Volume 3 Issue 1

Research Article: Delayed Hysteroscopic Removal of Retained Products of Conception is Associated with Spontaneous Expulsion

Jordina Munros, Meritxell Gracia*, Roser Nonell, Montserrat Cardona, Purificacion Lavilla, Arantxa Garcia, Juan Balasch, Francisco Carmona

Retained Products of Conception (RPOC) occur in 1 % of cases. Clinical features of 41 women diagnosed of RPOC by hysteroscopy, to establish the best time-lapse of an expectant management after an office hysteroscopy avoiding an operative hysteroscopy to permit a spontaneous expulsion, were analyzed. There were no differences between patients who suffered a spontaneous expulsion or those in whom a persistence of RPOC was observed at time of surgical removal in terms of age, gravidity, prior uterine surgeries, uterine alterations, type and time of pregnancy termination and ultrasonographic characteristics. There was a higher rate of spontaneous expulsion after 4 weeks from the office hysteroscopy compared with those where the surgical removal was performed up to 4 weeks after the diagnosis (p-value 0.011).
It might be possible a 4-week delay of the RPOC removal after having performed an office hysteroscopy in order to let the possibility of a spontaneous expulsion.

Cite this Article: Munros J, Gracia M, Nonell R, Cardona M, Lavilla P, et al. Delayed Hysteroscopic Removal of Retained Products of Conception is Associated with Spontaneous Expulsion. SRL Reprod Med Gynecol. 2017;3(1): 024-028.

Published: 31 May 2017

Case Report: Petersen's Hernia after Laparoscopic Roux-En-Y Gastric Bypass Presenting in Second Trimester Pregnancy

Michael B. Goldberg*, Ali Tavakkoli, Malcolm K. Robinson

One third of all women in the United States are obese [1], and approximately one-fifth of the population is obese in pregnancy [2]. Obesity during pregnancy caries multiple risks to the fetus and the mother, including fetal macrosomia, prematurity, miscarriage, maternal hypertension, and gestational diabetes [1,3].

Cite this Article: Goldberg MB, Tavakkoli A, Robinson MK. Petersen's Hernia after Laparoscopic Roux-En-Y Gastric Bypass Presenting in Second Trimester Pregnancy. SRL Reprod Med Gynecol. 2017;3(1): 020-023.

Published: 22 May 2017

Review Article: When does Hysterectomy Replace Myomectomy in Benign Uterine Pathology?

L. Mettler* and I. Alkatout

Uterine fibroids are the most frequent benign tumors of the female genital tract. Fibroids are associated with a variety of clinical problems, e.g. pain, bleeding disorders, bulk-related symptoms or infertility. For women wishing to preserve their uterus, fibroids can be surgically removed by hysteroscopy, laparoscopy or laparotomy. While hysterectomy remains the only definitive solution, many alternative treatment possibilities of uterine preservation are available today.

Cite this Article: Mettler L, Alkatout I. When does Hysterectomy Replace Myomectomy in Benign Uterine Pathology? SRL Reprod Med Gynecol. 2017;3(1): 010-019.

Published: 28 April 2017

Review Article: Significance of Uterine Cavity Fibroids and Polyps in Reproductive Medicine

Vincent Y.T. Cheung*

Uterine fibroids and endometrial polyps are common lesions in the female genital tract, and often they are asymptomatic. However, if the lesions are occupying and distorting the uterine cavity, they may cause symptoms such as abnormal uterine bleeding, subfertility and pregnancy losses. This review will discuss the impact of uterine cavity fibroids and polyps on subfertility and pregnancy losses and whether the removal of these lesions will improve reproductive outcome.

Cite this Article: Cheung VYT. Significance of Uterine Cavity Fibroids and Polyps in Reproductive Medicine. SRL Reprod Med Gynecol. 2017;3(1): 004-009.

Published: 07 February 2017

Case Report: Laparoscopic Management of Cornual Ectopic Pregnancy

Irati Telleria, Mikel Gorostidi*, Maialen Olazabal, Marta Urbistondo, Ibon Jaunarena, Arantxa Lekuona

In this manuscript we show the successful laparoscopical treatment of a ruptured cornual ectopic pregnancy. In many settings this condition is treated by open approach due to the advanced skills required to control bleeding. This is a case report with the aim of showing images of the procedure, how to easily prevent bleeding and the management of it.

Cite this Article: Telleria I, Gorostidi M, Olazabal M, Urbistondo M, Jaunarena I, et al. Laparoscopic Management of Cornual Ectopic Pregnancy. SRL Reprod Med Gynecol. 2017;3(1): 001-003.

Published: 07 February 2017

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