Advanced Laparoscopic Gynaecological Procedures

In: The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology · 2021 · pp. 407–414 · doi:10.1017/9781108582322.048 · W3217312160
book-chapter OA: closed CC0
Full text JSON View on OpenAlex View at publisher
AI-generated summary by claude@2026-06, 2026-06-08

This paper details advanced laparoscopic gynecological procedures, including myomectomy, hysterectomy, endometriosis treatment, and uterine cancer treatment, by describing pre-, intra-, and postoperative considerations, common complications, and their management.

One-sentence paraphrase of the abstract; not a substitute for reading it. No clinical advice. How this works

AI-generated deep summary by claude@2026-06, 2026-06-10 · read from full text

This EBCOG postgraduate textbook chapter reviews advanced laparoscopic gynaecological procedures, describing preoperative planning, intraoperative setup, key operative steps, and postoperative course for extensive laparoscopic myomectomy, hysterectomy for large myomas, and laparoscopic treatment of endometriosis (along with cancer-related hysterectomy). It highlights common intraoperative complications such as ureter, bladder, gastrointestinal, and vascular injuries as well as pneumoperitoneum-linked complications, and it also outlines typical postoperative issues including wound-healing problems, bleeding, and gastrointestinal lesions with possible treatment options. A major limitation is that the text is educational and does not present new original study data or a formal, procedure-comparative evidence synthesis. Relevance to endometriosis: the chapter includes laparoscopic treatment of endometriosis as one of the advanced laparoscopic procedures it discusses.

Read from the paper's body, not the abstract. Not a substitute for reading the paper. No clinical advice. How this works

