Vacuum-assisted closure (VAC) therapy is a new entrant in wound care after growth factors and alginate or hydrocolloid dressing, in the treatment of pressure ulcers. We have been using this technique for diabetic foot ulcers. A young nondiabetic man presented with a large sacral bed sore after high doses of ionotropes in an intensive care unit for treating severe hypotension. His wound was debrided, and instead of flap surgery in such infected wound, he was treated with VAC therapy. The complete wound healing was achieved in 6 weeks and at half the cost of flap surgery. Moreover, the chances of flap failure and its related complications were eliminated.

To discuss the management options of retained products of conception (RPOC) with increased vascularity where simple dilatation and curettage may lead to life threatening haemorrhage and endanger the life of the patient. We present a series of three cases that had RPOC with hyper vascularity and were managed with different approaches. A brief review of management options is discussed. Out of three cases of RPOC with hyper vascularity, two cases underwent hysterectomy and one case was managed with methotrexate. From our study and review of literature, we conclude that evaluation of vascularity in all cases of RPOC is mandatory prior to Dilatation&Curettage in order to avoid the dreaded complication of massive haemorrhage. Received: 14 February, 2012 Accepted: 20 April, 2012 Basit dilatasyon ve küretajın yaşamı tehdit eden hemorajiye yol aça-bildiği ve hastanın yaşamını tehikeye attığı artmış damarlanması olan döllenme ürünü kalıntılarının (retained products of conception; RPOC) tedavi seçeneklerini tartışmak. Aşırı damarlanmalı RPOC'u olan ve farklı yaklaşımlarla tedavi edilmiş üç olguluk bir seriyi sunmaktayız. Tedavi seçeneklerinin kısa bir değerlendirilmesi tartışılmaktadır. Aşırı damarlanması olan üç RPOC olgusunun ikisine histerektomi yapılmış ve bir olgu metotreksat ile tedavi edilmiştir. Kendi çalışmamız ve literatürün gözden geçirilmesi ile şu sonuca ulaştık: korkulan komplikasyon olan massif hemorajiden sakınmak için Dilatasyon ve Küretajdan önce bütün RPOC olgularında damarlanmanın değerlendirilmesi zorunludur.

Menouria due to congenital vesicovaginal fistula is rare entity. We report a case of a 22-year-old female who presented with menouria. On evaluation, she had congenital vesicovaginal fistula and obstructing complete vaginal septum. McIndoe vaginoplasty and fistula repair through vaginal route was performed.