Metronidazole for Prevention of Pelvic Cellulitis and Abscess after Laparoscopic Hysterectomy: A Triple-blinded, Randomized, Placebo-controlled Clinical Trial.

Study Objective: To determine whether a postoperative 5-day treatment schedule with vaginal metronidazole added to conventional antibiotic prophylaxis with 2 g cefazolin modifies the risk of pelvic cellulitis (PC) and pelvic abscess (PA) after total laparoscopic hysterectomy (TLH).

Design: A randomized, controlled, triple-blind, multicenter clinical trial.

Setting: Two centers dedicated to minimally invasive gynecologic surgery in Colombia.

Barbed Suture versus Conventional Suture for Vaginal Cuff Closure in Total Laparoscopic Hysterectomy: Randomized Controlled Clinical Trial.

Study Objective: To determine the surgical time, suture time, presence of postoperative dyspareunia, and complications that occur after closing the vaginal cuff with a barbed suture compared with conventional suture.

Design: A randomized, controlled clinical trial (Canadian Task Force classification I).

Setting: Private gynecologic clinic in Medellin, Colombia.

Transversus abdominis plane block after ambulatory total laparoscopic hysterectomy: randomized controlled trial.

Objective: To determine if transversus abdominis plane anesthetic blockage (TAP block) diminishes early postoperative pain scores and facilitates ambulatory management following total laparoscopic hysterectomy.

Design: Randomized triple blind trial.

Setting: Gynecological endoscopy unit at a referral center for laparoscopic surgery.

[Sciatic hernia as a cause of chronic pelvic pain].

Sciatic hernia constitutes the scarcest group of hernias of pelvic floor; however, they should be considered in the origin of chronic pelvic pain. The proper diagnosis of sciatic hernias has allowed to surgeons treating successfully patients with acute or chronic pelvic pain, with intestinal or ureteral obstruction and with urinary or gluteus sepsis. It has to be considered as differential diagnosis before the finding of a congenital or acquired gluteus mass.

Bilateral ectopic pregnancy.

Bilateral simultaneous ectopic pregnancy is a very rare clinical condition. Two different subsets of patients can be distinguished: women presenting with the disease as a result of spontaneous conception and those with the condition after undergoing assisted reproduction procedures. This article reviews and analyzes 42 cases of bilateral ectopic pregnancies reported in the last 10 years, proposes a new classification of the disease, and presents some data that should be useful for the clinician who confronts this difficult entity.

Laparoscopic management of teratoma of the round ligament.

This paper describes the case of an asymptomatic woman who underwent laparoscopy as part of a work-up for infertility. A previous transvaginal ultrasound had shown an echogenic adnexal mass, independent of the ovary. The intraoperative finding was a tumor of the round ligament that was resected and determined to be a mature teratoma.