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  • A New Approach to Performing Laparoscopic Colposuspension - Treating stress urinary incontinence
    MD Michael Roemisch MD Daniel S Seidman MD Farr Nezhat MD Camran Nezhat MD www nezhat org ORGANIZATION Contemporary Ob Gyn September 1996 Abstract Treating stress urinary incontinence improves a woman s quality of life Laparoscopic correction which reduces the

    Original URL path: http://www.nezhat.org/camran/reference_library/3.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • A randomized, prospective study of endometrial resection to prevent recurrent endometrial polyps in women with breast cancer receiving tamoxifen
    resection in preventing recurrence of tamoxifen associated endometrial polyps in women with breast cancer DESIGN Randomized prospective study Canadian Task Force classification I SETTING Tertiary university affiliated medical center PATIENTS Twenty consecutive women age range 43 61 yrs INTERVENTIONS Hysteroscopic removal of tamoxifen associated endometrial polyps with or without simultaneous resection of the endometrium MEASUREMENTS AND MAIN RESULTS Patients were randomized to undergo 10 women or not undergo 10 concomitant endometrial resection They were followed for at least 18 months range 18 24 mo including transvaginal ultrasonography every 6 months and hysteroscopy when endometrial irregularity was noted The main outcome variable was recurrence of endometrial polyps occurrence of uterine bleeding was also noted In women who underwent endometrial resection only one had a 1 x 1 cm endometrial polyp diagnosed and removed during follow up Seven women remained amenorrheic and three experienced spotting for a few days every month In the control group six women had recurrent endometrial polyps requiring hysteroscopic removal two tail Fisher s exact test p 0 06 CONCLUSION Recurrence of endometrial polyps one of the most common problems in patients with breast cancer receiving long term treatment with tamoxifen may be reduced by performing endometrial resection

    Original URL path: http://www.nezhat.org/camran/reference_library/4.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • A simplified method of laparoscopic presacral neurectomy for the treatment of central pelvic pain due to endometriosis
    central midline component to their discomfort were excluded INTERVENTIONS Excision and vaporization of endometriotic pathology was followed by presacral neurectomy OUTCOME MEASURES During surgery severity of endometriosis was assessed using revised American Fertility Society scoring Overall pelvic pain and dysmenorrhoea relief were determined by office visit telephone interview and questionnaire at a minimum of one year postoperatively RESULTS There were no operative complications and all women left hospital within 24

    Original URL path: http://www.nezhat.org/camran/reference_library/5.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Acute Pulmonary Edema Complicating Diagnostic Laparoscopy Preceded by Thoracotomy - patient with pelvic endometriosis
    S Levy MD Michael Maffett MD www nezhat org ORGANIZATION Abstract We report the case of a patient with pelvic endometriosis and recurrent spontaneous pneumothoraces who had thoracotomy and diagnostic laparoscopy with subsequent acute pulmonary edema Potential causes are discussed

    Original URL path: http://www.nezhat.org/camran/reference_library/6.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Adhesion Formation After Endoscopic Posterior Colpotomy
    3087 3534 Abstract Twenty two women who had undergone laparoscopic posterior colpotomy at initial operative laparoscopy and later underwent a second laparoscopic procedure were evaluated for adhesion formation Fifteen women 68 had myomata removed 3 14 had a dermoid cystectomy 1 5 had a serous cystadenoma removed and 3 14 who had large endometriomata and sever adhesions underwent salpingo oophorectomy Although filmy adhesions were noted in nine women no adhesions

    Original URL path: http://www.nezhat.org/camran/reference_library/7.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Adhesion reformation after reproductive surgery by videolaseroscopy
    pain Group 2 consisted of 22 patients who achieved pregnancy after initial surgery and underwent second look laparoscopy for evaluation of ectopic pregnancy or in association with uterine evacuation for first trimester spontaneous abortion Both groups of patients demonstrated a significant reduction in adhesion scores involving the ovaries tubes posterior cul de sac anterior cul de sac and omentum bowel Although the initial mean adhesion scores were similar for both

    Original URL path: http://www.nezhat.org/camran/reference_library/8.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Are the long-term adverse effects of laparoscopic presacral neurectomy for the management of central pain associated with endometriosis acceptable?
    women mean age 27 5 years range 16 58 years was an average of 36 8 months with a range of 6 69 years Main outcome variables include diarrhea constipation bladder and urinary complaints vaginal dryness dyspareunia and orgasm The degree of pain and dysmenorrhea after surgery was also elevated Results Diarrhea was reported to have improved after surgery in 39 1 of the patients and none reported any worsening Constipation improved in 28 6 and worsened in 12 5 Only one patient suffered from debilitating constipation Bladder and urinary problems were improved on 25 0 and worsened in 19 2 A similar proportion of women 19 6 reported improvement and worsening vaginal dryness Pain during intercourse improved in 58 9 and worsened in 8 9 The ability to achieve orgasm improved in 21 6 and worsened in 2 7 Postoperatively pain was improved by 80 100 in 46 6 of the women by 50 80 in 36 5 by less than 50 in 6 4 and did not improve in 9 5 Dysmenorrhea was improved by 80 100 in 35 2 of the women by 50 80 in 38 8 by less than 50 in 14 9 and did

    Original URL path: http://www.nezhat.org/camran/reference_library/10.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Are the long-term adverse effects of laparoscopic presacral neurectomy for the management of central pain associated with endometriosis acceptable?
    3 Sept 1992 Abstract Several theories currently exist regarding the origin of endometriosis but none of them have proven singly conclusive and the disease continues to be poorly understood The location of endometrial implants varies widely and has been found to include such uncommon sites as the appendix ureter and lungs To our knowledge the following is the first case report describing the laparoscopic treatment of diaphragmatic endometriosis in the

    Original URL path: http://www.nezhat.org/camran/reference_library/11.html?iframe=true&width=85%&height=85% (2016-04-24)
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