Laparoscopic Endometriosis
Laparoscopic Endometriosis - Related Videos
07:20
Intraoperative Detection of Subtle Endometriosis: A Novel Paradigm for Detection and Treatment of Pelvic Pain Associated with the Loss of Peritoneal Integrity
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Cited by 21 •
2012
Loss of peritoneal integrity provides a new paradigm to understand and treat chronic pelvic pain in women with mild forms of endometriosis and can be easily detected using intraoperative instillation of dye at the time of laparoscopy.
08:02
Mouse Model of Surgically-induced Endometriosis by Auto-transplantation of Uterine Tissue
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Cited by 62 •
2012
A description of the surgical induction of endometriosis in mice and rats by auto-transplantation of uterine tissue to the arterial cascade of the intestinal mesentery.
05:30
Laparoscopic Radical Gastrectomy for Remnant Gastric Cancer
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2025
Laparoscopic radical gastrectomy for remnant gastric cancer has been increasingly adopted as a minimally invasive surgical approach in recent years. This article proposes a detailed operating procedure, aiming to provide practical technical guidance for surgeons and promote the broader adoption of laparoscopic surgery in managing remnant gastric cancer.
05:30
Laparoscopic Anatomical Right Hemihepatectomy via the In Situ Anterior Approach
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2025
To evaluate the clinical benefits of laparoscopic right hemihepatectomy via the in situ anterior approach, emphasizing its advantages in minimizing tumor dissemination risks, reducing bleeding, and enhancing surgical safety, particularly for complex liver tumors.
10:31
Intraoperative Gastroscopy for Tumor Localization in Laparoscopic Surgery for Gastric Adenocarcinoma
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Cited by 12 •
2016
In early gastric cancer, the aim of surgery is to precisely remove the distal stomach including the primary tumor. To do this, accurate localization of the tumor is crucial, especially in totally laparoscopic surgery. This protocol describes a procedure for intraoperative gastroscopy in totally laparoscopic subtotal gastrectomy.
FAQs
Carbon dioxide is introduced into the abdomen to expand the operating space. This separation allows the camera and surgical instruments to provide a clearer view of pelvic structures and suspected lesions through small incisions. The resulting visualization helps surgeons assess the distribution of disease and select appropriate treatment, including tissue removal, destruction, or adhesiolysis.
Excision removes abnormal tissue, whereas ablation destroys it at the treated site. Both approaches can be used during laparoscopic endometriosis surgery, but the choice forms part of individualized management based on the observed disease and pelvic anatomy. The objective is to address lesions while supporting symptom relief and, when relevant, fertility-related care.
Adhesiolysis separates adhesions that can distort or bind pelvic structures. During laparoscopic endometriosis treatment, releasing these attachments may help restore more typical pelvic anatomy and improve the surgeon’s assessment of affected areas. This step is particularly relevant when endometriosis has produced anatomical changes, because treatment can address both visible lesions and the resulting adhesions.
Management can be tailored according to the lesions identified, the extent of disease, pelvic anatomical changes, symptoms, and fertility needs. A surgeon may combine lesion excision or ablation with adhesiolysis rather than applying one fixed procedure to every patient. This individualized approach connects operative findings with the patient’s therapeutic and reproductive priorities.
The procedure begins with small abdominal incisions and introduction of carbon dioxide to expand the abdomen. A camera then guides inspection of the pelvis and identification of lesions and adhesions. Depending on the findings, the surgeon removes or destroys abnormal tissue and may perform adhesiolysis. The operative assessment also helps determine the extent of disease.
This approach is used when clinicians need to evaluate pelvic disease directly and provide surgical treatment during the same minimally invasive procedure. It can address endometriosis-related pain, inflammation-associated anatomical changes, adhesions, and infertility-related concerns. The findings may also guide subsequent individualized management, particularly when fertility care is part of the patient’s needs.
Direct visualization allows surgeons to identify lesions, examine their distribution, assess the extent of disease, and recognize adhesions or other pelvic anatomical changes. These observations provide information that supports treatment selection, such as excision, ablation, or adhesiolysis. The operative findings can therefore connect diagnosis with a more targeted management plan.
Laparoscopy uses small incisions rather than the larger incision associated with open surgery. In the context described, this minimally invasive approach generally supports reduced incision size and shorter recovery compared with open surgery. It also permits direct pelvic assessment and treatment through the same access, allowing surgeons to address lesions and adhesions while evaluating disease extent.