The objective of this study was to determine if the combination of tenderness-guided endovaginal ultrasound and digital pelvic exam (i.e. EVUS-assisted exam) for preoperative pain mapping, in cases without nodules or endometriomas, increase…
ObjectiveTo document the changes in pain scores 3-12 months following ablative laparoscopic surgery. Secondary outcome measures included patient satisfaction scores.DesignA prospective, cohort study.SettingA tertiary referral center for the…
The authors report the case history of a patient with symptoms and signs suggestive of endometriosis, who was found to have Schistosomiasis. The laparoscopic appearance was of gelatinous deposits throughout the pelvis which were thought to …
BackgroundOnly 21.3% of cases of malignant transformation of endometriosis occur at extragonadal pelvic sites. Forty cases of endometriosis-associated intestinal tumors are reported in the literature. Of these, 17 cases are primary adenocar…
Promoting patient safety in primary care Honesty and openness may not be best policyEditor-We were both surprised by Wilson et al who, in their editorial, ask everybody to send in reports of their errors. 1Our concerns remain regardless of …
There are a number of published studies documenting pregnancy rates after endoscopic surgery in patients with endometriomas. These reports present similar pregnancy rates regardless of the surgical technique used to treat the cyst. This fin…
OBJECTIVES: To assess the long term outcome of laparoscopic supracervical hysterectomy. DESIGN: Retrospective study. SETTING: Minimal Access Surgical Unit, Department of Gynaecology, Royal Surrey County Hospital, Surrey. METHODS: Analysis o…
This review article has focussed on identifying the evidence from randomized controlled trials for the medical and surgical management of endometriosis. A critical summary of the medical management has shown that there is little difference …
The power sources used in endoscopic surgery are varied and numerous, and will continue to improve as technology progresses. Early attempts at operative laparoscopy were crude, limited by the available instrumentation, and tended to be frus…
In order to investigate the possibility of a specific psychological profile associated with endometriosis, 81 women with pelvic pain were studied, of whom 40 were diagnosed as having endometriosis and 41 other gynaecological problems. Each …
Lasers have been used in fertility surgery for the past two decades. This article reviews the development of different wavelength lasers, the different tissue effects and their applications in infertility surgery. The CO2 laser remains the …
Minimally invasive surgery is going through a rapid phase of evolution and over a relatively short time we have witnessed progress from simple ablative procedures such as the division of adhesions and destruction of endometriosis to far mor…
The carbon-dioxide laser used laparoscopically provides a precise and virtually bloodless technique for the vaporization of endometriotic implants in the pelvis. The technique has been used at St Luke's Hospital, Guildford, for the past 6 y…