LAUSR

mm under direct visualization using monopolar cautery. The mucosa edges were reapproximated with V-lock suture. Results Pathology showed squamous mucosa with high-grade vaginal intraepithelial neoplasia and a focal area of invasion (with depth of invasion <1 mm). The patient tolerated the procedure well and was discharged from Day Surgery without any postoperative complications. Conslusion Transvaginal endoscopic resection for superficially invasive vaginal lesions can be performed safely and provide accurate diagnosis with excellent visualization. She received methotrexate, and switched to Acti-nomycin-D after a plateau in beta-hCG. Her beta-hCG is normal 5 months later. Conclusion We present a minimally invasive approach that ameliorates the surgical and chemotherapy risks of uterine rupture, acute hemorrhage, and trophoblastic emboli, with a normalization of beta-hCGs after treatment with single-agent chemotherapy. aide mem-oire of a basic gynaecological oncology technique. This is an essential surgical skill to develop with knowledge and practice for all subspecialists in training. https://www.dropbox.com/s/