MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'Gynecological Surgery' source. Fri, 12 Mar 2010 15:01:51 +0100 http://www.medworm.com/index.php?rid=3325168&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fhj714258p56kh676%2F This study directly compares total intrafascial laparoscopic (TAIL™) hysterectomy with vaginal (VH) and abdominal (AH) hysterectomy with regard to safety, operating time and time of convalescence. The study is a prospective cohort study (Canadian Task Force classification II-2), including data from patients of a single university-affiliated teaching institution, admitted between 1997 and 2008 for hysterectomy due to benign uterus pathology. Patient data were collected pre-, intra- and postoperatively and complications documented using a standardised data sheet of a Swiss obstetric and gynaecological study group (Arbeitsgemeinschaft Schweizerische Frauenkliniken, Amlikon/Switzerland). Classification of complications (major complications and minor complications) for all three operati... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3325168 Mon, 01 Mar 2010 18:09:07 +0100 3325168 http://www.medworm.com/index.php?rid=3325166&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh272008835q86j10%2F Content Type Journal ArticleCategory PerspectiveDOI 10.1007/s10397-010-0566-3Authors Ray Garry, 94 Westgate Guisborough TS14 6AP UKEllis Downes, The Kings Oak Hospital The Ridgeway Enfield Middlesex EN2 8SD UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3325166 Mon, 01 Mar 2010 18:09:07 +0100 3325166 http://www.medworm.com/index.php?rid=3325165&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh78kv5134p475364%2F This study aims to evaluate the face and construct validity of the Laparoscopic Skills Testing and Training (LASTT) model, developed by the European Academy of Gynaecological Surgery (EAGS) for assessing laparoscopic psychomotor skills (LPS). This study is designed based on the Canadian Task Force II-1. This study was conducted in workshops organised by the EAGS in 2008 and 2009. One hundred ninety-nine gynaecologists were classified in three groups according to their exposure to laparoscopy (G1: no/little, G2: intermediate, G3: important). Participants performed three repetitions of three exercises (E1: camera navigation, E2: hands–eyes coordination, E3: bimanual coordination) with measurable objectives to accomplish within a limited time frame. The face validity of the model was ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3325165 Mon, 01 Mar 2010 18:09:07 +0100 3325165 http://www.medworm.com/index.php?rid=3304571&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5543m1n568627618%2F We present an interesting case of ureteric metastasis arising from a primary cervical malignancy 5 years after initial treatment which highlights the role of careful history taking and examination in patients with previous malignancy. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-010-0561-8Authors Thumuluru Kavitha Madhuri, The Royal Surrey County Hospital Department of Gynaecological Oncology Level B, GOPD, Egerton Road Guildford Surrey GU2 7XX UKAnil Tailor, The Royal Surrey County Hospital Department of Gynaecological Oncology Level B, GOPD, Egerton Road Guildford Surrey GU2 7XX UKSimon Butler-Manuel, The Royal Surrey County Hospital Department of Gynaecological Oncology Level B, GOPD, Egerton Road Guildford Surrey GU2 7XX UK Journal Gynecologic... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3304571 Tue, 23 Feb 2010 07:47:24 +0100 3304571 http://www.medworm.com/index.php?rid=3304572&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv363844r45211855%2F We present a case of a 35-year-old lady with disseminated uterine leiomyomatosis diagnosed during laparoscopic uterine myomectomy, 7 years after a laparoscopy performed for the same reason. The disease should be kept in mind in order to avoid aggressive treatment due to the fact that the peritoneal myomas mimic malignant peritoneal tumors. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-010-0562-7Authors Dimitris Tourlakis, ETCA (Endoscopic Training Centre Antwerp) Ziekenhuis Netwerk Antwerpen (ZNA) Stuivenberg-Sint Erasmus Lange Ob/Gyn Department Beeldekensstraat, 276 2060 Antwerp BelgiumBenedikt Tas, ETCA (Endoscopic Training Centre Antwerp) Ziekenhuis Netwerk Antwerpen (ZNA) Stuivenberg-Sint Erasmus Lange Ob/Gyn Department Beeldekensstraat, 276 2060 An... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3304572 Tue, 23 Feb 2010 07:47:20 +0100 3304572 http://www.medworm.com/index.php?rid=3304573&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl38431748540823g%2F Abstract  Dyspareunia is a sexual dysfunction defined as genital pain experienced before, during, or after sexual intercourse. Pain during intercourse is a difficult clinical problem and one of the commonest complaints in gynecological practice. The causes of dyspareunia may be classified as organic, emotional, and psychological. Pelvic organ prolapse (POP) has been considered a cause of dyspareunia and sexual dysfunction may be affected positively or negatively by surgical treatment of prolapse. In this paper, the authors review the de novo dyspareunia after POP surgery. They conclude that the incidence of de novo dyspareunia was higher in series with vaginal repair with synthetic mesh than in abdominal sacropexy. Content Type Journal ArticleCategory Review ArticleDOI ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3304573 Tue, 23 Feb 2010 07:47:18 +0100 3304573 http://www.medworm.com/index.php?rid=3274401&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx36t82u156l4m742%2F Abstract  The aim of this study was to evaluate every part of the surgical procedure during cesarean section (CS) to prevent complications and improve the clinical outcome. We researched on PubMed, Medline, and Cochrane. The evidence-based research suggests a transverse incision of the skin, blunt dissection of the subcutaneous tissue, omission of the bladder flap, blunt extension of the hysterotomy, prophylactic antibiotics, spontaneous placental removal, leaving the peritoneum open, and suture closure of the subcutaneous tissue when thickness is ≥2 cm. We hope that all evidence-based description will help to perform the CS safer, and for all surgical procedures not yet studied, further research is needed. Content Type Journal ArticleCategory Review ArticleDOI 10.... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3274401 Sat, 13 Feb 2010 06:48:26 +0100 3274401 http://www.medworm.com/index.php?rid=3274402&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe204770565848840%2F Abstract  The purpose of this study is to determine whether injection of absolute alcohol into cysts cavities, after cyst aspiration, is useful to treat benign breast cysts (BBCs) and to reduce its rate of recurrence. Fifteen women with recurrent BBC were enrolled in a 3.5 years follow-up study. Cyst aspiration and replacement by an equal volume of absolute alcohol (99%) within cysts cavities was performed under guidance of ultrasonography. BBC was defined as a breast cyst without cytologic changes for malignancy. Ultrasonographic breast images and breast biopsies were performed to verify cyst resolution and recurrence. Breast cysts completely disappeared in six (40%) women and significantly decreased its average size (67 ± 38 to 5.2 ± 6.8 mm, p = 0.... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3274402 Sat, 13 Feb 2010 06:48:24 +0100 3274402 http://www.medworm.com/index.php?rid=3270537&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F13561231r7w60631%2F Abstract  In 30 years, 1,669 patients underwent open microsurgery for tubal diseases. Several techniques like adhesiolysis, reanastomosis, fimbrioplasty, salpingoneostomy, proximal reconstruction, isthmo-ostial anastomosis and reimplantation are described. Results were excellent for patients with a favourable prognosis (1,517 patients) and with very high pregnancy rate: 80% pregnancies with delivery for tubal reversal, 68% for proximal diseases, 75.1% for fimbrioplasty and 55% for salpingoneostomy. Risks of ectopic pregnancy were very low: 1.5% for tubal reversal (because the tubes were healthy), 4% for proximal diseases, 4% for fimbrioplasty and 6.7% for salpingoneostomy. Results were very low for patients with a poor prognosis (152 patients): 10% pregnancies with del... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3270537 Fri, 12 Feb 2010 07:09:52 +0100 3270537 http://www.medworm.com/index.php?rid=3264889&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj6265v01w5450020%2F Abstract  The purpose of the study was to construct a clinical profile of a patient more likely to have ovarian torsion (OT). The study design was a retrospective chart review (Canadian Task Force Classification II-3). The study was done in a tertiary referral center setting. Patients were 78 women who underwent laparoscopy for suspected ovarian torsion. Intervention done was urgent laparoscopic surgery. The main outcome measure was a comparison of demographic data and the presenting signs and symptoms of the women with and without laparoscopically proven OT. Multivariable analysis was performed with a logistic regression model in order to determine the independent risk predictors for OT. The following factors were found to be predictive of OT: vomiting (OR = 5.67, 95% ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3264889 Mon, 08 Feb 2010 17:31:18 +0100 3264889 http://www.medworm.com/index.php?rid=3248027&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw845566725683k14%2F Content Type Journal ArticleCategory Surgical EponymsDOI 10.1007/s10397-009-0537-8Authors M. Thiery, Foundation Jan Palfyn and Museum of Medical History Ghent Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 7 Journal Issue Volume 7, Number 1 / February, 2010 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3248027 Thu, 04 Feb 2010 18:12:27 +0100 3248027 http://www.medworm.com/index.php?rid=3248029&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl3t4j1635688jj66%2F Content Type Journal ArticleDOI 10.1007/s10397-010-0555-6 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 7 Journal Issue Volume 7, Number 1 / February, 2010 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3248029 Thu, 04 Feb 2010 18:12:21 +0100 3248029 http://www.medworm.com/index.php?rid=3248028&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5265w7317456087r%2F Content Type Journal ArticleCategory ESGE NewsletterDOI 10.1007/s10397-009-0548-5Authors Klaus J. Neis Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 7 Journal Issue Volume 7, Number 1 / February, 2010 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3248028 Thu, 04 Feb 2010 18:12:21 +0100 3248028 http://www.medworm.com/index.php?rid=3248030&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4158477wr7j427t6%2F Content Type Journal ArticleCategory Surgical ShortcutsDOI 10.1007/s10397-009-0541-z Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 7 Journal Issue Volume 7, Number 1 / February, 2010 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3248030 Thu, 04 Feb 2010 18:12:19 +0100 3248030 http://www.medworm.com/index.php?rid=3248031&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk777p833wh734j77%2F We present this unusual case of fibroepithelial polyp of the vagina as a cause for PMB. Vaginal fibroepithelial polyp is a rare lesion, and although benign, it can be confused with malignant connective tissue lesions. Treatment is simple excision, and recurrence is extremely uncommon. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-010-0554-7Authors Janaki Putran, Colchester Hospital University NHS Foundation Trust Department of Obstetrics and Gynaecology Turner Road Colchester CO4 5JL UKRachana Gupta, Colchester Hospital University NHS Foundation Trust Department of Obstetrics and Gynaecology Turner Road Colchester CO4 5JL UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3248031 Thu, 04 Feb 2010 18:12:06 +0100 3248031 http://www.medworm.com/index.php?rid=3241817&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp9487n4151357412%2F We present two cases of nulligravida and multiparous women who had absolute frozen pelvises with no motion whatsoever of their pelvic structures on bimanual examination. Conventionally, these patients would have been approached by open hysterectomy only. We do not consider a frozen pelvis from what appears to be a benign case a contraindication to the laparoscopic approach. Content Type Journal ArticleCategory Clinical PracticeDOI 10.1007/s10397-010-0558-3Authors M. Sami Walid, Medical Center of Central Georgia 840 Pine Street, Suite 880 Macon GA 31201 USARichard L. Heaton, Heart of Georgia Women’s Center 209 Green Street Warner Robins GA 31099 USA Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3241817 Wed, 03 Feb 2010 17:56:34 +0100 3241817 http://www.medworm.com/index.php?rid=3241819&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe88p38ku23084983%2F Content Type Journal ArticleCategory PerspectiveDOI 10.1007/s10397-010-0552-9Authors Michelle Nisolle, University of Liège Department of Obstetrics and Gynecology CHR de La Citadelle, Boulevard du Douzième De Ligne, 1 4000 Liège Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3241819 Wed, 03 Feb 2010 17:56:32 +0100 3241819 http://www.medworm.com/index.php?rid=3241818&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe426824388977321%2F Abstract  Centers of excellent endometriosis surgery could improve the care of women with endometriosis, especially if combined with control of the quality of the surgery performed, e.g., through systematic taping of entire interventions. Centers of excellence in endometriosis without emphasis on providing excellent surgery seem of little value and could do more harm than good. Content Type Journal ArticleCategory PerspectiveDOI 10.1007/s10397-009-0549-4Authors Philippe R. Koninckx, KULeuven Leuven BelgiumAnastasia Ussia, Gruppo Italo Belga Villa del Rosario Rome Italy Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3241818 Wed, 03 Feb 2010 17:56:32 +0100 3241818 http://www.medworm.com/index.php?rid=3224152&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8x01645840808pj6%2F Abstract  Pseudomyxoma peritonei (PMP) is a rare condition consisting of mucinous ascites, most commonly arising from mucinous tumours of the appendix and occasionally from the ovary. Very rarely, mucinous deposits arise in the retroperitoneum without intraperitoneal involvement. This has been termed pseudomyxoma extraperitonei (PME). Our 48-year-old female patient presented with PME mimicking a psoas abscess for which retroperitoneal exploration and biopsy was done with accidental breach of the peritoneum. She declined further surgery and re-presented 4 years later with disseminated PMP. She underwent debulking surgery including right oophorectomy which was confirmed as the primary tumour source. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-0... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3224152 Wed, 27 Jan 2010 20:30:18 +0100 3224152 http://www.medworm.com/index.php?rid=3206743&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fa81644888650552q%2F We report on a case of pelvic inflammatory disease in a 53 year old woman using an intrauterine contraceptive device (IUD) for a time period of 22 years. Clinical symptoms were fever up to 38°C and severe abdominal pain. Endoscopic findings were a tubo-ovarian abscess of the complete pelvis and a forgotten IUD with a smear positive for Escherichia coli and Candida albicans. The patient was treated with a surgical therapy and by antibiotic combination. Diagnosis was performed by histopathological examination. Content Type Journal ArticleCategory Clinical PracticeDOI 10.1007/s10397-009-0550-yAuthors Doerte W. Luedders, University Hospital of Schleswig-Holstein Department of Obstetrics and Gynaecology Campus Luebeck, Ratzeburger Allee 160 23538 Luebeck GermanyNektarios Chal... