The inevitable and incidental caesarian myomectomy

Inevitable cesarean myomectomy following delivery through posterior hysterotomy in a case of uterine torsion.

BACKGROUND Torsion of the pregnant uterus at term is a very infrequent obstetric event. It is usually associated with the presence of myoma or congenital deformities. Maternal prognosis is good after surgical treatment; however, prenatal mortality is high. CASE REPORT We report a case of posterior low transverse hysterectomy in a case of uterine torsion at 38 weeks' gestation, due to a large ...

Laparoscopic myomectomy and abdominal myomectomy.

Most women develop myomas during their lifetimes; however, 80% are asymptomatic. When symptoms are determined to be caused by myomas, a number of management options exist that include "watchful waiting," medical therapy, surgery, or more recently uterine artery embolization and focused ultrasound. Myomectomy, either abdominal or laparoscopic, is an approach particularly suited for those women w...

The caesarian section rate is rising.

Gossypiboma (textiloma) after caesarian operation

Gossypiboma or textiloma is used to describe a retained surgical swab in the body after an operation that often requires another surgery. This increases morbidity and mortality of the patient, cost of treatment, and medicolegal problems. We are reporting case of a 30-year-old woman who was referred from periphery with acute pain in abdomen. The patient had a surgical history of caesarian sectio...

Facing the Inevitable?

This contribution aims at showing some of the advantages of taking a novel, broad and systemic view on constitutive rules based on a failure oriented analysis, relying on the notion of impasse. Basically, impasses can descend by two main kinds of causes: either a mismatch between rules (how things should be done) and facts (how things are actually done), or an internal contradiction among rules...