Conclusion

Christopher D. Sutton, Kevin Jones
In: Endometriosis · 2004 · pp. 61–62 · doi:10.1017/cbo9781107784659.007 · W4240757196
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This paper reviews the evolution of laparoscopic surgery for endometriosis, noting that while radical procedures require significant skill and time, they offer substantial benefits including reduced morbidity, infection, and adhesion formation compared to traditional laparotomy.

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This conclusion reflects on the technological and surgical advancements in minimal-access operative laparoscopy within gynecology during the late twentieth century. It highlights a shift from primarily conservative fertility-enhancing procedures to curative radical surgeries, including the treatment of severe endometriosis stages involving dense infiltrative disease and colon resection. The text emphasizes that while these complex operations require significant time and skilled teams, they offer substantial benefits such as reduced morbidity, infection, and adhesion formation compared to traditional open surgery. This paper is centrally about endometriosis — specifically focusing on the evolution and advantages of laparoscopic excision for various disease severities.

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Abstract

The last decade of the 20th century witnessed a revolution in technological progress and surgical skill in the field of minimal-access operative laparoscopy in gynaecology. Most of this effort has been directed towards conservative surgery to improve fertility, but recently, there has been a discernible trend to perform curative radical surgery by laparoscopy. Laparoscopic surgery can be employed for minimal peritoneal endometriosis as well as the most severe stages of the disease. Dense, fibrotic, infiltrative disease of the rectovaginal septum or pelvic sidewall, with retroperitoneal dissection of the ureter can be performed. Laparoscopic surgery is even used to perform segmental resection of the colon involved with endometriosis. Such procedures take a large amount of operating time, and require a skilled and dedicated team to ensure a successful outcome, but the benefits for the patients are enormous. The advantage lies not only in the reduction of postoperative discomfort and the rapid return to normal life, but also because the endoscopic approach is associated with less morbidity, infection, and adhesion formation, which often thwarts the best intentions of the traditional laparotomists.
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Published online by Cambridge University Press: 05 February 2014 The last decade of the 20th century witnessed a revolution in technological progress and surgical skill in the field of minimal-access operative laparoscopy in gynaecology. Most of this effort has been directed towards conservative surgery to improve fertility, but recently, there has been a discernible trend to perform curative radical surgery by laparoscopy. Laparoscopic surgery can be employed for minimal peritoneal endometriosis as well as the most severe stages of the disease. Dense, fibrotic, infiltrative disease of the rectovaginal septum or pelvic sidewall, with retroperitoneal dissection of the ureter can be performed. Laparoscopic surgery is even used to perform segmental resection of the colon involved with endometriosis. Such procedures take a large amount of operating time, and require a skilled and dedicated team to ensure a successful outcome, but the benefits for the patients are enormous. The advantage lies not only in the reduction of postoperative discomfort and the rapid return to normal life, but also because the endoscopic approach is associated with less morbidity, infection, and adhesion formation, which often thwarts the best intentions of the traditional laparotomists. During the first decade of this century, minimal access endoscopic surgery is likely to continue to expand and develop. It will become the primary treatment for endometriosis until such a time, that science elucidates the cause of the condition, allowing a more logical approach aimed at the prevention of this strange and difficult disease. - Type - Chapter - Information - Endometriosis , pp. 61 - 62Publisher: Cambridge University PressPrint publication year: 2004 Accessibility compliance for the PDF 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. - Conclusion - Book: Endometriosis - Online publication: 05 February 2014 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. - Conclusion - Book: Endometriosis - Online publication: 05 February 2014 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. - Conclusion - Book: Endometriosis - Online publication: 05 February 2014

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