Clinical analysis of 44 cases of atypical polypoid adenomyoma of the uterus.

Background: Atypical polypoid adenomyoma (APA) is a rare intrauterine polypoid lesion that occurs predominantly in premenopausal women. Although APA was previously considered a benign lesion and treated conservatively, an increasing number of cases show that APA has a high rate of recurrence or residual disease and that it precedes the development of carcinoma. The clinical management of APA remains to be established.

Prospective Evaluation of the Accuracy of A Training Program in Image Recognition by Narrow-Band Imaging Guided Hysteroscopy of Endometrial Neoplasms.

Introduction: Narrow-band imaging (NBI) hysteroscopy by experienced hysteroscopists (EH) is useful for diagnosing endometrial neoplasms.

Objective: We investigated whether the diagnostic reliability of NBI could be improved by specific professional training.

Methods: Three levels of trainees who were Surgeons at our hospital were selected.

[Diagnose and treatment of post-cesarean section scar diverticulum by hysteroscopy combined ultrasonography and laparoscopy].

Objective: To investigate the application of hysteroscopy combined ultrasonography and laparoscopy in the diagnose and treatment of post-cesarean section scar diverticulum (PCSD).

Methods: From March 2011 to February 2013, 27 patients with PCSD were diagnosed and treated in Beijing Obstetrics and Gynecology Hospital. All patients were diagnosed by hysteroscopy and ultrasonography.

[Study of ultrastructural features of myocytes in uterine junctional zone].

Objective: To study the ultrastructural features of myocytes in uterine junctional zone (JZ).

Methods: From August 2010 to August 2013, there were 16 pre-menopause patients who suffered from cervical neoplasm to be performed hysterectomy. Samples of JZ and outer myometrium (OM) of hysterectomy specimens were collected.

Salpingectomy and proximal tubal occlusion for hydrosalpinx prior to in vitro fertilization: a meta-analysis of randomized controlled trials.

Objective: The objective of this study was to conduct a systematic review of studies comparing the pregnancy outcomes in hydrosalpinx patients treated with salpingectomy versus those treated with proximal tubal occlusion prior to in vitro fertilization (IVF).

Data Sources: An extensive PubMed literature search was performed for the period from 1980 to December 2013 using combinations of the following keywords: "hydrosalpinx," "salpingectomy," and "tubal occlusion."

Methods Of The Study Selection: Initially, 204 relevant studies were identified from MEDLINE and screened for retrieval.

The impact of preoperative gonadotropin-releasing hormone agonist treatment on women with uterine fibroids: a meta-analysis.

Aim: The objectives of this study were to evaluate the efficacy of gonadotropin-releasing hormone agonist (GnRHa) treatment before surgery for women with uterine fibroids and to explore potential factors predicting the pooled effect sizes.

Methods: A meta-analysis was performed from published randomized controlled trials using the random effects model. The efficacy of preoperative treatment with GnRHa was investigated according to volume measurements of fibroid tumors, postoperative complications, myoma recurrence, and changes in fertility.

Hysteroscopic and laparoscopic management of uterine defects on previous cesarean delivery scars.

Objective: To examine the treatment of previous cesarean delivery scar defect after cesarean delivery and the feasibility of laparoscopic uterine repair or hysteroscopic scar excision.

Study Design: A retrospective clinical study that took place from June 2009 to March 2013 and included 41 women who had previously had cesarean deliveries.

Results: Seventeen women underwent a laparoscopic approach for the repair of scar diverticula, and 24 women underwent a hysteroscopic resection of fibrotic tissue overhanging underneath the diverticula.

Treatment options to terminate persistent cesarean scar pregnancy.

Aims: Persistent Cesarean scar pregnancy (PCSP) is a rare and special type of Cesarean scar pregnancy (CSP) which is resistant to conservative treatment. The treatment option is challenging. We report a case series to provide indications for further treatment.