Laparoscopic ovarian suspension to facilitate surgery for advanced endometriosis.

Objective: To describe a new laparoscopic technique that exposes the ovarian fossa and pelvic side wall by suspending the ovaries to the anterior abdominal wall for advanced endometriosis surgery.

Design: Report of an operative technique.

Setting: University teaching hospital.

Assessment of the cervix in the third trimester of pregnancy using transvaginal ultrasound scanning.

Objectives: To evaluate the inter- and intra-observer reproducibility of a technique for examining physical characteristics of the uterine cervix in the third trimester of pregnancy using transvaginal ultrasound scanning (TVS).

Study Design: Forty-six women of over 27-week-gestation underwent TVS of the cervix using a Toshiba 140 scanner with a 6 MHz probe. Twenty were scanned once and 14 women twice by the same operator, and another 12 women by two different operators.

Ultrasonographic markers for chromosomal abnormalities in women with negative nuchal translucency and second trimester maternal serum biochemistry.

Objective: To analyze the value of second trimester ultrasound examination among those women whose fetuses were indicated to be at low risk of chromosomal anomalies on the basis of both first trimester nuchal translucency measurement and second trimester biochemical screening.

Methods: A retrospective study of 5500 pregnancies carried out at the fetal medicine unit, Royal Free Hospital. During a period of over 3 years 5500 pregnancies underwent a first trimester scan and nuchal translucency measurement which enabled the detection of 62% (20 of 32) of all chromosomal anomalies.

The value of sonography in early pregnancy for the detection of fetal abnormalities in an unselected population.

Objective: To determine the value of early pregnancy sonography in detecting fetal abnormalities in an unselected obstetric population. DESIGN Prospective cross-sectional study. All women initially underwent transabdominal sonography and when the anatomical survey was considered to be incomplete, transvaginal sonography was also performed (20.

The sonographic identification of fetal gender from 11 to 14 weeks of gestation.

Objective: To determine the feasibility of correctly identifying fetal gender from 11 to 14 weeks' gestation.

Methods: A prospective cross-sectional study in a university Department of Obstetrics and Gynaecology, London. A total of 524 women from an unselected population underwent a detailed assessment of fetal anatomy at 11-14 weeks of gestation (confirmed by crown-rump length) by means of transabdominal sonography, and transvaginal sonography (26%) when necessary.