vNOTES hysterectomy using the lateral window technique in case of a ventrofixed uterus following previous cesarean sections: A video article.

vNOTES uses the vagina as the surgical channel for endoscopy and achieves improved cosmesis compared to conventional laparoscopy as there are no abdominal incisions. Ventrofixation of the uterus to the abdominal wall following previous cesarean sections further adds to the surgeon's concern of bladder injury. In such cases, a modification of the technique is proposed: introducing the vNOTES port first, before the opening of the vesico-uterine peritoneal folds, thus carried out under endoscopic view.

[Endometrial osseous metaplasia: A case report].

Endometrial osseous metaplasia (EOM) is a rare condition characterised by the presence of bone in the uterine cavity. Some patients with this condition present with secondary infertility due to the presence of a foreign body in the endometrium. We report a case of a 39-year-old woman who presented with secondary infertility due to EOM.

Prophylactic attempt at manual rotation in brow presentation at full dilatation.

We report our management of brow presentation at full dilatation by a prophylactic attempt at manual rotation or immediate cesarean delivery, depending on practitioner training. During the study period, 49 women with brow presentation were collected for an overall 30 452 deliveries (1/621) and 22 (44.9%) of them were diagnosed at full dilatation.

Long-term psychological impact of severe postpartum hemorrhage.

Objective: To estimate the long-term psychological impact of severe postpartum hemorrhage in women whose uterus was preserved.

Design: Retrospective study.

Setting: University-affiliated tertiary referral center.

Predictors of failed pelvic arterial embolization for severe postpartum hemorrhage.

Objectives: To estimate what factors are associated with a failed pelvic arterial embolization for postpartum hemorrhage and to attempt to estimate efficacy of pelvic arterial embolization in rare conditions.

Methods: This was a retrospective cohort study including all consecutive women who underwent pelvic arterial embolization trial for postpartum hemorrhage between 1994 and 2007 at a tertiary care center. Pelvic arterial embolization failure was defined as the requirement for subsequent surgical procedure to control postpartum hemorrhage.

Fertility after B-Lynch suture and stepwise uterine devascularization.

Objective: To report the obstetric outcome in a patient who had previously undergone a stepwise uterine devascularization followed by a B-Lynch suture for severe postpartum hemorrhage (PPH).

Design: Case report.

Setting: University hospital.

Successful expectant management for a cornual heterotopic pregnancy.

Objective: To report the obstetric outcome after expectant management for a right cornual heterotopic pregnancy.

Design: Case report.

Setting: University hospital.

B-Lynch suture for massive persistent postpartum hemorrhage following stepwise uterine devascularization.

Objective: To estimate the effectiveness and safety of the B-Lynch suture for severe persistent postpartum hemorrhage (PPH) following vessel ligation before considering hysterectomy and its impact on menstruation and uterine cavity.

Design: Cohort study.

Setting: University-affiliated tertiary referral center.

Is painful rectovaginal endometriosis an intermediate stage of rectal endometriosis?

Objective: To compare the history of pain complaints of women presenting rectovaginal and rectal endometriosis to show that rectovaginal locations may progress to a rectal involvement of the disease.

Design: Retrospective comparative study.

Setting: Department of Gynecology and Obstetrics, University Hospital Rouen, France.

Endorectal ultrasound accuracy in the diagnosis of rectal endometriosis infiltration depth.

Objective: To evaluate the accuracy of endorectal ultrasound examination to ascertain the deepest rectal layer involved in rectal endometriosis.

Design: Retrospective study.

Setting: Department of obstetrics and gynecology at a university hospital in France.