Early reference to a form of endoscopy dates back to the time of Hippocrates. It wasn’t, however, until the turn of the last Century that the first experimental laparoscopy was performed. Georg Kelling used a cystoscope to examine the abdomen of a dog after first insufflating it with air [1]. Even though the rudiments of the technique are more than one hundred years old, operative laparoscopy d...

BACKGROUND Vesico-vaginal fistula is not life threatening medical problem, but the woman face demoralization, social boycott and even divorce and separation. The aetiology of the condition has been changed over the years and in developed countries obstetrical fistula are rare and they are usually result of gynaecological surgeries or radiotherapy. Urogenital fistula surgery doesn't require spec...

BACKGROUND Concerns have been raised as to whether the current postgraduate training programme for gynaecological surgery is being detrimentally affected by changes in working practices, in particular the European Working Time Directive (EWTD). The purpose of this study was to investigate the surgical activity of obstetrics and gynaecology trainees and to explore trainees' and trainers' opinion...

Endometrial carcinoma is the second commonest gynaecological malignancy. Survival is generally better than with other genitourinary malignancies on account of its overt presentation with postmenopausal bleeding and its tendency for local progression as opposed to early systemic dissemination. Consequently, surgery is the gold standard therapeutic strategy, and to date there is little evidence t...

Endometriosis is the presence of endometrial tissue outside the uterine cavity. It has been previously reported in the abdominal wall secondary to gynaecological surgery. We present the case of a 32-year woman with endometrioma of the abdominal wall masquerading as an intramuscular lipoma with no previous surgical history.

The incidence of ureteral and bladder lesions after laparoscopic hysterectomy is the most encountered urinary complication in gynaecological surgery. We report the unusual case of 42-year-old woman who had a delayed diagnosis of bilateral ureteral injury associated with bladder lesion and loose of vaginal suture after undergoing laparoscopic hysterectomy for uterine adenomyosis.

Peri-operative hearing impairment is a poorly reported morbidity following any type of anaesthesia. We report a case where the patient developed temporary hearing impairment after a gynaecological surgery. This recovered in a couple of week time. The causes of such hearing impairment in various types of anaesthesia are discussed.