Techniques for Ablation and Excision of Endometriosis

In: Endometriosis · 1995 · pp. 85–94 · doi:10.1007/978-1-4613-8404-5_10 · W96262982
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Surgical treatment of endometriosis aims to ablate or excise active tissue and correct distortions, with laparoscopic surgery offering an alternative to laparotomy, where technique and instrument choice depend on surgeon preference and disease characteristics.

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This chapter discusses surgical techniques for treating endometriosis, focusing on laparotomy versus laparoscopy and on the selection of modalities for ablation/excision (excision, coagulation, vaporization) using instruments such as CO2 laser, electrocautery, or scissors, with the overarching goal of removing active endometriotic tissue and correcting anatomic distortion from adhesions and cystic lesions. It emphasizes that the key issue is adequate identification and that technique choice is limited and should be matched to disease location and patient factors, including recognition of the limits of each approach. A major limitation explicitly acknowledged is that the discussion frames approach selection largely around surgeon preference and does not provide comparative effectiveness data within the chapter itself. This paper is centrally about endometriosis — it describes techniques for ablation and excision of endometriotic lesions.

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Abstract

The 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. Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

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Should a stage V be included in the American Fertility Society Classification? Fertil Steril 1992;57:691–692. Editor information Editors and Affiliations Rights and permissions Copyright information © 1995 Springer-Verlag New York, Inc. About this chapter Cite this chapter Canis, 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 Download citation DOI: https://doi.org/10.1007/978-1-4613-8404-5_10 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4613-8406-9 Online ISBN: 978-1-4613-8404-5 eBook Packages: Springer Book Archive

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