Laparoscopic Treatment of Endometriosis

Dan C. Martin
In: Practical Manual of Operative Laparoscopy and Hysteroscopy · 1997 · pp. 137–146 · doi:10.1007/978-1-4612-1886-9_15 · W1493272692
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Laparoscopy effectively diagnoses and treats minimal to advanced endometriosis with decreased morbidity, cost, and potentially fewer adhesions compared to laparotomy.

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This chapter describes laparoscopic diagnosis and treatment of endometriosis, noting that advances in laparoscopy have enabled treatment beyond minimal or mild disease. It highlights that, compared with laparotomy, laparoscopy can reduce morbidity and cost and may decrease the incidence of de novo adhesion formation. A major limitation is that the text is largely narrative and references prior studies rather than presenting new, primary patient-level data with detailed methods or outcomes. This paper is centrally about endometriosis — it focuses on laparoscopic diagnosis and operative treatment approaches and their comparative benefits versus laparotomy.

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Abstract

Laparoscopy has increased the gynecologist’s ability to diagnosis endometriosis. In addition, laparoscopy is increasingly important as a treatment modality. No longer is laparoscopy used only to treat minimal and mild disease; advanced disease can be treated safely and effectively.(1) The laparoscopic approach to the treatment of endometriosis has many advantages over laparotomy. The decrease in morbidity and cost is established.(2) Additionally, laparoscopy may decrease the incidence of de novo adhesion formation when compared to laparotomy.(3) Preview Unable to display preview. Download preview PDF. Similar content being viewed by others

References

Adamson GD, Subak LL, Pasta DJ, Hurd SJ, Von Franque O, Rodriguez BD. Comparison of CO2 laser laparoscopy with laparotomy for treatment of endometriomata. Fertil Steril. 1992;57: 965–973. 15. Luciano AA, Lowney J, Jacobs SL. Endoscopic treatment of endometriosis-associated infertility: therapeutic, economic and social benefit. J Reprod Med. 1992;37:573–576. 16. Diamond MP, Operative LSG, Daniell JF, et al. Postoperative adhesion development after operative laparoscopy: evaluation at early second-look procedures. Fertil Steril. 1991;55:700–704. Martin DC, Hubert GD, Van der Zwaag R, El- 18. Zeky FA. Laparoscopic appearances of peritoneal endometriosis. Fertil Steril. 1989;51: 63–67. 19. Wheeler JM, Malinak LR. Computer graphic pelvic mapping, second look laparoscopy, and the distinction of recurrent versus persistent 20. endometriosis. Fertility and Sterility Program, 43rd Annual Meeting Suppl. 1987, Reno. Abstract 194. 21. Davis GD, Brooks RA. Excision of pelvic endometriosis with the carbon dioxide laser laparoscope. Obstet Gynecol. 1988;72:816–819. Russell WW. Aberrant portions of the mullerian 22. duct found in an ovary. Johns Hopkins Hosp Bull. 1899;94–96:8–10. Murphy AA, Green WR, Bobbie D, Dela Cruz ZC, Rock JA. Unsuspected endometriosis docu- 23. mented by scanning electron microscopy in visually normal peritoneum. Fertil Steril. 1986; 46:522–524. Nesbitt RE, Rizk PT. Uterosacral ligament syndrome. Obstet Gynecol. 1971;37:730–733. Moore JG, Binstock MA, Growdon WA. The clinical implications of retroperitoneal endometriosis. Am J Obstet Gynecol. 1988;158: 1291–1298. Sampson JA. Perforating hemorrhagic (chocolate) cysts of the ovary. Their importance and especially their relation to pelvic adenomas of the endometrial type (`adenomyoma’ of the uterus, rectovaginal septum, sigmoid, etc.). Arch Surg. 1921;3:245–323. Ripps BA, Martin DC. Correlation of focal pelvic tenderness with implant dimension and stage of endometriosis. J Reprod Med. 1992;37: 620–624. Nezhat C, Crowgey SR, Nezhat F. Videolaseroscopy for the treatment of endometriosis associated with infertility. Fertil Steril. 1989; 51:237–240. Redwine DB. Conservative laparoscopic excision of endometriosis by sharp dissection: life table analysis of reoperation and persistent or recurrent disease. Fertil Steril. 1991;56:628–634. Brosens IA, Puttemans PJ, Deprest J. The endoscopie localization of endometrial implants in the ovarian chocolate cyst. Fertil Steril. 1994;61: 1034–1038. Martin DC, Berry JD. Histology of chocolate cysts. JGynecol Surg. 1990;6:43–46. Reich H, McGlynn F. Treatment of ovarian endometriomas using laparoscopic surgical techniques. JReprod Med. 1986;31:577–584. Martin DC. CO2 laser laparoscopy for endometriosis associated with infertility. J Reprod Med. 1986;31:1089–1094. Martin DC. Therapeutic laparoscopy. In: Martin DC, ed. Laparoscopic Appearance ofEndometriosis. Vol. I. Memphis: Resurge Press; 1990:21–29. Kojima E, Yanagibori A, Yuda K, Hirakawa S. Nd:YAG laser endoscopy. JReprod Med. 1988;33: 907–911. Keye WR, Hansen LW, Astin M, Poulson AM. Argon laser therapy of endometriosis: a review of 92 consecutive patients. Fertil Steril. 1987; 47:208–212. Portuondo JA, Melchor JC, Neyro JL, Alegre A. Periovarian adhesions following ovarian wedge resection or laparoscopic biopsy. Endoscopy 1984;16:143–145. Diamond MP, Daniell JF, Feste J, et al. Adhesion reformation and de novo adhesion formation after reproductive pelvic surgery. Fertil Steril. 1987;47:864–866. Editor information Editors and Affiliations Rights and permissions Copyright information © 1997 Springer Science+Business Media New York About this chapter Cite this chapter Martin, D.C. (1997). Laparoscopic Treatment of Endometriosis. In: Azziz, R., Murphy, A.A. (eds) Practical Manual of Operative Laparoscopy and Hysteroscopy. Springer, New York, NY. https://doi.org/10.1007/978-1-4612-1886-9_15 Download citation DOI: https://doi.org/10.1007/978-1-4612-1886-9_15 Publisher Name: Springer, New York, NY Print ISBN: 978-1-4612-7324-0 Online ISBN: 978-1-4612-1886-9 eBook Packages: Springer Book Archive

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endometriosis

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