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AAGL Annual Meeting 2006
Deviation in Patients With and Without Endometriosis
Conclusions: Ureteral deviation was identified both clinically by the surgeon and visually on a retrospective review of Polaroid pictures taken routinely during surgery. Deviation was identified both toward the uterosacral ligament as well as toward the ovarian hilar and infundibulo-pelvic vessels. Those deviations put the ureter at risk both in operations that involve suturing of the uterosacral ligament and in operations that require hemostasis of the hilar and infundibulo-pelvic vessels.
Histologic Confirmation of Endometriosis May Not be Clinically Useful
Histologic Diagnosis is Needed to Clarify Peritoneal Abnormalities
Dan C Martin, M.D.; Trenia L Webb, M.D.; Edward J Lazarus, M.D
Conclusions: At present biopsy is clinically useful in determining diagnosis in confusing lesions and ruling out cancer. Histology and requiring a specific diagnosis or description by the pathologist appear useful for those groups. On the other hand, biopsy may have more risk than benefit in patients with puckered pigmented lesions when a physician plans to observe or to treat a patient medically.
Adept® (4% icodextrin) for Adhesion Prophylaxis
Dan C Martin, M.D.
Conclusions: The use of Adept® (4% icodextrin) or lactated Ringer’s solution at a volume of 1,000 cc decreases adhesions compared with the previous literature on volumes on up to 300 cc.. Adept is a peritoneal dialysis solution modified for use at surgery. Significantly more Adept® patients achieved clinical success than lactated Ringer’s solution patients in a study on the web and to be published in November.
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