Excision of endometriosis in the pouch of Douglas by combined laparovaginal surgery using the Maher abdominal elevator

Peter Maher, Maher P, P. Maher, Carl Wood, C Wood, Wood C, D Hill, David Hill, Hill D
The Journal of the American Association of Gynecologic Laparoscopists · 1995 · vol. 2(2) , pp. 199–202 · doi:10.1016/s1074-3804(05)80017-9 · PMID:9050557 · W2077762123
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This paper describes a combined laparoscopic and vaginal surgical technique using the Maher abdominal elevator to excise endometriosis from the pouch of Douglas.

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Abstract

Twenty-one patients with stage 3 or 4 endometriosis in the pouch of Douglas had combined laparovaginal surgery using the Maher abdominal wall elevator. Opening the pouch of Douglas at the beginning of the operation allowed the combined surgery. Instruments were introduced through both the vagina and accessory laparoscopic incision. And a finger was placed in the vagina to palpate and detect abnormal tissue and assist in blunt dissection. The extent of pathologic tissue in the pouch of Douglas was easily identified. This approach allowed flexibility in maximizing the optimum route, vaginal or laparoscopic, to remove the uterus, and facilitated rectal surgery. The alternatives of laparoscopic and laparotomy surgery have limitations compared with combined laparovaginal surgery, particularly deep in the pelvic cavity.

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Condition tags

endometriosis

MeSH descriptors

Douglas' Pouch Endometriosis Laparoscopes Vagina Abdomen Dissection Douglas' Pouch Endometriosis Equipment Design Female Follow-Up Studies Humans Hysterectomy Hysterectomy Hysterectomy, Vaginal Laparotomy Palpation Patient Satisfaction Peritoneal Diseases Peritoneal Diseases

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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License: CC0 · commercial use OK