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Gynecol Minim Invasive Ther 2022 Apr-Jun;11(2):124-126. Epub 2022 May 4.

Edson College of Nursing and Health Innovation, Arizona State University, Arizona, United States of America.

Adnexal torsion is the fifth most common gynecological emergency. However, endometrioma torsion is a very rare entity due to the associated pelvic adhesions. A 26-year-old woman presented to the emergency department complaining of acute lower abdominal pain for the past 6 h. Read More

J Clin Ultrasound 2022 May 23. Epub 2022 May 23.

Fetal Medicine Department, Clínica Diagnóstico por Imagem (CDPI), Rio de Janeiro, Brazil.

J Obstet Gynaecol India 2021 Dec 2;71(6):633-636. Epub 2021 May 2.

Suraj Clinic, Kurla west, Mumbai, India.

Accessory and cavitated uterine mass is rare developmental Mullerian anomaly. There is a non-communicating uterus-like mass that occurs contiguously along wall of uterus often underdiagnosed and needs expertise to identify. To raise awareness, provide information about this pathology and emphasize role of coronal 3D ultrasound in its diagnosis. Read More

Surg Endosc 2022 Jun 19;36(6):4328-4332. Epub 2021 Oct 19.

Department of Pediatric Surgery, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa, Nagoya, 466-8550, Japan.

Background: Most studies reporting the outcomes of laparoscopic ovarian prolapsed hernia operations with large sample sizes are based on intracorporeal closure, while studies on extraperitoneal closure have limited sample sizes. We proactively used the single-incision laparoscopic percutaneous extraperitoneal closure (SILPEC) technique and obtained favorable outcomes, which we report in this paper.

Methods: We retrospectively reviewed patients who had undergone laparoscopic surgery for inguinal hernia at our institution. Read More

Curr Gene Ther 2022 ;22(4):319-330

Department of Gynecological Minimal Invasive Center, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100010, China.

Background: Female fertility refers to the capacity to produce oocytes and achieve fertilization and pregnancy, and it is impaired by age, disease, environment and social pressure. However, no effective therapy that restores female reproductive ability has been established. Mesenchymal Stromal Cells (MSCs) exhibit multilineage differentiation potential and have attracted considerable attention as a tool for restoring female fertility. Read More

Contrast Media Mol Imaging 2021 17;2021:5175072. Epub 2021 Sep 17.

First Clinical Medical College, Nanjing University of Chinese Medicine, Nanjing 210023, Jiangsu, China.

To explore the diagnostic value of MRI image features based on convolutional neural network for tubal unobstructed infertility, 30 infertile female patients were first selected as the research objects, who admitted to the hospital from May 2018 to January 2020. They all underwent routine MRI examinations and CNN-based MR-hysteron-salpingography (HSG) examinations, in order to discuss the diagnostic accuracy of the two examinations. In the research, it was necessary to observe the patients' imaging results, calculate the diagnosis rate of the two examination results, and analyze the application effect of the CNN algorithm, thereby selecting the best reconstruction method. Read More

Pediatr Surg Int 2021 Nov 23;37(11):1569-1574. Epub 2021 Aug 23.

Department of Hepato-Biliary-Pancreatic and Pediatric Surgery, Saitama Medical Center, Saitama Medical University, 1981 Kamoda, Kawagoe, Saitama, 350-8550, Japan.

Purpose: We aimed to clarify the frequency and the clinical significance of deviation of the uterus in female pediatric inguinal hernia.

Methods: We retrospectively evaluated the data of 94 female pediatric inguinal hernia cases that were treated by laparoscopic percutaneous extraperitoneal closure. We assessed for correlations between uterine deviation and age, body weight, the size of the hernia orifice, and the presence of contralateral processus vaginalis (PV) patency. Read More

Arch Gynecol Obstet 2021 11 19;304(5):1271-1278. Epub 2021 Mar 19.

Gynecologic Oncology Department, Metaxa Memorial Cancer Hospital, 51, Botassi Str., 18537, Piraeus, Greece.

Purpose: As the prevalence of obesity has been rising during the past decades worldwide and especially in Greece, surgeons have faced significant challenges concerning the treatment of morbidly obese women with gynecologic cancer. Panniculectomy is a safe procedure that offers better visualization of pelvic anatomy and prevention of major complications in these women.

Methods: Aim of this study is to describe a single-center experience of surgical treatment of morbidly obese women with gynecologic cancer and concurrent panniculectomy. Read More

Fertil Steril 2021 05 26;115(5):1143-1150. Epub 2021 Feb 26.

