Should we operate on fibroids before IVF?

Spontaneous Intracerebral Hemorrhage: Should We Operate?

Spontaneous intracerebral hemorrhage is the second most common type of stroke and is considered the most lethal subtype of stroke. Mortality reaches approximately 50% within the first 3 months and most survivors are left with severe disability (1–3). Despite major advances in the acute emergency neurological life support of patients with ICH, the optimal surgical management of these patients re...

Treatment of Intramural Fibroids before Ivf- the New Dilemma

Should we operate on asymptomatic patients with severe mitral regurgitation?

The timing of surgery for chronic severe mitral regurgitation (MR) in asymptomatic patients with normal left ventricular (LV) function remains controversial. On the one hand, the natural history of chronic severe MR indicates a high likelihood of eventual progression to symptoms or LV dysfunction (1–3). In addition, hemodynamic compensation may allow LV size and ejection fraction to remain norm...

To operate or not to operate on women with deep infiltrating endometriosis (DIE) before in vitro fertilization (IVF)

Deep infiltrating endometriosis (DIE) can cause infertility and pelvic pain. There is little evidence of a clear connection between DIE and infertility, and the absolute benefits of surgery for DIE have not been established. This paper aimed to review the current literature on the effect of surgery for DIE on fertility, pregnancy, and IVF outcomes. Clinicians should bear in mind that a comprehe...

Therapeutical options in sigmoid diverticulitis. When should we operate?

Colonic diverticulosis is a benign disease whose incidence has been steadily increasing throughout the world, especially in the economically developed countries in Western Europe. This increase is connected to the population ageing process, the diverticulosis being characteristic in the elderly, and with nowadays' eating habits. Frequently, colonic diverticuli may cause complications, such as h...