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3206743 Fri, 22 Jan 2010 14:21:07 +0100 3206743 http://www.medworm.com/index.php?rid=3161844&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F384125gp81055401%2F We present a case series of five patients with clinical, sonographic, or histological diagnosis of retained products of conception following either failed surgical evacuation or postpartum. All were treated surgically without complication using the loop of a saline hysteroscopic resectoscope to allow removal under direct vision of retained tissue. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-009-0542-yAuthors J. D. M. Nicopoullos, Chelsea & Westminster Foundation Trust Department of Gynaecology 369 Fulham Rd London SW10 9NH UKA. Treharne, Chelsea & Westminster Foundation Trust Department of Gynaecology 369 Fulham Rd London SW10 9NH UKA. Raza, Chelsea & Westminster Foundation Trust Department of Gynaecology 369 Fulham Rd London SW10 9NH UKR. Richardson, Ch... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3161844 Thu, 07 Jan 2010 22:22:07 +0100 3161844 http://www.medworm.com/index.php?rid=3121572&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj8370k820w785407%2F We present a previously unreported case of a grossly visible, fully developed intestinal segment protruding from an ovarian teratoma. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0545-8Authors David B. Nelson, University of Texas Southwestern Medical Center/Parkland Health and Hospital System Department of Obstetrics and Gynecology 5323 Harry Hines Boulevard Dallas TX 75235-9032 USABarbara L. Hoffman, University of Texas Southwestern Medical Center/Parkland Health and Hospital System Department of Obstetrics and Gynecology 5323 Harry Hines Boulevard Dallas TX 75235-9032 USAYuri Lemeshev, University of Texas Southwestern Medical Center/Parkland Health and Hospital System Department of Obstetrics and Gynecology 5323 Harry Hines Boulevard Dallas TX 75235-9032... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3121572 Wed, 23 Dec 2009 22:35:48 +0100 3121572 http://www.medworm.com/index.php?rid=3117218&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fr883nvu5v805vr72%2F This study was conducted to determine if hydroxymethylglutaryl-CoA (HMG-CoA) reductase inhibitor statin, known to protect postoperative adhesion in animal model, affect the expressing tissue-type plasminogen activator (tPA) in peritoneal cells in culture. Human peritoneal Met5A cells were used to examine the effects of hydrophobic statin lovastatin on the level of tPA. PA concentrations were measured by real-time polymerase chain reaction and enzyme-linked immunosorbent assay. Active RhoA form was also examined. Lovastatin caused concentration-dependent tPA expression associated with fall of RhoA active level in Met5A cells. These lovastatin-induced changes were significantly overcome by the addition of geranylgeranyl pyrophosphate (intermediate of HMG-CoA pathway). A RhoA protein in... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3117218 Mon, 21 Dec 2009 23:01:43 +0100 3117218 http://www.medworm.com/index.php?rid=3106085&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3tp5641235424424%2F Αbstract  Metaplastic breast carcinoma represents a very rare neoplasm which accounts for less than 1% of all breast malignancies. Τhe tumour usually consists of epithelial and non-epithelial elements in different amounts and variables. Herein, we present a case of a 59-year-old woman who presented with a 7-month history of a large painless mass in the upper outer quadrant of her left breast that proved to be a metaplastic carcinoma. The metastatic workup revealed one small metastasis in the upper lobe of the right lung. Treatment included neoadjuvant chemotherapy, surgery, postoperative radiotherapy and adjuvant chemotherapy. The neoplasm usually does not express oestrogen and progesterone receptors as well as Her2/neu protein. The tumour has a dismal prognosis with the ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3106085 Fri, 18 Dec 2009 07:08:37 +0100 3106085 http://www.medworm.com/index.php?rid=3106084&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3062gr5874qj9v46%2F In conclusion, complete excision of urachal remnants in women affected of pelvic pain is advisable in order to treat the symptoms and can be safely performed by a laparoscopic approach. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-009-0544-9Authors Juan Gilabert-Estelles, Hospital Casa de Salud Unit of Gynecological Endoscopy Av. Manuel Candela 41 46010, 46009 Valencia SpainJuan Gilabert-Aguilar, Hospital Casa de Salud Unit of Gynecological Endoscopy Av. Manuel Candela 41 46010, 46009 Valencia Spain Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3106084 Fri, 18 Dec 2009 07:08:37 +0100 3106084 http://www.medworm.com/index.php?rid=3098599&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F271260432035n6g5%2F Abstract  Significant ovarian masses complicate 0.2% to 2% of pregnancies. Although the risk of malignancy is low, complications resulting from distention, rupture and/or torsion of the adnexa can be a significant concern. As laparoscopic procedures improve and our experience with laparoscopy in pregnant women increases, more and more patients with these complications find that they can forego laparotomy and manage their condition safely through laparoscopic removal of the mass. The subject of the case study presented here was a 39-year-old woman diagnosed with bilateral adnexal masses during the first trimester of pregnancy. A bilateral ovarian laparoscopic cystectomy was performed at 16 weeks with a favourable outcome. The pathological diagnosis was “mature cystic ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3098599 Tue, 15 Dec 2009 07:07:28 +0100 3098599 http://www.medworm.com/index.php?rid=3087230&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F722033132n76h2kn%2F In conclusion, we intended to enlarge the current experience with radical hysterectomy in transplanted kidney patients with early stage cervical cancer. Although surgical difficulties existed, we could attest the feasibility and oncologic safety of the method. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-009-0539-6Authors Giovanni Favero, Charitė Universitätsmedizin Berlin, Campus Mitte and Benjamin Franklin Department of Gynecology 10117 Berlin GermanyMalgorzata Lanowska, Charitė Universitätsmedizin Berlin, Campus Mitte and Benjamin Franklin Department of Gynecology 10117 Berlin GermanyAchim Schneider, Charitė Universitätsmedizin Berlin, Campus Mitte and Benjamin Franklin Department of Gynecology 10117 Berlin GermanySimone Marnitz, Charite Universit... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3087230 Sat, 12 Dec 2009 14:18:10 +0100 3087230 http://www.medworm.com/index.php?rid=3087231&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fdh02q13045656591%2F Content Type Journal ArticleCategory Editorial and PerspectiveDOI 10.1007/s10397-009-0540-0Authors Ivo Brosens, Leuven Institute for Fertility and Embryology Leuven Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3087231 Thu, 10 Dec 2009 15:10:00 +0100 3087231 http://www.medworm.com/index.php?rid=3065269&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ffwm7018430122288%2F The objective of this work is to present and analyze our da Vinci S robotic surgery results in the treatment of gynecologic tumors for a 1-year period. Fifty-one patients underwent da Vinci S (Intuitive Surgical, USA) robotic surgery at the Medical University—Pleven Gynecologic Oncology Clinic from January 2008 to January 2009. Robot-assisted radical hysterectomy with total pelvic lymph node dissection was performed in 28 (54.9%) of them, robot-assisted total hysterectomy in 21 (41.2%), and robot-assisted pelvic lymph node dissection in two (3.9%). The average length of the operative intervention, from the beginning of the CO2 insufflation of the abdomen to closing trocar skin incision was 119.89 min (± 43.441) and mean console time was 76.56 min (± 32.904). The ave... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3065269 Fri, 04 Dec 2009 21:17:37 +0100 3065269 http://www.medworm.com/index.php?rid=3042134&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp307p17004124807%2F Abstract  Total hysterectomy has been shown to have more clinical benefits when performed with a laparoscopic approach in comparison to traditional open surgery. However, multiple puncture sites might increase trocar-associated complications, such as bleeding, hernias, and wound infection and the cosmetic results are not always optimal. The umbilicus, an embryonic natural orifice, is an anatomical structure that may be used to perform advanced gynecological procedures, further reducing the morbidity associated with classical laparoscopic surgery. Leiomyomas are one of the most common indications for hysterectomy in women not wishing to conceive. Uterine size may be a limiting factor for laparoscopic single-incision approach to hysterectomy due to difficulties encountered to... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3042134 Thu, 26 Nov 2009 08:00:55 +0100 3042134 http://www.medworm.com/index.php?rid=3010646&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8857152q66gj5475%2F We report the first case of successful management of cornual heterotpic pregnancy by Harmonic ACE® and a favourable outcome of the intrauterine pregnancy. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0534-yAuthors Sonia Chachan, Royal Surrey County Hospital Department of Gynaecology Guildford Surrey GU2 7XX UKN. Waters, Post Graduate Medical School, University of Surrey Department of Gynaecology, Institution: Minimal Access Therapy Training Unit Manor Park Guildford Surrey GU2 7WG UKA. Kent, Post Graduate Medical School, University of Surrey Department of Gynaecology, Institution: Minimal Access Therapy Training Unit Manor Park Guildford Surrey GU2 7WG UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3010646 Tue, 17 Nov 2009 23:49:35 +0100 3010646 http://www.medworm.com/index.php?rid=2997857&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F440574143376335k%2F Abstract  At present, there are only few data on the surgical outcomes of laparoscopic hysterectomy (LH). Up till now, it has been unclear whether there is a difference in number of complications among the subcategories of laparoscopic total hysterectomy and laparoscopic subtotal hysterectomy (LSH). Therefore, we have performed a retrospective analysis to evaluate the peri- and postoperative outcomes in women undergoing LSH versus LH. This multi-centre retrospective cohort study (Canadian Task Force classification II-2) was conducted in multi-centres (two teaching hospitals and one university medical centre) in the Netherlands, all experienced in minimally invasive gynaecology. In a multi-centre retrospective cohort study we compared the long-term outcomes of laparoscopic s... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2997857 Fri, 13 Nov 2009 18:23:02 +0100 2997857 http://www.medworm.com/index.php?rid=2990972&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk2xw7012x6g66802%2F Abstract  The aim of this study was to estimate the incidence of minor complications after pelvic floor surgery as well as service utilisation for these complaints. One hundred consecutive women were asked about any troublesome symptoms following pelvic floor surgery. Sixty-six percent of women reported a troublesome complaint in the post-operative period. The most common symptom was vaginal discharge. Forty-four percent of this cohort sought the advice of a medical practitioner. These findings are important since patients may wish to know about the more common but fairly troublesome minor complaints found in this study. They also have implications for resource use following surgery. Content Type Journal ArticleCategory Original ArticlesDOI 10.1007/s10397-009-0531-1Author... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2990972 Thu, 12 Nov 2009 18:40:40 +0100 2990972 http://www.medworm.com/index.php?rid=2987113&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft1684746m3423rpx%2F We report our initial experience in a district general hospital and study the learning curve effect. This is a retrospective study of the first 125 women to have the TOT procedure (Aris® Transobturator Tape). Short-term follow-up took place with the operating gynecologist in the clinic 3 months postoperatively, while medium-term follow-up was assessed by a patient questionnaire at 18–36 months (mean 23 months). Short-term success rate was 89.3%. Complications were bladder injury 2.4%, postoperative urinary tract infection 8.1%, transient voiding dysfunction 13.7%, tape erosion 4.1%, and de novo urgency 14%. Questionnaire response rate was 66%. Subjective cure at 18–36 months was 81.5% with 88.9% reporting an improvement in quality of life. Ten women underwent... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2987113 Tue, 10 Nov 2009 18:46:38 +0100 2987113 http://www.medworm.com/index.php?rid=2971592&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft54248065u3t5jx0%2F Abstract  Leiomyomas are benign tumors frequently found in the fourth and fifth decades of life. Although the uterus is the most common site of origin of leiomyomas, they can develop at any site where there is smooth muscle cell. Extrauterine leiomyomas are not common and usually their diagnostic are more challenging. In this paper, we report one case of pelvic retroperitoneal leiomyoma associated to vulvar/perineal leiomyomas. A 47-year-old female patient presented with a 6-month history of deep dyspareunia, abdominal pain, dysuria, and pain during defecation. She had a previous history of two open myomectomies, a supracervical hysterectomy associated to the exeresis of a vulvar leiomyoma, and a left salpingo-oophorectomy. On vaginal examination, there was a tender and fir... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2971592 Fri, 06 Nov 2009 18:58:51 +0100 2971592 http://www.medworm.com/index.php?rid=2956990&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw3962520131m1757%2F Content Type Journal ArticleDOI 10.1007/s10397-009-0530-2 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Number 4 / November, 2009 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2956990 Mon, 02 Nov 2009 18:07:45 +0100 2956990 http://www.medworm.com/index.php?rid=2961382&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fdu6571453370q226%2F Content Type Journal ArticleCategory Surgical ShortcutsDOI 10.1007/s10397-009-0527-x Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Number 4 / November, 2009 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2961382 Mon, 02 Nov 2009 18:07:44 +0100 2961382 http://www.medworm.com/index.php?rid=2961383&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv31vg06725w05540%2F Content Type Journal ArticleCategory Surgical EponymsDOI 10.1007/s10397-009-0526-yAuthors M. Thiery, Jan Palfyn Foundation and Museum for History of Medicine, “Het Pand” Gent Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Number 4 / November, 2009 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2961383 Mon, 02 Nov 2009 18:07:41 +0100 2961383 http://www.medworm.com/index.php?rid=2896930&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe546322034835136%2F In conclusion, there is a significant reduction in collagen of endometrial/uterine tissue in patients submitted to UAE. