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The Great Mimicker: Extragonadal Endometriosis Presenting as an Appendiceal Mass and Acute Appendicitis.

A 45-year-old female presented to the Emergency Department with acute right lower quadrant (RLQ) pain. Her past medical history was signific … a measuring 3.6 x 3.2 cm. She underwent a subsequent robotic-assisted total hysterectomy, bilateral salpingectomy, left oophorectomy, right ovarian cystectomy, and extensive adhesiolysis/enterolysis with intraoperative colorectal surgery consultation. Her post-operative course was uncomplicated. This report highlights the importance of considering extragonadal …

vNOTES Radical Hysterectomy: A New Approach to Cervical Cancer.

OBJECTIVE: To demonstrate how a radical hysterectomy with sentinel node resection for cervical cancer can be performed via vaginal Natural O … trium dissection, 8. Bladder pillar dissection, 9. Anterior colpotomy, 10. Salpingo-oophorectomy or salpingectomy. 3 Patients were so far treated by this new technique that allowed for good hemostatic control. CONCLUSION: vNOTES enables a potentially less invasive approach to radical hysterectomy performed largely retroperitoneally and completely transvaginall …

Pregnancy Outcome after Vaginal Natural Orifice Transluminal Endoscopic Surgery, a First Retrospective Observational Cohort Study.

STUDY OBJECTIVE: Vaginal natural orifice transluminal endoscopic surgery (vNOTES) is a novel minimal invasive surgical technique allowing a … r period (2014-2019). The gynecological surgical procedures included were vNOTES myomectomy, vNOTES salpingectomy for ectopic pregnancy, vNOTES unilateral adnexectomy, and vNOTES cystectomy. A total of 26 pregnancies in 21 cases were observed, with deliveries between 2015 and 2020. RESULTS: Retrospective analysis in this patient group showed that 18 pregnancie …

State-mandated insurance coverage is associated with the approach to hydrosalpinges before IVF.

The aim of this study was to determine whether practice in states with infertility insurance mandates is associated with physician-reported … ere more likely to report that, due to lack of infertility insurance coverage, they did not perform salpingectomy (SPX) or proximal tubal occlusion (PTO) before assisted reproduction treatment (RR 1.4, 95% CI 1.1-1.8, P = 0.01). Finally, respondents in states without mandates were less likely to report that the presence of assisted reproduction treatment covera …

Association between abdominal surgical incision type and midline intraperitoneal adhesion occurrence, findings from laparoscopic evaluation in a low-resource setting; a retrospective cohort of laparoscopic evaluations.

BACKGROUND: Abdominal incisions are mostly done in the umbilical or suprapubic regions, typically in the midline, to prevent visceral and va … pubic (p = 0.999). Exploratory laparotomy (PAI = 10.80 ± 2.86), myomectomy (PAI = 10.89 ± 3.71) and salpingectomy (PAI = 11.00 ± 5.66) had more severe adhesions, while appendicectomy (PAI = 6.17 ± 3.74) and caesarean section (PAI = 7.47 ± 3.34) the least. Adhesion occurrence (p = 0.883), midline adhesion (p = 0.997) or anterior abdominal wall attachment (p = 0. …

A Case of Heterotopic Pregnancy Resulting in a Live Birth Through Laparoscopic Surgery.

Heterotopic pregnancy (HP) is a condition in which intrauterine and ectopic pregnancies occur simultaneously and is extremely rare. However, … at seven weeks and four days of pregnancy. A diagnosis of left tubal pregnancy was made, and a left salpingectomy was performed. The pregnancy progressed smoothly, and spontaneous cephalic vaginal delivery occurred at 38 weeks and six days of gestation. The baby weighed 3,200 g at birth. HP is extremely rare; however, its incidence has increased with the widesp …

Torsion of a paraovarian cyst on the fallopian tube: Case report.

INTRODUCTION AND IMPORTANCE: Paraovarian cysts are benign adnexal lesions that typically remain asymptomatic but can lead to serious complic … t fallopian tube, with complete necrosis of both structures. The ovary appeared unaffected. A right salpingectomy and cyst excision were performed. Histopathological examination confirmed the diagnosis of a necrotic paraovarian cyst with ischemic changes in the fallopian tube. The patient had an uneventful postoperative recovery and was discharged on the second …

When synchronous mucinous metaplasia and neoplasia of the female genital tract and peutz-jeghers syndrome meet: a case report and literature reviews.

