{"paper_id":"2681b62c-a3d8-4652-9991-54861ab7b1ad","body_text":"Abstract\nThe goals of surgical treatment of endometriosis are to completely ablate and/or excise active endometriotic tissue and correct anatomic distortions caused by adhesions and cystic lesions.1 Over the past few years, laparoscopic surgery has become a valuable addition to conventional and microsurgical approaches by laparotomy. The choice of approach (laparotomy or laparoscopy), surgical technique (excision, coagulation, vaporization), and instruments (CO2 laser, electrocautery, or scissors) is according to the surgeon’s preference (see Figs. 10.1 through 10.6 and color plates 10.1 through 10.6). The key issue is to adequately identify and treat the disease. By selecting the most effective surgical modality for each location and each patient, the desired postoperative results can best be achieved. A wide variety of surgical and medical treatments are now available, but it is important to take into account the limits of each approach.\nPreview\nUnable to display preview. Download preview PDF.\nSimilar content being viewed by others\nReferences\nCook AS, Rock JA. The role of laparoscopy in the treatment of endometriosis. Fertil Steril 1991;55:663–680.\nBruhat MA, Mage G, Pouly JL, et al. Operative laparoscopy. New York: McGraw Hill Inc., 1992.\nCanis M, Mage G, Manhes H, et al. Laparoscopic treatment of endometriosis. Acta Obstet Gynecol Scand 1989; (Suppl. 150):15–20.\nJanssen RPS, Russel P. Nonpigmented endometriosis: clinical, laparoscopic and pathologic definition. Am J Obstet Gynecol 1986;155:1154–1159.\nMartin DC, Hubert GD, Vander Zwaag R, et al. Laparoscopic appearances of peritoneal endometriosis. Fertil Steril 1989;51:63–67.\nKoninckx PR, Meuleman C, Demeyere S, et al. Suggestive evidence that pelvic endometriosis is a progressive disease, whereas deeply infiltrating endometriosis is associated with pelvic pain. Fertil Steril 1991;55:759–765.\nCandiani GB, Vercellini P, Fedele L. Laparoscopic ovarian puncture for correct staging of endometriosis. Fertil Steril 1990;53:994–997.\nReich H, McGlynn F, Salvat J. Laparoscopic treatment of cul-de-sac obliteration secondary to retrocervical deep fibrotic endometriosis. J Reprod Med 1991;36:516–522.\nMartin DC, Berry JD. Histology of chocolate cysts. J Gynecol Surg 1990;6:43–46.\nMartin DC. Laparoscopic and vaginal colpotomy for the excision of infiltrating cul-de-sac endometriosis. J Reprod Med 1988;33:806–808.\nMage G, Canis M, Manhes H, et al. Laparoscopic management of adnexal cystic masses. J Gynecol Surg 1990;6:7–19.\nHeaps JM, Nieberg RK, Berek JS. Malignant neoplasms arising in endometriosis. Obstet Gynecol 1990;75: 1023–1028.\nPittaway DE, Daniell JF, Maxson WL. Ovarian surgery in an infertility patient as an indication for a short-interval second-look laparoscopy: a preliminary study. Fertil Steril 1985;44:611–614.\nHughesdon PE. The structure of endometrial cysts of the ovary. J Obstet Gynaecol British Empire 1957;44: 481–487.\nCanis M, Bassil S, Wattiez A, et al. Fertility following laparoscopic management of benign adnexal cysts. Hum Reprod 1992;7:529–531.\nCanis M, Mage G, Wattiez A, et al. Second-look laparoscopy after laparoscopic cystectomy of large ovarian endometriomas. Fertil Steril 1992;58:617–619.\nNezhat C, Crowgey S, Nezhat F. Videolaseroscopy for the treatment of endometriosis associated with infertility. Fertil Steril 1989;51:237–240.