Hydatid cyst disease is endemic in rural areas of Iran. Attention to the clinical symptoms and considering the diagnostic procedures are the key points in the diagnosis of hydatid cyst. Laparoscopic hydatid cystectomy is controversial in this regard. In this report, a patient with hepatic hydatid cyst is introduced and the importance of clinical findings, diagnostic procedures and laparoscopic surgical procedure are discussed.

Background: Hysterectomy is the second most common major procedure following cesarean section in many countries while the abdominal hysterectomy is by far the most common surgical procedure. The comparison of laparoscopic assisted vaginal hysterectomy and abdominal hysterectomy was the goal of our study. Methods: A randomized clinical trial was performed in 51 patients who were elective candidates for hysterectomy for nonmalignant reasons in Omolbanin hospital affiliated to Mashad University of Medical Sciences from 2005 to mid 2007. By simple random sampling method, 25 patients were elected for laparoscopic assisted vaginal hysterectomy (LAVH) and 26 patients were put in the abdominal hysterectomy group. Demographic, preoperative and postoperative data were recorded in a questionnaire. After checking normality, the data were analyzed by student's t-test and chi-square when applicable. P < 0.05 considered as significance level.Findings: There was no difference in procedure time and total length of hospital stay between laparoscopic assisted vaginal hysterectomy and abdominal hysterectomy (P = 0.856, P = 0.537, respectively). The analgesics use was significantly lower in the laparoscopic assisted vaginal hysterectomy group than the other (P = 0.001) while the amount of blood loss was significantly higher in laparoscopic assisted vaginal hysterectomy group (P = 0.001). Return to normal daily activity was more reported to be good in the laparoscopic assisted vaginal hysterectomy in the follow-up visit after lapse of 2 weeks after operation (P = 0.330).Conclusion: As a whole, our study showed laparoscopic assisted vaginal hysterectomy to be a safe and recommended alternative to abdominal hysterectomy.

Introduction: Cryptorchidism is one of the most common disorders of childhood. This anomaly occurs when the descent of testis inhibited anywhere along its normal pathway between kidney and scrotum. There isn’t any study about testis agenesia in our region and the picture of the disease may be different in this region.  The aim of this study ,is to determine more clear picture of this disease in our region and to consider that whether not to use diagnostic laparoscopy in this area can be lead to increased false diagnosis of testis agenesia or not.Material and Methods: This study is descriptive and basis of our study is to refer to hospital archive files, from all patients that admitted during 1996-2003, we found those who had UDT, then all of required data including patient’s age ,unilateral or bilateral UDT ,associated disease, site of UDT, diagnostic procedures, and first symptoms were extracted and then we analyzed this data.Results: Out of 7200 patients that admitted during 1996-2003 yrs, 235 patients had UDT, according to this data the relative frequency of UDT is 3.26%.Regarding to age of patients; most patients were in 5-14 y/o (41.3%). According to associated disease 14% had contralateral UDT, 8.1%had inguinal hernia, 1.7% had hypospadiasis, 6% had hydrocele, 0.9% had torsion of testis and 3% had infertility. Regarding to anatomic site of descent cessation, intracanalicular in 61.4% pts. Superficial inguinal pouch in 16.1% pts, intraabdominal in 14% pts, suprapubic region in 0.9% pts  and agenesis of testis in 7.6% pts was found.Conclusion: According to this survey, the relative frequency of UDT was relative common and the most of operated patients are in higher range of age group (5-14yo).Which shows necessity of public education; and also high incidence of testis agenesia (7.6%) suggests using of preoperative diagnostic laparoscopy in patients with nonpalpable testis.

Over a period of four years 325 infertile women were evaluated by diagnostic laparoscopy which included 250 cases of primary and 75 cases of secondary infertility.The aim of the present study was to find out the probable causes of infertility by collecting qualitative and quantitiative data from laparoscopy results of the secondary infertility group so as to give precautions for decreasing the predisposing factors.The results of this study showed that pelvic adhesion was the most frequent pathologic finding (57 cases) which could be due to complication of PID or surgical trauma. Fourteen cases had other problems and only four cases showed no apparent pathological anomalies.

