The Journal of the American Association of Gynecologic Laparoscopists
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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.
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J Am Assoc Gynecol Laparosc · May 1996
Case ReportsHysteroscopic extraction of a vaginal foreign body in a child.
A 3.5-year-old girl had a persistent, foul-smelling, blood-tinged vaginal discharge. She was initially treated for recurrent and persistent vulvovaginitis, which resulted in no improvement. Vaginoscopy revealed an intravaginal foreign body, which was removed successfully by hysteroscopy. We believe hysteroscopy is safe, convenient, effective, and easy to perform, even in a child.
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Evaluating patients with chronic pelvic pain is complex. A detailed medical history should be ideally supplemented by psychologic evaluation and assessment of the woman's social background. At the time of physical examination, the location and intensity of the pain should be mapped. ⋯ Management should address the underlying cause(s) of pain; when this cannot be done, it should focus on treating the pain itself. When appropriate, empiric administration of antidepressants may be considered. In selected women, therapeutic goals may be achieved by electrical stimulation of nerves.
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We developed a simplified technique for closing laparoscopic cannula sites. Its advantages are simplicity, speed, reproducibility, and cost-effectiveness. It requires no laparoscopic assistance or specialized instruments.
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J Am Assoc Gynecol Laparosc · Nov 1995
Multicenter Study Clinical Trial100 laparoscopic hysterectomies in private practice and visiting professorship programs.
To evaluate 100 laparoscopic hysterectomies and their variations in private practice and visiting professorship programs. ⋯ Hysterectomy performed or aided by the laparoscope, whether LH, LAVH, or SLH, is effective and safe as long as at least one member of the surgical team is an experienced and appropriately trained laparoscopic surgeon. Further studies are necessary to determine if the credentialing process for advanced laparoscopic surgery would be facilitated by a visiting professorship program.