The Journal of the American Association of Gynecologic Laparoscopists
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J Am Assoc Gynecol Laparosc · May 2002
Cost analysis of tubal anastomosis by laparoscopy and by laparotomy.
To compare the costs of tubal anastomosis performed by laparoscopy and by laparotomy. ⋯ Laparoscopic tubal anastomosis costs less than tubal anastomosis by laparotomy.
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J Am Assoc Gynecol Laparosc · Feb 2002
Randomized Controlled Trial Clinical TrialThe effect of intraperitoneal ropivacaine on pain after laparoscopic excision of endometriosis.
To compare the effects of ropivacaine and saline on pain after laparoscopic excision of endometriosis. ⋯ We found no difference between ropivacaine and saline, instilled intraperitoneally, in their effects on pain after extensive excision of endometriosis.
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J Am Assoc Gynecol Laparosc · Aug 2001
Case ReportsThoracic endometriosis syndrome resembling pulmonary embolism.
A 32-year-old infertility patient with a previous diagnosis of stage IV endometriosis experienced shortness of breath and chest pain. She was diagnosed with a pulmonary embolism by spiral volumetric computed tomography (SVCT) and anticoagulated during hospitalization, although no history of thrombosis was ever identified. She continued to have intermittent symptoms of chest pain, back pain, and shortness of breath for the next 1.5 months. ⋯ The patient desired to retain her fertility and opted for treatment with depot medroxyprogesterone. She has been asymptomatic for 2 years with this treatment. This case illustrates the importance of recognizing thoracic endometriosis syndrome and the difficulty diagnosing this condition considering its nonspecific features.
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J Am Assoc Gynecol Laparosc · May 2001
Randomized Controlled Trial Clinical TrialEffects of local bupivacaine instillation on pain after laparoscopy.
To evaluate the effect of preincisional and intraperitoneal bupivacaine administration on immediate and late pain after operative laparoscopy. ⋯ Postoperative pain is the highest within 30 minutes after laparoscopy. Local instillation of bupivacaine before incision and intraperitoneally was effective in reducing pain immediately after operative laparoscopy, but the effect was not seen beyond 30 minutes.