{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T17:05:34Z","timestamp":1772989534306,"version":"3.50.1"},"reference-count":11,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:00:00Z","timestamp":1707955200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T00:00:00Z","timestamp":1707955200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100003653","name":"Korea National Institute of Health","doi-asserted-by":"publisher","award":["HI20C1234"],"award-info":[{"award-number":["HI20C1234"]}],"id":[{"id":"10.13039\/501100003653","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp;amp; Obste"],"published-print":{"date-parts":[[2024,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>ArtiSential, a class of innovative laparoscopic instrument, has been developed to overcome the limitations of conventional laparoscopic surgery by enabling free, 360\u00b0\u2010unrestricted movement of the wrist joint, as in robotic surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The aim of the present study was to describe the initial experiences with these devices in myomectomy and to report the surgical outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 77 women undergoing laparoscopic or robotic myomectomy between January 2021 and June 2022 were included in this multicenter prospective study. The ArtiSential instruments used by the surgeons were those chosen according to their respective preferences. The baseline characteristics, surgical outcomes, trocar placement options, and operator survey results were scrutinized.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean age of the patients was 39.9\u2009\u00b1\u20096.3, and the mean body mass index (BMI, calculated as weight in kilograms divided by the square of height in meters) was 22.4\u2009\u00b1\u20093.4\u2009kg\/m\n                      <jats:sup>2<\/jats:sup>\n                      ; 46.8% of the patients underwent robotic surgery, while 53.2% underwent laparoscopic surgery. The number of removed myomas was 3.3\u2009\u00b1\u20093.0, the size of the largest myoma was 7.1\u2009\u00b1\u20092.3\u2009cm, and the operative time was 130.0\u2009\u00b1\u200954.0\u2009min. No transfusions or laparotomy conversions were required. Other than one case of ileus, there were no postoperative complications. In most cases, the instruments were inserted through the umbilicus trocar, and the fenestrated forceps, needle holder, and bipolar fenestrated forceps, in that order, were frequently employed. According to a surgeon survey, 29.9% moderately or strongly agreed that the ArtiSential devices utilized were more convenient than conventional laparoscopic instruments, while only 9.7% moderately or strongly agreed that they were more convenient than robotic instruments.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Myomectomy as performed with an ArtiSential instrument seems to be feasible and safe. Further studies are necessary in order to comparatively assess the outcomes and potential benefits of ArtiSential, robotic, and conventional laparoscopic myomectomy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.15420","type":"journal-article","created":{"date-parts":[[2024,2,15]],"date-time":"2024-02-15T08:49:07Z","timestamp":1707986947000},"page":"648-654","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Myomectomy with\n                    <scp>ArtiSential<\/scp>\n                    fully articulating laparoscopic instruments: A prospective multicenter study"],"prefix":"10.1002","volume":"166","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2254-2703","authenticated-orcid":false,"given":"Seyeon","family":"Won","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology, CHA Gangnam Medical Center CHA University School of Medicine  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kidong","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Seoul National University Bundang Hospital  Seongnam Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Keun Ho","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Seoul St. Mary's Hospital, The Catholic University of Korea  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tae\u2010Joong","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Samsung Medical Center Sungkyunkwan University School of Medicine  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Taehun","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Seoul Metropolitan Government Seoul National University Boramae Medical Center  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jong Ha","family":"Hwang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology International St. Mary's Hospital, Catholic Kwandong University College of Medicine  Incheon Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hyun","family":"Park","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, CHA Bundang Medical Center CHA University  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min Kyu","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Samsung Changwon Hospital, Sungkyunkwan University of Medicine  Changwon Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dae Gy","family":"Hong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, School of Medicine Kyungpook National University  Daegu Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong Jung","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Pusan National University School of Medicine  Yangsan Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Seok Ju","family":"Seong","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology, CHA Gangnam Medical Center CHA University School of Medicine  Seoul Republic of Korea"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,2,15]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.4103\/jmas.JMAS_88_21"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/jmas.jmas_394_21"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10151-022-02588-y"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.7602\/jmis.2021.24.1.35"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.4111\/icu.20220182"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.16262"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.4293\/JSLS.2018.00030"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2020.02.019"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s42804-021-00096-8"},{"key":"e_1_2_9_11_1","first-page":"29","article-title":"The Artisential(R) articulated laparoscopic forceps: dry lab study to examine dexterity and learning effects in operators with different levels of laparoscopic experience","volume":"38","author":"Darwich I","year":"2021","journal-title":"Surg Technol Int"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.5230\/jgc.2021.21.e2"}],"container-title":["International Journal of Gynecology &amp; 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