Carter JE

Chronic pelvic pain is a source of frustration to both the physician and the patient. Physicians have been ill equipped by their training to confront the multifaceted nature of the complaints of patients with chronic pelvic pain. Patients h…

The source of chronic pelvic pain may be reproductive organ, urological, musculoskeletal-neurological, gastrointestinal, or myofascial. A psychological component almost always is a factor, whether as an antecedent event or presenting as dep…

Results of more than 1500 laparoscopic hysterectomies have been reported since 1989. The complication rate is 10 to 11% in expert hands. However, a complication rate of 60% was reported in one community hospital series. The risks of laparos…

Ten years of clinical evaluations of women with chronic pelvic pain resulted in concern that diagnostic laparoscopic surgery is performed too frequently in these patients. Of 500 women, the pain was due to urologic, myofascial, musculoskele…

Laparoscopic approaches to gynecological surgery have been developed by an elite group of highly skilled surgeons. As these procedures become more prevalent in the general gynecological approach to disease and the general gynecologist's app…

The performance of the presacral neurectomy with a standard laparoscopic approach utilizing a Contact-tip Nd: YAG Laser with the GRP6 sapphire scalpel tip is feasible, effective, and safe. Patients suffering from severe disabling dysmenorrh…

Study objectiveTo evaluate the effectiveness of laparoscopic surgical treatment for women with chronic pelvic pain.DesignProspective evaluation of women treated consecutively between January 1, 1989, and December 31, 1992.SettingA private p…

Ninety-three women in whom conservative surgical therapy for chronic pelvic pain failed required hysterectomy for control of their disabling condition. In 22 of these 93 patients (24%), adenomyosis was the major pathologic finding. In 10 of…

Study objectiveTo document the abnormal findings at hysteroscopy and laparoscopy in patients with chromic pelvic pain.DesignProspective evaluation at surgery of women treated consecutively between January 1, 1991, and December 30, 1992.Sett…

The purpose of this study was to determine the efficacy of laparoscopic-assisted vaginal hysterectomy utilising the contact-tip Nd:YAG (Neodymium: Yttrium-Aluminum-Garnet) laser (Surgical Laser Technologies, Oaks, PA). Postoperative activit…

One hundred patients were treated with laparoscopic techniques for chronic pelvic pain. These procedures included uterosacral nerve vaporization, resection and vaporization of endometriosis, hernia repair, appendectomy, presacral neurectomy…

An ovarian pregnancy followed ovulation induction and in vitro fertilization. The patient had multiple risk factors, including two previous tubal pregnancies, endometriosis, and use of an intrauterine contraceptive device.