The Journal of the American Association of Gynecologic Laparoscopists

Study objectiveTo evaluate the advantages and accuracy of hysterosalpingo-contrast sonography (HyCoSy) in assessing tubal patency compared with hysterosalpingogram (HSG) and laparoscopic dye pertubation.DesignProspective study (Canadian Tas…

Study objectiveTo evaluate the efficacy of Mirena, a levonorgestrel-releasing intrauterine device, after endometrial resection for treatment of menorrhagia caused by adenomyosis.DesignOpen, randomized, observational study (Canadian Task For…

STUDY OBJECTIVE: To evaluate the effectiveness of laparoscopic appendectomy in women with chronic pelvic pain and to identify histopathology of the appendix. DESIGN: Retrospective review over 6.5 years (Canadian Task Force classification I…

Mayer-Rokitansky-Küster-Hauser (MRKH) syndrome is an infrequent developmental defect characterized by congenital absence of the vagina and uterus. Various anomalies of the müllerian system have been operated on by laparoscopy. We performed …

Study objectiveTo evaluate the feasibility and surgical and clinical outcomes of laparoscopic excision of anterior recto-sigmoid wall endometriosis and en bloc dissection of the obliterated cul-de-sac.DesignRetrospective cohort (Canadian Ta…

Study objectiveTo determine the location of adenomyosis in hysterectomy specimens and estimate a risk of leaving the disease in patients undergoing supracervical hysterectomy.DesignRetrospective cohort study (Canadian Task Force classificat…

Chronic pelvic pain is common in women of reproductive age and accounts for more than 40% of all laparoscopic procedures. In up to 40% of these patients laparoscopic findings are negative. As a result, many gynecologists frequently excise p…

A 27-year-old woman had a history of acute chronic pelvic pain. She had had a previous salpingo-oophorectomy for an endometrioma. A computerized tomographic scan showed a left adnexal mass. She was known to have bilateral duplicate ureters …

Two cases of unilateral labial edema occurred after laparoscopic presacral neurectomy and were associated with massive chylous ascites. One woman was cured by a second laparoscopy to repair the chylous leakage. In the other, vulvar edema su…

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…

STUDY OBJECTIVE: To identify risk factors and short-term outcomes associated with conversion from laparoscopic surgery to laparotomy. DESIGN: Case control study (Canadian Task Force classification II-2). SETTING: Large urban, academic med…

Study objectiveTo review laparoscopic-assisted vaginal hysterectomy (LAVH) cases for instances of small intestine injury.DesignRetrospective review (Canadian Task Force Classification II-2).SettingTertiary care university hospital.PatientsT…

Study objectiveTo estimate whether laparoscopic staging of endometriosis can be predicted by ultrasound findings.DesignProspective study (Canadian Task Force classification II-2).SettingObstetrics and Gynecology Department, University of Ro…

STUDY OBJECTIVE: To evaluate the reliability of diagnosing minimal and mild endometriosis under routine conditions, and to determine to what extent disease activity is taken into account. DESIGN: Retrospective analysis (Canadian Task Force…

STUDY OBJECTIVE: To evaluate whether or not a physician's experience has an effect on costs and clinical outcomes of an implemented clinical pathway for laparoscopic-assisted vaginal hysterectomy (LAVH). DESIGN: Retrospective study (Canadi…

Study objectiveTo review laparoscopic-assisted vaginal hysterectomies (LAVH) for large bowel injuries.DesignRetrospective review (Canadian Task Force classification II-2).SettingUniversity-affiliated hospital.PatientsTwo thousand eighty-fou…

Study objectiveTo take recent progress in magnetic resonance imaging (MRI) into account to determine its accuracy compared with that of transvaginal ultrasonography (TVUS) in diagnosing bladder endometriosis.DesignRetrospective analysis (Ca…

Laparoscopic bipolar coagulation of uterine vessels (LBCUV) is reported to treat clinically symptomatic myomas that caused severe menorrhagia, but the viability of pregnancy after operation is unknown. A woman with clinically diagnosed uter…

Study objectiveTo analyze factors that contribute to long-term success of loop endometrial resection (ER).DesignObservational cohort study (Canadian Task Force classification II-2).SettingTertiary care university hospital.PatientsTwo hundre…

Study objectiveTo describe the histologic appearance of deep endometriosis infiltrating the uterosacral ligaments (USL).DesignRetrospective analysis (Canadian Task Force classification II-2).SettingUniversity-affiliated hospital.PatientsOne…

Study objectiveTo determine pelvic findings, histopathology, and clinical outcome in women with chronic pelvic pain and cyclic sciatica-like pain after laparoscopic surgery.DesignRetrospective cohort study (Canadian Task Force classificatio…

STUDY OBJECTIVE: To investigate the effect of laparoscopic uterine artery ligation on symptomatic adenomyosis. DESIGN: Prospective pilot study (Canadian Task Force classification II-2). SETTING: Tertiary care major teaching hospital. PAT…

Study objectiveTo estimate the recurrence rate of chocolate cysts 3 to 12 months after ablative laparoscopic surgery. The secondary outcome measure was the need for a repeat surgical procedure.DesignProspective cohort study (Canadian Task F…