Adhesion prevention after myomectomy by laparotomy: a prospective multicenter comparative randomized single-blind study with second-look laparoscopy to assess the effectiveness of PREVADH™.

Objective: The objective of this multicenter, randomized study was to investigate the efficacy of the hydrophilic resorbable film PREVADH™ in preventing postoperative adhesions following myomectomy.

Study Design: Women scheduled for laparotomic myomectomy with intramural and/or subserous myomas of >60mm in diameter, and who wished to preserve fertility, were eligible. Patients were randomized immediately prior to abdominal wall closure to receive either hydrophilic resorbable film applied directly to the incisions (P-Group, n=33) or 500mL Ringer's lactate solution instilled into the pelvic cavity (R-Group, n=28).

Analysis of the learning curve of bilateral anterior sacrospinous ligament suspension associated with anterior mesh repair.

Objective: To analyze the learning curve of bilateral anterior sacrospinous ligament suspension associated with anterior mesh repair in a single center.

Study Design: The first 113 bilateral anterior sacrospinous ligament suspensions associated with anterior mesh repair performed by three surgeons trained together in a single center were analyzed retrospectively for pre-operative, operative and post-operative data. To discover a turning point, all major complications were reported and the study population was divided into five groups of approximatively 22 interventions each, classed chronologically.

How to advise a woman who wants to get pregnant after a sub-urethral tape placement?

Our objective was to make recommendations for the follow-up of pregnancies and the choice of delivery route for patients becoming pregnant after surgical treatment of stress urinary incontinence (SUI) by tension-free vaginal tape (TVT) or trans-obturator tape (TOT). We performed a retrospective survey on pregnancies after surgical treatment of SUI. Nineteen physicians out of 3,400 contacted reported a total of 20 pregnancies after TVT or TOT.