The Journal of the American Association of Gynecologic Laparoscopists

STUDY OBJECTIVE: To determine how the integration of laparoscopic-assisted hysterectomy (LAVH) and endometrial ablation into a health maintenance organization's (HMO) gynecologic practice affected quality of care and operating costs. DESIG…

STUDY OBJECTIVE: To correlate Chlamydia trachomatis IgG titers with endosalpingiosis. DESIGN: Prospective, single-blind, histologic analysis of tissue, and retrospective analysis of historical laboratory and clinical variables. SETTING: A…

STUDY OBJECTIVE: To establish a hysteroscopic classification of endometrial lesions based on a combined score: DESIGN: A prospective study to grade four features of endometrial lesions (thickness, surface, color, vascularization) and subdi…

The use of the carbon dioxide (CO2) laser for laparoscopic enterocele repair was evaluated in four women with an enterocele as the only pathology. Three women had a large enterocele after earlier hysterectomy, and one young woman had a cong…

STUDY OBJECTIVE: To determine the differences between laparoscopic oophorectomies and oophorectomies performed by laparotomy with respect to total hospital cost, length of hospital stay, and operative time. DESIGN: A prospective analysis o…

The ClearView Uterine Manipulator was compared with the Cohen acorn-tipped cannula for efficacy and safety in patients undergoing laparoscopy at the University of Utah Medical Center. Fifty consecutive patients were randomized by computer t…

STUDY OBJECTIVE: To determine the effectiveness of transcervical endometrial ablation or endomyometrial resection for treating refractory postmenopausal uterine bleeding induced by hormone replacement therapy (HRT). DESIGN: Prospective obs…

Twenty-one patients with stage 3 or 4 endometriosis in the pouch of Douglas had combined laparovaginal surgery using the Maher abdominal wall elevator. Opening the pouch of Douglas at the beginning of the operation allowed the combined surg…

An uneventful chromopertubation was performed with methylene blue dye during diagnostic laparoscopy for infertility. Approximately 24 hours later the woman experienced acute abdominal distention and pain. Emergency exploratory laparotomy re…

The overall frequency of ureteral injury during laparoscopic adnexectomy for endometriosis is unknown, and intestinal obstruction after laparoscopy is rare. Our patient had two postoperative complications: small bowel obstruction and bilate…

The use of the Laparosonic Coagulating Shears (LCS) for laparoscopic-assisted vaginal hysterectomy (LAVH) was evaluated in three women. The indications for surgery included chronic pelvic pain, adhesions, endometriosis, symptomatic uterine …

Intramural pregnancy is one of the rarest forms of ectopic pregnancy, with only 16 cases reported thus far. The diagnosis is almost invariably retrospective after hysterectomy. I believe this is the first documented case of an intramural pr…

The management of bladder injuries at laparoscopy is controversial. Some endoscopists believe in mandatory open repair, whereas others recommend laparoscopic cystotomy repair. We performed laparoscopy to treat two women with bladder injury,…

STUDY OBJECTIVE: To evaluate the effectiveness of laparoscopic surgical treatment for women with chronic pelvic pain. DESIGN: Prospective evaluation of women treated consecutively between January 1, 1989, and December 31, 1992. SETTING: A…

STUDY OBJECTIVES: To assess retrospectively the prevalence of colon-to-pelvic sidewall adhesions associated with pelvic pain or pelvic endometriosis, and to evaluate prospectively their prevalence compared with controls. DESIGN: A retrospe…

STUDY OBJECTIVE: To assess the efficacy of operative laparoscopy to confirm the diagnosis of benign adnexal masses, and treat the lesions. DESIGN: Consecutive patients evaluated for this indication between January 1989 and December 1993, w…

STUDY OBJECTIVE: To evaluate the feasibility, safety, histology, and outcome after appendectomy in women undergoing operative laparoscopy for chronic right lower quadrant pelvic pain. DESIGN: Prospective evaluation since January 1992. SET…

Seventy-three women experienced bilateral proximal tubal occlusion caused by adhesions or polyps arising from the uterotubal junction in at least one tube. There were no other identifiable causes of infertility. All patients were treated wi…

Ninety-three women in whom conservative surgical therapy for chronic pelvic pain failed required hysterectomy for control of their disabling condition. In 22 of these 93 patients (24%), adenomyosis was the major pathologic finding. In 10 of…

A randomized controlled trial of 160 patients undergoing endometrial laser ablation (ELA) was performed. Patients selected for ELA were randomized to receive either danazol or the GnRH analog Zoladex. Eighty patients were allocated to each …

STUDY OBJECTIVE: To assess laparoscopic-assisted vaginal hysterectomy (LAVH) by operative intervention, recovery time, morbidity, and patient satisfaction. DESIGN: A retrospective, cohort study conducted from 1990 to 1992. SETTING: Two co…

Psammoma bodies are discrete forms of dystrophic calcification which represent cross-sections of calcified papillary formations. At laparoscopy, these have been confused with both endometriosis and cancer. A recent abstract (Khare et al: AA…