Diabetes in pregnancy: Multiple choice answers for Vol. 25, No. 1
1. a) F b) F c) T d) F e) T There is no data on progression of retinopathy and pre-conception care. Although risk of preeclampsia may be related to…
Gynaecological surgery via vaginal route: Multiple choice questions for Vol. 25, No. 2
1. The following has/have been proven for the benefits of vaginal hysterectomy (VH) versus abdominal hysterectomy (AH): a) Speedier return to normal activities b) Fewer febrile episodes c) Reduced cost…
Carcinoma of the endometrium treated only by vaginal route
The gold standard treatment for endometrial cancer is surgery. Less invasive surgical procedures (e.g. vaginal surgery), provide equivalent cure rates and are preferred interventions for elderly women or women with…
Place of Schauta’s radical vaginal hysterectomy
Women affected by early stage invasive cancer of the cervix are usually treated by surgery. Radical abdominal hysterectomy with pelvic lymphadenectomy is the most widely used technique. Because the morbidity…
Trachelectomy for cancer of the cervix: Dargent’s operation. Vaginal hysterectomy for early cancer of the cervix stage IA1 and CIN III
Radical vaginal trachelectomy is today an established method of treating selected women with cervical cancer stage IA2 and IB1, with tumour size less than 2 cm without precluding future childbearing….
Management of stress urinary incontinence
Stress urinary incontinence is a common condition that can severely affect a woman’s quality of life. Midurethral slings (tension-free vaginal tape and transobturator tape) are becoming first-line surgical treatments for…
Repair of recurrent prolapse
The pathogenesis of prolapse and the requirements for a successful surgical outcome vary from one person to another. The importance of traditional risk factors is questionable, but failed previous repair…
Place of mesh in vaginal surgery, including its removal and revision
In this review, I aim to establish the place of vaginal pelvic organ prolapse surgery with mesh, drawing on personal experience. Physiopathologic justifications for the use of synthetic implants are…
Anterior, posterior and apical vaginal reconstruction with and without bolsters
Pelvic-organ-prolapse repair presents unique challenges to the pelvic surgeon. Historically, the unacceptable failure rates with traditional procedures have instigated the many conceptual and technique changes. Critical analysis of the biomechanics…
Uterine prolapse in young women
Contemporary understanding of the dynamic anatomy of pelvic floor support has lead us to new conservative surgery for the management uterine prolapse. The uterus itself does not play any role…
