Journal of minimally invasive gynecology
Audio Summaries

Robot-Assisted Transumbilical Single-Site Resection of Bulky Para-Aortic Lymph Nodes in Endometrial Cancer

Sep 21, 2026

The authors aim to demonstrate the feasibility and technique of robot-assisted transumbilical single-site resection of bulky para-aortic lymph nodes in a patient with endometrial cancer. They detail the surgical process, highlighting the advantages of this minimally invasive approach, including ergonomic benefits and precise dissection capabilities. The successful outcome in the case presented suggests that this technique may be a viable option for selected patients with similar conditions.

A Structured Two-Phase Workflow for Transvaginal Natural Orifice Transluminal Endoscopic Sacrocolpopexy: A 24-Case Consecutive Feasibility Series

Sep 21, 2026

The authors aimed to evaluate the feasibility and perioperative outcomes of transvaginal natural orifice transluminal endoscopic surgery (vNOTES) sacrocolpopexy using a structured two-phase workflow. In a series of 24 cases, they found that the procedure was completed successfully in 23 patients, with a low complication rate and no mesh-related issues during a median follow-up of 12.2 months. The study suggests that this approach is feasible, but further research is needed to assess comparative effectiveness and long-term outcomes.

EXTRAPERITONEAL PELVIC AND PARA-AORTIC LYMPHADENECTOMY VIA VAGINAL NATURAL ORIFICE TRANSLUMINAL ENDOSCOPIC SURGERY IN ENDOMETRIAL CANCER: A CASE REPORT

Sep 17, 2026

The authors aim to demonstrate the feasibility of extraperitoneal pelvic and para-aortic lymphadenectomy for staging endometrial cancer using vaginal natural orifice transluminal endoscopic surgery (vNOTES). The case report details a successful procedure performed on a 64-year-old woman, highlighting the benefits of this scarless approach, including reduced postoperative pain and minimal abdominal trauma, while noting the need for further studies to compare its efficacy to traditional laparoscopic methods.

Methods for Development of AAGL Clinical Practice Guidelines

Sep 16, 2026

The authors aim to outline the standardized methods employed by the AAGL Practice Guideline Committee for developing evidence-based clinical practice guidelines in complex benign gynecology and minimally invasive surgery. They detail the roles and responsibilities of the internal team and emphasize the importance of methodological rigor, transparency, consistency, and accountability in the guideline development process.

Patient- and disease-related characteristics to anticipate segmental resection for isolated rectal endometriosis: a multicenter prospective study

Sep 13, 2026

The authors aimed to identify predictors for segmental resection in patients with isolated rectal endometriosis. Their multicenter study found that rectal nodule length on ultrasound and MRI circumference were significant factors associated with the need for segmental resection, suggesting these measurements should be routinely assessed preoperatively to guide surgical planning and patient counseling.

Navigating the Obstacle: Hysteroscopic Management of Voluntary Termination of Pregnancy Behind a Giant Previa Isthmic Myoma

Sep 12, 2026

The authors aim to demonstrate a minimally invasive two-step surgical strategy for managing a complex first-trimester voluntary termination of pregnancy obstructed by a large previa isthmic myoma. They present a combined approach of Uterine Artery Embolization followed by hysteroscopic resection, which proved to be safe and effective, minimizing complications and preserving fertility. The results indicate that this method successfully addressed the obstruction while allowing for complete restoration of the endometrial cavity.

The Erkilinc Technique for vNOTES Hysterectomy: A Speculum-Assisted Approach Without Prior Vaginal Dissection: A 163-Case Series

Sep 11, 2026

The authors aimed to evaluate the feasibility, safety, and learning curve of a novel speculum-assisted glove-port technique for vNOTES hysterectomy, termed the Erkilinc technique, in a series of 163 women undergoing surgery for benign conditions. The results indicated that this approach is efficient and safe, with a low complication rate and a significant reduction in surgical time as proficiency improved. Overall, the Erkilinc technique may broaden the use of vNOTES for non-prolapsed uteri while ensuring operative safety and efficiency.

Hysteroscopy-assisted laparoscopic tubo-tubal reanastomosis using a modified sequential distal-knot suturing technique in women after sterilization

Sep 9, 2026

The authors aim to present a modified sequential distal-knot suturing technique for hysteroscopy-assisted laparoscopic tubo-tubal reanastomosis, addressing the challenges of traditional laparoscopic procedures in restoring fertility after sterilization. By demonstrating this technique through a narrated video, they highlight its feasibility, reduced operative time, and potential to minimize tubal injury, making it a more accessible option for women seeking fertility restoration post-sterilization.

Clinical outcomes of Vaginal Natural Orifice Transluminal Endoscopic Surgery (VNOTES) in Gynecology: A Comprehensive Systematic Review and Meta-Analysis

Sep 6, 2026

The authors aimed to evaluate the clinical outcomes of vaginal natural orifice transluminal endoscopic surgery (vNOTES) compared to conventional minimally invasive surgery (MIS) for benign gynecologic procedures. Their systematic review and meta-analysis of 33 studies involving over 4,000 patients found that vNOTES was associated with shorter operative times, reduced postoperative pain, fewer complications, and shorter hospital stays, suggesting it is an effective alternative to conventional MIS. However, the authors note that further prospective studies are needed to refine patient selection and indications for vNOTES.

Uterus-Preserving Cold-Knife Adenomyomectomy within a Three-Stage Treatment Strategy for Severe Diffuse Adenomyosis and Its effect on IVF/ICSI and Perinatal Outcomes

Sep 4, 2026

The authors aimed to evaluate the impact of a three-stage treatment strategy, including cold-knife adenomyomectomy, on IVF/ICSI and perinatal outcomes in women with severe diffuse adenomyosis. The study found that this approach significantly reduced uterine size and miscarriage risk, while achieving favorable clinical pregnancy and live birth rates, although it also noted a concerning incidence of uterine ruptures during delivery. The findings suggest that this fertility-sparing technique may optimize reproductive outcomes, but further research is needed to confirm these results in larger populations.