The Journal of the American Association of Gynecologic Laparoscopists
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J Am Assoc Gynecol Laparosc · May 2003
Randomized Controlled Trial Comparative Study Clinical TrialChance of adhesion formation after laparoscopic salpingo-ovariolysis: is there a place for second-look laparoscopy?
To evaluate the chance of adhesion formation after laparoscopic salpingo-ovariolysis and determine the efficacy of early second-look laparoscopy (SLL). ⋯ The chance of moderate and severe adhesion reformation after laparoscopic salpingo-ovariolysis was 40.2%. Although separation of these adhesions could be performed more easily at the time of early SLL, the chance of pregnancy did not increase compared with that in patients who did not undergo SLL.
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J Am Assoc Gynecol Laparosc · May 2003
Comparative StudyNeuroendocrine stress response in patients undergoing benign ovarian cyst surgery by laparoscopy, minilaparotomy, and laparotomy.
To quantify and compare neuroendocrine stress responses during and immediately after surgery by laparoscopy, minilaparotomy, and laparotomy for benign ovarian cysts. ⋯ Laparoscopic surgery causes minimal activation of stress hormones, which in some instances is confined to the intraoperative period. Minilaparotomy may be a valid alternative to laparoscopy in high-risk patients who cannot tolerate abdominal distention.