Infertility is defined as the inability to conceive within 12 months of regular unprotected intercourse for women under 35 years age and affects approximately 15% reproductive aged couples [1]. A diagnosis infertility often emotionally, physically, financially devastating many patients will seek fertility assistance with their obstetrician gynecologist. While there may be underlying factors con...

Objectives: On an International scale the Surgical and Clinical Adhesion Research studies (SCAR) solidified the huge impact adhesions have on our Health Care System and the daily complications occurring at surgical procedures because of adhesions. Study: Retrospective file and chart review of 462 patients undergoing laparoscopic surgery at the Department of Obstetrics and Gynecology, University...

Uterine leiomyomas and endometrial pathology are both associated with abnormal uterine bleeding. We report a case in which a nulliparous woman with heavy uterine bleeding and leiomyomas had undergone two prior hysteroscopic myomectomies for benign leiomyomas. She was evaluated, but was ineligible for a clinical trial of a novel Magnetic Resonance guided High Intensity Focused Ultrasound (MRgx20...

BACKGROUND:No standard guidelines have been specified for a cesarean myomectomy, and several centers remain divided on the justification to perform this procedure, especially large fibroids. Only few case reports published of myomectomy Here, we report 2 cases successful myomectomies fibroids (>15 cm) during 38th week pregnancy. CASE REPORT:We encountered primigravida patients, aged 34 36 years...

Uterine myomas (fibromas, leiomyomas) are the most common tumours in women, and their clinical signs and symptoms are presented by 25-40% of patients with these benign tumours. According to current guidelines, the armamentarium for myoma management consists of: medical therapy (GnRH, SPRMs), non-surgical alternatives including uterine artery embolisation (UAE), vaginal temporary occlusion of ut...

Abnormally invasive placentation is becoming more common with a recent increase in cesarean sections and maternal age, among other risk factors. Ultrasonography is the first line-imaging, but it can be difficult to diagnose when limiting factors are present. Failure to recognize this serious placental abnormality precludes us from making the appropriate plan for the delivery and consequently ca...

In this series we discuss the feasibility of hand-assisted approach to laparoscopic myomectomy and hysterectomy. The hand-assisted approach is a useful technique bridging the benefits of minimally invasive surgery and an open approach. We present the largest series to date of 15 patients: 10 hand-assisted hysterectomies and 5 myomectomies. All 15 cases were performed by the team of surgeons at ...