Spigelian hernia in gynaecology.

Background: A Spigelian hernia is a rare hernia through the Spigelian fascia between the rectus muscle and the semilunar line. This hernia is well known in surgery. Symptoms vary from insidious to localised pain, an intermittent mass and/or a bowel obstruction.

Italian multicenter study on complications of laparoscopic myomectomy.

Study Objective: To study intraoperative and postoperative complications of laparoscopic myomectomy and patients' characteristics influencing this risk.

Design: Prospective study, with a review of the patient records by the first author (Canadian Task Force classification II-2).

Setting: Four Italian referral centers.

Laparoscopic myomectomy: a report of 982 procedures.

We have reported the experience of two referral laparoscopic gynecologic centers in Italy considering the results of almost 1000 laparoscopic myomectomies, including complication rate and fertility outcome. From January 1991 to December 2003, a total of 982 single or multiple laparoscopic myomectomies (LM) were performed. Indications were infertility, recent and significant uterine enlargement, and other symptoms such as pelvic pain, menometrorrhagia, and abnormal bleeding.

Optimizing the total laparoscopic hysterectomy procedure for benign uterine pathology.

Study Objective: To evaluate the influence of the learning curve in total laparoscopic hysterectomy on short- and long-term clinical results.

Design: Retrospective comparative analysis (Canadian Task Force classification II-2).

Setting: Malzoni Medical Center of Avellino, university-affiliated hospital.