J Reprod Med
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To describe the use of colpotomy and the harmonic scalpel in laparoscopic myomectomy and to compare estimated blood loss when using unipolar cautery versus the harmonic scalpel and surgical time for colpotomy versus morcellation. ⋯ These data suggest that the harmonic scalpel is effective for uterine incision during myomectomy and may result in less bleeding than unipolar cautery while offering some advantages in safety. Multiple leiomyomata can generally be extracted more quickly via posterior colpotomy than by morcellation. This difference is smaller and therefore less important in patients with only a few small to medium-sized (< 10 cm) fibroids. For these patients, the minimal invasiveness of morcellation may offer a more significant benefit.
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Abdominal pregnancy is not encountered commonly, and management of the placenta is controversial. ⋯ Placental vasculature embolization is a management option for a retained placenta associated with abdominal pregnancy.
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Comparative Study
Impact of endometriosis on implantation. Data from the Wilford Hall Medical Center IVF-ET Program.
To investigate the effect of endometriosis on implantation. ⋯ For women undergoing in vitro fertilization-embryo transfer with endometriosis, the implantation rate is not markedly different from that for women undergoing in vitro fertilization-embryo transfer with tubal infertility.