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  • Incisional Hernia on the 5-mm Trocar Port Site and Subsequent Wall Endometriosis on the Same Site: A Case Report
    year old nulliparous woman underwent a laparoscopy to remove a 10 cm endometrial cyst on the left ovary type II Nezhat The cyst was extracted from the 10 mm umbilical incision the other 2 trocars were inserted through 5 mm incisions One year later in correspondence to the previous 5 mm incision site a hernia occurred that contained omentum and was reduced easily with a local anesthetic After 2 years

    Original URL path: http://www.nezhat.org/camran/reference_library/36.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Incisional Hernias After Operative Laparoscopy
    surgeries Of the approximately 5300 patients who underwent laparoscopy from January 1988 through June 1996 10 women were evaluated for incisional hernias A total of 11 hernias occurred which is an incidence of approximately 0 2 Omentum herniated in seven cases and bowel herniated in four cases In one case the sigmoid epiploica irreducibly herniated through the peritoneum and not the fascia The hernia occurred through a 5mm trocar incision

    Original URL path: http://www.nezhat.org/camran/reference_library/37.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Increased Mitogen-Activated Protein Kinase Kinase/Extracellularly Regulated Kinase Activity in Human Endometrial Stromal Fibroblasts of Women With Endometriosis Reduces 3',5'-Cyclic Adenosine 5'-Monophosphate Inhibition of Cyclin D1
    Jul 9 Abstract Endometriosis is characterized by endometrial tissue growth outside the uterus due primarily to survival proliferation and neoangiogenesis of eutopic endometrial cells and fragments refluxed into the peritoneal cavity during menses Although various signaling molecules including cAMP regulate endometrial proliferation survival and embryonic receptivity in endometrium of women without endometriosis the exact molecular signaling pathways in endometrium of women with disease remain unclear Given the persistence of a proliferative profile and differential expression of genes associated with the MAPK signaling cascade in early secretory endometrium of women with endometriosis we hypothesized that ERK1 2 activity influences cAMP regulation of the cell cycle Here we demonstrate that 8 Br cAMP inhibits bromodeoxyuridine incorporation and cyclin D1 CCND1 expression in cultured human endometrial stromal fibroblasts hESF from women without but not with endometriosis Incubation with serum containing or serum free medium resulted in higher phospho ERK1 2 levels in hESF of women with vs without disease independent of 8 Br cAMP treatment The MAPK kinase 1 2 inhibitor U0126 fully restored cAMP down regulation of CCND1 but not cAMP up regulation of IGFBP1 in hESF of women with vs without endometriosis Immunohistochemistry demonstrated the highest phospho ERK1 2 in the

    Original URL path: http://www.nezhat.org/camran/reference_library/38.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Initial Report of the Carbon Dioxide Laser Laparoscopy Study Group: Complications
    performed at laparoscopy included vaporization of endometriosis adhesiolysis transection of the uterosacral ligaments fimbrioplasty salpingostomy for ectopic pregnancy ovarian cystectomy and neosalpingostomy Ninety 11 were hospitalized overnight and 22 2 6 were hospitalized two or more nights Operative complication were limited and consisted of 9 cases of intraabdominal bleeding 3 women with uterine perforation 1 with trocar injury to the uterus and 1 with an omental hemotoma None of these

    Original URL path: http://www.nezhat.org/camran/reference_library/39.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Injuries Associated with the Use of a Linear Stapler During Operative Laparoscopy: Review of Diagnosis, Management, and Prevention
    Farr Nezhat MD Oleg Bess MD Ceana H Nezhat MD www nezhat org ORGANIZATION J Gynecol Surg 9 145 1993 Abstract We report 7 recent examples of intraoperative and postoperative complications and injuries resulting from the use of an automatic stapling device during operative laparoscopy The cases were collected throughout the United States and represent a cross section of common complications This report should alert surgeons to the possibilities of

    Original URL path: http://www.nezhat.org/camran/reference_library/40.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Intraoperative Sigmoidoscopy in Gynecologic Surgery - Atlanta Center for Special Pelvic Surgery, Atlanta, Georgia - Doctor Ceana Nezhat
    not widely taught in obstetrics and gynecology training programs In this report a step by step approach is provided in order to perform sigmoidoscopy Indications for use along with various intraoperative applications are discussed Results from our center s experience with its use during laparoscopic treatment of adhesions endometriosis and associated disease of the bowel also are provided Intraoperative sigmoidoscopy is a safe and efficacious procedure that can aid in

    Original URL path: http://www.nezhat.org/camran/reference_library/41.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Investigation of often-reported ten percent hysteroscopy fluid overfill: Is this accurate?
    challenge the often quoted standard of assumption that overfill may be as high as 10 of the bag s volume DESIGN Ten cases of irrigation fluid were tested The volume and weight of drained fluid from 18 bags of 0 9 normal saline solution 2000 mL 12 bags 3 sorbitol 3000 mL 8 bags of 1 5 glycine 3000 mL and 4 bags of 0 9 normal saline solution 5000 mL were measured Institutional review board exemption was obtained MEASUREMENTS AND MAIN RESULTS Ten cases of irrigation fluid were obtained The volume and weight of drained fluid from 18 bags of 0 9 normal saline solution 2000 mL 12 bags of 3 sorbitol 3000 mL 8 bags of 1 5 glycine 3000 mL and 4 bags of 0 9 normal saline solution 5000 mL were measured By volume varying by the type of fluid tested the maximum observed overfill was between 3 3 to 5 0 For confirmation each bag was also weighed and found to have a maximum overfill between 2 8 to 5 6 varying with the volume and type of fluid measured These findings were then compared with the manufacturer provided overfill range of 1 5 to

    Original URL path: http://www.nezhat.org/camran/reference_library/42.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Is Endoscopic Treatment of Endometriosis and Endometrioma Associated With Better Results Than Laparotomy
    Camran Nezhat MD Wendy K Winer RN BSN Farr Nezhat MD www nezhat org ORGANIZATION Am J Gynecologic Health Vol II No 3 Abstract Endoscopic treatment of endometriosis and endometrioma employing two different techniques was achieved on 20 infertility patients

    Original URL path: http://www.nezhat.org/camran/reference_library/43.html?iframe=true&width=85%&height=85% (2016-04-24)
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