American Society for Reproductive Medicine, Birmingham, Alabama.

This document reviews surgical options for reparative tubal surgery and the factors that must be considered when deciding between surgical repair and in vitro fertilization. This document replaces the document of the same name, last published in 2012 (Fertil Steril 2015;103:e37-43). This document reviews surgical options for reparative tubal surgery and the factors that must be considered when deciding between surgical repair and in vitro fertilization. Read More

J Minim Invasive Gynecol 2020 Nov - Dec;27(7):1480-1481. Epub 2020 Apr 11.

Department of Gynaecology, St. Mary's Hospital, Manchester University NHS Foundation Trust, Manchester, United Kingdom (all authors).

Objective: To demonstrate and contrast 2 techniques of laparoscopic management of interstitial ectopic pregnancies.

Design: Stepwise demonstration of the technique with narrated video footage.

Setting: Tertiary referral center in Manchester, United Kingdom. Read More

Medicine (Baltimore) 2020 Feb;99(7):e19079

Department of Digestive Surgery, Breast and Thyroid Surgery Graduate School of Metical Sciences Kagoshima University, Kagoshima, Japan.

Introduction: Persistent Müllerian duct syndrome (PMDS) is a rare disease occurring in men with an otherwise completely normal phenotype, in which female internal sex organs are present, including a uterus, fallopian tubes, cervix, and vagina. We report a case of bilateral recurrent inguinal hernia due to PMDS treated by transabdominal preperitoneal repair (TAPP).

Patient Concerns: A 72-year-old male presented with a complaint of swelling on both sides of the groin. Read More

Ann R Coll Surg Engl 2020 Feb 7;102(2):75-83. Epub 2019 Nov 7.

Laiko General Hospital, Athens, Greece.

Introduction: Gynaecological structures such as the ovaries, fallopian tubes, ligaments and uterus are rarely encountered inside a hernial sac. The prevalence of groin hernias containing parts of female genitalia remains unknown. The aim of this review was to summarise the existing evidence on inguinal hernias containing ovaries with or without the other female adnexa. Read More

Pol J Radiol 2019 17;84:e281-e288. Epub 2019 Jun 17.

Department of Obstetrics, Paulista School of Medicine - Federal University of São Paulo (EPM-UNIFESP), São Paulo-SP, Brazil.

Purpose: To evaluate in three dimensions (3D) the human endosalpinx and reconstruct its surface along its different anatomical segments, without the injection or insertion of luminal contrasts, using confocal microtomography (micro-CT).

Material And Methods: 15 fallopian tubes (FT) from 14 women in reproductive age from procedures for benign disease or sterilization were selected. The specimens were fixed in formalin and stained with Lugol solution. Read More

Ann R Coll Surg Engl 2019 Sep 3;101(7):e157-e159. Epub 2019 Jun 3.

General and Digestive Surgery Department, Rio Hortega University Hospital, Valladolid, Spain.

Femoral hernias represent less than 10% of groin hernias and appear mainly in adult women; incarceration is more usual than in other hernias. Content found within the sac is commonly small bowel or omentum. Other anatomical structures, such as appendix, bladder, Meckel's diverticulum, ectopic testis, stomach and gynaecological organs are extremely unusual. Read More

Female Pelvic Med Reconstr Surg 2020 06;26(6):401-406

Gynecologic Oncology, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Diego, La Jolla, CA.

Objectives: This review aims to (1) describe evidence supporting the fallopian tube as a site of high-grade serous carcinoma, (2) review literature regarding salpingectomy in high- and average-risk women, and (3) discuss feasibility and safety of salpingectomy in urogynecologic surgery.

Methods: PubMed and university library resources were used to retrieve relevant English-language publications via keyword search, including "ovarian cancer," "salpingectomy," "risk," "safety," "hysterectomy," "trends," "technique," and "urogynecology." Each publication was reviewed in detail and references incorporated, where relevant. Read More

J Pediatr Surg 2019 Oct 17;54(10):2134-2137. Epub 2019 Apr 17.

UT Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390. Electronic address:

Background: In female infants undergoing herniorrhaphy, there is a reported incidence of 15%-20% of prolapsed adnexal structures. Our primary aim is to confirm the incidence of adnexal tissue in hernia sacs at the time of repair and to further delineate the clinical characteristics of this population at a major pediatric institution.

Methods: Retrospective chart review of all cases of herniorrhaphy in female patients less than the age of 18 from June 2009 to December 2015 in a large tertiary referral children's hospital. Read More

J Morphol 2018 12 15;279(12):1764-1775. Epub 2018 Nov 15.

