Laparoscopy

In: Encyclopedia of Women’s Health · 2004 · pp. 694–696 · doi:10.1007/978-0-306-48113-0_232 · W4245249117
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Laparoscopy is a procedure using an endoscope to diagnose and surgically treat gynecological disorders like endometriosis, including conservative and radical surgical options.

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This paper (an encyclopedia chapter) describes laparoscopy as a gynecologic procedure in which an endoscope is inserted to allow direct visualization of pelvic organs and, when indicated, performance of treatments through the instrument. It outlines how laparoscopy is used both for diagnosis and treatment of endometriosis, noting that laparoscopic treatment may be conservative or radical and that conservative surgery aims to preserve fertility but can require dissection involving the urinary tract, bowel, and tissue around the vagina and rectum, including the rectovaginal septum. It also summarizes that a wide range of laparoscopic procedures can be performed depending on lesion location, including peritoneal lesions, ovarian involvement, intestinal disease, and urinary tract endometriosis, while acknowledging that the chapter is a procedural overview rather than an original study. This paper is centrally about endometriosis — it specifically focuses on laparoscopic diagnosis and treatment approaches for endometriosis, including conservative versus radical strategies and lesion-targeted procedures.

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Laparoscopy is a medical procedure which can be utilized to treat a variety of gynecological disorders. A small tube (endoscope) is introduced into the affected organ. The medical practitioner can visualize the organ, and if indicated, perform surgery/treatments via the endoscope. Laparoscopy is often done to diagnose (by direct visualization) and treat the common condition of endometriosis (abnormal uterine tissue). Laparoscopic treatment of endometriosis can be either conservative or radical. Conservative surgery aims to retain the patient’s fertility. However, such surgery may involve dissection of the urinary tract, the bowel, and the tissue around the vagina and rectum (rectovaginal septum). A wide range of laparoscopic procedures can be performed on patients with endometriosis. These include treatment of peritoneal lesions (endometrial tissue in the abdomen), the ovaries, the intestines, and the urinary tract. The ovary is one of the most common pelvic organs to be affected with... Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Suggested Reading Al-Azemi, M., Bernal, A. L., Steele, J., Gramsbergen, I., Barlow, D., & Kennedy, S. (2000). Ovarian response to repeated controlled stimulation in in-vitro fertilization cycles in patients with ovarian endometriosis. Human Reproduction, 15, 72–75. Bedaiwy, M. A., Falcone, T., Sharma, R. K., Goldberg, J. M., Attaran, M., Nelson, D. R., et al. (2002). Prediction of endometriosis with serum and peritoneal fluid markers: A prospective controlled trial. Human Reproduction, 17, 426–431. Jerby, B. L., Kessler, H., Falcone, T., & Milsom, J. W. (1999). Laparoscopic management of colorectal endometriosis. Surgical Endoscopy, 13, 1125–1128. Jones, K., & Sutton, C. (2000). Endometriomas: Fenestration or excision? Fertility and Sterility, 74, 846–848. Ling, F. W. (1999). Randomized controlled trial of depot leuprolide in patients with chronic pelvic pain and clinically suspected endometriosis. Pelvic Pain Study Group. Obstetrics and Gynecology, 93, 51–58. Lundorff, P., Hahlin, M., Kallfelt, B., Thorburn, J., & Lindblom, B. (1991). Adhesion formation after laparoscopic surgery in tubal pregnancy: A randomized trial versus laparotomy. Fertility and Sterility, 55, 911–915. Marcoux, S., Maheux, R., & Berube, S. (1997). Laparoscopic surgery in infertile women with minimal or mild endometriosis. Canadian Collaborative Group on Endometriosis. New England Journal of Medicine, 337, 217–222. Mol, B. W., Bayram, N., Lijmer, J. G., Wiegerinck, M. A., Bongers, M. Y., van der Veen, F., et al. (1998). The performance of CA-125 measurement in the detection of endometriosis: A meta-analysis. Fertility and Sterility, 70, 1101–1108. Nezhat, C., Nezhat, F., Nezhat C. H., Nasserbakht, F., Rosati, M., & Seidman, D. S. (1996). Urinary tract endometriosis treated by laparoscopy. Fertility and Sterility, 66, 920–924. Nezhat, C. H., Seidman, D. S., Nezhat, F. R., & Nezhat, C. R. (1998). Long-term outcome of laparoscopic presacral neurectomy for the treatment of central pelvic pain attributed to endometriosis. Obstetrics and Gynecology, 91, 701–704. Redwine, D. B. (1999). Ovarian endometriosis: A marker for more extensive pelvic and intestinal disease. Fertility and Sterility 72, 310–315. Singh, M., Goldberg, J., Falcone, T., Nelson, D., Pasqualotto, E., Attaran, M., et al. (2001). Superovulation and intrauterine insemination in cases of treated mild pelvic disease. Journal of Assisted Reproduction and Genetics, 18, 26–29. Sutton, C. J., Ewen, S. P., Whitelaw, N., & Haines, P. (1994). Prospective, randomized, double-blind, controlled trial of laser laparoscopy in the treatment of pelvic pain associated with minimal, mild, and moderate endometriosis. Fertility and Sterility, 62, 696–700. Tulandi, T., & al-Took, S. (1998). Reproductive outcome after treatment of mild endometriosis with laparoscopic excision and electrocoagulation. Fertility and Sterility, 69, 229–231. Rights and permissions Copyright information © 2004 Kluwer Academic/Plenum Publishers About this entry Cite this entry Bedaiwy, M.A., Falcone, T. (2004). Laparoscopy. In: Encyclopedia of Women’s Health. Springer, Boston, MA. https://doi.org/10.1007/978-0-306-48113-0_232 Download citation DOI: https://doi.org/10.1007/978-0-306-48113-0_232 Publisher Name: Springer, Boston, MA Print ISBN: 978-0-306-48073-7 Online ISBN: 978-0-306-48113-0 eBook Packages: Springer Book Archive Keywords These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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