Benign ovarian cysts are very common in women of reproductive age and often require surgical excision, particularly when they cause symptoms or infertility. 1 However, there has been a growing concern over the possible damaging effects that this procedure may cause on the ovarian reserve. 2,3 The continuous development of technology and minimally invasive techniques during the recent years, has helped establish laparoscopic ovarian cystectomy as the first-line treatment for benign ovarian tumours, such as symptomatic endometriomas, dermoid cysts or serous cystadenomas. 4 Due to favourable surgical outcomes, fewer complications, less pain, and improved cosmetic results, laparoscopic cystectomy has essentially replaced open surgery. 5 Nevertheless, several studies have indicated that laparoscopic ovarian cystectomy is associated with a decreased ovarian reserve and for this reason there has been much debate about the most suitable laparoscopic approach that causes the least amount of damage to the ovarian reserve after surgery. [6][7][8][9] A recent advancement in the field of minimally invasive gynaecology is transumbilical single-port laparoscopy (SPL). This minimally invasive approach to surgery requires only one entry point, typically through the umbilical region. In particular, the use of SPL has not only been proposed in adnexal disease but in endometriomas excision as well. 10 Several clinical reports that have been conducted indicate that a limited operative space in SPL causes unstable camera motion and interference between instruments which may increase the difficulty and risk of surgery. 11,12 Yoon et al, Huang et al and Wang et al found that the ovarian reserve did not statistically differ

Glomus tumors are rare, benign, vascular neoplasms arising from the glomus body. Although they occasionally develop in any part of the body, they do so more common in the upper extremities, most frequently subungual areas. An extensive review of the literature revealed less than thirty cases of primary renal glomus tumors. We present a unique case of an adult male with an incidentally discovered 2.5 cm right renal mass. Histopathologic and immunohistochemical examination suggested the diagnosis of glomus tumor. Based on the World Health Organization (WHO) classification of soft tissue tumors, the presence of at least two atypical features indicates malignant potential. In this case, deep/visceral location and size greater than 2 cm fulfilled these criteria. Following an uneventful excision and a 12-month follow-up period, the patient remains disease-free with no sign of local or distant metastases.

Background/Aim: The purpose of this article is to review the published literature on single-port laparoscopic (SPL) ovarian cystectomy and to assess whether the reduced port number affects the ovarian reserve in comparison with the conventional multiport laparoscopic (MPL) ovarian cystectomy. Materials and methods: Serum anti-Müllerian hormone (AMH) had been proposed as the most accurate marker of ovarian reserve. A review of the current literature was performed based on the preoperative and postoperative AMH after SPL and MPL ovarian cystectomy in adult patients with benign ovarian cysts. Results: Ovarian cystectomy causes a non-statistically significant reduction in AMH levels four weeks postoperatively in the SPL group compared to MPL group[MD=0.11, 95%CI (-0.01, 0.24), p=0.07] . Operative time was significantly longer and blood loss was significantly higher in SPL group. No difference was found to major or overall postoperative complications between the two groups Conclusion: SPL cystectomy recommended as a safe surgical choice for patients who want to preserve their fertility.

Vaginal cuff dehiscence is a rare but serious complication of hysterectomy and caries even more risk of morbidity and mortality when evisceration occurs. Vaginal cuff dehiscence can occur at any time after hysterectomy; thus, it is important to identify risk factors in patients and counsel them on signs and symptoms of dehiscence. Once diagnosed, minimally invasive approaches such as vaginal and laparoscopic techniques should be the preferred method of repair. We present a case of an 85-year-old woman who presented with abdominal pain and sensation of a bulge in her vagina 40-years after total abdominal hysterectomy. She was diagnosed with vaginal cuff dehiscence and evisceration and underwent complete vaginal repair and colpocleisis.