The Journal of the American Association of Gynecologic Laparoscopists

Intestinal involvement by endometriosis traditionally required open laparotomy for bowel resection and anastomosis. Operative laparoscopy may offer the most effective form of treatment for these women. Two women with endometriosis of the re…

Study objectiveTo determine the prevalence of reproductive pathology in a group of infertile women thought to be at low risk for altered pelvic anatomy.DesignRetrospective chart review and follow-up (Canadian Task Force classification II-2)…

Carcinoid tumors are uncommon lesions that arise from the intestinal tract or ovaries. Metastatic carcinoid was found in a 35-year-old woman who underwent laparoscopic excision of pelvic endometriosis. The primary tumor was in the distal ap…

UnlabelledSTUDY OBJECTIVE. To evaluate the feasibility of a new endoscopic technique, transvaginal hydrolaparoscopy, for early office screening of subfertile women. DESIGN. Retrospective, descriptive feasibility study (Canadian Task Force c…

STUDY OBJECTIVE: To compare adrenergic-sympathetic responses during pelvic laparoscopic surgery with CO(2) insufflation with those during laparotomy. DESIGN. Prospective study (Canadian Task Force classification II-1). SETTING: Tertiary ca…

Transvaginal hydrolaparoscopy is based on classic culdoscopy. With alterations in equipment and method, the procedure holds promise for evaluation of pelvic pathology. We performed transvaginal hydrolaparoscopy in the operating room just be…

We reviewed the frequency of umbilical endometriosis after laparoscopic-assisted subtotal hysterectomy with unprotected removal of uterine segments through the umbilical incision. Retrospective analysis of surgical records was followed by r…

Ten women had endometriosis and pelvic peritoneal defects of the posterior leaf of the broad ligament, with the consistent finding of medial displacement of the ureter toward the uterosacral ligament. Ureterolysis at the time of surgery rev…

STUDY OBJECTIVE: To evaluate of 100 total laparoscopic hysterectomies performed in a private practice. DESIGN: Prospective observational study (Canadian Task Force classification II-2). SETTING: Private hospital. PATIENTS: One hundred wo…

Study objectiveTo evaluate the effectiveness of ketamine compared with fentanyl as analgesia or sedation for microlaparoscopy.DesignProspective, randomized study (Canadian Task Force classification I).SettingUniversity-affiliated hospital.P…

Study objectiveTo evaluate the relationship between prevalence and severity of chronic pelvic pain (CPP) and stage, site, and type of endometriosis.DesignProspective, observational study (Canadian Task Force classification II-2).SettingUniv…

STUDY OBJECTIVE: To assess correlation between findings at standard laparoscopy and office flexible culdoscopy. DESIGN: Observational study (Canadian Task Force classification II-1). SETTING: University-affiliated hospital. PATIENTS: Ele…

Excision of endometriotic lesions allows the diagnosis to be confirmed and may provide long-term relief of symptoms. Laparoscopic excision is generally accepted for treatment of all stages of disease and can be accomplished safely with lase…

Study objectiveTo evaluate the efficacy of conservative laparoscopic surgery in a series of patients with stage III-IV endometriosis.DesignProspective study (Canadian Task Force classification II-1).SettingUniversity-affiliated hospital.Pat…

STUDY OBJECTIVE: To evaluate the ability to treat ovarian retention syndrome (ORS) by operative laparoscopy. DESIGN METHODS: Retrospective observational analysis (Canadian Task Force classification II-2). SETTING: Pelvic pain referral pra…

Study objectiveTo describe and assess the efficacy of laparoscopic surgical treatment for patients with pain and deep endometriosis located on the uterosacral ligaments.DesignRetrospective analysis (Canadian Task Force classification II-2).…

STUDY OBJECTIVE: To draw a map of pelvic pain and quantify the level of provoked pain during minilaparoscopy under local anesthesia and conscious sedation. DESIGN: Observational study (Canadian Task Force classification II-2). SETTING: Un…

Study objectiveTo determine if women undergoing presacral neurectomy, hysterectomy, or other gynecologic surgery experience a greater frequency of constipation than those having no surgery.DesignConcurrent, nonrandomized, retrospective stud…

Because total laparoscopic hysterectomy (TLH) is technically challenging, laparoscopic-assisted vaginal hysterectomy is often the operation of choice, even in patients in whom it may not be successful. To encourage greater performance of TL…

Fistulas between the anorectum and vagina may arise from several causes. Treatment depends on their etiology and location, as well as the surgeon's experience. Operative laparoscopy was successful in two women with type IV (mid)rectovaginal…

Study objectiveTo assess long-term costs of resectoscopic endometrial ablation versus hysterectomy in women with menorrhagia.DesignControlled cohort study (Canadian Task Force classification II-2).SettingMultispeciality group practice.Patie…

Study objectiveTo determine by patient-assisted laparoscopy (PAL) the relationship of lesions of endometriosis to pelvic pain.DesignProspective non-randomized study (Canadian Task Force classification II-1).SettingUniversity based facility.…

STUDY OBJECTIVE: To evaluate the safety of diagnostic and operative microlaparoscopy performed in the office under local anesthesia in the diagnosis and treatment of chronic pelvic pain. DESIGN: Prospective study (Canadian Task Force class…

Laparoscopic presacral neurectomy is a safe, effective, and well-established surgical procedure to relieve intractable dysmenorrhea and chronic pelvic pain. In one woman, substantial lymphatic leakage occurred due to damaged lymphatic vesse…

Pelvic pain mapping during laparoscopy performed under conscious sedation can provide useful information about visceral and somatic sources of chronic pelvic pain. Diagnostic superior hypogastric plexus block can be performed under direct l…