Journal of minimally invasive gynecology
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J Minim Invasive Gynecol · Jul 2005
Randomized Controlled Trial Clinical TrialPreemptive analgesia installation during gynecologic laparoscopy: a randomized trial.
To evaluate the efficacy of intraoperative infusion of bupivacaine solution for the relief of pain after operative gynecologic laparoscopy. ⋯ Intraperitoneal bupivacaine administration both immediately after placement of trocars and at the end of surgery was found to be effective in reducing the intensity of AVP but not in reducing STP, APP, or postoperative analgesia consumption after nonadvanced gynecologic laparoscopic procedures. The duration of the analgesic effect of bupivacaine instilled into the peritoneal cavity did not exceed 8 hours and probably was not dose related.
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J Minim Invasive Gynecol · Jul 2005
Comparative StudyOffice hysteroscopic sterilization compared with laparoscopic sterilization: a critical cost analysis.
To evaluate the actual cost difference in performing Essure hysteroscopic sterilization in the office compared with ambulatory surgery using laparoscopic sterilization in the operating room. ⋯ In our institution and in our experience, office-hysteroscopic placement of the Essure device is a more cost-effective method than laparoscopic tubal ligation.
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J Minim Invasive Gynecol · May 2005
Randomized Controlled Trial Multicenter Study Clinical TrialPreemptive port site local anesthesia in gynecologic laparoscopy: a randomized, controlled trial.
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J Minim Invasive Gynecol · Mar 2005
Comparative StudyOperative management of deeply infiltrating endometriosis: results on pelvic pain symptoms according to a surgical classification.
To assess the results of complete surgical excision for patients with painful functional symptoms in a context of histologically proven deeply infiltrating endometriosis (DIE). ⋯ Complete surgical excision of DIE lesions results in a statistically significant reduction in painful functional symptoms. These results are observed whatever the main location of DIE lesions. The patients' preoperative characteristics have no significant influence on the result.
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J Minim Invasive Gynecol · Mar 2005
Comparative StudyTotal laparoscopic radical hysterectomy (type II-III) with pelvic lymphadenectomy in early invasive cervical cancer.
To describe the feasibility and outcome of total laparoscopic radical hysterectomy with pelvic lymphadenectomy in early cervical cancer. ⋯ Radical hysterectomy can be successfully completed by laparoscopy in patients with early cervical cancer. This procedure may reduce the morbidity associated with abdominal or transvaginal radical hysterectomy.