[Endometriosis on laparotomy scar after cesarean section]. / Endometriosi a livello di cicatrice laparotomica per pregresso taglio cesareo.

Cutaneous endometriosis is an infrequent pathology whose etiopathogenesis is still uncertain. A case of cutaneous endometriosis at the surgical scar level following cesarean section is reported. Moreover, the aspects which might facilitate the diagnostic approach and a correct therapeutic management are underlined.

[Vitamin E in the treatment of pregnancy complicated by uterine myoma]. / La vitamina E nel trattamento delle gravidanze associate a miomi uterini.

The authors describe the encouraging results obtained in the treatment of uterine myomas during pregnancy, using vitamin E at a dose of 300 mg times a day, starting the administration from the time of the first examination of the patient, which took place between week 6 and 12 of gestation. A group of 25 women underwent treatment, aged between 25 and 41 years old, of whom 15 were primigravidas and 10 with one or more previous pregnancies, suffering from uterine myomas in pregnancy, and observed between 1986 and 1994. All the pregnancies continued to term and elective cesarean section was performed associated with single or multiple myomectomy. The neonatal outcome was satisfactory in all cases and no collateral effects were observed in either mothers or fetuses.

[Extrauterine pregnancy in residual tube stump in a patient already treated with partial salpingectomy for right ampullar pregnancy. Report of a clinical case]. / Gravidanza extra-uterina nel moncone tubarico residuo in paziente già sottoposta ad intervento di salpingectomia parziale per gravidanza ampollare destra. Presentazione di un caso clinico.

The authors illustrate a case referred to their attention and underline the rarity of the extrauterine pregnancy described caused by the external migration of the fertilised egg which, passing through the contralateral tube and the uterus, became implanted in the residual tube stump (following earlier partial salpingectomy due to ampullar pregnancy).

[A new surgical technique to reduce genital-urinary prolapse]. / Una nuova tecnica chirurgica per la riduzione dei prolassi genito-urinari.

The authors describe a new surgical technique to reduce the prolapse of genitals and urinary organs. In retrospect, we studied 36 women--between the ages of 59 and 85--who had been hospitalized from 1988 through 1990 at the Ospedale di S. Anna of Rome and from 1991 through May 1994 at the Ospedale Sandro Pertini of Rome. Twenty-eight out of 36 patients presented a III prolapse of the uterus with cystorectocele; 4 patients had a prolapse of the cupola vaginae after hysterectomy; 4 patients presented a prolapse of the residual stump after sub-total hysterectomy. In addition, 8 out of 36 patients presented a stress incontinence. The technique described adopts a special nylon lace to fix prolapsed organs to the fascia musculorum rectorum abdominis. Its ease and brief execution time, together with the complete lack of relapse, have convinced the authors to promote the diffusion of this technique, which allows relief from these extremely distressing complaints often not fully cured with traditional techniques.

[A case of uterine leiomyosarcoma in a young patient]. / Su di un caso di leiomiosarcoma uterino in giovane età.

The authors, after a short review of the literature, report a clinical case observed by them. They describe a case of unsuspected uterine leiomyosarcoma diagnosed after a miomectomy and they discuss the question about therapeutic management.