{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T15:56:13Z","timestamp":1792166173233,"version":"4.4.0"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T00:00:00Z","timestamp":1741910400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100011912","name":"Taipei Veterans General Hospital","doi-asserted-by":"publisher","award":["V114C 039"],"award-info":[{"award-number":["V114C 039"]}],"id":[{"id":"10.13039\/501100011912","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100020595","name":"National Science and Technology Council","doi-asserted-by":"publisher","award":["MOST 113 057 MY3"],"award-info":[{"award-number":["MOST 113 057 MY3"]}],"id":[{"id":"10.13039\/100020595","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Gynecology &amp; Obste"],"published-print":{"date-parts":[[2025,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To verify identified predictors of surgical outcomes in transcervical resection of myoma (TCRM) in Filipino women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analytical cross\u2010sectional study was done on 474 women who underwent TCRM between 2010 and 2020, in St Luke's Medical Center, Philippines. Ethical exemption was granted by the Institutional Ethics Committee. Identified predictors of prolonged operative time (&gt;60\u2009min)\u2014increased blood loss (&gt;70\u2009mL), fluid overload, uterine perforation, and incomplete resection\u2014in published research studies were analyzed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Univariate analysis revealed that European Society for Gynecological Endoscopy (ESGE) type 2, and myoma size \u22655\u2009cm, myoma number \u22653 were associated with prolonged operative time. ESGE type 2 and myoma size \u22655\u2009cm were associated with increased blood loss and incomplete resection. Myoma size \u22655\u2009cm, an intraoperative fluid deficit of 1000\u2009mL (hypotonic) or 2500\u2009mL (isotonic), and prolonged operative time were correlated with fluid overload. ESGE type 2 is associated with uterine perforation. Only a Lasmar score \u22655 was significantly associated with all the aforementioned unfavorable surgical outcomes. Multivariate analysis showed that a Lasmar score \u22655 (odds ratio [OR] 6143.26; 95% confidence interval [CI] 456\u201382\u2009680;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.001) and myoma size \u22655\u2009cm (OR 21.56; 95% CI 1.67\u2013277;\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.019) were independent predictors of adverse surgical outcomes.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This study verified that the Lasmar classification can predict TCRM complexity with cut\u2010off values of 5 for both Lasmar score and myoma size. We recommend that the use of the Lasmar scoring classification preoperatively may be beneficial in TCRM in Filipino women.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ijgo.70015","type":"journal-article","created":{"date-parts":[[2025,3,14]],"date-time":"2025-03-14T09:24:15Z","timestamp":1741944255000},"page":"801-809","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Predictors of surgical outcomes in transcervical resection of myoma"],"prefix":"10.1002","volume":"170","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-0193-0464","authenticated-orcid":false,"given":"Elizabeth Joan E.","family":"Ocampo","sequence":"first","affiliation":[{"name":"Section of Minimally Invasive Gynecologic Surgery, Department of Obstetrics and Gynecology St. Luke's Medical Center  Quezon City Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2378-953X","authenticated-orcid":false,"suffix":"Jr.","given":"Macario F.","family":"Reandelar","sequence":"additional","affiliation":[{"name":"Research and Biotechnology St. Luke's Medical Center  Quezon City Philippines"},{"name":"Community and Family Medicine FEU\u2010NRMF School of Medicine  Quezon City Philippines"},{"name":"Research Department New Era University, College of Medicine  Quezon City Philippines"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6048-8541","authenticated-orcid":false,"given":"Peng\u2010Hui","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Taipei Veterans General Hospital and National Yang Ming Chiao Tung University  Taipei Taiwan"},{"name":"Department of Medical Research China Medical University Hospital  Taichung Taiwan"},{"name":"Female Cancer Foundation  Taipei Taiwan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,3,14]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1097\/CM9.0000000000002971"},{"key":"e_1_2_11_3_1","first-page":"41","article-title":"POGS 2019 report on obstetrical and gynecological indicators of healthcare","volume":"44","author":"Macayaon AM","year":"2020","journal-title":"Philipp J Obstet Gynecol"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2024.11.002"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/00006250-200010000-00007"},{"key":"e_1_2_11_6_1","first-page":"126","article-title":"Hysteroscopic myomectomy","volume":"16","author":"Piecak K","year":"2017","journal-title":"Przegl Menopauzalny"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tjog.2024.12.001"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/aogs.13209"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2012.03.026"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.1590\/S0100-720320140005139"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.4274\/tjod.galenos.2020.64280"},{"key":"e_1_2_11_12_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10397-016-0983-z"},{"key":"e_1_2_11_13_1","first-page":"185","volume-title":"Complications of Gynecologc Endoscopic Surgery","author":"Isaacson K","year":"2006"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0040-1713915"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2018.06.020"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmig.2019.05.003"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajog.2012.07.027"},{"key":"e_1_2_11_18_1","first-page":"240","article-title":"Excellence needs training \u201cCertified programme in endoscopic surgery\u201d","volume":"6","author":"Campo R","year":"2014","journal-title":"Facts Views Vis Obgyn"},{"key":"e_1_2_11_19_1","unstructured":"Statement on ASA Physical Status Classification System.2020. 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