--Study Objective: To demonstrate the safety of minimally invasive surgical treatment of 8 – 13 cm adnexal masses felt to be benign, to confirm the negative predictive value of ACOG Committee Opinion 280 for selecting women whose adnexal masses are unlikely to be malignant and, based on these data, to advocate for acceptance of a new treatment algorithm featuring Minimally Invasive Surgery in t...

In an effort to develop minimally invasive, low risk techniques for contraception and population control in female wild horses and burros, we propose evaluating two procedures, tubal ligation and hysteroscopically-guided laser ablation of the oviduct papilla in standing sedated females. For tubal ligation, we hypothesize that a flexible endoscope inserted through a small incision in the vaginal...

OBJECTIVE To create evidence-based clinical practice guidelines based on a systematic review of published literature regarding the risks and benefits of available preoperative, intraoperative, and postoperative technical steps and interventions at the time of vaginal hysterectomy for benign indications. DATA SOURCES We systematically searched the literature to identify studies that compared t...

OBJECTIVE To evaluate the efficacy and safety of culdotomy as a surgical approach to access the peritoneal cavity and discuss its implications for natural orifice transluminal endoscopic surgery (NOTES). METHODS A retrospective chart review of women undergoing culdotomy for tubal sterilization (N 219) between January 1995 and December 2005 was performed. The Accordion Grading System was used...

BACKGROUND AND OBJECTIVES The purpose of this study is to estimate the cumulative incidence, patient characteristics, and potential risk factors for secondary hemorrhage after total laparoscopic hysterectomy. METHODS All women who underwent total laparoscopic hysterectomy at Paul's Hospital between January 2004 and April 2012 were included in the study. Patients who had bleeding per vaginam b...

Tumor necrosis factor alpha (TNF) inversely regulates the function of bovine corpus luteum (CL). Whereas the low doses of TNF induce luteolysis, the high doses prolong CL lifespan and prevent luteolysis in vivo. We suggest that the varying effects of TNF may be caused by its action exerted on CL via multiple signaling pathways involving two distinct receptors: TNFR-I (responsible for induction ...

Correspondence to: Prof. Dubravko Habek, MD, PhD, Clinical Department of Obstetrics and Gynecology, Sveti Duh University Hospital, Sveti Duh 64, Croatian Catholic University, Ilica 242, HR-10000 Zagreb, Croatia E-mail: [email protected] Received November 9, 2016, accepted April 18, 2017 Leiomyomas of the anterior vaginal wall or suburethral localization are very rare and sporadic cases...

Two cases of vaginal endodermal sinus tumor (EST), a rare pediatric malignancy, were managed with conservative surgery followed by adjuvant chemotherapy. The first case involved a 9-month-old girl with EST of the vagina, who was treated with a partial vaginectomy and VAC regimen (vincristine, actinomycin D, cyclophosphamide) during a 2-year period. The serum alpha-fetoprotein (AFP) level return...