Laparoscopic Surgery in Adolescent Endometriosis

The purpose of this chapter is to present the keen reader an updated information and the accumulated evidence on surgery in adolescent endometriosis (EM) and to discuss surgical indications, findings, outcomes, and specific aspects of the disease that relate to surgery. The presenting symptoms and surgical findings somewhat differ from the endometriosis in the adult, contributing to a particularly challenging diagnosis. In the selected population of symptomatic adolescents not responding to medical treatment, a questioned diagnosis, suspected advanced stage disease, or with endometrioma, early laparoscopy has the advantage of diagnosis and treatment (as in some Mullerian anomalies). The full spectrum of disease severity is found, including advanced stage EM in a substantial percent, and ovarian endometrioma cysts, with a special concern for future fertility and special surgical aspects. Subtle surgical findings may be unidentified by the inexperienced surgeon leading to false-negative diagnosis; thus, we strongly encourage video recordings and biopsies. In adolescents, laparoscopy is very effective in reducing pain, bearing in mind a higher risk for symptom recurrence which may lead to repeat surgical intervention. Postoperative follow-up and treatment are crucial to identify and reduce recurrence. Subfertility is an important concern even in this young population, correlated with disease severity. The implications of the medical encounter between caregiver and patient are immense, especially in adolescents, in broad aspects including physical, social, and psychological. It is beneficial to offer a suitable support system as part of a holistic approach. Accordingly, successful and well-timed treatment is much rewarding. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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Author information Authors and Affiliations Editor information Editors and Affiliations Rights and permissions Copyright information © 2020 Springer Nature Switzerland AG About this chapter Cite this chapter Soriano, D., Bar-Shavit, Y. (2020). Laparoscopic Surgery in Adolescent Endometriosis. In: Nezhat, C.H. (eds) Endometriosis in Adolescents. Springer, Cham. https://doi.org/10.1007/978-3-030-52984-0_36 Download citation DOI: https://doi.org/10.1007/978-3-030-52984-0_36 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-030-52983-3 Online ISBN: 978-3-030-52984-0 eBook Packages: MedicineMedicine (R0)