The prepped vaginal canal may be a sterile conduit for ventral hernia mesh insertion: a prospective comparative study.

Background: Although still experimental, natural orifice translumenal endoscopic surgery (NOTES) aims to use the natural orifices for intraabdominal surgery. Pure transvaginal umbilical hernia repair has been reported. However, mesh protection devices were used to minimize mesh contamination during mesh insertion.

Comparison of two classification systems for vesicovaginal fistula.

Introduction And Hypothesis: This study aims to compare the prognostic value of two obstetric fistula classification systems.

Methods: Prospective analysis of 202 patients evaluated for obstetric fistula (OF) at the General Referral Hospital of Panzi, Bukavu, DRC, from April through December 2009. Fistula classification using both Goh's and Waaldijk's systems, as well as preoperative, surgical, and follow-up assessment were included.

Obstetric fistula in low and middle income countries.

Vesicovaginal fistula secondary to obstructed labor continues to be an all-too-common occurrence in underdeveloped nations throughout Africa and Asia. Vesicovaginal fistula remains largely an overlooked problem in developing nations as it affects the most marginalized members of society: young, poor, illiterate women who live in remote areas. The formation of obstetric fistula is a result of complex interactions of social, biologic, and economic influences.

Sling procedures after repair of obstetric vesicovaginal fistula in Niamey, Niger.

Introduction And Hypothesis: The purpose of this paper is to evaluate the results of sling procedures for stress incontinence after repair of vesicovaginal fistulae at the National Hospital in Niamey, Niger.

Methods: This study is a retrospective chart review of 701 women surgically treated for vesicovaginal fistulae. One hundred forty women subsequently underwent a sling procedure for stress incontinence after fistula repair.

Robot-assisted laparoscopic myomectomy is an improvement over laparotomy in women with a limited number of myomas.

Study Objective: To compare surgical and immediate postoperative results of robot-assisted laparoscopic myomectomy vs myomectomy via laparotomy in patients with 3 myomas or fewer.

Design: Case-control (Canadian Task Force classification II-2).

Setting: University hospital.