Clinical Diagnosis and Early Medical Management for Endometriosis: Consensus from Asian Expert Group.

This work provides consensus guidance regarding clinical diagnosis and early medical management of endometriosis within Asia. Clinicians with expertise in endometriosis critically evaluated available evidence on clinical diagnosis and early medical management and their applicability to current clinical practices. Clinical diagnosis should focus on symptom recognition, which can be presumed to be endometriosis without laparoscopic confirmation.

Laparoscopic management of 4 cases of recurrent cornual ectopic pregnancy and review of literature.

The objectives of this retrospective case series were to report our experience with laparoscopic management of recurrent cornual ectopic pregnancy in a tertiary care center and to present a review of the literature. Four patients experienced recurrent cornual ectopic pregnancy, and 1 patient had 2 consecutive recurrences. Laparoscopic surgery was performed to treat recurrent cornual ectopic pregnancy in all 4 patients.

Parasitic dermoid cyst of the pouch of Douglas: a case report.

Extragonadal mature cystic teratomas (dermoid cysts) are reported occasionally, with the most common site being the omentum. Of the 3 proposed causes of such cysts, torsion of a pre-existing dermoid, leading to autoamputation and subsequent reimplantation, is most likely the preceding event. A rare case of a parasitic benign cystic teratoma was incidentally found in the pouch of Douglas in a 29-year-old woman undergoing a laparoscopic right cystectomy for an ovarian dermoid cyst.

Laparoscopic management of 53 cases of cornual ectopic pregnancy.

Objective: To present our experience of laparoscopic management of cornual ectopic pregnancy.

Design: Retrospective review of 53 cases of cornual pregnancy treated laparoscopically.

Setting: K.

Laparoscopic excision of rudimentary horn pregnancy in a patient with previous caesarean section.

A rudimentary uterine horn is extremely rare and often difficult to diagnose. The frequency of this pathology is approximately 1:100,000. The diagnosis is sometimes elusive even at surgery.

Retrospective study of the success rates and complications associated with total laparoscopic hysterectomy.

Aims: Laparoscopic techniques are being used increasingly more in gynecologic surgery and the introduction of modern laparoscopic instruments has allowed complex operations to be performed laparoscopically. The aim of this study is to evaluate our surgical technique with regard to the success of total laparoscopic hysterectomy (TLH) for the removal of the uterus, by analyzing its intraoperative and postoperative surgical outcomes and complications in the hope of reducing their occurrence.

Methods: A retrospective observational study was carried out at KK Hospital, Singapore, based on TLH operations performed from January 2001 to June 2005.

Initial Asian experience in hysteroscopic sterilisation using the Essure permanent birth control device.

Objective: To present our initial experience in the use of the Essure permanent birth control device in a predominately Asian population.

Design: A retrospective study.

Setting: Minimally Invasive Surgery Unit, KK Women's and Children's Hospital, Singapore.