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Emmanuel Kalu. Journal articles. Abstract: This report describes a case of a year old woman presenting with evisceration of small bowel through the vagina, five years after a Total abdominal hysterectomy and bilateral salpingoopherectomy for irregular bleeding and a benign ovarian cyst. Examination under anesthesia revealed a 70 cm loop of bowel prolapsing through a 5 cm defect in the vaginal vault.

She underwent an exploratory laparotomy and repair of vaginal vault defect. Small bowel prolapse through vaginal vault defect is a rare complication after abdominal hysterectomy. Appropriate management includes prompt recognition, thorough assessment of the herniated viscus and surgical repair of the vaginal defect.

Combining abdominal and vaginal approaches as in our case may facilitate repair and avoid further morbidity. Abstract: In this paper, we aim to describe the clinical features and treatment outcome following the laparoscopic treatment of endometriosis in teenagers and adolescents.

This is a retrospective review of girls aged 21 and below who underwent operative laparoscopy for endometriosis. Symptom recurrence and the need for re-operation was compared between the two groups. Most disease was atypical, with the uterosacral ligaments and ovarian fossae being the most common sites. The re-operation rate per surgical team at 24 months was All recurrences in the non-EMAT group coincided with the location of primary disease.