Laparoscopic Reversal of Tubal Sterilization; A Retrospective Study Over 135 Cases.

To evaluate the pregnancy and delivery rates of laparoscopic tubal reanastomosis. From 2003 to 2013, 135 laparoscopic tubal reversals were performed according to the four stitch technique. The parameters studied, included positive pregnancy test, miscarriage, ectopic pregnancy, termination of pregnancy, term delivery, post-operative time to conception, post-operative hysterosalpingography, and spermogram.

[Defecation after colic transmural migration of a gauze pad left behind during abdomino-pelvic surgery].

We report a case of complete transmural migration through the colic wall, followed by spontaneous defecation, of a surgical sponge left behind in the abdominal cavity (gossypiboma) during a vaginal hysterectomy with oophorectomy. The process results from encapsulation of the surgical sponge with fistulization through the colic wall. No functional damage followed this defecation because either the fistula closed early, or the sponge remained temporarily entrapped in a colic fold.

[Adenomyosis: update on a frequent but difficult diagnosis].

Adenomyosis is a frequent entity, with difficult diagnosis, often obtained by pathological analysis performed after hysterectomy. This condition can cause abnormal uterine bleeding and dysmenorrhea, frequent reasons for consultation and hysterectomy. The development of ultrasonographic and magnetic resonance imaging techniques allow preoperative diagnosis.

[Towards better investigation of abnormal uterine bleeding and uterine pathologies].

Exploration of menometrorrhagia needs perfect imaging of the uterus and pathologic analysis in order to diagnose the endometrial pathologies responsible for abnormal uterine bleeding. We present here a clinical case typical for difficulties in the exploration of abnormal uterine bleeding, and discuss the diagnostical steps.