Abstract

Laparoscopic extensive myomectomy, hysterectomy for large myomas, laparoscopic treatment of endometriosis or treatment of cancer of the uterus are advanced laparoscopic gynaecological procedures. Since they can be very challenging, many special pre-, intra- and postoperative aspects need to be considered. This chapter aims to give insights into the different advanced laparoscopic gynaecological procedures. The preoperative arrangement, the intraoperative setting, key operative steps and the postoperative course are described in detail. An overview of common intraoperative complications like ureter injuries, bladder injuries, gastrointestinal injuries, vascular injuries and pneumoperitoneum-linked complications is given. Some typical postoperative complications like wound-healing problems, bleeding and gastrointestinal lesions are described together with possible treatment options.
Full text 10,206 characters · extracted from oa-doi-fallback · click to expand
- The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - Copyright page - Dedication - Contents - Videos - Contributors - Preface - Section 1 Basic Sciences in Gynaecology - Section 2 Menstrual Disorders - Section 3 Reproductive Endocrinology and Infertility - Section 4 Contraception and STIs - Section 5 Post-Reproductive Care - Section 6 Vulva and Vagina - Section 7 Cervix - Section 8 Uterus - Section 9 Ovary and Fallopian Tubes - Section 10 Operative Gynaecology - Chapter 43 Basic Hysteroscopy - Chapter 44 Advanced Hysteroscopy - Chapter 45 Basic Laparoscopic Gynaecological Procedures - Chapter 46 Advanced Laparoscopic Gynaecological Procedures - Chapter 47 Robotic Gynaecological Surgery - Chapter 48 Myomectomy - Chapter 49 Hysterectomy for Benign Conditions - Chapter 50 Reversal of Sterilization in Females and Males to Restore Fertility - Section 11 Public Health Issues in Gynaecology - Section 12 Miscellaneous - Index - Plate Section (PDF Only) - References from Section 10 - Operative Gynaecology Published online by Cambridge University Press: 24 November 2021 Book contents - The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - Copyright page - Dedication - Contents - Videos - Contributors - Preface - Section 1 Basic Sciences in Gynaecology - Section 2 Menstrual Disorders - Section 3 Reproductive Endocrinology and Infertility - Section 4 Contraception and STIs - Section 5 Post-Reproductive Care - Section 6 Vulva and Vagina - Section 7 Cervix - Section 8 Uterus - Section 9 Ovary and Fallopian Tubes - Section 10 Operative Gynaecology - Chapter 43 Basic Hysteroscopy - Chapter 44 Advanced Hysteroscopy - Chapter 45 Basic Laparoscopic Gynaecological Procedures - Chapter 46 Advanced Laparoscopic Gynaecological Procedures - Chapter 47 Robotic Gynaecological Surgery - Chapter 48 Myomectomy - Chapter 49 Hysterectomy for Benign Conditions - Chapter 50 Reversal of Sterilization in Females and Males to Restore Fertility - Section 11 Public Health Issues in Gynaecology - Section 12 Miscellaneous - Index - Plate Section (PDF Only) - References Laparoscopic extensive myomectomy, hysterectomy for large myomas, laparoscopic treatment of endometriosis or treatment of cancer of the uterus are advanced laparoscopic gynaecological procedures. Since they can be very challenging, many special pre-, intra- and postoperative aspects need to be considered. This chapter aims to give insights into the different advanced laparoscopic gynaecological procedures. The preoperative arrangement, the intraoperative setting, key operative steps and the postoperative course are described in detail. An overview of common intraoperative complications like ureter injuries, bladder injuries, gastrointestinal injuries, vascular injuries and pneumoperitoneum-linked complications is given. Some typical postoperative complications like wound-healing problems, bleeding and gastrointestinal lesions are described together with possible treatment options. - Type - Chapter - Information - The EBCOG Postgraduate Textbook of Obstetrics & GynaecologyGynaecology, pp. 407 - 414Publisher: Cambridge University PressPrint publication year: 2021 Levy, BS. Modern management of uterine fibroids. Acta Obstet Gynecol Scand 2008;87:812–823.CrossRefGoogle ScholarPubMed Wallwiener, D, Jonat, W, Kreienberg, R, et al. Atlas der gynäkologischen Operationen. New York: Georg Thieme Verlag, 2018.Google Scholar Hirschelmann, A, De Wilde, RL. Plastic and reconstructive uterus operations by minimally invasive surgery? A review on myomectomy. GMS Interdiscip Plast Reconstr Surg DGPW 2012.doi:10.3205/iprs000009.CrossRefGoogle Scholar Tanos, V, Berry, KE, Frist, M, Campo, R, DeWilde, RL. Prevention and management of complications in laparoscopic myomectomy. Biomed Res Int 2018;2018:8250952.CrossRefGoogle ScholarPubMed Doridot, V, Dubuisson, JB, Chapron, C, Fauconnier, A, Babaki-Fard, K. Recurrence of leiomyomata after laparoscopic myomectomy. J Am Assoc Gynecol Laparosc 2001;8:495–500.CrossRefGoogle ScholarPubMed Thubert, T, Foulot, H, Vinchant, M, et al. Surgical treatment: myomectomy and hysterectomy; endoscopy: a major advancement. Best Pract Res Clin Obstet Gynaecol 2016;34:104–121.CrossRefGoogle ScholarPubMed Vilos, GA, Allaire, C, Laberge, PY, Leyland, N, Special, C. The management of uterine leiomyomas. J Obstet Gynaecol Can 2015;37:157–178.Google Scholar Neis, KJ, Zubke, W, Romer, T, et al. indications and route of hysterectomy for benign diseases. guideline of the DGGG, OEGGG and SGGG (S3 level, AWMF Registry No. 015/070, April 2015). Geburtshilfe Frauenheilkd 2016;76:350–364.Google ScholarPubMed Stuparich, MA, Lee, TTM. Tips and tricks for performing salpingectomy at the time of laparoscopic hysterectomy. J Minim