{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T03:48:03Z","timestamp":1782186483313,"version":"3.54.5"},"reference-count":14,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T00:00:00Z","timestamp":1780272000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate perioperative safety and pathological specimen quality in an endoCUT\u2010based non\u2010ligation cervical conization strategy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively reviewed consecutive patients who underwent cervical conization for suspected or confirmed cervical intraepithelial neoplasia (CIN) or adenocarcinoma in\u00a0situ (AIS) at Kawasaki Municipal Hospital between November 2023 and June 2025. The endoCUT\u2010based strategy comprised excision with endoCUT I without descending\u2010branch uterine artery ligation followed by soft\u2010coagulation hemostasis using a ball electrode. The primary outcomes were perioperative safety and pathological specimen quality, including margin evaluability and thermal\/crush artifact in the endoCUT\u2010based strategy group. A contemporaneous conventional ligation cohort was summarized as a contextual reference, and any between\u2010cohort analyses were exploratory.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among 50 screened patients, 43 were included: 20 treated with the endoCUT\u2010based strategy and 23 with conventional ligation. In the endoCUT\u2010based strategy group, median blood loss was 5\u2009g (range, 5\u2013357) and mean operation time was 24.3\u2009\u00b1\u20092.1\u2009min. Postoperative rebleeding occurred in 1 patient (5%), and no other clinically significant complications were observed. Additional absorbable topical hemostatic materials were used in 3 patients (15%). Margin status was evaluable in 18 cases, with 1 positive margin (6%); thermal\/crush artifact affecting evaluability was infrequent. In supportive contextual analyses, blood loss and operation time were similar between cohorts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The endoCUT\u2010based non\u2010ligation conization strategy appeared feasible and was associated with favorable short\u2010term perioperative safety and pathology\u2010oriented outcomes. Further prospective studies with standardized and longitudinal assessment are warranted to more rigorously evaluate this strategy.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jog.70349","type":"journal-article","created":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T02:38:38Z","timestamp":1780367918000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Feasibility and Short\u2010Term Outcomes of an\n                    <scp>endoCUT<\/scp>\n                    \u2010Based Non\u2010Ligation Cervical Conization Strategy: A Single\u2010Center Retrospective Study"],"prefix":"10.1111","volume":"52","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9919-1692","authenticated-orcid":false,"given":"Takuma","family":"Yoshimura","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology Kawasaki Municipal Hospital  Kawasaki\u2010shi Japan"},{"name":"Department of Obstetrics and Gynecology Keio University School of Medicine  Shinjuku\u2010ku Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Isaaki","family":"Tatsuta","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kawasaki Municipal Hospital  Kawasaki\u2010shi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomohiro","family":"Suzuki","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Keio University School of Medicine  Shinjuku\u2010ku Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yukari","family":"Tsuchino","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kawasaki Municipal Hospital  Kawasaki\u2010shi Japan"},{"name":"Department of Obstetrics and Gynecology Keio University School of Medicine  Shinjuku\u2010ku Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nao","family":"Wakui","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kawasaki Municipal Hospital  Kawasaki\u2010shi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junko","family":"Ishigaki","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kawasaki Municipal Hospital  Kawasaki\u2010shi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6686-5742","authenticated-orcid":false,"given":"Takashi","family":"Takeda","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kawasaki Municipal Hospital  Kawasaki\u2010shi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seon\u2010Hye","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kawasaki Municipal Hospital  Kawasaki\u2010shi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenichi","family":"Someya","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kawasaki Municipal Hospital  Kawasaki\u2010shi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Takashi","family":"Iwata","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Keio University School of Medicine  Shinjuku\u2010ku Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wataru","family":"Yamagami","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Keio University School of Medicine  Shinjuku\u2010ku Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sakura","family":"Nakada","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology Kawasaki Municipal Hospital  Kawasaki\u2010shi Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,1]]},"reference":[{"issue":"9","key":"e_1_2_13_2_1","first-page":"611","article-title":"Lateral Hemostatic Sutures in Cold Knife Conization of the Cervix: What Do They Accomplish?","volume":"40","author":"Brown H. 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