[Management of tubal ectopic pregnancies with methotrexate : is it an effective treatment ?].

Ectopic pregnancy is a gynecological emergency. The hCG level, the clinical presentation and the ultrasound remain the key steps for the diagnosis. The criteria tend to be more and more codified to decide on the optimal treatment, however, there is no consensus.

Adhesion Barrier Use After Myomectomy and Hysterectomy: Rates and Immediate Postoperative Complications.

Objective: To evaluate use rates and immediate postoperative complications of the use of an adhesion barrier in myomectomy or hysterectomy.

Methods: This was a retrospective cohort study. Using the Healthcare Cost and Utilization Project Nationwide Inpatient Sample, we examined the records of women with primary discharge diagnosis of uterine myoma during the period 2003-2011.

Uterine myomata: Organ-preserving surgery.

Most women with uterine myoma are asymptomatic and do not require any treatment. However, myoma can also lead to menorrhagia, pressure symptoms, abdominal pain, and infertility. Management of symptomatic women with myoma depends on several factors, including age, desire for fertility, and myoma characteristics.

Future research and developments in hysteroscopy.

Hysteroscopy has become an important tool to evaluate intrauterine pathology. In most cases, the pathology can be diagnosed and treated in the office or outpatient setting. The ability to use normal saline as a distending medium allows the procedure to be performed using bipolar energy.