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Objective: To investigate the efficacy of laparoscopic uterine nerve ethanol neurolysis (LUNEN) for pain management in patients with chronic pelvic pain (CPP). Methods: LUNEN, as a chemical neurolysis procedure, was performed on 22 subjects, and these were compared with 20 controls that had a diagnostic laparoscopy alone. Pre-treatment and postoperative 6th month Visual Analogue Scale (VAS) scores were estimated and a subjective pain evaluation questioning patients' satisfaction about pain relief in the 6th month after surgery was also performed. Results: A total of 31 (73.8%) out of 42 CPP patients had a laparoscopic pelvic pathology. Preoperative VAS scores were similar in the groups; however, the mean postoperative VAS score was significantly lower in the LUNEN group than in the control group (3.18 ± 2.88 vs. 5.35 ± 3.09; p=0.02). In the LUNEN group, the number of patients who stated that their pain was relieved partially or completely was also significantly higher than in the control group (82% vs. 40%, p=0.019). Conclusion: LUNEN is a feasible, safe and effective surgical alternative to traditional surgical methods in patients suffering from CPP. [ABSTRACT FROM AUTHOR]

Objective: Adnexal masses are the most common reason for gynecologic surgery in adolescent patients. Early detection and adequate management of adnexal lesions are very important for saving lives and preserving fertility. In this study, we analyzed the clinical characteristics of 106 Turkish adolescent women who underwent surgery for adnexal masses. Methods: The study included 106 patients aged ≤20 years that underwent surgery for adnexal masses at our hospital between January 2008 and December 2013. Clinical profiles were retrospectively collected from the hospital medical records. The records were analyzed for demographic profiles, initial symptoms, preoperative radiologic findings, operative approach, surgical procedure, pathology findings, and the maximum diameter of the adnexal mass. Results: The age of the patients ranged from 12 to 20 years (median, 18.8 years). The most common initial symptom in these patients was abdominal pain (56.6%). Non-neoplastic ovarian lesions in the patients included 7 (6.6%) corpora hemorrhagica, 10 (9.4%) corpus luteal cysts, 4 (3.8%) paratubal cysts, and 7 (6.6%) simple cysts. Benign neoplastic tumors included 20 (18.9%) mature cystic teratomas (i.e., dermoid tumors), 10 (9.4%) serous cystadenomas, 1 (0.9%) mucinous cystadenomas, and 7 (6.6%) endometriomas. The most common surgical approach and procedure were laparoscopy (67.0%) and cystectomy (60.4%), respectively. Conclusion: Laparoscopy can be performed in many adolescent patients and conservative, adnexal-sparing surgery should be encouraged for all patients. Ovarianpreserving techniques should be a priority when surgery is performed for benign masses in order to optimize future fertility potential. [ABSTRACT FROM AUTHOR]

Objective: In this study, we aimed to assess the perioperative and postoperative results of the patients who underwent bariatric surgery. Methods: After obtaining approval, a retrospectively designed observational study was conducted. All adult patients who underwent laparoscopic gastric plication, sleeve gastrectomy, or roux-en-Y anastomosis between January 2011 and May 2013 were included. Results: A total of 104 patients were included in the study period: 49 (47.1%) underwent laparoscopic roux-en-Y anastomosis, 44 (42.3%) underwent laparoscopic sleeve gastrectomy, and 11 (10.6%) underwent laparoscopic gastric plication. The present study showed a mortality rate of 1.9% (n = 2, one after Roux-en-Y anastomosis operation, and the other one after gastric plication). Conclusion: The anesthesia methods and approaches have no association with morbidity and mortality in such procedures of bariatric surgery indicated in the present study. [ABSTRACT FROM AUTHOR]

Tuboovarian abscess (TOA) is a serious and potentially life–threatening condition. Treatment modalities vary as broad spectrum of antibiotherapy, minimally–invasive drainage procedures, invasive surgery or combinations of these interventions. The objective of this study was to evaluate surgically treated patients for TOA. [ABSTRACT FROM AUTHOR]

Although there are advantages of using Hem-o-lok clips in laparoscopic surgery, sometimes they can be the cause of the complication itself. Migration of Hem-o-Lok clips into the collecting system is a rare but a troublesome complication. We present a case of ureteropelvic junction (UP-J) migration of a Hem-o-lok clip after laparoscopic pyelolithotomy. In this case, the clip acts as a nidus for subsequent stone formation leading to a misdiagnosis as an UP-J obstructing stone. Finally it was managed with a rigid ureterorenoscopic approach. We concluded that, unless necessary, the use of Hem-o-lock clips should be avoided around the collecting system. In used cases we should be sure to place the clip a bit far away from the violated collecting system area in a tension free fashion. [ABSTRACT FROM AUTHOR]