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22Nov 202123 Nov 2021

Laparoscopic Removal of an intraabdominal IUD

A 40 year old patient presented to her new gynecologist 5 years after insertion of a levonorgestrel intrauterine device (IUD)…

12Aug 202118 Aug 2021

vNOTES USL Suspension

vNotes Uterosacral Ligament Suspension

Indication Uterine/cervical prolapse. Advantages Οffers easier and safer onco-preventive adnexectomy at the time of vaginal surgery.Creates a better anatomical correction…

Levator Ani Avulsion

Definition Levator avulsion is the traumatic disconnection of the puborectalis componentof the levator ani from the os pubis (Dietz, 2019).…

Paraovarian / Paratubal Cyst

Definition Paraovarian / paratubal cysts are epithelium-lined fluid-filled cysts in the adnexa adjacent to the fallopian tube and ovary. The terms are used interchangeably depending on the location of the…

LAparoscopic Supracervical Hysterectomy (LASH)

11 Mar 202115 Mar 2021

Indication Benign gynecological conditionsUterine fibroids causing serious symptoms (with exception of small, singular intracavitary fibroids FIGO I or II).High suspicion of adenomyosis uteri interna resistant to endocrine therapy.Dysfunctional uterine bleeding…

Ureterocele

Definition A congenital dilation of the distal portion of the ureter, frequently but not exclusively associated with ureteral duplication. Clinical Image & Complications Large ureteroceles can cause acute urinary obstruction,…

Pelvic Floor Ultrasound: The Cystocele

Types of cystocele: MedialLateralCombined mediolateralApical Symptoms of anterior vaginal wall prolapse like incomplete bladder emptying or feeling of vaginal bulge are frequent when: The coordinate "Ba" on POPQ descends at…

Pelvic Floor Ultrasound: The Enterocele

The descent of the posterior vaginal wall can be due to: True Rectocele (defect of the rectovaginal septum).Abnormally distensible - however intact -rectovaginal septum.Enterocele.Rectal intussusception.Deficient perineum giving the impression of…

Laparoscopic Management of Tubal Ectopic Pregnancy #2 Salpingectomy

30 Nov 202030 Nov 2020

Indication Recurrent ipsilateral tubal ectopic pregnancy.The patient denies salpingotomy. Technique The following technique refers to tubal ectopic pregnancy located in the ampulla (most common type). Click here for the step-wise…