Journal of minimally invasive gynecology
Audio Summaries

The effect of Polyethylene Glycol on constipation prophylaxis after benign gynaecological laparoscopy: A randomized controlled trial

Mar 23, 2026

The authors aimed to determine whether short-term postoperative administration of polyethylene glycol (PEG) 3350 could reduce constipation rates following benign gynecological laparoscopy. Although the study found a 20% absolute risk reduction in constipation rates at one week post-surgery, this was not statistically significant; however, PEG 3350 was associated with improvements in specific constipation symptoms and was well tolerated by patients.

Extracorporeal sliding knot technique for simplified hysteroscopic suture fixation of levonorgestrel-releasing intrauterine device

Mar 22, 2026

The authors aimed to simplify the hysteroscopic suture fixation technique for levonorgestrel-releasing intrauterine devices (LNG-IUDs) to improve its adoption in clinical practice, particularly for women with adenomyosis at risk of expulsion. They developed an optimized extracorporeal sliding knot method that reduces technical complexity and eliminates the need for repeated instrument exchanges, while maintaining the efficacy of the original technique. This innovation enhances the reproducibility and accessibility of the procedure for broader use.

Infectious morbidity risk of laparoscopic myomectomy concomitant hysteroscopy: a national surgical quality improvement program (NSQIP) analysis

Mar 21, 2026

The authors aimed to determine whether performing hysteroscopy alongside laparoscopic myomectomy increases the risk of surgical site infections (SSI) within 30 days post-operation. Their analysis of data from the ACS National Surgical Quality Improvement Program found no significant increase in SSI rates or postoperative urinary tract infections associated with the addition of hysteroscopy, even after adjusting for various risk factors. Thus, concomitant hysteroscopy does not appear to elevate the risk of infectious morbidity in this surgical context.

Adnexal Torsion: The "Hotdog in a Bun" Technique for Adnexal Detorsion and Fixation A Step-by-Step Demonstration Video

Mar 20, 2026

The authors aim to demonstrate the efficacy of the 'Hotdog in a Bun' technique for laparoscopic ovarian pexy as a primary or prophylactic intervention following adnexal detorsion. They present a case study of a 23-year-old woman who underwent this method to prevent recurrent torsion, highlighting its simplicity, effectiveness, and potential to preserve ovarian function and fertility. The technique is positioned as a valuable option for gynecologic surgeons to reduce recurrence rates of ovarian torsion.

Treatment of hepatic ectopic pregnancy by laparoscopy- A Case Report

Mar 19, 2026

This case report investigates the feasibility and safety of laparoscopic resection for treating hepatic ectopic pregnancy. The authors present a successful treatment of a 34-year-old female patient with a cystic liver lesion, highlighting that laparoscopic surgery can be effectively utilized in selected cases of superficial, resectable ectopic pregnancies in the liver.

Fluorescence‑Navigated Robotic Resection of Pelvic Schwannoma with Hypogastric Nerve Preservation

Mar 19, 2026

The authors aim to demonstrate the benefits of integrating robotic-assisted surgery with Indocyanine Green (ICG) fluorescence imaging for the excision of pelvic schwannomas while preserving the hypogastric nerve. Their findings indicate that this combined approach enhances intraoperative visualization, allows for precise dissection in complex pelvic anatomy, and minimizes surgical morbidity, ultimately leading to successful tumor removal and nerve preservation. This case represents a novel technique in gynecologic surgery, highlighting its potential for improving patient outcomes.

SP Robot-assisted vNOTES for a right ovarian cystectomy

Mar 18, 2026

The authors aim to demonstrate the feasibility and technique of performing a right ovarian cystectomy using the da Vinci SP robotic platform through robot-assisted vaginal natural orifice transluminal endoscopic surgery (vNOTES). They present a single patient case report that illustrates the surgical steps, including adhesiolysis and cyst isolation, highlighting the advantages of the robotic system. The findings suggest that robot-assisted vNOTES is a viable approach for ovarian cystectomy.

Minimally Invasive Single-Incision Sling Surgery for Stress Urinary Incontinence: Age-Related Outcomes and Predictors of Failure

Mar 18, 2026

The authors aimed to evaluate the age-related outcomes of single-incision sling (SIS) surgery for stress urinary incontinence (SUI) in women and identify predictors of treatment failure, particularly in elderly patients. They found that while SIS is generally effective, cure rates significantly decline with age, and specific risk factors such as obesity, asthma, low maximal urethral closure pressure, and intrinsic sphincter deficiency are associated with higher failure rates in older women. This information can help optimize patient selection and counseling for SIS procedures.

Predicting the Need for Surgery in Tubo-Ovarian Abscess: A Clinical Evaluation and External Validation of Risk Scores

Mar 18, 2026

The authors aimed to identify clinical and imaging factors that predict the success of conservative management for tubo-ovarian abscesses and to validate two existing risk scores. Their findings revealed that factors such as older age, larger abscess size, Gardnerella vaginalis infection, and abdominal guarding were significant predictors of surgical intervention, while the validated risk scores demonstrated poor discriminatory ability. The study highlights the need for more reliable prediction models and emphasizes the importance of external validation before clinical application.

Intraoperative Proctosigmoidoscopy Following Bowel Endometriosis Surgery: A Retrospective Evaluation

Mar 16, 2026

The authors aimed to evaluate the effectiveness of intraoperative proctosigmoidoscopy in enhancing surgical outcomes for patients undergoing bowel endometriosis surgery. Their retrospective study of 26 patients revealed that this technique can identify complications such as bleeding and leaks at the anastomosis site, potentially improving intraoperative decision-making and reducing complications. Overall, the findings suggest that intraoperative proctosigmoidoscopy is a valuable adjunct in these surgical procedures.