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Unlabelled: Cold knife hysteroscopic myomectomy (CKHM) is a minimally invasive surgical technique used to remove submucosal fibroids, commonly associated with infertility.
Methods: A comprehensive literature search was conducted across databases including PubMed, Scopus, and Google Scholar, focusing on studies published from 2011 to 2024. The aim of this narrative review was to highlight the minimally invasive cold loop resectoscopic approach for the treatment of submucosal fibroids.
Results: The review revealed that CKHM is associated with favorable fertility outcomes, with studies reporting increased pregnancy rates; most studies indicated that CKHM did not negatively affect endometrial function.
Conclusions: Cold knife hysteroscopic myomectomy is a safe and effective option for women with submucosal fibroids who wish to preserve fertility due its minimal invasiveness and low complication rates.
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http://dx.doi.org/10.3390/healthcare13141651 | DOI Listing |
Ann Med Surg (Lond)
September 2025
Universal College of Medical Sciences, Bhairahawa, Nepal.
Background: Adult duplex kidney with ureterocele is rarely diagnosed, especially when the upper moiety retains function. While pediatric laser decompression is established, the use of thulium fiber laser (TFL) with dual DJ stenting in adult duplex ureteroceles remains rare.
Case Presentation: A 23-year-old female presented in a tertiary care hospital with intermittent right flank pain and recurrent UTIs for 3 months.
Front Oncol
August 2025
Guang'an People's Hospital, Gynecology Department, Guang'an, Sichuan, China.
Objective: To evaluate the clinical effectiveness and prognostic outcomes of colposcopy-guided LEEP compared with cold knife conization (CKC) in the treatment of cervical intraepithelial neoplasia (CIN).
Methods: 124 patients with CIN in our hospital from January 2022 to December 2023 were chosen and classified into the control group (62 cases) and the observation group (62 cases) according to the therapeutic schedule. The observation group was treated with colposcopy combined with LEEP, while the control group underwent conventional cold knife conization (CKC).
Cureus
June 2025
Department of Gynecology, Gansu Maternal and Child Health Care Hospital (Gansu Provincial Central Hospital), Lanzhou, CHN.
Intrauterine adhesions (IUA) are a common gynecologic disorder usually caused by infection, surgery, or trauma. Its pathogenesis is complex and involves multiple factors such as cytokines, inflammatory responses, and tissue fibrosis. In recent years, diagnostic and therapeutic options for uterine adhesions have evolved, encompassing both traditional surgical methods and emerging biologic therapies.
View Article and Find Full Text PDFHealthcare (Basel)
July 2025
Department of Neurosciences, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health (DiNOGMI), University of Genoa, 16132 Genoa, Italy.
Unlabelled: Cold knife hysteroscopic myomectomy (CKHM) is a minimally invasive surgical technique used to remove submucosal fibroids, commonly associated with infertility.
Methods: A comprehensive literature search was conducted across databases including PubMed, Scopus, and Google Scholar, focusing on studies published from 2011 to 2024. The aim of this narrative review was to highlight the minimally invasive cold loop resectoscopic approach for the treatment of submucosal fibroids.
Gynecol Oncol
July 2025
Department of Gynecologic Oncology, Center of Gynecologic Oncology Amsterdam, Antoni van Leeuwenhoek/Netherlands Cancer Institute, Amsterdam, the Netherlands.
Introduction: Conservative treatment options for cervical adenocarcinoma in situ (AIS) include a large loop excision of the transformation zone (LLETZ) and cold-knife conisation (CKC). Since each subsequent intervention might have adverse effects, this study aimed to 1) describe the risk of residual AIS, cervical intraepithelial neoplasia (CIN) grade 3, and cervical cancer (combined AIS/CIN3+) after the first surgical procedure and 2) develop a prediction model for residual AIS/CIN3+.
Methods: AIS/CIN3+ incidence was assessed in Dutch patients with AIS who underwent a LLETZ or CKC between 1990 and 2021.