Abstract:

In many surgical centers the intra-abdominal morcellation of 15-cm myomas or freely dissected organs such as kidnieys has become routine. A prerequisite is the availability of a macro-morcellator which reduces the tissue bulk to a small enough size that it may be removed through the standard abdominal trocars in a reasonable amount of time.

Authors:

Prof. Dr.Dr. H.C. Mult. Kurt Semm, F.R.C.O.G.(ed.), F.I.C.S.(hon.), Grünwald, Germany

For Direct IP Access please click this link

Abstract:

In the last two years intracytoplasmic sperm injection (ICSI) has become frequently employed as an assisted reproductive technique primarily to treat male factor infertility. In order to achieve high pregnancy rates, all assisted reproductive technologies including ICSI require sufficient number and quality oocytes. In our practice we use three different ovulation induction regimens (CC/hMG, GnRH-a/hMG, and GnRH-a/FSH) to maximize the number of oocytes available for fertilization. In this present report, we retrospectively compared pregnancy rates with ICSI following the use of these protocols.

Authors:

Steven G. Kaali, M.D., F.A.C.O.G., Wilfred Feichtinger, M.D., Albert Einstein College of Medicine, Bronx, NY; Arthur Bernard, M.D., Ph.D., Klara Rajczy, B.A., Zsolt Kosa, M.D., Andreas Obruca, M.D., Timea Kovats, M.D., "Kaali" Institute, Budapest, Hungary

For Direct IP Access please click this link

Abstract:

A laparoscopic method for resecting benign ovarian cysts has been devised and involves excising the cyst wall extraperitoneally after aspirating the cystic fluid. In this report, the technique and clinical results are described and mini-laparotomy which is used in this technique is discussed. A total of 104 patients were treated by this method. The diagnosis was simple cyst in 46, dermoid cyst in 33,and chocolate cyst in 25. The method was successful in 90 patients (87%). The remaining 14(14%)were converted to open surgery, 9 because of severe adhesions. The remaining 5 patients had various complications: malignancy, bladder injury, dermoid content too solid to aspirate, and bleeding. We found endometrioid adenocarcinoma in 1 patient whose chocolate cyst could be removed completely.

Authors:

Kenichiro Ikuma, M.D., Yasuki Koyasu, M.D., Yukio Yamada, M.D., Terumi Hayashi, M.D., Takarazuka City Hospital, Takarazuka, Japan

For Direct IP Access please click this link

Abstract:

The principal reason for employing an optical trocar has been described by Kaali. The potential clinical benefits of a visually directed trocar entry system have been identified in a follow-up clinical series. Current experience with the commercially developed Endopath Optiview trocar has suggested an additional surgical advantage through an enhanced abdominal wall stability of the trocar sheath. The purpose of the current investigation was to determine whether or not this clinical observation could be mechanically quantified.

Authors:

David H. Barad, M.D., F.A.C.O.G., Irwin R. Merkatz, M.D., Steven G. Kaali, M.D., F.A.C.O.G., Montefiore Medical Center and Albert Einstein College of Medicine, Bronx, NY

For Direct IP Access please click this link