Current status of high-intensity focused ultrasound for the management of uterine adenomyosis

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Laparoscopic removal of an eroding Mirena coil through the sigmoid colon

Letter to the Editorpublished_or_final_versio

Management of ovarian masses during pregnancy

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Postmenopausal Bleeding

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An update on the management of acute pelvic inflammatory disease

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Surgical Management of Adnexal Masses in Pregnancy

Background and Objectives: Our objective was to review the surgical management, surgical outcomes, and obstetric outcomes of adnexal masses in pregnancy. Methods: A retrospective review was performed of pregnant women before 20 weeks of gestation who underwent laparoscopy or laparotomy for management of an adnexal mass during the period of January 2005 to June 2012 at a university-affiliated hospital. Results: Thirty-five pregnant women underwent surgical removal of adnexal masses during the 7.5-year study period: 21 (60.0%) underwent laparoscopic surgery, and 14 (40.0%) underwent laparotomy. The left upper quadrant entry technique was used in 20 women. Conversion to laparotomy was required in 2 women because of extensive pelvic adhesions. The mean gestational age at surgery was 15.2 ± 1.9 weeks. All women had undergone ovarian cystectomy. A malignant mass was found in 3 (8.6%) women. The laparoscopy group had a significantly less blood loss (67.4 ± 55.8 vs 153.6 ± 181.0 mL, P = .048) and shorter mean hospital stay (2.8 ± 1.0 vs 3.8 ± 1.1 days, P = .006) than the laparotomy group. One woman miscarried soon after surgery. There was no significant difference in obstetric outcomes between the laparoscopy and laparotomy groups. Conclusion: Surgical management of adnexal masses during pregnancy appears to have favorable outcomes for the mother and the fetus.published_or_final_versio

Second trimester termination of pregnancy after previous classical caesarean section for uterine fibroid

E-poster - EP13: Early Pregnancy: no. EP13.05This journal suppl. entitled: Special Issue: Abstracts of the RCOG World Congress 2013, 24–26 June 2013, Liverpool, United KingdomOBJECTIVES: To report the successful termination of pregnancy in a patient with history of previous classical caesarean section performed because of uterine fibroid obstructing the lower segment. METHODS: The patient had classical caesarean section performed for transverse lie, uterine fibroid 14 months prior to presentation requesting termination of pregnancy at 14 weeks maturity. During the operation, a 16 cm broad ligament fibroid was found posteriorly in the left side. The patient was treated with the following regimen 1. Insertion of hygroscopic cervical dilator the night before 2. Misoprostol 50 microgram vaginally, then 100 microgram vaginally 4 hours after initial dose, then 150 microgram vaginally 8 hours after initial dose, then 200 microgram ...published_or_final_versio

Significance of Uterine Cavity Fibroids and Polyps in Reproductive Medicine

Uterine fibroids and endometrial polyps are common lesions in the female genital tract, and often they are asymptomatic. However, if the lesions are occupying and distorting the uterine cavity, they may cause symptoms such as abnormal uterine bleeding, subfertility and pregnancy losses. This review will discuss the impact of uterine cavity fibroids and polyps on subfertility and pregnancy losses and whether the removal of these lesions will improve reproductive outcome.published_or_final_versio

Management of acquired uterine arteriovenous malformations following early pregnancy complications

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Visual Field Compromised In Patients Suffering From Severe Menorrhagia

Purpose: To evaluate menorrhagia as a risk factor for compromised visual field Design: A cross-sectional cohort study Participants: 25 Menorrhagic patients and 23 non-menorrhagic female subjects Methods: Patients were recruited from the Obstetrics and Gynaecology clinic and divided into two groups. Those suffering from active menorrhagia were allocated into the disease group while those had never suffered from menorrhagia constituted the control group. All subjects completed a pictorial blood assessment chart (PBAC) to quantify the severity of their menorrhagia. All subjects then underwent an eye examination and investigations including visual field and optical coherent tomography. Main Outcome Measures: The mean PBAC was compared between the disease group and the control group. Correlation analysis was tested between PBAC and visual field global indices. Results: Subjects suffering from menorrhagia have a compromised performance in visual field when compared with subjects with no menorrhagia. A positive association was observed between the severity of menorrhagia and a poorer visual field performance. Conclusions: Menorrhagia may be a risk factor for visual field defects. Further research is encouraged to evaluate whether it may be a risk factor for glaucoma development or progression.published_or_final_versio