The Journal of the American Association of Gynecologic Laparoscopists
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J Am Assoc Gynecol Laparosc · May 1997
Comparative StudyTransvaginal sonographic and hysteroscopic findings in postmenopausal women receiving tamoxifen.
To evaluate the effect of tamoxifen on the endometrium. ⋯ Women receiving tamoxifen, especially those who are asymptomatic, should be closely monitored by transvaginal sonography and hysteroscopy to detect endometrial pathologies.
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J Am Assoc Gynecol Laparosc · May 1997
Comparative StudyReproductive performance of women with uterine anomalies after abdominal or hysteroscopic metroplasty or no surgical treatment.
To evaluate reproductive performance in women with a confirmed uterine anomaly treated by abdominal or hysteroscopic metroplasty, or by no surgical procedure. ⋯ Hysteroscopic metroplasty has replaced abdominal metroplasty in the treatment of septate uterus. It improves the fetal survival rate in women with repeated miscarriage. It does not enhance pregnancy rates in infertile women with septate uterus, but as a minimally invasive uterine repair, it may be carried out before assisted reproduction. Pregnancy in the septate uterus can also progress without any surgical treatment. Metroplasty seems to prevent breech delivery and to decrease the cesarean section rate, which are potential benefits.
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J Am Assoc Gynecol Laparosc · May 1997
Monitoring fluid absorption using 1% ethanol-tagged glycine during operative hysteroscopy.
To assess the value of expired breath ethanol as a marker of irrigating fluid absorption during hysteroscopic surgery using 1% ethanol-tagged 1.5% glycine. ⋯ As it is not possible to distinguish direct and indirect fluid absorption during hysteroscopic surgery, measuring expired breath ethanol is insufficient to assess overall fluid balance, and continuous volumetric assessment is still required.
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J Am Assoc Gynecol Laparosc · Nov 1996
Comparative StudyA cost-effectiveness evaluation of laparoscopic disposable versus nondisposable infraumbilical cannulas.
To compare the safety and cost-effectiveness of disposable and nondisposable infraumbilical laparoscopic cannulas. ⋯ Disposable cannulas were not cost effective and were associated with a higher but not statistically significant complication rate. Therefore, the more expensive disposable cannulas are not recommended.
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J Am Assoc Gynecol Laparosc · Aug 1996
Randomized Controlled Trial Clinical TrialThe degree of fluid absorption during hysteroscopic surgery in patients pretreated with goserelin.
To assess the effects of pretreatment with the gonadotropin-releasing hormone analog goserelin on fluid absorption in patients undergoing hysteroscopic endometrial ablation. ⋯ Based on these results we conclude that in women undergoing hysteroscopic endometrial ablation, pretreatment with goserelin may decrease the absorption of hysteroscopic medium, prevent fluid overload, and improve the outcome possibly by causing hypovascularity and decreased endometrial growth.