Endoscopy in Gynecology and Gynecologic Oncology

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Medical Imaging and Theranostics".

Deadline for manuscript submissions: 31 August 2025 | Viewed by 761

Special Issue Editor


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Guest Editor
Department of Obstetrics and Gynecology, Faculty of Medicine, University of Debrecen, 4032 Debrecen, Hungary
Interests: immunology of heathy and pathologic pregnancy; immunology of gynecologic malignancies; operative gynecology
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Special Issue Information

Dear Colleagues,

Gynecological endoscopy has emerged as a cornerstone in the diagnostic and therapeutic management of various gynecologic conditions. This minimally invasive approach, primarily encompassing hysteroscopy and laparoscopy, allows for direct visualization and intervention in the uterine and pelvic cavities, respectively. Hysteroscopy is instrumental in diagnosing intrauterine pathologies such as endometrial polyps, fibroids, and adhesions, while laparoscopy is crucial for evaluating and treating pelvic conditions like endometriosis, ovarian cysts, and tubal pathology. These techniques offer significant advantages over traditional surgical methods, including reduced recovery times, decreased postoperative pain, and lower complication rates. Furthermore, the integration of high-definition imaging systems and advanced instrumentation has markedly improved diagnostic accuracy and therapeutic precision. In fertility treatments, gynecological endoscopy plays a vital role in procedures like tubal recanalization and the treatment of uterine abnormalities affecting implantation. Robotic-assisted laparoscopy has further enhanced the surgeon’s dexterity, minimizing human error in complex procedures. In addition to these general applications, gynecological endoscopy has become increasingly important in the field of oncologic surgery, allowing for the early detection and minimally invasive treatment of gynecological cancers, such as cervical, endometrial, and ovarian malignancies. This Special Issue of Diagnostics aims to highlight recent advancements, challenges, and future perspectives in gynecological endoscopy, with a particular focus on both benign and malignant conditions. We invite submissions that explore novel endoscopic techniques, as well as those that examine the role of endoscopy in gynecologic oncology, including advancements in tumor resection, staging, and sentinel lymph node mapping. The contributions presented here will reflect the latest research and clinical innovations, underscoring the transformative potential of endoscopic techniques in modern women’s healthcare, particularly in the realm of cancer diagnosis and treatment.

Topics of interest for this Special Issue include (but are not limited to) the following:

  • New trends in gynecologic endoscopy;
  • Standardization of surgical procedures;
  • Advances in surgical interventions and minimally invasive procedures;
  • Personalized treatment approaches for gynecological malignancies;
  • Multidisciplinary care and collaborative management strategies;
  • Radiological and surgical staging of gynecologic cancer;
  • Pre- and postoperative care;
  • Sentinel lymph node mapping;
  • Artificial intelligence, machine learning, emerging digital technologies, and their impact in surgical gynecology.

Dr. Rudolf Lampé
Guest Editor

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Keywords

  • gynecology
  • endoscopy
  • operative gynecology

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Published Papers (1 paper)

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Research

17 pages, 5547 KiB  
Article
A Stepwise Anatomy-Based Protocol for Total Laparoscopic Hysterectomy: Educational Tool with Broad Clinical Utility
by Rudolf Lampé, Nóra Margitai, Péter Török, Luca Lukács and Mónika Orosz
Diagnostics 2025, 15(14), 1736; https://doi.org/10.3390/diagnostics15141736 - 8 Jul 2025
Viewed by 378
Abstract
Background: Total laparoscopic hysterectomy (TLH) is widely accepted as the preferred minimally invasive technique for the treatment of benign gynecologic conditions. However, significant heterogeneity persists in the literature regarding the operative sequence, particularly for steps such as uterine artery ligation, ureteral identification, and [...] Read more.
Background: Total laparoscopic hysterectomy (TLH) is widely accepted as the preferred minimally invasive technique for the treatment of benign gynecologic conditions. However, significant heterogeneity persists in the literature regarding the operative sequence, particularly for steps such as uterine artery ligation, ureteral identification, and vaginal cuff closure. This lack of standardization may affect complication rates, reproducibility in surgical training, and procedural efficiency. The objective of this study was to develop and evaluate a standardized, anatomically justified surgical protocol for TLH primarily designed for training purposes but applicable to most clinical cases. Methods: This retrospective observational study analyzed 109 patients who underwent TLH between January 2016 and July 2020 at a single tertiary care center. A fixed sequence of surgical steps was applied in all cases, emphasizing early uterine artery ligation at its origin, broad ligament fenestration above the ureter, and laparoscopic figure-of-eight vaginal cuff closure. Patient demographics, operative data, and perioperative outcomes were extracted and analyzed. Results: The mean operative time was 67.2 ± 18.4 min, and the mean uterine weight was 211.9 ± 95.3 g. Intraoperative complications were observed in 3.7% of cases and included bladder injury in 1.8% and small bowel injury in 1.8%, all of which were managed laparoscopically without conversion. Vaginal cuff dehiscence occurred in 1.8%, and postoperative vaginal bleeding in 3.7% of patients. One patient (0.9%) required reoperation due to a vaginal cuff hematoma/abscess. No postoperative infections requiring intervention were reported. The mean hemoglobin drop on the first postoperative day was 1.2 ± 0.9 g/dL. Conclusions: Our findings support the feasibility, reproducibility, and safety of a structured TLH protocol based on anatomical landmarks and early vascular control. Widespread adoption of similar protocols may improve consistency and training, with broad applicability in routine surgical practice and potential adaptation in severely complex cases; however, further validation in multicenter studies is warranted. Full article
(This article belongs to the Special Issue Endoscopy in Gynecology and Gynecologic Oncology)
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