About this Research Topic
With new trends, new improvements, new devices and instrumentations in minimally invasive surgery (MIS), surgical reproductive techniques have significantly evolved and nowadays have assumed a pivotal point also in infertility treatment, reproductive medicine and cervical insufficiency with the opening of new scenarios. Minimally invasive reproductive surgery (MIRS) can be used to treat infertility, improve fertility treatment outcomes, or preserve fertility. However, complications in MIS have a significant risk rate which must not be underestimated. In regards to reproductive outcomes, some pathologies as t-shaped uterus remain unclear and there is no consensus on the definition and diagnostic method for this condition.
Knowledge of the correct genitourinary embryology is essential for the understanding, study, diagnosis and subsequent treatment of genital malformations. Especially complex ones and those that lead to gynecological and reproductive problems, particularly in young patients. Some anomalies may require complex surgery involving multiple specialties. However, the vast majority can typically be resolved vaginally by hysteroscopy with new devices as intrauterine morcellator or by laparoscopy and robotic approach as, for instance, severe endometriosis.
Every surgical procedure always presents risks and associated complications. For example, MIRS may damage ovarian reserve in some instances. This technique is essential in maximizing chances of pregnancy by minimizing risks, although those still remain high. Furthermore, we need to focus on intrauterine devices for the prevention of intrauterine adhesions after MIRS. The widespread use of the MIS may be limited by the technical difficulty of this procedure and the patient selection should be individualized taking into account the skill of the surgeon. Therefore, it is requested to focus on this important aspect of MIS complications that sometimes could totally compromise women's fertility.
In this Special Issue, we would like to move this field forward by inviting, but not limited to, original clinical and basic research articles, meta-analyses and systematic reviews focusing on complication in MIRS. We will be grateful to receive your submissions to move the field of MIRS forward.
Knowledge of the correct genitourinary embryology is essential for the understanding, study, diagnosis and subsequent treatment of genital malformations. Especially complex ones and those that lead to gynecological and reproductive problems, particularly in young patients. Some anomalies may require complex surgery involving multiple specialties. However, the vast majority can typically be resolved vaginally by hysteroscopy with new devices as intrauterine morcellator or by laparoscopy and robotic approach as, for instance, severe endometriosis.
Every surgical procedure always presents risks and associated complications. For example, MIRS may damage ovarian reserve in some instances. This technique is essential in maximizing chances of pregnancy by minimizing risks, although those still remain high. Furthermore, we need to focus on intrauterine devices for the prevention of intrauterine adhesions after MIRS. The widespread use of the MIS may be limited by the technical difficulty of this procedure and the patient selection should be individualized taking into account the skill of the surgeon. Therefore, it is requested to focus on this important aspect of MIS complications that sometimes could totally compromise women's fertility.
In this Special Issue, we would like to move this field forward by inviting, but not limited to, original clinical and basic research articles, meta-analyses and systematic reviews focusing on complication in MIRS. We will be grateful to receive your submissions to move the field of MIRS forward.
Keywords: Minimally Invasive Surgery, Human Reproduction, Obstetrics and Gynecological Surgery, Complications, MIS, MIRS
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