Advances in Diagnostic and Operative Hysteroscopy, 2nd Edition

A special issue of Diagnostics (ISSN 2075-4418). This special issue belongs to the section "Clinical Diagnosis and Prognosis".

Deadline for manuscript submissions: 31 December 2025 | Viewed by 398

Special Issue Editor


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Guest Editor
2nd Department of Obstetrics and Gynecology, Medical School, National and Kapodistrian University of Athens, 115 28 Athens, Greece
Interests: gynecology; obstetrics; reproductive; endocrinology; mullerian anomalies; PCOS; pediatric gynecology; high-risk pregnancy; adolescent gynecology; minimally invasive surgery
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Special Issue Information

Dear Colleagues,

This Special Issue of Diagnostics, an open access journal, on the topic of “Advances in Diagnostic and Operative Hysteroscopy, 2nd Edition” will publish a broad range of original papers covering the full spectrum of the hysteroscopic technique. Hysteroscopy is a valuable tool in modern minimally invasive gynecologic surgery; as such, the journal invites high-quality submissions on current research and review articles, aiming to shed light on controversies and clinical practice. In addition to research and reviews, it also welcomes meta-analyses, practice guidelines, and more.

Topics of interest include general gynecology, infertility, pediatric and adolescent gynecology, Mullerian anomalies, gynecologic oncology, pelvic medicine, pros and cons of various hysteroscopic techniques, etc. This Special Issue focuses on the diagnosis, prediction, prevention, and treatment of various gynecological disorders.

As our audience is global, the aim of this Special Issue is to play a major role in providing education in relation to hysteroscopy, both throughout Europe and around the world.

Dr. Panagiotis Christopoulos
Guest Editor

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 250 words) can be sent to the Editorial Office for assessment.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Diagnostics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2600 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • hysteroscopy
  • diagnosis
  • technique
  • malformation
  • uterus
  • endometrial
  • anomaly
  • minimally invasive
  • pathology

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Published Papers (1 paper)

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Research

12 pages, 1080 KB  
Article
Single-Session No-Touch Hysteroscopic Mechanical Resection for Cesarean Scar Pregnancy: A Novel Primary Treatment Approach
by Cihan Bademkiran, Kevser Arkan, Mehmet Yaman, Ihsan Bagli, Mehmet Obut, Mesut Bala, Mesut Ali Haliscelik, Muhammed Hanifi Bademkiran and Pelin Bademkiran
Diagnostics 2025, 15(23), 3030; https://doi.org/10.3390/diagnostics15233030 - 28 Nov 2025
Viewed by 247
Abstract
Background/Objective: Cesarean scar pregnancy (CSP) represents a challenging and potentially life-threatening form of ectopic pregnancy. This study aims to assess the feasibility, safety, and clinical efficacy of employing the hysteroscopic mechanical tissue removal system as a primary treatment modality for CSP. Methods [...] Read more.
Background/Objective: Cesarean scar pregnancy (CSP) represents a challenging and potentially life-threatening form of ectopic pregnancy. This study aims to assess the feasibility, safety, and clinical efficacy of employing the hysteroscopic mechanical tissue removal system as a primary treatment modality for CSP. Methods: This retrospective cohort study included 53 patients diagnosed with CSP who underwent primary hysteroscopic resection at a tertiary care center. The surgical procedure was performed by prioritizing the “no-touch” vaginoscopic approach, which avoids instrumentation. Success rates, operation time, time to negative serum β-hCG, complications, and differences between the anatomical types of CSP (Type 1 vs. Type 2) were analyzed. Results: Primary hysteroscopic treatment was successful in 51 of 53 patients (96.2%). For the entire cohort, the median operative time was 7 min (range: 2–30), and the median interval to β-hCG negativization was 11 days (range: 6–45). The overall major complication rate was 3.8% (n = 2). One case was deemed unsuccessful due to conversion to laparotomy following uterine perforation during cervical dilation. Another patient, diagnosed with persistent trophoblastic disease requiring methotrexate (MTX) therapy, was also considered a treatment failure. Operative time was significantly longer in patients with Type II CSP compared with Type I (median 9 min vs. 5 min; p = 0.0004). Conclusions: Hysteroscopic mechanical tissue removal as a primary treatment for cesarean scar pregnancy represents an effective and safe “one-step” approach, characterized by a high success rate, rapid β-hCG resolution, and a low incidence of complications. This fertility-preserving, minimally invasive technique may be considered a primary treatment option for hemodynamically stable patients with CSP, provided that appropriate patient selection is undertaken and sufficient surgical expertise is available. Full article
(This article belongs to the Special Issue Advances in Diagnostic and Operative Hysteroscopy, 2nd Edition)
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