A Randomized Controlled Trial Comparing Trainee-Directed Virtual Reality Simulation Training and Box Trainer on the Acquisition of Laparoscopic Suturing Skills.

Objective: To compare the proficiency of novices in acquiring laparoscopic suturing skills following training in a virtual reality simulator or box trainer compared to no training.

Methods: This was a RCT in a university-affiliated teaching hospital recruiting participants who had no laparoscopic suturing experience to have suturing skill training in the virtual reality simulator, box trainer, or no training as control. Trainees were allowed to terminate training when they perceived competence in the procedure.

Prevalence of Domestic Violence in Hong Kong Chinese Women Presenting with Urinary Symptoms.

Objectives: To determine the prevalence of domestic violence and its risk factors in women presenting with urinary symptoms.

Methods: The study was carried out in the urogynecology clinic and general gynecology clinic, Department of Obstetrics and Gynecology, Queen Mary Hospital, Hong Kong from 1st May 2013 till 31st October 2014. Two hundred and twenty-five women presenting to the urogynecology clinic with urinary symptoms were categorized according to their symptoms and were asked to complete the Modified Abuse Assessment Screen.

Positive predictive value of endometrial polyps in Pipelle aspiration sampling: a histopathological study of 195 cases.

Objective: To estimate the positive predictive value of Pipelle endometrial sampling in detecting the presence of an underlying endometrial polyp. The secondary objective is to examine the histologic features that can predict the presence of endometrial polyps.

Study Design: This is a retrospective case review study.

Clinical Significance of Pyometra.

Objective: To review the clinical profiles and management outcomes of patients with pyometra.

Study Design: A retrospective review of all women admitted with a confirmed diagnosis of pyometra over an 8-year period (January 2003 to December 2010). The medical records, including operation notes, histological and microbiological results, were reviewed.

Surgical management of adnexal masses in pregnancy.

Background And Objectives: Our objective was to review the surgical management, surgical outcomes, and obstetric outcomes of adnexal masses in pregnancy.

Methods: A retrospective review was performed of pregnant women before 20 weeks of gestation who underwent laparoscopy or laparotomy for management of an adnexal mass during the period of January 2005 to June 2012 at a university-affiliated hospital.

Results: Thirty-five pregnant women underwent surgical removal of adnexal masses during the 7.

Second trimester medical abortion in a woman with prior classical caesarean section and a uterine leiomyoma--a case report.

Background: Medical abortion in women with the scar of a classical caesarean section (CS) and a large uterine leiomyoma is rarely attempted; it carries the risk of uterine rupture and haemorrhage.

Case: A 34-year-old multiparous woman with prior classical CS and a 14 × 10 × 9 cm leiomyoma arising from the uterine isthmus had an induced abortion at 14 weeks' gestation. Mechanical cervical priming with Dilapan(®)-S followed by vaginal misoprostol administration resulted in the uncomplicated expulsion of the uterine contents.

Randomized study of vaginoscopy and H Pipelle vs traditional hysteroscopy and standard Pipelle.

Study Objective: To compare the use of vaginoscopic vs traditional hysteroscopy in evaluation of the endometrial cavity.

Design: Prospective, randomized, single blinded, clinical trial (Canadian Task Force classification I).

Setting: University-affiliated hospital in Hong Kong.

Left upper quadrant approach in gynecologic laparoscopic surgery.

Objective: To review the use of the left upper quadrant approach in benign gynecologic laparoscopic surgery over a nine-year period.

Design: Retrospective review. Setting.

A pilot study of pre-operative misoprostol in reducing operative blood loss during hysterectomy.

Objective: To investigate the effectiveness of a single pre-operative dose of sublingual misoprostol on reducing blood loss in abdominal hysterectomies performed for symptomatic uterine leiomyomas.

Study Design: A cohort of 64 women undergoing total abdominal hysterectomy for symptomatic uterine leiomyomas were randomly assigned to receive a single dose of sublingual 400 mcg misoprostol (n=32) or placebo containing 20mg vitamin B(6) (n=32) 30 min before the operation. The primary outcome was the operative blood loss.

A prospective randomized trial to compare immediate and 24-hour delayed catheter removal following total abdominal hysterectomy.

Objective: To assess whether early or immediate removal of a 12F in-dwelling Foley catheter after total abdominal hysterectomy affects the level of subjective pain assessment postoperatively.

Design: Randomized controlled trial.

Setting: University Hospital.

Tranexamic acid-associated necrosis and intralesional thrombosis of uterine leiomyomas: a clinicopathologic study of 147 cases emphasizing the importance of drug-induced necrosis and early infarcts in leiomyomas.

Introduction: Women with menorrhagia have increased levels of plasminogen activators in the endometrium. Tranexamic acid (cyklokapron), an antifibrinolytic agent, is commonly prescribed worldwide to women with menorrhagia, including those with fibroids. Necrosis in uterine leiomyomas may be associated with pregnancy, and progestogen or oral contraceptive use but its association with tranexamic acid has not been investigated.

Comparison of the different types of "laparoscopic total hysterectomy".

Study Objective: To review the operative outcomes among different types of laparoscopic total hysterectomy (LH) classified according to the Munro and Parker classification system.

Design: Prospective observational cohort study (Canadian Task Force classification II).

Setting: 6 major public hospitals in Hong Kong.

Mild postnatal anemia: is it a problem?

Mild postnatal anemia is common. However, determination of postnatal hemoglobin level or iron supplementation are not routine in many obstetric units. This study was designed to evaluate the impact of mild postnatal anemia and iron supplementation on women.

Treating a recurrent uterine arteriovenous malformation with uterine artery embolization. A case report.

Background: Uterine arteriovenous malformation is a rare condition. Uterine artery embolization offers the possibility of conservative management as opposed to the traditional hysterectomy. We report a case with recurrent uterine arteriovenous malformation confirmed by angiography and successfully treated with a second embolization procedure.