Laparoscopic management of interstitial pregnancy: case report

Resekcije roga uterusa ili histerektomije, tradicionalno su se izvodile kod liječenja intersticijske trudnoće u slučajevima teško oštećene maternice. Suvremena medicina u ovakvim slučajevima razvila je poštednije operativne zahvate uključujući laparoskopsku metodu liječenja koja je unijela dodatne opcije zbrinjavanja bolesnica s intersticijskom trudnoćom. Ovaj prikaz slučaja opisuje neuobičajenu kliničku prezentaciju, te zbrinjavanje intersticijske trudnoće laparoskopskim putem i osvrt na tehnike i ishode konzervativnog popravka uterusa koji su prijavljeni u literaturi.The traditional treatment of interstitial pregnancy has been horn resection or hysterectomy in cases with severely damaged uteri. Recently, more conservative operations have been developed, and operative laparoscopy has provided yet another management option. This report describes the unusual presentation of symptoms, laparoscopic management of large interstitial pregnancy and reviews the techniques and outcomes of conservative repair that have been reported in literature

Primjena diodnog lasera u histeroskopiji: što trenutno znamo i što možemo očekivati u budućnosti?

Histeroskopija je metoda vizualizacije šupljine maternice koja se koristi u svrhu dijagnosticiranja i liječenja intrakavitarne patologije. Zahvaljujući razvoju tehnike uloga histeroskopije mijenjala se od dijagnostičke, preko operativne u operacijskoj dvorani, do operativne u ambulantnom okruženju. Cilj ovog preglednog članka je analizirati uporabu diodnog lasera u histeroskopiji i minimalno invazivnim postupcima u području ginekologije, raspravljajući o pozitivnim i negativnim aspektima ove tehnologije s posebnim osvrtom na buduće primjene i perspektive u području ambulantne kirurške histeroskopije

Dermoscopic Features of Twin Melanomas of the Lower Leg: A Case Report

Multiple primary malignancies, including melanoma, usually present singly over time rather than simultaneously. Hovewer, approximatelly one third of the patients develop multiple primary melanomas. We present a case of a 57-year-old woman, with two grossly suspicious, unevenly pigmented lesions on her left lower leg measuring up to 8 and 11 mm. Dermoscopy of both lesions showed similar findings with complete asimmetry of colour and structure. More than four colours including milky red and accumulation of pigment at 1 o’clock were observed in the smaller lesion. Dermoscopy of the largest lesion showed more than 3 colours, milky-red areas, and a slight blue-white veil. Histopathology of both lesions revealed melanoma. Although uncommon, multiple primary melanomas do appear. Careful dermoscopical evaluation of all lesions is mandatory in order to not miss such cases