The Journal of the American Association of Gynecologic Laparoscopists

STUDY OBJECTIVE: To diagnose adenomyosis by vaginal ultrasound and percutaneous or transcervical myometrial biopsy, and use the results to choose treatment and assess prognosis. DESIGN: Evaluation of 31 consecutive women referred by other …

Three case reports are used to demonstrate the similarities between the appearances of endometriosis, psammoma bodies, endosalpingiosis and cancer. Although clear "amenorrheic" lesions of endometriosis have been noted since 1950 by Fallon, …

Since 1985, more than 500 CO2 laser laparoscopic procedures have been done, including treatment of endometriosis, adhesiolysis, salpingo-ovariolysis and salpingoneostomy. The most frequent indication was endometriosis. The results were as f…

Ninety-six patients with endometriosis of pelvic peritoneum and endometriosis of uterosacral ligaments were treated in our gynecologic center during 1992. The diagnosis was made on the basis of clinical signs and the results of laboratory t…

STUDY OBJECTIVE: To document the abnormal findings at hysteroscopy and laparoscopy in patients with chromic pelvic pain. DESIGN: Prospective evaluation at surgery of women treated consecutively between January 1, 1991, and December 30, 199…

To determine the usefulness of noninvasive clinical tests to diagnose symptomatic endometriosis, we retrospectively reviewed the medical records of 91 patients with chronic pelvic pain and laparoscopically confirmed endometriosis. Thirty-se…

One hundred and eight hysterosalpingograms (HSG) available in the Department of Radiology of women identified as also having laparoscopy, were reviewed by a gynecologist and a radiologist blinded to clinical history, laboratory findings, an…

Nine cases of adenomyosis after endometrial resection are examined. Patients' symptoms were menorrhagia prior to initial resection, and patients had normal ultrasounds prior to their first procedure. All of the patients underwent resection …

Presacral neurectomy has been advocated for severe dysmenorrhea when medical therapy fails to provide adequate relief. However, there are concerns regarding efficacy and the potential for postoperative complications. In order to address the…

Treatment of intramural endometriosis of the bladder using the Nd:YAG laser is described. An operative cystoscope fitted with a 600 µ fibre is introduced into the bladder. At a power setting of 50 W, superficial coagulation of the visible l…

With the increasing use of operative laparoscopy in gynecologic surgery, there is a rising concern that the use of the vaginal approach is decreasing and emerging gynecologic surgeons have reduced vaginal skills. Often the laparoscopic appr…

STUDY OBJECTIVE: To evaluate the classic intrafascial SEMM (serrated-edge macromorcellated) hysterectomy (CISH) performed by pelviscopy and by laparotomy, and determine the histologic features of the procedures. DESIGN: The first 253 women…

The total number of patients with severe forms of endometriosis treated in our department for the past 18 years is 1904. The treatment included surgery by laparotomy, laparoscopy and/or vaginal access, followed by hormonal therapy with dana…

A 44-year-old woman presented with right lower quadrant abdominal pain of three months' duration and history of previous Cesarean section and abdominal hysterectomy. Pelvic examination and vaginal sonography revealed a large unilocular mass…

We randomly assigned 95 women, age 17-55 (mean 36.5) with unilateral or bilateral ovarian cysts measuring 1.1 to 6.1 cm in greatest diameter, to four groups to determine the efficacy of hormonal suppression. Eleven did not complete the stud…

A total of 44 procedures were begun as LAVH with 41 (93%) completed and 3 (7%) attempted but converted to an open approach. Indications were: Leiomyata uteri, 21 (48%); menometrorrhagia, 10 (23%); Uterine prolapse, 6 (14%); endometriosis, 6…

STUDY OBJECTIVE: To evaluate the effectiveness of operative laparoscopic treatment at the time of diagnostic laparoscopy in patients with chronic pelvic pain (CPP). DESIGN: A retrospective study of women with CPP and at least 6 months of f…

Of 103 women undergoing laparoscopic excision of ovarian endometriomas, 41 patients were prescribed to 3 to 6 months therapy with GnRH analogs or danazol postoperatively and 62 received no additional treatment. No significant difference in …

This retrospective review describes our experience with the benefits of laparoscopic incidental appendectomy performed in association with various gynecologic procedures. Eighty-five women in the reproductive age group (25 to 48 years of ag…

We treated 17 patients with severe endometriosis involving the genitourinary tract. Eight women presented with persistent right or left flank pain, two presented with known ureteral obstruction, and five presented with urinary frequency and…

STUDY OBJECTIVE: To examine the efficacy and safety of laparoscopic presacral neurectomy (LPSN) as the initial surgical treatment of midline pelvic pain and dysmenorrhea; and to evaluate its effectiveness in conjunction with procedures to r…

A 20-year-old woman with complete androgen resistance (AR; 46,XY), underwent prophylactic laparoscopic gonadectomy because of the known increased risk of gonadal malignancy. The procedure was performed with electrocoagulation using a four-p…

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…

Fifty-five patients with endometriosis in whom argon beam coagulation was used through the laparoscope for coagulation of endometrial lesions, lysis of pelvic adhesions, uterosacral nerve ablation (LUNA) and presacral neurectomy (PSN) were …

STUDY OBJECTIVE: To compare laparoscopic-assisted hysterectomy (LAVH) with conventional abdominal hysterectomy. DESIGN: First 50 consecutive LAVH procedures. SETTING: An outpatient facility at a major medical center (35 procedures) and a …