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  • Long-Term Outcome of Laparoscopic Presacral Neurectomy for the Treatment of Central Pelvic Pain Attributed to Endometriosis
    six women with median range age 30 18 45 years underwent presacral neurectomy combined with excision and vaporization of endometriotic lesions and were observed using structured questionnaires for up to 72 months postoperatively The study included a convenience sample of the first 100 questionnaires returned Forty of the women were studied for 12 23 months and 60 for 24 72 months The main outcome measures were reduction of pelvic pain dysmenorrhea and dyspareunia after surgery RESULTS Pelvic pain dysmenorrhea and dyspareunia were reportedly reduced by more than 50 in 74 61 and 55 patients respectively more than 12 months after laparoscopic presacral neurectomy More than 50 reduction in pelvic pain was reported by 69 8 77 3 71 4 and 84 6 of the patients respectively with endometriosis stages I IV using the revised classification of the American Fertility Society Comparatively more than 50 reduction in dysmenorrhea was reported by 52 8 of the patients with stage I endometriosis 68 2 with stage II 71 4 with stage III and 69 2 with stage IV Reduction of dyspareunia by more than 50 was reported by 54 7 of the patients with stage I endometriosis 50 0 with stage II 28

    Original URL path: http://www.nezhat.org/camran/reference_library_2/50.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Major Retroperitoneal Vascular Injury during Laparoscopic Surgery: Human Reproduction
    four patients who were undergoing intraperitoneal procedures The injuries involved the inferior vena cava n 2 the right external iliac artery n 2 the left external iliac artery n 1 the right external iliac vein n 1 the hypogastric artery n 1 and the inferior mesenteric artery n 1 Injuries were caused by unipolar electrode n 1 electrosurgical scissors n 3 sharp scissors n 2 and CO 2 laser n

    Original URL path: http://www.nezhat.org/camran/reference_library_3/1.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Matrix Metalloproteinase-9 and Tissue Inhibitor of Metalloproteinase-3 mRNA Expression in Ectopic and Eutopic Endometrium in Women With Endometriosis: A Rationale for Endometriotic Invasiveness
    Immunology Laboratory Stanford University Medical Center PATIENT S Fifty three premenopausal woman 23 women with endometriosis and 30 women without endometriosis undergoing laparoscopic surgery Endometrium and ectopic endometriosis tissue were obtained at the time of surgery INTERVENTION S None MAIN OUTCOME MEASURE S mRNA expression from eutopic and ectopic endometrium was analyzed by quantitative competitive PCR RESULT S Both uterine endometrium and ectopic endometriotic tissue from women with endometriosis expressed

    Original URL path: http://www.nezhat.org/camran/reference_library_3/2.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • MicroRNA Expression Profiling of Eutopic Secretory Endometrium in Women With Versus Without Endometriosis
    the proliferative to secretory phase as evidenced by dysregulation of progesterone target genes and maintenance of a proliferative molecular fingerprint in the early secretory endometrium ESE has been reported MicroRNAs miRNAs are small noncoding RNAs that collectively represent a novel class of regulators of gene expression In an effort to investigate further the observed progesterone resistance in the ESE of women with endometriosis we conducted array based global miRNA profiling

    Original URL path: http://www.nezhat.org/camran/reference_library_3/3.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Natural Orifice-Assisted Laparoscopic Appendectomy
    natural orifice for appendectomy METHODS We reviewed cases of 42 patients who underwent total laparoscopic hysterectomy or laparoscopic assisted vaginal hysterectomy followed by appendectomy performed by applying a stapler and removing the appendix transvaginally By using a small diameter laparoscope the appendix was mobilized especially in patients with adhesions endometriosis or retrocecal appendix to facilitate transvaginal access with the stapler RESULTS All procedures were performed successfully without intraoperative or major

    Original URL path: http://www.nezhat.org/camran/reference_library_3/4.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Nonvisualized endometriosis at laparoscopy
    have been reported regarding the incidence and even the existence of endometriosis in visually normal peritoneum The present study was undertaken in view of the fact that the presence and incidence of nonvisualized deep and or microscopic endometriosis may be of importance in patient management One patient in this study demonstrated a 1 mm lesion of endometriosis beneath visually normal peritoneum Two additional patients had cellular surface zones of possible

    Original URL path: http://www.nezhat.org/camran/reference_library_3/5.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Operative laparoscopy (minimally invasive surgery): state of the art
    Obstetrics and Gynecology Mercer University School of Medicine Macon Georgia Abstract In any body cavity endoscopic surgery is possible and usually preferable Advantages include better exposure magnification and operating very close to the affected tissue We demonstrate some of the

    Original URL path: http://www.nezhat.org/camran/reference_library_3/6.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Operative Laparoscopy for the Treatment of Ovarian Remnant Syndrome
    laparoscopy to manage ovarian remnant syndrome Observational with a follow up of 6 to 32 months Thirteen women 9 with previous bilateral salpingo oophorectomy and 4 with previous unilateral salpingo oophorectomy and pain on the ipsilateral side Multipuncture advanced operative laparoscopy Patient pain relief was assessed through return examinations telephone interviews or contact with referring physicians Nine patients reported complete pain relief One reported incomplete but satisfactory pain relief Two

    Original URL path: http://www.nezhat.org/camran/reference_library_3/7.html?iframe=true&width=85%&height=85% (2016-04-24)
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