Induction of pneumoperitoneum, are we doing it the safest way?

The technique used to induce and maintain pneumoperitoneum during laparoscopy was studied among gynecologists in Britain, Northern Ireland and Greater Cairo Public Teaching and University Hospitals. The study sheet was sent to all consultants and specialist registrars working allover Northern Ireland. In Cairo, specialists and consultants from hospitals representing the ministry of health, teaching, university and private hospitals were interrogated. The details of the technique used for induction of pneumoperitoneum were studied in the different units and among different surgeons. This paper explored the techniques adopted for the induction of pneumoperitoneum and discussed that the safest one is the direct access technique

Evaluation of cytology and colposcopy in single station management of cervical intraepithelial neoplasia using large loop excision of the transformation zone

In this study, one hundred and twelve patients had an excisional treatment for their cervical intraepithelial lesions. It can be concluded that the colposcopic assessment of the cervical intraepithelial lesions provides a safe reliable guidance to the single step management 'select and treat' of patients referred to the colposcopy clinic with abnormal cervical cytology. The cytological grading of the cervical intraepithelial cervical neoplasia is not a substitute for colposcopic evaluation and histological diagnosis. The referral of patients with low grade SIL or atypical cytology for colposcopic evaluation is mandatory, especially if it is recurrent or persistent

Safety and convenience of post-partum intra-uterine contraceptive device insertion

This study included 240 patients for whom CuT 380 A was inserted in the immediate postpartum period. One hundred and forty women had their coils inserted post placental, while the remaining 100 had their coils inserted in the immediate postpartum period. In the post placental insertions group, there was a total of 22 discontinuations. Four women reported an irregular uterine bleeding in the form of spotting at six weeks follow up visit, two of them requested their coils to be removed at six months follow up visit. Misplaced intrauterine device was diagnosed in 11 cases by ultrasound examination including one case of abortion. Nine cases reported spontaneous expulsion during their puerperium. By the end of the first year, 118 women were still using their intrauterine devices and were satisfied with it

Ovarian cancer management at a gynaecologic oncology unit and at general district hospitals. the centralization of cancer services issue

This study aimed to evaluate the management of patients with ovarian cancer at a gynecologic oncology unit versus their management in the context of a gynecologic unit at general district hospitals. The study sample included 117 patients with ovarian cancer, their mean age was 60 years ranging between 27 and 85 years. Thirteen patients were presented with concomitant malignancies. Five patients subsequently developed other sites malignancies. Eight patients had their ovarian cancer in the context of a familial ovarian cancer syndrome. The results were presented and discussed