The Journal of the American Association of Gynecologic Laparoscopists

STUDY OBJECTIVE: To assess long-term costs of resectoscopic endometrial ablation versus hysterectomy in women with menorrhagia. DESIGN: Controlled cohort study (Canadian Task Force classification II-2). SETTING: Multispeciality group prac…

STUDY OBJECTIVE: To determine by patient-assisted laparoscopy (PAL) the relationship of lesions of endometriosis to pelvic pain. DESIGN: Prospective non-randomized study (Canadian Task Force classification II-1). SETTING: University based…

STUDY OBJECTIVE: To evaluate the safety of diagnostic and operative microlaparoscopy performed in the office under local anesthesia in the diagnosis and treatment of chronic pelvic pain. DESIGN: Prospective study (Canadian Task Force class…

Laparoscopic presacral neurectomy is a safe, effective, and well-established surgical procedure to relieve intractable dysmenorrhea and chronic pelvic pain. In one woman, substantial lymphatic leakage occurred due to damaged lymphatic vesse…

Pelvic pain mapping during laparoscopy performed under conscious sedation can provide useful information about visceral and somatic sources of chronic pelvic pain. Diagnostic superior hypogastric plexus block can be performed under direct l…

STUDY OBJECTIVE: To assess the efficacy of endometrial resection for treatment of menorrhagia in women to whom no preoperative agent was given to prepare the endometrium. DESIGN: Retrospective analysis of patients' records for all endometr…

To establish a protocol for conscious sedation in microlaparoscopy, we conducted a prospective, observational study of 74 women undergoing the procedure under local anesthesia with conscious sedation for the evaluation and treatment of chro…

STUDY OBJECTIVE: To present the technique and usefulness of conscious pain mapping. DESIGN: Prospective, observational study (Canadian Task Force classification II-2). SETTING: Gynecology departments of a university-affiliated hospital an…

STUDY OBJECTIVE: To assess the efficacy of 13CO2 laser laparoscopy in treating infertile women with minimal to mild endometriosis according the American Fertility Society classification in terms of pregnancy rates. DESIGN: Prospective stud…

STUDY OBJECTIVE: To evaluate the effectiveness of transcervical resection of the endometrium and indications for late reoperation. DESIGN: Retrospective study. SETTING: Central hospital in northern Norway. PATIENTS: Two hundred fifty wom…

STUDY OBJECTIVES: To evaluate the experiences of women who underwent laparoscopic leiomyoma coagulation (myolysis) alone and those who had myolysis in conjunction with transcervical endomyometrial resection (TEMR), transcervical electrosurg…

STUDY OBJECTIVE: To assess health and fertility status among women after surgical treatment of endometriosis. DESIGN: Prospective study. SETTING: Community-based gynecologic specialty practice. PATIENTS: Two hundred ninety women with new…

STUDY OBJECTIVE: To assess the efficacy of laser laparoscopic photocoagulation of endometriomas (2-18 cm) in patients with pain, infertility, or a combination of the two. DESIGN: Retrospective review of all patients with endometriomas from…

STUDY OBJECTIVE: To assess the effectiveness, in terms of pregnancy rates, of isotopic 13CO2 laser laparoscopy versus traditional laparoscopy or laparotomy in the treatment of infertile women with moderate or severe endometriosis. DESIGN: …

STUDY OBJECTIVE: To evaluate the prevalence of resumption of menstruation after an interval of amenorrhea in women treated by endometrial ablation and myometrial resection. DESIGN: Retrospective analysis. SETTING: Tertiary care university…

STUDY OBJECTIVE: To compare the outcome of in vitro fertilization and embryo transfer (IVF-ET) after laparoscopic surgery in women with endometriosis with that of patients with tubal factor infertility. DESIGN: Retrospective survey of hosp…

STUDY OBJECTIVE: To compare the histology of ovarian endometriomas (OE) with that of pelvic wall-infiltrating endometriosis (PWIE) in an attempt to elucidate their histopathologic and clinical differences. DESIGN: Retrospective histologic …

STUDY OBJECTIVE: To evaluate the extent of adhesion formation after laparoscopic removal of endometriomas. DESIGN: Prospective case series. SETTING: A university hospital. PATIENTS: Nineteen infertile women with ovarian endometriomas. I…

A retrospective study evaluated the feasibility and safety of operative gynecologic procedures performed in an ambulatory surgical center. Between July 1993 and December 1995, 5766 women (mean age 36.9 yrs, range 13-95 yrs) who were referre…

Forty-one women underwent laparoscopic argon-enhanced electrosurgery, 17 for ovarian endometriomas and peritoneal endometriosis, 5 for dermoids, 11 for deep endometriosis of uterosacral ligaments, and 8 for tubal infertility. Argon-enhanced…

Surgical treatment of endometriosis removes endometrial implants, but leaves the systemic disease intact. The diagnosis of the disease includes (needle) microlaparoscopy with conscious pain mapping under local anesthesia. Treatment is opera…

An observational prospective cohort study was conducted with a historical control group and 140 infertile women with the laparoscopic diagnosis of ovarian endometrioma over 1 cm diameter. The groups were comparable regarding age, duration o…