Women with EHPVO who have been diagnosed and treated prenatally have a good pregnancy outcome. They should be managed in a tertiary care center with a multidisciplinary approach.

Pregnancy outcome in patients with idiopathic thrombocytopenic purpura is generally good.

Pregnancy in women with severe PAH is associated with higher maternal morbidity and adverse fetal outcome compared to pregnancy in women with mild PAH.

Pregnancy in women in NYHA class III/IV is associated with significantly higher maternal morbidity and cardiac interventions before pregnancy, when indicated may improve pregnancy outcome.

Estrogen treatment was not found to prevent intrauterine adhesions or improve reproductive outcome after hysteroscopic septal resection.

Non-descent vaginal hysterectomy appears to be better than laparoscopic-assisted vaginal hysterectomy for large uteri in terms of inflammatory response.

Background: To compare diagnostic conventional minilaparoscopy (5mm) with diagnostic modern minilaparoscopy (2.9mm) in patients of infertility in terms of operating time, post-operative pain, hospital stay.Methods: A prospective randomized comparative study was done in a tertiary care centre involving eighty patients of infertility undergoing diagnostic laparoscopy. Diagnostic laparoscopy was done using 5mm laparoscope (Conventional minilaparoscope-Group I) in 40 patients and using 2.9mm laparoscope (Modern minilaparoscope-Group II) in 40 patients. Operating time was measured from the point of skin incision to closure, post op pain was assessed with VAS scoring system, total hours of hospital stay from shifting to day care recovery ward till discharge was noted.Results: Both conventional minilaroscope and modern minilaparoscopes were comparable to each other. Operating time in both groups was similar (7.7min in Group I vs 8.7min in Group II). In both groups, there was no statistically significant difference in post-operative pain as assessed by VAS scoring System (39 in Group I vs 38 in Group II had mild post-op pain and 1 in Group I vs 2 in Group II had moderate pain). The difference in duration of post-op hospital stay in both Group I and group II was not statistically significant (3.5 hours vs 3.3 hours).Conclusions: Both conventional minilaparoscopy (5mm laparoscope) and modern miniaparoscopy (2.9mm laparoscope) are comparable with respect operating time, post-op pain, hospital stay. Modern minilaparoscope is no better than conventional minilaparoscope.

SUMMARY Endosalpingiosis is a rare condition characterised by the presence of tubal epithelium outside the fallopian tube. Most of the previous case reports have described this condition in women in their fifth decade or older. We report a case of a woman presenting at 31 years with a history of heavy bleeding during menses and pain in the lower abdomen for the past 2 years. An ultrasound examination showed a left ovarian cyst of 4.3×3.2 cm with multiple septations. CA 125 was within normal range. Laparoscopy was performed with the plan of ovarian cystectomy, peroperatively; there were papillary projections all over the uterus and the peritoneal surface. The left ovary was enlarged with papillary projections on the surface. Multiple biopsies were taken from the surface of the uterus, ovary and the peritoneum as the picture was quite suspicious of malignancy. Histopathological examination gave the picture of endosalpingiosis. The patient underwent laparoscopic ovariotomy with fulguration of lesions 4 months later, in view of persistent pain and discomfort, and increase in the size of the cyst on ultrasound monitoring. Presently, she is free of symptoms. BACKGROUND