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Twenty-five women with pelvic abscess were treated laparoscopically. Following intravenous antibiotic coverage, laparoscopic surgical techniques were utilized to lyse bowel adhesions, drain purulent fluid, and excise acute and necrotic inflammatory adhesions, including tuboovarian adhesions. Treatment during the acute phase and results per second-look… (More)
Seventeen tubal pregnancies were treated successfully with a laparoscopic procedure over the past four years. Four different laparoscopic techniques were used: salpingectomy, partial salpingectomy (midtube resection), fimbrial expression, and salpingotomy. "Preventive hemostasis" using vasopressin has made salpingotomy our treatment method of choice.… (More)
One hundred women with cul-de-sac obliteration secondary to retrocervical deep fibrotic endometriosis (48 partial, 52 complete) were treated laparoscopically for infertility (46 cases), pain (46), hypermenorrhea (7) and a mass (1). The surgical techniques included aqua-dissection, electrosurgery, CO2 laser, scissors, probes to identify the upper posterior… (More)
Benign cystic teratoma (dermoid cyst) was managed laparoscopically in 25 cases (16 cyst excisions and 9 oophorectomies). Surgical procedures to avoid spill during ovarian cystectomy and oophorectomy were developed (14 cases). This series demonstrates a gradual evolution in surgical technique. Surgical outcome was good in all cases, complications were rare,… (More)
Laparoscopic resection of full-thickness lesions of the anterior rectum followed by repair using a two-layer suture technique is described. Anterior rectal laceration occurred in two bowel-prepped women during excision of deep fibrotic endometriosis. Neither patient required subsequent surgery nor suffered any postoperative sequela. While not all rectal… (More)
Increasing sophistication in laparoscopic instrumentation and techniques has led to an ever-expanding list of surgical indications that are no longer exclusive to gynecology. This report describes our experience with three women who had benign lesions of the liver edge found incidentally during laparoscopic surgery for gynecologic symptoms. The first women… (More)
A woman with stage I ovarian cancer refused traditional treatment and was managed laparoscopically. Both ovaries were removed intact via a culdotomy incision. Vaginal hysterectomy, omentectomy and laparoscopic lymphadenectomy followed. With the increasing frequency of laparoscopic oophorectomy, it clearly seems prudent to remove ovaries intact through the… (More)
Problems with currently available trocar sleeves are listed. A second-puncture, lower-quadrant sleeve of a special design that eliminates these problems is described: short, self-retaining because of a screw grid on its external surface, and without a trap. Suggestions for modification of the umbilical sleeve trocar are advanced.
This case report describes laparoscopic suturing for bladder repair. This technique affords the laparoscopic surgeon another means of managing a surgical complication without resorting to laparotomy.
Seventy-nine cases of ovarian endometrioma were treated via the laparoscope. The surgical technique gradually evolved from drainage alone to fulguration and finally to excision of the endometrioma cyst wall. Indications for laparoscopy were infertility (35 cases), pain (33), hypermenorrhea (5) and pelvic mass (4); the condition was an incidental finding in… (More)