The Journal of the American Association of Gynecologic Laparoscopists

To establish a protocol for conscious sedation in microlaparoscopy, we conducted a prospective, observational study of 74 women undergoing the procedure under local anesthesia with conscious sedation for the evaluation and treatment of chro…

Study objectiveTo assess the efficacy of 13CO2 laser laparoscopy in treating infertile women with minimal to mild endometriosis according the American Fertility Society classification in terms of pregnancy rates.DesignProspective study.Sett…

Study objectivesTo evaluate the experiences of women who underwent laparoscopic leiomyoma coagulation (myolysis) alone and those who had myolysis in conjunction with transcervical endomyometrial resection (TEMR), transcervical electrosurgic…

Study objectiveTo assess health and fertility status among women after surgical treatment of endometriosis.DesignProspective study.SettingCommunity-based gynecologic specialty practice.PatientsTwo hundred ninety women with newly diagnosed e…

Study objectiveTo assess the efficacy of laser laparoscopic photocoagulation of endometriomas (2-18 cm) in patients with pain, infertility, or a combination of the two.DesignRetrospective review of all patients with endometriomas from June …

STUDY OBJECTIVE: To assess the effectiveness, in terms of pregnancy rates, of isotopic 13CO2 laser laparoscopy versus traditional laparoscopy or laparotomy in the treatment of infertile women with moderate or severe endometriosis. DESIGN: …

STUDY OBJECTIVE: To compare the outcome of in vitro fertilization and embryo transfer (IVF-ET) after laparoscopic surgery in women with endometriosis with that of patients with tubal factor infertility. DESIGN: Retrospective survey of hosp…

Study objectiveTo compare the histology of ovarian endometriomas (OE) with that of pelvic wall-infiltrating endometriosis (PWIE) in an attempt to elucidate their histopathologic and clinical differences.DesignRetrospective histologic study.…

Study objectiveTo evaluate the extent of adhesion formation after laparoscopic removal of endometriomas.DesignProspective case series.SettingA university hospital.PatientsNineteen infertile women with ovarian endometriomas.InterventionsAll …

A retrospective study evaluated the feasibility and safety of operative gynecologic procedures performed in an ambulatory surgical center. Between July 1993 and December 1995, 5766 women (mean age 36.9 yrs, range 13-95 yrs) who were referre…

Forty-one women underwent laparoscopic argon-enhanced electrosurgery, 17 for ovarian endometriomas and peritoneal endometriosis, 5 for dermoids, 11 for deep endometriosis of uterosacral ligaments, and 8 for tubal infertility. Argon-enhanced…

Surgical treatment of endometriosis removes endometrial implants, but leaves the systemic disease intact. The diagnosis of the disease includes (needle) microlaparoscopy with conscious pain mapping under local anesthesia. Treatment is opera…

An observational prospective cohort study was conducted with a historical control group and 140 infertile women with the laparoscopic diagnosis of ovarian endometrioma over 1 cm diameter. The groups were comparable regarding age, duration o…

Using chart review, telephone interviews, and questionnaires, we compared resectoscopic specimen findings in 63 consecutive women who underwent partial wire loop endomyometrial resection with rollerball endometrial ablation in early 1994, a…

From September 1993 to July 1995, 63 women (mean age 38 yrs, range 26-53 yrs, parity 0-7) with chronic pelvic pain (CPP) and menorrhagia underwent outpatient laparoscopic surgery and endometrial ablation. Operating time ranged from 9 to 110…

Ten years of clinical evaluations of women with chronic pelvic pain resulted in concern that diagnostic laparoscopic surgery is performed too frequently in these patients. Of 500 women, the pain was due to urologic, myofascial, musculoskele…

Gonadotropin-releasing hormone (GnRH) agonists are widely administered to treat endometriosis, but generally are not prescribed for more than 6 months since they are associated with vasomotor symptoms and bone loss. A GnRH agonist and stero…

From April 1, 1995, to December 31, 1995, 45 patients undergoing diagnostic or operative laparoscopy for infertility, pelvic pain, or both, were found to have endometriosis. No woman had undergone any preoperative medical or surgical treatm…

Laparoscopic excision of deeply infiltrating endometriosis in the cul-de-sac or the rectovaginal septum by means of electrosurgery or laser is performed frequently. Little is known about the long-term results or complications of this surger…

Evaluating patients with chronic pelvic pain is complex. A detailed medical history should be ideally supplemented by psychologic evaluation and assessment of the woman's social background. At the time of physical examination, the location …

Study objectiveTo evaluate the stress hormone response after pelvic surgery performed by laparoscopy versus laparotomy.DesignProspective study.SettingA tertiary care university hospital.PatientsTen women were scheduled to undergo laparoscop…

In this prospective cohort study, 30 women diagnosed at laparoscopy with mild endometriosis were treated expectantly and followed for 10 years. Eleven women had primary infertility and 19 secondary infertility. Before the diagnosis of endom…

To ascertain whether treatment with a gonadotropin-releasing hormone agonist before endometrial resection reduces absorption of distention fluid and operating time, facilitates the procedure, and improves long-term bleeding pattern, 71 meno…

Retrospective analysis of 200 laparoscopic hysterectomies performed from June 1991 to July 31, 1995, showed the main indications to be symptomatic uterine fibroids, advanced endometriosis, chronic pelvic inflammatory disease, and endometria…