A case of primary infertility and a patient with ventriculoperitoneal shunt.

Ventriculoperitoneal (VP) shunts are the main treatment modality for patients with hydrocephalus. The complications arising in patients with VP shunts are well documented. We present a case of infertility in a patient with a long-standing VP shunt.

Adnexal torsion.

This review provides timely information concerning clinical, surgical, and pathologic findings of adnexal torsion (AT). AT mostly occurs in the child-bearing age group, but is not uncommon in premenarchal girls or postmenopausal women. When AT is suspected, urgent surgical intervention is indicated, and is usually performed by laparoscopy.

Parental karyotype and subsequent live births in recurrent miscarriage.

Objective: To compare the subsequent live birth rate in recurrently miscarrying women with and without parental balanced chromosomal aberrations.

Design: Retrospective comparative cohort study.

Setting: Tertiary referral unit in a university hospital.

Minimal surgery for the twisted ischaemic adnexa can preserve ovarian function.

Background: Recently detorsion has replaced salpingo-oophorectomy as treatment for the twisted ischaemic adnexa. This paper asssess whether the ovary resumes normal function after preservation by detorsion.

Methods: The results of detorsion performed between January 1988 and December 2001 were retrospectively analysed.

Laparoscopy versus laparotomy for detorsion and sparing of twisted ischemic adnexa.

Background: Torsion of the ovary is an urgent event for fertile women. Until recent years, the common treatment for twisted ischemic ovaries was salpingo-oophorectomy. We have demonstrated in the past that the ovary can be salvaged provided detorsion is performed.

Giant uterine tumors: two cases with different clinical presentations.

Background: Giant uterine tumors are uncommon. However, they may be life threatening because of pressure effects on the lungs and other adjacent organs. Proper surgical management and careful perioperative care are essential to assure a good outcome after excision.

Pregnancy outcome after laparoscopy or laparotomy in pregnancy.

Study Objective: To assess obstetric performance and fetal outcomes after laparoscopy or laparotomy performed during pregnancy.

Design: Nationwide, multicenter, retrospective chart review (Canadian Task Force classification II-2).

Setting: Seventeen hospitals throughout Israel: 12 university or university-affiliated hospitals and 5 general hospitals.

Diagnosis and treatment of heterotopic pregnancy compared with ectopic pregnancy.

Study Objective: To compare the diagnosis and management of ectopic (EP) and heterotopic pregnancies (HP).

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

Setting: University tertiary referral center for endoscopic surgery.

Cervical Shirodkar cerclage may be the treatment modality of choice for cervical pregnancy.

Background: Our objective was to evaluate the use of cervical suture in cervical pregnancy.

Methods And Results: All cases of cervical pregnancy diagnosed and treated in the gynaecological department at the Sheba Medical Center between 1994-2000 were included in the study. Eight such cases were diagnosed.