\nFayez JA, Vogel MF. Comparison of different treatment methods of endometriomas by laparoscopy. Obstet Gynecol 1991;78:660–665.\nDonnez J, Nisolle M, Karaman Y, et al. CO2 laser laparoscopy in peritoneal endometriosis and in ovarian endometrial cyst. J Gynecol Surg 1989;5:361–366.\nMartin DC. Laparoscopic treatment of ovarian endometriomas. Clinical Obstet Gynecol 1991;34:452–459.\nOperative Laparoscopy Study Group. Postoperative adhesion development after operative laparoscopy: evaluation at early second-look procedures. Fertil Steril 1991;55:700–704.\nLuciano AA, Maier B, Koch EL, et al. A comparative study of postoperative adhesions following laser surgery by laparoscopy versus laparotomy in the rabbit model. Obstet Gynecol 1990;74:220–224.\nNezhat CR, Nezhat FR, Metzger DA, et al. Adhesion reformation after reproductive surgery by videolaseroscopy. Fertil Steril 1990;53:1008–1011.\nPerez JJ. Laparoscopic presacral neurectomy: results of the first 25 cases. J Reprod Med 1990;35:625–630.\nLichten EM, Bombard J. Surgical treatment of primary dysmenorrhea with laparoscopic uterine nerve ablation. J Reprod Med 1987;32:37–41.\nTjaden B, Schlaff WD, Kimball A, et al. The efficacy of presacral neurectomy for the relief of midline dysmenorrhea. Obstet Gynecol 1990;76:89–91.\nGrainger DA, Soderstrom RM, Schiff SF, et al. Ureteral injuries at laparoscopy: Insights into Diagnosis, Management and Prevention. Obstet Gynecol 1990;75:839–843.\nNezhat C, Nezhat F. A simplified method of laparoscopic presacral neurectomy for the treatment of central pelvic pain due to endometriosis. Br J Obstet Gynaecol 1992;99: 659–663.\nCanis M, Mage G, Chapron C, et al. Laparoscopic hysterectomy: A preliminary study. Surg Endosc 1993;7:42–45.\nMontgomery JC, Studd JWW. Oestradiol and testosterone implants after hysterectomy for endometriosis. In Bruhat MA, Canis M, eds. Endometriosis. Karger Basel 1987, Contr Gynec Obstet 16, pp 241–246.\nChassagnard F. External endometriosis. Results of laparoscopic treatment of endometriosis in pain and in infertile patients. Indication and results for IVF in endometriosis. These Medicale Clermont Ferrand 1990.\nVancaillie T, Schenken RS. Laparoscopic treatment. In Schenken RS, ed. Endometriosis: contemporary concepts in clinical management. Philadelphia, JB Lippincott 1989, 251–266.\nMettler L, Semm K. Three step medical and surgical treatment of endometriosis. Ir J Med Sci 1983;152: 26–28.\nCanis M, Pouly JL, Wattiez A, et al. Incidence of bilateral adnexal disease in severe endometriosis (Revised-American Fertility Society, Stage IV). Should a stage V be included in the American Fertility Society Classification? Fertil Steril 1992;57:691–692.\nEditor information\nEditors and Affiliations\nRights and permissions\nCopyright information\n© 1995 Springer-Verlag New York, Inc.\nAbout this chapter\nCite this chapter\nCanis, M., Bruhat, M.A., Pouly, J.L., Cooper, M.J.W., Wattiez, A., Manhes, H. (1995). Techniques for Ablation and Excision of Endometriosis. In: Nezhat, C.R., Berger, G.S., Nezhat, F.R., Buttram, V.C., Nezhat, C.H. (eds) Endometriosis. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-8404-5_10\nDownload citation\nDOI: https://doi.org/10.1007/978-1-4613-8404-5_10\nPublisher Name: Springer, New York, NY\nPrint ISBN: 978-1-4613-8406-9\nOnline ISBN: 978-1-4613-8404-5\neBook Packages: Springer Book Archive\nKeywords\nThese keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.","source_license":"CC0","license_restricted":false}