OBJECTIVE To estimate the frequency of unsuspected uterine sarcoma identified postoperatively in women undergoing surgery for presumed benign uterine fibroids at a single university hospital. MATERIAL AND METHODS This was a retrospective single-center study; the records of all 2275 patients with uterine fibroids and uterine sarcomas from 2003 to 2015 were reviewed. Descriptive statistics were...

The introduction of da Vinci Robotic Surgery to the field of Gynecology has resulted in large changes in surgical management. The robotic platform allows less experienced laparoscopic surgeons to perform more complex procedures. In general gynecology and reproductive gynecology, the robot is being increasingly used for procedures such as hysterectomies, myomectomies, adnexal surgery, and tubal ...

The risk of uterine rupture (UR) before the onset of labor has been investigated in women who have undergone cesarean deliveries with previous classical incision and in those with thin lower-uterinesegment defects [1,2]. Previous myomectomies are also a known risk factor for UR [1]. Additionally, evidence published in the past three decades suggests that extensive resection of endometriosis dev...

OBJECTIVE The automated gravitational Vario Flow system with weighing-based electronic fluid deficit indicator was used in order to reduce the risk of fluid intravasation during continuous flow hysteroscopic procedures. Early experiences are reported. METHODS Between August 1996 and July 1997, the Vario Flow with fluid deficit indicator and alarm system was used in 203 hysteroscopic operation...

INTRODUCTION Performing a myomectomy during pregnancy is extremely rare due to the risk of pregnancy loss, hemorrhage and hysterectomy. Favorable outcomes have been demonstrated with select second trimester gravid myomectomies. Literature documenting first trimester surgical management of myomas during pregnancy is scant. Patients with symptomatic myomas failing conservative management in the f...

OBJECTIVE To assess the indications and limits of laparoscopic myomectomies (LM). METHODS We conducted a retrospective analysis of 89 consecutive cases of LM. Our LM procedures were as follows: Diluted vasopressin was injected into the myoma capsule, and a transverse incision was made by fine monopolar electrode. Traction was applied to the myoma with a myoma screw. The uterine wall was sutur...

JSLS (2001)5:95-96 95 Over the past decade, stunning advances in laparoscopy have fueled the enthusiasm of surgeons who use new minimally invasive methods for treating patients who have a variety of conditions. Laparoscopy avoids the obvious burden of a large abdominal incision that not only requires significant care but also involves increased disability, cost, and pain for the patient. Laparo...

Uterine fibroids are common in women of reproductive age and various conservative treatments are available. In order to achieve a successful conservative treatment of fibroids, functional integrity of the uterus is as important as tumor removal or symptoms relief. In this context, intrauterine adhesions must be recognized as a possible complication of conservative management of uterine fibroids...