OBJECTIVE The direct trocar technique is an alternative to Veress needle insertion and open laparoscopy for accessing the abdominal cavity for operative laparoscopy. We review our approach to abdominal entry in 1385 laparoscopies performed between September 1993 and June 2000 by our group at Stanford University Hospital, a tertiary Medical Center. METHODS We performed a retrospective chart re...

An obese 50-year-old lady underwent laparoscopicassisted vaginal hysterectomy and laparoscopic bilateral salpingo-oöphorectomy using our routine three-port technique (a subumbilical 10-mm port and two 12-mm lateral ports). The postoperative period was uneventful. On the 12th postoperative day the patient left the UK on a business trip to France. She returned three days later with vomiting once ...

This short communication describes the delayed onset of premature ovarian failure (POF) in some young patients, between 5 to 24 months after operative laparoscopy for ovarian endometriosis. This complication apparently does not have a link with traditional risk factors for POF. In view of this observation, further and consistent clinical investigations are necessary to seek an explanation for t...

BACKGROUND Hysterectomy is one of the most common surgical procedures for women of reproductive age. Laparoscopy was introduced in the 1990es and is today one of the recommended routes of surgery. A recent observational study showed that operative time for hysterectomy was significantly lower for 3-dimensional compared to conventional laparoscopy. Complication rates were similar for the two gro...

The patient is a 39-year-old male who presented with noncardiac chest pain. His evaluation disclosed an esophageal leiomyoma. In this paper we will demonstrate the pre-operative findings and technique for removal of a benign esophageal tumor using hand-assisted laparoscopy. The patient was discharged home 2 days postoperative and returned to work 2 weeks postoperative with complete resolution o...

INTRODUCTION Improving quality of life and supportive care are of paramount importance in helping patients of advanced cervical cancer. Pelvic exenteration has both palliative and curative role in the management of cervical cancer. We aim to demonstrate the feasibility of performing laparoscopic total pelvic exenteration in advanced carcinoma of the cervix and to evaluate the immediate morbidit...

Recent investigators have used several indications to incorporate laparoscopy in the management of patients with cervical cancer. This manuscript reviews the current literature on the role of modern operative laparoscopy in early cervical cancer and recommends a simple approach for its use in these patients.

Operative laparoscopy is gaining popularity and widespread application in gynecology. In response to a survey on operative laparoscopy by the American Association of Gynecologic Laparoscopists, the laparoscopic management of ovarian cysts was the third most common procedure reported. 1 Technological advances and appropriate training have allowed ovarian cystectomy to be performed laparoscopical...

BACKGROUND The objective of this study was to determine the ability to predict benign adnexal masses in postmenopausal women and to evaluate the effectiveness of laparoscopic management in selected patients. STUDY DESIGN Postmenopausal women found to have an adnexal mass were prospectively evaluated with clinical examination, sonography, and serum CA-125 levels. Women with cystic masses great...