvic plexus and its vesical branches, based on anatomic considerations for the autonomic nerves innervating the urinary bladder, in radical hysterectomies and to assess postsurgical bladder function. A nerve-sparing radical hysterectomy was carried out on 27 consecutive patients with uterine cervical cancer treated between 2000 and 2002. The FIGO stages of the disease consisted of 10 stage Ib1, 6 stage Ib2, 3 stage IIa, and

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Pozzati, F., M. Mirandola, G. Topozouva, et al. "Complete uterine septum, double cervix, and longitudinal vaginal septum: an integrated approach for one-stop diagnosis and ultrasound-guided endoscopic treatment." Facts, Views and Vision in ObGyn 15, no. 2 (2023): 167–70. http://dx.doi.org/10.52054/fvvo.15.2.077.

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Background: A complete uterine septum, double cervix and vaginal septum is a complex and rare congenital genital tract anomaly. The diagnosis is often challenging and based on the combination of different diagnostic techniques and multiple treatment steps. Objective: To propose a combined one-stop diagnosis and an ultrasound-guided endoscopic treatment of complete uterine septum, double cervix, and longitudinal vaginal septum anomaly. Materials and Methods: Stepwise demonstration with narrated video footage of an integrated approach management of a complete uterine septum, double cervix and va

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Nicita, Giulio, Donata Villari, Vincenzo Li Marzi, et al. "Long-term experience with a novel uterine-sparing transvaginal mesh procedure for uterovaginal prolapse." European Journal of Obstetrics & Gynecology and Reproductive Biology 222 (March 2018): 57–63. http://dx.doi.org/10.1016/j.ejogrb.2018.01.003.

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Bhangale, Saurabh V., Ashok Kumar, Mamta Sharma, and Naina Arora. "A rare case of acute non puerperal complete uterine inversion in nulliparous virgin female." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 6 (2023): 1908–13. http://dx.doi.org/10.18203/2320-1770.ijrcog20231581.

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Non-puerperal uterine inversion (NPUI) is extremely rare and accounts for 17% of all uterine inversion cases. A few more than 150 cases have been reported amongst which 10-15 have been reported in nulliparous females and 3-4 have been reported in virgin females from 1914 till date. A 40 years unmarried nulliparous female denying sexual activity presented to our hospital with acute non puerperal complete uterine inversion with something coming out per vaginum of sudden onset while straining at defecation, lower abdominal pain and minimal bleeding per vaginum with history of uterine fibroid and

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Khoury-Collado, Fady, J. M. Newton, Olga R. Brook, et al. "Surgical Techniques for the Management of Placenta Accreta Spectrum." American Journal of Perinatology 40, no. 09 (2023): 970–79. http://dx.doi.org/10.1055/s-0043-1761636.

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The surgical management of placenta accreta spectrum (PAS) is often challenging. There are a variety of techniques and management options described in the literature ranging from uterine sparing to cesarean hysterectomy. Following the inaugural meeting of the Pan-American Society for Placenta Accreta Spectrum a multidisciplinary group collaborated to describe collective recommendations for the surgical management of PAS. In this manuscript, we outline individual components of the procedure and provide suggested direction at key points of a cesarean hysterectomy in the setting of PAS. Key Point

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Enklaar, Rosa A., Sascha F. M. Schulten, Hugo W. F. van Eijndhoven, et al. "Manchester Procedure vs Sacrospinous Hysteropexy for Treatment of Uterine Descent." JAMA 330, no. 7 (2023): 626. http://dx.doi.org/10.1001/jama.2023.13140.

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ImportanceIn many countries, sacrospinous hysteropexy is the most commonly practiced uterus-preserving technique in women undergoing a first operation for pelvic organ prolapse. However, there are no direct comparisons of outcomes after sacrospinous hysteropexy vs an older technique, the Manchester procedure.ObjectiveTo compare success of sacrospinous hysteropexy vs the Manchester procedure for the surgical treatment of uterine descent.Design, Setting, and ParticipantsMulticenter, noninferiority randomized clinical trial conducted in 26 hospitals in the Netherlands among 434 adult patients und

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Sentilhes, Loïc, and Philippe Descamps. "Which surgery should be the first-line uterine-sparing procedure to control severe postpartum hemorrhage?" Fertility and Sterility 95, no. 8 (2011): e71. http://dx.doi.org/10.1016/j.fertnstert.2011.04.058.

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Arvindar and Sangeeta Sen. "Fertility-sparing surgery for symptomatic uterine fibroid in young women: a case report." International Journal of Reproduction, Contraception, Obstetrics and Gynecology 12, no. 8 (2023): 2578–81. http://dx.doi.org/10.18203/2320-1770.ijrcog20232316.