Previous Record and Aim: Uterine perforation occurs when an instrument passes or IUD )Intera uterine devices) through the uterus wall and can result in visceral Injury, hemorrhage, and infection. Due to greater magnification and accuracy and other advantages of laparoscopic surgery, such as shorter hospital stay, less pain and bleeding, and faster return to work, we use laparoscopy to remove IUD from different places in the abdominal cavity. Intestinal and omentum herniation from the port site is a rare complication of laparoscopy. The purpose of presentarticle is to investigate a case of IUD exit from the rectum by laparoscopy. This surgery was accompanied by a rare case of exit of the omentum and bowel from the 5 mm left lateral trocar site when the drain was exited Case Presentation: A 26 years old woman from Bouseher, with a history of two cesarean section, received an intra-uterine device (IUD) for contraception 10 daysafter delivery. Vaginal sonography confirmed a lack of IUD in the uterine cavity. Pelvic X-ray showed IUD near the right ovary. In laparoscopy, the adhesion of the rectum and right ovary was detached, IUD was removed from the site of adhesion of rectum and right ovary, and then rectum was repaired. During drain extraction, we noticed that the bowel and omentum were herniated from the 5 mm left lateral port site. After injection of local anesthesia and extension of the port site, the bowel and omentum were inverted in to the peritoneal cavity, and the fascia was repaired. Conclusion: Immigrant IUDs should be removed whenever identified. The laparoscopic procedure is a safe and suitable method for most intra-abdominal migration.

Introduction: Postoperative nausea and vomiting (PONV) is the second most common complaint of patients after surgery which may be the limiting factor in patient discharge from hospital especially after ambulatory surgery. This study aimed to compare the efficacy of ginger in reducing post-operative nausea and vomiting in unfertilized women after gynecologic laparoscopic surgery.Materials and methods: The present study is a double blind, randomized placebo controlled trial. A total number of 60 patients, aged between 20 to 50 years who were scheduled for gynecologic laparoscopic surgery participated in the trial. The patients were divided into two groups by random allocation. The first group received placebo capsules and the second one received ginger capsules (500 milligrams) one hour before anesthesia induction .The severity of nausea was measured with NRS (Numerical Rating Scale) - a measurement technique – and vomiting episodes was assessed based on occurance of it at 0,2,6 and 24 hours after surgery.Results: There was significant difference between two groups in respect of post-operative nausea only at 0 hour after surgery (pvalue: 0.016), while there was no significant difference in vomiting episodes (p value: 1.0).Conclusion: This study indicated if ginger capsule (dose of 500 milligrams) is prescribed for patients one hour before anesthesia induction, it has beneficial effect in reducing post-operative nausea immediately after surgery, in comparison with placebo.

Background and Objectives: Laparoscopic adrenalectomy is the operation of choice for benign adrenal lesion. We report of our experience in laparoscopic adrenalectomy that was performed for first time in Tabriz.Materials and Methods: From September 2003 to September 2005, six patients with adrenal lesions underwent laparoscopic adrenalectomy through transperitoneal approach.Two of them were simultaneous bilateral adrenalectomy Preoperative evaluation including CT Scan, MRI, MIBG scan, endocrine tests such as, cortisol, ACTH, mineralocorticoid, 17- hydroxy progesterone and VMA .The results were analyzed by SPSS.Results: six patients, (3 females and 3 males), underwent on laparoscoic surgery. Mean age was 40.2 (range 30-65) years. Lesion was located at right in 5 patients and 3 at left. Mean operative time was 180 ± 30.62, (126-300), minutes. Mean hospitalization was 3.1 (3-5) days. Mean size of mass was 4.5 ±1.8 (4-8) cm. In one case, because of the adhesion of mass to the posterior side of venacava, convertion was necessary. No significant major intra or post operative complication and we didn’t need to transfusion. at the 9 months following, hormonal tests and blood pressure were normal. The mean postoperative follow up time were 9 (range 3-24) months.Conclusion: Due to our limited experience on advanced urologic laparoscopy this study showed that transperitoneal laparoscopic adrenalectomy is an effective and safe approach in the treatment of adrenal disorders with the least morbidity.