BACKGROUND: Peutz-Jeghers syndrome (PJS) is characterized by the presence of hamartomatous polyps in the gastrointestinal tract and mucocuta … to intestinal obstruction and intussusception. She underwent left adnexectomy, hysterectomy, right salpingectomy, greater omental resection, appendectomy and right ovary biopsy, and received six courses of adjuvant chemotherapy with Lopressor plus Carboplatin. Genetic testing revealed a heterozygous serine threonine kinase 11 germline mutation and there were n …

Cumulative Sum Analysis of Learning Curve Process for Vaginal Natural Orifice Transluminal Endoscopic Surgery Hysterectomy.

STUDY OBJECTIVE: This study aimed to evaluate the learning curve of vaginal natural orifice transuminal endoscopic surgery (vNOTES) hysterec … d 10 precancerous. Concomitant procedures have been bilateral adnexectomy in 35 cases and bilateral salpingectomy in 15 cases. The median age was 51 years (range, 42-64). Median body mass index was 26 kg/m2 (range, 21-42). The median operative time was 75 minutes (range, 40-110). The median hospital stay was 2 days (range, 1-4). There was 1 intraoperative adver …

Retrieval analysis of the Essure® micro insert female sterilization implant: Methods for metal ion and microscopic analysis.

The Essure® Device is a female sterilization implant comprised of four alloys (Ni-Ti, 316L SS, Pt-Ir and Sn-Ag) and Dacron fibers. As part o … 522-post market surveillance study. As part of this study, implants are retrieved from patients via salpingectomy or hysterectomy. This study focuses on the development of the implant retrieval methods following surgery, with focus on measuring local tissue metal ions, their distribution and assessing the degradation of the implant without correlation to patien …

Ectopic pregnancy in Jos Northern Nigeria: prevalence and impact on subsequent fertility.

BACKGROUND: Ectopic pregnancy remains a major gynaecological problem in contemporary gynaecological practice. Not only do women die from thi … 20.0% respectively). Tubal rupture occurred in 86.9% of the women at the time of laparotomy. Total salpingectomy was the surgical modality in 77.7% of the cases. The right fallopian tube was affected in 66.2% and the left 33.8% of the cases. The contralateral fallopian tube was grossly normal in 73.1% of cases. Of the 64 women who were followed up for a minimu …

Ovarian Sertoli-Leydig cell tumors: a single institution experience and review of the literature.

UNLABELLED: Purpose ofinvestigation: Sertoli-Leydig cell tumors (SLCTs) of the ovary are rare, usually presenting as virilization in women in their second to third decade of life. Less than 10% of patients are older than age 50. The authors present a series of cases of SCLT managed at their institution. MATERIALS AND METHODS: A retrospective review was performed of all cases of ovarian SLCT diagnosed at a tertiary care institution between 1990-2014. Demographic data, clinical presentation, pathological findings, and treatment modalities were col- lected. RESULTS: Of the 16 patients diagnosed

Factors affecting the decision to undergo risk-reducing salpingo-oophorectomy among women with BRCA gene mutation.

The objective of this study was to identify factors that affect the decision to undergo risk-reducing salpingo-oophorectomy (RRSO) in BRCA1 or BRCA2 mutations carriers in South Korea. The medical records of 124 women who had been found to have BRCA1 or BRCA2 gene mutation at our institution between May 2003 and December 2011 were reviewed. The carriers were divided into RRSO and non-RRSO groups for comparison of their clinicopathologic, socio-economic, and psychosocial factors. Of the 71 carriers eligible for RRSO, 21 had undergone RRSO. In univariate analysis, classification of carriers into

Torsion of a hydrosalpinx in a virgin patient with Mayer-Rokitansky-Küster-Hauser syndrome: report of a rare condition and its possible etiology.

BACKGROUND: To describe a rare case of hydrosalpinx torsion in a virgin patient with Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome. CASE: A 25-year-old woman with previously diagnosed MRKH syndrome in whom lower abdominal pain led to discovery and resection of a hydosalpinx of unusual origin in a university hospital department of obstetrics and gynecology, Japan. RESULTS AND CONCLUSIONS: Laparoscopy revealed a twisted left-sided hydrosalpinx, and the mass was resected laparoscopically. Results of the blood test for Chlamydia trachomatis were positive, but results of the PCR test were negati

Доклад о серьезном миелин олигодендроците гликпротеина, связанном с антителными заболеваниями, после эктической беременности и лапароскопического медицинского аборта: значение периферического воспаления для демиелинизирующей деятельности.

