Laparoscopic Excision of Endometriosis

In: Atlas of Single-Port, Laparoscopic, and Robotic Surgery · 2014 · pp. 59–68 · doi:10.1007/978-1-4614-6840-0_5 · W940039911
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Laparoscopic ablation or excision of endometriotic lesions aims to relieve pain, improve fertility, and enhance quality of life by removing visible lesions and biopsying doubtful ones.

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This chapter describes the surgical goals and principles of laparoscopic ablation or excision of endometriotic lesions, focusing on endometriosis affecting pelvic structures and, less commonly, abdominal organs, with evaluation using transvaginal ultrasonography and bowel preparation. It states that the objectives of removing visible lesions (with biopsy of doubtful lesions) are pain relief, fertility improvement, and quality-of-life enhancement, aiming to reduce recurrence and repeat surgery. A key limitation is that the text provides an overview of indications and rationale rather than patient-level outcome data or comparative trial evidence. This paper is centrally about endometriosis — it discusses laparoscopic excision/ablation of endometriotic lesions and the recommended lesion-removal and biopsy principles.

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Abstract

Endometriosis is a gynecologic disease that affects more than 150 million women around the world. The disease is usually found in the pelvic cavity, affecting the ovaries, the fallopian tubes, the peritoneum, and the rectovaginal septum; it is less commonly found in the abdominal cavity affecting the small bowel, the large bowel, and other abdominal organs. It has been established that the best examination to evaluate endometriosis is transvaginal ultrasonography with bowel preparation. The laparoscopic ablation or excision of endometriotic lesions has as its objectives pain relief or fertility improvement and increasing the patient’s quality of life. It is essential to remove all visible lesions and to biopsy the doubtful ones in order to reduce the chances of recurrences and repeat surgery. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

References

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Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2014 Springer Science+Business Media New York About this chapter Cite this chapter Rossener, R., Carvalho, L.F.P., Salgado, J.L., Abrao, M.S. (2014). Laparoscopic Excision of Endometriosis. In: Escobar, P., Falcone, T. (eds) Atlas of Single-Port, Laparoscopic, and Robotic Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-6840-0_5 Download citation DOI: https://doi.org/10.1007/978-1-4614-6840-0_5 Published: Publisher Name: Springer, New York, NY Print ISBN: 978-1-4614-6839-4 Online ISBN: 978-1-4614-6840-0 eBook Packages: MedicineMedicine (R0)

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