Tubal ligation using Fallope Ring

4D Ultrasound 23 Weeks

Laparoscopic excision of a 6cm Cornual Ectopic Pregnancy that failed initial MTX treatment.

Removal of pregnancy within the fallopain tube using laparoscopic keyhole surgery. A segment of the tube together with the pregnancy within is removed.

A video showing the Vasa Previa which is an abnormality of the placenta

A video showing Cystocele Repair

This video shows the process of development and growth of the fetus intrauterine.

To record the sequence, Stephan Gordts and Ivo Brosens of the Leuven Institute for Fertility & Embryology in Belgium performed transvaginal laparoscopy, which involves making a small cut in the vaginal wall and observing the ovary with an endoscope.

"This allows us direct access to and observation of the tubo-ovarian structures without manipulation using forceps," says Gordts.

For the photos of ovulation, which only accidentally captured the critical moment, Jacques Donnez at the Catholic University of Louvain (UCL) in Brussels, Belgium, used gas to distend the organs for photography. However, Gordts and Brosens planned the procedure to coincide with ovulation and used saline solution to "float" the structures.
Perfect timing

Observation was timed for the day of the peak of the patient's luteal hormone cycle. Ovulation was predicted to occur on the evening of the day of the LH peak, and the endoscope introduced at 6 pm.

A small amount of saline was used to float the opening of the fallopian tube, its fimbriae (the "fingers" that sweep the egg into the tube) and the ovary itself. This gives a more natural appearance than gas, says Gordts.

In the video, the fimbriae can be seen sweeping in time with the patient's heartbeat. A mucus plug can be seen protruding from the ovary – this contains the egg.

"The ovum is not captured 'naked'," says Gordts. "There is no eruption like a volcano."

Gordts says that in clinical practice it is not easy to organise the observation of ovulation. "We were probably lucky to be successful at our first attempt," he says.

A good case comprising of laparoscopic cholecystectomy with lap. assisted vaginal hysterectomy done simultaneously

Robot-Assisted Laparoscopic Rectal resection for Endometriosis.Operation performed by D.Vitobello, director of divisione of Gynaecology, and G.Baldazzi,director of Surgical department. Abano Terme Hospital Padova (Italy)

Professional breast exam

The period between stages one and two of labour

First stage of labour with its signs and symptoms like uterine contractions and the show

different fetal lie and pre

Clamping the umbilical cord and assessment of the apgar score of the baby

management of the second stage of labour

Level of fundus and exam

This video clips shows a tubal ligation (sterilization) performed on a female using a fallopian ring applicator

Laparoscopic excision of endometriosis

laparoscopic management of ovarian cyst