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Query: UMLS:C0030794 (pelvic pain)
 4,056 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Two patients diagnosed at the University of Missouri Hospital underwent reconstructive surgery utilizing the atretic cervix as a conduit for the formation of an endometrial-vaginal fistula. A total of three surgeries was performed with both patients experiencing the onset of cyclic menses. One patient, followed for 22 years, never attempted to conceive and eventually succumbed to hysterectomy for pelvic pain and endometriosis. The other has been followed for 44 months and continues to have regular menses with mild dysmenorrhea. Less than 50 cases of congenital cervical atresia have been reported in the literature. The operative procedures and literature experience are provided.
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PMID:Surgical reconstruction of the congenitally atretic cervix: two cases. 266 83

During the last 10 years (1982-1992) 370 patients have had a pelvic pouch constructed in the Colorectal Unit at the Department of Surgery II, Sahlgrenska Hospital. The complications and the eventual outcome in 307 patients (median follow-up 5.5 years ranging from 1.5 to 11 years) have been analysed. The overall complication rate was 22%. Anastomotic leaks, anal ulcerations or fissures and strictures (13%) and small bowel obstruction (5%) were the most common followed by ileostomy-related complications (2%). Re-laparatomy was required in 10%. Most anastomosis-related complications were successfully managed by prolonged ileostomy diversion combined with local procedures. The anastomotic leaks all proved to be radiologically healed at the time of ileostomy closure. Three of 16 patients who had had radiological leaks developed complications subsequently, but all could be successfully managed. In contrast, 6 of 15 patients in whom clinical leaks healed initially developed complications that eventually resulted in failure. The overall late complication rate was 22%. The most common complications were anastomotic stricturing (4%), small bowel obstruction (5%) and poor pouch function (pelvic pain, high evacuation frequency and other functional imperfections) (6%). Anal abscess, fistula or pouch-vaginal fistula were uncommon, however. While laying open of simple anal fistula and dilation of stenosis during anaesthesia were sometimes successful, re-laparotomy with redo of the pouch-anal anastomosis was needed for successful treatment of grossly fibrotic strictures, complex pouch-vaginal fistulae and poorly functioning pouches.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:Problems after ileo-pouch anal anastomosis for ulcerative colitis. How can we prevent it? What can we do? 793 11

Between March 1994 and November 1995 I performed 54 laparoscopic procedures for chronic pelvic pain. Severe (grade 4) endometriosis was found in nine women. Operating time in these women ranged from 90 to 210 minutes and the average hospital stay was 24 hours. The only complication was a colonic-vaginal fistula. I believe that this endoscopic technique can be successful in treating severe endometriosis if the surgeon has experience in both laparoscopic and bowel surgery.
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PMID:Laparoscopic Treatment of Severe Endometriosis 907 38

In this article, we review the current uses and future directions of robotic surgery in the field of female pelvic medicine and reconstructive surgery. Pelvic surgery is ideal for the use of surgical robots, which provide improved visualization and ease of suturing deep within the pelvis. Robots have been successfully used for the treatment of pelvic organ prolapse, in procedures such as sacrocolpopexy, sacrohysteropexy, and uterosacral ligament plication. Surgeons have used the robotic successfully to treat various etiologies of female pelvic pain including fibroids, endometriosis, and nerve entrapment. Robotic repair of iatrogenic injury has been described with excellent outcomes and avoidance of conversion to open surgery in the event of an injury caused using the robotic platform. While more data is needed on this topic, there has been increasing interest in using the robot for urologic reconstruction including repair of vesico-vaginal fistula, cystectomy, augmentation cystoplasty, and continent and non-continent diversions. Recently the use of the robot has been described in the treatment of stress urinary incontinence in females, with robotic placement of an artificial urinary sphincter. While robotic surgery is associated with increased cost, the outcomes of robotic surgery in female urology are promising. More studies that properly evaluate the benefits of robotic surgery as compared to open and laparoscopic approaches are needed.
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PMID:The current state and the future of robotic surgery in female pelvic medicine and reconstructive surgery. 3150 6