Laparoscopic Surgery in Adolescent Endometriosis

David Soriano, Yochay Bar-Shavit
In: Endometriosis in Adolescents · 2020 · pp. 595–611 · doi:10.1007/978-3-030-52984-0_36 · W3105781087
book-chapter OA: closed CC0 ⤵ 1 in-corpus citation
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⚙ AI-generated summary by claude@2026-06+body, 2026-06-09 ⓘ

Early laparoscopy aids diagnosis and treatment of endometriosis in adolescents unresponsive to medical therapy, revealing disease severity and fertility concerns with a risk of recurrence.

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⚙ AI-generated deep summary by claude@2026-06, 2026-06-09 ⓘ

This chapter reviews evidence on surgical management in symptomatic adolescents with endometriosis, focusing on indications, operative findings, outcomes, and features that differ from adult disease. It reports that early laparoscopy in adolescents who do not respond to medical treatment, have suspected advanced-stage disease, a questioned diagnosis, or an endometrioma offers both diagnosis and treatment, with substantial proportions showing advanced disease and ovarian endometriomas, though subtle findings may be missed without experience, leading to false-negative diagnoses. The chapter states that laparoscopy is effective for reducing pain but that adolescents have a higher risk of symptom recurrence and may need repeat surgery, and that subfertility concerns correlate with disease severity; it emphasizes that careful follow-up and support are important. This paper is centrally about endometriosis — it specifically discusses laparoscopic surgery in adolescent endometriosis.

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endometriosis

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