The Journal of the American Association of Gynecologic Laparoscopists

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…

A 32-year-old infertile woman with a 9-cm right ovarian endometrioma with severe adhesions to nearby organs was treated with coagulation of the surface of the endometrioma during laparoscopy. Ultrasonography 6 months later showed a normal p…

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…

We assessed the efficacy of different methods of diagnosing and correcting uterine septa in 80 women. Hysterosalpingography revealed a uterine malformation, but failed to specify its character, and ultrasound scan was performed to screen th…

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 …

Transvaginal sonography made a preoperative diagnosis of ovarian endometriotic cyst in 45 women (age 20-45 yrs). The cyst was unilocular in 37 patients and multilocular in the rest. Intracystic projections were noted in seven. Doppler studi…

STUDY OBJECTIVE: To evaluate the stress hormone response after pelvic surgery performed by laparoscopy versus laparotomy. DESIGN: Prospective study. SETTING: A tertiary care university hospital. PATIENTS: Ten women were scheduled to unde…

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…

We prospectively compared five methods of interval tubal sterilization: minilaparotomy Pomeroy (ML), laparoscopic coagulation (C), laparoscopic Falope ring (FR), laparoscopic Pomeroy with endoloops (E), and laparoscopic Hulka clip (H). The …

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…

Hysteroscopy is a reliable procedure not only for diagnosis, but also for office treatment of uterine pathologies that, until recently, required general or at least topical anesthesia. The vaginoscopic approach without a speculum and tenacu…

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…

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 OBJECTIVE: To compare the efficacy of laparoscopy versus microsurgery by laparotomy in the treatment of ovarian endometriomas. DESIGN: Retrospective study with historical controls. SETTING: A tertiary university hospital. PATIENTS:…