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  • The Incidence of Endometriosis in Posthysterectomy Women
    Sixty four underwent total hysterectomy with BSO Of these 64 definite endometriosis was found in 22 at laparoscopy questionable endometriosis was noted in 3 and findings for 39 were negative Of the 22 women with positive endometriosis 19 had a positive history of endometriosis 2 had a negative history and 1 had a questionable history Of these 22 patients 13 were on estrogen replacement therapy 2 were on estrogen and

    Original URL path: http://www.nezhat.org/camran/reference_library_3/32.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • The Relationship of Endometriosis and Ovarian Malignancy: A Review
    endometriosis to ovarian malignancy including malignant transformation of extraovarian endometriosis The prevalence of endometriosis in patients with epithelial ovarian cancer especially in endometrioid and clear cell types has been confirmed to be higher than in the general population Ovarian cancers and adjacent endometriotic lesions have shown common genetic alterations such as PTEN p53 and bcl gene mutations suggesting a possible malignant genetic transition spectrum Furthermore endometriosis has been associated with

    Original URL path: http://www.nezhat.org/camran/reference_library_3/33.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • The Risk of Carbon Monoxide Poisoning After Prolonged Laparoscopic Surgery
    procedures significantly elevates blood carboxyhemoglobin levels METHODS We prospectively studied 27 healthy nonsmoking patients mean standard deviation SD age 39 1 8 0 years range 22 56 scheduled for laparoscopic procedures in which smoke was generated Prolonged operative laparoscopy involved high flow carbon dioxide insufflation intensive evacuation of intra abdominal smoke and controlled hyperventilation with 50 100 oxygen Laser and bipolar electrosurgery were used in all cases Blood samples were drawn before and after surgery Carboxyhemoglobin concentrations were measured using a highly accurate gas chromatography method RESULTS The mean SD duration of surgery was 141 72 minutes range 45 300 The mean SD carboxyhemoglobin levels were 0 70 0 15 range 0 44 1 20 before surgery and 0 58 0 20 range 0 30 1 33 after surgery A significant decrease P 001 in carboxyhemoglobin concentrations occurred during surgery mean SD 20 11 range 3 46 The carboxyhemoglobin level was increased at the end of surgery in only one woman In only one patient did the levels exceed 1 1 33 still well below the human threshold tolerance level of 2 The Spearman correlation coefficient between carboxyhemoglobin concentrations and duration of surgery was r 0 308 P 12 CONCLUSION

    Original URL path: http://www.nezhat.org/camran/reference_library_3/34.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • The Role of Intraoperative Proctosigmoidoscopy in Laparoscopic Pelvic Surgery
    fluid to observe laparoscopically for air leakage MEASUREMENTS AND MAIN RESULTS Sigmoidoscopy was performed due to a lesion involving the rectum or sigmoid in 60 7 large bowel in 11 1 and posterior cul de sac in 28 2 of patients During laparoscopy endometriosis was found in 30 5 adhesions in 20 2 and both in 43 5 Four women 1 5 had bowel injury identified during sigmoidoscopy all bowel

    Original URL path: http://www.nezhat.org/camran/reference_library_3/35.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • The Role of Laparoscopic: Assisted Myomectomy (LAM)
    technique that may lessen these concerns regarding laparoscopic myomectomy while retaining the benefits of laparoscopic surgery namely short hospital stay lower costs and rapid recovery By decreasing the technical demands and thereby the operative time LAM may be more widely offered to patients In carefully selected cases LAM is a safe and efficient alternative to both laparoscopic myomectomy and myomectomy by laparotomy These cases include patients with numerous large or

    Original URL path: http://www.nezhat.org/camran/reference_library_3/36.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • The Role of Laparoscopy in the Management of Gynecologic Malignancy
    procedures for benign conditions can be performed in an outpatient setting However the role of such techniques in gynecologic oncology is not well defined By reviewing the literature and presenting some new data we attempt to elucidate the applications of operative videolaparoscopy in gynecologic oncology Advanced laparoscopic techniques are utilized for the management of cervical cancer as well as the staging and treatment of endometrial and ovarian cancers Such techniques

    Original URL path: http://www.nezhat.org/camran/reference_library_3/37.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Total Laparoscopic Radical Hysterectomy and Pelvic Lymphadenectomy Using Harmonic Shears
    cancer or severe pelvic endometriosis using harmonic shears as the sole instrument for dissection division and maintenance of hemostasis of all major surgical pedicles DESIGN Retrospective review Canadian Task Force classification II 2 SETTING University hospital and affiliate institutions PATIENTS Seven patients who underwent total laparoscopic radical hysterectomy using harmonic shears for International Federation of Gynecology and Obstetrics stage IA2 to IB1 cervical cancer and pelvic endometriosis at our institution or affiliate hospital from January 2004 through February 2005 INTERVENTION A retrospective review of patients that underwent total laparoscopic radical hysterectomy with or without pelvic lymphadenectomy at our institution using harmonic shears was performed Information regarding preoperative intraoperative and postoperative events was recorded and analyzed MEASUREMENTS AND MAIN RESULTS Pelvic lymphadenectomy was performed in all cancer cases Mean patient age was 40 years range 30 53 years Mean estimated blood loss was 143 mL range 100 200 mL Mean operating time was 293 minutes range 255 385 minutes Mean pelvic node count was 27 8 range 24 34 for cancer cases Mean hospital stay was 3 2 days range 2 7 days One patient developed a vaginal cuff abscess postoperatively that was managed conservatively with drainage in the office setting

    Original URL path: http://www.nezhat.org/camran/reference_library_3/38.html?iframe=true&width=85%&height=85% (2016-04-24)
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  • Traumatic hypogastric artery bleeding controlled with bipolar desiccation during operative laparoscopy
    peritoneal endometriosis involving the pelvic sidewall near the origin of the uterine artery the lower portion of the hypogastric artery was perforated The acute hemorrhage was controlled by immediately grasping the lacerated blood vessel with a 5 mm atraumatic grasping forceps A Kleppinger bipolar forceps set at 25 W desiccated and sealed the artery successfully As no further bleeding was noted the procedure was terminated The patient remained overnight for

    Original URL path: http://www.nezhat.org/camran/reference_library_3/39.html?iframe=true&width=85%&height=85% (2016-04-24)
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