Uterine suspension through the laparoscope.

Mann WJ, Stenger VG
Obstetrics and gynecology · 1978 · doi:10.1097/00006250-197805000-00011 · PMID:148600
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Laparoscopic uterine suspension was performed in 20 patients with infertility and pelvic pain, demonstrating a brief operative time and short hospital stay despite the risk of round ligament avulsion.

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This 1978 study evaluates a laparoscopic uterine suspension technique performed on twenty patients as a conservative intervention for infertility and pelvic pain. The authors report that the procedure is technically straightforward for skilled surgeons, resulting in brief operating times and short hospital stays. However, they identify avulsion of the round ligament as the most significant complication encountered during the series. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

We present a series of 20 patients who underwent uterine suspension performed through a laparoscope, as part of conservative treatment for infertility and pelvic pain. The operative technique is easily mastered by a skilled laparoscopist who is prepared to deal with intra- or postoperative complications. Avulsion of the round ligament was the most serious complication experienced. Operating time was brief, and the hospital stay was short.
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Uterine Suspension Through the Laparoscope: PDF Only Uterine Suspension Through the Laparoscope - WILLIAM J. MANN - VINCENT G. STENGER Obstetrics & Gynecology 51(5):p 563-566, May 1978. We present a series of 20 patients who underwent uterine suspension performed through a laparoscope, as part of conservative treatment for infertility and pelvic pain. The operative technique is easily mastered by a skilled laparoscopist who is prepared to deal with intra- or postoperative complications. Avulsion of the round ligament was the most serious complication experienced. Operating time was brief, and the hospital stay was short. Copyright © 1978 The American College of Obstetricians and Gynecologists

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