The Prevalence of Endometriosis in Adolescents with Pelvic Pain: A Systematic Review.

Study Objective: Endometriosis is a recognized cause of pelvic pain in adolescents with menstrual symptoms that significantly affect education, activity, and social interactions. We aim to provide an updated systematic review of the prevalence of endometriosis in adolescents with pelvic pain presenting for gynecological investigation.

Data Sources: We searched Medline, Embase, and Cinahl from 2011 to July 2019.

Long-term mesh complications and reoperation after laparoscopic mesh sacrohysteropexy: a cross-sectional study.

Introduction And Hypothesis: The paucity of long-term safety and efficacy data to support laparoscopic mesh sacrohysteropexy is noteworthy given concerns about the use of polypropylene mesh in pelvic floor surgery. This study is aimed at determining the incidence of mesh-associated complications and reoperation following this procedure.

Methods: This was a cross-sectional postal questionnaire study of women who underwent laparoscopic mesh sacrohysteropexy between 2010 and 2018.

Remnant functioning cervical tissue after laparoscopic removal of cavitated noncommunicating rudimentary uterine horn.

Cavitated noncommunicating rudimentary uterine horn is managed via surgical removal. During the past 20 years this has been performed primarily via laparoscopy. At our multidisciplinary specialized center, this condition has been treated in 29 patients over 10 years.

Lower urinary tract symptoms in women with vaginal agenesis.

Introduction And Hypothesis: Congenital vaginal aplasia is a condition with devastating implications for fertility and sexuality. However, little is known on whether urinary symptomatology is more common prior and following vaginal lengthening procedures in these women.

Methods: We performed a prospective observational study of 19 women with vaginal agenesis before and after vaginal dilation treatment or a laparoscopic Vecchietti procedure.

Short-term outcome of fertility-sparing laparoscopic excision of deeply infiltrating pelvic endometriosis performed in a tertiary referral center.

Objective: To examine the short-term surgical outcomes in women undergoing fertility-sparing laparoscopic excision of deeply infiltrating pelvic endometriosis.

Design: Retrospective cohort study.

Setting: Tertiary referral center for treatment of endometriosis, a university teaching hospital, London, United Kingdom.

Abdominal sacrocolpopexy for vault prolapse without burial of mesh: a case series.

Objectives: To audit the clinical outcome of abdominal vault suspension (sacrocolpopexy, hysteropexy or cervicopexy) using non-absorbable mesh, without burial by closure of the peritoneum.

Design: A case series.

Setting: Urogynaecology units of four hospitals.

Laparoscopic ovarian suspension to facilitate surgery for advanced endometriosis.

Objective: To describe a new laparoscopic technique that exposes the ovarian fossa and pelvic side wall by suspending the ovaries to the anterior abdominal wall for advanced endometriosis surgery.

Design: Report of an operative technique.

Setting: University teaching hospital.

Ovarian torsion: to pex or not to pex? Case report and review of the literature.

Study Objective: We report the case of a 7-year-old girl who underwent laparoscopic ovariopexy for a suspected ovarian torsion after a previous oophorectomy. We consider the role of elective ovariopexy of the contralateral ovary in the case of adnexal torsion.

Design: Case study and review of the literature.

A new technique of laparoscopic ovariopexy before irradiation.

Objective: To report a new technique of laparoscopic ovarian transposition to preserve ovarian function in women who require pelvic irradiation for musculoaponeurotic fibromatosis (extra abdominal desmoid).

Design: Case report.

Setting: University teaching hospital.

Interstitial laser photocoagulation for uterine myomas.

Thirty myomas in 24 symptomatic patients who refused conventional surgery were treated by interstitial laser photocoagulation, monitored by laparoscopy. The procedure was well tolerated. Magnetic resonance imaging or ultrasound scanning documented shrinkage in 23 lesions (those lesions >6 cm in diameter responded poorly), with clinical benefit in 13 patients.