OBJECTIVE To identify uterine hysteroscopic findings among patients with prior cesarean section and whom had post-menstrual bleeding spotting type. METHODS We conducted a descriptive and prospective study between June 2008 and December 2009 involving women admitted to our clinic in Ji-Paraná (RO), Brazil, and who complained of prolonged genital bleeding after menstrual period. A total of 20 w...

STUDY OBJECTIVE The Manufacturer and User Facility Device Experience database may be useful for clinicians using a Food and Drug Administration-approved medical device to identify the occurrence of adverse events and complications. We sought to analyze and investigate reports associated with the Essure hysteroscopic sterilization system (Conceptus Inc., Mountain View, CA) using this database. ...

In cases of fetal heartbeat- (FHB-) positive cesarean scar pregnancy (CSP), the embryo and placenta grow rapidly week by week. We experienced an FHB-positive CSP case at 6 weeks of gestation and assessed the CSP in detail with transvaginal ultrasound and transabdominal ultrasound (TAUS), preoperatively. We performed Laminaria cervical dilatation under TAUS guidance and performed hysteroscopic r...

ObjectiveTo demonstrate a systematic approach for the hysteroscopic management of patient with uterine septum double cervix and nonobstructive longitudinal vaginal (Class U2bC2V1 ESHRE/ESGE classification).DesignA step-by-step demonstration technique narrated video footage three different cases.SettingUniversity Hospital.Patient(s)We present patients diagnosed classification). Case 1 is 31-year...

OBJECTIVE To assess the incidence and type of laparoscopic complications. METHODS A series of 2140 operative laparoscopies were reviewed in a retrospective study of patient records. The setting was a tertiary-care university hospital. Operative laparoscopy included minor procedures (minimal adhesiolysis, destruction of minimal endometriosis foci, ovarian biopsy, ovarian puncture, tubal steril...

Intra-abdominal adhesions are almost inevitable after major abdominal surgery. Postoperative adhesions continue to be the major cause of small bowel obstruction and infertility. Peritoneal lesions caused by abrasion, ischemia, desiccation, infection, thermal injury and foreign bodies are the origin of adhesions. Fibrinous adhesions that develop within a few hours of operational trauma. This fib...

OBJECTIVES We evaluated the use of a hyaluronic acid-carboxycellulose membrane (HAC) slurry in complex laparoscopies. MATERIALS AND METHODS A gel-like mixture of HAC was prepared and applied in 171 consecutive complex laparoscopies on a gynecologic oncology service. The HAC slurry was used to coat deperitonealized surfaces and surgical pedicals to prevent postoperative adhesions. The techniqu...

The position of hysteroscopy in current fertility practice is under debate. There are many randomized controlled trials on technical feasibility and patient compliance demonstrating that the procedure is well tolerated and effective in the treatment of intrauterine pathologies. However, no consensus on the effectiveness of hysteroscopic surgery in improving the prognosis of subfertile women is ...

BACKGROUND This study was designed to evaluate the incidence of uterine pathologies in infertile women with a history of two implantation failures after in vitro fertilization (IVF) and estimate the effect of hysteroscopic correction on achieving a pregnancy in these patients. MATERIALS AND METHODS The retrospective study population included 238 infertile women attended the outpatient inferti...

BACKGROUND Intestinal obstruction remains a common problem encountered in the surgical emergency, and usually occurs secondary to adhesions, obstructed herniae or tubercular strictures. However, at times, rare causes of obstruction can also be encountered. METHODS A 24-year-old male patient presented with recurrent episodes of intestinal obstruction that was found to be secondary to an abdomi...