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INTRODUCTION Laparoscopic myomectomy can be performed by most advanced laparoscopic gynecologic surgeons if they have appropriate mentoring. Despite this, it is still an underused procedure. In this article, we report our ten-year experience with laparoscopic myomectomy with focus on blood loss and hemostasis. MATERIALS AND METHODS From July 1999 to May… (More)
Uterine fibroids are remarkably common and may rarely grow to a large volume. The standard treatment in this situation is abdominal hysterectomy. We are presenting the case of a large multiple fibroid uterus that was successfully treated with total laparoscopic hysterectomy and the problems associated with such an operation.
INTRODUCTION Laparoscopic hysterectomy for large fibroid uteri is technically a difficult procedure. In this article, we report our experience with fibroid uteri >1 kg in weight. MATERIALS AND METHODS An intent-to-treat study. RESULTS From 2003 to 2009, 13 patients were successfully treated for large fibroid uteri with postoperative specimens weighing… (More)
Bowel bags are transparent sterile plastic bags that had no practical application in gynecology until now. We are presenting nine cases of laparoscopic hysterectomy with salpingooophorectomy in which bowel bags have been efficiently utilized.
Cornual (interstitial) ectopic pregnancy is an uncommon variant of ectopic pregnancy which often poses a diagnostic and therapeutic challenge with a significant risk of rupturing and bleeding. We present a ruptured right cornual pregnancy and explain how to deal with such a case laparoscopically.
PURPOSE OF REVIEW Laparoscopic myomectomy has been described as comparable to open myomectomy in terms of fertility and obstetrical outcome with decreased intraoperative bleeding and postoperative disability. Despite this, laparoscopic myomectomy is not widely used reportedly due to lack of experience. This article presents our technique for laparoscopic… (More)
INTRODUCTION Laparoscopic skills are indispensable to the practice of present-day gynecologists. Hence, we investigated the share of minimal invasive surgery in the training of obstetricians and gynecologists. MATERIALS AND METHODS Information on resident experience from 197 obstetrics and gynecology (OBGYN) residency programs was obtained from the… (More)
Endometriosis may in severe cases lead to obliteration of the anterior and/or posterior cul-de-sacs in the female pelvis. The anterior cul-de-sac is generally less commonly affected. This type of cases usually presents a challenge for the operating surgeon, whether via open route or through laparoscopy. In this paper, we present an illustrative case and… (More)
OBJECTIVE In this paper we present our observation of a specific sign on transvaginal ultrasound that may help basic minimal invasive surgeons diagnose vesico-uterine adhesions preoperatively. METHODS The ultrasound images of the latest eleven patients who were preoperatively diagnosed with vesico-uterine adhesions using transvaginal ultrasound were… (More)
INTRODUCTION Interstitial cystitis (IC) is a common cause of pelvic pain in the general female population and is thought to be understated in young female patients. CASE A 12-year-old girl with IC and endometriosis. METHOD A single case report. CONCLUSION It is important to screen for IC in young patients with endometriosis and vice versa.