Volume 41, Number 4, April 1996

 


 
   
215
Mickey M. Karram, M.D., Linda Partoll, M.D., and Jeffrey Rahe, M.D.
All women with urinary incontinence should be initially offered nonsurgical therapy since a large percentage will obtain satisfactory results.
 
 


220
Paolo Vercellini, M.D., Laura Trespidi, M.D., Stefania Panazza, M.D., Tiziana Bramante, M.D., Fabio Mauro, M.D., and Pier Giorgio Crosignani, M.D.
Laparoscopically guided transabdominal uterine needle biopsy proved to be a simple, rapid and safe method of obtaining a myometrial specimen to investigate the presence of diffuse adenomyosis.
 
 


225
Carmen J. Sultana, M.D., and Laszlo Sogor, M.D., Ph.D.
Laparoscopy can be advantageous for certain procedures but has little advantage for hysterectomy and may make fewer vaginal hysterectomies available for resident education.
 
 


231
Jane Shen-Gunther, M.D.
Laparoscopically assisted vaginal hysterectomy using the Endo GIA stapler and ligature hysterectomy technique may be a viable and safe alternative for the single surgeon.
 
 


235
Stephen J. Schorr, M.D., and Walter J. Morales, M.D., Ph.D.
In pregnant women without bulging membranes, emergency cervical cerclage can be effective in prolonging gestation.
 
 


239
Annekathryn Goodman, M.D., and Martha L. Hutchinson, M.D., M.I.A.C.
Cellular material collected in a cervical scrape is sufficient to prepare at least five satisfactory smears.
 
 


242
M. Maurice Abitbol, M.D.
The final shape of the female pelvis seems to be determined by culture and environment as well as by genetics.
 
 


251
William S. Alford, D.O., and Michael P. Hopkins, M.D.
Complete amenorrhea with endometrial rollerball ablation is best accomplished with a preoperative preparation that achieves excellent endometrial atrophy.
 
 


255
Caren G. Solomon, M.D., Mari-Paule Thiet, M.D., Francis Moore, Jr., M.D., and Ellen W. Seely, M.D.
A case of primary hyperaldosteronism in pregnancy was treated successfully with unilateral adrenalectomy in the early second trimester.
 
 


259
Lt Col Thomas M. Koroscil, MC, USAF, Capt Steven B. Harter, MC, USAF, Capt Jennifer Ouweleen, MC, USAF, and Keith L. Blauer, M.D.
This case is unique because gonadotropin-releasing hormone agonist administration was utilized as both a diagnostic and therapeutic modality.
 
 


263
Kiran Kucheria, M.Sc., Ph.D. (Lond.), Itu Mohapatra, M.Sc., Ph.D., Ariyacherry C. Ammini, M.D., Vijay L. Bhargava, M.D., and Ken McElreavey, Ph.D.
These results provide further evidence of genetic heterogeneity in the etiology of 46,XY sex reversal.
 
 


267
John R. Karlen, M.D., Kellie Johnson, M.D., and Sheila Kashkari, M.D.
The tenth and youngest reported patient with vulvar dermatofibrosarcoma protuberans illustrated that survival rates of 91-100% follow very wide local excision.
 
 


270
Chike W. Obianwu, M.D., Steven F. Palter, M.D., and August A. Bruno, Jr., M.D.
Operative videolaparoscopy was successfully employed to identify and resect bilateral intraabdominal gonads without complications
 
 


273
Pedro Miranda, M.D., Allan J. Jacobs, M.D., and Lionel Roseff, M.D.
A woman with an asymptomatic pelvic mass and rising serum CA-125 levels proved to have pelvic tuberculosis.
 
 


276
Shmuel Segal, M.D., Ofer Gemer, M.D., Monica Sestopal-Epelman, M.D., Daniel London, M.D., Steven Velkes, M.D., and Itzhak Jakim, M.D.
Ultrasonography and computed tomography were invaluable in the diagnosis and guided drainage of rare psoas cesses complicating delivery.
 
 


279
COL Gary D. Davis, MC, USA
Laser uterosacral nerve ablation should be performed with caution on women whose occupation or life-style is associated with heavy physical labor or exercises producing marked increases in intraabdominal pressure.
 
 


283
Pleas R. Copas, M.D., Cyril O. Spann, Jr., M.D., Bhagirath Majmudar, M.D., and Ira R. Horowitz, M.D.
The most common malignant tumor of the skin, basal cell carcinoma, is rare and was detected in the vulvar skin of four patients.
 
 


287
Terence T. Lao, M.B.B.S., M.R.C.O.G., Mathew Sermer, M.D., F.R.C.S.(C), and Jack M. Colman, M.D., F.R.C.P.(C)
Pregnancy was successful in a patient who had undergone the Fontan procedure for tricuspid atresia seven years earlier.
 
 


291
Charles H. Livengood III, M.D.
Transvaginal closure of a colovaginal fistula resulting from diverticular disease failed although performed under optimal conditions.
 
 


294
S. Mary Wong, M.D., Amy B. Levine, M.D., Allan J. Jacobs, M.D., and Yuri Argov, M.D.
After three cases of laparoscopic oophorectomy and salpingo-oophorectomy, intraabdominal bleeding occurred.