Laparoscopic repair of vesicovaginal fistula / 대한산부인과학회지

Vesicovaginal fistula (VVF) is one of the most serious surgical complication in gynecologic surgery. Surgical approach to repair this condition can be performed by transvaginal or transabdominal. However, laparoscopic repair of VVF may be an alternative surgical method. We present four cases of VVF treated with transperitoneal laparoscopic technique. Laparoscopic repair is a feasible, safe and efficacious minimally invasive approach for the management of VVF. We believe that this method provides excellent results and may result in lower morbidity, shorter hospital stay, and quicker recovery than the abdominal or transvaginal approaches.

Late postpartum eclampsia 11days after delivery without preeclampsia: A case report / 대한산부인과학회지

Eclampsia, defined as peripartum seizure activity commonly associated with hypertension, proteinuria and edema. Historically, eclampsia was believed not to occur more than 48 hours after delivery and late postpartum eclampsia was thought to be uncommon. However, recent evidence suggests that its incidence is increasing. In addition, clinical signs of late postpartum eclampsia may differ from that occurring during the pregnancy. In case of late postpartum eclampsia, headache and visual disturbance may precede seizure but classic preeclampsia signs as edema, proteinuria, and hypertension are not presented until shortly before seizure onset. So it should be needed that patient education about prodromal symptoms of late postpartum eclampsia, including headache, visual disturbance, and abdominal pain at the time of hospital discharge. We described a case of eclampsia occurring 11days after delivery without preeclampsia symptom including a review of the literature.