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Uterine leiomyoma is very common tumor in women of reproductive age. Clinical manifestation ranges from asymptomatic to very heavy bothersome menstrual bleeding or dysmenorrhoea. Considering the patient age, severity of symptoms and child bearing medical or conservative surgical or hysterectomy is decided. Herer we are presenting a case of A 27 years old Para2 housewife coming from middle socioeconomic status was admitted with history of chronic lower abdominal pain since last 5 years and heavy menstrual bleeding since last 6months. Her period was regular but associated with pain and heavy ble

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Caesar Muhammad Wijaya, Puja Agung Antonius, Syamel Muhammad, and Mutia Paramadita Anugrah. "Uterine Corpus Endometrial Carcinoma in Young Women." Andalas Obstetrics And Gynecology Journal 9, no. 1 (2025): 161–66. https://doi.org/10.25077/aoj.9.1.161-166.2025.

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Introduction : Endometrial carcinoma is a malignant epithelial tumor that forms in the uterus's inner lining, or endometrium. The average age at diagnosis is 61 years, with cases diagnosed after 50 years more than 90%. Endometrial carcinoma is rare in young women, usually defined as occurring under age 50 or menopause, with rare cases occurring under age 40. Case Report : A 35-year-old woman nulliparous complaints of abdominal pain since 3 months ago and complained of weight loss. Based on the anamnesis, the patient is not married. On physical examination, revealed an area of firmness in the s

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Vetere, Patrick F., Christopher P. Wayock, Jolene Muscat, and Genevieve Sicuranza. "A Novel Approach to Teaching Placement of a B-Lynch Suture: Description of Technique and Validation of Teaching Model." Journal of Graduate Medical Education 4, no. 3 (2012): 367–69. http://dx.doi.org/10.4300/jgme-d-11-00186.1.

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Abstract Introduction Postpartum hemorrhage is a major cause of maternal morbidity and mortality throughout the world and uterine atony is the leading cause of postpartum hemorrhage. The B-Lynch brace suture is a fertility-sparing approach to treating intractable uterine atony at the time of cesarean delivery. However, many obstetricians lack confidence to perform this procedure, which they may not have performed during residency. In order to train all residents to perform the B-Lynch brace suture, we developed a realistic model by using a flank steak to imitate a gravid uterus. Methods A conv

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Rukh, Lala, and Naila Qurat ul Ain Fayaz Bukhari. "EFFECTIVENESS OF B-LYNCH IN PRIMARY POSTPARTUM HEMORRHAGE DUE TO UTERINE ATONY." Insights-Journal of Health and Rehabilitation 3, no. 3 (Health & Allied) (2025): 543–49. https://doi.org/10.71000/3bx9e816.

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Background: Postpartum hemorrhage (PPH) remains one of the most critical causes of maternal morbidity and mortality worldwide, with uterine atony being its most common underlying cause. Prompt and effective management is crucial to reduce complications and preserve reproductive potential. The B-Lynch suture, a uterus-sparing surgical technique, offers a mechanical approach to control bleeding when medical interventions fail, especially in low-resource settings where hysterectomy may not be feasible or desirable. Objective: To determine the effectiveness of the B-Lynch suture technique in contr

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Srinivas, Tara, Bethlehelm Lulseged, Mohammad Mirza-Aghazadeh-Attari, Clifford R. Weiss, and Mostafa A. A. Borahay. "Demographic Disparities in Uterine Fibroid Incidence Are Not Reflected in Treatment Practice Patterns Among U.S. Women: A Systematic Review and Meta-analysis [ID 2683522]." Obstetrics & Gynecology 143, no. 5S (2024): 19S—20S. http://dx.doi.org/10.1097/01.aog.0001013116.47660.7e.

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INTRODUCTION: Black and underinsured women in the United States are more likely than their counterparts to develop uterine fibroids (UF) and experience severe symptoms. Uterine artery embolization (UAE), a uterine-sparing therapeutic procedure, is less invasive than hysterectomy and may improve UF outcomes. We reviewed demographic characteristics associated with UAE utilization compared to hysterectomy for symptomatic UF among U.S. women. METHODS: Systematic literature review was conducted via PubMed, Embase, and CINAHL (PROSPERO CRD42023455051). 1,350 articles (January 1, 1995, to July 15, 20

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Singh, Priyanka, Bryan Lim Wei Liang, and How Chuan Han. "A Retrospective Observational Study on the Outcomes and Efficacy of the Manchester Procedure as a Uterine-Sparing Surgery for Uterovaginal Prolapse." Journal of Gynecologic Surgery 34, no. 6 (2018): 275–78. http://dx.doi.org/10.1089/gyn.2018.0021.