Department of Histology and Embryology, Poznań University of Life Sciences, Poznań, Poland.

The study describes the morphology and topography of internal reproductive organs in the domestic cat from the early prenatal period to maturity, using macroscopic and scanning electron microscope (SEM) observations with three-dimensional (3D) reconstructions. Fifty-seven female cat fetuses aged between the 27th and 63rd day postconception (p.c. Read More

J Minim Invasive Gynecol 2019 Sep - Oct;26(6):1117-1124. Epub 2018 Nov 11.

Service de Gynécologie Obstétrique, CHU Nantes (Mr. Godfroy and Dr. Le Vaillant), Nantes, Cedex, France. Electronic address:

Study Objective: To show the feasibility of 2-dimensional (2D) ultrasound (US) imaging compared with 3-dimensional (3D) US to identify the location of implants and assess if the classification developed by Simorre et al in 2016 was applicable to the 2 types of US imaging (i.e., 2D and 3D). Read More

J Laparoendosc Adv Surg Tech A 2019 Feb 25;29(2):278-281. Epub 2018 Sep 25.

Department of Pediatric Surgery, Hiroshima City Hospital , Hiroshima, Japan .

Purpose: The purpose of this report was to evaluate the safety and efficacy of the simple laparoscopic percutaneous extraperitoneal closure (LPEC) method for treating ovarian hernia patients, including newborns and low-birth-weight infants.

Methods: We retrospectively reviewed the cases of ovarian hernia that were treated in our institution from May 2012 to September 2017.

Results: Thirty-four infants were included in this study (right side, n = 8; left side, n = 22; bilateral, n = 4). Read More

Clin Plast Surg 2018 Jul 9;45(3):381-386. Epub 2018 Apr 9.

Sava Perovic Foundation, Center for Genito-Urinary Reconstructive Surgery, Borisavljeviceva 58, Belgrade 11000, Serbia. Electronic address:

Transmasculine gender confirmation surgery remains challenging and demanding. As there is no perfect or standard procedure for creating male genitalia, practitioners continue to strive for better solutions. There are 2 goals in the surgical treatment of transgender persons: removal of the native genitalia and secondary sexual characteristics and creation of the desired genitalia and secondary sexual characteristics. Read More

J Matern Fetal Neonatal Med 2019 Sep 6;32(18):3082-3087. Epub 2018 Apr 6.

f Department of Obstetrics, Paulista School of Medicine , Federal University of São Paulo (EPM-UNIFESP) , São Paulo , Brazil.

The aim of this study was to provide a three-dimensional (3D) microscopic reconstruction of morphological modifications of the fallopian tube (FT) following surgical sterilization (including tuboperitoneal fistula) and ectopic pregnancy (EP) using confocal microtomography (micro-CT). Six specimens of FT from elective and emergency surgeries were selected: three remnants of the FT (RFT) from surgical sterilization, including one presenting tuboperitoneal fistula, and three FTs with EP. The specimens were fixed in formalin and stained with Lugol solution. Read More

Eur J Trauma Emerg Surg 2019 Jun 6;45(3):403-410. Epub 2018 Mar 6.

Division of Trauma, Burns and Surgical Critical Care, Department of Surgery, University of California, Irvine, 333 The City Blvd West, Suite 1600, Orange, CA, 92868-3298, USA.

Purpose: Pelvic gynecologic trauma (PGT) includes injury to the uterus, ovaries or fallopian tubes. We hypothesized Injury Severity Score (ISS) ≥ 25, hypotension on admission and age ≥ 51 (average age for menopause) would be independent risk factors for resection compared to repair.

Methods: A retrospective analysis of the National Trauma Data Bank was performed between 2007 and 2015. Read More

Am J Obstet Gynecol 2017 11 12;217(5):603.e1-603.e6. Epub 2017 Jun 12.

Division of Female Pelvic Medicine and Reconstructive Surgery, Department of Obstetrics and Gynecology, University of California, Riverside, Riverside, CA.

Background: Fallopian tubes are commonly removed during laparoscopic and open hysterectomy to prevent ovarian and tubal cancer but are not routinely removed during vaginal hysterectomy because of perceptions of increased morbidity, difficulty, or inadequate surgical training.

Objective: We sought to quantify complications and costs associated with a strategy of planned salpingectomy during vaginal hysterectomy.

Study Design: We created a decision analysis model using TreeAgePro. Read More

J Minim Invasive Gynecol 2017 Jul - Aug;24(5):827-832. Epub 2017 Apr 24.

