Hysteroscopy stands as the gold-standard approach for managing intrauterine pathology. However, in complex clinical cases, hysteroscopic evaluation alone may prove insufficient for the safest and successful patient management. Intraoperative ultrasound (IOUS) has emerged as a valuable adjunct to hysteroscopic surgery, offering real-time visualization of endometrial cavity, uterine walls and instruments within t...
Assessment of abdominal pain in puerperal women can be challenging given that physiological and often self-limited benign causes predominate in this clinical context, although the etiological spectrum is wide and includes serious and potentially fatal causes. The paper presents a case of left ovarian thrombophlebitis, clinically manifested from the fifth day of puerperium in a 30-year-old patient. Clinicians sh...
The human endometrium is a unique tissue capable of repeated degradation, loss and self-repair in response to fluctuating levels of sex steroids, in a tightly regulated process. It takes place hundreds of times in a woman’s lifetime, manifesting as vaginal expulsion of blood mixed with cellular debris for a period of several days. The aim of this work is to present a case of en bloc endometrial desquamation in ...
Objective: With this publication, the International Society for Gynecologic Endoscopy (ISGE) aims to provide the clinicians with the recommendations arising from the best evidence currently available on hysteroscopic myomectomy (HM). Study design: The ISGE Task Force for HM defined key clinical questions, which led the search of Medline/PubMed and the Cochrane Database. We selected and analyzed relevant English...
Congenital malformations of the female genital tract are being diagnosed more frequently due to advances in imaging techniques. A broad international consensus on their classification is still lacking. This paper aimed to comparatively summarize the most frequently and widely used, as well as the most recently developed classification systems of congenital female genital malformations. A non-systematic review w...
This prospective multicentric study aiming to determine the incidence of complications (malignant transformation, torsion or rupture) during conservative management of adnexal masses was performed in two Portuguese tertiary referral hospitals. It included ≥18-year-old, non-pregnant patients with asymptomatic adnexal masses (associated IOTA ADNEX risk of malignancy < 10%) sonographically diagnosed between Januar...
This prospective multicentric study aiming to determine the incidence of complications (malignant transformation, torsion or rupture) during conservative management of adnexal masses was performed in two Portuguese tertiary referral hospitals. It included ≥18-year-old, non-pregnant patients with asymptomatic adnexal masses (associated IOTA ADNEX risk of malignancy < 10%) sonographically diagnosed between Januar...