Laparoscopic Suspension Procedures
Laparoscopic uterine suspension is indicated for dyspareunia from severe uterine retroversion and selected endometriosis cases, allowing correction of adhesions, endometriosis, and hydrosalpinx during the procedure.
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This chapter describes laparoscopic uterine suspension procedures, focusing on indications for dyspareunia due to severe uterine retroversion without other cul-de-sac disease, and on selected severe endometriosis cases involving the cul-de-sac and rectum. It explains that at laparoscopy, adhesions, endometriosis, and hydrosalpinx can be addressed and the uterine suspension performed during the same operation. The chapter frames its recommendations as an operative approach and does not present original patient outcome data within the provided text, limiting the ability to quantify results. This paper is centrally about endometriosis — it specifically discusses uterine suspension as a treatment option for selected severe endometriosis involving the cul-de-sac and rectum.
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