The Journal of reproductive medicine

Previous studies have shown that simple hysterectomy with both ovaries left intact may cause ovarian failure. Questionnaires on climacteric symptoms were mailed to 243 patients between 27 and 42 years old who had been hysterectomized during…

Seventy-nine cases of ovarian endometrioma were treated via the laparoscope. The surgical technique gradually evolved from drainage alone to fulguration and finally to excision of the endometrioma cyst wall. Indications for laparoscopy were…

A new second-puncture probe system was designed for aiming and firing the CO2 laser under laparoscopic control. The probe allows simultaneous suction of the smoke from vaporization and insufflation of fresh CO2 for maintenance of an adequat…

We studied the incidence of Chlamydia trachomatis colonization of the cervix in pregnant adolescents and analyzed the effect of such colonization on pre-, intra-and postpartum events. A significant increase in post-vaginal-delivery endometr…

Clinical findings in a group of infertile patients with endometriosis were reviewed to determine if minimal (focal) disease exerted an effect on reproductive outcome. Focal disease, defined as isolated implants less than or equal to 5 mm wi…

Both medical and surgical therapy have been used in the treatment of infertility associated with endometriosis. Danazol has been used following screening laparoscopy to avoid the discomfort, expense and risk of laparotomy. The CO2 laser off…

Dysmenorrhea affects over 50% of menstruating women and causes extensive personal and public health problems, a high degree of absenteeism and severe economic loss. In primary dysmenorrhea there is no macroscopically identifiable pelvic pat…

Pelviscopic surgery has been reported to reduce costs and recovery time for patients undergoing a variety of procedures, including oophorectomy, salpingo-oophorectomy, treatment of endometriosis, and removal of adhesions, ovarian cysts and …

Twenty-three (27.3%) of 84 patients discharged with the diagnosis of endometriosis had undergone tubal ligation 1-15 years (mean, 5) before this diagnosis was made. Twenty (87%) of the 23 underwent laparotomy because of symptoms consistent …

The charts of 128 infertile patients with laparoscopically confirmed endometriosis for the seven years ending in June 1980 were reviewed. The patients were staged according to the American Fertility Society classification. All couples under…

Assuming that a surgeon could have a laser available during every laparoscopic procedure, two pertinent questions would need to be addressed. First, how often can, or should, one use the laser laparoscope? Second, what are its advantages ov…

Failure to extrude an ovum, with subsequent luteinization of the unruptured follicle (LUF), has been proposed as a cause of infertility in women with mild endometriosis. To assess the incidence of this process we performed laparoscopies in …

Our prospective study evaluated the efficacy of the Nd:YAG laser (MMB-AT MediLas 2) for early-stage clinical endometriosis. Patients with suspected endometriosis underwent diagnostic laparoscopy, and if mild or moderate pelvic endometriosis…

Four hundred eighty-five cases of histologically proven adenomyosis were reviewed to determine if that condition might have been induced by transplanted endometrium at the time of cesarean section. The rate of cesarean section in the study …

The significance of the endometrial lesion known as subacute focal inflammation (SFI) (or the more descriptive term lymphoid aggregates [LA]) as a factor in reproductive failure is controversial. We correlated the pelvic findings of 262 con…

In a pilot study involving 44 patients on combined chemotherapy for epithelial ovarian carcinoma, cul-de-sac aspiration cytology was compared with second-look surgery in the evaluation of disease status. There was a 92% correlation. Our pre…

Danazol is a widely used drug that causes few major adverse reactions, most of which are rapidly reversible upon cessation of therapy. While the list of pharmacologic agents capable of causing hearing loss continues to grow, no published re…

Laparoscopy and hysteroscopy were undertaken simultaneously in 497 women presenting with otherwise unexplained infertility. Of them, 285 complained of primary infertility and 212 of secondary infertility. Laparoscopic evidence of pelvic inf…

Management of a normal-appearing ovary at the time of hysterectomy in a patient with endometriosis externa is controversial. Our experience supports the contention that such ovaries should not be conserved at the time of surgery intended to…

More than 100 years after the first description of endometriosis, the pathophysiology of the disorder still remains an enigma. In addition to infertility, an increased frequency of clinically apparent spontaneous abortions (32% vs. 8-15% in…

While endometriosis is a commonly encountered surgical problem, involvement of the gastrointestinal tract is infrequent and appendiceal involvement rate. Intussusception of the appendix is more frequent. Accordingly, the concurrence of appe…

Surgical techniques and practices for conservative endometriosis surgery began developing in the U.S. They led naturally to contemporary concepts and to the rationale for use of the techniques.

This symposium reviewed current knowledge about the treatment of menorrhagia or excessive menstrual bleeding. In the absence of an organic cause medical treatment is preferred over surgical treatment especially if the patient desires future…

In a study of internal genital infection and endometriosis, gynecologic examinations discovered only 46 patients (14.9%) with these abnormalities out of 308, but laparoscopic examinations of the same patients detected far more patients with…