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-009-0528-9Authors Cláudio Emílio Bonduki, Federal University of São Paulo Department of Gynecology Rua dos Otonis 601, Vila Clementino São Paulo SP BrazilGilmar de Oliveira Dornelas, Federal University of São Paulo Department of Gynecology Rua dos Otonis 601, Vila Clementino São Paulo SP BrazilAndré Bernardo, Federal University of São Paulo Department of Gynecology Rua dos Otonis 601, Vila Clementino São Paulo SP BrazilPaulo Cezar Feldner, Federal University of São Paulo Department of Gynecology Rua dos Otonis 601, Vila Clementino São Paulo SP BrazilRodrigo Aquino Castro, Federal Univ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2896930 Tue, 13 Oct 2009 08:18:39 +0100 2896930 http://www.medworm.com/index.php?rid=2880736&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh16g3275613p870q%2F Content Type Journal ArticleCategory AbstractsDOI 10.1007/s10397-009-0519-x Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Supplement 1 / October, 2009 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2880736 Fri, 09 Oct 2009 06:12:18 +0100 2880736 http://www.medworm.com/index.php?rid=2880738&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq27668731378l144%2F Content Type Journal ArticleCategory AbstractsDOI 10.1007/s10397-009-0517-z Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Supplement 1 / October, 2009 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2880738 Fri, 09 Oct 2009 06:12:17 +0100 2880738 http://www.medworm.com/index.php?rid=2880737&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F982674n3366817gl%2F Content Type Journal ArticleCategory AbstractsDOI 10.1007/s10397-009-0518-y Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Supplement 1 / October, 2009 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2880737 Fri, 09 Oct 2009 06:12:17 +0100 2880737 http://www.medworm.com/index.php?rid=2880739&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F82w5g2414k173781%2F Content Type Journal ArticleCategory AbstractsDOI 10.1007/s10397-009-0521-3 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Supplement 1 / October, 2009 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2880739 Fri, 09 Oct 2009 06:12:15 +0100 2880739 http://www.medworm.com/index.php?rid=2880740&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0k4152074n71q0k4%2F CONTENTS Content Type Journal ArticleDOI 10.1007/s10397-009-0525-z Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Supplement 1 / October, 2009 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2880740 Fri, 09 Oct 2009 06:12:14 +0100 2880740 http://www.medworm.com/index.php?rid=2835645&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm470423412737l0n%2F We report on a late presentation of bilateral hydrosalpinges 2 years following microwave endometrial ablation. The patient was reviewed in the Gynaecological Oncology Centre on account of a raised cancer antigen 125 (CA125) and suspicious appearances on ultrasound and computed tomography. Benign tubal masses should be considered amongst the differential diagnosis in women presenting with adnexal masses and a raised CA125 following endometrial ablative procedures. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-009-0523-1Authors Gbolahan Somoye, Aberdeen Royal Infirmary Department Gynaecological Oncology, Ward 43 Foresterhill Aberdeen AB25 2ZN UKStuart Thomas, Aberdeen Royal Infirmary Department of Pathology Foresterhill Aberdeen AB25 2ZN UKGail Fullerton, Ab... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2835645 Thu, 24 Sep 2009 05:48:14 +0100 2835645 http://www.medworm.com/index.php?rid=2833501&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F4206wt6225550174%2F Abstract  The cervico-isthmic pregnancy is a rare event occurring during pregnancy. In this current report, we describe a case of a woman with pregnancy developed within a previous cesarean section scar and successfully treated with conservative management. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-009-0515-1Authors Achille Tolino, University “Federico II” of Naples Departments of Obstetrics and Gynecology Naples ItalyLucia Battista, University “Federico II” of Naples Departments of Obstetrics and Gynecology Naples ItalyGaetano Chiacchio, University “Federico II” of Naples Departments of Obstetrics and Gynecology Naples ItalyErika Rania, University “Magna Graecia” of Catanzaro-Viale Europa Department of Gynecology and Obstetrics 8810... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2833501 Wed, 23 Sep 2009 06:01:52 +0100 2833501 http://www.medworm.com/index.php?rid=2833500&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc32g428362540136%2F We report a case of a patient who presented an intestinal obstruction following a TLRH for cervical cancer. The obstruction was caused by entrapment of a segment of small bowel under the dissected obliterated umbilical artery resulting in a loop incarceration. Wide radical pelvic dissection in radical hysterectomy usually leaves uncovered many dissected retroperitoneal structures. Postoperative bands and adhesions represent the main cause of bowel obstruction after a surgical procedure. Retroperitoneal vessel dissection is mandatory to achieve safely an adequate radicality, but it may lead to intestinal complications that should be taken into account. To our knowledge, this is the first report of postoperative bowel incarceration through the umbilical artery after a laparoscopic onco... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2833500 Wed, 23 Sep 2009 06:01:52 +0100 2833500 http://www.medworm.com/index.php?rid=2811137&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg276r0623332j376%2F Abstract  Human endometrial tissue is frequently biopsied under surgical and laparoscopic procedures for the investigation of infertility, abdominal, or menstrual pain. These symptoms often but not always are the consequence of endometriosis, which is characterised by the growth of endometrial tissue outside the uterine cavity and affecting 8–10% of women during the fertile age. First-line treatment is often by surgery. Biopsied endometrial tissue is not only used for immunohistochemical examination but has also been cultured in vitro. Explant culture systems maintain the three-dimensional structure of the tissue, but so far no morphological validation studies are available for the stromal cells which are responsible for the production of hormones and inflammatory cytokin... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2811137 Thu, 17 Sep 2009 12:21:49 +0100 2811137 http://www.medworm.com/index.php?rid=2811138&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0834472p6286756n%2F Abstract  A nulliparous woman presented with menorrhagia, anemia, and an enlarged uterus. A diagnosis of leiomyoma was made. At surgery, hysteroscopic resection was not possible because of the size of the mass. Laparotomy was performed and the uterus was opened through a “classical incision”. Hemostasis was secured with an intrauterine balloon. Histology revealed the mass to be an adenomyoma. Resecting an adenomyoma from the uterus can be complicated. Techniques, such as hysteroscopic examination before laparotomy, using a classical uterine scar, intrauterine balloon, and preoperative gonadotropin-releasing hormone analog may help to minimize the risks. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-009-0522-2Authors David Rose, Women’s Health ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2811138 Thu, 17 Sep 2009 12:21:48 +0100 2811138 http://www.medworm.com/index.php?rid=2811140&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu5741u3542234803%2F We present a unique case of cardiac and gingival metastases developing 4 years after total abdominal hysterectomy with bilateral salpingo-oophorectomy for primary uterine epithelial angiosarcoma. Initial treatment remains total abdominal hysterectomy with bilateral salpingo-oophorectomy. Limited distant metastases may be surgically resected in selected cases in order to improve quality of life or to prevent sudden death in untreated patients. Optimal chemotherapy regimens must be determined. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0514-2Authors Olivier Donnez, Cliniques Universitaires de Mont-Godinne Department of Gynecology 5530 Yvoir BelgiumEtienne Marbaix, Université Catholique de Louvain Department of Anatomopathology 1200 Brussels Belgiu... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2811140 Wed, 16 Sep 2009 18:51:59 +0100 2811140 http://www.medworm.com/index.php?rid=2811141&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb4371jp77q75q413%2F We present a female patient with breast CS. Relevant literature is briefly reviewed. A 65-year-old-woman was admitted for the management of a palpable mass of the left breast. Mammography depicted a high-density mass with marginal irregularity and pleomorphic calcification. Subsequent excisional biopsy revealed a biphasic metaplastic breast carcinoma, and the patient underwent a left-modified radical mastectomy. The final histopathologic diagnosis was defined as a metaplastic breast carcinoma of CS type, with a squamous cell epithelial component of intermediate and mainly low-grade differentiation. Recent case series describe CS as an uncommon lesion demonstrating an intimate admixture of adenocarcinoma and sarcoma. Current data represent further evidence of the dedifferentiation the... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2811141 Wed, 16 Sep 2009 18:51:58 +0100 2811141 http://www.medworm.com/index.php?rid=2811139&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fkp8646l89026x8pj%2F Abstract  A 46-year old woman presented with chronic and intractable pelvic pain persisting for several months. She claimed to have no symptoms related to bowel or urinary function. Content Type Journal ArticleCategory Clinical PracticeDOI 10.1007/s10397-009-0516-0Authors Ayman Al-Talib, McGill University Department of Obstetrics and Gynecology Montreal CanadaTogas Tulandi, McGill University Department of Obstetrics and Gynecology Montreal Canada Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2811139 Wed, 16 Sep 2009 18:51:58 +0100 2811139 http://www.medworm.com/index.php?rid=2732409&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy414u24524t76879%2F Abstract  Two elderly identical twin sisters with inguinal hernias and malignant gonadic tumors were diagnosed during surgery as having complete androgen insensitivity syndrome. Androgen insensitivity syndrome, also referred to as testicular feminization, is an X-chromosome-linked genetic condition in which the tissues of a genotypic male are unresponsive to androgens because of an anomaly of the androgen receptor. This results in feminization of the external genitalia. The internal genital organs including the cranial part of the vagina, cervix, uterus, and fallopian tubes are absent because of testicular inhibition during embryonic development. Patients most frequently present as young females with asymptomatic bilateral inguinal hernias. They may undergo normal puberty b... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2732409 Mon, 24 Aug 2009 16:53:20 +0100 2732409 http://www.medworm.com/index.php?rid=2697871&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy633863lk7868772%2F We present two such rare cases of parasitic fibroids attached to the sigmoid colon and urethra, respectively. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0511-5Authors Janaki Putran, Colchester Hospital University Foundation Trust Department of Obstetrics and Gynaecology Turner Road Colchester CO4 5JL UKKhaled Khaled, Colchester Hospital University Foundation Trust Department of Obstetrics and Gynaecology Turner Road Colchester CO4 5JL UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2697871 Tue, 11 Aug 2009 16:55:25 +0100 2697871 http://www.medworm.com/index.php?rid=2680377&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ft58k05r333237277%2F Content Type Journal ArticleCategory AnnouncementDOI 10.1007/s10397-009-0510-6 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Number 3 / September, 2009 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2680377 Tue, 04 Aug 2009 21:22:19 +0100 2680377 http://www.medworm.com/index.php?rid=2680378&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj75010g8h53k3945%2F Content Type Journal ArticleCategory Surgical ShortcutsDOI 10.1007/s10397-009-0502-6 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Number 3 / September, 2009 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2680378 Tue, 04 Aug 2009 21:22:15 +0100 2680378 http://www.medworm.com/index.php?rid=2665814&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg221525671256257%2F We present the first case of laparoscopic interval surgery (IS) for stage IVb PFTC minimising peri-operative morbidity with no delay in resuming chemotherapy. This case demonstrates that there exists a role for laparoscopic surgery in selected patients which should be explored. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-009-0507-1Authors Thumuluru Kavitha Madhuri, The Royal Surrey County Hospital Department of Gynaecological Oncology LEVEL B, GOPD, Egerton Road Guildford Surrey GU2 7XX UKAnil Tailor, The Royal Surrey County Hospital Department of Gynaecological Oncology LEVEL B, GOPD, Egerton Road Guildford Surrey GU2 7XX UKSimon Butler-Manuel, The Royal Surrey County Hospital Department of Gynaecological Oncology LEVEL B, GOPD, Egerton Road Guildford Surrey ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2665814 Fri, 31 Jul 2009 19:49:24 +0100 2665814 http://www.medworm.com/index.php?rid=2652060&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv027j44436440038%2F Abstract  This survey was undertaken to determine the common practise patterns of how hysteroscopy is carried out in the UK. We believe this will help to develop a consensus and set national guidelines in accordance with the way we undertake this procedure. In addition; we aim to assess the operators understanding of hysteroscope optics related to this procedure. The study was conducted in a teaching hospital in the southwest of England, UK. Postal questionnaires were sent within the first week of June 2007 to 1,000 consultant gynaecologists in the UK. The surveyed gynaecologists were selected from the Royal college of Obstetricians and Gynaecologists (RCOG) register of Fellows and Members. The questionnaire included questions regarding common preoperative preparation, oper... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2652060 Mon, 27 Jul 2009 21:56:39 +0100 2652060 http://www.medworm.com/index.php?rid=2643343&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh61t06k633102706%2F This study is a retrospective chart review and discussion of two patients who underwent a total laparoscopic hysterectomy, bilateral salpingo-oophorectomy, and appendectomy (Canadian Task Force Level III). Both patients underwent a type 7 total laparoscopic hysterectomy for benign indications in July 2007 and sustained no complications. The evidence from these two cases suggests that advanced laparoscopic procedures are possible using a single skin incision for multiple ports. Technological advances, including those in port structure, are needed to enable surgeons to employ strategies that effectively enhance instrument coordination and suturing. Benefits to the patient need to be documented prospectively before this procedure can be recommended widely. Content Type Journal Articl... