Search Our Scientific Publications & Authors

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

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

J Minim Invasive Gynecol 2016 Jul-Aug;23(5):739-47. Epub 2016 Mar 9.

Department of Obstetric & Gynecology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China. Electronic address:

Study Objective: To determine the incidence of interstitial pregnancy after in vitro fertilization/embryo transfer (ET) treatment and report on our experience of laparoscopic cornuostomy or cornual repair for interstitial pregnancy.

Design: Single-center, retrospective review (Canadian Task Force classification II-3).

Setting: University hospital. Read More

Ann Chir Plast Esthet 2016 Jun 2;61(3):177-82. Epub 2016 Mar 2.

Department of Plastic and Reconstructive Surgery, Georges-Pompidou European Hospital, AP-HP, 20, rue Leblanc, 75015 Paris, France.

Background: Prophylactic surgery remains the most effective modality for reducing both breast and ovarian cancer rate in woman at high risk, such as BRCA1 or BRCA2. Autologous breast reconstruction with bilateral deep inferior epigastric perforator (DIEP) flap allows predictable and durable results. However, existing two-step approach separating salpingo-oophorectomy and reconstruction could even make DIEP flap impossible, or make insufflation more difficult during laparoscopy. Read More

Fertil Steril 2016 Apr 7;105(4):887-90. Epub 2016 Jan 7.

Department of Obstetrics and Gynecology, Faculty of Medicine, University of British Columbia, Vancouver, British Columbia, Canada.

J Minim Invasive Gynecol 2016 Mar-Apr;23(3):404-9. Epub 2016 Jan 6.

Department of Obstetrics and Gynecology, Centro Hospitalar Lisboa Norte, Hospital de Santa Maria, Lisbon, Portugal; Centro Hospitalar Lisboa Norte, Hospital de Santa Maria, Lisbon, Portugal.

Study Objective: Total hysterectomy with bilateral salpingo-oophorectomy and vaginectomy for genital reassignment surgery is a complex procedure that is usually performed with a combined vaginal and abdominal approach. The aim of this study was to describe the feasibility of laparoscopic vaginectomy in sex reassignment surgery.

Methods: We reviewed the relevant medical history, intra/postoperative complications, and surgical results of all patients diagnosed with gender dysphoria and submitted to totally laparoscopic gender confirmation surgery in our department between January 2007 and March 2015. Read More

Reprod Biomed Online 2015 Dec 21;31(6):722-31. Epub 2015 Sep 21.

Department of Obstetrics and Gynecology, University of British Columbia, Vancouver, BC, Canada. Electronic address:

Assisted reproductive techniques yield high rates of success for women with tubal factor infertility. Because they are potentially effective for all categories of infertility, for two decades, clinical and basic research in infertility has been focused on IVF techniques and outcomes, rather than developing surgical techniques or training infertility subspecialists in tubal microsurgery. Nonetheless, in comparison with IVF, reconstructive tubal surgery is inexpensive and offers multiple opportunities to attempt conception. Read More

Curr Opin Obstet Gynecol 2015 Oct;27(5):385-9

Division of Urogynecology and Reconstructive Pelvic Surgery, Department of Obstetrics and Gynecology, Duke University Medical Center, Durham, North Carolina, USA.

Purpose Of Review: This article reviews the current literature about prophylactic bilateral salpingectomy and provides guidelines for clinicians in regard to the inclusion of salpingectomy at the time of urogynecologic surgery.

Recent Findings: After the Nurses' Health Study showed that all-cause mortality was increased in women undergoing oophorectomy at the time of hysterectomy for benign indications, there was a shift in focus toward ovarian conservation at the time of gynecologic surgery. As there has been continued interest in the fallopian tube as the origin of ovarian cancer, a move toward prophylactic salpingectomy has occurred. Read More

Taiwan J Obstet Gynecol 2015 Feb;54(1):99-101

Department of Obstetrics and Gynecology, Taichung Veterans General Hospital, Taichung, Taiwan; Department of Obstetrics and Gynecology, National Yang-Ming University School of Medicine, Taipei, Taiwan; Institute of Biomedical Sciences, National Chung-Hsing University, Taichung, Taiwan. Electronic address:

Kyobu Geka 2014 Jan;67(1):38-43

Department of General Thoracic Surgery, Keio University School of Medicine, Tokyo, Japan.

We have experienced 6 cases with resection and reconstruction of sternum. They were 1 with osteosarcoma, 1 with synovial sarcoma, 1 with sternal metastasis of fallopian tube cancer, 1 with sternal metastasis of thyroid cancer, 1 with desmoid tumor, and 1 with dermatofibrosarcoma protuberance. Resection of both manubrium and sternum was performed in 3 cases and sternum resection in 3. Read More

J Reprod Med 2013 Nov-Dec;58(11-12):550-2

Department of Obstetrics and Gynecology, University of Bari, Policlinico of Bari, Bari, Italy.

Background: Incarceration of the fallopian tube is a rare condition. Symptoms are often misleading, making proper diagnosis difficult because of nonspecific clinical presentations. We report a case of cornual pregnancy occurring 7 months after the treatment of an incarcerated fallopian tube. Read More

Clin Exp Obstet Gynecol 2014 ;41(5):601-2

The authors present a typical case of inguinal hernia containing rudimentary uterine horn, ovary, and fallopian tube. During the operation of herniorraphy the right ovary and fallopian tube with rudimentary uterine horn were found in the hernia sac. The woman underwent laparoscopic hysterectomy three months before herniorrhaphy and was diagnosed with unicornuate uterus. Read More