Invasive Gynecol 2017;24:205.CrossRefGoogle ScholarPubMed Beckmann, MW, Juhasz-Boss, I, Denschlag, D, et al. Surgical methods for the treatment of uterine fibroids: risk of uterine sarcoma and problems of morcellation. Position paper of the DGGG. Geburtshilfe Frauenheilkd 2015;75:148–164.Google Scholar Aarts, JW, Nieboer, TE, Johnson, N, et al. Surgical approach to hysterectomy for benign gynaecological disease. Cochrane Database Syst Rev 2015;CD003677.Google ScholarPubMed Fiaccavento, A, Landi, S, Barbieri, F, et al. Total laparoscopic hysterectomy in cases of very large uteri: a retrospective comparative study. J Minim Invasive Gynecol 2007;14:559–563.Google Scholar Magrina, JF. Complications of laparoscopic surgery. Clin Obstet Gynecol 2002;45:469–480.Google Scholar Bogani, G, Dowdy, SC, Cliby, WA, et al. Management of endometrial cancer: issues and controversies. Eur J Gynaecol Oncol 2016;37:6–12.Google ScholarPubMed Leitao, MM. Current and future surgical approaches in the management of endometrial carcinoma. Future Oncol 2008;4:389–401.CrossRefGoogle ScholarPubMed Chen, Y, Xu, H, Li, Y, et al. The outcome of laparoscopic radical hysterectomy and lymphadenectomy for cervical cancer: a prospective analysis of 295 patients. Ann Surg Oncol 2008;15:2847–2855.Google Scholar Gil-Moreno, A, Puig, O, Perez-Benavente, MA, et al. Total laparoscopic radical hysterectomy (type II–III) with pelvic lymphadenectomy in early invasive cervical cancer. J Minim Invasive Gynecol 2005;12:113–120.Google Scholar Amant, F, Moerman, P, Neven, P, et al. Treatment modalities in endometrial cancer. Curr Opin Oncol 2007;19:479–485.CrossRefGoogle ScholarPubMed Landoni, F, Maneo, A, Cormio, G, et al. Class II versus class III radical hysterectomy in stage IB–IIA cervical cancer: a prospective randomized study. Gynecol Oncol 2001;80:3–12.CrossRefGoogle ScholarPubMed Querleu, D, Cibula, D, Abu-Rustum, NR. 2017 update on the Querleu–Morrow classification of radical hysterectomy. Ann Surg Oncol 2017;24:3406–3412.Google Scholar Matsuo, K, Machida, H, Shoupe, D, et al. Ovarian conservation and overall survival in young women with early-stage low-grade endometrial cancer. Obstet Gynecol 2016;128:761–770.Google Scholar Chen, J, Wang, R, Zhang, B, et al. Safety of ovarian preservation in women with stage I and II cervical adenocarcinoma: a retrospective study and meta-analysis. Am J Obstet Gynecol 2016;215:460e1–e1e13.CrossRefGoogle Scholar Boing, C, Kimmig, R [Surgical management of endometriosis: an overview]. Gynakol Geburtshilfliche Rundsch 2007;47:124–131.Google ScholarPubMed Cao, Q, Lu, F, Feng, WW, Ding, JX, Hua, KQ. Comparison of complete and incomplete excision of deep infiltrating endometriosis. Int J Clin Exp Med 2015;8:21497–21506.Google ScholarPubMed Garry, R. The effectiveness of laparoscopic excision of endometriosis. Curr Opin Obstet Gynecol 2004;16:299–303.CrossRefGoogle ScholarPubMed Keckstein, J. [Surgical therapy of endometriosis]. Wien Med Wochenschr 1999;149:366–371.Google ScholarPubMed Solomayer, E-F, Juhasz-Böss, I. Kursbuch gynäkologische Endoskopie. New York: Georg Thieme Verlag, 2018.Google Scholar Lam, A, Kaufman, Y, Khong, SY, et al. Dealing with complications in laparoscopy. Best Pract Res Clin Obstet Gynaecol 2009;23:631–646.CrossRefGoogle ScholarPubMed Becker, CM, Gattrell, WT, Gude, K, Singh, SS. Reevaluating response and failure of medical treatment of endometriosis: a systematic review. Fertil Steril 2017;108:125–136.Google Scholar Accessibility compliance for the HTML of this chapter is currently unknown and may be updated in the future. To save this book to your Kindle, first ensure [email protected] is added to your Approved Personal Document E-mail List under your Personal Document Settings on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part of your Kindle email address below. Find out more about saving to your Kindle. Note you can select to save to either the @free.kindle.com or @kindle.com variations. ‘@free.kindle.com’ emails are free but can only be saved to your device when it is connected to wi-fi. ‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply. Find out more about the Kindle Personal Document Service. - Advanced Laparoscopic Gynaecological Procedures - - Book: The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - Online publication: 24 November 2021 To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Dropbox. - Advanced Laparoscopic Gynaecological Procedures - - Book: The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - Online publication: 24 November 2021 To save content items to your account, please confirm that you agree to abide by our usage policies. If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account. Find out more about saving content to Google Drive. - Advanced Laparoscopic Gynaecological Procedures - - Book: The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology - Online publication: 24 November 2021

Text is read by the "Ask this paper" AI Q&A widget below. Extraction quality varies by source — PMC NXML preserves structure cleanly, OA-HTML may include some navigation residue, and OA-PDF can have broken hyphenation. The publisher copy (via DOI) is the canonical version.

My notes (saved in your browser only)

Ask this paper AI returns verbatim quotes from the full text · source: oa-doi-fallback

Answers must be backed by verbatim quotes from this paper's full text. Hallucinated quotes are dropped automatically; if no verbatim passage answers the question, we say so. How this works

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.

References (33)

Source provenance

openalex
last seen: 2026-06-04T00:00:01.174412+00:00
License: CC0 · commercial use OK