Objective: To serve as a pilot feasibility study for a randomized study of excision versus ablation in the treatment of endometriosis by (1) estimating the magnitude of change in symptoms after excision only at multiple referral centers and (2) determining the proportion of women willing to participate in a randomized trial.
Methods: We performed a multicenter prospective study of women undergoing excision for endometriosis (Canadian Task Force class II-3) at Duke University Center for Endometriosis Research & Treatment (currently the Saint Louis University Center for Endometriosis), Center for Endometriosis Care, Northshore University Health System, Memorial University (Canada), and Florida Hospital. The study comprised 100 female patients, aged 18 to 55 years, with endometriosis-suspected pelvic pain.
Objective: To determine long-term outcomes after complete laparoscopic excision done at a tertiary referral center in a teenager population, who were not specifically advised to take postoperative hormonal suppression.
Design: Prospective observational case series (Canadian Task Force II-3).
Setting: A tertiary referral center that specializes in the laparoscopic treatment of endometriosis.
J Minim Invasive Gynecol
May 2007
Study Objective: To examine whether there are statistically significant differences in multiple variables evaluated at different times in the course of surgery and postoperative period when using 5-mm dilating-tip trocars (DTTs) and 5-mm non-shielded-bladed trocars (NSBTs) at randomly selected right or left lateral entry sites on the same patient.
Design: Randomized, single-blinded, controlled trial (Canadian Task Force classification I).
Setting: Center for Women's Care and Reproductive Surgery (CWCRS), Atlanta, Georgia.
Objective: Bipolar electrosurgery is an excellent method for obtaining hemostasis at laparoscopy. The present study describes and evaluates a bipolar device that can be more versatile and cost effective in advanced operative procedures than the traditional instrumentation.
Methods: This was a retrospective, case-controlled analysis of bipolar instrumentation with a design classification of II-2.
Study Objective: The purpose of this study was to review outcomes of laparoscopic supracervical hysterectomy (LSH) performed on patients with large uteri and compare those outcomes with existing series of hysterectomies reporting removal of large uteri.
Design: Retrospective analysis (Canadian Task Force classification II-3).
Setting: Single surgeon, independent surgery center.