The Journal of the American Association of Gynecologic Laparoscopists

From February 1992 through March 1995, 167 women (mean ± SEM age 44.7 ± 0.3 yrs, range 22-52 yrs) with symptomatic leiomyomata underwent laparoscopic leiomyoma bipolar coagulation. Women with chronic menorrhagia had concomitant transcervica…

We evaluated the outcome of laparoscopic closure of intentional or unintentional bladder openings during operative laparoscopy. The unintentional cystotomies occurred in six women during ancillary suprapubic cannula insertion (1), sharp dis…

Laparoscopic myomectomy was evaluated in 178 women, most of whom underwent the procedure for infertility or other gynecologic disorders associated with myomas (endometriosis, ovarian masses, genital malformations, tubal obstruction, etc.). …

We evaluated the safety of laparoscopic removal of the cervical stump after supracervical hysterectomy. In six women the cervical stump was left due to the presence of severe endometriosis or adhesions in the posterior cul-de-sac between th…

From October 1992 to February 1996, 1506 gynecologic surgeries were performed in our hospital. Of these, 270 (17.9%) were done by laparoscopy: 204 (75.5%) operative and 66 (24.5%) diagnostic. The procedures were 59 (28.9%) hysterectomies, 1…

We define ovarian retention pathology as the complications (cystic, degenerative, adhesions, endometriosis, pain, etc.) attributed to ovaries deliberately retained at the time of hysterectomy. We established a protocol for laparoscopy in th…

Between March 1994 and November 1995 I performed 54 laparoscopic procedures for chronic pelvic pain. Severe (grade 4) endometriosis was found in nine women. Operating time in these women ranged from 90 to 210 minutes and the average hospita…

Thanks to advances in endoscopic technique and instrumentation, it is possible to remove endometrial cysts by laparoscopy, including total ablation of the cyst capsules. It is difficult to make a clear diagnosis laparoscopically, because so…

Study objectiveTo compare the efficacy of laparoscopy versus microsurgery by laparotomy in the treatment of ovarian endometriomas.DesignRetrospective study with historical controls.SettingA tertiary university hospital.PatientsOne hundred t…

Study objectivesTo evaluate the accuracy of magnetic resonance imaging (MRI) for diagnosing nodular adenomyosis by percutaneous myometrial biopsies.DesignProspective observational study.SettingGynecology department of community hospitals.Pa…

Eight cases of large vessel laceration occurred during operative laparoscopy, but were not related to cannula or Veress needle injury. Four injuries were managed at laparoscopy. One patient was operated on by us. We reviewed four cases for …

We assessed the utility, tolerance, and costs associated with office microlaparoscopy under local anesthesia using fiberoptic microlaparoscopes (<2 mm) and accessory instrumentation (<2 mm) for 100 of the following procedures: diagnostic la…

Ovarian remnant syndrome is a rare complication of total abdominal hysterectomy and bilateral salpingo-oophorectomy (BSO). Ovarian enlargement and dense periovarian adhesions are the predisposing factors. Recurrent ovarian remnant syndrome …

With the development of better optics, laparoscopes of small diameter now give the surgeon the same view as large 10-mm laparoscopes. This in turn, allows laparoscopy to be performed with local rather than general anesthesia. Because the re…

Traditionally, surgeons had to diagnose endometriosis and determine themselves which lesions were painful, since the patients were anesthetized. Performing laparoscopy under local anesthesia allows the woman to assist the physician in decid…

Operative resectoscopy and endometrial ablation are often performed to treat abnormal uterine bleeding, but little is known about the potential late complications of these procedures. We reviewed the records of 305 women who underwent endom…

Unilateral or bilateral cystectomy for endometriomas was performed in 90 infertile women. Using a multipuncture technique, a cortical incision was made on the medial aspect of the ovary with sharp-tipped unipolar coagulation. Cystectomy was…

It has been suggested that atypical, nonpigmented endometriotic lesions have an increased capacity to synthesize prostaglandin (PG)F2alpha compared with typical endometriosis, and could therefore represent the more active forms of the disea…

Study objectiveTo evaluate the effect of fibrin glue on the formation of adhesions after laparoscopic excision of endometriomas.DesignProspective case series.SettingDepartment of Obstetrics and Gynecology at a university-affiliated hospital…

We conducted a retrospective review of 404 cases of operative resectoscopy and endometrial ablation in women with intractable uterine bleeding, performed at our institutions between July 1990 and May 1995. After the procedure 97% of patient…

Study objectivesTo assess the efficacy of salpingoscopy as a routine part of the infertility work-up by comparing laparoscopic findings with salpingoscopic findings, and to match the pregnancies achieved by the patients with findings obtain…

Second-look laparoscopy performed a short time after corrective surgery to determine reproductive function has always been controversial. The need for general anesthesia and additional abdominal wall trauma make it unpopular. However, postp…

Since 1989 more than 1200 office-based endoscopies have been performed at our facility. Visualization was initially achieved with 1.6-mm optical catheters, but recently, we have used larger-diameter fiber and glass rod endoscopes. Ancillary…

The syndrome of chronic pelvic pain without an obvious pathology has been described as pelvic congestion (Taylor) syndrome. It is frequently associated with continuous bilateral lower abdominal pain and dyspareunia. Pelvic examination revea…

Study objectiveTo establish the crude effects of danazol and gonadotropin-releasing hormone (GnRH) analogs in the management of endometriosis.DesignProspective case-control study.SettingUnit of the Pathophysiology of Reproduction outpatient…