Department of Biomedicine and Prevention, Obstetrics and Gynecological Clinic, University of Rome "Tor Vergata", Rome, Italy. Electronic address:

Objectives: To investigate the feasibility of hysterosalpingo foam sonography (HyFoSy) with automated 3-dimensional (3D) software in the evaluation of tubal patency and visualization of the tubal course by obtaining a 3D volume acquisition of tubes.

Design: Prospective observational study (Canadian Task Force classification III).

Setting: University hospital. Read More

Clin Exp Obstet Gynecol 2017 ;44(2):195-199

Purpose: To assess pregnancy outcomes after minimally-invasive fertility restoration surgery in women with infertility secondary to tubal pregnancy treated with salpingectomy.

Materials And Methods: The study included 77 women diagnosed with infertility after salpingectomy for tubal pregnancy between December 2008 and October 2010 for intraoperative assessment and treatment of tubal and pelvic adhesions. The mean age of the patients was 31. Read More

J Med Case Rep 2016 Dec 21;10(1):374. Epub 2016 Dec 21.

Department of Clinical Genetics, Aalborg University Hospital, Ladegårdsgade 5, Aalborg, 9000, Denmark.

Background: The vertebral defect, anal atresia, cardiac defect, tracheoesophageal fistula/esophageal atresia, renal defect, and limb defect association and Mayer-Rokitansky-Küster-Hauser syndrome are rare conditions. We aimed to present two cases with the vertebral defect, anal atresia, cardiac defect, tracheoesophageal fistula/esophageal atresia, renal defect, and limb defect association and Mayer-Rokitansky-Küster-Hauser co-occurrence from our local surgical center and through a systematic literature search detect published cases. Furthermore, we aimed to collect existing knowledge in the embryopathogenesis and genetics in order to discuss a possible link between the vertebral defect, anal atresia, cardiac defect, tracheoesophageal fistula/esophageal atresia, renal defect, and limb defect association and Mayer-Rokitansky-Küster-Hauser syndrome. Read More

Urologe A 2017 Apr;56(4):500-504

Abteilung für Kinderchirurgie, Klinik und Poliklinik für Allgemein-, Viszeral-, Gefäß- und Kinderchirurgie (Chirurgie I), Zentrum Operative Medizin, Klinikum der Bayerische Julius-Maximilians-Universität, Oberdürrbacher Straße 6, 97080, Würzburg, Deutschland.

Background: Persistent mullerian duct syndrome (PMDS) is a rare, autosomal recessive disorder. It is a form of male disorder of sexual differentiation in which mullerian duct structures are present in male phenotypes and 46XY karyotypes. In affected individuals, uterus, fallopian tubes, cervix and vagina are present. Read More

Zhonghua Yi Xue Za Zhi 2016 Aug;96(30):2424-6

Center of Minimally Invasive Gynecology, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing 100006, China.

Objective: To clarify the advantages and the influence to reproductive outcome after laparoscopic salpingotomy with and without suturing for tubal pregnancy.

Methods: We retrospectively analyzed the clinical data of patients underwent laparoscopic salpingotomy from March 2012 to October 2014 who were willing to reserve their reproductive function and were able to be followed up. Based on the operation procedure, the patients were assigned to undergo laparoscopic salpingotomy with suturing (group A; n=49) or without suturing (group B; n=69). Read More

Int Urogynecol J 2016 Dec 16;27(12):1873-1877. Epub 2016 Jun 16.

Division of Female Pelvic Medicine and Reconstructive Surgery, Departments of Obstetrics and Gynecology and Urology, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.

Introduction And Hypothesis: Although postoperative complications in women undergoing reconstructive pelvic surgery (RPS) have been characterized, little is known regarding the timeline of these occurrences. We aimed to determine the timeframe after RPS during which the majority of complications occur, to assist with planning intervals between postoperative visits.

Methods: Women undergoing RPS were identified through billing information. Read More

PLoS One 2016 25;11(3):e0152343. Epub 2016 Mar 25.

Department of Obstetrics and Gynecology, The First Affiliated Hospital of Henan University of Science and Technology, Luoyang, Henan Province, China.

Objective: To compare the natural fertility outcomes of salpingotomy and salpingectomy among women treated for tubal pregnancy.

Methods: An online database search including PubMed, Embase, CENTRAL and Web of Science was performed to identify studies comparing salpingotomy and salpingectomy to treat women with tubal pregnancy. The search included papers published after the databases were established until May 2015. Read More