Mechanical bowel preparation for gynecologic laparoscopy: a prospective randomized trial of oral sodium phosphate solution vs single sodium phosphate enema.

Study Objective: To compare the effect of mechanical bowel preparation using oral sodium phosphate (NaP) solution vs single NaP enema on the quality of the surgical field in patients undergoing advanced gynecologic laparoscopic procedures.

Design: Single-blind randomized controlled trial (Canadian Task Force classification I).

Setting: Academic teaching hospital.

Laparoscopic management of placenta percreta.

The incidence of abnormal placentation is increasing as a result of the rise in the cesarean delivery rate. Management of placenta percreta involving the urinary bladder often requires extensive surgery including bladder resection. A 27-year-old woman with placenta previa percreta that invaded the urinary bladder underwent delayed total laparoscopic hysterectomy performed after the portion of the placenta invading the bladder had regressed.

Pediatric and adolescent gynecologic laparoscopy.

Minimally invasive techniques to treat children and adolescents requiring surgery have increasingly become standard of care. Similarly, gynecologists frequently use laparoscopy to treat pelvic pathology. We present the necessary equipment and surgical techniques required to perform gynecologic procedures on the pediatric and adolescent population.