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Medicina
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Recent Advances in Gynecological Surgery
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Recent Advances in Gynecological Surgery

A special issue of Medicina (ISSN 1648-9144). This special issue belongs to the section "Obstetrics and Gynecology".

Deadline for manuscript submissions: 30 December 2025 | Viewed by 1207

Special Issue Editor

Dr. Felice Sorrentino

E-Mail Website
Guest Editor
Department of Medical and Surgical Sciences, University of Foggia, Foggia, Italy
Interests: gynecological surgery; hysteroscopy; laparoscopy; endometriosis; gynecological oncology; urogynecology
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

Over the years, gynecological surgery has evolved due to the numerous technological innovations that have paved the way for new therapeutic approaches. Minimally invasive surgery is the standard approach to the
performance of several gynecologic procedures. Surgical innovations in hysteroscopic surgery (mini-resectoscopes, intrauterine morcellators, tissue retrieval systems, diode lasers, new miniaturized mechanical instruments, endometrial ablation devices, and portable and entry-level hysteroscopes) have radically changed the methods of treating intrauterine pathologies.

Laparoscopic surgery has widely extended its applications, with the development of miniaturized instruments (mini- and micro-laparoscopy), CO2 laser vaporization, diode laser vaporization, in-bag contained port-site power morcellement, and transvaginal extraction of the surgical specimen, and even the adoption of natural orifice specimen extraction (NOSE), following bowel resection for deep infiltrating endometriosis robotic-assisted surgery, has been adopted in several countries. Robotics may offer technological and ergonomic benefits that overcome the limitations associated with conventional laparoscopy. In addition, the
recent development of vaginal natural orifice transluminal endoscopic surgery (vNOTES) has allowed us to combine the advantages of a minimally invasive approach, such as laparoscopy, with the known benefits of
vaginal surgery. In this Special Issue, we would like to move this field forward by inviting original clinical and basic research articles, meta-analyses, and systematic reviews focused on new advances in gynecological surgery.

The purpose of this Special Issue is to address the recent developments of gynecological surgical procedures and new technological advances. We look forward to receiving your submissions to move the field of gynecological surgery forward.

Dr. Felice Sorrentino
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 100 words) can be sent to the Editorial Office for announcement on this website.

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. Medicina is an international peer-reviewed open access monthly 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 2200 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
  • laparoscopy
  • robotics
  • vNOTES
  • laser
  • gynecological surgery
  • resectoscope

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Published Papers (2 papers)

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Research

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11 pages, 1919 KiB  
Article
Evaluating the Anchorflow Suture Technique Versus Conventional Continuous Suturing in Vaginal Cuff Closure During TLH: A Multicenter Retrospective Analysis
by Gizem Berfin Uluutku Bulutlar, Gizem Boz İzceyhan, Eralp Bulutlar and Fisun Vural
Medicina 2025, 61(5), 813; https://doi.org/10.3390/medicina61050813 - 28 Apr 2025
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Abstract
Background and Objectives: Total laparoscopic hysterectomy (TLH) is a commonly performed gynecological procedure. Vaginal cuff closure significantly impacts operative time and outcomes. This study evaluates the newly developed Anchorflow Suture (AFS) technique compared to conventional continuous suturing in terms of efficiency and [...] Read more.
Background and Objectives: Total laparoscopic hysterectomy (TLH) is a commonly performed gynecological procedure. Vaginal cuff closure significantly impacts operative time and outcomes. This study evaluates the newly developed Anchorflow Suture (AFS) technique compared to conventional continuous suturing in terms of efficiency and safety. Materials and Methods: A multicenter retrospective cohort study was conducted at two tertiary referral hospitals involving 208 women who underwent TLH for benign indications. Women were divided into two groups based on vaginal cuff closure technique: AFS and continuous suturing. Demographic characteristics, surgical parameters, and postoperative outcomes were analyzed using appropriate statistical tests, with a significance level of p < 0.05. Results: No significant differences were found between groups in age, BMI (body mass index), gravida, parity, or menopausal status. Vaginal cuff closure time was significantly shorter with AFS (10.26 ± 2.3 min) compared to continuous suturing (13.36 ± 2.8 min, p < 0.001). Operative time was shorter in the AFS group, though not statistically significant (p = 0.15). Both techniques demonstrated similar safety profiles, with no cases of vaginal cuff dehiscence and comparable rates of granulation tissue formation, bleeding, and urinary incontinence. The AFS group showed a slightly lower incidence of postoperative bleeding (five cases vs. three cases). Conclusions: The AFS technique significantly reduces vaginal cuff closure time and demonstrates a comparable safety profile to continuous suturing. This method enhances surgical efficiency without increasing complications. Further prospective studies are needed to evaluate its long-term effects on pelvic floor integrity, sexual function, and surgeon proficiency. Full article
(This article belongs to the Special Issue Recent Advances in Gynecological Surgery)
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Review

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13 pages, 612 KiB  
Review
Management of Myomectomy Scar Pregnancy: A Scoping Review
by Felice Sorrentino, Lorenzo Vasciaveo, Francesca Greco, Elisa Giansiracusa, Francesco D’Antonio, Alessandro Lucidi, Andrea Etrusco, Antonio Simone Laganà, Guglielmo Stabile and Luigi Nappi
Medicina 2025, 61(5), 817; https://doi.org/10.3390/medicina61050817 - 29 Apr 2025
Viewed by 396
Abstract
Background: Ectopic pregnancy (EP) is defined as the implantation of an embryo outside the uterine cavity, which can lead to high morbidity and mortality if not diagnosed and treated promptly. A rare form of EP is myomectomy scar pregnancy (MSP), where the [...] Read more.
Background: Ectopic pregnancy (EP) is defined as the implantation of an embryo outside the uterine cavity, which can lead to high morbidity and mortality if not diagnosed and treated promptly. A rare form of EP is myomectomy scar pregnancy (MSP), where the embryo implants in a scar from a prior myomectomy. Due to its rarity, MSP presents unique diagnostic and therapeutic challenges. This scoping review aims to map the existing literature on MSP to better understand the diagnostic strategies, management options, and clinical outcomes associated with this condition, and to identify gaps in current research. Methods: We conducted a scoping review by searching databases such as PubMed, Scopus, Web of Science, and MEDLINE for studies published between 2003 and 2023. Keywords used in combination included “myomectomy scar pregnancy”, “scar pregnancy”, “leiomyoma”, “uterine myomectomy”, “PAS disorders”, “placenta previa”, and “placenta accreta”. Studies were screened for relevance and eligibility by two independent reviewers. Data were extracted from case reports, retrospective studies, and reviews discussing MSP. Results: From an initial set of 111 studies, 28 papers met the inclusion criteria, comprising 4 retrospective studies and 24 case reports. A total of 44 cases of MSP were analyzed. The majority of diagnoses were made through ultrasound, with magnetic resonance imaging (MRI) used in more complex cases. Surgical interventions, primarily cesarean sections and myometrial repairs, were the most common treatments, while medical therapy with methotrexate was less frequently applied. Conclusions: This scoping review highlights the challenges of diagnosing and managing MSP due to its rarity. Although surgical management remains the primary approach, there is a lack of consensus on the optimal treatment for different clinical scenarios. Further research is needed to establish standardized diagnostic and therapeutic protocols for MSP and to evaluate the long-term outcomes of affected patients. Full article
(This article belongs to the Special Issue Recent Advances in Gynecological Surgery)
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