LAPAROSCOPIC TREATMENT OF ENDOMETRIOSIS

M Canis, Michel Canis, Canis M, Mage G, G. Mage, H Manhes, Manhes H, H Manhés, J L Pouly, J ­L Pouly, Pouly JL, Wattiez A, A Wattiez, Arnaud Wattiez, M A Bruhat, Bruhat MA, M Bruhat
Acta obstetricia et gynecologica Scandinavica · 1989 · vol. 68(S150) , pp. 15–20 · doi:10.1111/aogs.1989.68.s150.15 · PMID:2533447 · W2463441415
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This paper describes a three-step laparoscopic approach for endometriosis diagnosis and treatment, including peritoneal fluid sampling, AFS scoring, and implant vaporization or cystectomy, which showed favorable outcomes compared to laparotomy.

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Abstract

Adequate management of endometriosis by laparoscopy included 3 steps: a laparoscopic diagnosis with peritoneal fluid sampling for cytologic examination and biopsies of implants and of peritoneum to assure a correct diagnosis, a laparoscopic evaluation of extension with the American Fertility Society (AFS) 85 scoring system in order to classify the severity of the disease, and a laparoscopic treatment with the following strategy: drainage of the ovarian endometrioma and careful peritoneal washing, treatment of peritoneal implants, ovariolysis, treatment of the ovarian cysts, hemostasis and peritoneal lavage. Treatment of peritoneal implants is very easily performed by CO2 laser vaporization using a suprapubic puncture. Ovarian endometriomas are treated by laparoscopic cystectomy using a transparietal cystectomy or an intraperitoneal cystectomy. Laser vaporization is used only in case of small ovarian cysts or after an incomplete resection of a large cyst. Results of laparoscopic treatment of endometriosis compare favorably with those obtained with surgical procedures performed by laparotomy with the well known advantage of a laparoscopic approach.

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Condition tags

endometriosisendometrioma

MeSH descriptors

Endometriosis Genital Neoplasms, Female Laparoscopy Adult Endometriosis Endometriosis Endometriosis Female Genital Neoplasms, Female Genital Neoplasms, Female Genital Neoplasms, Female Humans Infertility, Female Infertility, Female Laser Therapy Pregnancy

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 (21)

Cited by (31)

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