Journal of Minimal Access Surgery

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Year : 2014  |  Volume : 10  |  Issue : 1  |  Page : 27--33

Laparoscopic management of moderate: Severe endometriosis

Pranay R Shah, Anu Adlakha 
 Department of Gynaecological Endoscopy, Bhatia Hospital, Mumbai, India

Correspondence Address:
Pranay R Shah
Shah Clinic. 1, Ground Floor, Matru Mandir, Tardeo Road, Mumbai, Maharashtra

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.

How to cite this article:
Shah PR, Adlakha A. Laparoscopic management of moderate: Severe endometriosis.J Min Access Surg 2014;10:27-33

How to cite this URL:
Shah PR, Adlakha A. Laparoscopic management of moderate: Severe endometriosis. J Min Access Surg [serial online] 2014 [cited 2021 Oct 28 ];10:27-33
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