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2643343 Sat, 25 Jul 2009 08:24:42 +0100 2643343 http://www.medworm.com/index.php?rid=2638993&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb52q4v9g5mw9420p%2F Abstract  The purpose behind this observational study was to find whether age, parity, ethnicity, uterine position or the mode of presentation (infertility or gynaecological) could be used to predict acute cervicouterine angulation (ACUA) before intrauterine office surgical procedures. Uterine version, flexion and ACUA were recorded after transvaginal scanning in 914 patients and during subsequent examinations in a subgroup of 422 patients. ACUA was tested against presentation, age, parity, ethnicity and uterine position using chi-square and logistic regression. A two-tailed p value <0.05 was considered significant. One hundred and forty-two of 667 nulliparous (21.30%) and 23 of 247 (9.3%) parous women showed ACUA (p < 0.001), which persisted during repeated examin... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2638993 Thu, 23 Jul 2009 09:10:43 +0100 2638993 http://www.medworm.com/index.php?rid=2618440&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk1138879483j94l4%2F We report a case of juvenile cystic adenomyosis in a 19-year-old nulliparous patient presenting with secondary dysmenorrhoea and non-cyclical pain. A 20-mm adenomyotic cyst in the fundal myometrium was successfully excised laparoscopically by modified myomectomy. It is mandatory to take persistent primary and early secondary dysmenorrhoea seriously, especially after poor response to medical treatment and to have a low threshold for further investigations, because a diagnosis of cystic adenomyosis requires targeted therapeutic intervention. Content Type Journal ArticleCategory Case ReportDOI 10.1007/s10397-009-0505-3Authors Elizabeth Ball, The Royal London Hospital Department of Obstetrics and Gynaecology, Bart’s and the London NHS Trust Whitechapel High Street Whitechapel London... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2618440 Sat, 18 Jul 2009 08:44:57 +0100 2618440 http://www.medworm.com/index.php?rid=2618441&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb318516ukq800h15%2F Abstract  Currently, no robust evidence exists for the optimal period for maintaining the suction drainage in the groin incisions for women who undergo inguinal lymphadenectomy for vulvar carcinoma. In many cases, this may take more than 2 weeks. Some authorities advocate early drain removal at 72 h after surgery, but this approach is associated with increased risk of lymphocyst formation. We attempted to discharge women with suction drains in situ within 48 to 72 h following the surgery. Four patients that underwent vulvectomy and bilateral inguinal lymphadenectomy for vulval cancer were discharged home within 48 to 72 h postoperatively with suction drains in situ. The mean age was 61.5 years. The average number of groin lymph nodes removed was 9.12... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2618441 Sat, 18 Jul 2009 08:44:56 +0100 2618441 http://www.medworm.com/index.php?rid=2592478&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fk7087458x3165850%2F Abstract  A 19-year-old patient presented with intractable uterine bleeding, 11 weeks post-abortion. A pelvic ultrasound with Doppler and color imaging suggested a uterine arteriovenous malformation. Failing conservative therapies, the patient consented to uterine artery embolization (UAE). Two months later, she conceived and had an uneventful normal vaginal delivery at term. Since this is an extremely rare condition, allowing limited clinical exposure and experience, there may be an underlying reluctance by general practitioners to treat these cases with uterine artery embolization for fear of compromising future fertility and pregnancies. However, data from the 20 pregnancies embolized for uterine AVM cited in the present report and data from embolization for uterine... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2592478 Thu, 09 Jul 2009 12:16:28 +0100 2592478 http://www.medworm.com/index.php?rid=2558425&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp30j74g342114113%2F In this study, 24 women underwent a Modified Fenton procedure for persistent superficial dyspareunia caused by a band of scar tissue or web of skin at the introitus. Fourteen women (60.8%) reported complete relief and moderate relief was reported in nine (39%). The results were encouraging in the majority of women treated. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0501-7Authors Suganthi Chandru, University Hospital of North Staffordshire Academic Unit of Obstetrics and Gynaecology Stoke-on-Trent UKTamer Nafee, University Hospital of North Staffordshire Academic Unit of Obstetrics and Gynaecology Stoke-on-Trent UKKhaled Ismail, University Hospital of North Staffordshire Academic Unit of Obstetrics and Gynaecology Stoke-on-Trent UKChris Kettle, Universit... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2558425 Mon, 29 Jun 2009 10:28:08 +0100 2558425 http://www.medworm.com/index.php?rid=2516335&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F87452145u7754612%2F We present a technique of direct optical entry through Palmer's point (3 cm below the left costal margin in the mid-clavicular line) as an alternative laparoscopic entry method for those gynaecological patients at risk of periumbilical adhesions. This method has been used in 15 patients and allowed the adhesions to be cleared where necessary. We feel that this technique can provide a safe approach to the abdominal cavity and should be considered as another method alongside closed and open umbilical techniques in the laparoscopic gynaecologist's repertoire. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0500-8Authors Thomas R. Aust, Arrowe Park Hospital Department of Obstetrics and Gynaecology, Wirral University Teaching Hospital NHS Foundation Trust ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2516335 Wed, 24 Jun 2009 06:06:35 +0100 2516335 http://www.medworm.com/index.php?rid=2493154&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6p5q3wv441250527%2F Content Type Journal ArticleCategory Surgical EponymsDOI 10.1007/s10397-009-0499-xAuthors M. Thiery, Jan Palfyn Foundation and Museum for History of Medicine Aan de Bocht 6 9000 Gent Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2493154 Tue, 23 Jun 2009 06:04:24 +0100 2493154 http://www.medworm.com/index.php?rid=2493153&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fe1867w2544v9734r%2F Abstract  A few months ago, the Royal College of Obstetricians and Gynaecologists of the UK published the latest clinical guideline relevant to gynaecological surgery entitled “Preventing entry-related gynaecological laparoscopic injuries”, which is freely available for all to read on the college website. The preparation of this document not only took a long time, requiring a considerable amount of literature research, but also very arduous because we were required to make constant changes to the manuscript as a result of the comments and criticisms from the three lead reviewers of the Guidelines and Audit Committee but mainly from having to satisfy the objections of no less than 20 separate peer reviewers. By and large, the document has been well received by our collea... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2493153 Tue, 23 Jun 2009 06:04:24 +0100 2493153 http://www.medworm.com/index.php?rid=2493156&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fkv3645662rw2qlg2%2F Abstract  Pelvic and paraaortic lymph node dissection, as part of the staging surgery for cervical and endometrial carcinoma, interrupts the afferent lymphatics. The high acceptance by the community of gyn-oncologists was after finding that laparoscopic lymphadenectomy can be performed in the majority of patients and is associated with low complication rate. Incidence of lymphocele formation and incidence of severe complications associated with lymphocele, such as infection, deep venous thrombosis, or urinary tract occlusion, were retrospectively evaluated in the past years (01.2001–01.2007) after surgery. From January 2001 to January 2007, 226 women underwent surgery including pelvic or pelvic and paraaortic lymphadenectomy for primary gynecological pelvic malignancies, ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2493156 Tue, 16 Jun 2009 05:50:33 +0100 2493156 http://www.medworm.com/index.php?rid=2493155&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu6j42512210t72xl%2F Abstract  It is known for many years that heritability plays a role in the development of endometriosis in many patients. Deep endometriosis of the bladder is a rare presentation of the disease and bladder endometriosis was not reported in monozygotic twin studies so far. Since monozygotic twins share the same genes, concordance and differences in presentation of endometriosis may help to discriminate between genetic and environmental determinants. The remarkable resemblance in the presentation of bladder endometriosis in this monozygotic twin seems to indicate that genetic factors are of importance in the arising of deep endometriosis in the bladder too. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0487-1Authors J. J. van Beek, VieCuri, Medi... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2493155 Tue, 16 Jun 2009 05:50:33 +0100 2493155 http://www.medworm.com/index.php?rid=2481149&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv8g912375w738m15%2F Abstract  Complications associated with persistent urachal remnant disease have been well documented in neonates and more recently in adults. These include laparoscopic perforation. The case has previously been made for conservative management of small symptomatic urachal remnants in young infants and also for conservative management of iatrogenic cystotomies in the absence of overt sepsis using assisted bladder drainage and prophylactic antibiotics. However, to our knowledge, there has been no recent case of successful conservative management of laparoscopically perforated urachal remnant in an adult. This case describes the incidental perforation of a suspected urachal remnant in an adult female which resulted in an infected anterior abdominal wall collection. The patient... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2481149 Sat, 13 Jun 2009 08:38:58 +0100 2481149 http://www.medworm.com/index.php?rid=2481150&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F11m455l524470670%2F This study revealed that TachoSil®, an absorbable biomaterial, can reduce postoperative adhesions after laparoscopic surgery on a rat model. TachoSil® also prevents thermo-induced injuries on uterine parenchyma (less fibrosis and less inflammation). Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-009-0496-0Authors Erdogan Nohuz, General Hospital Thiers Department of Obstetrics and Gynaecology Route du Fau 63300 Thiers FranceClaude Darcha, University Hospital Clermont-Ferrand Department of Pathology 63003 Clermont-Ferrand FranceWagner Moreno, General Hospital Thiers Department of Obstetrics and Gynaecology Route du Fau 63300 Thiers FranceStefano Tamburro, General Hospital Thiers Department of Obstetrics and Gynaecology Route du Fau 63300 Thiers FranceMargari... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2481150 Wed, 10 Jun 2009 10:04:25 +0100 2481150 http://www.medworm.com/index.php?rid=2450588&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx3p421w628320m4h%2F Abstract  A 38-year-old woman presented for early pregnancy ultrasound scanning 6 weeks and 4 days following an assisted reproduction treatment cycle. She had ß human chorionic gonadotrophin (ßhCG) blood level of 10,853 IU/L 2 weeks before presentation. She gave previous history of termination of pregnancy, myomectomy and bilateral salpingectomy. The uterus was retroverted with multiple fibroids and non-homogenous myometrium in many areas. The endometrium was 21.1 mm thick with no intrauterine pregnancy. An initial diagnosis of cornual/interstitial ectopic pregnancy was made. However, 3D images rendering and the multiplanar technique showed a 27.5-mm gestation sac, medial and above the interstitial part of the right tube, with 7.6-mm-long foetal p... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2450588 Sat, 30 May 2009 08:21:48 +0100 2450588 http://www.medworm.com/index.php?rid=2450589&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fw260l110662682p7%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s10397-009-0493-3Authors Ivo Brosens, LIFE, Leuven Institute for Fertility and Embryology Tiensevest 168 3000 Leuven Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2450589 Sat, 30 May 2009 08:21:45 +0100 2450589 http://www.medworm.com/index.php?rid=2420024&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F51g28786q672x100%2F We report the case of a large ovarian fibroma which presented a challenging pre-operative diagnosis with suspicious features on ultrasound scan and raised Ca 125 level. The risk of malignancy index was within normal limits and the patient underwent laparoscopic treatment. At laparoscopy, features remained suspicious. Histology confirmed benign ovarian disease. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0491-5Authors Ravi Jumnoodoo, Worthing and Southlands NHS Trust Lyndhurst Road Worthing West Sussex UKJenny Lo, Worthing and Southlands NHS Trust Lyndhurst Road Worthing West Sussex UKJames English, Worthing and Southlands NHS Trust Lyndhurst Road Worthing West Sussex UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2420024 Thu, 14 May 2009 07:07:55 +0100 2420024 http://www.medworm.com/index.php?rid=3098600&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc711q0814k425370%2F We describe a 58-year-old menopausal woman consulting for bleeding and abdominal volume; pelvic pain occurred occasionally. Magnetic resonance and ultrasound evidenced a big ovarian tumour as more than 23 cm in diameter with an intracystic mass of 5 cm. Laparoscopic treatment was exhaustively performed. No surgical complication occurred and no treatment was necessary after surgery. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0492-4Authors S. Tamburro, CH Thiers, Gynecology and Obstetrics Thiers FranceE. Nohuz, CH Thiers, Gynecology and Obstetrics Thiers FranceG. Mage, CHU Clermont Ferrand—Gynecology and Obstetrics Polyclinique Hotel Dieu Clermont Ferrand FranceM. Canis, CHU Clermont Ferrand—Gynecology and Obstetrics Polyclinique Hotel Dieu... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=3098600 Thu, 14 May 2009 07:07:54 +0100 3098600 http://www.medworm.com/index.php?rid=2420025&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc711q0814k425370%2F We describe a 58-year-old menopausal woman consulting for bleeding and abdominal volume; pelvic pain occurred occasionally. Magnetic resonance and ultrasound evidenced a big ovarian tumour as more than 23 cm in diameter with an intracystic mass of 5 cm. Laparoscopic treatment was exhaustively performed. No surgical complication occurred and no treatment was necessary after surgery. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0492-4Authors S. Tamburro, CH Thiers, Gynecology and Obstetrics Thiers FranceE. Nohuz, CH Thiers, Gynecology and Obstetrics Thiers FranceG. Mage, CHU Clermont Ferrand—Gynecology and Obstetrics Polyclinique Hotel Dieu Clermont Ferrand FranceM. Canis, CHU Clermont Ferrand—Gynecology and Obstetrics Polyclinique Hotel Dieu... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2420025 Thu, 14 May 2009 07:07:54 +0100 2420025 http://www.medworm.com/index.php?rid=2401008&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj0451v3h83m46748%2F Abstract  Post-hysterectomy vaginal vault dehiscence was triggered by intercourse. Laparoscopy allows examination of vaginal vault and permits laparoscopic repair. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0483-5Authors N. Waters, University of Surrey Minimal Access Therapy Training Unit, Post Graduate Medical School Manor Park Guildford Surrey GU2 7WG UKS. Chachan, Royal Surrey Hospital Department of Gynaecology Guildford Surrey GU2 7XX UKK. Morton, Royal Surrey Hospital Department of Gynaecology Guildford Surrey GU2 7XX UKA. Kent, University of Surrey Minimal Access Therapy Training Unit, Post Graduate Medical School Manor Park Guildford Surrey GU2 7WG UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2401008 Thu, 07 May 2009 05:54:03 +0100 2401008 http://www.medworm.com/index.php?rid=2384678&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu418353p2h52k777%2F We report an unusual ultrasonographic and magnetic resonance imaging (MRI) presentation of a myometrial mass in a 38-year-old woman hoping to conceive. Hysterectomy had been proposed elsewhere because of the suspicious nature of the mass, but the patient was seeking a second opinion. This atypical formation looked consistent with either hydropic degeneration of a uterine myoma or leiomyosarcoma, but preoperative differential diagnosis was impossible. Laparoscopic tumorectomy was performed and histology confirmed a degenerating uterine myoma. We, therefore, show that unusual ultrasonographic and MRI findings do not necessarily require radical surgery, even if sarcoma cannot be excluded preoperatively, especially in patients who wish to conceive. Content Type Journal ArticleCategory ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2384678 Fri, 01 May 2009 06:44:36 +0100 2384678 http://www.medworm.com/index.php?rid=2384679&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg05t37588555763w%2F Content Type Journal ArticleCategory ESGE NewsletterDOI 10.1007/s10397-009-0490-6 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Number 2 / May, 2009 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2384679 Tue, 28 Apr 2009 16:22:11 +0100 2384679 http://www.medworm.com/index.php?rid=2384680&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F0550x760047152g7%2F In conclusion, most benefit from expert feedback can be obtained at the start of the learning curve. Therefore, the basic laparoscopic skills course should be attended early in residency. Additionally, it is crucial that training objectives are clear prior to a course for both the expert and the trainee, in order to focus the feedback on all training objectives. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-009-0486-2Authors B. E. Schaafsma, Leiden University Medical Center Department of Gynecology, K6-76 P.O. Box 9600 2300 RC Leiden The NetherlandsE. Hiemstra, Leiden University Medical Center Department of Gynecology, K6-76 P.O. Box 9600 2300 RC Leiden The NetherlandsJ. Dankelman, Delft University of Technology Department of BioMechanical Engineering, Fac... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2384680 Tue, 28 Apr 2009 16:22:04 +0100 2384680 http://www.medworm.com/index.php?rid=2366468&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fbm1721396uv77v48%2F Abstract  A 48-year-old woman with Mayer–Rokitansky–Kuster–Hauser (MRKH) syndrome, right kidney aplasia, a pelvic-abdominal mass, and an elevated CA-125 level underwent bilateral salpingo-oophorectomy, omentectomy, and debulking for a presumed ovarian carcinoma. Intraoperative findings included a pelvic tumor on the surface of both ovaries. Pathological examination revealed a poorly differentiated ovarian carcinoma, mixed type, mainly of transitional and serous types, with minor components of clear cell and mucinous patterns. A stage III ovarian epithelial carcinoma, mixed type was diagnosed. The patient was treated with Paclitaxel and Carboplatin and was asymptomatic 24 months postoperatively. Rarely, ovarian carcinoma may be associated with MRKH syndrome. Con... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2366468 Thu, 23 Apr 2009 08:29:25 +0100 2366468 http://www.medworm.com/index.php?rid=2358056&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6337v0np73113012%2F This study included 68 patients with history of heavy menstrual bleeding and ultrasound-proved submucous uterine leiomyoma. Uterine bleeding was done by the semiquantitative pictorial blood loss assessment score. The 5-dimensional EuroQol was chosen as the primary measure of effectiveness on health-related quality of life. Patients were re-evaluated at 3, 6, 9, and 12 month. After 12 months of follow-up, a significant reduction of menstrual flow was observed up to amenorrhea (in 11 cases). No significant effect for the LNG-IUS on the volume of fibroids or the uterine volume was observed. A significant improvement of the quality of life (measured by EQ index) was observed. Side effects were reported in ten cases. Eight cases required removal of the IUS for different reasons... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2358056 Tue, 21 Apr 2009 10:05:59 +0100 2358056 http://www.medworm.com/index.php?rid=2358068&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd3k187747w7612vj%2F We present a case of a postmenopausal diabetic hypertensive female with a solitary retroperitoneal myoma (2,025 g) and no smooth muscle (myomatic) nodules on visceral and parietal peritoneum. She complained of chronic pelvic pain in absence of internal female genitalia (except uterine cervix), high frequency of urination, pelvic discomfort, and feeling of heaviness. The patient had undergone hysterectomy with bilateral adnexectomies 13 years ago and she had not had any exposure to exogenous hormones during her reproductive and postmenopausal period of life (oral contraception and hormone-replacement therapy). Several suppositions were made, supporting hormonal genesis of myoma with retroperitoneal localization in postmenopausal age and the significance of eventual presence ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2358068 Tue, 21 Apr 2009 10:05:57 +0100 2358068 http://www.medworm.com/index.php?rid=2344326&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq2wg4w506132t773%2F Abstract  The aim of our study was to access office hysteroscopy results in postmenopausal patients with thickened endometrium. A retrospective descriptive study was carried out on 245 postmenopausal patients submitted to office hysteroscopy after sonographic diagnosis of thickened endometrium in 20 consecutive months. Women were evaluated for age, hormonal therapy, hysteroscopic findings, procedure duration, complications and associated pain, and histological diagnosis. Patients with and without uterine bleeding were considered separately. Symptomatic patients were older and had longer procedure duration. The most frequent hysteroscopic finding was endometrial polyp in both groups. Pain was subjectively assessed in a numeric scale from 0 to 10 and median value was 4. There... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2344326 Thu, 16 Apr 2009 06:04:14 +0100 2344326 http://www.medworm.com/index.php?rid=2313064&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F10842379187j22k3%2F Abstract  A 33-years-old woman referred to our hospital with a huge abdominopelvic mass. Ultrasonographically, a septated cyst 24.3 × 17.6 × 16.6 cm in dimension without neovascularization was diagnosed. Serum CA125 and CA19-9 levels were 70.4 and 383,1 U/ml, respectively. Right salpingooopherectomy was performed through laparotomy and pathologic examination revealed an endometrioma. The cyst was 5 kg in weight, 26 × 18 × 17 cm in dimension, and contains 3,250 ml of chocolate brown fluid. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0482-6Authors Levent Yaşar, Bakirkoy Dr Sadi Konuk Research and Teaching Hospital Ayazaga Oyak Sitesi 12. Blok no: 3 80670 Sisli Istanbul TurkeyA. Süha Sönmez, Medicana Hospital IVFUnit Is... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2313064 Wed, 25 Mar 2009 06:50:11 +0100 2313064 http://www.medworm.com/index.php?rid=2290281&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6g472p888443g71x%2F The objective of this paper was to report on our experience in laparoscopic surgery and education of young trainees. During 16 years of laparoscopic surgery, we have performed about 15,000 interventions. Inspired by the possibility of videotaping operative sequences, we built up an internal school of laparoscopy. As a function of the result of steady work and education in laparoscopic surgery, we have worked out a common security standard which is to be considered at any intervention performed at our centre. We call this standard ‘The 12 golden rules’. We now report for the first time on our security aspects the 12 golden rules publicly. Content Type Journal ArticleCategory Clinical PracticeDOI 10.1007/s10397-009-0478-2Authors Daniel A. Beyer, University of Schleswig-Hol... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2290281 Sat, 21 Mar 2009 08:55:31 +0100 2290281 http://www.medworm.com/index.php?rid=2290283&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fcj03n04423877003%2F This study is a multicenter cohort retrospective analysis of consecutive cases (Canadian Task Force classification II-2). One hundred and four women underwent a laparoscopic hysterectomy between March 1995 and March 2005 at one of three teaching hospitals. This included 37 women who underwent LAVH and 67 who underwent TLH. Blood loss, operating time, and intraoperative complications such as bladder or ureteric injury as well as conversion to an open procedure were recorded. In the TLH group, average age was statistically significant lower, as well as the mean parity, whereas estimated uterus size was statistically significant larger, compared to the LAVH group. Main indication in both groups was dysfunctional uterine bleeding. In the TLH group, mean blood loss (173 mL) was signi... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2290283 Sat, 21 Mar 2009 08:55:29 +0100 2290283 http://www.medworm.com/index.php?rid=2290282&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl428j57218693235%2F Abstract  In the second review of the series of evidence-based reviews of clinical practice, we demonstrate the search methods to find available high quality evidence from the literature. Using techniques described in the first review in the series, we formulate an answerable question based on a clinical scenario of a patient with endometriosis where medical treatment has failed. We then look into selected papers found by our search and demonstrate how to present the evidence to our imaginary patient. Content Type Journal ArticleCategory Clinical PracticeDOI 10.1007/s10397-009-0480-8Authors S. Khazali, Royal Hampshire County Hospital Winchester UKE. Dimitriou, University of Surrey Women’s Health Research Unit, Postgraduate Medical School Guildford Surrey UKJ. T. Wright,... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2290282 Sat, 21 Mar 2009 08:55:29 +0100 2290282 http://www.medworm.com/index.php?rid=2290284&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fm1r67p80m83172uj%2F Abstract  Omental biopsy is not part of FIGO staging for endometrial cancer. The few studies that have looked into this matter have had conflicting results. This is the largest study in terms of the number of cases studying the incidence of omental involvement in endometrioid and non-endometrioid endometrial cancer. A retrospective study assessing 248 cases of endometrial cancer with omental biopsy at the time of primary surgical treatment for endometrial cancer at the Gynaecological Oncology Centre, Norfolk and Norwich University Hospital between January 2004 and May 2008. Demographic, clinico-pathologic and surveillance data were collected from hospital records, operative notes and histopathology results. The histology included tumour type, stage, grade and omental biopsy... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2290284 Fri, 20 Mar 2009 09:54:05 +0100 2290284 http://www.medworm.com/index.php?rid=2278606&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3471769853752731%2F Content Type Journal ArticleCategory ImageDOI 10.1007/s10397-009-0477-3Authors Costas Panayotidis, Obstetrics and Gynecology Department ZNA Stuivenberg Lange Beeldekensstraat, 267 2060 Antwerp BelgiumBruno Van Herendael, Obstetrics and Gynecology Department ZNA Stuivenberg Lange Beeldekensstraat, 267 2060 Antwerp Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2278606 Wed, 18 Mar 2009 07:05:12 +0100 2278606 http://www.medworm.com/index.php?rid=2265303&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3723775563751841%2F We report a case of a live twin birth after laparoscopic treatment of a ruptured heterotopic pregnancy. A 29-year-old woman, with a history of right salpingectomy for ectopic pregnancy, became pregnant after transfer of three embryos at in vitro fertilization treatment. At the ninth week of gestation, she was admitted to our clinic with abdominal pain. Ultrasonographic examination revealed a triplet heterotopic pregnancy consisting of an intrauterine twin pregnancy and an ectopic pregnancy in the left fallopian tube. An immediate laparoscopy was planned and left salpingectomy was performed. In the postoperative period, intrauterine twin pregnancy continued uneventfully; at the 35th week of gestation, two healthy infants with birth weights of 2,206 and 2,426 g were delivered. Het... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2265303 Wed, 11 Mar 2009 15:04:23 +0100 2265303 http://www.medworm.com/index.php?rid=2265304&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F238p66u19512j367%2F We report a case of inadvertent insertion of a 14-Fr Foley's catheter through the orifice of one branch of a previously unrecognised duplex ureter. The unintentional insertion of the catheter occurred at urethral catheterisation during laparotomy for gynaecological malignancy and lead to false intraoperative identification of the female anatomy and injury to the ureter. Postoperatively, cystoscopy and intravenous urography confirmed the existence of a duplex ureter on the affected side. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0475-5Authors E. Papacharalabous, Royal Surrey County Hospital Department of Gynaecological Oncology Guildford UKM. Ford, Royal Surrey County Hospital Department of Gynaecological Oncology Guildford UKS. Butler-Manuel, Royal Su... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2265304 Wed, 11 Mar 2009 15:04:21 +0100 2265304 http://www.medworm.com/index.php?rid=2253027&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1qh8387162580887%2F We present two patients who were referred to our clinic due to abdominal mass that was causing vague abdominal pain. Homogenic retroperitoneal cystic mass was demonstrated on computerized tomography (CT). One was resected by laparoscopy and the other by laparotomy, both revealed a mucinous cystadenoma of the retroperitoneum. A review of the literature is also presented. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0471-9Authors Ory Wiesel, Tel Aviv University Division of Surgery “B”, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine Tel Aviv IsraelDavid Spector, Tel Aviv University Division of Surgery “B”, Tel Aviv Sourasky Medical Center, Sackler Faculty of Medicine Tel Aviv IsraelJoseph M. Klausner, Tel Aviv University Division of S... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2253027 Sat, 07 Mar 2009 12:17:33 +0100 2253027 http://www.medworm.com/index.php?rid=2253029&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F05165322j7174684%2F In conclusion, two of three women avoided hysterectomy when endometrial resection followed LNG-IUS although hysterectomy rate was higher than those who had never used the device. Hysteroscopic surgery may be considered as an alternative to hysterectomy after discontinuation of LNG-IUS for menorrhagia. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-009-0472-8Authors Pentti K. Heinonen, University of Tampere Medical School Tampere 33014 FinlandRiikka Helin, University of Tampere Medical School Tampere 33014 Finland Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2253029 Sat, 07 Mar 2009 12:17:29 +0100 2253029 http://www.medworm.com/index.php?rid=2248628&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn8u08uw67500661t%2F Abstract  The aim of the study was to isolate from the clinical history and examination, symptoms, or combination of symptoms highly suspicious for intestinal infiltration in endometriosis patients. In a prospective study, preoperative anamnesis on defecation problems and pain symptoms was correlated with the vaginal examination and the laparoscopic findings in 2,000 consecutive patients with suspicion of intestinal endometriosis; 65.7% of the patients reported a typical symptomatology combining left-sided pelvic pain irradiating systematically to the back and occasionally to the left leg, with dyschesia, abdominal bloating, and/or sensation of a doubt masse in the left lower or middle abdomen, sometimes rectorrhagia and an improvement in the pain after defecation. In the a... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2248628 Fri, 06 Mar 2009 09:48:33 +0100 2248628 http://www.medworm.com/index.php?rid=2231451&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F14552614402w2jr8%2F We report two cases of ovarian ectopic pregnancy diagnosed following surgical termination of first trimester pregnancies and safely managed with operative laparoscopy. Our aim is to highlight the importance of proper ultrasonographic evaluation before termination of pregnancy and that ovarian ectopic pregnancy should be considered in the differential diagnosis of women presenting with abdominal pain after therapeutic termination of pregnancy. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0470-xAuthors M. Hussain, Whipps Cross University Hospital Department of Obstetrics and Gynaecology London UKM. I. Rizzuto, Whipps Cross University Hospital Department of Obstetrics and Gynaecology London UKR. Macrae, Whipps Cross University Hospital Department of Obstetr... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2231451 Sat, 28 Feb 2009 15:29:50 +0100 2231451 http://www.medworm.com/index.php?rid=2221471&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg6xm10110152u406%2F Content Type Journal ArticleCategory Surgical Shortcuts with CommentaryDOI 10.1007/s10397-009-0468-4 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2221471 Thu, 26 Feb 2009 19:32:55 +0100 2221471 http://www.medworm.com/index.php?rid=2190272&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fnh84367n438660r4%2F This report describes the case of a 16-year-old girl with didelphic uterus and double vagina, with obstruction of the left hemivagina. The patient was also diagnosed with left renal dysplasia and ipsilateral ureter communication with the obstructed vagina. Following various examinations and left uretero-nephrectomy, the patient was effectively treated with resection of the vaginal septum. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0469-3Authors Elke Stevens, Imeldahospital Department Ob/Gyn Imeldalaan 9 2820 Bonheiden BelgiumJan Baekelandt, Imeldahospital Department Ob/Gyn Imeldalaan 9 2820 Bonheiden BelgiumLutgarde Lemmens, Imeldahospital Department Ob/Gyn Imeldalaan 9 2820 Bonheiden BelgiumEls Dufraimont, Imeldahospital Department Ob/Gyn Imeldalaan 9... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2190272 Sat, 14 Feb 2009 10:21:11 +0100 2190272 http://www.medworm.com/index.php?rid=2181579&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc24320872727tpwm%2F Content Type Journal ArticleCategory Surgical EponymsDOI 10.1007/s10397-009-0466-6Authors M. Thiery, Foundation Jan Palfijn and Museum of Medical History Ghent Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2181579 Wed, 11 Feb 2009 06:58:22 +0100 2181579 http://www.medworm.com/index.php?rid=2181578&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl3t622368537774p%2F Abstract  Uterine metastases are rare events, but when they occur, the first extragenital neoplasm responsible is breast carcinoma. Toremifene, used in breast cancer hormonotherapy, has a partial estrogenic agonist effect in the endometrium, responsible for potential abnormalities, like polyps. A 53-year-old woman, receiving toremifene due to previously excised breast ductal carcinoma, presented with endometrial thickness during an abdominopelvic ultrasound follow-up. Hysteroscopy revealed an endometrial polyp, which was removed. Microscopic examination showed infiltration by a malignant ductal pattern neoplasm, with signet ring cells. The patient underwent hysterectomy and bilateral salpingo-oophorectomy. The final pathological diagnosis was metastatic breast carcinoma to ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2181578 Wed, 11 Feb 2009 06:58:22 +0100 2181578 http://www.medworm.com/index.php?rid=2172033&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp271t81777u32674%2F Abstract  This case report refers to a 17-year-old woman who was admitted to a gynaecological ward with severe lower abdominal pain. She underwent an explorative laparotomy, which revealed a large mass arising from the appendix. Her uterus, ovaries and tubes were found to be normal. Appendicectomy and omental biopsy was performed. Histology revealed a mesenteric fibromatosis–desmoid tumour. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-009-0467-5Authors Vladimir Revicky, Norfolk and Norwich University Hospital Department of Obstetrics and Gynaecology Colney Lane Norwich NR4 7UY UKMazen Freij, Norfolk and Norwich University Hospital Department of Obstetrics and Gynaecology Colney Lane Norwich NR4 7UY UKJose Nieto, Norfolk and Norwich University Hos... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2172033 Sat, 07 Feb 2009 13:13:49 +0100 2172033 http://www.medworm.com/index.php?rid=2159881&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F7502j06125411027%2F Content Type Journal ArticleCategory ESGE NewsletterDOI 10.1007/s10397-009-0465-7 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 Journal Volume Volume 6 Journal Issue Volume 6, Number 1 / February, 2009 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2159881 Tue, 03 Feb 2009 07:19:16 +0100 2159881 http://www.medworm.com/index.php?rid=2149251&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fxq3786u5574u3120%2F Abstract  The authors report the case of a 28-year-old nulliparous woman with a bicornuate uterus and one previous second trimester pregnancy loss, in whom investigations for other probable causes of abortion like genetic, infective, hormonal, and immunological were negative. A laparoscopic metroplasty was performed by Strassman’s method. Second-look hysteroscopy and laparoscopy, which was performed 7 months later, revealed a single uniform cavity with a median muscular ridge, which resembled an arcuate uterus. Pelvic adhesions were noted between the small bowel, omentum, and posterior wall of the uterus, along with pelvic endometriosis and a chocolate cyst of the left ovary. Adhesiolysis, cyst excision, and fulgration of endometriotic deposits were carried out, whic... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2149251 Fri, 30 Jan 2009 07:18:22 +0100 2149251 http://www.medworm.com/index.php?rid=2130837&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F61848r36781m7756%2F In conclusion, basic laparoscopic skills acquired during a short training program merely sustain over time. However, ongoing practice is advisable, especially to preserve tissue-handling skills, since these may be the first to deteriorate. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-008-0458-yAuthors E. Hiemstra, Leiden University Medical Center Department of Gynaecology K6-76 P.O. Box 9600 2300 RC Leiden The NetherlandsW. Kolkman, Leiden University Medical Center Department of Gynaecology K6-76 P.O. Box 9600 2300 RC Leiden The NetherlandsM. A. J. van de Put, Leiden University Medical Center Department of Gynaecology K6-76 P.O. Box 9600 2300 RC Leiden The NetherlandsF. W. Jansen, Leiden University Medical Center Department of Gynaecology K6-76 P.O. Box 96... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2130837 Fri, 23 Jan 2009 09:22:29 +0100 2130837 http://www.medworm.com/index.php?rid=2128242&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg062638k31470711%2F We report a case of postoperative bowel obstruction with early onset hernia presenting through a 5-mm port. A 43-year-old woman having undergone laparoscopic ovarian cystectomy 2 days before presented with features of intestinal obstruction in the form of persistent abdominal pain, vomiting, and inability to pass stool or flatus. Computed tomography scan of her abdomen showed collapsed large bowel and a loop of small bowel protruding through the lateral 5-mm sheath defect. A secondary laparoscopic procedure allowed both confirming diagnosis and surgical repair of the hernia. Our case describes this rare complication through a 5-mm lateral port, with complete bowel obstruction, in the absence of any of the recognized risk factors following a straightforward short surgical procedu... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2128242 Thu, 22 Jan 2009 09:08:12 +0100 2128242 http://www.medworm.com/index.php?rid=2115150&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg300w706x7447236%2F Abstract  Distilled water is used worldwide to check on hemostasis at the end of pelvic oncological operations. Nevertheless, reports about this method are lacking. The aim of this study was to explain the method and to discuss possible side effects. After the addition of distilled water to the surgically exposed pelvis, rapid lysis of erythrocytes results in a transparent fluid in which a small source of bleeding is easily recognizable. A possible side effect of the lavage might be contribution to the formation of peritoneal adhesions by confusing the abdominal defence system. Systemic side effects are not to be expected. Although tumour cells might suffer from hypotonic distilled water lavage, the current use of distilled water at the end of surgery is probably not effect... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2115150 Sat, 17 Jan 2009 08:49:52 +0100 2115150 http://www.medworm.com/index.php?rid=2111929&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fh324g037v46253t6%2F Abstract  Uterovaginal prolapse is traditionally treated by vaginal hysterectomy and pelvic floor repair. More recently, women are requesting conservation of the uterus for various reasons including preservation of fertility. This paper documents the case of a 31-year-old woman with second degree uterovaginal prolapse who wished to retain her fertility and therefore underwent a laparoscopic sacrohysteropexy with no complications. She subsequently conceived spontaneously and underwent a normal pregnancy culminating in the delivery of a live term infant by elective Caesarean section. The uterus remained well-supported at 1 year post-delivery. This case adds to the growing body of literature which supports definitive surgical management of uterovaginal prolapse in young wo... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2111929 Fri, 16 Jan 2009 12:47:36 +0100 2111929 http://www.medworm.com/index.php?rid=2110103&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy48mm723w7481552%2F The objective was to identify if centralised care makes urinary tract injuries less likely or avoidable. This Retrospective Audit was performed at a Tertiary Referral Centre for Advanced Laparoscopic Surgery in North East England. The incidence of injury to bladder/ureter, time of diagnosis, instrument, location, side and mode of repair were evaluated in 105 consecutive complex laparoscopic procedures. Injuries were identified in three (2.8%) cases. There was one bladder injury which was unavoidable. The bladder dome was opened to allow excision of bladder endometriosis. There were two ureter injuries. The first injury involved the ureter being locked in a vaginal vault stitch. The second injury had stage IV endometriosis with peri-ureteric endometriosis where the anatomy was distor... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2110103 Thu, 15 Jan 2009 07:50:24 +0100 2110103 http://www.medworm.com/index.php?rid=2110104&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fp8077184t5m73008%2F Abstract  Carcinosarcomas are rare, highly aggressive neoplasms that most commonly arise from the female genital tract but can unusually present in extragenital locations. To the best of our knowledge, only three cases of primary retroperitoneal, extragenital carcinosarcomas have been documented in the English literature to date. A 72-year-old woman presented with onset of abdominal pain and urinary retention. Computed tomography scan revealed a mass in the retroperitoneal space with hydronephrosis and partial obstruction of the left ureter. Lost to follow-up at that time, the patient returned 6 months later with a left leg deep vein thrombosis. On exploratory laparotomy at that time, the retroperitoneal mass was found to completely engulf the left ureter, iliac artery... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2110104 Thu, 15 Jan 2009 07:50:23 +0100 2110104 http://www.medworm.com/index.php?rid=2097565&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx682358447001227%2F Abstract  Splenic cyst is extremely rare in pregnancy. All the six cases that had been described in literatures were treated surgically. However, we report the first case of a huge splenic cyst during pregnancy managed by conservative approach in the form of analgesia, antibiotics and percutaneous aspiration. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-008-0456-0Authors Montasser A. Mahran, Ipswich Hospital Obstetrics and Gynaecology Suffolk UKRoger Bodley, Stoke Mandeville Hospital Bucks HP21 8AL UKMarwan Farouk, Stoke Mandeville Hospital Bucks HP21 8AL UKFelicity Ashworth, Stoke Mandeville Hospital Bucks HP21 8AL UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2097565 Sat, 10 Jan 2009 10:00:16 +0100 2097565 http://www.medworm.com/index.php?rid=2045463&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3n48281505045q02%2F This study supports further implementation of LH in clinical practice. The actual major complication rate in hysterectomy, however, is perceived as high. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-008-0455-1Authors Kirsten B. Kluivers, Radboud University Nijmegen Medical Centre Department of Obstetrics & Gynaecology 791 P.O. Box 9101 6500 HB Nijmegen The NetherlandsBrent C. Opmeer, Academic Medical Center Department of Clinical Epidemiology Amsterdam The NetherlandsPeggy M. Geomini, Máxima Medical Center Department of Obstetrics & Gynaecology Veldhoven The NetherlandsMarlies Y. Bongers, Máxima Medical Center Department of Obstetrics & Gynaecology Veldhoven The NetherlandsMark E. Vierhout, Radboud University Nijmegen Medical Centre Department of Obstetri... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2045463 Tue, 16 Dec 2008 07:57:02 +0100 2045463 http://www.medworm.com/index.php?rid=2032418&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy655531456663271%2F Content Type Journal ArticleCategory Surgical EponymsDOI 10.1007/s10397-008-0453-3Authors M. Thiery, Foundation Jan Palfijn and Museum for History of Medicine, “Het Pand” Aan de Bocht 6 9000 Gent Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2032418 Wed, 10 Dec 2008 07:57:01 +0100 2032418 http://www.medworm.com/index.php?rid=2016357&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fn300374l031k6j33%2F We report a case of papillary carcinoma in struma ovarii in a 27-year-old lady who was admitted with an acute pain in the abdomen. She underwent laparoscopic cystectomy, followed by laparoscopic unilateral salpingo-oophorectomy, total thyroidectomy, and iodine-131 treatment on confirmation of the diagnosis of papillary carcinoma in struma ovarii. Malignancy in struma ovarii can be managed satisfactorily with a combination of surgery and treatment options currently available for primary thyroid cancer. Papillary variant has a more favourable prognosis than its follicular counterpart. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-008-0449-zAuthors Mangla Dubey, Friarage Hospital Department of Obstetrics and Gynaecology Northallerton North Yorkshire UK DL6 1JGN... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2016357 Fri, 05 Dec 2008 09:18:42 +0100 2016357 http://www.medworm.com/index.php?rid=2016358&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd922538x537j6711%2F Content Type Journal ArticleCategory Surgical Shortcuts with CommentaryDOI 10.1007/s10397-008-0451-5 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2016358 Fri, 05 Dec 2008 09:18:39 +0100 2016358 http://www.medworm.com/index.php?rid=2016359&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fl174j39h72146132%2F Content Type Journal ArticleCategory EditorialDOI 10.1007/s10397-008-0454-2Authors Ivo Brosens, Tiensevest 168 Leuven Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2016359 Fri, 05 Dec 2008 09:18:38 +0100 2016359 http://www.medworm.com/index.php?rid=2010558&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fc5t137686hw61048%2F Abstract  A 38-year-old lady with a 14 × 8 × 13-cm dermoid cyst underwent a laparoscopic left salpingo-oophrectomy. Intra-operatively, there was accidental spillage of the cyst contents into the peritoneal cavity. The spilled contents were completely sucked out and a thorough peritoneal lavage was done to decrease the risk of chemical peritonitis. The patient developed disseminated granulomatous chemical peritonitis, small bowel necrosis, multiple enterocutaneous fistulae, intra-abdominal, and anterior abdominal wall abscesses. Following four further surgeries, she finally made a recovery 6 months later. Chemical peritonitis and intra-abdominal abscesses are rare complications. Bowel necrosis and enterocutaneous fistulae have not been described. This case rep... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=2010558 Tue, 02 Dec 2008 07:34:28 +0100 2010558 http://www.medworm.com/index.php?rid=1998481&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg8066m2235581029%2F We present a case of acute postoperative small bowel obstruction following laparoscopic ovarian cystectomy. The patient returned to theatre for second look laparoscopy where a 5-mm port-site hernia containing small bowel was found at the site of a previous drain. The hernia was reduced and the defect closed with sutures. This should make surgeons rethink the assumption that herniae do not occur through 5-mm ports. The use of drains, methods of achieving port closure, ways of investigating postoperative ileus, and the treatment of port-site herniae are discussed. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-008-0450-6Authors Ankur Thapar, Worthing Hospital Department of Surgery Lyndhurst Road Worthing BN11 2DH UKBabak Kianifard, Worthing Hospital Department ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1998481 Fri, 28 Nov 2008 14:03:25 +0100 1998481 http://www.medworm.com/index.php?rid=1967919&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu110842225323873%2F Abstract  Uterine fibroids which do not distort the uterine cavity are associated with otherwise unexplained subfertility. There is currently no consensus as to their surgical management. Surgical intervention is left to the discretion of the treating gynaecologist. An anonymous postal questionnaire was sent to gynaecologists in the UK with an interest in subfertility to survey current clinical practice. At total of 245 questionnaires were sent out, and 133 (54%) responses were analysed. Over a third of respondents would not intervene to remove a fibroid under any of the specified circumstances. Of the gynaecologists who would intervene, respondents were most likely to intervene in women aged between 30 and 40 years (43%), at a uterine site (36%), sized over 5 cm ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1967919 Sun, 16 Nov 2008 11:32:57 +0100 1967919 http://www.medworm.com/index.php?rid=1954786&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F8757nj051x28t107%2F Content Type Journal ArticleCategory Acknowledgement to ReviewersDOI 10.1007/s10397-008-0448-0 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1954786 Tue, 11 Nov 2008 07:56:57 +0100 1954786 http://www.medworm.com/index.php?rid=1954787&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy5j261811h75x577%2F We report a rare case of spontaneous expulsion of a large fibroid following caesarean section. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-008-0441-7Authors Sireesha Yellamareddygari, Royal Lancaster Infirmary Flat 29, Block 2, Pointer Court Ashton Road Lancaster LA1 4JT UKManas Chakrabarti, South Manchester University Hospitals Obstetrics and Gynaecology Manchester UKSudha Ravuri, South Manchester University Hospitals Obstetrics and Gynaecology Manchester UKAnjali Ahluwalia, South Manchester University Hospitals Obstetrics and Gynaecology Manchester UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1954787 Tue, 11 Nov 2008 07:56:56 +0100 1954787 http://www.medworm.com/index.php?rid=1944798&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fcn77261q2t079m8h%2F We present a rare case of mesh erosion 18 years after a rectocele repair. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-008-0443-5Authors J. Putran, Colchester General Hospital Department of Gynecology Turner Road Colchester CO4 5BL UKM. A. Khaled, Colchester General Hospital Department of Gynecology Turner Road Colchester CO4 5BL UKD. Vinayagam, Colchester General Hospital Department of Gynecology Turner Road Colchester CO4 5BL UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1944798 Fri, 07 Nov 2008 08:08:58 +0100 1944798 http://www.medworm.com/index.php?rid=1944799&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fb953l80074j57215%2F We present the first case of association between an ovarian endometrioma and peritoneal metastases of struma ovarii. In a 20-year-old woman, previously subjected to right adnexectomy at 12 years old for struma ovarii, during operative videolaparoscopy, we observed on left ovary the presence of endometrioma of 6 cm in diameter and on pelvic peritoneum and right lateral abdominal wall, red colored nodules of multiple sizes; one of these was visible on the diaphragm and one on the right anterior lobe of the liver. Definitive histological examination revealed endometriotic cyst, and the immunohistochemical analysis of peritoneal nodules revealed the presence of thyroid tissue. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-008-0444-4Authors Vincenzo Ca... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1944799 Fri, 07 Nov 2008 08:08:42 +0100 1944799 http://www.medworm.com/index.php?rid=1944801&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fq266p3n80432xl27%2F The objective of the study was to determine the prevalence, extent, and location of adhesion formation following microsurgical monopolar laparoscopic ovarian drilling (LOD) among fertile and infertile women with clomiphene-resistant polycystic ovaries (PCO). The design was a longitudinal cohort follow-up study. The study was performed at the endoscopic unit of a tertiary university center. Three hundred and forty-seven patients with PCO were scheduled for LOD as a treatment option for clomiphene-resistant anovulation. Microsurgical monopolar LOD was performed in all cases. Two hundred and forty-six patients without possible additional predisposing factor for postoperative adhesion formation were followed up. To assess the sole effect of LOD on adhesion formation, only 51 eligible pat... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1944801 Thu, 06 Nov 2008 00:27:29 +0100 1944801 http://www.medworm.com/index.php?rid=1944800&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F1u0251072526r123%2F The objective of this study was to determine the effect of menstrual phase and preoperative hormonal contraception on successful bilateral placement of the Essure micro-insert tubal coil. It is a retrospective review (Canadian Task Force classification II-2) which was completed in an ambulatory women’s health center in the Regina Qu’Appelle Health Region. Women of reproductive age presenting with a request for permanent contraception using the hysteroscopic sterilization with the Essure micro-insert coil were enrolled. The main outcome measure was the successful bilateral placement of the Essure micro-insert tubal coil defined as bilateral visualization of the tubal ostia and cannulation with the Essure micro-insert coil. Eighty-one of 84 patients (96%) had successful visualizati... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1944800 Thu, 06 Nov 2008 00:27:29 +0100 1944800 http://www.medworm.com/index.php?rid=1938054&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fv365071h8704j648%2F Abstract  The success of second-generation endometrial ablation performed as day case or outpatient procedure is often hampered by severe postoperative pain. We administered dilute bupivacaine solution into the uterine cavity soon after balloon ablation in ten consecutive women, looking at the safety profile of bupivacaine. Three hours postoperative serum bupivacaine levels were well below the toxic level in all women with no side effects reported. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-008-0445-3Authors Kalsang Bhatia, Royal Blackburn Hospital Department of Obstetrics and Gynaecology Haslingden Road Blackburn BB2 3HH UKOybek Rustimov, Royal Blackburn Hospital Department of Obstetrics and Gynaecology Haslingden Road Blackburn BB2 3HH UKMan... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1938054 Tue, 04 Nov 2008 07:10:22 +0100 1938054 http://www.medworm.com/index.php?rid=1938053&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5471350186l161j4%2F This report reviews the risk factors and precipitating causes of bowel evisceration particularly after sacrocolpopexy, and peri- and intraoperative preventive measures are discussed, as well as various management modalities. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-008-0442-6Authors O. Eskandar, North Devon District Hospital Department of Obstetrics and Gynaecology Barnstaple Devon EX31 4JB UKJ. Hodge, North Devon District Hospital Department of Obstetrics and Gynaecology Barnstaple Devon EX31 4JB UKS. Eckford, North Devon District Hospital Department of Obstetrics and Gynaecology Barnstaple Devon EX31 4JB UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1938053 Tue, 04 Nov 2008 07:10:22 +0100 1938053 http://www.medworm.com/index.php?rid=1910971&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F64465tg761760009%2F We describe different ways of treating this serious complication. Although these cases are anecdotal, it might be prudent not to proceed with the mesh procedure in cases of accidental opening of the bladder during the dissection. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-008-0440-8Authors Folke Flam, St Goran Hospital Department of Gynecology 112 81 Stockholm SwedenMenachem Alcalay, Tel Aviv University Department of Obstetrics and Gynecology, Chaim Sheba Medical Center 52621 Tel Aviv Israel Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1910971 Sat, 25 Oct 2008 08:35:49 +0100 1910971 http://www.medworm.com/index.php?rid=1867822&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fx46017670441tk01%2F Abstract  Endometrial tuberculosis (TB) is a disease that may cause uterine adhesion, amenorrhea, and subsequently infertility. Early diagnosis and treatment of endometrial TB is vital to better prognosis. We show in this paper a typical hysteroscopic image of early-stage endometrial TB. We hope hysteroscopists may benefit from the images detecting the early-stage of endometrial TB. Content Type Journal ArticleCategory ImageDOI 10.1007/s10397-008-0438-2Authors Dabao Xu, Central South University Department of Obstetrics and Gynecology, the Third Xiangya Hospital 138 Tongzipo Road Changsha Hunan 410013 ChinaMin Xue, Central South University Department of Obstetrics and Gynecology, the Third Xiangya Hospital 138 Tongzipo Road Changsha Hunan 410013 ChinaXueying Han, Central S... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1867822 Wed, 08 Oct 2008 09:50:54 +0100 1867822 http://www.medworm.com/index.php?rid=1850370&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fyr262n61665631r6%2F The objective of this study is to compare the effectiveness of two surgical techniques (suturing versus flowering of Bruhat) after fimbrioplasty for treatment of distal tubal pathology in infertile women with endometriosis. This is a historical cohort study with 12 months of follow-up comparing pregnancy rates achieved spontaneously or after controlled ovarian hyperstimulation (COS) with intrauterine insemination (IUI) in infertile women with endometriosis who underwent laparoscopic fimbrioplasty. A total of 154 patients with endometriosis-related infertility (pelvic inflammatory disease was excluded by absent history and negative Chlamydia trachomatis serology) had fimbrioplasty using salpingostomy procedure for treatment of distal tubal pathology. The edges of the fimbrial ost... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1850370 Thu, 02 Oct 2008 09:27:41 +0100 1850370 http://www.medworm.com/index.php?rid=1832516&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3440q218063t738l%2F We report two cases of peri-menopausal women in which endometriosis was associated to ovarian malignancy. The first case was a 49-year-old woman who underwent laparoscopic oophorectomy for an ovarian endometrioid cyst. Definitive histology showed ovarian endometrioid cyst with endometrioid and clear cell carcinoma. Subsequently, surgical restaging was performed. The other case was a 49-year-old woman who underwent hysterectomy and bilateral oophorectomy for an ovarian mass suggestive of endometriosis and uterine myomas. At frozen section examination, ovarian adenocarcinoma was found and staging procedure was performed. Definitive histology showed carcinosarcoma of the ovary with areas of endometriod adenocarcinoma. Given the non-infrequent association between ovarian endometriosis a... