We present a case of complete vaginal stenosis in a woman diagnosed with Sheehan's syndrome. The patient delivered at full-term 5 months prior, and experienced massive postpartum bleeding at that time. During evaluation of persistent amenorrhea, we found that her vaginal orifice was completely adhesive and obstructed. Prior to corrective surgery, we managed the patient with an oral contraceptiv...

Background: Fallopian tube prolapse is an infrequent complication of hysterectomy. Surgical management has been described by vaginal, abdominal, and combined approaches. More recently, laparoscopic management has been advocated generally in combination with vaginal surgery or in cases in which an initial vaginal operation was unsuccessful. Case: We report our totally laparoscopic technique for ...

Contemporary OB/GYN Technology Correcting apical vaginal prolapse can be a challenge for even the most experienced gynecologic surgeon. Many women with the condition have a history of pelvic surgery, co-existing medical conditions, are elderly, or present with a vaginal hernia sac that contains portions of the bladder, rectum, and peritoneum. Traditional surgery for vaginal prolapse involves ei...

Background: Complications associated with anterior vaginal wall mesh used during transvaginal surgery for prolapse occur more frequently than in other areas of the vagina. A vesicovaginal fistula is one of the rare complications of anterior vaginal wall mesh surgery. Case: A 69-year-old woman with a history of anterior vaginal wall prolapse developed a vesicovaginal fistula within days of under...

Vaginal cuff dehiscence and evisceration are rare but serious complications of pelvic surgery, specifically hysterectomy. The data on risks of vaginal cuff dehiscence are variable, and there is no consensus on how to manage this complication. In our review, we present a summary of the risk factors, with symptoms, precipitating events, and treatment options for patients with vaginal cuff dehisce...

OBJECTIVES To describe a new surgical procedure for pelvic organ prolapse using mesh and a vaginal support device (VSD) and to report the results of surgery. DESIGN A prospective observational study. SETTING Two tertiary referral Urogynaecology practices. POPULATION Ninety-five women with International Continence Society pelvic organ prolapse quantification stage 2 or more pelvic organ pr...

Quality of life is adversely affected by pelvic organ prolapse, the prevalence of which is increasing because of the persistently growing older population. Today, the tension-free vaginal mesh kit has grown in popularity owing to its comparable cure rate to traditional reconstructive surgery and the feasibility of an early return to normal life. However, significant debate remains over the long...

Dog 1 developed ventricular asystole and apnoea thus followed a cardiac death. In the remaining 5 dogs apnoea preceded cardiac standstill. The blood gas values in all 6 animals made it unlikely that failure of the respiratory centre occurred because of primary pulmonary pathology. In animals 5, 8 and 9, cardiac output and related haemodynamic data suggest that apnoea resulted from inadequate bl...

The evisceration of the bowel through vaginal vault is an extremely rare condition and a surgical emergency with high-reported mortality rate. Vaginal most commonly affects menopausal women hysterectomy or those previous surgery. common risk factors include triad post-menopausal atrophy, surgery enterocele. Estrogen deficiency in leads to weaker pelvic support structures thin, atrophic vagina, ...