Full Issue September 2010 Complete Issue read_pdf [4.1 Mb]


The Complete Pelviperineology September 2010 Issue
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New High Resolution Pelviperineology
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AAVIS Editorial AAVIS Editorial

Cover pelviperineologyAAVIS was established in 1997 by a small group of Australian gynaecologists with an interest in the new field of Ambulatory vaginal surgery pioneered by Petros and Ulmsten. In recent years AAVIS has developed into a multidisciplinary society which brings together like-minded individuals from a variety of disciplines, in particular gynaecologists, urologists and colorectal surgeons, all of whom share an interest in the complex problems relating to the female pelvic floor.  [More]

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Original Article Intestinal endometriosis: the gynaecologist, the radiologist and the colo-rectal surgeon as a multidisciplinary teamby Alessandro Fasciani, Ennio Biscaldi, Matteo Puntoni, Gian Andrea Binda

Intestinal endometriosisEndometriosis is the presence of endometrial-like tissue outside the uterus that induces a chronic inflammatory reaction. This is predominantly found in women of reproductive age of all ethnic and social groups and generally associated with pelvic pain and infertility. Infertility problems can impact on the physical, mental and social well being of a woman and can have a profound effect on her life, including the ability to finish an education, maintain a career, or to create a family.  [More]

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Original Article Transperineal rectocele repair with porcine dermal collagen implant. A two-year clinical experience by Giovanni Milito, Federica Cadeddu, Ivana Selvaggio, Michele Grande, Attilio M. Farinon

rectocele repair Rectocele is an herniation of the rectum through the rectovaginal fascia and posterior vaginal wall causing a protrusion into the vaginal lumen. It’s a common disorder in women with history of multiple vaginal deliveries and it is asymptomatic in 80% of cases. Symptomatic rectocele is less common, usually affects postmenopausal females, and results in obstructed defecation and constipation. Surgery should be considered when conservative therapy fails and a careful patient selection, based on an accurate morpho-functional assessment, is crucial to obtain a satisfactory outcome. [More]

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Case report Detrusor instability is a rare presentation of pelvic subserosal fibroma, seven years following a total abdominal hysterectomy and bilateral salpingo-oophorectomy: Case report by Nader Gad, Cecelia O’Brien

Sagittal SectionSolitary fibrous tumours (SFT) or commonly known as fibromas, were first documented at the turn of the 20th century, originating in the intrathoracic cavity, typically from the pleura. Fibromas are slow growing, well circumscribed, spindle cell neoplasms arising from the mesenchyma. Since the 1960s, there have been an increasing number of case reports describing fibromas in extrathoracic sites including the orbit, meninges, upper respiratory tract, thyroid, salivary gland and spinal cord.  [More]

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Original ArticleQOL audits of TVT surgery applied to small patient numbers are a worthwhile addition to clinical practice by Omar Gailani, Paul Duggan

QOL auditsUrinary incontinence has a significantly adverse affect on quality of life (QoL). When surgery for stress urinary incontinence is contemplated, currently, the TVT procedure appears to be the operation of first choice. Large, multicentre studies have demonstrated significant improvement in quality of life indices following a TVT procedure.  [More]

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Case ReportFilshie clip migration into wall of urinary bladder presenting with acute abdominal pain. Case report and review of English literature: from1990 to April 2009by Nader Gad, Ridhab Aziz, Kasia Siwicki

Filshie clip migrationTubal occlusion with Filshie clips is one of the preferred methods of female sterilization. It has a low failure rate when correctly applied. Complications of this method of sterilization can be divided mainly into two groups: early (peri-operative) and late complications. Early complications include mortality (1-2/100,000 procedures, mainly as a complication of general anaesthesia), visceral injury (bowel, urinary bladder and uterus), vascular injury and unintended laparotomy (1-2%). [More]

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Case ReportDuplex ureter damaged during laparoscopic hysterectomyby Alexander P. B. Dalzell, Richard G. Robinson, Kirsten M. Crooke

Duplex ureter damagedA 43 year old woman was referred to a urology clinic 6 weeks post laparoscopic assisted vaginal hysterectomy. Post operatively, she had ongoing vaginal discharge which was thought to be urine. She had no significant flank pain and renal function was normal on blood tests. Investigation with CT urogram identified previously undiagnosed duplex ureters on the right side and a pelvic collection indicating a uretero-vaginal fistula. [More]

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FocusPelvic floor disorders, internationally shared language, standardized procedures, surgical innovation and clinical evidenceby Gennaro Trezza, Laura Del Piano

Pelvic floor disordersLanguage is the specific way of communication among humans; it modifies to suit different needs, in order to follow technologic evolution, customs, habits and life style. It changes through a long process of development along the years. Our children, for example, speak a language different from ours, consisting of mobile SMS or MMS or through internet. These differences may cause problems to communication. [More]

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Pelvic floor disordersCongress Abstracts [More]

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