Laparoscopic management of moderate: Severe endometriosis
Objectives: To assess the feasibility of laparoscopic surgery in cases of moderate-severe endometriosis. Materials and Methods: A prospective study was carried out in a tertiary centre over a period of 2 years. Moderate to severe endometriosis was defined by revised American fertility society (rAFS)...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2014-01-01
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| Series: | Journal of Minimal Access Surgery |
| Subjects: | |
| Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=1;spage=27;epage=33;aulast=Shah |
| _version_ | 1818483672555192320 |
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| author | Pranay R Shah Anu Adlakha |
| author_facet | Pranay R Shah Anu Adlakha |
| author_sort | Pranay R Shah |
| collection | DOAJ |
| description | Objectives: To assess the feasibility of laparoscopic surgery in cases of moderate-severe endometriosis. Materials and Methods: A prospective study was carried out in a tertiary centre over a period of 2 years. Moderate to severe endometriosis was defined by revised American fertility society (rAFS) classification (41 patients). Various procedures were done to provide symptomatic relief. Feasibility of laparoscopic surgery and various patient parameters were analysed. Results: Various procedures like adhesiolysis in POD, excision of endometriomas, resection of endometriotic nodules in the recto-vaginal septum, ureterolysis and total laparoscopic hysterectomy with/ without oophorectomy were done. Majority of patients underwent cystectomy for endometriomas (53.6%) or adhesiolysis with excision of endometriotic nodule (36.5%). Total laparoscopic hysterectomy with or without ooperectomy was done in 31.7% patients. Of the total 9 patients with primary infertility and moderate-severe endometriosis, 5 patients (55.5%) conceived after surgery. Conclusion: There is good evidence that in experienced hands laparoscopic surgery helps in long-term symptomatic relief, improves pregnancy rates and reduces recurrence of disease with largely avoiding complications. |
| first_indexed | 2024-12-10T15:45:00Z |
| format | Article |
| id | doaj.art-84051ae59a48467e88f00daab620579c |
| institution | Directory Open Access Journal |
| issn | 0972-9941 1998-3921 |
| language | English |
| last_indexed | 2024-12-10T15:45:00Z |
| publishDate | 2014-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Journal of Minimal Access Surgery |
| spelling | doaj.art-84051ae59a48467e88f00daab620579c2022-12-22T01:42:59ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212014-01-01101273310.4103/0972-9941.124463Laparoscopic management of moderate: Severe endometriosisPranay R ShahAnu AdlakhaObjectives: To assess the feasibility of laparoscopic surgery in cases of moderate-severe endometriosis. Materials and Methods: A prospective study was carried out in a tertiary centre over a period of 2 years. Moderate to severe endometriosis was defined by revised American fertility society (rAFS) classification (41 patients). Various procedures were done to provide symptomatic relief. Feasibility of laparoscopic surgery and various patient parameters were analysed. Results: Various procedures like adhesiolysis in POD, excision of endometriomas, resection of endometriotic nodules in the recto-vaginal septum, ureterolysis and total laparoscopic hysterectomy with/ without oophorectomy were done. Majority of patients underwent cystectomy for endometriomas (53.6%) or adhesiolysis with excision of endometriotic nodule (36.5%). Total laparoscopic hysterectomy with or without ooperectomy was done in 31.7% patients. Of the total 9 patients with primary infertility and moderate-severe endometriosis, 5 patients (55.5%) conceived after surgery. Conclusion: There is good evidence that in experienced hands laparoscopic surgery helps in long-term symptomatic relief, improves pregnancy rates and reduces recurrence of disease with largely avoiding complications.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=1;spage=27;epage=33;aulast=ShahEndometriosisfeasibilitylaparoscopic excision |
| spellingShingle | Pranay R Shah Anu Adlakha Laparoscopic management of moderate: Severe endometriosis Journal of Minimal Access Surgery Endometriosis feasibility laparoscopic excision |
| title | Laparoscopic management of moderate: Severe endometriosis |
| title_full | Laparoscopic management of moderate: Severe endometriosis |
| title_fullStr | Laparoscopic management of moderate: Severe endometriosis |
| title_full_unstemmed | Laparoscopic management of moderate: Severe endometriosis |
| title_short | Laparoscopic management of moderate: Severe endometriosis |
| title_sort | laparoscopic management of moderate severe endometriosis |
| topic | Endometriosis feasibility laparoscopic excision |
| url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2014;volume=10;issue=1;spage=27;epage=33;aulast=Shah |
| work_keys_str_mv | AT pranayrshah laparoscopicmanagementofmoderatesevereendometriosis AT anuadlakha laparoscopicmanagementofmoderatesevereendometriosis |