Since abdominal pregnancies are mostly complicated, they are usually managed by laparotomy, but laparoscopy is an alternative method which some surgeons perform instead of laparotomy; especially in advanced pregnancy.

We reported a 31 year old woman with last menstrual period of 18 weeks who had supra pubic pain and vaginal bleeding. After sonographic evaluations, abdominal pregnancy was diagnosed and the patient underwent laparoscopic surgery for termination of pregnancy. One year after this successful operation, the patient experienced a normal intrauterine pregnancy.

Laparoscopy is a successful alternative method of surdery for abdominal pregnancies which can be done by experienced surgeons especially at gestational age of 18 weeks.

Uterus didelphys with imperforate hemivagina is a rare Müllerian anomaly occurring between the 12^th and 16^th weeks of gestation. Currently the excision of the vaginal septum is considered the treatment of choice for cases of obstructed hemivagina, conventionally performed using scissors and scalpel. The hysteroscopic excision of vaginal septum in those with uterus didelphyshas several advantages including feasibility, availability, effectiveness and preservation of virginity.

We aimed to report the benefits of hysteroscopic resection of vaginal septum in patients with uterus didelphys and obstructed hemivagina.

This cross-sectional study was performed in Shiraz University of Medical Sciences including 11 patients with uterus didelphys and obstructed hemivagina. Hysteroscopic resection, of vaginal septum was performed for all patients and the outcomes were observed.

The mean age of the patients was 14.73 ± 2.3 (range 13-16) years. The most common symptom was cyclic dysmenorrhea. The vaginal septum was resected safely in all of the patients. The symptoms including cyclic dysmenorrhea and hematometra resolved after 3 months.

Hysteroscopic resection of the vaginal septum is an available, feasible, convenient, and effective tool in the management of uterus didelphysplus obstructed hemivagina which enables the surgeon to preserve the hymen integrity.

The gonadectomy in patients with androgen insensitivity syndrome (AIS) has been conventionally performed using laparotomic techniques. But currently several reports have suggested laparoscopic gonadectomy in these patients because of shorter hospital stay and minimal postoperative pain and hemorrhage.

To report the laparoscopic gonadectomy in 11 patients suffering from androgen insensitivity syndrome

This study is a case series of 11 patients with AIS aged between 17 and 20 years who were referred to the Shiraz University of Medical Sciences affiliated clinics and private hospitals from February 2006 to December 2012 and underwent bilateral laparoscopic gonadectomy. The patient’s outcome and results were reported in this study.

Overall we operated 11 patients suffering from AIS with mean age of 18.6 ± 3.8 (17-20) years. All of the patients presented with primary amenorrhea. The serum levels of testosterone were in normal range of male population. All the patients had an uneventful laparoscopic gonadectomy and no complications occurred during the operation and in the postoperative period. The mean operation duration was 40.3 ± 5.9 (range 55 to 35) minutes. The hospital stay duration was 1.6 ± 0.9 days. All of the patients were followed for at least 6 months after operation.

Laparoscopic gonadectomy is a safe, simple and effective procedure for the removal of the testis in patients with AIS. We recommend utilizing this method for gonadectomy in patients with AIS where facilities are available.