Pelvic gliomatosis within foci of endometriosis.

The third reported case of pelvic gliomatosis found within foci of endometriosis is documented 16 years after the removal of a benign cystic teratoma. Grossly at laparoscopy the lesions appear as typical deep fibrotic endometriotic implants.

Laparoscopic tubal anastomosis.

We conducted a retrospective chart review of 22 laparoscopic tubal anastomoses performed between May 1987 and May 1991. The procedures were modeled after the two-stitch technique of Swolin. Overall fertility rates were disappointing in this small series, although the first live birth has occurred.

Laparoscopic management of ovarian dermoid cysts.

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.

A simple method for ligating with straight and curved needles in operative laparoscopy.

This report describes the use of the Clarke ligator (knot-pusher) and lists its recent applications. Laparoscopic suturing is simplified by the use of a new technique allowing any size curved needle to be inserted through a 5-mm puncture site.