Severe endometriosis and operative laparoscopy

Camran Nezhat, F Nezhat, CH Nezhat, Daniel S. Seidman
In: Current Opinion in Obstetrics and Gynecology · 1995 · vol. 7(4) , pp. 299???306 · doi:10.1097/00001703-199508000-00013 · W2030040118
article OA: closed CC0 ⤵ 11 in-corpus citations
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Advanced laparoscopic techniques enable complete removal of deeply infiltrating endometriosis lesions, including complex ureter, bladder, and bowel resections, by experienced surgeons.

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This editorial review examines the role of operative laparoscopy as a primary treatment modality for severe endometriosis. It highlights that advanced surgical techniques enable the complete removal of deeply infiltrating lesions, including those affecting the ureter, bladder, and colon through resection and reanastomosis. The authors emphasize that successful outcomes depend on both high-level surgical skill and a comprehensive understanding of pelvic anatomy and disease progression. This paper is centrally about endometriosis — specifically the laparoscopic excision of deep infiltrating lesions in severe cases.

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Abstract

Laparoscopic surgery offers the most effective form of treatment for women with severe endometriosis. The development of advanced laparoscopic techniques allows complete removal of deeply infiltrating lesions. Implants can be laparoscopically dissected from all anatomical locations, including severe involvement of the ureter, bladder, and colon. When the endometriosis penetrates through the entire depth of the organ wall, complete resection and reanastomosis of the ureter or bowel can be safely performed laparoscopically by the experienced surgeon. However, optimal laparoscopic treatment requires not only surgical skill, but also comprehensive knowledge of pelvic anatomy and a good understanding of endometriosis and its progression.
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EDITORIAL REVIEW: PDF Only Severe endometriosis and operative laparoscopy - Camran Nezhat - Farr Nezhat - Ceana H. Nezhat - Daniel S. Seidman Current Opinion in Obstetrics & Gynecology 7(4):p 299-306, August 1995. Laparoscopic surgery offers the most effective form of treatment for women with severe endometriosis. The development of advanced laparoscopic techniques allows complete removal of deeply infiltrating lesions. Implants can be laparoscopically dissected from all anatomical locations, including severe involvement of the ureter, bladder, and colon. When the endometriosis penetrates through the entire depth of the organ wall, complete resection and reanastomosis of the ureter or bowel can be safely performed laparoscopically by the experienced surgeon. However, optimal laparoscopic treatment requires not only surgical skill, but also comprehensive knowledge of pelvic anatomy and a good understanding of endometriosis and its progression. Copyright © Lippincott-Raven Publishers.

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Condition tags

endometriosis

Citation neighborhood (2-hop)

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. Outer rings show 2-hop neighbours — papers reached through the immediate citers/citees. [ collapse to 1-hop ]

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