Technique and Reporting of the Imaging Techniques and Classifications: Laparoscopic Surgery

In: Imaging of Endometriosis: A Comparative Guide of US, MRI and Surgery · 2025 · pp. 299–311 · doi:10.1007/978-3-031-82750-1_16 · W4410896687
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Standardizing the operative report for laparoscopic endometriosis surgery is essential for patient information and research data collection through consensus on lexicon, exploration, and vocabulary.

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This paper describes how endometriosis surgery performed laparoscopically should be documented, focusing on the operative report as a key control document in a complex, closed setting involving multiple professionals. It argues that because laparoscopy is the gold standard for phenotypic evaluation, lesion descriptions should use a standardized, consensual lexicon and validated classifications/scores to improve data collection and information flow; it also notes the major limitation that surgery cannot be reinterpreted like imaging. The chapter summarizes consensus among endometriosis societies on terminology for anatomical structures, peritoneal cavity exploration, and surgeon vocabulary to enable intelligible, research-compatible operative reporting. Relevance to endometriosis: the paper is centrally about endometriosis surgery documentation and standardization of laparoscopic operative reports.

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Abstract

Endometriosis surgery is performed laparoscopically. It’s a complex surgery requiring surgical experience and the regular practice of complex cases at a referral center. Unlike a pelvic MRI, which can be reinterpreted, surgery is a closed-door process between the surgeon and their assistant, and it might involve the anesthesiologist. The operative report is therefore a fundamental control document. First and foremost, the operative report must inform the patient and any other healthcare professionals of who may be involved in the patient’s care. The patient expects an extensive description of the lesions and of the surgical procedures. The surgeon must therefore aim to make this document intelligible. The other issue concerns the standardization of data collection in the interests of research. Laparoscopy is the gold standard for the phenotypic evaluation of the disease, and lesion descriptions must be standardized and reproducible. The use of a single lexicon, following a consensual plan, and combining those with the use of classifications, scores, or staging validated by the scientific community should improve our knowledge of the disease while improving the flow of information. Consensus among endometriosis societies has been reached on the lexicon to be used to designate anatomical structures, how the peritoneal cavity should be explored, and the vocabulary to be used by the surgeon. The aim of this chapter is to summarize these data in a standardized operative report. 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 © 2025 The Author(s), under exclusive license to Springer Nature Switzerland AG About this chapter Cite this chapter Crestani, A., Merlot, B., Roman, H. (2025). Technique and Reporting of the Imaging Techniques and Classifications: Laparoscopic Surgery. In: Thomassin-Naggara, I. (eds) Imaging of Endometriosis: A Comparative Guide of US, MRI and Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-82750-1_16 Download citation DOI: https://doi.org/10.1007/978-3-031-82750-1_16 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-031-82749-5 Online ISBN: 978-3-031-82750-1 eBook Packages: MedicineMedicine (R0)

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