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STUDY OBJECTIVE: To assess the outcome of aggressive but conservative laparoscopic surgery in the treatment of severe endometriosis involving the rectum. DESIGN: Retrospective study (Canadian Task Force classification III). SETTING: Endos…
OBJECTIVE: To consider and explain the possibility of difficulties in diagnosis of endometriosis at previous laparoscopy DESIGN: Retrospective patient record review. SETTING: The Endometriosis Care Centre of Australia and the private practi…
Objective To assess the feasibility of excising rectal endometriosis using laparoscopic techniques and reanastomosing the rectum using a circular stapling device. Subject A 41‐year‐old woman with recurrent stage IV endometriosis (revised Am…
In 270 infertility patients seen between 1990 and 1991 in a private gynaecological practice, two-thirds had pelvic disease requiring surgery (personal series). Sixty percent of the patients became pregnant subsequent to surgery for pelvic a…
Almost every woman experiences episodes of abnormal or excessive menstrual bleeding
Minimally invasive surgery enables the avoidance of, preparation for, participation in, and treatment of complications following assisted reproductive technology (ART). The major recent changes are, the development of surgical techniques to…
Summary: The objective of this study was to study the effect of replacing of most abdominal hysterectomies with the laparovaginal technique. Three gynaecologists trained in advanced operative laparoscopy performed 160 laparovaginal, open an…
Fifteen patients with dysmenorrhoea and menorrhagia refractory to medical treatment were referred for surgical treatment. Pre-operative diagnosis of adenomyosis was suggested by vaginal ultrasound in 13 patients and was confirmed pre-operat…
Laparoscopic culdotomy has been performed in 32 patients. The indications for the procedure included the removal of organs or tissue excised by operative laparoscopy, excision of vaginal endometriosis involving the pouch of Douglas and drai…
EDITORIAL COMMENT": This paper provides important data on dealing, via the laparoscope, with endometriosis involving the uterosacral ligaments and peritoneum of the pouch of Douglas in patients with pelvic pain and/or infertility. None of t…
Vaginal ultrasonography has been carried out on 97 patients with menorrhagia who were either not responding to or not suitable for drug therapy. Ultrasonography demonstrated normal uteri in 33, benign uterine enlargement in 4, bicornuate ut…
Summary: Fifty two patients with endometriomas ≥ 1 cm were treated by surgical excision either with or without ovarian closure. Diagnosis is reliable when clinical features of the pain, vaginal ultrasound, and laparoscopy, including ovarian…
OBJECTIVE: To demonstrate that endometrial resection may be used to control abnormal uterine bleeding in a wide variety of clinical conditions. DESIGN/SETTING: Sixty-one patients were referred to a private gynaecological practice with abnor…
Summary: A randomized, controlled, double‐blind clinical trial was conducted to compare the effect of the prostaglandin synthetase inhibitor mefenamic acid (Ponstan) given during menstruation to that of a placebo in the treatment of menorrh…