Differentiating a Rare Uterine Lipoleiomyoma from Uterine Perforation at Hysteroscopy: A Scary Story
Publication date: Available online 27 April 2019Source: Journal of Minimally Invasive GynecologyAuthor(s): Attilio Di Spiezio Sardo, Annarita Gencarelli, Mariana Da Cunha Vieira, Gaetano Riemma, Teresa De Simone, Jose Carugno
Publication date: Available online 2 June 2020Source: European Journal of Obstetrics &Gynecology and Reproductive BiologyAuthor(s): Prathiba M. De Silva, Alasdair Carnegy, Paul P. Smith, T. Justin Clark
The yolk sac is a small extra embryonic structure that plays a crucial role during the first trimester of pregnancy. It provides nutrients, endocrine, metabolic and hematopoietic functions during embryogenesis reaching its peak of functionality between the 4th and 7th week of embryonic life (1). The size of the yolk sac ranges between 2 and 5 mm and continues to growth up to the 10th week of gestation. Abnormalities of the yolk sac are correlated with poor pregnancy outcomes (2, 3). Transcervical hysteroscopic embryoscopy is gaining an important role in the evaluation of the patient with first trimester pregnancy loss.
To compare the effects of different types and routes of administration of local anaesthetic for pain control during and after office hysteroscopy.
AbstractRetained placenta tissue is a rare condition, and its diagnosis and surgical treatment are often challenging. Conventionally, the surgical management of such cases is largely performed using blind dilation and curettage. Our case demonstrates that the successful complete removal of retained placental tissues can be achieved with operative hysteroscopy with minimal use of electrosurgery in order to minimize the short- and long-term complications. This was achieved using the loop of the bipolar resectoscope as a curette performing cold dissection.
We report a case of low-grade endometrial stromal sarcoma in a 39-year-old woman, whose ultrasound examination suggested a large endometrial polyp. Polypectomy followed by laparoscopic total hysterectomy with bilateral salpingo-oophorectomy was performed. The final histological examinat ion showed no residual disease, implying that the tumor was totally resected during hysteroscopy. This case report highlights that endometrial stromal sarcoma is to be included in the differential diagnosis of endometrial polyp though rare.
Conditions: Uterine Fibroids; Uterine Myomas Interventions: Diagnostic Test: Transvaginal ultrasound; Behavioral: Anamnesis; Procedure: Operative hysteroscopy Sponsor: Ospedale Policlinico San Martino Recruiting
CONCLUSIONS: Preoperative hysteroscopic guided "grasp" endometrial biopsy provides a more accurate diagnosis of EC histology type and tumor grade when in presence of endometrioid type tumor compared to blind endometrial biopsy obtained using the Novak curette. PMID: 32467056 [PubMed - as supplied by publisher]
This study aimed to investigate the effects of anxiety or depression symptoms on the propofol requirements for sedation in females. This study recruited female patients aged 18 to 65 years, with American Society of Anesthesiologists physical status classification of 1 to 2, who were scheduled for hysteroscopic surgery under propofol-based intravenous anesthesia. The day before surgery, the Hospital Anxiety and Depression Scale (HADS) was used to assess the symptoms of anxiety and depression within the past 6 months. Target-controlled propofol was gradually titrated to achieve 3 desired levels of sedation: Modified Observer...
AbstractMost endometrial carcinomas (ECs) occurring during pregnancy are diagnosed in the first trimester. During the gestation period, progesterone level, which has a protective effect on the endometrium, is found to increase. In EC cases, administering high-dose progesterone is a therapeutic strategy because this hormone can considerably shrink tumors. Herein, the case of a woman in whom EC progressed during pregnancy is reported. Before pregnancy, she was diagnosed with atypical polypoid adenomyoma based on a blind office biopsy. She spontaneously conceived 2 months later, although she was suggested to undergo dil...
Authors: Terzic M, Norton M, Terzic S, Bapayeva G, Aimagambetova G Abstract Several different approaches have been designed by physicians in order to preserve fertility in younger patients with endometrial carcinoma. There are various options offering different advantages, but hysteroscopic resection of pathologic endometrial tissue with placement of a Levonorgestrel Intrauterine Device has proven to be the most successful in allowing patients to conceive and give birth afterwards. However, conservative treatments should only be considered in patients with low-grade and low-stage endometrial tumours. There are many...