Endometriosis surgery poses a risk for fistula formation by a mechanism of inadequate tissue perfusion. We suggest a novel use of indocyanine green in endometriosis to reduce this, and we demonstrate its feasibility.
The Wharton-Sheares-George method represents a
simple, minimally invasive, quick, and safe alternative
for neovaginoplasty in patients with Mayer-Rokitansky-
Kuster-Hauser syndrome that provides long-term
results that are both functionally and anatomically
satisfying.
A step-by-step surgical video tutorial is presented,
demonstrating the total laparoscopic sigmoid vaginoplasty
procedure. It has proved to be safe and feasible,
and it provides good surgical and functional
results.
Hemorrhagic ascites associated with endometriosis is rare. This video article depicts the laparoscopic treatment of a 26-year-old woman with 7 L of ascites and diffuse moss-like endometriosis and reviews the current literature.
Two hysteroscopic morcellation techniques are demonstrated. They can safely and efficiently access the intrauterine cavity in patients with severe cervical stenosis and concomitant uterine pathology.
Recent technical and technologic innovations have allowed overcoming even severe stenosis of the cervix with the use of office hysteroscopy, thus significantly reducing the rate of failed procedures requiring a further inpatient hysteroscopy.
Differences in ovarian reserve between age-matched Bangladeshis who moved to London as children or adults highlight the influence of developmental environments rather than ethnicity on the tempo of reproductive aging.
A novel, 3-dimensional, real-time, sperm-imaging technique, in which live spermatozoa are kept in a fluid environment, avoids staining and air-drying artifacts, and still allows for sperm to be used clinically.
By presenting age-specific live birth rates in a population of very poor prognosis patients, we demonstrate that such patients even in their mid-40s can still achieve acceptable live-birth rates.
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