Robotic Repair of Complicated Vesico-[utero]/Cervicovaginal Fistula after Cesarean Section.

Study Objective: To demonstrate intra- and postoperative steps in a successful management of a complicated vesico-[utero]/cervicovaginal fistula.

Design: Stepwise demonstration of the technique with narrated video footage.

Setting: A urogenital fistula in developed countries mostly occurs after gynecologic surgeries but rarely from obstetric complications.

Fallopian tube endometriosis in women undergoing operative video laparoscopy and its clinical implications.

Objective: To determine the incidence of fallopian tube endometriosis in patients undergoing laparoscopic surgery with a preoperative diagnosis of endometriosis, pelvic pain, infertility, or cystic adnexal mass.

Design: Retrospective cross-sectional study.

Setting: Gynecologic oncology and minimally invasive surgery practice.

The two Achilles heels of surgical randomized controlled trials: differences in surgical skills and reporting of average performance.

Randomized controlled trials of surgery are fundamentally different from randomized controlled trials of medications because it is difficult to blind or mask a surgical procedure or perform "sham" operations. An additional challenge is the variation in skills and surgical proficiency of participating centers and surgeons. Addressing heterogeneity in surgical proficiency remains of paramount importance, especially when randomized controlled trials involve a new or complex procedure such as minimally invasive radical surgery.

Robotic-Assisted Laparoscopic Cervicovaginal Myomectomy.

Study Objective: To illustrate a robotic-assisted laparoscopic resection for cervicovaginal myomectomy.

Design: Step-wise instruction using video and case report (Canadian Task Force classification III).

Setting: A tertiary referral center.

Case of Psoas Abscess after Robotic-Assisted Laparoscopic Hysterectomy and Pelvic Lymphadenectomy.

Iliopsoas abscess (IPA) is a rare condition seen in a variety of specialties that presents with nonspecific complaints. Presented herein is the development of an IPA after robotic staging with sentinel lymphadenectomy for endometrial carcinoma. The patient was a 61-year-old woman with history of prolonged immunosuppressive therapy due to psoriasis.

Bowel endometriosis: diagnosis and management.

The most common location of extragenital endometriosis is the bowel. Medical treatment may not provide long-term improvement in patients who are symptomatic, and consequently most of these patients may require surgical intervention. Over the past century, surgeons have continued to debate the optimal surgical approach to treating bowel endometriosis, weighing the risks against the benefits.