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1832516 Thu, 25 Sep 2008 07:21:41 +0100 1832516 http://www.medworm.com/index.php?rid=1823958&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F3645320586725960%2F Content Type Journal ArticleCategory Surgical EponymsDOI 10.1007/s10397-008-0435-5Authors M. Thiery, Foundation Jan Palfijn and Museum for History of Medicine, “Het Pand” Gent Belgium Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1823958 Tue, 23 Sep 2008 10:15:33 +0100 1823958 http://www.medworm.com/index.php?rid=1823959&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj8172vn3870g0109%2F Content Type Journal ArticleCategory Surgical Shortcuts with CommentaryDOI 10.1007/s10397-008-0436-4 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1823959 Tue, 23 Sep 2008 10:15:32 +0100 1823959 http://www.medworm.com/index.php?rid=1789922&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F56m816km4074hh4m%2F CONTENTS Content Type Journal ArticleCategory ContentsDOI 10.1007/s10397-008-0429-3 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1789922 Fri, 12 Sep 2008 08:07:41 +0100 1789922 http://www.medworm.com/index.php?rid=1785560&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fd86163t8vj378g25%2F FREE COMMUNICATION Content Type Journal ArticleCategory AbstractsDOI 10.1007/s10397-008-0430-x Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1785560 Wed, 10 Sep 2008 08:32:44 +0100 1785560 http://www.medworm.com/index.php?rid=1778570&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F9025077w35107256%2F Content Type Journal ArticleCategory AbstractsDOI 10.1007/s10397-008-0432-8 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1778570 Mon, 08 Sep 2008 15:54:32 +0100 1778570 http://www.medworm.com/index.php?rid=1778571&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fg3521532xq577620%2F POSTER PRESENTATIONS Content Type Journal ArticleCategory AbstractsDOI 10.1007/s10397-008-0431-9 Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1778571 Mon, 08 Sep 2008 15:54:29 +0100 1778571 http://www.medworm.com/index.php?rid=1763430&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F061387763x480t20%2F Abstract  Malignant mixed mullerian tumors (MMMTs) are very rare neoplasms of the fallopian tube, consisting of <1% of all genital sarcomas. The prognosis of fallopian tube MMMTs is poor. In most cases, the patient is lost in the first 2 years. A case of simultaneous primary carcinosarcoma of the uterus and the bilateral fallopian tubes is reported. Six regimens of carboplatin/paclitaxel combination therapy were administered to the patient after surgery. During the 32-month follow-up of the patient, recurrence and metastasis were not determined. The speculations about the pathological origins and the treatment of MMMTs still continue. Although it is an uncommon occurrence, it has been shown that these tumors may exist simultaneously in different genital organs too. ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1763430 Wed, 03 Sep 2008 11:13:10 +0100 1763430 http://www.medworm.com/index.php?rid=1763431&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy7712216273k3681%2F Abstract  In this case series, six women with high and very high body mass index (BMI; range, 30–65) underwent LAVH + bilateral salphingo-ophorectomy and removal of vaginal cuff under general anaesthesia for endometrial cancer. Initial Verres needle entry and insufflation was through the left upper quadrant at sub-coastal margin. With good surgical outcome, shorter hospitalisation and improved quality of life, we found that laparoscopic surgery was feasible in high and very high BMI patients with early stage endometrial cancer. Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s10397-008-0427-5Authors H. Muppala, Royal Blackburn Hospital Women’s Health Directorate Haslingden Road, Blackburn BB2 3HH Lancashire UKJ. Rafi, North Manchester General Hospita... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1763431 Wed, 03 Sep 2008 11:13:06 +0100 1763431 http://www.medworm.com/index.php?rid=1749644&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fu1g441860427q076%2F Abstract  Laparoscopic entry was prospectively assessed across a range of gynaecological surgeons working in a university teaching hospital to examine technique, difficulties experienced with entry and factors contributing to difficult laparoscopic entry. Details of 586 laparoscopies were obtained. Closed entry was used in 94.4% and open entry in 4.8%. Difficult laparoscopic entry occurred in 16.2% of cases. One or more entry tests were non-confirmatory in 21% of entries. Women weighing >100 kg had a higher rate of multiple Veres needle insertions than women weighing <100 kg (p = 0.006, odds ratio 3.06). Junior surgeons experienced more difficulty with laparoscopic entry than their more senior colleagues (p = 0.01). The laparoscopic entry complication... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1749644 Sat, 30 Aug 2008 16:24:28 +0100 1749644 http://www.medworm.com/index.php?rid=1741937&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fy7r642ug33177770%2F Abstract  Every surgeon will experience a learning curve while performing a new surgical procedure. Developing surgical training will shorten the learning curve, with less deleterious effects on patients during this period. There are exciting initiatives in different branches of surgical training that will be applicable across all surgical disciplines. These involve the combination of didactic repetitive training, coupled with skills training where it is applicable. These initiatives will help to move the focus, from developing technical excellence for a few individual surgeons to a more widespread approach in the training of complex laparoscopic surgery, resulting in considerable health benefits to patients. Content Type Journal ArticleCategory PerspectiveDOI 10.1007/s10... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1741937 Wed, 27 Aug 2008 15:50:23 +0100 1741937 http://www.medworm.com/index.php?rid=1741936&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F032w818816005690%2F We present a case where a woman presented to us with multiple fibroids and underwent an abdominal hysterectomy. The diagnosis was not suspected before the surgery but diagnosed on histopathology. The patient underwent further surgery to remove the fibroids from the pelvic veins and the inferior vena cava. This condition has been reported in only few case reports around the world. In view of the rarity of this condition, the diagnosis can be easily missed. We suggest an increased vigilance in women who have large fibroids with unusual features in symptoms or during surgery. Pre-surgical imaging will help to make diagnosis, and good surgical outcomes can be achieved by a multidisciplinary surgical approach. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-008-0426... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1741936 Wed, 27 Aug 2008 15:50:23 +0100 1741936 http://www.medworm.com/index.php?rid=1741938&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Ff5n4844002g5046j%2F Abstract  We review the current evidence about the treatment modalities of intrauterine adhesions (IUA) or Asherman’s Syndrome (AS). Systematic approach, audit and well-structured research is mandatory in order to establish the best treatment for the individual needs of patients. The clinical practice changed significantly over the last 20 years with technological advances in hysteroscopy and imaging techniques. Hysteroscopic treatment seems effective and safe. IUA or AS is a rather uncommon finding in general gynaecological practice. The referral to a tertiary centre will help to centralise the most difficult cases and create the opportunity to study more in detail the efficacy of each treatment modality and to compare the different treatment techniques. Content T... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1741938 Wed, 27 Aug 2008 15:50:21 +0100 1741938 http://www.medworm.com/index.php?rid=1741939&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F2k33720718353517%2F The objective of this study was to compare outcomes of laparoscopically assisted radical vaginal hysterectomy (LARVH) vs. abdominal radical hysterectomy (RH) for early-stage cervical cancer. This is a retrospective study of all LARVH and RH procedures between January 2003 and June 2006 in our tertiary referral centre. Demographic, intraoperative and postoperative parameters in both groups were compared. Fourteen women (stage IA2–IB) underwent LARVH, and 12 women (stage IA2 to IB) had RH. All had clear excision margins. None of the laparoscopic procedures were converted into laparotomy. There have not been any recurrences in either group during the follow-up period. We conclude that LARVH and RH are equally efficacious surgical methods. The LARVH group had shorter hospital stay, red... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1741939 Tue, 26 Aug 2008 07:50:22 +0100 1741939 http://www.medworm.com/index.php?rid=1733166&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F05k344612437v5m7%2F Abstract  To study the effect of unilateral versus bilateral adnexal involvement on the pregnancy rate after operative laparoscopy. Historic cohort study. A total of 143 patients with advanced stages of endometriosis (stage III and IV) who underwent operative laparoscopy for infertility treatment were categorized into those with unilateral versus bilateral adnexal disease. Forty-three patients had primarily unilateral (group 1) and 100 had bilateral disease (group 2). Follow-up was up to 2 years. There was no significant difference between group 1 and group 2 with respect to pregnancy rates (28% vs 31%), delivery rates (21% vs 23%), miscarriage rates (25% vs 13%), and ectopic rates (0% vs 13%). Cumulative conception rates after up to 24 cycles of natural intercourse an... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1733166 Sun, 24 Aug 2008 16:42:14 +0100 1733166 http://www.medworm.com/index.php?rid=1713416&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F6142q8p593142223%2F This report describes the management of a patient who developed two consecutive cornual ectopic pregnancies in a year preceded by two tubal ectopics on the same side. Interstitial pregnancy is a rare form of ectopic pregnancy with a significant mortality rate. It provides a challenge for clinicians both in their diagnosis and management. As yet, the incidence of recurrent cornual ectopic pregnancies is unknown. Currently conservative medical and surgical methods of management are favoured due to good outcomes and fewer risks. However, these methods do not protect against recurrence. In this report, we discuss the various methods of management described in literature. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-008-0422-xAuthors Sitamani Sahoo, Queen’s H... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1713416 Fri, 15 Aug 2008 06:20:47 +0100 1713416 http://www.medworm.com/index.php?rid=1688670&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fdm067k2k6n160767%2F The objective outcome assessment was done at the hospital for 50% of the patients, and the other half of the patients were followed up by their own gynecologist. During the follow-up visit (n = 151), 79% of the women were cured: 90% of the patients with genuine SUI and 60% of those with mixed urinary incontinence (MUI). The data of 40 patients was either not available from patients’ private gynecologists or the patients had not undergone a follow-up visit at all. For the first subjective outcome assessment, participating patients (n = 188) received a questionnaire. Three patients had died from unrelated causes during this follow-up. The response rate was 82.4%. Overall, 83.9% of the respondents reported significant improvement, of which 90.5% of the patients had genuine SUI ... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1688670 Wed, 06 Aug 2008 05:49:56 +0100 1688670 http://www.medworm.com/index.php?rid=1688669&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F5387371x5626x416%2F We report on a case of pelvic actinomycosis which mimicked ovarian neoplasia both clinically, radiologically, and surgically. The final diagnosis was made based on the histopathology study of the removed organ. The clinical picture is often non-specific and may suggest ovarian neoplasia. First line treatment is essentially medical, involving prolonged treatment with antibiotics. Additional surgical treatment may occasionally be appropriate. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-008-0419-5Authors Samar Elkhateb, Université sidi Mohamed ben Abdellah CHU Hassan II Fes MoroccoNicole Moens, Clinique Louis Cathy Baudour BelgiumMickael Aoun, Université Libre de Bruxelles Institut Jules Bordet Brussels BelgiumJean Marie Nogaret, Université Libre de Bruxell... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1688669 Wed, 06 Aug 2008 05:49:56 +0100 1688669 http://www.medworm.com/index.php?rid=1656962&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fwp413802272t4hn4%2F Abstract  In this paper, we report a rare type of ectopic pregnancy implanted in a previous caesarean scar. Scar pregnancy was diagnosed at six weeks gestation in a woman with three prior caesarean deliveries. Management with the usual dose of Methotrexate was unsuccessful. The patient continued to have pelvic pain, the beta human chorionic gonadotropin (ßhCG) increased and there was persistent foetal cardiac activity. Subsequently, dilatation and curettage was performed under ultrasound guidance without complications. We conclude that scar pregnancy presents a diagnostic and therapeutic challenge to the clinician and the optimal management strategy needs to be explored. Content Type Journal ArticleCategory CommuncicationDOI 10.1007/s10397-007-0368-4Authors A. Maria Em... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1656962 Fri, 25 Jul 2008 06:55:14 +0100 1656962 http://www.medworm.com/index.php?rid=1654931&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2Fj5484k3755kg17h3%2F We report a case of an ovarian cyst in pregnancy complicated by torsion of the cyst requiring urgent surgical intervention at 13 weeks of gestation. The case was successfully managed by laparoscopic ovarian cystectomy without any maternal or fetal complications. Thus proving that operative laparoscopy in pregnancy is a safe and feasible option. Approximately 0.2% of pregnant women require intra-abdominal general surgery during pregnancy. Benefits of laparoscopic surgery compared to the traditional open surgery are well recognised; notably, a shorter hospital stay and a reduced rate of post-operative complications. Pregnancy poses unique surgical and anaesthetic problems due to altered physiology and anatomy in pregnancy. The effect of the pneumoperitoneum on the maternal haemody... Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1654931 Thu, 24 Jul 2008 08:58:10 +0100 1654931 http://www.medworm.com/index.php?rid=1651903&cid=s_33406_29_f&fid=33406&url=http%3A%2F%2Fwww.springerlink.com%2Fcontent%2F91102131m133mt28%2F Abstract  Salpingectomy should always be complete. A patient had a third ectopic pregnancy following partial salpingectomy, of the ampullary and uterine parts, therapeutically and prophylactically. Content Type Journal ArticleCategory CommunicationDOI 10.1007/s10397-008-0415-9Authors Sharif I. M. F. Ismail, Yeovil District Hospital Department of Obstetrics and Gynaecology Yeovil BA21 4AT Somerset England UK Journal Gynecological SurgeryOnline ISSN 1613-2084Print ISSN 1613-2076 (Source: Gynecological Surgery) Gynecological Surgery journals http://www.medworm.com/rss/comments.php?id=1651903 Wed, 23 Jul 2008 05:53:15 +0100 1651903