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Alkhrait, Samar, Ayman Al-Hendy, Hiba Alkelani, Theodore Karrison, and Obianuju Sandra Madueke Laveaux. "Surgical myomectomy followed by oral Myfembree vs standard of care (SOUL trial): Study protocol for a randomized control trial." PLOS ONE 19, no. 7 (2024): e0306053. http://dx.doi.org/10.1371/journal.pone.0306053.

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Background Uterine leiomyomas (often referred to as fibroids or myomas) are common benign, hormone-dependent tumors that grow in the uterus and occur in approximately 25% of reproductive age women, depending on selected population. Treatment recommendation is typically based on fibroid size, location, the patient’s age, reproductive plans, and obstetrical history. Despite the range of treatment options available for uterine fibroids and their symptoms, including hysterectomy, myomectomy, endometrial ablation, endometrial uterine artery embolization, and magnetic resonance-guided focused-ultras

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Molnar, Călin, Octavian-Sabin Tătaru, Vlad-Olimpiu Butiurcă, and Varlam-Claudiu Molnar. "High Grade Uterine and Rectal Prolapse." Journal of Interdisciplinary Medicine 1, no. 2 (2016): 183–85. http://dx.doi.org/10.1515/jim-2016-0028.

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Abstract Introduction: Pelvic floor hernias are encountered especially in elderly women. A combined genital, bladder, and rectal prolapse poses treatment challenges in aged women. Case presentation: We present the case of an 88 year-old patient, complaining of an intravaginal mass protruding for the last 3 months, rectal prolapse that occurred two weeks before admittance, accompanied by stress incontinence of urine and chronic constipation. Examination revealed a uterine prolapse with cystocele and a fourth grade rectal prolapse. We decided on a perianal and transvaginal approach, performing p

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Winata, Gde Sastra Winata, Anom Suardika, Putu Doster Mahayasa, Nyoman Gede Budiana, and I. Gusti Ngurah Agung Trisnu Kamajaya. "Role of hypogastric artery ligation in obstetric and gynecological hemorrhage: narrative review." Indonesian Journal of Perinatology 5, no. 2 (2024): 42–45. https://doi.org/10.51559/inajperinatol.v5i2.59.

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Hypogastric artery ligation (HAL) is a vital surgical intervention for controlling severe pelvic hemorrhage in obstetric and gynecological cases. This narrative review examines the efficacy, safety, and implications of HAL in managing life-threatening hemorrhages, including postpartum hemorrhage (PPH) and gynecological emergencies. HAL is particularly effective in addressing hemorrhage associated with uterine atony, placenta accreta spectrum disorders, and secondary bleeding following hysterectomy or gynecological surgeries. Success rates vary widely, ranging from 33.3% to 89.2%, depending on

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Homola, Prokop, Germund Hensel, and Milan Košťál. "Sacrospinous hysteropexy – an alternative in primary surgical treatment of apical compartment prolapse." Česká gynekologie 86, no. 3 (2021): 200–204. http://dx.doi.org/10.48095/cccg2021200.

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Summary Objective: To present a surgical treatment of pelvic organ prolapse and its outcomes according to the literature. Methods: PubMed database search. Conclusion: Pelvic organ prolapse is a common diagnosis with prevalence around 40% of female population. Vaginal delivery, especially with levator ani trauma, increasing age and obesity are the basic risk factors. Native tissue repair is a possible surgical treatment. Unfortunately, concomitant hysterectomy is still a very common procedure. It is established that uterus plays a passive role in pelvic organ prolapse. Sparing of the uterus kee

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Fusegi, Atsushi, and Hiroyuki Kanao. "Total Laparoscopic Nerve-Sparing Radical Hysterectomy Using the No-look No-touch Technique." Surgery Journal 07, S 02 (2021): S77—S83. http://dx.doi.org/10.1055/s-0041-1736178.

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AbstractRadical hysterectomy is a standard operation for patients with early-stage cervical cancer. Over the recent decades, laparoscopic radical hysterectomy has been considered an alternative treatment. In 2018, the results of the laparoscopic approach to cervical cancer trial suggested that women with early-stage cervical cancer who underwent minimally invasive surgery for radical hysterectomy had poorer prognosis than those who underwent open surgery. This finding was unexpected, and direct evidence supporting poor prognosis related to minimally invasive radical hysterectomy was not availa

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Pavone, M., N. Bizzarri, M. Goglia, et al. "Laparoscopic transabdominal cerclage in a pregnant woman after fertility-sparing treatment for early-stage cervical cancer: an operative technique in ten steps." Facts, Views and Vision in ObGyn 16, no. 2 (2024): 217–23. http://dx.doi.org/10.52054/fvvo.16.2.018.