Myelin oligendrocyte glycoprotein - болезнь, связанная с антителами (MOGAD) - редкое неврологическое заболевание. Одной из важных причин материнской заболеваемости и смертности во всем мире является внематочная беременность в Тубале. Регулярная беременность оказывает воздействие на MOGAD, приводя к увеличению числа рецидивов в послеродовой период. Тем не менее не существует ни сообщений о конкретных случаях, ни когортных исследований, посвященных абортам и эктуальной беременности в качестве события, способствующего изменению болезней в рамках МУГАД. Это отчет о серьезном рецидиве MOGAD после э

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… DMF treatment was discontinued due to the progression of neurological symptoms; EDSS=8.0. 2019-08-02 The patient sought emergency care and was diagnosed with tubal pregnancy. 2019-08-03 A salpingectomy was performed with no gynecological complications, sHCG=7600 IE/L before surgery. 2019-10-29 MRI of … A salpingectomy was performed with no gynecological complications. A month before the abortion, the patient had experienced a worsening of her gait: she could no longer take any steps or stand up without falling. The EDSS was 8.0. …

Total vNOTES Approach for the Removal of a Giant Adnexal Cyst.

OBJECTIVE: To describe the successful minimally invasive management of a giant paratubal cyst using total vaginal Natural Orifice Translumin … t. The cyst was incised at its most dependent point and drained of 5 liters of clear fluid. A right salpingectomy was performed due to fallopian tube elongation, preserving the ovarian blood supply. The procedure lasted 40 minutes without complications. The patient was discharged 6 hours postoperatively with minimal pain. CONCLUSION: TvNOTES allows all surgica …

Revitalizing reproductive health: innovations and future frontiers in restorative medicine.

BACKGROUND: Infertility affects around 17.5% of reproductive-aged individuals worldwide, posing significant personal and public health chall … microbiome imbalance) factors. Surgical corrections (e.g., hysteroscopic removal of polyps/myomas, salpingectomy for hydrosalpinx) significantly improved natural conception and ART success (⩾20%-40% increase in clinical pregnancy). Chronic endometritis treatment, endometrial microbiome modulation, and BMI/thyroid optimization further improved pregnancy rates b …

Clinical Profile, Risk Factors, and Outcomes of Ectopic Pregnancy: A One-Year Observational Study From a Tertiary Care Hospital in Eastern India.

Background Ectopic pregnancy remains a significant challenge in obstetric practice, contributing substantially to maternal morbidity and mor … 4.6%), while initial ultrasonographic evaluation identified rupture in 58 cases (47.2%). Unilateral salpingectomy was performed in 100 cases (81.3%). Analysis of the rupture status showed no significant association with historical risk factors or demographic parameters. Conclusion The study highlights the high prevalence of ruptured ectopic pregnancies at prese …

Superfetation and heterotopic pregnancy: Case report of two rare phenomena coexisting and implications in the era of assisted reproductive technologies.

KEY CLINICAL MESSAGE: To raise awareness about the increasing incidence of superfetation and heterotopic pregnancy in patients with ovarian … fetation resulting in HP was then diagnosed. Subsequently, the patient underwent right laparoscopic salpingectomy. The intrauterine pregnancy progressed normally, resulting in delivery of a healthy full-term neonate via Cesarean section at 38 weeks. Superfetation is typically rare from suppression of follicular development and ovulation during pregnancy. Variou …

Optimizing intrauterine insemination and spontaneous conception in women with unilateral hydrosalpinx or tubal pathology: A systematic review and narrative synthesis.

BACKGROUND: Tubal surgery's role in infertile women with unilateral tubal pathology (e.g. hydrosalpinx, tubal occlusion) who desire spontane … DTOs had minimal incremental CPR benefit with each additional IUI cycle. CONCLUSIONS: Therapeutic salpingectomy or tubal occlusion improve IUI or spontaneous conception in women with hydrosalpinx, although more prospective studies are needed. While significant study heterogeneity hampered assessment of fertility outcomes, overall, infertile women with PTOs ha …