BMC women's health
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Fluid deficit-related complications in hysteroscopic surgery using normal saline as distension medium: a retrospective analysis of four surgical modalities and risk factors

Jul 21, 2026

The authors aimed to compare fluid deficit volumes across four hysteroscopic procedures using normal saline as a distension medium and to identify risk factors for excessive fluid deficit. They found that transcervical resection of myoma (TCRM) had the highest fluid absorption and associated complications, with factors such as FIGO type 2 myoma, prolonged operative time, and higher distension pressure being significant predictors of excessive fluid deficit. The study suggests that using a lower intrauterine pressure of 80 mmHg may be a safer approach during TCRM, although the findings require further prospective validation.

Robotic gynecologic surgery in Saudi Arabia: a descriptive retrospective cohort study of contemporary second-decade perioperative outcomes

Jul 21, 2026

This study aims to evaluate the perioperative safety and clinical trends associated with adverse events in robotic gynecologic surgeries performed at a Saudi tertiary center over a two-year period. The findings indicate a high level of safety, with a 0% conversion rate to laparotomy and low complication rates, suggesting that robotic surgery is a reliable option even for patients with multiple comorbidities. The authors highlight exploratory associations between prior cesarean sections, blood loss, and operation duration as potential risk factors for perioperative events.

Association of vaginal dysbiosis with cervical lesions among women with non-16/18 high-risk HPV infections: a cross-sectional study of 2,264 women in Eastern China

Jul 21, 2026

The authors aimed to investigate the association between vaginal dysbiosis and the risk of cervical lesions in women infected with non-16/18 high-risk HPV genotypes. Their cross-sectional study of 2,264 women found that while vaginal dysbiosis was linked to cervical lesions, particularly with HPV58 and HPV59, the results did not reach statistical significance for multiplicative interactions. The findings are exploratory and suggest the need for further prospective studies to validate these associations before considering changes to cervical cancer screening practices.

Beyond the floodwaters: women's multidimensional vulnerability to flood disasters - a scoping review

Jul 21, 2026

This scoping review investigates the multidimensional vulnerabilities faced by women during flood disasters, aiming to synthesize existing evidence on how social, economic, cultural, and institutional factors contribute to these vulnerabilities. The authors identify five interacting domains of vulnerability—physical, social, psychological, economic, and environmental—and develop a conceptual framework to illustrate the relationship between structural conditions and women's adaptive capacities in disaster contexts. Ultimately, the study highlights the need for gender-responsive disaster risk reduction strategies that acknowledge and address these complex vulnerabilities.

Comparison of vaginal natural orifice transluminal endoscopic surgery and multiport conventional laparoscopy for complete pelvic lymphadenectomy: Insights from a single-surgeon experience

Jul 21, 2026

The authors aimed to compare the outcomes of complete pelvic lymphadenectomy performed via vaginal natural orifice transluminal endoscopic surgery (vNOTES) versus multiport conventional laparoscopy (MCL) in patients with endometrial cancer after unsuccessful sentinel lymph node mapping. They found that while vNOTES resulted in significantly lower postoperative pain and improved recovery scores, it also had longer operative times compared to MCL, with no significant differences in blood loss or lymph node yield. The study suggests that vNOTES may offer advantages in terms of pain and recovery, but further research is needed to confirm these findings and assess long-term oncologic outcomes.

A predictive model for recurrence after hysteroscopic endometrial polypectomy: a combined analysis of clinical and ultrasound parameters

Jul 21, 2026

The authors aimed to develop and validate a predictive model that assesses the 12-month recurrence risk following hysteroscopic endometrial polypectomy by analyzing clinical characteristics and ultrasound parameters. They found that factors such as a history of polycystic ovary syndrome, increased endometrial thickness, and a higher number of polyps were significant predictors of recurrence. The resulting model demonstrated strong predictive performance and could aid in risk stratification and personalized follow-up care for patients.

Severe anemia and red cell product ordering burden among women hospitalized with benign uterine disorders: a retrospective cohort study using MIMIC-IV

Jul 21, 2026

This study aimed to investigate the prevalence and implications of severe anemia among women hospitalized with benign uterine disorders, specifically examining its association with red cell product ordering and ICU admissions. The authors found that severe anemia was present in nearly a quarter of the hospitalizations and was significantly linked to increased red cell product orders and longer hospital stays, highlighting its role as a marker of hospital burden in this patient population. The findings underscore the need for awareness and management of anemia in women with benign gynecological conditions to optimize healthcare resources.

From mechanics to mobilization: a biomechanically-informed rehabilitation framework for cesarean-related scars

Jul 21, 2026

The authors aim to address the lack of a standardized, biomechanically informed rehabilitation framework for managing cesarean-related scars, both superficial (abdominal wall) and deep (uterine niche). They propose a three-tier biomechanical framework for rehabilitation while highlighting significant evidence gaps, particularly regarding interventions for deep scars. The study emphasizes the need for future research to validate these approaches and improve care for post-cesarean patients.

Outcomes of first 60 vaginal myomectomies by one gyn surgeon with 20 years of extensive vaginal surgical expertise

Jul 21, 2026

This study aimed to evaluate the changes in operative performance during the first 60 vaginal myomectomies performed by a single experienced surgeon. The results indicated that improvements in bleeding parameters and hospitalization duration were evident after the first 15 procedures, while operative efficiency stabilized after approximately 30-34 cases, highlighting the learning curve associated with this surgical technique.

Beyond visual inspection: can a multimodal machine learning model improve the preoperative differentiation of endometrial polyps from non-polypoid endometrial lesions?

Jul 20, 2026

The authors aimed to develop a multimodal machine learning model that integrates clinical data and ultrasound features to enhance the non-invasive preoperative differentiation between endometrial polyps and non-polypoid endometrial lesions. Their study found that while the gradient boosting decision tree model showed improved discriminative performance compared to traditional methods, the overall diagnostic accuracy was still insufficient for clinical decision-making, underscoring the need for histopathological confirmation. The findings suggest that further advancements, particularly in incorporating quantitative radiomic features, are necessary for better preoperative risk stratification.