Too big to bag? - Technique for bagging very large adnexal masses via vNOTES.

The technique to perform adnexectomy for adnexal masses has shifted over the last decades, from open surgery towards minimally invasive approaches. At the same time caution is warranted to prevent perioperative intra-abdominal spilling of cyst content which can be a challenge especially for very large masses. vNOTES (vaginal Natural Orifice Transluminal Endoscopic Surgery) combines a vaginal approach with endoscopic overview in performing gynaecological surgery without abdominal scarring.

Effect of ovarian stimulation and oocyte retrieval on reproductive outcome in oocyte donors.

Objective: To assess whether there is an increased risk of infertility in women that have previously undergone ovarian stimulation and oocyte retrieval for oocyte donation.

Design: Cross-sectional survey.

Setting: Tertiary referral center.