... JAMES H. DORSEY, MD PATRICE M. HOLTZ, RN, MS Greater Baltimore Medical Center Baltimore, MD 2... more ... JAMES H. DORSEY, MD PATRICE M. HOLTZ, RN, MS Greater Baltimore Medical Center Baltimore, MD 21204 EARL P. STEINBERG, MD, MPP Corning HTA Washington, DC 20005-3934 ... RICHARD S. MCCRAY, MD St. Luke'sRoosevelt Hospital Center New York, NY 10025 ...
The Journal of the American Association of Gynecologic Laparoscopists, 1998
in 34 and 33 women, respectively. Endometrial polyps were present in 16. The remainder of patholo... more in 34 and 33 women, respectively. Endometrial polyps were present in 16. The remainder of pathology was hyperplasia (6), adenoca_rcinoma (3), normal (3), unable to perform (3), and atrophic vaginitis (1). Adenomyosis was misdiagnosed as fibroids (8) and polyps (7). Most failed ablations requiring additional surgery were in women with adenomyosis. Conclusion. Saline infusion sonohysterography can be an adjunct to operative hysteroscopy in diagnosis and treatment of AUB.
Background Traditionally standard treatment for patients with early stage endometrial cancer (EC)... more Background Traditionally standard treatment for patients with early stage endometrial cancer (EC) is total abdominal hysterectomy and bilateral salpingo oophorectomy (TAH+BSO) with or without lymph node dissection through a vertical midline incision. While TAH is an accepted effective treatment, it is highly invasive, visibly scarring and associated with morbidity. An alternative treatment is the same operation by laparoscopy. Though in several studies total laparoscopic hysterectomy (TLH+ BSO) seems a safe and feasible alternative approach in early stage endometrial cancer patients, there are no randomized data available yet. Furthermore, a randomized controlled trial with surgeons trained in laparoscopy is warranted in order to implement this technique in a safe manner. The aim of this study is to compare the treatment related morbidity, cost-effectiveness and quality of life in early stage endometrial cancer patients treated by laparoscopy versus the standard open approach. Metho...
balloon introducer to be inserted in the pouch of Douglas in order to evaluate the status of ovar... more balloon introducer to be inserted in the pouch of Douglas in order to evaluate the status of ovaries, tubes and peritoneum with the help of a 2.9 mm scope Results: In total, 300 fertiloscopies were performed. Results are summarized in the following Table: PID = pelvic inflammatory disease. Conclusion: This technique has proved to be safe and reliable. Of course the aim is not to replace laparoscopy, which remains the 'gold standard' in the treatment of tubo-ovarian disease. Nevertheless, the quality of imaging provided by fertiloscopy, the recent development given by the micro-salpingoscopy, allowing an 'in-vivo tubal histology' and the realization of the first operative fertiloscopies, are going to give a brilliant future for this new mini-invasive approach.
... JAMES H. DORSEY, MD PATRICE M. HOLTZ, RN, MS Greater Baltimore Medical Center Baltimore, MD 2... more ... JAMES H. DORSEY, MD PATRICE M. HOLTZ, RN, MS Greater Baltimore Medical Center Baltimore, MD 21204 EARL P. STEINBERG, MD, MPP Corning HTA Washington, DC 20005-3934 ... RICHARD S. MCCRAY, MD St. Luke'sRoosevelt Hospital Center New York, NY 10025 ...
The Journal of the American Association of Gynecologic Laparoscopists, 1998
in 34 and 33 women, respectively. Endometrial polyps were present in 16. The remainder of patholo... more in 34 and 33 women, respectively. Endometrial polyps were present in 16. The remainder of pathology was hyperplasia (6), adenoca_rcinoma (3), normal (3), unable to perform (3), and atrophic vaginitis (1). Adenomyosis was misdiagnosed as fibroids (8) and polyps (7). Most failed ablations requiring additional surgery were in women with adenomyosis. Conclusion. Saline infusion sonohysterography can be an adjunct to operative hysteroscopy in diagnosis and treatment of AUB.
Background Traditionally standard treatment for patients with early stage endometrial cancer (EC)... more Background Traditionally standard treatment for patients with early stage endometrial cancer (EC) is total abdominal hysterectomy and bilateral salpingo oophorectomy (TAH+BSO) with or without lymph node dissection through a vertical midline incision. While TAH is an accepted effective treatment, it is highly invasive, visibly scarring and associated with morbidity. An alternative treatment is the same operation by laparoscopy. Though in several studies total laparoscopic hysterectomy (TLH+ BSO) seems a safe and feasible alternative approach in early stage endometrial cancer patients, there are no randomized data available yet. Furthermore, a randomized controlled trial with surgeons trained in laparoscopy is warranted in order to implement this technique in a safe manner. The aim of this study is to compare the treatment related morbidity, cost-effectiveness and quality of life in early stage endometrial cancer patients treated by laparoscopy versus the standard open approach. Metho...
balloon introducer to be inserted in the pouch of Douglas in order to evaluate the status of ovar... more balloon introducer to be inserted in the pouch of Douglas in order to evaluate the status of ovaries, tubes and peritoneum with the help of a 2.9 mm scope Results: In total, 300 fertiloscopies were performed. Results are summarized in the following Table: PID = pelvic inflammatory disease. Conclusion: This technique has proved to be safe and reliable. Of course the aim is not to replace laparoscopy, which remains the 'gold standard' in the treatment of tubo-ovarian disease. Nevertheless, the quality of imaging provided by fertiloscopy, the recent development given by the micro-salpingoscopy, allowing an 'in-vivo tubal histology' and the realization of the first operative fertiloscopies, are going to give a brilliant future for this new mini-invasive approach.
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