Fertility-sparing surgery of cervical cancer >2 cm (International Federation of Gynecology and Obstetrics 2009 stage IB1-IIA) after neoadjuvant chemotherapy.

Objective: To assess the feasibility, safety, oncological, and obstetric outcomes in patients with cervical tumors >2 cm treated with neoadjuvant chemotherapy in preparation for abdominal radical trachelectomy.

Methods: A retrospective analysis of patients with cervical cancer >2 cm (up to 6 cm) was conducted in patients who were selected to receive neoadjuvant chemotherapy before abdominal radical trachelectomy. Surgical and clinical outcomes were examined in relation to radiological and pathological results.

Polymicrobial bacterial pericarditis and cardiac tamponade caused by pericardial penetration of an adjustable gastric band.

We describe a case of polymicrobial bacterial pericarditis with and , caused by pericardial penetration of the tip of the catheter of a laparoscopic adjustable gastric band (LAGB). The patient developed a cardiac tamponade, and subsequently emergency pericardiocentesis was performed. Analysis of earlier CT scans showed that the tip of the catheter had migrated through the liver and through the diaphragm into the pericardium, and was in contact with the myocardium.

End-of-Life Decisions in Pediatric Cancer Patients.

Background: End-of-life decisions (ELDs) have been investigated in several care settings, but rarely in pediatric oncology.

Objective: The aims of this study were to characterize the practice of end-of-life decision making in a Dutch academic medical center and to explore pediatric oncologists' perspectives on decision making.

Methods: Between 2001 and 2010, in a specified period of 2 years, 57 children died of cancer.

Persistent endoleak after endovascular aneurysm repair for acute Q-fever-infected aortocaval fistula.

We present a case of an endovascular aneurysm repair for a Q-fever-infected acute abdominal aortic aneurysm with aortocaval fistula. Type 2 endoleak persisted after successful endovascular repair.

Postmortem biopsy to obtain lung tissue in congenital diaphragmatic hernia.

Background: The accrual of human tissues from autopsies for diagnostic and translational research has decreased significantly over the last decades.

Objectives: The objective of this study was to evaluate our experience with lung biopsy through a minithoracotomy as an alternative for obtaining postmortem tissue when full autopsy is refused in congenital diaphragmatic hernia (CDH) patients.

Methods: Within 2 h of death we routinely asked parents for permission to perform an autopsy.