The Journal of the American Association of Gynecologic Laparoscopists

Study objectiveTo determine whether routine clinical examination is sufficient for the diagnosis and establishing the location of deeply infiltrating endometriosis (DIE).DesignRetrospective analysis (Canadian Task Force classification II-2)…

We performed an innovative technique of temporary ovarian suspension after operative laparoscopy for stage 3 and 4 endometriosis and evaluated the results in a retrospective study. Subjects were 20 women who underwent operative laparoscopy …

STUDY OBJECTIVE: To compare the effects of ropivacaine and saline on pain after laparoscopic excision of endometriosis. DESIGN: Randomized, double-blind, controlled trial (Canadian Task Force classification I). SETTING: Women's hospital. …

Study objectiveTo assess the effectiveness of laparoscopic uterine nerve ablation (LUNA) in women with dysmenorrhea caused by uterine myomas treated by laparoscopic bipolar coagulation of uterine vessels (LBCUV).DesignProspective, randomize…

Study objectiveTo analyze the risk of postoperative adhesions in women who undergo laparoscopic surgical management of deep endometriosis infiltrating the uterosacral ligaments (USL).DesignRetrospective analysis (Canadian Task Force classif…

STUDY OBJECTIVE: To evaluate pathologic findings in appendixes of women undergoing laparoscopic surgery for pelvic pain. DESIGN: Retrospective study (Canadian Task Force classification II-2). SETTING: Private practice specializing in gyne…

Study objectiveTo evaluate the frequency and range of appendiceal disease in women with endometriosis and right lower quadrant (RLQ) pain, and to estimate the value of preoperative gastrograffin enema (GGE) as a screen for the disease.Desig…

Study objectiveTo investigate clinical features and biologic behavior of ovarian cancer that might be closely related to endometrioma and/or endometriosis.DesignRetrospective study (Canadian Task Force classification II-2).SettingUniversity…

Study objectiveTo review our experience with diagnostic and operative transvaginal hydrolaparoscopy (THL), a procedure that is less invasive than operative laparoscopy.DesignProspective, observational cohort study (Canadian Task Force class…

A 21-year-old-woman had a double uterus with noncommunicating right uterine horn and communicating left uterine horn. The pelvic cavity showed evidence of endometriosis and adhesions from previous laparotomy. A finger was inserted under lap…

Study objectiveTo evaluate the appearance of the uterine cavity before and after microwave endometrial ablation (MEA).DesignProspective observational study (Canadian Task Force classification II-2).SettingUniversity teaching hospital.Patien…

Study objectiveTo assess the impact of laparoscopic resection of endometriotic nodules in the rectovaginal pouch of Douglas on women's pain symptoms, analgesic intake, work absenteeism, work difficulties, and some elements of sex life.Desig…

STUDY OBJECTIVE: To evaluate the effectiveness and safety of laparoscopic and laparotomic management of ovarian tumors. DESIGN: Retrospective analysis (Canadian Task Force classification II-2). SETTING: University-affiliated hospital. PA…

Study objectiveTo evaluate the presence of nerve fibers and histopathology of normal peritoneum and endometriosis-harboring peritoneum.DesignProspective, nonrandomized study (Canadian Task Force classification II-1).SettingUniversity hospit…

Small bowel involvement by endometriosis occurs in about 0.5% of patients, but nodular endometriosis involving the entire wall of the terminal ileum is extremely rare. Endometriotic nodules protruding into the intestinal lumen may lead to c…

STUDY OBJECTIVE: To determine the safety and efficacy of reoperative hysteroscopic surgery for women who fail endometrial ablation and resection. DESIGN: Retrospective chart review and follow-up (Canadian Task Force classification II-2). …

A 32-year-old infertility patient with a previous diagnosis of stage IV endometriosis experienced shortness of breath and chest pain. She was diagnosed with a pulmonary embolism by spiral volumetric computed tomography (SVCT) and anticoagul…

A woman with a history of numerous surgical episodes for treatment of aggressive endometriosis experienced rectal symptoms. She was prepared for the possibility of laparotomy with or without colostomy to relieve her symptoms. After extensiv…

OBJECTIVE: Use an evidence-based medicine (EBM) approach to evaluate the evidence regarding efficacy of treatment of endometriosis-associated chronic pelvic pain (CPP) in placebo-controlled randomized clinical trials (RCT). DESIGN: Review …

Rare cases of massive ascites associated with pelvic endometriosis have been reported. Our patient developed ascites several days after laparoscopy, probably as an infective complication.

A 19-year-old woman underwent laparoscopic resection of extensive endometriosis of the cul-de-sac. At completion of surgery the abdomen was deflated for 3 minutes with the patient still in Trendelenburg position, before she was reexamined f…

STUDY OBJECTIVE: To estimate the laparoscopic frequency of endosalpingiosis versus other causes of peritoneal proliferation. DESIGN: Clinic-based, prospective, nonrandomized study (Canadian Task Force classification II-2). SETTING: Univer…

Endocervicosis is a benign lesion in which endocervical mucosa develops in anatomic locations distant from the endocervical canal. Two cases of infiltrating endocervicosis of the urinary bladder were managed by laparoscopic partial cystecto…