Video-assisted laparoscopy for the detection and diagnosis of endometriosis: safety, reliability, and invasiveness

Schipper, Erica; Nezhat, Camran

doi:10.2147/ijwh.s24948

Cited by 9 publications

(5 citation statements)

References 92 publications

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“…2,19 These techniques involve precise and directed excision and ablation of all endometriotic implants and restoration of normal anatomy. Bowel and bladder surgery in the treatment of endometriosis is completed as previously described.…”

Section: Methodsmentioning

confidence: 99%

“…The treatment of endometriosis is carried out per previously described protocols for fertility-sparing treatment of endometriosis. 2 , 19 These techniques involve precise and directed excision and ablation of all endometriotic implants and restoration of normal anatomy. Bowel and bladder surgery in the treatment of endometriosis is completed as previously described.…”

Section: Methodsmentioning

confidence: 99%

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Advanced Gynecologic Laparoscopy in a Fast-Track Ambulatory Surgery Center

Nezhat

Main

Paka

et al. 2014

JSLS

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Background/Objectives:It has been shown that major gynecologic laparoscopy is safe in hospital ambulatory settings, but there is little data to suggest the same in freestanding ambulatory surgery centers. This study evaluates the safety and efficacy of advanced gynecologic laparoscopic surgery using a fast-track model in freestanding ambulatory surgery centers and discusses our institution protocols.Methods:Retrospective, multicenter review was conducted of major gynecologic surgeries from August 1st 2010 to September 30th 2011 in 3 surgical centers with one primary surgeon. All patients were treated for symptomatic uterine leiomyomas and/or endometriosis. Primary outcome measures were unplanned admissions and discharge within 23 hours.Results:One hundred and thirty-four patients underwent major laparoscopic gynecologic surgery with a total of 160 procedures: 77 stage IV endometriosis treatment including 7 disk excisions of endometriosis from the large bowel, 3 ureteroneocystostomies and 1 partial bladder resection, 38 myomectomies, and 34 hysterectomies including 12 modified radical hysterectomies. The overall unplanned admission rate was 4.5%. One hundred and thirty-one patients (97.7%) were discharged within 24 hours after surgery. Three patients (2.2%) were transferred to the hospital postoperatively: 1 patient for observation of postoperative anemia and 2 patients for postoperative fever. Three patients (2.2%) were admitted to the hospital after discharge: 1 patient for postoperative ileus, 1 patient for postoperative fever, and 1 patient with septic pelvic thrombophlebitis. These postoperative issues all resolved without complication, and all patients had an uneventful follow-up.Conclusions:With appropriate resources and an experienced surgeon, advanced laparoscopic surgery can be safely performed in a fast-track ambulatory surgery center with a high rate of discharge within 23 hours and low unplanned readmission rate.

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Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Advanced Gynecologic Laparoscopy in a Fast-Track Ambulatory Surgery Center

Nezhat

Main

Paka

et al. 2014

JSLS

Self Cite

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“…Laparoscopy is the recommended surgical technique for the treatment of endometriosis, regardless of its stage [ 122 ]. The best therapeutic effects are achieved as a result of the combination of surgical treatment with pharmacological treatment.…”

Section: Treatmentmentioning

confidence: 99%

Endometriosis: Epidemiology, Classification, Pathogenesis, Treatment and Genetics (Review of Literature)

Smolarz

Szyłło

Romanowicz

2021

IJMS

262

112

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Endometriosis is a “mysterious” disease and its exact cause has not yet been established. Among the etiological factors, congenital, environmental, epigenetic, autoimmune and allergic factors are listed. It is believed that the primary mechanism of the formation of endometriosis foci is retrograde menstruation, i.e., the passage of menstrual blood through the fallopian tubes into the peritoneal cavity and implantation of exfoliated endometrial cells. However, since this mechanism is also observed in healthy women, other factors must also be involved in the formation of endometriosis foci. Endometriosis is in many women the cause of infertility, chronic pain and the deterioration of the quality of life. It also represents a significant financial burden on health systems. The article presents a review of the literature on endometriosis—a disease affecting women throughout the world.

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“…This, associated with the fact that laparoscopy is far from 100% accurate (Khan et al, 2014;Walter et al, 2001;Wykes et al, 2004), raises the question of whether laparoscopy should be indicated in all suspected cases of endometriosis. Laparoscopy obviously has its merit in both diagnosis and treatment of endometriosis (Schipper & Nezhat, 2012); however, it could be argued that better screening of patients to be submitted to laparoscopy, not only for the presence of specific symptoms and by physical examination but also for the presence of serum biomarkers, may benefit patients.…”

Section: Discussionmentioning

confidence: 99%

Metabolomic profile as a noninvasive adjunct tool for the diagnosis of Grades III and IV endometriosis‐related infertility

Braga

Montani

Setti

et al. 2019

Molecular Reproduction Devel

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The aim of the present case‐control study was to develop a noninvasive adjuvant tool for the diagnosis of endometriosis. Serum samples from 100 patients undergoing intracytoplasmic sperm injection were split into two groups according to the cause of infertility: an endometriosis group (n = 50), consisting of samples derived from patients with Grade III and IV endometriosis, and a control group (n = 50), comprising samples derived from patients with isolated male factor infertility. The metabolomic profile of each sample was obtained, through mass spectrometry. Partial least squares discriminant analysis was able to clearly classify the endometriosis and control groups. Ten potential biomarkers were selected based on their importance for model prediction. These ions were used to build the receiver‐operating characteristic curve, which presented an area under the curve of 0.904 (95% confidence interval: 0.796–0.985). To validate the model, 30 other samples from infertile women without any evidence of endometriosis were tested. Considering these ions as possible biomarkers, the model was able to correctly classify 84% of the patients. Finally, a similar prediction potential was observed in the model validated set, when samples from the disease‐free group were tested. Serum metabolomics may be useful as a noninvasive adjunct tool for the selection of patients who must undergo laparoscopy for definitive endometriosis diagnosis.

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Video-assisted laparoscopy for the detection and diagnosis of endometriosis: safety, reliability, and invasiveness

Cited by 9 publications

References 92 publications

Advanced Gynecologic Laparoscopy in a Fast-Track Ambulatory Surgery Center

Advanced Gynecologic Laparoscopy in a Fast-Track Ambulatory Surgery Center

Endometriosis: Epidemiology, Classification, Pathogenesis, Treatment and Genetics (Review of Literature)

Metabolomic profile as a noninvasive adjunct tool for the diagnosis of Grades III and IV endometriosis‐related infertility

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