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Introduction: Fertility-sparing treatments are increasingly used in patients with early-stage cervical cancer. The residual shortened cervix might increase the risk of preterm birth. When a vaginal cerclage is not technically feasible, a laparoscopic transabdominal cerclage (LAC) could be offered before or after conception. In this article, we show how to safely perform a post-conceptional LAC in patients with insufficient residual cervical length for vaginal cerclage. Methods: A 34-year-old patient in the twelfth week of gestation who previously underwent repeated conisation for cervical canc

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Secosan, Cristina, Oana Balint, Aurora Ilian, et al. "New Insights in the Diagnosis of Rare Adenocarcinoma Variants of the Cervix—Case Report and Review of Literature." Healthcare 10, no. 8 (2022): 1410. http://dx.doi.org/10.3390/healthcare10081410.

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We report the case of a 29-year-old patient with low-grade squamous intraepithelial lesion (L-SIL), negative human papilloma virus (HPV), positive p16/Ki-67 dual-staining and colposcopy suggestive for severe dysplastic lesion. The patient underwent a loop electrosurgical excision procedure (LEEP), the pathology report revealing mesonephric hyperplasia and adenocarcinoma. The patient also opted for non-standard fertility-sparing treatment. The trachelectomy pathology report described a zone of hyperplasia at the limit of resection towards the uterine isthmus. Two supplementary interpretations o

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Bandura, Patrick, Tamina Rawnaq, Annette Holzknecht, et al. "Management of Intrauterine Arteriovenous Malformation (AVM) in 14 Patients by Sonographically Guided Tisseel Application." Ultraschall in der Medizin - European Journal of Ultrasound 39, no. 01 (2015): 48–55. http://dx.doi.org/10.1055/s-0041-107764.

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Abstract Purpose AVMs are rare tumorous vascular lesions derived from placental tissue that may present with massive post-partum hemorrhage (PPH) causing potentially life-threatening anemic shock. Current treatment options include the embolization of uterine arteries and emergency postpartum hysterectomy. We present a new form of minimally invasive, highly specific sonographically guided treatment in the form of the application of a human fibrin sealant leading to the instant cease of blood loss. Materials and Methods A management protocol was established and a case series of 14 patients is pr

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Mirowska-Allen, Kelly L., Karen KY Kong, and W. Catarina Ang. "Unplanned hysterectomy following myomectomy at a tertiary institution: A case series and review of the literature." Journal of Endometriosis and Pelvic Pain Disorders 10, no. 3 (2018): 151–57. http://dx.doi.org/10.1177/2284026518783664.

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Introduction: Myomectomy is the gold standard uterine-sparing treatment for fibroids. However, the procedure is often complicated by blood loss. In rare cases, haemorrhage may be so severe that a conversion to hysterectomy is warranted. The aim of our study was to investigate the rates of and the clinical reasoning behind unplanned hysterectomies following attempted myomectomies at our institution. Methods: All patients who underwent an open or laparoscopic myomectomy at the Royal Women’s Hospital were identified using a gynaecology unit database, maintained from January 2004 to December 2013.

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Syrios, John, Anastasios Christidis, Dimitrios Tziortziotis, et al. "Rate of p53 and MMR IHC assessment accordance between matched D&C and hysterectomy samples in uterine cancer." Journal of Clinical Oncology 42, no. 16_suppl (2024): e17587-e17587. http://dx.doi.org/10.1200/jco.2024.42.16_suppl.e17587.

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e17587 Background: International guidelines strongly suggest assessment of POLe, MMR, p53 in patients with early stage endometrial cancer. MMR and p53 are commonly assessed with IHC after hysterectomy (+/-BSO). The fixation procedure and the high tumor cellularity of D&C specimens may permit accurate p53 and MMR evaluation. Early knowledge of p53 and MMR status in D&C samples may drive surgical treatment modalities and fertility sparing decision. Methods: In this single center study 73 matched D&C and hysterectomy samples in patients with clinically early stage endometrial cancer w

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Bernardini, F., E. Bonetti, F. Pozzati, et al. "Complete bicorporeal uterus, double cervix, longitudinal obstructing vaginal septum: an integrated approach for one-stop diagnosis and ultrasound-guided endoscopic hymen-sparing treatment." Facts, Views and Vision in ObGyn 16, no. 4 (2024): 489–92. https://doi.org/10.52054/fvvo.16.4.055.

