Hysterectomy for benign conditions: Complications relative to surgical approach and other variables that lead to post-operative readmission within 90 days of surgery.

Objective: To examine variables associated with hysterectomy-related complications, relative to surgical approach and other variables, that lead to readmission within 90 days of surgery.

Methods: We conducted an observational cohort study for which data were extracted from electronic health records. Data were extracted of all patients (n = 3106) who underwent hysterectomies at 10 Kaiser Permanente Southern California medical centers between June 2010 and September 2011.

A randomized trial of prophylactic uterosacral ligament suspension at the time of hysterectomy for Prevention of Vaginal Vault Prolapse (PULS): design and methods.

The primary aim of this randomized trial is to evaluate whether a standardized uterosacral ligament suspension colpopexy (USLSC), added to a planned hysterectomy for an indication other than pelvic organ prolapse (POP), decreases the rate of subsequent vaginal vault prolapse in women without preoperative symptomatic POP. Secondary aims include comparison of perioperative complications, urinary, bowel and sexual functions between subjects with and without concomitant USLSC. If shown to be beneficial, the cost-effectiveness of prophylactic USLSC at the time of hysterectomy will be evaluated.

Outpatient laparoscopic hysterectomy for large uteri.

Objective: To determine the incidence of perioperative complications associated with laparoscopic hysterectomies performed for very large uteri on an outpatient basis.

Methods: A retrospective chart review of consecutive women who underwent total laparoscopic (TLH) or supracervical laparoscopic (LSH) hysterectomy with uterine weight ≥ 500 grams. Clinical, demographic, and surgical characteristics were ascertained.

Pregnancy in a hermaphrodite with a male-predominant mosaic karyotype.

Objective: To report a pregnancy in a hermaphrodite and review of the literature.

Design: Case report and literature review.

Setting: Clinical.

Aortic puncture with a laparoscopic fascial closure device.

Background: Vascular injury during laparoscopic surgery typically occurs with the blind insertion of either the Veress needle or the trocar. We report an aortic puncture from the use of a laparoscopic fascial closure device.

Case: After a laparoscopic-assisted vaginal hysterectomy and during closure of the 10-mm umbilical port with a fascial closure device, attempted passage of the needle encountered unusual resistance in the abdominal wall.