Operative laparoscopy

Chris Sutton
In: Current Opinion in Obstetrics and Gynecology · 1992 · vol. 4(3) , pp. 430–438 · doi:10.1097/00001703-199206000-00014 · W4212855443
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Minimally invasive gynecological surgery has evolved from simple ablative procedures to complex operations like myomectomy and hysterectomy, requiring appraisal for their clinical role.

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This review article examines the rapid evolution of minimally invasive surgical techniques, highlighting the shift from simple ablative procedures to complex operations like laparoscopic myomectomy and hysterectomy. The author notes that while some newer interventions demonstrate significant technical virtuosity, they are extremely time-consuming and require careful appraisal to determine their true clinical value. A major caveat presented is that these advanced procedures push the limits of surgical skill and must be rigorously evaluated before widespread adoption in gynecology. Relevance to endometriosis: listed as one indication for GnRH antagonists, though the paper's main focus is uterine fibroids.

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Abstract

Minimally invasive surgery is going through a rapid phase of evolution and over a relatively short time we have witnessed progress from simple ablative procedures such as the division of adhesions and destruction of endometriosis to far more complex operations such as laparoscopic myomectomy, hysterectomy, and, perhaps the hardest of all, cul-de-sac dissection and resection of bowel involved in dense fibrotic endometriosis. Some of these newer procedures reach the very limits of technical virtuosity and are extremely time consuming and will need careful appraisal before their true place in clinical gynecology is established.
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Article: PDF Only Operative laparoscopy - Chris Sutton Current Opinion in Obstetrics & Gynecology 4(3):p 430-438, June 1992. Minimally invasive surgery is going through a rapid phase of evolution and over a relatively short time we have witnessed progress from simple ablative procedures such as the division of adhesions and destruction of endometriosis to far more complex operations such as laparoscopic myomectomy, hysterectomy, and, perhaps the hardest of all, cul-de-sac dissection and resection of bowel involved in dense fibrotic endometriosis. Some of these newer procedures reach the very limits of technical virtuosity and are extremely time consuming and will need careful appraisal before their true place in clinical gynecology is established. Copyright © Copyright © 1992 YEAR Wolters Kluwer Health, Inc. All rights reserved.

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Condition tags

endometriosis

Citation neighborhood

Papers in the corpus that this work cites (lower rings, blue) and that cite this one (upper rings, green). Dot size scales with the paper's in-corpus citation count — bigger dot = more influential within the endo/adeno field. Click a dot to open that paper. [ expand to 2 hops ] — adds papers reached through this work's immediate citers/citees. Heavier; up to 60 extra dots.

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