Laparoscopic Management of Endometriosis

In: Gynaecological Endoscopic Surgery · 2022 · pp. 227–244 · doi:10.1007/978-3-030-86768-3_22 · W4312806708
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This chapter outlines endometriosis pathogenesis, ethnic variations, diagnostic strategies, and laparoscopic treatment planning, recognition, staging, and techniques.

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This chapter reviews endometriosis’ pathogenesis, epidemiology (including ethnic variations), and current non-invasive diagnostic strategies, then outlines how laparoscopic planning and intraoperative staging inform laparoscopic surgical management. It describes that endometriosis is an estrogen-dependent condition affecting up to 15% of reproductive-age women and can present with multiple phenotypes across pelvic and occasionally extrapelvic sites, emphasizing the role of recognizing and staging disease during laparoscopy. A major limitation is that this is not an original study but an overview/chapter, so it does not provide new outcome data beyond synthesizing existing strategies and concepts. This paper is centrally about endometriosis — it provides an overview of laparoscopy-based diagnosis, staging, and surgical management planning for endometriosis.

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Abstract

Endometriosis is a benign estrogen-dependent clinical condition characterized by the presence of endometrial glands and stroma in sites other than the endometrial cavity. It occurs in up to 15% of reproductive age women and can result in chronic pelvic pain and/or infertility. In its worst stages, endometriosis affects the well-being of the female patient totally and adversely, her whole spirit is broken, and yet she lives in fear of still more symptoms. It has multiple phenotypes and principally involves structures within the female pelvis, although it can also affect other tissues like the gastrointestinal tract and diaphragm. This chapter provides an overview of the pathogenesis of endometriosis, its ethnic variations, and describes current strategies for non-invasive diagnosis of the disease and steps necessary in planning for laparoscopic surgical treatment. It also focuses on the importance of recognizing and staging the disease at laparoscopy, the techniques utilized in laparoscopic treatment and the prerequisites for successful treatment outcomes. Access this chapter Tax calculation will be finalised at checkout Purchases are for personal use only Similar content being viewed by others

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Author information Authors and Affiliations Corresponding author Editor information Editors and Affiliations Rights and permissions Copyright information © 2022 The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Switzerland AG About this chapter Cite this chapter Menakaya, U.A., Oriji, V.K. (2022). Laparoscopic Management of Endometriosis. In: Okohue, J.E., Ikechebelu, J.I., Ola, B., Kalu, E., Ibeanu, O. (eds) Gynaecological Endoscopic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-86768-3_22 Download citation DOI: https://doi.org/10.1007/978-3-030-86768-3_22 Published: Publisher Name: Springer, Cham Print ISBN: 978-3-030-86767-6 Online ISBN: 978-3-030-86768-3 eBook Packages: MedicineMedicine (R0)

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