Pyometra after ovum retrieval for in vitro fertilization resulting in hysterectomy.

Objective: To report infection and pyometra after ovum retrieval for IVF.

Design: Case report.

Setting: Community hospital.

Three simple steps during closed laparoscopic entry may minimize major injuries.

Objectives: To describe three steps: (1) the initial Veress pressure (VIP-Pressure), (2) transient high-pressure pneumoperitoneum (HIP-Entry) prior to trocar/cannula insertion, and (3) visual entry with a trocarless cannula during closed laparoscopic entry, which may reduce major injuries.

Design: Prospective observational cohort study (Canadian Task Force Classification II-2).

Setting: University-affiliated teaching hospital.