Adnexal surgery at the time of hysterectomy in women 65 years and older undergoing hysterectomy for prolapse: do practice trends differ by route of surgery?

Introduction And Hypothesis: The objective was to determine whether the rate of adnexal surgery varies by route of hysterectomy in women over the age of 65 undergoing hysterectomy for prolapse. We hypothesized that women undergoing vaginal hysterectomy would be less likely to undergo bilateral salpingo-oophorectomy (BSO) at the time of their hysterectomy for prolapse.

Methods: This was a cross-sectional analysis using the National Inpatient Sample (NIS) database.

Robotic Surgery for Urologic Deep Infiltrating Endometriosis: A Review and Case Presentations.

Urologic involvement is seen in 1.2-3.9% of women with endometriosis.

Robotic excision of deep infiltrating endometriosis at the uretero-vesical junction.

Objective:: To describe the surgical approach for Deep Infiltrating Endometriosis (DIE) of the uretero-vesical junction and bladder reconstruction.

Materials And Methods:: Bimodal visualization with the help of cystoscopy and robotic-assisted laparoscopy is a useful technique that can be used to delineate the deep infiltrating endometriotic lesion of the bladder wall.

Results:: We present the case of a 36 year old G3P3 woman, with right sided hydroureter/hydronephrosis and biopsy proven DIE.

Minimally Invasive Surgery for the Obese Patient Among the Spectrum of Gynaecologic Surgery-A Surgical Viewpoint.

The prevalence of obesity has increased, achieving an epidemic status. Obesity has surgical and medical implications on the health of a woman. A minimally invasive surgical approach has several advantages and is considered the preferred approach for various procedures in obese women.

Contemporary management of adnexa at the time of benign hysterectomy: a review of the literature.

Ovarian cancer is the leading cause of Gynecological cancer related mortality in the USA. Due to the absence of an effective screening method, concomitant adnexal management during hysterectomy or other pelvic surgeries is a prime consideration. Bilateral salpingo-oophorectomy (BSO) offers the benefit of eliminating the risk of ovarian cancer however it leads to surgical menopause with unfavourable overall health outcomes.

Association between Preoperative Adenomyosis Detection Rate during Pelvic Ultrasonography and the Specialty of the Reading Physician.

Study Objective: To compare the detection rate of adenomyosis when ultrasound is performed by a radiologist compared with a gynecologic expert sonologist.

Design: A retrospective, single-center study.

Setting: A university teaching hospital.

Laparoscopic Entry Technique Using a Veress Needle Insertion with and without Concomitant CO Insufflation: A Randomized Controlled Trial.

Study Objective: To compare the time and number of attempts needed for successful Veress needle entry during laparoscopic surgery using concomitant versus subsequent CO insufflation approaches.

Design: Randomized controlled trial.

Setting: University teaching hospital.

Heterotopic Quadruplet Pregnancy After ICSI Conception.

Background: Heterotopic pregnancy (HP) is a condition characterized by the coexistence of multiple fetuses at two or more implantation sites. It occurs in 1% of pregnancies after assisted reproductive techniques (ART). Presence of triplet intrauterine pregnancy with ectopic gestational sac is one of the rarest forms of HP.

Total Laparoscopic Hysterectomy in the Setting of Prior Bilateral Renal Transplant, a Case Report and Review of the Literature.

In recent years, more women are undergoing renal transplantation as a treatment for end-stage renal disease. Women with kidney transplants are prone to certain gynecologic issues which might necessitate hysterectomy. Laparoscopic hysterectomy can safely be performed in patients with prior unilateral or bilateral renal transplantation.