Laparoscopic Hysterectomy and Resection of Vaginal Septum in a Patient with Bicollis Uterus

A 39 year old G0 with bicollis uterus and longitudinal vaginal septum presents for management of abnormal uterine bleeding. Transvaginal ultrasound with 3D reconstruction demonstrates an arcuate uterus, endocervical canal branching consistent with bicollis, and a longitudinal vaginal septum (Figure 1). The patient elected for definitive surgical management with total laparoscopic hysterectomy and desired vaginal septum resection. A uterine manipulator was placed in the larger cervix, and a Breisky-Navratril retractor was placed along the contralateral vaginal wall to delineate the smaller cervix.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Tags: IMAGES IN Gynecological Surgery Source Type: research

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ConclusionWhilst radical completion surgery should be advised in UA, this case, in addition to all published conservatively managed cases of UA, demonstrates that conservative management is possible in appropriately selected women. Intensive monitoring post-operatively is essential owing to the risk of recurrence; however, this may pose deleterious side effects which require consideration.
Source: Archives of Gynecology and Obstetrics - Category: OBGYN Source Type: research
We report a case of misdiagnosed endometrial cancer by D&C, but with a positive cytopathological finding. Following that, a meta-analysis including 4,179 patients of endometrial diseases with cyto-histopathological results was performed to assess the value of the endometrial cytological method in endometrial cancer diagnosis. The pooled sensitivity and specificity of the cytological method in detecting endometrial atypical hyperplasia or cancer was 0.91[95% confidence interval (CI) 0.74–0.97] and 0.96 (95% CI 0.90–0.99), respectively. The pooled positive likelihood ratio and negative likelihood ratio was 25.4 (...
Source: Frontiers in Oncology - Category: Cancer & Oncology Source Type: research
Conclusions: Laparoscopic ureteroneocystostomy with or without bladder flap (Boari) provides good functional outcomes with excellent success rates and minimal morbidity comparable to open surgery in patients with ureteric stricture.
Source: Urology Annals - Category: Urology & Nephrology Authors: Source Type: research
Authors: Brennan A, Hickey M Abstract Abnormal uterine bleeding refers to any change in the regularity, frequency, heaviness or length of menstruation. There are several potential causes for bleeding disturbance, the two most common being primary endometrial dysfunction and fibroids. Management of abnormal uterine bleeding involves both medical and surgical options and will largely depend on a patient's fertility plans. The use of levonorgestrel-releasing intrauterine devices for heavy menstrual bleeding is increasing in Australia, and they are considered first-line medical management for women accepting of hormona...
Source: Medical Journal of Australia - Category: General Medicine Tags: Med J Aust Source Type: research
Semin Reprod Med 2017; 35: 533-548 DOI: 10.1055/s-0037-1606304Uterine fibroids, as the most common benign neoplasm of the female reproductive tract, can significantly impact a woman's quality of life through abnormal uterine bleeding, infertility, and bulk symptoms. When medical therapy for symptomatic fibroids fails, surgery is the recommended treatment. While a hysterectomy through laparotomy was historically the first-line surgical approach for fibroids, multiple minimally invasive and uterine-sparing techniques are now available. An evidence-based literature review of the following minimally invasive approaches is deta...
Source: Seminars in Reproductive Medicine - Category: Reproduction Medicine Authors: Tags: Review Article Source Type: research
This study evaluates the curative effects laparo-scopic hysterectomies performed to treat uterine fibroids and determined the impact of the procedures on ovarian blood supply. A total of 124 patients with uterine fibroids admitted and treated in our hospital from December 2014 to December 2015 participated in the study. Two groups of 62 patients each were formed according to different operating plans; one group of patients underwent abdominal (open) panhysterectomy and were set as the control group; with the other group of patients were treated with laparoscopic hysterectomy and were set as the observation group. Ovarian e...
Source: Experimental and Therapeutic Medicine - Category: General Medicine Tags: Exp Ther Med Source Type: research
CONCLUSION: Careful histopathological examination of the surgical specimen and diligent monitoring of β-human chorionic gonadotropin to zero is crucial to prevent potentially missing this very malignant, but highly curable disease. Early systemic metastases are common and presentation can include bleeding from vaginal metastases. PMID: 29032067 [PubMed - as supplied by publisher]
Source: Journal of Obstetrics and Gynaecology Canada : JOGC - Category: OBGYN Tags: J Obstet Gynaecol Can Source Type: research
Uterine leiomyomata or fibroids are the most common pelvic tumor experienced in women. The incidence of uterine morcellation, the process of making a uterine specimen smaller for purposes of removal via a minimally invasive approach, has increased for this reason.In this video, we would to like present a 48 y-old woman presented with heavy uterine bleeding. Transvaginal ultrasound revealed a bulky uterus more than 16 weeks of gestation with adenomyosis. Endometrial biopsy showed benign histologic architecture.
Source: The Journal of Minimally Invasive Gynecology - Category: OBGYN Authors: Source Type: research
We report a case of a secundipara with heterotopic cesarean scar pregnancy (HCSP) treated with potassium chloride injection into the ectopic embryo followed by sac aspiration. The remaining “mass” increased in size threefold and was surrounded by a rich vascular network. An arteriovenous malformation was suspected; however, appropriate treatment was precluded because of the viability of the ectopic gestation. Sonographic examination revealed a morbidly adherent placenta, and attempt to resect the mass laparoscopically was complicated by bleeding that required hysterectomy. This case illustrates a complication o...
Source: Journal of Clinical Ultrasound - Category: Radiology Authors: Tags: Case Report Source Type: research
The post Laparoscopic modified radical hysterectomy for cystadenoma – Clare’s story appeared first on Hysterectomy Association. I was referred to a gynaecologist for post menopausal bleeding 3 months ago. He did a vaginal ultrasound and saw a cyst. Removal of the ovary was mentioned as a possibility because of my age (55) but he first ordered a MRI for further information because of the bleeding. This showed a solid area in the cyst which I was told could mean borderline or early ovarian cancer so the decision was taken to do a BSO and hysterectomy within 30 days with the possibility of further surgery to the l...
Source: The Hysterectomy Association - Category: OBGYN Authors: Tags: Your Stories cystadenoma omentum ovarian cyst Source Type: news
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