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Background: Complete bicorporeal uterus, double cervix and obstructive longitudinal vaginal septum (classified as U3bC2V2 according to ESHRE/ESGE classification) is a rare congenital anomaly of the genital tract. This condition is typically associated with ipsilateral renal agenesis and is known as Herlyn-Werner-Wunderlich syndrome or OHVIRA (Obstructed HemiVagina and Ipsilateral Renal Anomaly) syndrome. The primary symptoms include dysmenorrhea and pelvic pain, which usually manifest after menarche due to haematocolpos in the obstructed hemivagina. Diagnosis is often challenging and frequentl

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Bouchghoul, Hanane, Hugo Madar, Benoit Resch, et al. "Uterine-sparing surgical procedures to control postpartum hemorrhage." American Journal of Obstetrics and Gynecology, August 2023. http://dx.doi.org/10.1016/j.ajog.2022.06.018.

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Sajdak, Stefan, Anna Markowska, Sandra Rehlis, and Inga Ludwin. "Hysteroscopy in fertility-sparing treatment in cases of atypical hyperplasia and early endometrial cancer – benefits and risks." Current Gynecologic Oncology 14, no. 4 (2017). https://doi.org/10.15557/CGO.2016.0028.

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Hysteroscopy represents a method of uterine cavity visualization, used as both a diagnostic and also a therapeutic procedure. Hysteroscopy enables diagnosis of infertility causes (uterine defects, adhesions, changes in the uterine ostium of the oviducts), precise removal of abnormal endometrium, uterine polyps, submucosal myomas and ablation or resection of pathological endometrium. Hysteroscopy or curettage of the uterine cavity are used in diagnosis and fertility-sparing therapy in women of 40 years of age or younger with atypical hyperplasia or early endometrial cancer (FIGO grade I G1) who

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Pavone, Matteo, Laure Waeldin, Barbara Seeliger, et al. "Fertility-sparing uterine displacement for pelvic malignancies: surgical options and radiotherapy dosimetry on a human cadaver." World Journal of Surgical Oncology 22, no. 1 (2024). http://dx.doi.org/10.1186/s12957-024-03423-4.

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Abstract Background Radio(chemo)therapy is often required in pelvic malignancies (cancer of the anus, rectum, cervix). Direct irradiation adversely affects ovarian and endometrial function, compromising the fertility of women. While ovarian transposition is an established method to move the ovaries away from the radiation field, surgical procedures to displace the uterus are investigational. This study demonstrates the surgical options for uterine displacement in relation to the radiation dose received. Methods The uterine displacement techniques were carried out sequentially in a human female

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Porcari, Irene, Pier Carlo Zorzato, Mariachiara Bosco, et al. "Clinician perspectives on hysterectomy versus uterine preservation in pelvic organ prolapse surgery: A systematic review and meta‐analysis." International Journal of Gynecology & Obstetrics, January 25, 2024. http://dx.doi.org/10.1002/ijgo.15343.

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AbstractBackgroundPrevious reviews on hysterectomy versus uterine‐sparing surgery in pelvic organ prolapse (POP) repair did not consider that the open abdominal approach or transvaginal mesh use have been largely abandoned.ObjectivesTo provide up‐to‐date evidence by examining only studies investigating techniques currently in use for POP repair.Search StrategyMEDLINE and Embase databases were searched from inception to January 2023.Selection CriteriaWe included randomized and non‐randomized studies comparing surgical procedures for POP with or without concomitant hysterectomy. Studies describi

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Gagyor, Daniel, Vladimir Kalis, Martin Smazinka, Zdenek Rusavy, Radovan Pilka, and Khaled M. Ismail. "Pelvic organ prolapse and uterine preservation: a cohort study (POP-UP study)." BMC Women's Health 21, no. 1 (2021). http://dx.doi.org/10.1186/s12905-021-01208-5.

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Abstract Background Abdominal and laparoscopic sacro-colpopexy (LSC) is considered the standard surgical option for the management of a symptomatic apical pelvic organ prolapse (POP). Women who have their uterus, and for whom an LSC is indicated, can have a laparoscopic sacro-hysteropexy (LSH), a laparoscopic supra-cervical hysterectomy and laparoscopic sacro-cervicopexy (LSCH + LSC) or a total laparoscopic hysterectomy and laparoscopic sacro-colpopexy (TLH + LSC). The main aim of this study was to compare clinical and patient reported outcomes of uterine sparing versus concomitant hysterectom

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