Laparoscopy is frequently used for the minimally invasive treatment of various gynaecological pathologies. Compared with laparotomy, laparoscopy is associated with faster recovery, better incision cosmesis, shorter hospital stays and lower postoperative pain and complications. Vulvar and/or labial oedema is an exceptionally rare postoperative complication of laparoscopy, and in this context, we present the case of a patient who developed unilateral vulvar oedema several hours after an uncomplicated laparoscopic ovarian cystectomy. The patient was managed expectantly, and she made a full recovery within 24 hours. Postlaparoscopic vulvar oedema occurs most commonly after ovarian cystectomy, although it has been described after laparoscopic presacral neurectomy and bilateral salpingectomy. The exact aetiology of this complication remains unclear; however, proposed mechanisms include a patent canal of Nuck or passage of fluid through the subcutaneous tissue to the most dependent area.
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http://dx.doi.org/10.1136/bcr-2024-264773 | DOI Listing |
Int J Gynecol Pathol
March 2025
Emory University Hospital, Atlanta, GA.
Cellular angiofibromas (CAFs) are benign mesenchymal neoplasms of the vulva and lower genitourinary tract. Although most cases are benign with excellent prognosis, data on CAFs with cytologic atypia (aCAF) and sarcomatous transformation (tCAF) is limited. We identified 13 vulvar CAFs comprising 4 aCAFs and 9 tCAFs.
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February 2025
ObGyn, University of Toronto, Toronto, Ontario, Canada
Laparoscopy is frequently used for the minimally invasive treatment of various gynaecological pathologies. Compared with laparotomy, laparoscopy is associated with faster recovery, better incision cosmesis, shorter hospital stays and lower postoperative pain and complications. Vulvar and/or labial oedema is an exceptionally rare postoperative complication of laparoscopy, and in this context, we present the case of a patient who developed unilateral vulvar oedema several hours after an uncomplicated laparoscopic ovarian cystectomy.
View Article and Find Full Text PDFBMJ Case Rep
February 2025
Obstetrics and Gynaecology, Rotunda Hospital, Dublin, Ireland.
A woman in her late 30s presented with a large left-sided labial swelling at a tertiary maternity and gynaecology hospital. The swelling had been present for more than 10 years, and had previously been incised twice and partially excised once. The labial swelling had caused great discomfort as it increased in size and had a significant impact on her quality of life.
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January 2025
Department of Comparative Biosciences, College of Veterinary Medicine, University of Illinois at Urbana-Champaign, Urbana, IL, USA.
This study aimed to develop a non-surgical method to neutralize reproduction in female dogs. Female Beagle puppies, aged 6 days, were treated with pellets designed to release estradiol benzoate (EB; 1.0 mg) and progesterone (P4; 5.
View Article and Find Full Text PDFBackground: Lower extremity lymphedema (LEL) can develop because of inguinal lymph node dissection in the treatment of gynecologic, genitourinary, and dermatological malignancies. To optimize patient counseling and patient selection for microsurgical interventions aimed at preventing or treating LEL, its prevalence and associated patient characteristics must be accurately documented. This systematic review and meta-analysis provides a comprehensive overview of literature on the reported prevalence of LEL in patients undergoing inguinal lymphadenectomy.
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